Yug tswj tshuaj, tom qab 40 xyoo. Yuav ua li cas kom tsis txhob muaj kev xeeb tub

Kuv puas yuav tau yug tus me nyuam kev tswj tshuaj tom qab 40 lub xyoos? Yog, thiab txawm tsim nyog, vim hais tias thaum lub hnub nyoog no, lub neej tsis xaus, thiab ib tug intimate tivthaiv yuav ua tau kaj thiab cov yeeb yuj. Tab sis lig cev xeeb tub yog tsis zoo li mus muab koj ib tug zoo nkaus li zoo siab, vim hais tias feem ntau los ntawm lub sij hawm no tsev neeg yog twb npaj tooj ntawm cov me nyuam. Dhau li yug tom qab 35 xyoo, yog txaus ntshai rau cov niam thiab cov me nyuam noj qab haus huv thiab undesirable, yog hais tias muaj yog tej yam tshwj xeeb (long-term kev kho mob rau ntxiv lawm tshob).

Ib tug poj niam lub cev tom qab plaub caug xyoo

Txhua leej txhua tus paub xws li ib tug tshaj plaws li cov poj niam uas deev muaj hnub nyoog. Qhov no yog ib qho tseem ceeb lub sij hawm ntawd nyob rau hauv tsev neeg npaj. Niaj hnub no yog tsis muaj surprise lig cev xeeb tub, yog xav paub ntxiv thiab xav paub ntau mature poj niam uas tau ua niam dua. Txawm li cas los, ib tug yuav tsis muab qhov tseeb hais tias lub fertility ntawm cov poj niam nyob rau hauv no muaj hnub nyoog yog txo. Nws tsis yog hais tias lwm yam, raws li ib tug kos npe rau ntawm zes qe menyuam tsis ua hauj lwm. Hais tias yog, thawj poob rau hauv lub peev xwm mus procreate, thiab ces tag lawm ovulation. Rau 45 xyoo ntawm lub menses tsis muaj ovulation tau twb dhau lawm, li ntawd, txoj kev pheej hmoo ntawm cev xeeb tub yog txo tiam sis tsis tag tshem tawm. Yug tswj tshuaj , tom qab 40 xyoo, tso cai rau koj mus nco ntsoov hais tias pliaj cev xeeb tub tsis tshwm sim, uas txhais tau tias koj yuav ua tau ntau so thiab kaj siab lug.

Ib txhia txheeb cais

Muaj txhim khu kev qha cov ntaub ntawv uas hais tias mus txog rau 30% ntawm cov poj niam hnub nyoog 40 rau 54 xyoos muaj ib tug tsis tu ncua ua poj niam thiab fertility. Cev xeeb tub thaum muaj hnub nyoog yuav ua tau rau ib tug loj heev pathology, tus me nyuam tej zaum yuav yug nrog ib tug ntau yam ntawm kev tsis taus. Tab sis ib tug lig rho menyuam - tsis yog ib tug panacea. Cov kws kho mob pabneeg cov nuj nqis uas paub tseeb tias cov khoom nyob rau hauv xws li ib tug lub sij hawm ntawm kev cuam tshuam uas cev xeeb tub yuav txais ib tug hnyav txaus ntawm climacteric syndrome. Qhov no nyob rau hauv lem ua rau txoj kev loj hlob ntawm neoplastic dab nyob rau hauv lub tsev me nyuam thiab mammary qog.

Yog li, peb xaus uas cov ntsiav tshuaj tom qab 40 xyoo, yog ib qho zoo heev lwm txoj rau ib pliaj cev xeeb tub. Txawm li cas los, qhov no yog tsis tsuas tau kev xaiv. Los ntawm lub hnub nyoog no, cov poj niam mas feem ntau yog tsim nyob rau tej nyiam nyob rau hauv kev xaiv ib tug contraceptive. Qhov no tej zaum yuav paum npaj los yog intrauterine pab kiag li lawm, tshwj xeeb txhaj los yog teeb meem kev (looj).

Yuav ua li cas xaiv ib tug qauv ntawm cov pov

Yug tswj tshuaj tom qab 40 xyoo tej zaum yuav sib txawv heev. Yuav kom ua rau txoj kev xaiv, ua los ntawm tus kheej nyiam, raws li zoo raws li lub tswv yim ntawm ib tug kws kho mob. Ua ntej ntawm tag nrho cov koj yuav tsum xav txog cov hauj lwm zoo ntawm pov, raws li zoo raws li cov tau txaus ntshai thiab kev phiv. Raws li koj zaj dabneeg, nug koj tus kws kho mob kom soj ntsuam koj kev sib deev muaj nuj nqi, tus kheej nyiam, raws li zoo raws li lub xub ntiag ntawm tus kab mob.

