Iipilisi zokulawula inzala, emva kweminyaka engama-40. Indlela yokuphepha ukukhulelwa

Ngaba Ndidinga iipilisi zokulawula inzala ntoni emva kweminyaka engama-40? Ewe, kwaye kukho imfuneko, ngenxa yokuba abakule minyaka yobudala, ubomi ayipheli, kwaye icandelo bobulili kukhanyiseleka kwaye inemibalabala. Kodwa ukukhulelwa emva kwexesha akunakwenzeka ukuba ndininike onwabe, ngenxa yokuba ngokuqhelekileyo ngeli xesha usapho sele isicwangciso inani labantwana. Ngaphandle ekuzalweni emva kweminyaka 35, ziyingozi impilo kamama nomntwana kunye kunganqwenelekiyo ukuba zenzeke, ukuba kukho iimeko ezizodwa (unyango ixesha elide ukungachumi).

ngumzimba bhinqa emva kweminyaka engamashumi amane

Wonke umntu uyayazi into efana namakhosikazi aselekhulile okuzala. Le elibalulekileyo zocwangciso-ntsapho. Namhlanje akukho akumangalisi emva kwexesha ukukhulelwa, abafazi abaninzi noqolileyo ngakumbi abaye kwakhona baba omama. Noko ke, umntu singenako ukuyiphika le into yokuba ukuchuma abasetyhini kweli phakade lifinyele. Oku akuthethi ukuba omnye, njengophawu ukuphanza ovarian. Oko kukuthi, kuqala baphulukana amandla okuzala, yaye emva koko ime ngokupheleleyo ovulation. Kwiminyaka 45 menses sele kudlule ngaphandle ovulation, ngoko umngcipheko ukukhulelwa zancitshiswa kodwa hayi lupheliswe ngokupheleleyo. iipilisi zokulawula inzala , emva kweminyaka engama-40, ukuvumela ukuba uqiniseke ukuba ukukhulelwa okungafunekiyo lungenzeki, nto leyo ethetha ukuba kuba ekhululekile ngakumbi kwaye uzithembe.

ezinye izibalo

Kukho idatha enokuthenjwa esirhesha ukuba ukuya kwi-30% yabasetyhini abaneminyaka eyi-40 ukuya kuma-54 sibe sexesheni rhoqo nokuchuma. Ukukhulelwa kule ubudala kungakhokelela ekubeni ngezifo kakhulu, umntwana oya kuzalwa kunye ezahlukeneyo abakhubazekileyo. Kodwa isisu kade - akukho ilikhubalo. Amagqirha zibiza amanani ukuqinisekisa ukuba imveliso ngendlela eso sithuba kophazamiseko ekhulelwe ibandakanya eyayinethombo onzima climacteric syndrome. Oku kukhokelela kuphuhliso iinkqubo neoplastic kwi wesibeleko kunye namadlala mammary.

Ngenxa yoko, sigqiba ukuba ipilisi emva kweminyaka engama-40, kukho enye kakhulu ukuba ukukhulelwa okungafunekiyo. Noko ke, asiyiyo kuphela ukhetho kunokwenzeka. Xa eli phakade, abafazi adla kwasekwa naziphi ukhetha ukukhetha yokucwangcisa. Oku kunokuba amalungiselelo langasese okanye izixhobo intrauterine, inaliti ekhethekileyo okanye iindlela isithintelo (condom).

Indlela ukukhetha indlela yokucwangcisa

iipilisi zokulawula Birth emva kweminyaka 40 inokuba nomahluko kakhulu. Ukwenza ukhetho olufanelekileyo, sikhokelwa esizithandayo, kwakunye ngengcebiso kagqirha. Okokuqala kufuneka ucinge ukusebenza ukukhulelwa, kwakunye ngeengozi kunye neziphumo ebezingalindelekanga. Ngokusekelwe ibali lakho, cela ugqirha wakho ukuba ukuhlola umsebenzi wakho ngesondo, esizithandayo, kwakunye ukubakhona kwezifo ezingapheliyo.

Kutheni oogqirha abaninzi kangaka abachasene ukuba izicwangcisi hormone

iipilisi zokulawula inzala, emva 40 ngokwenene abaqeshwe ngaphantsi kakhulu, ngenxa yokuba kule minyaka liqulunqe iintlobo zezifo ezingapheliyo, ngalinye nto leyo contraindication ekufumaneni arhente hormone. Ngoko ke, ugqirha kufuneka bukela ikhadi yomguli aze amisele iimvavanyo ezongezelelweyo. Awukwazi ukusebenzisa COCs e ezimbi sentliziyo, isifo seswekile kakhulu kunye nangezilonda esibulalayo yenkqubo zokuzala.

