Yuav ua li cas IUDs zoo? Xyuas ntawm IUD

Ntau tshaj 60 lab. Cov poj niam nyob rau hauv lub ntiaj teb no xav qhov no txhais tau kev tiv thaiv tiv thaiv cev xeeb tub yog intrauterine. Yuav ua li cas IUDs zoo dua, ntev npaum li cas lawv yog tsim los pab, seb nws yog ib tug mob txoj kev? Cov teeb meem yog txaus siab rau ntau cov poj niam.

kev faib Navy

Qhov no hom ntawm contraceptive siv tshaj 16% ssiyskih rozhenschin deev muaj hnub nyoog. Yuav kom nrhiav tau tawm yog dab tsi zoo txog lub IUD, uas zoo tshaj plaws tiv thaiv cev xeeb tub, koj yuav tsum paub dab tsi zoo ntawm ib tug kauv yuav tau muas ntawm tus domestic kev ua lag luam. Muaj ob peb hom intrauterine contraceptives:

• uas tsis yog-tshuaj;
• thawj-tiam tshuaj - "Multiload", "Nova", "Juno Bio";
• tshuaj peb tiam - "Mirena".

Tus thawj yog ua los ntawm cov khoom cua ntaub ntawv nrog tas li ntawd ntawm barium sulfate. Lawv tuaj nyob rau hauv ntau daim: lub T-zoo li tus los yog S-puab. Qhov no inefficient IUDs. Xyuas ntawm cov kws kho mob qhia hais tias lawv yog tam sim no tsis nyob rau hauv kev siv vim nquag inflammatory mob tom qab lawv cov kev taw qhia.

Qhov thib ob pab pawg neeg muaj lub IUD (intrauterine pab kiag li lawm) muaj tooj liab, kub, nyiaj. Yog li tej zaum yuav muaj ib tug tib hlau los yog ib tug ua ke ntawm: ib tug pas nrig - cov nyiaj thiab winding - tooj liab. IUDs nrog cov nyiaj thiab lwm yam co tsis corrode, pab mus rau kev tiv thaiv los ntawm ntau yam mob ntawm Internal genitals thiab muab tso rau hauv ib tug heev lub sij hawm ntev - txog li 5 xyoo.

Contraceptives hais txog qhov peb pab pawg neeg, nyob rau hauv daim ntawv uas zoo sib xws rau lub yav dhau los sawv daws yuav, tab sis muaj ib lub taub ntim nrog ib tug hluavtaws progestogen, uas yog tso tawm nyob rau hauv micro koob tshuaj - mus txog rau 20 mg txhua txhua hnub. Cov qwj yog muab tso rau 7 xyoo. Lawv muaj tsis yog ib tug contraceptive nyhuv los ntawm inhibiting lub Symptoms ntawm lub fertilized qe, tab sis kuj yog siv los kho ntau yam kab mob: endometriosis, dysfunctional uterine los ntshav thiab thaum lub sij hawm hormonal hloov kho nrog estrogens los mus tiv thaiv endometrial hyperplasia. Tej kauv haum rau cov poj niam nrog kev cai dab qhuas prejudice vim fertilization tsis tshwm sim vim cov kev hloov nyob rau hauv hormonal tshuav nyiaj li cas nyob rau hauv tus ntawm qhov kev tso tawm progestogens.

mechanism ntawm qhov kev txiav txim

Nyob rau cov nqe lus nug ntawm yog dab tsi IUDs zoo dua, koj yuav tsum paub yuav ua li cas lawv ua hauj lwm. Qhov no txoj kev ntawm pov ua rau lub fact tias cov kev mob kev raws li ib tug tshuaj tiv thaiv mus rau ib tug txawv teb chaws lub cev: leukocyte infiltration ntawm endometrial morphological kev hloov uas yog alien rau lub cev ntas, thiab nyob rau hauv uas cov kev taw qhia ntawm ib tug fertilized qe yog tsis tau.

