Ama-patches okuvimbela inzalo - ayini, ayasebenza futhi aphephile?

Iziqeshana zokuvimbela inzalo zingenye yezindlela eziphumelela kakhulu zokuvimbela ukukhulelwa. Lesi silinganiso kufanele sifakwe eqenjini lezindlela ze-hormonal zokuvimbela inzalo. Kusetshenziswa izixazululo ezifanayo njengakumaphilisi okulawula inzalo. Ama-patches angabekwa ezingxenyeni ezihlukahlukene zomzimba, kuhlanganise nesisu, ingalo, nehlombe. Zisebenza kanjani futhi ungazisebenzisa kanjani ukuze uzizwe uphephile?

1. Ayini ama-patches okulawula inzalo?

Amapheshana okuvimbela inzalo aqukethe izithako ezifanayo njengephilisi, okungukuthi i-estrogen ne-progestin. Aphinde abe nomphumela ofanayo kumaphilisi. Kulula ukuzisebenzisa futhi akudingeki ucabange ngazo nsuku zonke.

Ama-patches okulawula ukuzalwa anconywa kwabesifazane abangafuni ukukhumbula njalo ukuphuza amaphilisi okulawula ukuzalwa. Azikho futhi iziqondiso zeminyaka ezingavimbela ukusetshenziswa kwalolu hlobo. ukuvimbela inzalo.

Iziqeshana zokuvimbela inzalo zingasetshenziswa abesifazane bazo zonke ubudala. Kwakungekho contraindications kulokhu. Ukuphikiswa kungaphakanyiswa kuphela udokotela okhethiwe ngamunye. izindlela zokuvimbela inzalo isiguli. Ama-patches, ngenxa yokusebenziseka kwawo kalula, avame ukukhethwa ngabesifazane.

2. Asebenza kanjani ama-patches okulawula inzalo?

Isenzo seziqeshana zokuvimbela inzalo, i.e. I-transdermal patch iwukukhishwa okuqhubekayo kwamahomoni emzimbeni asuka esikhumbeni esingenalutho.

Nakuba kuyindlela entsha yokwethula ama-progestin emzimbeni, leli elinye ithuluzi elivela eqenjini lokuvimbela inzalo ngama-hormone futhi lisebenzisa izixazululo ezifanayo njengalezo ezaziwa kakhulu nezifakazelwe. iphilisi lokulawula inzalo. Ngenxa yalokhu, ukuphumelela ekuvimbeleni ukukhulelwa kuphezulu ngempela.

Umphumela wama-patches okuvimbela inzalo uwukuthi: ukucindezelwa kwezinsuku ezivundile, ukuqina koqweqwe lwesibeletho (i-spermatozoa inyakaza kancane kuwo), izinguquko ku-mucosa yesibeletho, ukuvimbela ukufakwa kanye nokunciphisa ukuthuthwa kwamashubhu e-fallopian (isikhathi ngaphambi komhlangano weqanda. kanye nesidoda). .

Amahomoni avela ezifundeni zokulawula inzalo angena emzimbeni wowesifazane ngesikhumba, hhayi ngohlelo lokugaya ukudla, njengoba kwenzeka ngamaphilisi okulawula inzalo. Yebo indlela yokuphatha ama-progestogensngokungafani nomzila womlomo, unomphumela omncane esibindini.

Lesi sitho sihlanganyela, phakathi kwezinye izinto, ekuqothulweni kwezinto ezihlukahlukene ezingena egazini ngokuqondile ohlelweni lokugaya ukudla. Ukwethulwa kwe-gestagens kwezinye izindawo egazini, lapho besuke khona esikhumbeni ngenxa yesiqephu sokuvimbela inzalo, kudinga umsebenzi omningi wesibindi.

Iminyaka yamaphilisi okulawula inzaloneminye imithi iwumthwalo omkhulu walesi sitho, futhi njengoba kudingekile ngokuphelele empilweni, kufanelekile ukuyinakekela. Yingakho ama-patches okulawula inzalo eqanjwe kabusha.