Ukuba survey zange phendla naziphi na izifo ezinjalo, ukusetyenziswa ngamalungiselelo hormone -sikhokelo, akunqandwa. Kodwa ngoku kufuneka uye emva ephantsi ithamo arhente beza intombi bakho. Ezi iziyobisi ezifana "Logest", "Novinet", "Lendinet" kunye nabanye. Kodwa imbeleko ontlantlu-ntathu kweli phakade, akusekho efanelekileyo.

Vice-hormone therapy

Ngoko ukuba azikhusela njani bona zokukhulelwa kufuneka ibe elide ngokwaneleyo, uyakwazi ukubona khetho kakhulu ethandwa, nesetyenziswa intombazana eselula kakhulu. Oku kuthetha ezifana mini-kwipilisi. Avumela ukusetyenziswa webele-ukondla abafazi. Ezi ziquka iziyobisi ezifana "Ekslyuton", "Kontinuin" kunye nabanye. peculiarity yabo kukuba azinamgaqo estrogen. Baya unoncedo enye enkulu - ezizezi iziyobisi kolu ngcelele ayakwazi ukukhusela nxamnye hyperplasia endometrial, isifo oluqhelekileyo kakhulu phakathi abafazi abadala.

Ngoko wajonga ukuze bazikhusele bekhulelwe ngayo, ngoku kufuneka sikhethe oko nqanaba ungaya kwi therapy yokucwangcisa hormone. Oku amachiza ezizodwa, ezinceda ukugcina ulutsha, ubuhle kunye nempilo ngexesha ukuya exesheni. Kodwa musa sukela ukuya ngokwabo, kufuneka ukuchaza kakuhle ixesha xa ungakwazi endaweni isiyobisi omnye kwabanye. Eneneni, ukuba amathuba okokuba ukhulelwe zisenako zigcinwe naxa ibhinqa ugqibe ukuba kuvuthondaba ufikile.

Ukuba akukho mfuneko yokuba uthintelo (iinjongo zonqulo, ukufa kweqabane), unako ngokukhuselekileyo yiya kwi "hormone ulutsha". Ukufikelela ubudala ukuya exesheni, unina wayo, unako kwakhona ngokuzimeleyo isigqibo ukutshintsha iziyobisi. Kodwa ngokucokisekileyo ngakumbi ekuqaleni kwale thuba icaciswa uhlalutyo hormone kuphela.

Phambi Izimo

Ukuba izicwangcisi hormone kufuneka kuthathwe ngenxa yeemeko ezithile zonyango, kunokwenzeka ukubhenela enye kwezinye iindlela. Thetha nogqirha wakho yaye uya kukuxelela indlela nto ezifaneleke kakhulu. Oku kunokuba inaliti ekhethekileyo okwenziwa kanye qho kwiinyanga ezintathu. Indlela elula kakhulu inzalo isixhobo intrauterine. Nawuphi kwezinto copper, wangena umfazi emva kweminyaka engama-40, uyakwazi kuhlala isibeleko de ukuya exesheni. Xa kubudlelwane bengengabo rhoqo, ungasebenzisa indlela isithintelo: iikhondom, spermicides neminqwazi. Khumbula ukuba iindlela endalo zokucwangcisa (indlela ikhalenda, carcinomas umzimba lobushushu womlinganiselo) akusebenzi kakuhle kweli phakade njengoko sexesheni uphelelwa njalo yayo.

Okokugqibela, ukuba isigqibo kanye oko ukuba nomntwana wena - isihloko ivaliwe, ungaya ngokusebenzisa inkqubo nzala. Le nkqubo vuhlayiseki, kodwa ayikwazi ngokupheleleyo Ungakhathazeki malunga nokwenzeka ngokukhulelwa. Kufuneka kuqatshelwe ukuba lo msebenzi akwenzi abo eminyakeni yobudala engama-35 okanye abantwana abathathu.

