Kowace shekara, cututtukan cututtukan cututtukan cututtukan ƙwayar cuta suna zama mafi tasiri. Wannan yana ba ku damar kiyaye rikicewar jijiyoyin jiki gaba ɗaya ko jinkirta lokacin bayyanarsu. Don haka, ga mata masu ciwon sukari, tsawon lokacin haihuwar yana ƙaruwa.
Ciwon sukari na iya sanya ya zama da wahala a zaɓi hanyar da ta dace.
A lokaci guda, duk matan da ke da ciwon sukari suna buƙatar shirin ciki mai hankali. Zaku fara ne lokacin da matakan sukarinku na jini suna kusa da al'ada, wato, an sami sakamako mai kyau na ciwon sukari.
Cutar da ba a shirya ba tare da ciwon sukari tana barazanar mummunan matsala ga matar da zuriyarta nan gaba. Wannan yana nufin cewa batun hana haihuwa a cikin cututtukan siga yana da matukar muhimmanci. Likitoci da likitocinsu suna dauke da cutar sankarau, suna samun kulawa mai yawa.
Zaɓi hanyar da ta fi dacewa ta hana haihuwa aiki ne mai wahala. Wannan al'amari an yanke hukunci daban-daban ga kowace mace. Idan tana fama da cutar sankara, to sai ƙarin ƙwayar cuta ta tashi. A cikin labarin yau, za ku koyi duk abin da kuke buƙata, tare da likitan ku, ƙayyade maganin hana cutar siga.
Mai zuwa yana bayani kawai hanyoyin zamani na hana daukar ciki. Sun dace da matan masu fama da cutar siga, dangane da alamuransu na mutum. Ba za mu tattauna hanyar rhythmic ba, katsewar jima'i, douching da sauran hanyoyin da ba za a iya dogara da su ba.
Rashin yarda da hanyoyin hana haihuwa ga mata masu dauke da cutar siga
| Yanayin | COC | Inje | Facin zobe | Bye | Sanyawar jiki | Cu-IUD | LNG-Navy |
|---|---|---|---|---|---|---|---|
| A wurin akwai masu ciwon suga | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Babu rikitarwa na jijiyoyin jiki | 2 | 2 | 2 | 2 | 2 | 1 | 2 |
| Akwai rikice-rikice na ciwon sukari: nephropathy, retinopathy, neuropathy | 3/4 | 3/4 | 3/4 | 2 | 2 | 1 | 2 |
| Rashin rikicewar jijiyoyin jiki ko tsawon lokacin ciwon sukari na shekaru sama da 20 | 3/4 | 3/4 | 3/4 | 2 | 2 | 1 | 2 |
Menene ma'anar lambobin:
- 1 - An yarda da amfani da hanyar;
- 2 - a mafi yawan lokuta babu contraindications don amfani da hanyar;
- 3 - ba a bada shawarar amfani da hanyar gabaɗaya ba, sai dai a wasu lokuta inda ingantaccen rigakafin hana ko amfani da shi ba ya karɓa;
- 4 - da amfani da hanyar ne cikakken contraindicated.
Zane-zane:
- COCs - magungunan hana daukar ciki na haihuwar da ke kunshe da kwayoyin halittun jini daga ƙananan gilashi na estrogens da progestins;
- POC - kwayoyin hana daukar ciki wadanda ke dauke da kwarogin roba kawai;
- Cu-IUD - na'ura mai amfani da intrauterine dauke da jan karfe;
- LNG-IUD na'urar intrauterine ce wacce ke dauke da levonorgestrel (Mirena).
Zaɓin takamaiman hanyar hana maganin cutar sankara
| Matsayin kiwon lafiya na mace mai ciwon sukari | Hanyar hanawa | |
|---|---|---|
| Kwayoyi | Injiniya, gida, tiyata | |
| Nau'in nau'in masu ciwon sukari na 1 waɗanda ke da kyakkyawar iko na sukarin jininsu, ba tare da ananan maganganu na jijiyoyin jiki ba |
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| Nau'in masu ciwon sukari na 2 waɗanda suka cimma burinsu na mutum dangane da sukari na jini, i.e., yana sarrafa cutar sosai |
| |
| Nau'in nau'in masu ciwon sukari na 2 tare da hauhawar jini na triglycerides da kuma aikin hanta mai rauni | Ba a nuna ba |
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| Nau'in nau'in ciwon sukari na 1 waɗanda ke da mummunan iko na sukarin jininsu da / ko kuma suna da matsanancin wahalar jijiyoyin jiki | Ba a nuna ba |
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| Nau'in nau'in masu ciwon sukari na 1 waɗanda ke da mummunan ciwo da / ko waɗanda suka riga sun sami yara 2 ko fiye | Ba a nuna ba |
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Tushen bayani: jagororin asibiti "Algorithms don ƙwararrun likitancin likita don marasa lafiya tare da masu ciwon sukari mellitus", wanda II ya inganta. Dedova, M.V. Shestakova, bugu na 6, 2013.
