Amaphilisi ngosuku olulandelayo - intengo, isenzo, imiphumela emibi, isinqumo se-CT

Izimo eziphuthumayo, izimo eziphuthumayo, inkinga, kanye nokuvimbela inzalo kokuhlenga ngamanye amagama amaphilisi osuku olulandelayo asetshenziswa ngemva kokuya ocansini. Kuyindlela yokuvikela ukukhulelwa lapho ezinye izindlela zokuvikela zehlulekile. Ingakanani ithebhulethi ngosuku olulandelayo, ingasetshenziswa nini futhi isebenza kanjani? Iyini imiphumela emibi yamaphilisi ngakusasa ekuseni? Ingabe kukhona contraindications ukusetshenziswa kwayo? Uyini umehluko phakathi kwamaphilisi okuvimbela ukukhulelwa okuphuthumayo namaphilisi okukhipha isisu?

1. Ithini ithebhulethi yakusasa ekuseni?

Ngosuku olulandela iphilisi, i.e. iphilisi lasekuseni lub EC - ukuvimbela inzalo okuphuthumayo ukuvimbela inzalo okuphuthumayoinhloso yokudala izimo ezivimbela ukuvundiswa. Ithebhulethi ayiholeli ekuphuphumeni kwesisu futhi ayifaki engozini umbungu osuvele ufakwe esibelethweni.

E-Poland, kunezinhlobo ezimbili zamaphilisi ekuseni ngemva kokudla, womabili atholakala kuphela. ngencwadi kadokotela. Kunqunywa lapho enye indlela yokuvimbela inzalo ihluleka ngesikhathi socansi, owesifazane wadlwengulwa, noma wakhohlwa ukuphuza iphilisi lokulawula inzalo. Umuthi usetshenziswa kanye, kungakhathaliseki usuku lokuya esikhathini.

Kunamaphilisi amabili amakhulu "ngemuva" - Escapelle Ngingu-EllaOne.

2. Inani lethebhulethi ngosuku olulandelayo

Izintengo zezimpahla ziyahlukahluka kuye ngohlobo lwazo. Iphilisi ngosuku olulandela i-EllaOne libiza imali I-PLN 90-120. Nokho, kufanele ukhokhele Escapelle kusuka kusuka ku-35 kuya ku-60 PLN. Kunoma yiliphi ikhemisi izindleko zokuvimbela inzalo eziphuthumayo ingase yehluke kancane, kufanelekile ukuyihlola ezigabeni ezimbalwa ezilandelayo bese ukhetha evuma kakhulu.

3. Asebenza kanjani amaphilisi ngakusasa ngemva komsebenzi?

Ithebhulethi ngosuku olulandela i-Escapelle iqukethe i-progesterone yokwenziwa, ecindezela ukuphuma kwe-ovulation lapho kuthathwa ngaphambi nje kokuvuthwa. Khona-ke emzimbeni womuntu wesifazane azikho izimo zokuzala. Ngesikhathi esifanayo, i-hormone ishintsha ukwakheka kolwelwesi lwesibeletho ukuze umbungu ungagxili kuwo.

Ithebhulethi ngosuku olulandelayo ayinawo umphumela wokukhipha isisu, uma ukukhulelwa sekuqalile ukukhula, ngeke kukuyeke. Thatha ithebhulethi ye-Escapelle (eyaziwa nangokuthi i-Levonelle) kungakapheli amahora angama-72 ukuya ocansini. Nokho, uhlobo lwesibili, i.e. ithebhulethi ngosuku olulandelayo i-EllaOne isebenza ngendlela ehlukile.

Into esebenzayo ulipristal acetate ivimbela ukukhishwa kweqanda kuma-ovari. Ngaphezu kwalokho, futhi kubangela izinguquko esibelethweni, okwenza kube nzima kakhulu ukuqaliswa kwe-ovum. U-EllaOne uzosebenza ngemva kokuqeda izifundo Amahora angu-120 ngemva kocansi.

Khumbula ukuthi amaphilisi ngakusasa ekuseni asebenza kakhulu phakathi namahora angama-24 ocansini. Kulinganiselwa ukuthi u-98% uzovikela ukukhulelwa ngalesi sikhathi. Uma ukuhlanza kwenzeka kungakapheli amahora ama-3 ngemuva kokugwinya umuthi, kufanele kuthathwe omunye umthamo.

