Izindlela zokuvimbela inzalo amaphilisi, ngemva kweminyaka engu-40. Indlela yokugwema ukukhulelwa

Ingabe ngidinga sokuzalwa isilawuli amaphilisi ingabe ngemva kweminyaka engu-40? Yebo, ngisho kudingekile, ngoba ngalesi yobudala, ukuphila akugcini, futhi ingxenye obuseduze kungaba egqamile futhi ezimibalabala. Kodwa ukukhulelwa ngasekupheleni akunakwenzeka ukuba akunike nomuzwa wenjabulo, ngoba ngokuvamile ngalesi sikhathi umndeni sele ahlelile isibalo sezingane. Ngaphandle lokuzalwa emva kweminyaka 35, ziyingozi kukamama kanye nengane ezempilo engathandeki, uma kunezimo ezikhethekile (ukwelashwa eside nenzalo).

umzimba Owesifazane ekupheleni kweminyaka emine

Wonke umuntu uyazi into ezifana nabesifazane asebeneminyaka efanele yobudala zokuzala. Lena esasibucayi zokuhlela umndeni. Namuhla akusona isimanga sokukhulelwa sekwephuzile, maningi futhi ukhulile abesifazane abaye baba omama futhi. Nokho, umuntu akakwazi uphike yokuthi nenzalo abesifazane kulonyaka kuyehla. Akukhona ukuthi ezinye, njengophawu lokuthi ukwehluleka wesibeletho. Okungukuthi, wokuqala walahlekelwa amandla okuzala, futhi ame ngokuphelele ukukhiqizwa kwamaqanda. Iminyaka 45 menses isidlulile ngaphandle nge-ovulation, ngakho sokukhulelwa ingozi kuyehla kodwa hhayi iqedwe ngokuphelele. izindlela zokuvimbela inzalo amaphilisi , ngemva kweminyaka engu-40, akuvumela ukuthi qiniseka ukuthi ukukhulelwa okungafunwa ingekho, okusho ukuthi ungaba sikhululeke kakhudlwana futhi beqiniseka.

Ezinye izibalo

Kukhona idatha okunokwethenjelwa eziphakamisa ukuthi kuze kube-30% abesifazane abaneminyaka engu-40 kuya ku-54 abe kokuya esikhathini njalo nenzalo. Ukukhulelwa ngalesi yobudala kungaholela zokugula ezinzima, ingane ingase izalwe ezihlukahlukene abakhubazekile. Kodwa isisu ngasekupheleni - akulona panacea. Odokotela zilandise izibalo ukuthi uqinisekise ukuthi umkhiqizo esikhathini ezinjalo kokuphazamiseka yokukhulelwa kufaka ukugeleza osindayo climacteric syndrome. Lokhu-ke kuholela ekuthuthukiseni izinqubo neoplastic esibelethweni kanye nezindlala mammary.

Ngakho, singaphetha ngokuthi iphilisi ngemva kweminyaka engu-40, kukhona enye enhle kakhulu ukukhulelwa okungafunwa. Nokho, lokhu akukhona inketho kungenzeka kuphela. Ngu kulonyaka, abesifazane lubohlo yimuphi izintandokazi ekukhetheni umuthi. Lokhu kungaba amalungiselelo lwesitho sangasese sowesifazane noma amadivayisi intrauterine, umjovo ekhethekile noma izindlela isithiyo (amakhondomu).

Indlela ukukhetha indlela zokuvimbela inzalo

izindlela zokuvimbela inzalo amaphilisi emva kweminyaka 40 zingase zihluke kakhulu. Ukuze sikhethe kahle, eqondiswa esikuthandayo, kanye iseluleko udokotela. Okokuqala kufanele ucabangele ukusebenza inzalo, kanye izingozi ezingase zibe khona futhi side effects. Kususelwa indaba yakho, cela udokotela wakho ukuhlola umsebenzi wakho oya naye ocansini, esikuthandayo, kanye khona izifo.

Kungani odokotela abaningi kangaka kuyaphikisana zokuvimbela inzalo hormone

izindlela zokuvimbela inzalo amaphilisi, ngemva 40 ngempela aqokwa ingasaphathwa, ngenxa yokuthi ngalesi yobudala ethuthuka eziningi yizifo ezingamahlalakhona, kuba ngamunye okuyinto contraindication ukwamukela ejenti hormone. Ngakho-ke, lo dokotela kumele ubuke ikhadi lesiguli futhi zibeka ukuhlolwa eyengeziwe. Awukwazi ukusebenzisa COCs e pathologies senhliziyo, isifo sikashukela ezinzima futhi izimila abulalayo kwesimiso sokuzala.