Yog vim li cas thiaj li muaj ntau cov kws kho mob yog pom zoo rau hormonal contraceptives

Yug tswj tshuaj, tom qab 40 tiag tiag yog teem tsawg npaum li cas, vim lub fact tias nyob rau hauv no muaj hnub nyoog yog tsim ib tug xov tooj ntawm lwm yam mob, txhua tus uas yog ib tug contraindication rau txais hormonal agents. Yog li ntawd, tus kws kho mob yuav tsum saib daim ntawv ntawm tus neeg mob thiab muab ntxiv kev ntsuam xyuas. Koj muaj peev xwm siv tsis tau COCs nyob rau hauv plawv pathologies, mob ntshav qab zib thiab phem hlav ntawm lub tsev me nyuam system.

Yog hais tias daim ntawv ntsuam xyuas yeej tsis qhia tej yam kab mob, kev siv ntawm hormonal npaj yog tsis precluded. Tab sis tam sim no koj yuav tau mus rov qab mus rau qhov uas tsis muaj-koob tshuaj cov neeg ua hauj tuaj rau koj tus ntxhais hluas. Cov no yog cov tshuaj xws li "Logest", "Novinet", "Lendinet" thiab ib txhia lwm leej lwm tus. Tab sis peb-theem contraceptives nyob rau hauv no muaj hnub nyoog, yog tsis muaj lawm haum.

Vice-lawm txoj kev kho

Yog li ntawd yuav ua li cas los tiv thaiv lawv tus kheej los ntawm cev xeeb tub yuav tsum tau ntev txaus, koj yuav saib tau lub nrov tshaj plaws kev xaiv, uas yog siv heev ntxhais hluas. Qhov no txhais tau tias xws li cov mini-ntsiav tshuaj. Lawv cia cov kev siv ntawm lub mis-pub cov poj niam. Cov no muaj xws tshuaj xws li "Ekslyuton", "Kontinuin" thiab ib txhia lwm leej lwm tus. Lawv peculiarity yog tias lawv tsis muaj cov tshuaj no. Lawv muaj ib tug loj kom zoo dua - namely tshuaj nyob rau hauv no series yog tau tiv thaiv endometrial hyperplasia, ib tug kab mob uas yog tshwm sim heev rau cov poj niam laus.

Yog li ntawd peb ntsia yuav ua li cas los tiv thaiv lawv tus kheej los ntawm cev xeeb tub, tam sim no peb yuav tau txiav txim siab li cas theem koj yuav mus nyob rau hauv contraceptive hormone hloov txoj kev kho. Qhov no tshwj xeeb cov tshuaj, uas yuav pab kom khaws cia cov tub ntxhais hluas, kev zoo nkauj thiab noj qab haus huv thaum lub sij hawm lawm. Tab sis tsis txhob maj tsiv mus nyob rau lawv tus kheej, koj yuav tsum kom zoo zoo txhais tau lub sij hawm thaum koj yuav hloov ib cov tshuaj rau lwm tus neeg. Tseeb, tau ntawm cev xeeb tub yeej tseem yuav khaws cia txawm thaum ib tug poj niam tau txiav txim siab hais tias tus kawg nkaus los txog lawm.

Yog hais tias muaj yog tsis muaj yuav tsum tau rau pov (kev cai dab qhuas motives, kev tuag ntawm ib tug txij nkawm), koj yuav xyuam xim mus rau lub "cov hluas lawm". Ncav lub hnub nyoog ntawm lawm, nws niam, koj muaj peev xwm kuj nws tus kheej txiav txim siab mus hloov cov tshuaj. Tiam sis ntau tshaj meej qhov pib ntawm lub sij hawm no yuav tsum tau txiav txim xwb hormonal tsom xam.