Into eyinhloko ukuthi owesifazane akanalo lutho lokukhathazeka ngalo. ukusebenza kahle kwe-transdermal contraception, okungukuthi, ama-patches okulawula ukuzalwa, uma kwenzeka uhudo noma ukuhlanza - yini okufanele uyiqaphele lapho uthatha amaphilisi.

3. Abukeka kanjani amabala okuvimbela inzalo?

Isiqephu sokuvimbela inzalo sinezingqimba ezintathu. Omunye uyaphuma ngaphambi nje kokunamathela esikhumbeni - futhi yilokho ungqimba oluvikelayo lwesiqephu sokuvimbela inzalo. Ngaphansi kwabo kukhona iglue ekhethekile namahomoni. Ngemuva kokunamathela, lesi singqimba sizonamathela ngqo esikhumbeni futhi sikhulule amahomoni ocansi abhekene nawo umphumela wokuvimbela inzalo. Isendlalelo sesithathu se-polyester patch yokuvimbela inzalo, ebonakalayo ngaphandle, ayinamanzi futhi ivikela.

Kuneziqeshana ezintathu zokuvimbela inzalo ephaketheni, ngalinye isonto elilodwa. Zinamathiselwe amasonto amathathu, bese zithatha ikhefu, lapho ukuphuma kwegazi kwenzeka. Hlala ushintsha isiqeshana ngosuku olufanayo lweviki, wenze kube lula ukukhumbula.

Kuyini indawo yesiqephu sokuvimbela inzalo? Ingabekwa ngaphansi kwesisu, phezulu kwesisu, engalweni yangaphandle, ezinqeni, engalweni engenhla, noma ehlombe. Isivimbeli sokuvimbela inzalo ngasinye esilandelayo kufanele sisetshenziswe kuphela ngemva kokuba leso sangaphambili sesisusiwe futhi sisendaweni ehlukile kuneyangaphambili ukuze kuncishiswe ingozi yokuluma kwesikhumba. Ngaphezu kwalokho, ngaphambi kokusebenzisa isiqephu sokuvimbela inzalo, kufanele sihlanzwe futhi somiswe kahle.

Qiniseka ukuthi isiqeshana sisetshenziswe ngendlela efanele. Ukusebenza kwayo kuqinisekiswa kuphela uma inganamatheli noma kuphi futhi ilala phansi ngokumelene nesikhumba.

Uma kwenzeka owesifazane ekhohlwa ukushintsha isiqephu sakhe sokulawula ukuzalwa ngosuku olufanele, unamahora angu-48 ukuyishintsha, futhi lesi simo asidingi ukusetshenziswa kwezinyathelo zokuvimbela inzalo ezengeziwe. Uma isiqeshana siwa, okungavamile, singaphinda sivuswe emahoreni angama-24 ngaphandle kokuphazamisa ukusebenza kahle kokuvimbela inzalo. Uma ulahlekelwa isiqeshana, vele ufake esinye.

4. Ukusetshenziswa kwama-patches ama-hormone

O ama-hormonal patches udinga ukukhumbula kanye ngesonto, ngoba njalo ngesonto kufanele unamathele entsha. Uhlelo luhlala luphindaphindiwe: amasonto amathathu okunamathela ama-patches, isonto elilodwa ngaphandle kwesichibi. Kufanele kuphume ukopha lingakapheli isonto ngaphandle kwesichibi, njengamaphilisi okulawula inzalo. Lokhu kopha kulula kakhulu futhi akuningi kakhulu kunokuya esikhathini okuvamile.

Kufanele ngifake nini isiqeshana sokuqala? Isiqephu sokuqala sokuvimbela inzalo singasetshenziswa ngezinsuku ezingu-1-5 zomjikelezo, i.e. ekuqaleni ukopha. Uma ungena kuleli banga, isiqephu sokulawula ukuzalwa sisebenza kusukela ngesikhathi usifaka. Uma uphuzile, isibonelo, uma ufaka isiqephu sokulawula ukuzalwa ngosuku lwe-6 lomjikelezo, isonto elilodwa lesi siqeshana asikakabi ukuvimbela inzalo futhi asivikeli ngokukhulelwa okungenzeka. Khona-ke kufanele uzivikele ngezinye izindlela.