Idan macen da take da ciwon sukari tana da cikakkiyar magunguna masu juna biyu na likitancin haihuwa, to sai a lasafta shan maganin tiyata da son rai. Abu ɗaya idan kun rigaya "warware ayyukanku na haihuwa."
Hada magungunan hana baki
Hada magungunan hana daukar ciki (COCs) sune kwayoyin hana daukar ciki wadanda ke dauke da nau'ikan kwayoyin halittun guda biyu: estrogens da progestins. Estrogen a matsayin wani ɓangare na kwayoyin hana daukar ciki na cika rashi na estradiol, ƙirar halitta wanda ake matsawa a cikin jikin mutum. Don haka, ana kiyaye kulawar haila. Kuma progestin (progestogen) yana ba da sakamako mai hana haihuwa na COCs.
Kafin shan magungunan hana haihuwa, nemi shawarar likitan ku kuma yi gwajin gwajin cutar kansa. Waɗannan sune gwaje-gwaje na jini don ayyukan platelet, AT III, factor VII da sauransu. Idan gwaje-gwajen ya zama mara kyau - wannan hanyar hana haihuwa ba ta dace da kai ba, saboda akwai haɗarin cutar thrombosis mai haɗari.
A yanzu haka, hada magungunan hana baki na da matukar fice a duk duniya, kuma daga cikin matan da ke fama da ciwon sukari. Dalilan wannan:
- COCs sun dogara da kariya daga rashin ɗaukar ciki;
- galibi mata suna jure su;
- bayan dakatar da kwaya, yawancin mata suna yin juna biyu tsakanin watanni 1-12;
- shan kwayoyin magani ya fi sauki fiye da shigar da karkace, yin allura, da sauransu.
- wannan hanyar hana haihuwa yana da ƙarin warkewa da sakamako mai illa.
Abubuwan hana haifuwa cikin amfani da maganin hana yawo a cikin mata masu fama da cutar siga:
- ba a rama cutar sankara ba, i.e., yawan sukarin jini yana tsayawa tsayayye;
- saukar karfin jini sama da 160/100 mm RT. st .;
- an keta tsarin hemostatic (zubar jini mai yawa ko karuwar zubar jini);
- mummunan rikicewar jijiyoyin bugun jini ya riga ya haɓaka - proliferative retinopathy (2 mai tushe), mai ciwon sukari nephropathy a mataki na microalbuminuria;
- mara lafiya yana da isassun dabarun sarrafa kai.
Contraindications zuwa ci abinci na estrogen a matsayin wani ɓangare na hana maganin hana haihuwa:
- riskarin hadarin cututtukan jini da toshe hanyoyin jini (ɗaukar gwaje-gwaje da dubawa!);
- bayyanar cututtuka na ƙwayar cuta, ƙwayar cutar migraine;
- cututtukan hanta (hepatitis, Rotor, Dabin-Johnson, Gilbert syndromes, cirrhosis, sauran cututtukan da ke haɗuwa tare da lalacewar hanta);
- zub da jini daga farjin mace, dalilan da ba a fayyace su ba;
- ciwan-ciki mai dorewa.
Abubuwan da ke kara haɗarin tasirin sakamako na isrogen:
- shan taba
- matsakaici tashin zuciya;
- shekaru sama da 35;
- kiba sama da digiri 2;
- karancin gado a cikin cututtukan zuciya, i.e., an sami lokuta na cututtukan zuciya da bugun jini a cikin iyali, musamman tun kafin shekaru 50;
- lactation (nono).
Ga mata masu fama da ciwon sukari, ƙananan sikelin da ƙananan maganin ƙwayoyin cuta sun dace.
COCs mai ƙarancin ƙarfi - ya ƙunshi ƙasa da μg 35 na abubuwan estrogen. Wadannan sun hada da:
- monophasic: "Marvelon", "Femoden", "Regulon", "Belara", "Jeanine", "Yarina", "Chloe";
- kashi uku: "Tri-Regol", "Uku-Merci", "Trikvilar", "Milan".
Microdosed COCs - ya ƙunshi 20 mcg ko ƙasa da sashin estrogen. Waɗannan sun haɗa da shirye-shiryen monophasic "Lindinet", "Lorest", "Novinet", "Mercilon", "Mirell", "Jacks" da sauransu.