Navy ua uterine contractions, tiv thaiv lub cev loj hlob ntawm cov endometrium rau implantation ntawm lub qe, yeej txhawb peristalsis ntawm txoj hlab qe menyuam thiab muaj ib tug tsis zoo feem on phev ions ntawm tooj liab, kub thiab nyiaj.

Koj yuav tsum tsis txhob xav txog txhua txhua lub hom phiaj ntawm yuav ua li cas nais khu contraceptive nyhuv, mechanism ntawm qhov kev txiav txim muaj ob peb yam.

zoo

Yuav kom nrhiav tau tawm yog dab tsi IUD yog lub feem ntau zoo, koj yuav tsum paub txog cov kev pab cuam ntawm tag nrho cov hom ntawm IUDs:

• efficiency mus 98%;
• simplicity ntawm daim ntawv thov;
• ib tug tsawg kawg nkaus ntawm cov nyom tshua;

• kho tshiab ntawm lub peev xwm fertilize tom qab qhov kev tshem tawm ntawm lub IUD nyob rau hauv lub thawj lub hlis;
• Nws tsis raug kev txom nyem los ntawm kev pub niam mis (tsis haum rau cov rog nrog progestins);
• qhia rau ib tug ntev lub sij hawm;
• uas tsis muaj nqi;
• yuav tsis muaj rau hnub thawj coj ntawm cov ntsiav tshuaj thiab cov kev siv ntawm cov tswj thaum uas siv cov qhov ncauj contraceptives.

shortcomings

Ntawm cov shortcomings yuav tsum tau muab sau tseg dragging mob nyob rau hauv lub plab mog, tshwj xeeb tshaj yog nyob rau hauv lub hnub thaum ntxov, hnyav ua poj niam, ib tug yuav muaj mob, lub qhov tswj lub hwj txwv, cov kev txwv rau cov poj niam.

Contraindications

Yuav ua li cas IUDs zoo dua "Multiload", "Juno Bio", "Nova"? Seb puas muaj cov contraindications rau tej hom kauv? Nws yuav tsum tau muab sau tseg tias tag nrho cov hom muaj cov txheeb ze thiab tsis contraindications.

Tsis contraindications muaj xws li mob o, cancer, hlav ntawm lub caj dab thiab lub cev ntawm cov tsev me nyuam, lub paum los ntshav ntawm tsis paub hais tias cov xwm, tus neeg tham lwm los yog twb muaj lawm uas cev xeeb tub. Thaum cov tsos mob qhia kauv kiag li txhob.

Tus kwv tij contraindications - cov tsos mob no nyob rau hauv uas saib xyuas IUD tejzaum tom qab tsim nyog kev soj ntsuam los yog kev kho mob, los yog thaum lub contraceptive yuav tsis ua rau kom cov kev vam meej ntawm tus txheej txheem. Lawv yog:

• exacerbation ntawm tus kab mob cov kab mob, thiab rau lub hlis tom qab kev kho mob;
• kev sib deev kis cov kab mob;
• cervicitis, vaginitis;
• hnyav ua poj niam, intermenstrual los ntshav;
• hyperplasia los yog endometrial polyps;
• Uterine fibroids nrog submucosal qhov chaw ntshav;
• ib co daim ntawv ntawm endometriosis;
• malformations ntawm lub tsev menyuam: underdevelopment, txawv txav qauv;
• hloov nyob rau hauv lub ncauj tsev menyuam, nyob rau hauv uas nws yog tsis yooj yim sua rau IUD zoo;
• ectopic cev xeeb tub tau rau lub hlis ua ntej cov kev taw qhia;
• raug rho tawm (Self-extracting) Navy keeb kwm;
• kab mob-inflammatory mob tom qab rho menyuam thaum lub sij hawm yav dhau los peb lub hlis;
• Yog hais tias ib tug ntau ntawm kev sib deev nrog ib tug neeg;
• Somatic kab mob: mob mob, xws li tuberculosis; anemia los yog coagulopathy; rheumatic kab mob plawv, valve tsis xws luag ntawm lub ntaus ntawv;
• ib tug haum hlau ions;
• Westphal, Wilson tus kab mob - ib tug hereditary mob, uas cuam tshuam rau kev cov kev pauv ntawm tooj liab;
• immunosuppressive kev kho mob.

