Mankhwala opatsirana pogonana

Kawirikawiri mwa amayi nthawi ya lactation pali mavuto ndi kusankha njira yoberekera. Ngakhale kuti hormone prolactin imatsitsa njira ya ovulation, zimalimbikitsidwa kuteteza pafupifupi madokotala onse pa nthawi yoyamwitsa. Tiyeni tiwone bwinobwino nkhaniyi ndikuyesani kupeza mapiritsi omwe amavomereza kuti akuyamwitsa, otchulidwa pa dzina.

Ndi gulu liti la mankhwala opatsirana pakamwa lomwe limaloledwa kwa lactation?

Pogwiritsa ntchito mankhwala oterowo, madokotala nthawi zonse amaika chidwi cha amayi kuti ayenera kukhala ndi progestogens okha. Kupezeka kwa zigawo zina za mahomoni kungakhudzidwe kwambiri ndi ndondomeko ya lactation. Choncho, kusankha kosankha kwa mankhwala otere sikuvomerezeka.

Kodi ndi mapiritsi otani omwe amaperekedwa pamene akuyamwitsa?

Zina mwa mankhwala omwe ali ndi progestogens okha omwe amawongolera, m'pofunika kusiyanitsa:

1. Charozette. Mchitidwe wothandizira kulera, womwe umachokera ku kuchotsa njira ya ovulation, i.e. Kulankhula ndi mawu osavuta - pamene mutenga mapiritsi otere, kumasulidwa kwa dzira lokhwima m'mimba sikumapezeka. Malingana ndi kafukufuku wamaphunziro a zachipatala, mphamvu ya Charosette ifikira 96%, mwachitsanzo. mwa amayi 96 mwa 100, akugwiritsa ntchito, mimba sizimachitika. Komabe, kumatsatira mwamphamvu dongosolo lovomerezeka ndilofunikira. Gwiritsani ntchito mapiritsi a chithandizo Charozetta mukamayamwa kuyambira ndi tsiku limodzi lakumapeto, piritsi limodzi pa tsiku. Nthawi yovomerezeka ndi masiku 28. Phukusi limodzi litatha popanda kupumula, mkaziyo ayambe kumaliza. Kupereka mankhwala mosakhalitsa kusiyana ndi nthawi yobereka adzakhala masabata asanu ndi limodzi. Zisanachitike izi, ngati nthawiyi mkaziyo anali ndi chiwerewere chosatetezeka, sikungakhale zopanda phindu kuyesa mimba.
2. Mapiritsi oletsa kubadwa Amayi amtundu wa Lactitone amatchulidwa nthawi zambiri poyamwitsa. Zimagwirizananso chimodzimodzi ndi kukonzekera kwa Charosette. Pamene imagwiritsidwa ntchito m'mimba mwake, palibe chomwe chimatchedwa kuti follicle, yomwe dzira yakucha nthawi zambiri imasiya. Kuonjezerapo, kupambana kwa mankhwalawa kumapindulitsa poonjezera mamasukidwe akayendedwe a ntchentche mu khola lachiberekero, lomwe limalepheretsa kulowa mkati mwa maselo ammimba kwa abambo. M'pofunikanso kuzindikira kuti mankhwalawa amatchulidwa kawirikawiri kuti azisamalira, makamaka, mawonekedwe ake opangidwira, endometriosis, kupweteka kwa msambo. Perekani mankhwala pambuyo pa miyezi 1.5 kuchokera nthawi yobereka. Kulandila pepala loyamba kumagwirizana ndi chiyambi cha ulendo. Panthawi ina pirani 1 piritsi la mankhwala. Kupumula pakati pa 2 mankhwala osakaniza otsatirana ayenera kukhala osachepera maola 24. Ngati mkazi mwadzidzidzi anaiwalanso m'masiku amodzi kuti atenge zowonongeka, ndiye panthawi yogonana ndikofunika nthawi ino kugwiritsa ntchito njira zina zotetezera.
3. Femulen amatanthauzanso kulera kwachinsinsi, zomwe zimaloledwa kuti zigwiritsidwe ntchito panthawi yopuma. The yogwira mankhwala a mankhwala ndi kupanga analogue wa progesterone, - ethynodiol. Thupili ndi ntchito yake pa thupi, limateteza kupanga gonadotropin ya pituitary, yomwe kwenikweni ndi yowonongeka kwa mahomoni ogonana. Mankhwalawa ndi a gulu la njira zothandizira njira zolera, mwachitsanzo, tenga nthawi zonse. Yambani kuyambira tsiku loyamba lakumapeto ndikumwa nthawi zonse. Kusiyana pakati pa njira ziwiri sikuyenera kukhala maola oposa 24. Tsiku lililonse, mayi amamwa piritsi limodzi.

Chifukwa chakuti nthawi zambiri sitingathe kudziwa tsiku loyamba la kayendedwe ka lactation, pambali pake, lingasinthe kuchokera mwezi ndi mwezi (chifukwa cha kubwezeretsedwa kwa mahomoni pambuyo pa mimba), madokotala amalimbikitsa kugwiritsa ntchito njira zothandizira kulera kwa masiku 7 oyambirira mutangoyamba kumene (kondomu, kapu ya chiberekero).

Choncho, m'pofunika kunena kuti mapiritsi onsewa amauzidwa kuti akuyamwitsa, koma ndi yani yabwino - zonse zimadalira mkhalidwe womwewo. Ndicho chifukwa chake mankhwalawa amatsatiridwa ndi dokotala.