Indlela ukuba ulawulo

Kwakhona wagxininisa into yokuba tablets kufuneka ekucetyiswa ngugqirha. Musa ukubandakanyeka self-amisiweyo - oku iivithamini. Kuqala kwinto zonke, ubhalisela i ugqirha kunye badlule iimvavanyo. ichiza nganye inayo ukujikeleza kwalo ulwamkelo. Njengoko izivimbela multi-sigaba amabhinqa aqolileyo akunconywa, ngoko ugqirha uya kuphatha isigaba ichiza yakho eyodwa. Le phakeji yokufunda yonke amacwecwe ziqulathe umlinganiselo ofanayo hormone, ngoko ke eyona nto ibalulekileyo - yonke imihla ukuba athathe ipilisi enye, ngokukhethekayo ngexesha elinye okanye unxaxho okungephi. Umzekelo, ukuthatha ipilisi enye yonke imihla phambi kwesidlo sakusasa. Ukulibaziseka kwiiyure ezi-12 akuthethi ukunciphisa ifuthe isithako esebenzayo.

Ingakumbi izicwangcisi hormone

Noko ke, asingabo bonke elula kakhulu, ngoko siza lobutyhila iinkcukacha ngakumbi kancinci umbuzo ukuba njani ulawulo lokuzalwa. Into yokuqala ukuqaphela ukuba le mpahla iqulathe amacwecwe-21. Negumbi rhoqo zenza umjikelo elula kwiintsuku 28. Ngaba nganye nganye ngokuthatha zonke iipilisi ukusuka kwiphakheji, uze wenze ikhefu iintsuku ezisixhenxe, kwaye uqale ipakethe omtsha ngomhla 29. Ngexesha lekhefu, kufuneka bangenele ngenyanga, kodwa ukuba aziveli, kufuneka uqale ipakethe entsha, kodwa kuyimfuneko ukuzilungisa ukuze ugqirha ukufumana izinto ezibangela ukuba kwenzeka ntoni. Ukuba ungalibali ukuthatha ipilisi, kodwa hayi kakhulu emva kweeyure ezili-12, oko akuthethi ukunciphisa isiphumo olukhuselayo. Ukuba ukulibaziseka iiyure ezingaphezu kwama-12, kufuneka uqhubeke uthatha amacwecwe, kodwa phambi kokuba ukuphakheja elandelayo ngcono ukukhusela indlela umqobo olongezelelweyo.

Ziziphi izinto zokucwangcisa singathathwa ngaphandle kophazamiseko ixesha elide? Kukho intsomi ezingisayo ukuba konyaka okanye emibini emva kokuqala ukusebenzisa iziyobisi ngayo, kuyimfuneko ukuba ukuthatha ikhefu, ukuze umzimba ukuba "yehlisa". Enyanisweni, ikhefu onjalo kuphela ukuzisa phantsi hormone ibangele inkathazo ngaphezu elungileyo, ingakumbi xa uceba ngoko kwakhona ukuqala ukuthatha zokucwangcisa. Gynecologists aphikise le ntsomi. Misa ezithatha ichiza kuphela kwimeko imandundu kakhulu yempilo, kwakunye naxa uceba ukukhulelwa.

Ukuba ngexesha uthatha iipilisi kwenzeke ukugabha okanye sorhudo kakhulu, ukuba isiphumo zocwangciso eliphantsi kakhulu. Kule kwaye ngemini elandelayo kuyimfuneko ukusebenzisa iikhondom. Ukongeza, kucetyiswa ukuba udibane nogqirha xa kukho emiselweyo antibiotics. Ubukhulu becala, banciphisa kakhulu ifuthe zokucwangcisa.

Zuza ona

ugqirha kuphela ukumisela ulawulo wokuzalwa, ixabiso ayikho yeyona iphambili. iziyobisi cheap ukuze lulungele wena kanye kwakunye eqolo. iipilisi traps ukuze ozakuthathwa ndlela inokuthenjwa yokuzikhusela ekukhulelweni okungeyomfuneko. Inani elikhulu labafazi uwasebenzisa yonke imihla. Indlela ingxelo ilula kakhulu, bona bayakwazi ukuyeka lo ekukhuleni iqanda, ngoko ovulation. Noko ke, nangona lula kunye nokusebenza, emva abafazi mane musa kusoloko kukho ingozi yokuba ukusetyenziswa kwazo, njengoko ezi ziphumo zilandelayo kwicala ezingathandekiyo.