Ga mata masu fama da ciwon sukari, wani sabon salo na hana haihuwa shine ci gaban KOK, wanda ya ƙunshi estradiol valerate da dienogest, tare da tsarin kulawa mai mahimmanci (“Klayra”).
Dukkan hanyoyin hana yadu na baki suna kara matakan triglyceride a cikin jini. Amma wannan lamari ne da ba za a iya amfani da shi ba kawai ga matan da suka riga suka kamu da cututtukan jini kafin su sha kwayoyin. Idan mace tana da dyslipidemia na matsakaici (metabolism mai rauni), to, COCs basu da lafiya. Amma yayin cinye su, kuna buƙatar ɗaukar gwajin jini akai-akai don triglycerides.
Balagowar zobewar jijiyoyin jiki NovaRing
Hanya ta farji na gudanar da kwayoyin halittun steroid don daukar ciki shine, saboda dalilai da yawa, sunfi shan kwayoyin magani. Yawan maida hankali a cikin kwayoyin halittar jini yana tsayayye. Abubuwan da ke aiki ba fallasa su zuwa farkon hanyar ratsa hanta ba, kamar yadda ake amfani da allunan. Sabili da haka, lokacin amfani da rigakafin ƙwayar mahaifa, ana iya rage adadin kwayoyin halittar yau da kullun.
Ringwafin hormonal na NovaRing cuta ce mai hana haihuwa kama da zoben da take bayyana, mm 60 a diamita kuma 4 mm lokacin farin ciki a sashin giciye. Daga gareta, an saki microgram 15 na ethinyl estradiol da 120 microTV na etonogestrel cikin farjin kowace rana, wannan shine metabolite mai aiki na halakar.
Mace zata sanya zoben hana haihuwa cikin farji, ba tare da halartar ma’aikatan kiwon lafiya ba. Dole ne a sa shi na tsawon kwanaki 21, sannan a ɗauki hutu tsawon kwana 7. Wannan hanyar hana haihuwa tana da karancin tasiri ga tasirin carbohydrates da kitsen, kusan iri daya ne kamar na microdosed hade da maganin hana haihuwa.
Rashin ƙwayar hormonal ta NovaRing an nuna shi musamman don amfani ga mata waɗanda ke haɗuwa da ciwon sukari tare da kiba, haɓakar triglycerides a cikin jini ko aiki mai hanta. Dangane da binciken ƙasashen waje, alamun lafiyar lafiyar mahaifa baya canzawa daga wannan.
Zai zama da amfani a nan mu tuna cewa mata masu kiba da / ko hawan jini a sanadiyyar cutar sankara musamman suna haɗuwa da kamuwa da cuta. Wannan yana nufin cewa idan kana da murkushewa, to watakila ba sakamako bane illa amfani da maganin hana haihuwa na NovaRing, amma ya taso ne saboda wasu dalilai.
Abubuwan da ke cikin Intrauterine
Amfani da rigakafin hana haihuwa cikin jiki har zuwa kashi 20% na mata masu fama da cutar siga. Domin wannan zabin hana daukar ciki dogaro ne kuma a lokaci guda yana sake juyawa ga masu hana juna biyu juna. Mata suna da nutsuwa sosai cewa basa buƙatar kulawa da su a cikin kullun, kamar lokacin shan kwayoyin hana haihuwa.
Benefitsarin fa'idodi na hana ƙwayoyin ciki na cututtukan ƙwayar cuta:
- ba su lalata carbohydrate da mai mai;
- kar a kara yiwuwar jinin dabaru da kuma matsewar hanyoyin jini.
Rashin dacewar wannan nau'in hana haihuwa:
- mata kan haifar da rashin daidaituwa yayin haila (hyperpolymenorrhea da dysmenorrhea)
- karuwar hadarin ectopic
- mafi yawan lokuta cututtukan kumburi na gabobin pelvic suna faruwa, musamman idan tare da cutar sankara, yawan sukarin jini kullum yana girma.
Ba a ba da shawarar matan da ba su haihuwar ba da amfani da rigakafin cikin su.
Don haka, kun gano menene dalilan zaɓar ɗaya ko wata hanyar hana haihuwa don kamuwa da cutar siga. Mace mai haihuwar haihuwa zata iya zaɓar zaɓin da ta dace don kanta, tabbatar da aiki tare da likita. A lokaci guda, kasance cikin shiri cewa zaku gwada hanyoyin da yawa har sai kun yanke shawarar wanda ya fi dacewa da ku.
