Dogara abin dogara yana da mahimmanci ga mata masu fama da cutar siga. Tsarin ciki na baiwa mace damar kare kanta daga rikice-rikicen da za su iya haifarwa da haihuwa. Kafin ɗaukar jariri, mai haƙuri da ciwon sukari yana buƙatar cimma sakamako mai kyau ga masu ciwon sukari da hana haɓaka sukari na jini sama da iyakar ƙimar ƙa'idar.
Lokacin zabar hanyar hana haifuwa don kamuwa da cutar siga, mace dole tayi la'akari da mahimman abubuwan guda biyu - wannan shine cikakkiyar lafiya tare da matakan suga na hawan jini da ingantacciyar kariya daga hana juna-biyu, wanda ke tattare da mummunan sakamako.
A cewar mata da yawa, ɗayan mafi sauƙi, mafi aminci kuma mafi aminci ga hanyoyin hana ɗaukar ciki wata hanya ce mai hana haihuwa kamar naurar cikin ciki. Amma mutane da yawa marasa lafiya suna da sha'awar tambaya: shin zai yiwu a sanya karkace a cikin masu ciwon sukari kuma menene sakamakon wannan zai haifar?
Don bayar da cikakkiyar amsoshi ga waɗannan tambayoyin, wajibi ne a fahimci yadda na'urar ta ciki ta ke aiki da ko akwai abubuwan hana haihuwa don amfanin ta, da kuma la’akari da wasu hanyoyin da aka ba da izini don kare kai daga hana juna biyu a cikin cututtukan ƙwaƙwalwar ƙwayar cuta.
Amfani da karkace a cikin ciwon sukari
Kusan 20% na mata masu ciwon sukari sun zaɓi yin amfani da rigakafin hana haihuwa cikin ciki, wato karkace, azaman kariya daga hana daukar ciki. Irin wannan karkace shine karamin tsari mai fasalin T, ya ƙunshi filastik mai lafiya ko waya na farin ƙarfe, wanda aka shigar kai tsaye zuwa cikin mahaifa.
Ana yin na'urorin intrauterine ta wannan hanyar don ware duk wani raunin da ya faru na mucosa. Suna ba da kariya daga ɗaukar ciki mara kyau ko dai ta amfani da mafi kyawun ƙarfe na jan ƙarfe ko ƙaramin ganga tare da progestin na hormone, wanda aka saki a hankali yayin amfani.
Dogarawar rigakafin hana haihuwa cikin kashi 90%, wanda yake shine mafi girman daraja. Bugu da kari, sabanin allunan da yakamata a dauka a kullun, karkara suna buƙatar shigar dasu sau ɗaya kuma ba damuwa game da kariya don shekaru 2-5 masu zuwa.
Fa'idodi na amfani da karkace a cikin ciwon sukari:
- Kankana ba shi da wani tasiri a cikin sukari na jini, sabili da haka baya haifar da ƙaruwa a cikin yawan glucose kuma baya ƙaruwa da buƙatar insulin;
- Maganin hana daukar ciki na ciki ba ya tsokane samuwar cututtukan jini kuma baya bada gudummawa ga toshewar hanyoyin jini, biyo bayan haɓakar thrombophlebitis.
Rashin dacewar wannan hanyar hana daukar ciki:
- A cikin marassa lafiya da ke amfani da na’urar intrauterine, ba a yawan gano cutar mahaifa. Yana bayyana kanta a cikin yalwace mai yalwa da tsawaita aiki (sama da kwana 7) kuma yawanci yana tare da ciwo mai zafi;
- Kankana na kara yiwuwar samun ciki;
- Wannan nau'in rigakafin na iya haifar da cututtukan ƙwayar cuta mai rauni daga tsarin haihuwar mace da sauran gabobin pelvic. Da alama ciwon kumburi yana haɓaka musamman tare da ciwon sukari;
- Spirals an yaba sosai ga matan da suka riga sunada yara. A cikin nulliparous 'yan mata, zai iya haifar da babbar matsala da juna biyu;
- A wasu mata, karkace tana haifar da jin zafi yayin saduwa;
- A lokuta da dama, yakan haifar da lalacewar bangon mahaifa, wanda hakan na iya tsokanar jini na jini.
Kamar yadda za'a iya gani daga sama, ba a haramta amfani da na'urorin intrauterine a cikin cututtukan ciwon sukari ba. Koyaya, idan mace tana da matakai na kumburi a cikin mahaifa da kayan ɗorawa ko kamuwa da cututtukan ƙwayar cuta, to ba a bada shawarar saka na'urar cikin cikin ba.
Bugu da kari, ya kamata a lura cewa likitan ilimin likita ne kawai zai iya sanya karkace daidai da duk ka'idodi. Duk wani yunƙuri na shigar da wannan nau'in rigakafin na iya haifar da mummunan sakamako. Kwararren likita kuma ya kamata ya cire karkace daga cikin mahaifa.