Uma ucwaningo akalushongo iyiphi izifo ezifana, ukusetshenziswa amalungiselelo hormone akuyona babevinjelwe ukubuthola. Kodwa manje kudingeka phindela umthamo ephansi ejenti ukuza indodakazi yakho isencane. Lawa izidakamizwa njenge "LOGEST", "Novinet", "Lendinet" kanye nabanye. Kodwa inzalo ezintathu okhombisa kulonyaka, ayisekho efanelekayo.

Vice-hormone okuthiwa i-therapy

Ngakho indlela ukuze bazivikele sokukhulelwa kufanele kube yisikhathi eside ngokwanele, ungakwazi ukubona ukhetho ethandwa kakhulu, esetshenziselwa ntombazane encane kakhulu. Lokhu kusho ezifana mini-iphilisi. Bavumela ukusetshenziswa abesifazane ukuncelisa. Lezi zihlanganisa izidakamizwa ezifana "Ekslyuton", "Kontinuin" kanye nabanye. engavamile wabo ukuthi awanalo estrogen. Sinenkosi omunye inzuzo enkulu - okungukuthi izidakamizwa kulolu chungechunge bayakwazi ukuvikela Hyperplasia endometrial, isifo kuvamile phakathi kwabesifazane amadala.

Ngakho sabuka kanjani ukuze bazivikele sokukhulelwa, manje kufanele sinqume ukuthi ngasiphi isigaba ungaya ku therapy umuthi hormone. Lokhu izidakamizwa ezikhethekile, okuyinto ekulondolozeni intsha, ubuhle nempilo ngesikhathi nambili kuya kwabadala. Kodwa musa ukusheshe ukuhambisa bebodwa, udinga ukuchaza kahle isikhathi lapho ungakwazi abuyisele esisodwa izidakamizwa kwabanye. Ngempela, kungenzeka yokukhulelwa angasahlelwa walondoloza ngisho nalapho owesifazane unqume ukuthi lo mvuthwandaba ufikile.

Uma kungekho isidingo inzalo (izisusa zenkolo, ukushonelwa umngane womshado), ungakwazi ngokuphepha ukuya "i-hormone intsha". Ukufinyelela engu-menopause nonina, ungase futhi ngokuzimela unqume ukushintsha izidakamizwa. Kodwa ngokunembile ukuqala le nkathi kungaba azimisele ukuhlaziywa kwama-hormone kuphela.

Ephambi kwezinduna Izimo

Uma izinto zokuvimbela inzalo hormone akufanele kuthathwe ngenxa izimo ezithile zempilo, kungenzeka iphendukele omunye izindlela. Khuluma nodokotela wakho futhi uzokutshela ukuthi yini indlela okufaneleka kakhulu kunokunye. Lokhu kungaba umjovo ekhethekile kwenziwa kube kanye njalo ezinyangeni ezintathu. Indlela elula kakhulu inzalo idivayisi intrauterine. Noma yimuphi Kuvunguza ithusi, wangena wesifazane ngemva kweminyaka engu-40, ingaqhubeka esibelethweni kuze nambili kuya kwabadala. Lapho ubuhlobo obuseduze akuzona njalo, ungasebenzisa izindlela isithiyo: amakhondomu, spermicides namakepisi. Khumbula ukuthi izindlela zemvelo inzalo (indlela ikhalenda, i-basal umzimba lokushisa nesilinganiso) akuzona ngempumelelo kulonyaka njengoba umjikelezo wokuya esikhathini uwubufakazi ilahlekelwa njalo yayo.

Ekugcineni, uma unqume kahle ukuthi ukuzalwa ngawe - sihloko ivaliwe, ungaya ngokusebenzisa inqubo inzalo. Le nqubo awushintsheki, kodwa ungakwazi ngokuphelele Ungakhathazeki mayelana nokwenzeka ngeminyaka abaye bakhulelwa. Kumele kuqashelwe ukuthi le operation ayenzi labo cha attained kweminyaka eyi-35 noma izingane ezintathu.

