Lub hauv paus ntsiab lus ntawm qhov khoom siv intrauterine
Cov kev kho mob zoo heev, tiv thaiv qhov pib ntawm conception hauv 98% ntawm cov neeg mob. Yuav kom piav qhia txog qhov tseeb no, nws yog ib qho tseem ceeb kom nkag siab tias qhov kev ntaus kis las ntawd ua haujlwm li cas. Nyob rau hauv cov tub ntxhais ntawm txoj cai lies cov multidirectionality ntawm cov nyhuv:
- Tsim ib qho chaw khuam siab rau hauv txoj kev ntawm ib lub zes qes. Kev nkag mus ntawm cov poj niam kab mob hauv cov kabmob uterine yog qhov nyuaj. Yog li ntawd, nws tsis tswj kom nkag mus rau hauv lub tsev menyuam vim yog lub sij hawm tsawg ntawm kev tiv thaiv. Tom qab tawm hauv cov keeb, lub qe yuav tsum tau siv cov tshuaj tom qab 48 xuab moos. Ces tuaj cov kev puas tsuaj, nws tuag.
- Txo ntawm kev ua si thiab muaj peev xwm ntawm spermatozoa vim tso tawm qee yam tshuaj los ntawm ib tug kauv los ntawm cev xeeb tub.
- Ua rau kom khov ntawm cov hlab ntsws ntawm ncauj tsev menyuam, vim muaj kev cuam tshuam ntawm kev ua haujlwm. Yog li ntawd, lub teeb meem ntuj tsim yog tsim los ntawm txoj kev ntawm cov txiv neej cov kab mob, uas tsis tuaj yeem ncav cuag oocyte.
Nruab ib qho khoom ntim ntawm lub hauv paus
Ib tug poj niam uas tau txiav txim siab los siv siv lub cuab tam no yuav tau mus ntev ntev hauv kev xeem. Nws suav nrog:
- Smears los ntawm qhov chaw mos thiab qhov ncauj tsev menyuam;
- kuaj ntshav rau HIV thiab RV, kab mob siab;
- Ultrasound ntawm pelvic plab hnyuv siab raum;
- kev ntsuam xyuas zis;
- tshem tawm ntawm cev xeeb tub;
- tshawb fawb txog kev sib deev mob.
Thaum muab tso rau hauv lub nruab nrog cev, tus poj niam tuaj rau hauv lub tsev kho mob nrog cov ntsiab lus ntawm qhov kev xeem. Lub installation ntawm IUD nws tus kheej yog nqa tawm hauv thawj 7 hnub pib ntawm lub voj voog. Yog li, qhov nws raug quab yuam vim qhov kev tawm ntawm lub qhov ntom ntuav tawm ntawm cov kab mob hauv lub plab raug tshem tawm, uas sau nrog lub hli txhua hli. Ua ntej yuav muab cov khoom ntim nruab rau hauv nruab nrog cev, tus kws kho mob ua lub caj dab nrog lub tshuaj loog. Qhov qhia txog ntawm cov tshuaj yog nqa tawm nyob rau hauv lub rooj zaum gynaecological siv tsom iav thiab dilator. Cov txheej txheem kav tsis tshaj 5-10 feeb. Cov poj niam uas tau kos npe rau kev lag luam yog quaj los ntawm cov lus nug txog seb nws mob heev npaum li cas rau qhov muab khawm ntawm cev xeeb tub. Kev siv cov khoom xyaw ntsig txog lub cev ua rau kom mob. Ua kom tsis txhob cais nws tsis tau, vim yog ua raws li txoj cai ntawm kev nthuav dav ntawm ib lub tsev menyuam. Yog li ntawd, qee qhov tsis xis nyob, ib qho mob me me uas dhau los ntawm 1-2 teev.
Tshem tawm ntawm qhov khoom siv rau sab hauv
Extraction ntawm qhov IUD raug muab tshem tawm ntawm qhov yuav, thaum muaj kev txiav txim siab rau kev npaj plab me nyuam. Tsis tas li ntawd, muaj ntau lub sijhawm, nyob ntawm seb cov khoom siv los ntawm cov khoom siv tsis zoo. Qhov nruab nrab, nws tuaj yeem siv tau 5 xyoos. Muaj ib lub sijhawm thaum koj tuaj yeem tshem tawm cov khoom ntws tawm, thiab tus pojniam tig mus rau lub tsev kho mob.
