Transdermal estrogen-progestogen contraception (chirongwa chekudzivirira kubata pamuviri) ndeimwe nzira yekumhanyisa kutonga (piritsi). Ichi chishandiso chinoramba chichiendesa mahormone esrogen-progestogen ayo anopinda muropa mushure mekupfuura nepaganda. Sezvo inoshanda sepiritsi rekudzivirira kubata pamuviri, chigamba chekudzivirira nhumbu chinoderedza njodzi yekukanganwa piritsi.

"Chikamu chekudzivirira pamuviri chidimbu chidiki chekunamatira paganda, anotsanangura Dr. Julia Maruani, gynecologist. Iine ethynyl estradiol uye synthetic progestin (norelgestromin), mubatanidzwa wakafanana neuyo wemubatanidzwa mini-piritsi. Mahormone anoparadzirwa neganda obva apinda muropa: vanobva vaita zvekutamba kumwedzi kwemukadzi nekuvharira ovulation sepiritsi ".

Chikamu chekudzivirira nhumbu chine masendimita mashoma pakureba; ine mativi mana akaenzana, ane ruvara rweganda kana yakajeka.

Chero mukadzi anogona kushandisa piritsi rakabatanidzwa anogona kushandisa chigamba chekudzivirira.

Nekushandisa kwayo kwekutanga, chigamba chinoiswa paganda pazuva rekutanga remwedzi wako. “Chinoshandurwa vhiki rega rega pazuva rakatarwa kwemasvondo matatu akateedzana, zvichiteverwa nesvondo pasina kana chigamba panguva iyo mitemo ichaitika. Chikwata chinotevera chinofanira kutsiviwa mushure memazuva manomwe ekuzorora, kunyangwe nguva yako yapera ”.

Matipi ekushandisa:

• Inogona kuiswa padumbu, mapendekete kana kumashure kumashure. Kune rimwe divi, chigamba hachifanirwe kuve chakamisikidzwa pamazamu kana paganda rakatsamwa kana kukuvara;
• "Kuti uone kuti inonamira zvakanaka kuganda, pisa chigamba zvishoma usati waisa pakati pemaoko ako, unamatira paganda rakachena, rakaoma risina bvudzi, isina kirimu kana mafuta ezuva";
• Dzivisa nzvimbo dzekukwesana senge bhandi, tambo dzebhureki kudzora njodzi yemauto;
• Chinja nzvimbo yekushandisa vhiki rega rega;
• Zvinokurudzirwa kuti usaburitse pachena chigamba munzvimbo inopisa masosi (sauna, nezvimwewo);
• Kuti ubvise chigamba chakashandiswa, simudza wedge uye nekukurumidza ubvise.

“Kushanda kwechigamba chekudzivirira nhumbu kwakafanana neicho chemapiritsi anonwa pasina kukanganwa, kureva 99,7%. Asi sezvo chigamba chinoshanda pasvondo, mikana yekukanganwa kana kuishandisa zvisirizvo inoderedzwa kana ichienzaniswa nepiritsi ichiita kuti dziviriro yekubata pamuviri ive nemazvo muhupenyu chaihwo ”.

Kana iwe ukakanganwa kuchinja chigamba mushure memazuva manomwe, maitiro ekudzivirira kubata pamuviri anotora maawa makumi mana nemasere uye mukadzi anoramba akachengetedzwa. Kupfuura awa maawa makumi mana nemasere, chigamba hachichashandi uye zvinoita sekukanganwa piritsi.

Contraindication

“Kubudirira kunogona kudzikiswa mumadzimai anorema anodarika 90 kg. Asi izvo hazvipesane nekushandisa kwayo nekuti kugona kwacho kunoramba kwakanyanya ".

Zvikanganiso

Rash inogona kuoneka pachigamba: zvinodikanwa kuiisa mune imwe nzvimbo vhiki rega rega.

Iyo mimwe mhedzisiro mhedzisiro yakafanana neiyo yepiritsi: unyoro hwepazamu, kusvotwa, kurwadziwa nemusoro, kuoma kwemukadzi, kuderera kwe libido.

"Iyi inzira inoshanda kwazvo yekudzivirira kubata pamuviri, inoshanda kune avo vanokanganwa mapiritsi avo vachibvumira kuvandudzwa kuri kuteererwa".

Zvakanakira iye:

• Ngozi yekukanganwa yakaderera kana ichienzaniswa nemumuromo zvekudzivirira kubata pamuviri.
• Mendi shoma yakawandisa uye iyo yekupedzisira ishoma nguva;
• Inogona kudzikira nguva kurwadziwa;
• Inodzora kubuda kumwedzi;
• Inoderedza zviratidzo zvecne.

Kukanganisa kwayo:

• Iyo inongoburitswa chete pane zvekurapa;
• Kunyangwe ikasamedzwa, inopa njodzi dzakafanana dzevamwe senge estrogen-progestogen mahormone ekudzivirira (phlebitis, pulmonary embolism);
• Iyo chigamba inogona kuoneka uye nekudaro yakangwara kupfuura iyo yemukadzi mhete, semuenzaniso;
• Iyo inzira yekudzivirira ino vharira iyo yehormonal kutenderera, ovulation, sezvo iri nzira yayo yekushanda.

Iyo chigamba inopesana mumadzimai ane njodzi dzevascular sezvazviri mupiritsi (semuenzaniso munhu anosvuta anopfuura makore makumi matatu nemashanu ekuberekwa).

Haifanirwe kushandiswa kana uine nhoroondo yehutachiona kana arterial thromboembolism, kana uine nhoroondo yekenza yemazamu kana endometrial, kana iwe uine chirwere chechiropa.

Zvinokurudzirwa kurega kushandisa chigamba muchiitiko chezviratidzo zvisina kujairika (kurwadziwa kwemhuru, kurwadziwa pachipfuva, kunetseka kufema, migraine, nezvimwewo).

Iyo chigamba inogona kupihwa nachiremba (general chiremba kana gynecologist) kana nyamukuta. Izvo zvinobva zvapihwa mumafarmacy, pane zvakanyorwa. Bhokisi rezvimedu zvitatu rinodhura kutenderera € 3. Haibhadharwe neinishuwarenzi yehutano. "Pane generic rinoshanda zvakadaro asi mutengo waro wakaderera."