Ga waɗanda ke shakka ko spirals sun dace da masu ciwon sukari, mutum ya kamata ya faɗi yadda wannan hanyar hana haihuwa take aiki da wane irin karkace yake da tasiri.
Duk nau'ikan na'urorin intrauterine:
- Kada kabar ƙwai ya shiga cikin bango na cikin igiyar ciki.
Abun da ke dauke da kwayar cutar farfadowa:
- Shayar maniyyi ta hanyar cikin mahaifa an hana shi;
- Yana keta tsarin ovulation.
Abun jan karfe:
- Kawar da maniyyi da ƙwai.
Progestin-mai dauke da spirals mai dauke da jan ƙarfe suna da kusan irin dogaro guda ɗaya, duk da haka, spirals tare da waya na jan ƙarfe suna da rayuwar sabis mafi tsayi - har zuwa shekaru 5, yayin da spirals tare da aikin progestin bai wuce shekaru 3 ba.
Binciken game da amfani da na'urar intrauterine don cututtukan sukari suna hade sosai. Yawancin mata sun yaba da wannan hanyar hana haihuwa saboda dace da tasirinsa. Amfani da karkace yana bai wa mata damar ji da kansu kuma basa tsoron ɓata lokacin shan kwayoyin.
Na'urar intrauterine ya dace musamman ga marasa lafiya da ke fama da cutar sikari, wanda a ciki an haramta shi sosai don amfani da maganin hana haihuwa. Amma mata da yawa suna lura da cewa amfani da shi na iya haifar da mummunar illa, ciki har da ciwon kai da ƙananan ciwon baya, yanayin motsi, da kuma raguwar libido.
Bugu da ƙari, karanta sake dubawa na marasa lafiya da ciwon sukari, mutum ba zai iya kasa kunne ga koke-koke game da gagarumin ƙaruwa a cikin nauyi ba bayan shigarwa na karkace, da bayyanar edema, ƙara matsa lamba da haɓakar comedones a kan fuska, baya da kafadu.
Koyaya, yawancin mata sun gamsu da yin amfani da na'urar intrauterine kuma suna da tabbacin cewa irin wannan rigakafin cutar sankara shine mafi aminci kuma mafi inganci. Wannan ya bayyana ne ta hanyar yawan gwaje-gwajen masu ciwon siga da kuma likitocin da suke yi.
Idan, saboda dalili ɗaya ko wata, mara lafiya da ke da nau'in 1 ko nau'in ciwon sukari na 2 ba zai iya amfani da karkara don kare kai daga ɗaukar ciki ba, to tana iya amfani da wasu hanyoyin hana juna biyu.
Kwayoyin hana haihuwa don kamuwa da cutar siga
Wataƙila hanyar da ta fi shahara don kare kanta daga rashin ɗaukar ciki tsakanin mata a duniya shine magungunan hana haihuwa. Ana iya amfani dasu don ciwon sukari, amma wannan ya kamata a yi shi da taka tsantsan, lura da duk shawarar likita.
Zuwa yau, ana samun maganin hana yadu ta nau'ikan guda biyu - hade da progesterone-dauke. Abun da ke tattare da hana daukar ciki ya hada da kwayoyin halittu guda biyu a lokaci daya: estrogen da progesterone, kwayoyin dake dauke da kwayoyin sun hada da kwayar halittar hormone kawai.
Yana da wuya a faɗi wane rukuni na kwayoyi suka fi dacewa da ciwon sukari, kowannensu yana da nasa fa'idodi da mazan jiya.
Amma yawancin kwayoyin hana haihuwa na zamani suna cikin rukunin masu hana haihuwa, saboda haka, zabar su don yin juna biyu ya fi sauki ga mace ta zabi wa kanta magani mafi dacewa.
Hada magungunan hana baki
Hada magungunan hana baki (wanda aka rage kamar COCs) sune shirye-shiryen hormonal wanda ya kunshi estrogen da progesterone. Progesterone yana ba da kariya ta kariya daga zubar da ciki, kuma estrogen yana taimakawa wajen daidaita yanayin haila kuma yana kare mace daga zafin rai da matsanancin fitarwa a ranakun mahimmai.
Matan da ke fama da ciwon sukari mellitus dole ne su nemi likitan su kafin suyi amfani da COCs kuma suyi gwajin jini don ayyukan platelet da kuma bincike don hawan jini a cikin ciwon sukari mellitus. Idan aka gano haɓakar haɓakar jini, ya kamata ku daina amfani da waɗannan magungunan hana daukar ciki.
Idan gwaje-gwajen ba su bayyana manyan karkacewa da dabi'ar ba, to an yarda da masu ciwon sukari suyi amfani da wadannan rigakafin don shirya ciki. Koyaya, ba zai zama babban halin farko ba koya farko game da duk rashin nasara da fa'idar COCs, da kuma yiwuwar sakamako masu illa da contraindications.