Nyob rau hauv lub xub ntiag ntawm contraindications

Yog hais tias hormonal contraceptives yuav tsum tsis txhob coj vim muaj tej kev kho mob tej yam kev mob, nws yog tau mus rau chaw uasi rau ib qho ntawm lwm txoj kev. Tham nrog koj tus kws kho mob thiab nws yuav qhia koj dab tsi txoj kev yog feem ntau tsim nyog. Qhov no yuav ua tau ib tug tshwj xeeb txhaj uas yog ua ib zaug txhua txhua peb lub hlis. Ib tug heev yooj yim txoj kev ntawm pov yog tus intrauterine ntaus ntawv. Tej tooj liab muab kauv, nkag mus rau tus poj niam tom qab 40 xyoo, yuav nyob twj ywm nyob rau hauv lub tsev me nyuam kom txog rau thaum lawm. Thaum intimate kev sib raug zoo tsis yog tsis tu ncua, koj yuav siv barrier txoj kev: hnab looj qau, spermicides thiab kaus mom. Nco ntsoov hais tias tej yam ntuj tso txoj kev pov (hauv daim ntawv thov txoj kev, basal lub cev kub ntsuas) yog tsis zoo nyob rau hauv no muaj hnub nyoog raws li lub cev ntas loses nws regularity.

Thaum kawg, yog tias koj tau txiav txim siab raws nraim li cas nyuam rau koj - lub ntsiab lus kaw, koj yuav mus los ntawm lub txheej txheem ntawm kom tsis muaj menyuam. Qhov no tus txheej txheem yog irreversible, tab sis muaj peev xwm kiag li tsis txhob txhawj txog tau txais kev cev xeeb tub. Nws yuav tsum tau muab sau tseg hais tias lub lag luam no tsis ua rau cov uas tsis tau ua li cov muaj hnub nyoog ntawm 35 xyoo los yog peb cov me nyuam.

Yuav ua li cas coj tswj

Dua hais ntxiv txog qhov tseeb hais tias lub ntsiav tshuaj yuav tsum muab kev pom zoo los ntawm ib tug kws kho mob. Tsis txhob koom nyob rau hauv nws tus kheej-taw - qhov no yog tsis vitamins. Ua ntej ntawm tag nrho cov, sau npe mus rau lub gynecologist thiab dhau cov kev xeem. Txhua cov tshuaj nws muaj nws tus kheej txais tos Circuit Court. Raws li cov multi-theem contraceptives rau mature poj niam yog tsis pom zoo, ces tus kws kho mob yuav tuaj tos koj ib theem tshuaj. Cov pob tag nrho cov ntsiav tshuaj muaj tus nqi qub ntawm cov tshuaj hormones, li ntawd, qhov tseem ceeb tshaj - nws txhua txhua hnub mus noj ib ntsiav tshuaj, dua li nyob rau tib lub sij hawm los yog nrog ib tug me ntsis txawv. Piv txwv li, siv sij hawm ib ntsiav tshuaj txhua txhua hnub ua ntej noj tshais. Ncua sij hawm rau 12 xuab moos tsis txo cov hauj lwm zoo ntawm lub active ingredient.

Cov tseem ntawm hormonal contraceptives

Txawm li cas los, tsis yog txhua txhua thiaj li yooj yim, ces peb mam li qhia ib tug me ntsis ntau yam rau lo lus nug ntawm yuav ua li cas coj yug tswj. Tus thawj tshaj plaws kom koj nco ntsoov hais tias cov pob muaj 21 ntsiav tshuaj. Nrog kev txais tos lawv tsim ib tug yooj yim voj voog nyob rau hauv 28 hnub. Yog koj yog ib tug los ntawm ib tug noj tag nrho cov tshuaj los ntawm lub pob, thiab mam li ua ib tug so rau xya hnub, thiab pib ib tug tshiab pob nyob rau hauv lub 29th hnub. Thaum lub sij hawm so, yuav tsum yauv mus ua hli, tab sis txawm yog hais tias lawv tsis tuaj, koj yuav tsum pib ib tug tshiab pob, tab sis nws yog tsim nyog rau qhov chaw nyob rau tus kws kho mob yuav nrhiav tau cov ua dab tsi tshwm sim. Yog hais tias koj tsis nco qab mus noj cov ntsiav tshuaj, tab sis tsis tsis muaj ntau tshaj li 12 teev, nws tsis txo cov kev tiv thaiv nyhuv. Yog hais tias qhov kev ncua yog ntau tshaj li 12 teev, koj yuav tsum rau siab ntso kawm cov ntsiav tshuaj, tab sis ua ntej lub tom ntej no ntim zoo tiv thaiv ntxiv barrier txoj kev.