Indlela ukulawula

Nalapha kugcizelelwe yokuthi izibhebhe kufanele Kunconywa ngudokotela. Ungahlanganyeli ekuziphatheni ozibekile - lokhu akulona amavithamini. Okokuqala, ubhalisele wezifo zabesifazane izinto futhi iphumelele ekuhlolweni. izidakamizwa ngamunye unendlela yawo reception wesifunda. Njengoba inzalo multi-Isigaba ngoba abesifazane abavuthiwe is hhayi Kunconywa, ngaleso sikhathi udokotela ziyoyizwa single phase izidakamizwa yakho. Iphakheji wonke amaphilisi aqukethe esilinganayo hormone, ngakho into ebaluleke kakhulu - ke nsuku zonke ukuthatha iphilisi elilodwa, okungcono ngesikhathi esifanayo noma nge ukuphambuka kancane. Ngokwesibonelo, ukuthatha esinye isibhebhe sibonisa nsuku zonke ngaphambi kokudla kwasekuseni. Ukubambezeleka emahoreni angu-12 akusenzi ukuphumelela isithako esebenzayo.

I ngokucacile of izinto zokuvimbela inzalo hormone

Nokho, akubona bonke ngakho elula, ngakho sizobe yembula imininingwane kancane ngaphezulu umbuzo kanjani ukuthatha izinto zokuvimbela inzalo. Into yokuqala okumele uqaphele ukuthi Iphakheji liqukethe amaphilisi 21. Nge reception njalo bakha umjikelezo elula sezinsuku ezingu-28. Ingabe ngamunye ngamunye ukuthatha wonke amaphilisi angiphe wona kusukela iphakethe, bese wenza ikhefu izinsuku eziyisikhombisa, futhi uqale iphakethe entsha ngosuku 29th. Phakathi ikhefu, kumelwe ibhekane senyanga, kodwa ngisho noma aziveli, udinga ukuqala iphakethe entsha, kodwa kuyadingeka ukuba kulungiswe kudokotela ukuthola izimbangela okwenzekayo. Uma ukhohlwa ukuthatha iphilisi, kodwa ezingabanjwanga akukho amahora angaphezu kuka-12, awusebenzi ukunciphisa umphumela zokuzivikela. Uma kubambezeleka amahora angaphezu kuka-12, kufanele uqhubeke ephethe izibhebhe, kodwa ngaphambi emaphaketheni elilandelayo kangcono ukuvikela ezengeziwe isithiyo indlela.

Yini zokuvimbela inzalo zingafundwa ngaphandle kokuphazamiseka isikhathi eside? Kukhona inganekwane ezingamahlala unyaka owodwa noma emibili ngemuva kokuqala ukusetshenziswa kwezidakamizwa, kubalulekile ukuthatha ikhefu, ukuze isidumbu "khululeka". Eqinisweni, ikhefu esinjalo singamane ngehlise hormone futhi ibange inkathazo kunokuhle, ikakhulukazi uma uhlela bese aphinde uqale ukuphuza nokukhandela imbeleko. Gynecologists ekuphikiseni la manga. Misa ngokuthatha izidakamizwa kuphela uma ukuwohloka okunzima ezempilo, kanye uma uhlela ukukhulelwa.

Uma ngesikhathi ukuthatha amaphilisi kwenzeka ukuhlanza noma uhudo olubi umphumela umuthi zingancishiswa kakhulu. Kulesi futhi ngosuku olulandelayo kubalulekile ukusebenzisa amakhondomu. Ngaphezu kwalokho, kutuswa ukuba kudokotela uma ebekiwe antibiotic. Ngokwengxenye enkulu, baze kakhulu ukunciphisa umphumela inzalo.

Benefit noma ilimaze

Kuphela udokotela angakunika umuthi zokuvimbela inzalo, intengo akuyona lunqume. izidakamizwa eshibhile kungase ezikufanelayo kahle nje eqolo. I-hormone amaphilisi kungase kubhekwe njengendlela onokwethenjelwa kunayo yonke ukuvikelwa ekukhulelweni bengafuni. Inani elikhulu of abesifazane ukuzisebenzisa nsuku zonke. Mshini lwempendulo sisobala: bayakwazi ukumisa nokuvuthwa neqanda, futhi ngenxa yalokho ukukhiqizwa kwamaqanda. Nokho, naphezu lula kanye nekghono, ngemva namakhosikazi angamashumi amane musa njalo isengozini ukusetshenziswa yabo, njengoba nje nathi siwamukele okulandelayo engathandeki engemihle.