Indawo yokubeka isivikelo sokukhulelwa? Isiqephu sokulawula inzalo singasetshenziswa cishe noma kuphi emzimbeni. Nokho, kunemithetho embalwa okufanele ilandelwe:

• isikhumba kufanele somile futhi sihlanzeke,
• isikhumba akufanele sibe noboya kakhulu,
• ungafaki isichibi esikhumbeni esicasukile,
• unganamatheli isichibi lapho izingubo zigudla khona esikhumbeni;
• ungabeki ibala esifubeni sakho.

Ingabe wonke umuntu wesifazane angasebenzisa izinqamuleli zokulawula inzalo?? Cha. Amapheshana akufanele asetshenziswe:

• abesifazane abasola ukuthi bakhulelwe
• abesifazane abangaphezu kweminyaka engama-35: ababhemayo nalabo abayeke ukubhema onyakeni odlule,
• abesifazane abakhuluphele,
• abesifazane abaphethwe yi-hypertension
• abesifazane abake baba noma abanomdlavuza webele,
• abaphethwe yi-migraine,
• abesifazane abanesifo senhliziyo)
• abesifazane abanesifo sikashukela
• abesifazane basengozini yamahlule egazi
• abesifazane abaphuza imithi njalo - tshela udokotela wakho ngayo yonke imithi oyiphuzayo.

5. Ingabe amapheshana okuvimbela ukucindezeleka ayaxebuka?

Abesifazane abaningi bakhathazekile ngokuthi amabala okulawula inzalo aphuma kalula. Nokho, ezimweni eziningi, abesifazane abakhonondi ngakho. ephuma nezibazi zokuvimbela inzalo. Ngokusho kwabakhiqizi, isiqephu kufanele simelane nokuvakashela i-sauna, ichibi kanye neshawa.

Ukungalungi kwamapheshana okulawula inzalo kuyefana:

• i-gypsum iyabonakala
• itholakala kuphela ngemuva kokubonisana nodokotela wezifo zabesifazane, njengoba kunqunywe udokotela,
• Kungabangela ukucasuka kwesikhumba kwabanye besifazane
• ekupheleni kwesonto lokugqoka isivikelo sokulawula inzalo, kungase kungabonakali,
• le ndlela yokuvimbela inzalo ayivikeli ezifweni ezithathelwana ngocansi.

5.1. Yini okufanele ngiyenze uma isiqeshana siphuma?

Uma isiqeshana siphumile futhi uqaphele lokhu:

• ngaphansi kwamahora angu-48: sebenzisa kabusha ngokushesha ngangokunokwenzeka noma sebenzisa isiqephu esisha sokuvimbela inzalo, bese uqhubeka unamathela ngokohlelo, umphumela wokuvimbela inzalo uyagcinwa;
• amahora angaphezu kwama-48: Gqoka isiqephu esisha sokulawula inzalo ngokushesha futhi uqale esisha. umjikelezo wokuvimbela inzalofuthi usebenzise ukuvimbela inzalo okwengeziwe ngesonto elizayo. Uma uye ocansini olungavikelekile ezinsukwini ezimbalwa ezedlule, bonana nodokotela wakho njengoba kungenzeka ukuthi uvundisiwe.

6. Ukusebenza kahle kweziqephu zokulawula inzalo

Iziqeshana zokuvimbela inzalo zingenye yezindlela eziphumelela kakhulu zokuvimbela inzalo. Uma zisetshenziswe ngendlela efanele, zisebenza ngaphezu kwama-99%.

