Mushonga wekudzivirira kubata pamuviri chinhu chiri pasi pecutaneous chinoramba chichiendesa micro-progestogen muropa. Mune mumwe muvakadzi vashanu, kudyarwa kwekudzivirira kunokonzera amenorrhea, saka hapana chikonzero chekunetseka kana usiri kuenda kumwedzi.

Mushonga wekudzivirira pamuviri uri muchimiro chetsvimbo diki inochinjika 4 cm kureba uye 2 mm muhupamhi. Iine chinhu chinoshanda, etonogestrel, hormone yakagadzirwa pedyo neprogesterone. Iyi micro-progestin inodzivirira kutanga kwenhumbu nekuvharira ovulation uye kukonzera shanduko mumuromo wechibereko inodzivirira kupinda kwembeu kuenda kuchibereko.

Kuiswa kunoiswa sei?

Yakaiswa pasi peanesthesia yemunharaunda muruwoko, pasi peganda, iyo implant inoramba ichiburitsa kashoma etonogestrel muropa. Inogona kusiiwa munzvimbo kwemakore matatu. Muvakadzi vane uremu hwepamusoro, chiyero chehomoni chinogona kunge chisina kukwana pakudzivirira kwakanyanya mumakore matatu, saka iyo implant inowanzobviswa kana kuchinjwa mushure memakore maviri.

MuFrance, imwe chete subcutaneous progestogen contraceptive specialty iripo parizvino. Iyi iNexplanon.

Iyo subcutaneous contraceptive implant inorayirwa semutsara wechipiri, muvakadzi vane contraindication kana kusashivirira kune estrogen-progestogen yekudzivirira uye intrauterine madivayiri, kana muvakadzi vane dambudziko rekunwa mapiritsi zuva rega rega.

Kubudirira kwe molecule inoshandiswa iri pedyo ne100% uye, kusiyana nepiritsi, hapana ngozi yekukanganwa. Zvakare iyo Pearl index, iyo inoyera theoretical (uye isingaite) yekudzivirira kubata pamuviri inoshanda muzvidzidzo zvekiriniki, yakakwirira kwazvo pakuisa: 0,006.

Zvisinei, mukuita, hapana nzira yekudzivirira inogona kuonekwa se 100% inoshanda. Zvakadaro, kushanda nesimba kweiyo yekudzivirira kubata pamuviri inofungidzirwa pa99,9%, iyo yakakwira zvakanyanya.

Ko kudyara pamuviri kunoshanda riini?

Kana pasina hormonal contraceptive yakashandiswa mumwedzi wapfuura, kuiswa kwekuisa kunofanira kuitika pakati pe 1st uye 5th zuva rekutenderera kuitira kudzivirira kubata pamuviri. Kana kudyarwa kwaiswa mushure mezuva rechishanu rekuenda kumwedzi, imwe nzira yekudzivirira kubata pamuviri (kondomu somuenzaniso) inofanira kushandiswa kwemazuva manomwe mushure mokuiswa, nokuti pane ngozi yekubata pamuviri panguva ino yekunonoka.

Kutora enzyme-inducing zvinodhaka (mamwe marapirwo epfari, tuberculosis nezvimwe zvirwere zvinotapukira) zvinogona kuderedza kushanda kwegadziriro yekudzivirira pamuviri, saka unofanira kutaura nachiremba wako.

Kupinzwa zvisina kunaka kweiyo implant panguva yekuzorora kunogona kuderedza kushanda kwayo, uye kutungamirira kumimba isingadikanwi. Kudzikamisa njodzi iyi, yekutanga vhezheni yemudziyo wekudzivirira kubata pamuviri, inonzi Implanon, yakatsiviwa muna 2011 neExplanon, yakashongedzerwa nemushandisi mutsva waida kuderedza njodzi yekuiswa kwakashata.

ANSM kurudziro

Pamusoro pezvo, kutevera zviitiko zvekukuvadzwa kwetsinga uye kutama kweiyo implant (muruoko, kana kashoma mutsinga yemapapu) kazhinji nekuda kwekuiswa zvisirizvo, iyo ANSM (National Medicines Safety Agency) uye zvigadzirwa zvehutano) yakapa mazano matsva maererano nekudyara. kuiswa:

• iyo implant inofanira kuiswa uye kubviswa zviri nani nevashandi vehutano vakawana kudzidziswa kunoshanda mukuisa nekubvisa maitiro;
• panguva yekuiswa uye kubviswa, ruoko rwemurwere runofanira kupetwa, ruoko rwuri pasi pemusoro wake kuitira kuti atsause ulnar nerve uye nokudaro kuderedza dambudziko rekusvika pairi;
• nzvimbo yekuisa inogadziridzwa, mukufarira nzvimbo yeruoko kazhinji isina tsinga dzeropa uye tsinga huru;
• mushure mekuiswa uye pakushanya kwega kwega, nyanzvi yezvehutano inofanirwa palpate iyo implant;
• cheki-up inokurudzirwa mwedzi mitatu mushure mekuisirwa kuiswa kuti ive nechokwadi chekuti inotenderwa zvakanaka uye ichiri kunzwika;
• inyanzvi yezvehutano inofanirwa kuratidza murwere kuti angatarise sei kuvepo kweanodyara iye, nekupfava uye neapo palpation (kamwe kana kaviri pamwedzi);
• kana kudyarwa kusingachabatike, murwere anofanira kuonana nachiremba wake nekukurumidza.

Aya mazano anofanirwawo kuderedza njodzi yekubata pamuviri pasingadiwi.

Nyaya ye amenorrhea

Maererano nevakadzi, kudyara kunogona kuchinja mitemo. Mu1 muvakadzi vashanu (maererano nemirairo yerabhoritari), iyo subcutaneous implant inokonzeresa amenorrhea, kureva kusavapo kwekutevera. Tichifunga nezveizvi zvinogoneka mhedzisiro uye chiyero chekubudirira kweiyo inodyarwa, hazviratidzike kudikanwa kuita bvunzo yekuzvitakura mukusavapo kwekuenda kumwedzi pasi pechirongwa chekudzivirira. Kana paine kusahadzika, zvinokurudzirwa kutaura nezvazvo kune nyanzvi yezvehutano yako, iyo inoramba iri zano rakanakisa.

Nyaya yenguva dzisiri dzenguva

Mune mamwe madzimai, kuenda kumwedzi kunogona kuve kusina kujairika, kushoma kana, zvakasiyana, kazhinji kana kurebesa (zvakare 1 muvakadzi vashanu), kuona (kubuda ropa pakati pekutevera) kunogona kuoneka. Ukuwo, nguva dzacho hadziwanzoremerwa. Mumadzimai mazhinji, kubuda ropa kunoitika mukati memwedzi mitatu yekutanga yekushandiswa kweiyo implant kunowanzo kufanotaura nezve kunotevera kubuda ropa, rabhoritari inotsanangura nezvenyaya iyi.