4. Inini ithebhulethi ngosuku olulandelayo?

Iphilisi ngakusasa ekuseni aliyona indlela yokuvimbela inzalo. Yakhelwe ukusetshenziswa ezimweni ezikhethekile, eziphuthumayo. Incwadi kadokotela yethebhulethi yosuku olulandelayo kufanele ibhalwe kuphela ezimeni ezilandelayo:

• ucansi olungavikelekile,
• ukuphuka kwekhondomu,
• ikhondomu iyashelela
• ukusetshenziswa ngendlela engafanele kwamaphilisi okulawula inzalo,
• ukuya ocansini ngezinsuku ezivundile ngaphandle kokuvimbela inzalo,
• ukususwa sekwephuzile kakhulu komthondo ngesikhathi socansi ngezikhawu,
• ukususa isiqephu sokuvimbela inzalo
• ukuxoshwa kwe-intrauterine device,
• ukusetshenziswa okungafanele kwe-pessaries yokuvimbela inzalo,
• umjovo we-norethisterone ngemuva kwezinsuku eziyi-14,
• umjovo we-estrogen ophuzile,
• umjovo we-progesterone ophuzile
• ukudlwengula.

Ngosuku olulandelayo, ithebhulethi ye-EllaOne inciphisa ukusebenza kokuvimbela inzalo kwama-hormone, ngemva kokuyithatha, lolu hlobo lokuvikela kufanele lushiywe izinsuku ezingu-5. Lokhu futhi kuqeda ubungozi bokusebenzelana okungafunwa. Ngakolunye uhlangothi, abesifazane abasebenzisa njalo amaphilisi okulawula inzalo kufanele bakhethe i-Prevenelle.

Ngosuku olulandelayo, i-Escapelle nayo iyanconywa ukuncelisa, kodwa kancane kunamahora amathathu. Ngosuku olulandelayo, ungabuyela ekusebenziseni amaphilisi endabuko e-hormonal.

5. Ngingawaphuza kangaki amaphilisi ngosuku olulandelayo?

amaphilisi e-po kufanele asetshenziswe ezimeni eziphuthumayo kuphela futhi akufanele asetshenziswe njengendlela yokuvimbela inzalo. Ukuphuza amaphilisi kuyafaneleka kuphela uma ikhondomu yephuka ngesikhathi socansi, uma ukhohlwe ukuphuza amaphilisi okulawula inzalo, noma uma udlwenguliwe. Ukuthatha amaphilisi amaningi kunalokho okunconywe umenzi kuholela ezinkingeni ezinkulu ze-hormonal.

6. Imiphumela engemihle yephilisi ngakusasa

Iphilisi ngakusasa lingabangela izifo eziningi ngokuvamile ezingezona ezimbi futhi ezingadingi iseluleko sezokwelapha. Uma bekhathele kakhulu, kufanele uxhumane nochwepheshe. Imiphumela engemihle engase ivele emahoreni ambalwa okuphuza iphilisi ngakusasa ihlanganisa:

• isicanucanu nokuhlanza
• ikhanda,
• isiyezi,
• ukuzizwa uphukile,
• umuzwa wokuvuvukala emzimbeni
• ukuthamba kwebele
• ubuhlungu besifuba
• ukukhathala,
• ukushintsha kwemizwa,
• ubuhlungu bemisipha,
• ukuhlungu obusemhlane,
• ubuhlungu okhalweni.
• isifuba
• isikhumba esilumayo
• ukuvuvukala kobuso.

Ithebhulethi yasekuseni ingase futhi ibe nemiphumela evela kamuva, okuhlanganisa:

• ukuya esikhathini okubuhlungu,
• ukubambezeleka kokuya esikhathini isikhathi esingaphezu kwesonto,
• ukopha phakathi kokuya esikhathini
• ukuphazamiseka kwe-hormonal.

Kwabanye besifazane, ngemva kokuthatha iphilisi, usuku ngemva kokuqala ukopha izinsuku ezingu-7. Abanye abantu balinda isikhathi eside kakhulu ngalokhu, futhi ngezinye izikhathi kuba buhlungu kakhulu kunangaphambili. Ukuthatha iphilisi izikhathi eziningi ngosuku olulandelayo kungaphazamisa ngokuphelele umjikelezo wokuya esikhathini.

7. Ubani okungafanele aphuze amaphilisi ngakusasa?

Kwezinye izimo, kungase kube yingozi ukuphuza iphilisi ngakusasa. Khuluma nodokotela wakho ngaphambi kokuthatha amaphilisi uma:

• ingozi yokukhulelwa kwe-ectopic,
• isifo sesibindi,
• isimila,
• izinkinga ze-thromboembolic,
• isifuba somoya
• i-adnexitis,
• Isifo sika-Lesnevsky-Crohn.