Fa'idodin amfani da abubuwan hana maye:
- KOK yana ba mata ingantacciyar kariya daga daukar ciki;
- A cikin mafi yawan marasa lafiya da ciwon sukari, shan waɗannan rigakafin ba sa haifar da sakamako masu illa da sauran sakamako mara kyau;
- Wadannan kudade ba su da tasiri sosai game da haihuwa na mata. Bayan ƙin ɗaukar COCs, sama da 90% na mata sun sami damar ɗaukar ciki a cikin shekara guda;
- Hada magungunan hana baki na da tasirin maganin warkewa, alal misali, suna bayar da gudummawa ga resor na ovaries cysts. Bugu da kari, ana iya amfani dasu azaman prophylactic kan cututtukan cututtukan mahaifa.
Wanene ya haɗu da amfanin waɗannan ƙwayoyin hana haihuwa?
- COCs ba su dace da matan da ke fama da raunin cutar sankarar mellitus ba sosai, wanda haƙuri ke da matakin sukari na jini mai haɓaka ta wani lokaci;
- Ba za a iya amfani da waɗannan rigakafin don marasa lafiya da hauhawar jini ba, lokacin da hauhawar jini ya tashi a kai a kai har zuwa matakin 160/100 da sama;
- Ba su dace da matan da ke da niyyar zub da jini mai ƙarfi ba, ko akasin haka, haɓakar jini na al'ada;
- COC yana da matukar rikitarwa a cikin marasa lafiya tare da alamun cututtukan angiopathy, wato, lalacewar tasoshin jini a cikin mellitus na ciwon sukari. Musamman, tare da raguwar yaduwar jini a cikin ƙananan ƙarshen;
- Wadannan allunan ba za a iya ɗauka don matan da ke da alamun raunin gani ba kuma a gaban masu ciwon sukari - lalacewar tasoshin retina;
- Ba a ba da shawarar magungunan hana haihuwa ba ga mata masu fama da cutar nephropathy a mataki na microalbuminuria - lalata lalacewar koda a cikin ciwon sukari.
Abubuwan da ke ba da gudummawa ga haɓakawa da haɓaka tasirin sakamako yayin amfani da kwayoyin hana daukar ciki tare da isrogen hormone:
- Shan taba sigari;
- Dan kadan saukar da hauhawar jini;
- Shekaru 35 ko fiye;
- Babban nauyi mai nauyi;
- Halittar jini a cikin cututtukan zuciya da jijiyoyin jini, wato, akwai lamuran bugun zuciya ko bugun jini tsakanin dangi na kusa, musamman ma ba su girmi shekaru 50 ba;
- Lokacin shayar da jariri nono.
Dole ne a jaddada cewa duk magungunan COC, ba tare da togiya ba, yana ƙaruwa da haɓakar triglycerides a cikin jini. Koyaya, wannan na iya zama haɗari ga marasa lafiya da masu ciwon sukari waɗanda a da suka kamu da cutar ta hypertriglyceridemia.
Idan macen da ke da ciwon sukari tana da cin zarafin kiba, alal misali, dyslipidemia da ke dauke da ciwon sukari na 2, to shan shan maganin hana fada ba zai haifar da cutarwa ga jikinta ba. Amma kar ku manta ku riƙa yin gwaji a kai a kai game da adadin triglycerides a cikin jini.
Don guje wa sakamakon da ke tattare da shan kwayoyin hana daukar ciki, matan da ke da ciwon suga ya kamata su zaɓi ƙaramin ƙananan kwayoyi da COCs na ƙananan ƙwayoyin cuta. Kamfanoni magunguna na zamani suna ba da zaɓi ga waɗannan magunguna.
Contraarancin rigakafin ƙwayoyi sun haɗa da kwayoyi waɗanda ke ɗauke da ƙarancin 35 microgram na ƙwayoyin estrogen a cikin kwamfutar hannu. Wannan rukuni ya hada da wadannan magunguna:
- Marvelon
- Femoden;
- Regulon;
- Belara;
- Jeanine;
- Yarina;
- Chloe
- Tri-Regol;
- Tri rahama;
- Triquilar;
- Milan.
Microdosed COCs magungunan hanawa ne waɗanda ba su da fiye da microgram 20 na isrogen. Shahararrun magunguna daga wannan rukunin sune:
- Lindinet;
- Mafi so;
- Nuwamba;
- Mercilon;
- Mirell;
- Jack.
Amma mafi kyawun ra'ayoyi sun sami kuɗin ta hanyar miyagun ƙwayoyi Klaira, wanda shine sabon ci gaba a fagen rigakafin haihuwa kuma ya wuce ingancin tsoffin rigunan mata.
An tsara Klayra musamman ga mata masu fama da ciwon sukari. Wannan hada maganin hana baki yana dauke da estradiol valerate da dienogest, kuma yana da tsarin aiki mai tsauri.
Bidiyo a cikin wannan labarin zai yi magana game da hanyoyin hana ƙwayoyin cuta don ciwon sukari.