Nyob rau hauv txhua rooj plaub, tom qab lub meej ntawm tag nrho cov kev phiv yam thiab ib txhij txhua xeem tus kws kho mob txiav txim seb IUD siv. Cov khw muag ntau yam ntawm intrauterine pab kiag li lawm. Diam duab pob hais saum toj no. Lawv nqi yog hom twg los ntawm 200 mus rau 10,000 rubles.

Xeem ua ntej thawj coj helix

Ua ntej siv no txoj kev ntawm pov yuav tsum tau ib tug neeg sib tham nrog koj tus kws tshuaj kuaj pojniam thiab tua ntawm qhov yuav tsum tau yam tsawg kawg nkaus ntawm cov ntawv tshawb fawb:

• CBC;
• kev xeem ntawm lub raum muaj nuj nqi ;
• kuaj rau syphilis, kab mob siab B thiab C, HIV-carriage;
• ncua colposcopy;
• Ultrasound kev soj ntsuam ntawm lub tsev me nyuam thiab appendages.

Cov kev taw qhia ntawm cov IUD

Raws li LEEJ TWG cov kws txawj, cov kauv yuav muab nyob rau hauv txhua lub hnub, tab sis lub feem ntau dej siab hnub yog 4-7 hnub ntawm lub cev ntas. Qhov no yog piav los ntawm qhov tseeb hais tias hais tias txheej membrane ntawm lub tsev menyuam tau rov qab los tom qab cov rejection ntawm lub endometrium, ncauj tsev me nyuam me ntsis qhib, lub xub ntiag ntawm poj niam - ib tug txhim khu kev qha kos npe rau ntawm qhov uas tsis muaj cev xeeb tub, thiab tsawg heev los ntshav tshwm sim tom qab cov kev taw qhia, tsis txhob coj tus poj niam tsis xis nyob. Tom qab rho menyuam los yog samoaborta IUD yuav nkag mus rau tam sim ntawd los yog tsis pub dhau 4 hnub uas tsis muaj tej yam tshwm sim los ntshav thiab o.

Tom qab yug me nyuam (tsis pub dhau 48 xuaj moos) yog tsis pom zoo ich tam sim ntawd muab vim hais tias muaj yog ib tug siab ntau yam ntawm ntiab tawm ntawm lub kauj. Qhov tseem pom lub sij hawm - 6 lub lim tiam tom qab tus me nyuam.

teeb meem

Teeb meem yog tau tam sim ntawd thiab tom qab ib tug thaum tom qab lub intrauterine ntaus ntawv ntsia. Uas yog zoo dua nyob rau hauv cov nqe lus ntawm ib tug tsawg kawg nkaus ntawm phiv tsis kaj siab? Feem ntau, tom qab cov kev taw qhia ntawm cov kauv muaj ib tug mob cov tsos mob uas yuav kav rau lub sij hawm. Qhov no twb qhia nyob rau hauv ib tug saib xyuas. Feem ntau cov feem ntau, tsis xis nyob kis tom qab noj analgesics. Yog hais tias tus mob tsis ntaug los ntawm analgesics thiab antispasmodics, nws yog tsim nyog los xyaum ua ib tus ultrasound los yog hysteroscopy los mus txiav txim lub correctness ntawm cov IUD thiab diagnosing lub xub ntiag ntawm ib tug kauv nyob rau hauv lub plab los yog sab nraum nws (cov kev taw qhia ntawm uterine perforation).