• Intloko. Le isikhalazo ixhaphakileyo yabafazi abathatha iipilisi hormone. Isizathu lo estrogen hormone, ukuba ubangela ebuhlungu, nokuqunjelwa kunye nezinye mizwa ekhathazayo.
• Utshintsho yemeko yengqondo, ukungabikho ukulungelelana, ukutyeba, ukuvela kukho inani elikhulu namaqhakuva. Konke oku ibangela enye hormone - progestin. Yena yinxalenye inani elikhulu kakhulu hormone
• Ngexesha zokucwangcisa yokwamkela ukwandisa kancinane umphefumlo, ngoko ukutyeba - oku na nandzu iipilisi, wena nje uqale ukutya ngakumbi kunesiqhelo.
• Musa ukuthatha hormone ukuba uyatshaya. Oku kunokubangela isifo sentliziyo okanye kwamalungu omzimba. Kwaye oku kungabangela naluphi na ulawulo lokuzalwa. Ixabiso ezi mveliso yahluka ukusuka engange-150 ukuya kuma-2500 pack nganye, eyenzelwe inyanga.

Ukuze bazikhusele ukukhulelwa okungafunekiyo, kungekhona ukuba iihomoni. Ngoku sijonga elinye iqela enkulu zokucwangcisa, ngomonakalo enokubakho apho phantse zancitshiswa ku nothi. Zizo ezi izinto zokucwangcisa ezingekho ngokuzityebisa. Baye ubuthathaka zabo, kodwa ke ukhetho nganye. Makhe sijonge ukuba yintoni na.

izicwangcisi non-hormone

Phakathi kwabo hormone kuthetha ukuba kukho umahluko omkhulu, kodwa ukhuselo ikhulu ekhulwini ekukhulelweni ayiniki namnye kubo. Umahluko lokuqala yaye eyona nto ibalulekileyo kukuba hormone ukuthatha yonke imihla, yaye kwamadlala ngokukhawuleza phambi ukulalana. Ingakumbi afaneleka kahle la machiza ukuba abo baphila ubomi ngesondo rhoqo. Yanele ukuba athathe ipilisi kwangoko phambi neentlobano zesini, kunye nokukhuselwa iiyure ezimbalwa uya kunikwa. izivimbela hormone nje kuphela ngohlobo amacwecwe, kodwa ngohlobo suppositories kwilungu lobufazi, namafutha okanye amafutha. nezithako zabo sikhuthele Ndinako ukuyichitha spermicide, angavumeli ukuba isibeleko.

Kwizazi inzalo nonhormonal

Phantse bonke babe negalelo anti-ukudumba kunye antibacterial. Oku kubaluleke kakhulu ukuba umfazi lowo uneqabane ngokusisigxina. Hayi kuphela ukuba uzikhusele ngokwakho ukususela eku-, kodwa kwinani losulelo ukuba ezidluliselwa ngesondo. Ngenxa yokuba emva kweminyaka engama-40 sele emva kwakhe nokuphangalala kwamava lobomi, uyakwazi ngokulula ukhethe yokucwangcisa kakhulu efanelekileyo. Izimvo uninzi lwamabhinqa bathi ukuba iihomoni ekhethwe kakuhle, nangona ezingalunganga ezicacileyo zezona inokuthenjwa.

Ngamafuphi

Njengoko ubona kulo kwimarike namhlanje iintlobo zokucwangcisa. Yintoni kungcono ukukhetha, kufuneka uxelele ugqirha wakho. Musa ukulibala, oko intombi yakho, angafaka isingele impilo yakho. Musa ukuthatha amayeza ngaphandle kagqirha kagqirha. Kwanokuba indlela non-hormone inzalo ezinye Izimo, kuba kunokubangela ukukruquka kunye uxabane. Ngoko ke, xa kunjalo, phambi kokuba ukuqeshwa ukhuseleko lobuqu ekukhulelweni okungafunwayo kufuneka umana.

Oku kuquka thethwano ugqirha kunye mammalogy, kunye smear kwi onkotsitologiyu. Ukongeza, kufuneka kudlule uhlalutyo zengqo- igazi, ugqirha kufuneka uphawule yakho iprofayile lipid, AST, ALT, iswekile. Ekugqibeleni, lo kusenokwenzeka ubuncinane ukuba kuqeshwa, kodwa kufuneka kugqitywa ultrasound zangasese, kwaye oko kufuneka kwenziwe 5-7 kumjikelo imini. Iingcali kufuneka azise ubude kunye nobunzima, kukho izifo ezingapheliyo, ukuqhomfa, ubude, kunye intaphane menses. Kwakhona, ugqirha kufuneka kuqatshelwe utyekelo ukuba mkhulu, ubukho irhashalala. Kuphela ngokusekelwe konke oku sinokugqiba ukuba ezinye izinto zokucwangcisa zabafazi zingasetyenziswa. Thatha nokuzikhathalela wena uze uhlale usempilweni!