Yuav ua li cas contraceptives yuav npaum li cas tsis muaj kev cuam tshuam rau ib tug ntev lub sij hawm? Muaj yog ib tug pheej tswvyim hais ua dabneeg hais tias ib lub xyoo los yog ob tug tom qab pib ntawm kev siv ntawm cov tshuaj, nws yog tsim nyog los noj ib tawg, yog li ntawd lub cev yuav "so". Nyob rau hauv qhov tseeb, xws li ib tug so tsuas coj cov tshuaj hormones thiab ua rau ntau cov teeb meem ntau tshaj kev zoo, tshwj xeeb tshaj yog hais tias koj npaj mus ces rov pib noj contraceptives. Gynecologists refute no tswvyim hais ua dabneeg. Tsis txhob noj cov tshuaj xwb nyob rau hauv cov ntaub ntawv ntawm kev mob loj deterioration ntawm kev noj qab nyob, raws li zoo raws li thaum npaj cev xeeb tub.

Yog hais tias thaum lub sij hawm ntawm kev noj cov tshuaj tshwm sim ntuav los yog zawv plab heev, lub contraceptive nyhuv yuav raug heev txo. Nyob rau hauv no thiab tom ntej no hnub nws yog tsim nyog los siv hnab yas looj. Nyob rau hauv tas li ntawd, nws yog pom zoo kom mus tham ib tug kws kho mob yog tias koj cov kws kho tshuaj tua kab mob. Rau feem ntau feem, lawv zoo heev txo cov nyhuv ntawm pov.

Benefit los yog ua mob

Tsuas yog ib tug kws kho mob yuav muab tshuaj rau me nyuam yug los tswj, nqe no tsis yog lub txiav txim tau. Pheej Yig tshuaj tej zaum yuav nplua koj cia li zoo li lub kim tshaj plaws. Lawm tshuaj tej zaum yuav pom tau tias yog cov feem ntau txhim khu kev qha txhais tau tias kev tiv thaiv tiv thaiv pliaj cev xeeb tub. Ib tug lossis loj tus naj npawb ntawm cov poj niam siv lawv txhua txhua hnub. Lub mechanism ntawm lub tswv yim yog heev yooj yim: lawv yog cov muaj peev xwm cheem lub maturation ntawm lub qe, thiab yog li ntawd ovulation. Txawm li cas los, txawm qhov yooj yim thiab efficiency, tom qab plaub caug cov poj niam yeej tsis khiav txoj kev pheej hmoo ntawm lawv cov kev siv, raws li peb muaj cov nram qab undesirable phiv.

• Mob taub hau. Qhov no yog feem ntau tsis txaus siab ntawm cov poj niam noj lawm tshuaj. Yog vim li cas yog lub hormone estrogen, hais tias nws ua rau ib tug mob taub hau, tsam plab thiab lwm yam unpleasant ncus.
• Cov kev hloov ntawm kev puas hlwb raws li txoj cai, tsis muaj kev tshuav nyiaj li cas, koj qhov hnyav nce, cov tsos ntawm ib tug loj tus naj npawb ntawm ntxau. Tag nrho cov no ua rau lwm yam tshuaj - progestin. Nws yog ib feem ntawm ib tug heev loj tus naj npawb ntawm cov tshuaj hormones
• Thaum lub sij hawm txais tos contraceptives me ntsis kom lub qab los noj mov, yog li koj qhov hnyav nce - qhov no yog tsis yog tus txhaum yus kev noj tshuaj, koj cia li pib noj ntau dua li ib txwm.
• Tsis txhob noj cov tshuaj hormones yog tias koj haus luam yeeb. Nws yuav ua rau lub plawv sib cem los yog tus cwj nrag. Thiab qhov no yuav ua kom muaj kev tiv thaiv. Tus nqi ntawm cov khoom no mas nws txawv ntawm 150 rau 2500 rubles ib pob, tsim los rau ib lub hlis.