Ukusebenza kwabo kuncane kancane kwabesifazane abanesisindo esingaphezu kwama-90 kg. Ukusebenza kwamapheshana okulawula inzalo futhi kuncipha uma kwenzeka ukusetshenziswa kabi:

• uma ungasifaki isichibi esisha ngemva kokususwa kwesichibi okungahleliwe,
• uma ukhohlwe ukufaka esinye isivikelo sokukhulelwa ngemva kwekhefu lesonto,
• uma ukhohlwe ukukhipha endala bese usebenzisa entsha.

7. Izinzuzo zezinqamuzana zokulawula inzalo

Inzuzo engangabazeki yamapheshana okuvimbela inzalo ukusebenza kwawo. Asebenza kahle njengamaphilisi okulawula inzalo futhi akudingekile ukuba uwakhumbule nsuku zonke.

Ngokungafani namaphilisi, amabala okulawula inzalo awasithwali isibindi futhi awalahlekelwa ukusebenza kwawo ngokuhuda okukhulu noma ukuhlanza.

Okunye izinzuzo zamapheshana okulawula inzalo kuya:

• asikho isidingo sokubakhumbula ngesikhathi socansi,
• izindawo zokulawula inzalo zilawula ukuya esikhathini futhi zidambise ukopha,
• ngokuvamile kunciphisa noma ngisho ukuqeda premenstrual syndrome
• umthamo wamahomoni oqukethwe ku-patch yokulawula inzalo unciphisa ingozi yama-cysts nama-fibroids, kanye nomdlavuza wesibeletho.

8. Imiphumela emibi evela ekusebenziseni ama-patches

Yiqiniso, njenganoma yikuphi ukuvimbela inzalo kwe-hormonal, isiqephu singabangela imiphumela emibi. Uhlu lude impela.

Imiphumela engemihle yeziqephu zokulawula inzalo Nakhu: ukopha esithweni sangasese sowesifazane kanye nokubona kwe-acyclic, induna, i-seborrhea (izinwele ziba namafutha ngokushesha), ikhanda elibuhlungu, isicanucanu nokuhlanza, ukuqunjelwa, ukukhuphuka komfutho wegazi, ukukhuluphala, ubuhlungu bengono, i-mycosis yangasese, ukuncipha kwe-libido (ukuncipha kwesifiso socansi), ukuwohloka kwemizwa. , ukucasuka (ngezinye izikhathi ukucindezeleka, izinkinga ze-thromboembolic (zingase zibeke ukuphila engozini), ukuphazamiseka kwe-fat metabolism (i-cholesterol eyingozi kakhulu ye-LDL), isifo senhliziyo kwabesifazane ababhemayo abangaphansi kweminyaka engu-35 ubudala.

Iziqephu zokuvimbela inzalo ziyindlela ongayinquma ngayo ngemva kokuhlola nokuqoqa i-anamnesis kudokotela wezifo zabesifazane. Zizwe ukhululekile ukubuza udokotela wakho mayelana nokuhlinzwa kanye contraindications for iziqeshana zokuvimbela inzalo.

9. Abiza malini ama-patches okulawula ukuzalwa?

Izinqamuleli zokuvimbela inzalo aziyona indlela eshibhe kakhulu yokuvimbela inzalo. Emakhemisi, ungathola izinto zokuvimbela inzalo ezithathwa ngomlomo ishibhile kakhulu kunamapheshana okuvimbela inzalo.

Intengo yamapeshi okuvimbela inzalo imayelana ne-PLN 60-80 yamapeshi ama-3. Intengo yamapheshana okulawula inzalo incike ekhemisi esiya kulo. Uma sicinga amapeshi okuvimbela inzalo ku-inthanethi, intengo yawo izokwehla futhi izoshintshashintsha cishe ku-50 PLN.

Ungathola naku-inthanethi amapheshana okulawula ukuzalwa ngaphandle kwekhawunta.

Ungalindi ukubona udokotela. Thatha ithuba lokubonisana nochwepheshe abavela kulo lonke elasePoland namuhla kwa-abcZdrowie Thola udokotela.