8. Iphilisi langosuku olulandelayo namaphilisi okukhipha isisu

Yonke ingxabano ezungeze iphilisi ngosuku olulandelayo ibangelwa izincazelo ezahlukene zokuzalanisa. Ngokombono wesayensi, ukuqala kokukhulelwa akuchazwanga, njengoba kuyinkqubo.

Ngakho-ke abanye bakholelwa ukuthi ukuvundiswa kuqala ngokuvela kwesidoda esithweni sangasese noma ngokungena kwabo eqandeni. Odokotela bathi ungakhuluma ngokukhulelwa lapho i-embryo ifakwe esibelethweni.

Ngokusho kwe-World Health Organization, iphilisi elilandelayo lasekuseni lisebenza ngendlela ehlukile kunephilisi lasekuseni. ukuvimbela inzalo okuphuthumayo akuthinti ukufa kombungu, ngokungafani nezidakamizwa ezikhipha izisu. Izinyathelo ezinjalo zenza kube nzima ukuzala.

Kodwa-ke, ukukhulelwa kungenzeka futhi uma uthatha iphilisi ngosuku olulandelayo, isibonelo, uma uthathwa sekwephuzile. Inhloso yephilisi lokukhipha isisu ukukhipha umbungu esibelethweni futhi lingasetshenziswa isikhathi eside ngemva kocansi.

Ngenxa yalesi sizathu, akunakwenzeka ukuthenga ithebhulethi yesiFulentshi iMifegin (RU 486) ePoland. Kungumkhiqizo we-steroid oqukethe i-prostaglandin ebangela ukufinyela kwesibeletho futhi okuholela ngokuqondile ekuphuphumeni kwesisu.

Amaphilisi anabaphikisi abaningi ngoba ayindlela yokuhushula isisu futhi uma engasebenzi kahle kuholela ekukhubazekeni okuningi kwe-fetus. Umntwana ube esezalwa enezinkinga zempilo ezingathi sína, ngokuvamile kudingeka ahlinzwe kaningi, futhi asikho isiqiniseko sokuthi uzolulama.

9. Ingabe kusemthethweni ukuphuza iphilisi langosuku olulandelayo? Isinqumo Senkantolo Yomthethosisekelo

Kuze kube ngu-April 2015, noma ubani oneminyaka engaphezu kwengu-15 wayengathenga i-ellaOne ngaphandle kwencwadi kadokotela. I-Escapelle ibilokhu itholakala ngencwadi kadokotela kuphela. Bese I-European Commission uthe lezi zinhlobo zemikhiqizo ziphephile ukusetshenziswa ngaphandle kwencwadi kadokotela.

Isimo sashintsha ngoJulayi 2017 futhi amaphilisi osuku olulandelayo manje asetholakala ngencwadi kadokotela kuphela. Konke kwaqala ngamazwi kaNgqongqoshe Wezempilo u-Konstantin Radziwill, owathi zonke izinto zokuvimbela inzalo ePoland zitholakala ngencwadi kadokotela, ngaphandle kwephilisi ngosuku olulandelayo.

Ngomhla zingama-25 kuNhlaba wezi-2017, kwaphasiswa umthetho owethula imiyalelo yamaphilisi ngakusasa. Ngokuqondile kusukela ngoJulayi 22, 2017, akunakwenzeka ukuthenga izimali zalolu hlobo ngaphandle kokuvakasha kokuqala kudokotela. Kuyathakazelisa ukuthi amaphilisi ansuku zonke athengiswa ngaphandle kwekhawunta athengiswa kuphela e-Bosnia nase-Herzegovina, e-Russia, e-Ukraine, nase-Hungary.

Isinqumo seNkantolo yoMthethosisekelo kusukela ngo-Okthoba 22, 2020, izimo zokukhishwa kwezisu ezisemthethweni zishintshile. Lesi sinqumo asiwathinti amaphilisi uma esewaphuzile, ngoba athathwa njengohlelo lokuvikela inzalo hhayi ukuhushula isisu.

Kodwa-ke, kufanele kukhunjulwe ukuthi iphilisi ngosuku olulandelayo akufanele liphathwe njengendlela evamile yokuvimbela inzalo, ngoba umthamo ophezulu wama-hormone aqukethwe ephilisi awunandaba nomzimba - ubangela isiphepho se-hormonal, uphazamisa ukuya esikhathini. umjikelezo. futhi ulayishe ngokweqile isibindi.

Ingabe udinga ukubonisana nodokotela, i-e-issuance noma i-e-prescription? Iya kuwebhusayithi ethi abcZdrowie Thola udokotela futhi ngokushesha uhlele isikhathi sokulala esibhedlela nochwepheshe abavela kulo lonke elasePoland noma nge-teleportation.