Izinto zokuthintela ukukhulelwa ezingenabungozi: yintoni, isebenza njani kunye nendlela yokusebenzisa

Umxholo

• Ingaba isebenza kanjani
• Izinto zokuthintela ukukhulelwa ezenziwa ngenyanga
• Ikota yokuthintela inzalo
• Ungazisebenzisa njani izinto zokucwangcisa ezitofwayo
• Xa kungaboniswanga
• Iziphumo ebezingalindelekanga eziphambili

Izinto zokuthintela inzalo luhlobo lwendlela yokuthintela ukukhulelwa enokuthi iboniswe ngugqirha wezifo zabasetyhini kwaye ibandakanya ukutofa inaliti rhoqo ngenyanga okanye qho kwiinyanga ezi-3 ukuthintela umzimba ekukhutshweni kwamaqanda nokwenza ukuba incindi yomlomo wesibeleko ityebe ngakumbi, oko kuthintela ukukhulelwa.

Inaliti kufuneka ilawulwe nge-intramuscularly yi-gynecologist kwaye inokuba ne-progesterone kuphela okanye ibe yindibaniselwano yeprogesterone kunye ne-estrogen. Ke, ezinye zeendlela zokuthintela inzalo ezinokuthi ziboniswe ngugqirha yiCycofemina, iMesigyna, iPerlutan, iCiclovular kunye ne-Uno Ciclo.

Ingaba isebenza kanjani

Izinto zokuthintela ukukhulelwa zinokusebenza ngendlela efanayo nakwipilisi yothintelo. Ngenxa yokwakheka kwehomoni, iyakwazi ukuthintela ukukhutshwa kwamaqanda, ukongeza ekwenzeni umhlathana wesibeleko ujiye kwaye unciphise ukutyeba kwe-endometrium, ukuthintela ukudlula kwesidoda kwaye, ngenxa yoko, ukuchumisa kunye nokukhulelwa.

Nangona kunjalo, ngaphandle kokuthintela ukukhulelwa, kuyacetyiswa ukuba ikhondom isetyenziswe kuzo zonke iintlobano zesini, kuba le ndlela yokuthintela ukukhulelwa ayikuthinteli kwizifo ezosulela ngokwabelana ngesondo. Ukongeza, ukuba esinye sezicelo asenziwanga, kukho umngcipheko wokukhulelwa, njengoko amanqanaba eehomoni ezijikelezayo ancipha.

Izinto zokuthintela ukukhulelwa ezenziwa ngenyanga

Inkqubo yokuthintela inzalo yenyanga kufuneka isetyenziswe kude kube ngumhla wesihlanu emva kokuqala komjikelo wokuya exesheni, kwaye kufuneka kuthathwe enye idosi emva kweentsuku ezingama-30, kuba emva kwenaliti amanqanaba e-estrogen kunye neprogesterone aya kwahluka ngokuhamba kwexesha, ukuze la manqanaba afune ukuseta kwakhona ukuze ube nefuthe lokuthintela ukukhulelwa.

Nangona olu hlobo lokuthintela ukukhulelwa luqukethe iprogesterone kunye ne-estrogen, inani leprogesterone alikho phezulu kwaye, ke, kunokwenzeka ukuba owasetyhini uneziphumo ezibi ezimbalwa.

Ikota yokuthintela inzalo

Inkqubo yokuthintela inzalo yekota ihlala iqulunqwe kuphela yiprogesterone, ethi ifunxwe kancinci ngumzimba kwaye iqinisekise ukusebenza kwezicwangcisi ixesha elide. Olu thintelo kukhulelwa kufuneka lusetyenziswe kude kube ngumhla wesi-5 wokuqala komjikelo wokuya exesheni kwaye lusebenza ukuya kuthi ga kwiinyanga ezintathu kumzimba womfazi, kunyanzelekile ukuba kwenziwe esinye isicelo emva kweli xesha ukugcina incindi yomlomo wesibeleko ijiye kwaye inciphise umngcipheko wokukhulelwa.

Nangona olu hlobo lokuthintela ukukhulelwa lunenzuzo yokusetyenziswa rhoqo kwiinyanga ezi-3, ukuba owasetyhini uthatha isigqibo sokukhulelwa, ukuchuma kubuya kancinci, ngesiqhelo emva kweenyanga emva kwenaliti yokugqibela, ukongeza ekubeni unxulunyaniswa nesixa esikhulu semiphumo emibi. Qonda indlela ezisebenza ngayo izinto zokuthintela ukukhulelwa zarhoqo ngekota.