Nyob rau hauv thiaj li yuav protect lawv tus kheej los ntawm pliaj cev xeeb tub, tsis tas mus nqa cov tshuaj hormones. Tam sim no peb yuav saib lwm loj pab pawg neeg ntawm contraceptives, lub peev xwm raug mob los ntawm uas yuav luag txo kom zero. Cov no yog cov contraceptives uas tsis qab. Lawv muaj lawv cov flaws, tab sis nws yog tus xaiv txhua. Cia saib yog dab tsi.

uas tsis yog-hormonal contraceptives

Nruab nrab ntawm lawv thiab cov hormonal txhais tau tias yog ib tug loj sib txawv, tab sis ib puas feem pua tiv thaiv tawm tsam cev xeeb tub tsis muab tej yam ib tug ntawm lawv. Cov thawj thiab tseem ceeb tshaj plaws txawv yog hais tias lawm tau txhua txhua hnub, thiab hormonal tam sim ntawd ua ntej com. Tshwj xeeb tshaj yog zoo suited cov tshuaj rau cov neeg uas tsis nyob ib txwm txiv neej lub neej. Txaus mus coj ib tug ntsiav tshuaj sai li sai tau ua ntej kev sib deev com, thiab kev tiv thaiv ntawm ib tug ob peb teev koj yuav tau muab. Hormonal contraceptives yog tsis tsuas nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tab sis kuj nyob rau hauv daim ntawv ntawm lub paum suppositories, tshuaj pleev los yog cream. Lawv active cov khoom xyaw yog tau ua kom puas lub spermicide, tsis tas mus rau lub tsev me nyuam.

Pros nonhormonal pov

Yuav luag tag nrho cov ntawm lawv muaj anti-inflammatory thiab antibacterial nyhuv. Qhov no yog qho tseem ceeb heev yog hais tias tus poj niam tsis muaj ib tug mus tas tus khub. Tsis tsuas yog koj yuav tiv thaiv koj tus kheej los ntawm cov voos, tab sis kuj nyob rau hauv ib tug xov tooj ntawm kab mob uas sib deev kis tau. Vim hais tias tom qab 40 xyoo twb muaj qab nws ib tug nplua nuj kev ntawm lub neej, koj yuav tau yooj yim xaiv cov feem ntau tsim nyog contraceptive. Xyuas Feem ntau cov poj niam hais tias ib tug zoo-xaiv cov tshuaj hormones, txawm lub cuab disadvantages yog cov feem ntau txhim khu kev qha.

Yuav kom saib lub ntsab lug

Raws li koj tau pom nyob rau hauv lub lag luam hnub no yog ib tug ntau yam ntawm contraceptives. Yuav ua li cas yog ib qho zoo xaiv, koj yuav tsum qhia rau koj tus kws tshuaj kuaj pojniam. Tsis txhob hnov qab, dab tsi tuaj rau koj tus hluas nkauj, yuav tiag undermine koj tus kheej noj qab haus huv. Tsis txhob noj cov tshuaj tsis muaj ib tug kws kho mob tshuaj. Txawm tias ib tug uas tsis yog-hormonal txhais tau tias ntawm pov muaj ib co contraindications, vim hais tias lawv yuav ua voos thiab tsis haum cov tshuaj tiv thaiv. Yog li ntawd, nyob rau hauv txhua rooj plaub, ua ntej lub sij hawm teem tseg ntawm tus kheej tiv thaiv tawm tsam pliaj cev xeeb tub yuav tsum tau soj ntsuam xyuas.

Nws muaj xws li kev sib tham gynecologist thiab mammalogy, thiab smear rau onkotsitologiyu. Nyob rau hauv tas li ntawd, koj yuav tsum xeem kom dhau tus biochemical tsom xam ntawm cov ntshav, tus kws kho mob yuav tsum kos koj lipid profile, AST, ALT, qabzib. Thaum kawg, cov tsawg kawg yuav tsum taw, tab sis tseem xav tau kev pab yuav tsum tau ua kom tiav pelvic ultrasound, thiab nws yuav tsum tau ua li cas rau 5-7 hnub voj voog. Cov tub txawg yuav tsum tau qhia rau qhov siab thiab qhov hnyav, muaj cov kab mob, abortions, ntev, thiab ib tug profusion ntawm menses. Tsis tas li ntawd, tus kws kho mob yuav tsum tau muab sau tseg nyiam mus nce luj, lub xub ntiag ntawm daim tawv nqaij ua pob ua xyua. Tsuas yog nyob rau hauv lub hauv paus ntawm tag nrho cov no peb yuav xaus uas tej contraceptives rau cov poj niam tej zaum yuav siv tau. Saib xyuas ntawm koj tus kheej thiab noj qab nyob zoo!