IUD ntiab tawm tshwm sim feem ntau nyob rau hauv cov tub ntxhais nulliparous cov poj niam vim hais tias muaj zog uterine muaj peev xwm. Nws tshwm sim tsuas yog nyob rau hauv thawj hnub tom qab thawj coj. Tus zaus ntawm no yam tab kaum nyob rau hauv lub hom helix: coppercontaining deletes nws tus kheej nyob rau hauv 6-16% ntawm cov neeg, progestagensoderzhaschie - nyob rau hauv 3-6.5%. Nrog lub hnub nyoog, lub nce nyob rau hauv lub xov tooj ntawm kev yug me nyuam thiab abortions yuav ua rau muaj teeb meem yog txo.

Inflammatory kab mob - mob uas muaj cai nyob rau hauv 3,8-14,5% ntawm cov neeg thaum muab IUD thib ob pab pawg neeg. Nyob rau hauv cov ntaub ntawv no, yog hais tias muaj mob nyob rau hauv thawj 3 lub lis piam, nws tshwm sim tej zaum yuav muaj feem xyuam rau IUD zoo; Yog hais tias tom qab 3 lub hlis - nws yog ib tug kab mob sawv rov qab los. Tsim kom muaj kua paug tubovarialnogo kawm ntawv - lub feem ntau formidable ntawm inflammatory teeb meem. Nws tshwm sim nrog heev siv kauv - ntau tshaj 6-7 xyoos. Spotting tau nyob rau hauv thawj hnub tom qab thawj coj (2,1-3,8%) thiab Cropped hom phiaj styptic. Yog hais tias lub los ntshav ntxiv, nrog mob syndrome los yog tshwm sim ntawm coj khaub ncaws thiab tsis teb cov lus rau kev kho mob, nws yog tsim nyog los tshem tawm cov kauj.

Nyob rau hauv 0.5-2% ntawm cov tau cev xeeb tub. Qhov no tshwm sim thaum tag nrho los yog ib nrab ntiab tawm ntawm lub IUD. Feem ntau cov feem ntau, qhov no cev xeeb tub xaus nyob rau hauv txawj abortions, txawm hais tias ib tug poj niam xav kom nws.
Thiab yog dab tsi IUDs zoo nyob rau hauv cov nqe lus ntawm cov teeb meem, los pab daws cov gynecologist.

Cov hauj lwm zoo intrauterine contraceptive

Ib tug ntau ntawm ntau ntau yam Navy txo nws hwj tej lus nug rau tus poj niam: yuav ua li cas kom tsis txhob muaj teeb meem, thiab dab tsi zoo dua IUD? Xyuas ntawm cov kws kho mob thiab cov neeg mob hais lus nyob rau hauv dej siab ntawm cov copper- los yog nyiaj uas muaj IUD.

Ntxiv ntawm tooj liab thiab nyiaj txo cov xwm txheej ntawm cov teeb meem nyob rau hauv 2-10 lub sij hawm. Cov hauj lwm zoo cov IUD yog 93,8%. Inert helix muaj miv nyuas siv zug nyob rau hauv 91-93%. Tam sim no, feem ntau haum yog tooj liab-muaj kauv tus uas tsis muaj tus nqi ntawm cov teeb meem thiab lub siab feem pua ntawm cov contraceptive kev ua si.

Lawm-Tso System "Mirena" yog qhov zoo tshaj contraceptive thiab kom tsis muaj menyuam yog suav tias yog yuav luag lom, raws li nws muaj ib tug xov tooj ntawm kev ua aimed ntawm kev tiv thaiv fertilization, attaching nws mus rau lub endometrium, nce lub viscosity ntawm hnoos qeev nyob rau hauv lub ncauj tsev menyuam los tiv thaiv cov phev los ntawm uas nkag mus rau lub tsev me nyuam.

Peb rov los xyuas dua cov zoo thiab tsis zoo los, uas muaj ib tug kauv intrauterine. Yuav ua li cas zoo dua qhov chaw? Qhov no qhov teeb meem yuav tsum tau nyob rau hauv nrog cov gynecologist. Qhov no txiav txim seb tus nqi uas ib tug poj niam xav kom thiab zaj lus tim khawv hais tias tom qab qhov kev xeem qhia tus kws kho mob.