Ungazisebenzisa njani izinto zokucwangcisa ezitofwayo

Izinto zokucwangcisa ezitofwayo kufuneka zisetyenziswe ngokwesikhokelo se-gynecologist, ngokuhluka ngokuya kwimihla yokuya esikhathini kunye nokuba usebenzisa enye indlela yokuthintela ukukhulelwa.

Kwabasetyhini abanesiqhelo esiqhelekileyo sokuya exesheni, abangasebenzisi pilisi okanye enye inaliti yokuthintela ukukhulelwa, inaliti yokuqala kufuneka ithathwe kude kube ngumhla wesi-5 wokuya exesheni kwaye oku kulandelayo kufanele ukwenziwa rhoqo kwiintsuku ezingama-30, ngaphezulu okanye ngaphantsi kweentsuku ezi-3, nokuba sexesheni. Ukuba kukho ukulibaziseka ngaphezulu kweentsuku ezintathu ngenaliti entsha, umfazi kufuneka ayalelwe ukuba asebenzise ikhondom.

Ukuqala emva kokubeleka, owasetyhini kufuneka abe nenaliti phakathi komhla wama-21 ukuya kowama-28 emva kokuba umntwana ezelwe, kwaye aqale ukusebenzisa emva kokukhupha isisu okanye emva kokuthatha ipilisi yentsasa-emva, inaliti inokuthathwa kwangoko.

Usenokuthatha inaliti yakho yokuqala kwangolo suku uthatha ngalo isigqibo sokutshintsha ipilisi yakho yokuthintela ukukhulelwa okanye inaliti yekota.Nangona kunjalo, ukuba owasetyhini akakhange asebenzise naziphi na izinto zokuthintela ukukhulelwa ngaphambili kwaye wabelana ngesondo, kufuneka enze uvavanyo lokukhulelwa ngaphambi kokuthatha inaliti. Funda indlela yokutshintsha izinto zokucwangcisa ngaphandle kokubeka emngciphekweni wokukhulelwa

Xa kungaboniswanga

Inaliti yenyanga yokuthintela ukukhulelwa ayiboniswanga kubantu abane-hypersensitivity nakweliphi na icandelo lokwenziwa kwemveliso, abasetyhini abakhulelweyo, abasetyhini abancancisayo ukuya kuthi ga kwiiveki ezi-6 emva kokubeleka, abanomhlaza wamabele wangoku okanye abarhanelwa kukugula okuxhomekeke kwihomoni. Ukongeza, abasetyhini abanentloko ebuhlungu eneempawu ezijolise kwimithambo-luvo, uxinzelelo lwegazi oluqatha, isifo semithambo, imbali ye-thrombophlebitis okanye i-thromboembolic disorder kunye nembali yesifo sentliziyo yeschemic okanye isifo sentliziyo esivelisayo.

Inaliti akufuneki isetyenziswe kwabasetyhini abanesifo seswekile kunye nephropathy, retinopathy, neuropathy okanye esinye isifo semithambo okanye isifo seswekile esihlala ngaphezulu kweminyaka engama-20, inkqubo ye-lupus erythematosus ene-anti-phospholipid antibodies, imbali yesifo sesibindi, eye yafumana utyando lokunyanzelwa ixesha elide, onesifo esingaqhelekanga sesibeleko okanye ukopha kwilungu lobufazi okanye otshaya ngaphezulu kweesigarethi ezili-15 ngosuku, ongaphezulu kweminyaka engama-35.

Iziphumo ebezingalindelekanga eziphambili

Inaliti yokuthintela ukukhulelwa yenyanga inokukhokelela ekubonakaleni kweentlungu emabeleni, isicaphucaphu, ukugabha, intloko ebuhlungu, isiyezi kwaye owasetyhini unokufumana ubunzima.

Ukongeza, utshintsho olwenzeka exesheni lunokubonakala, kwaye kwezi meko umntu wasetyhini kufuneka avavanywe ngugqirha wezifo zabasetyhini ukuze enze iimvavanyo ukuze kuchongwe ukuba ngaba asikho na esinye isizathu sokopha, njengesifo sokudumba kwethambo, umzekelo. Ukuba akukho sizathu sibonakalayo sokopha kakhulu kwaye umfazi akakhululekanga ngale ndlela, kuyacetyiswa ukuba ubuyisele inaliti ngenye indlela yothintelo.

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