• Ukuphathwa yikhanda. Lona isikhalazo ezivame kakhulu abesifazane ukuthatha i-hormone amaphilisi. Isizathu iyona estrogen hormone, ukuthi kubangela ikhanda, ukuvuvukala nezinye emizweni ezingezinhle.
• Ushintsho isimo sengqondo, nokungakwazi ukuzimelela, isisindo somzimba, ukubukeka inqwaba nezinduna. Konke lokhu ethile ibangela enye-hormone okuthiwa i - progestin. He is ingxenye inombolo enkulu kakhulu hormone
• Phakathi izinto zokuvimbela inzalo reception ukwandisa kancane iphango, ngakho kwesisindo - lokhu akulona iphutha amaphilisi, wena nje ukuqala ukuba udle kakhulu kunokuvamile.
• Ungathathi hormone uma ubhema. Kungabangela isifo senhliziyo noma unhlangothi. Futhi lokhu kungabangela zokuvimbela inzalo ezenziwe umuntu. Intengo yale mikhiqizo kuhluka ruble 150 kuya 2500 iphakethe ngalinye, eyenzelwe ngenyanga.

Ukuze bazivikele ukukhulelwa okungafunwa, hhayi ngempela ukuthatha ama-hormone. Manje sibheka elinye iqembu enkulu izinto zokuvimbela inzalo, umonakalo bevela okuyinto cishe encishisiwe zero. Lawa zokuvimbela inzalo ukuthi akuzona fattening. Sinenkosi amaphutha abo, kodwa kukhethwa ngamunye. Ake sibheke ukuthi ziyini.

zokuvimbela inzalo non-hormone

Phakathi kwabo kanye hormone kusho kunomehluko omkhulu, kodwa Ukuvikelwa ngamaphesenti ayikhulu ekukhulelweni akukuniki yimuphi omunye wabo. Umehluko sokuqala nesibaluleke kakhulu wukuthi i-hormone ukuthatha nsuku zonke, futhi hormone ngokushesha ngaphambi kocansi. Ikakhulukazi kuhambisana kahle le mithi kulabo musa ukuphila ukuphila ocansini njalo. Enough ukuthatha iphilisi ngokushesha ngaphambi kokuya ocansini, kanye nokuvikelwa amahora ambalwa uzonikezwa. zokuvimbela inzalo kwama-hormone hhayi kuphela ngesimo amaphilisi, kodwa futhi ngesimo suppositories lwesitho sangasese sowesifazane, yokugcoba noma okhilimu. izithako zabo ephilayo okudiliza spermicide, hhayi sivumele yona kwesibeletho.

Buhle zokuvimbela inzalo nonhormonal

Cishe bonke nethonya eqeda ukuvuvukala futhi elwa namagciwane. Lokhu kubaluleke kakhulu uma owesifazane ayinayo umlingani unomphela. Akukhona nje Ungazivikela kusukela ukucasuka, kodwa futhi ku eziningi izifo ukuthi ezithathelwana ngobulili. Ngoba ngemva kweminyaka engu-40 kakade has emva kwakhe nakho okucebisayo wokuphila, ungakwazi kalula ukhethe umuthi okufaneleka kakhulu kunokunye. Uphenyo iningi labesifazane bathi hormone akhethwe kahle, naphezu bokwenza sobala kukhona enokwethenjelwa kakhulu.

Kufinyeta

Njengoba ubona emakethe namuhla ezihlukahlukene zokuvimbela ukukhulelwa. Yini kungcono ukukhetha, kufanele utshele udokotela wakho. Ungakhohlwa, kulokho okwakufika intombi yakho, ungakwazi sina buthaka impilo yakho siqu. Ungathathi imithi ngaphandle udokotela. Ngisho indlela non-hormone inzalo babe ezinye Izimo, ngoba ngalesi siyingi kubangele ubuhlungu kanye yokusabela nomzimba. Ngakho-ke, noma kunjalo, ngaphambi kokuba aye kudokotela yokuvikela siqu ekukhulelweni bengafuni kufanele bahlolwe.

Kuhlanganisa kokubonisana udokotela wezifo zabesifazane kanye mammalogy, futhi smear ku onkotsitologiyu. Ngaphezu kwalokho, kumelwe kudlule ukuhlaziywa kwamakhemikhali igazi, lo dokotela kumele uphawu lakho lephrofayela lipid, AST, ALT, glucose. Ekugcineni, Mancane kakhulu amathuba okuthi amiswe, kodwa kusamele ukuqedelwa ultrasound okhalo, futhi kumele kwenziwe ukuze 5-7 usuku umjikelezo. Professionals kufanele wazise ubude nesisindo, khona yizifo ezingamahlalakhona, kuba izisu, ubude, kanye nezindlela eziningi kakhulu okumelwe menses. Futhi, udokotela kufanele ukuthambekela isisindo, khona ukuqubuka kuphawulwe. Kuphela ngesisekelo zonke Kulokhu singaphetha ukuthi ezinye izinto zokuvimbela inzalo kwabesifazane esetshenziswa. Zinakekele futhi uhlale unempilo!