Cov txheej txheem yog ua thaum kev coj khaub ncaws. Qhov tseeb no yog vim muaj qhov tseeb tias qhov qhib lub ncauj tsev ntawm lub ncauj tsev menyuam hauv lub sijhawm no, thiab qhov no ua rau tus txheej txheem tshem tawm. Ua los ntawm kev sib txuas lus uas txuas nrog rau IUD. Kev tswj ntawm qhov kev vam meej ntawm kev tswj yog ua tiav siv ultrasound.
Quav intrauterine - hom
Poj niam kis tau los ntawm kev xeeb tub yog xaiv ib tus zuj zus, suav cov kev xav ntawm kev ua me nyuam. Qhov tseeb no ua rau ntau ntau yam ntawm IUD. Raws li lub perfection hloov cov duab thiab cov khoom siv los ntawm cov khoom xws li cov tshuaj contraceptive yog ua. Muaj 4 tiam:
- Inert IUDs. Lawv yog ib tus thawj hom tshuaj tiv thaiv. Visually zoo li lub Latin "S". Nws yog Ameslikas tau los ntawm polyethylene. Tsawg nqi. Ib qho piv txwv yog daim di ncauj lub voj.
- IUD nrog tooj liab. Cov tsos ntawm cov tshuaj tiv thaiv no yog ib hom kev kov yeej. Cov tshuaj lom neeg ntawm tooj liab muaj cov kab mob spermicidal, adversely cuam tshuam cov viability thiab ceev ntawm lub zog ntawm spermatozoa. Qhov tsis zoo yog qhov kev faib ntawm tooj, uas txwv lub sijhawm siv - yuav tsum hloov hauv 2-3 xyoo. Cov no suav nrog Nova-T.
- Cov Navy yog nyiaj. Yam tshuaj tiv thaiv tom ntej no. Qhov kev qhia txog nyiaj ion ntev tau siv sijhawm ntev txog 5 xyoos. Intrauterine spiral Multiload yog hais txog xws li cov tshuaj tiv thaiv kab mob.
- Hormonal spiral los ntawm cev xeeb tub. Cov tshuaj hormone - progesterone los yog levonorgestrel - ntxiv rau taw ntawm qhov kev kho mob zoo li no. Cov tshuaj lom neeg no inhibit maturation, tso tawm ntawm lub qe los ntawm lub follicle. Feem ntau ib qho kev kho mob raug xa mus rau ib qho kev kho mob hauv qhov khoos kas intrauterine. Ib tug zoo zoo yog sau tseg rau hauv kev ua me nyuam yaus raws li ib tug tag nrho, uas yog paub tseeb los ntawm ib tug txo nyob rau hauv lub qhov muaj ntawm inflammatory kab mob. Lub Mirena intrauterine ntaus ntawv yog ntawm hom no.
- Rog nrog kub. Piv Txwv - GoldLeilly, - Ib qho khoom ntim ntawm lub hauv paus yas nrog lub hauv paus yas, muaj ib lub xov tooj tooj liab thiab cov impurities ntawm ib qho precious hlau.
Xav txog cov hom IUDs, nws yog qhov yuav tsum tau hais cais txog qhov pom ntawm qhov muab los ntawm cev xeeb tub. Nyob ntawm daim ntawv, cov nram no yog qhov txawv:
- zoo ib yam li tsab ntawv "T";
- nyob rau hauv daim ntawv ntawm ib lub voj;
- annular;
- zoo nkaus li ib lub kauv twisted, kaus.
Kub lub hauv paus taw qhia
Qhov kev tawm tsam tsawg ntawm hom kab no ntawm IUD yog vim tus nqi siab. Tab sis cov pob txuam nrog cov kub kub yog qhov txawv ntawm qhov kev xaiv ntawm cov poj niam uas tau txiav txim siab los siv hom kev tiv thaiv no. Qhov zoo ntawm qhov version ntawm lub kauv yog qhov tseeb tias nws yog kiag li tsis raug corrosive hloov. Yog li ntawd, nws yuav siv tau rau 7 xyoo. Cov kev tsis haum siab raug tshem tawm.
Silver intrauterine ntaus ntawv
Qhov tsis tuaj yeem hloov qhov kev hloov pauv ntawm kev hnyav heev yog qhov tseem ceeb heev rau cov poj niam. Ib qho khoom siv khoob muag nrog rau nyiaj yog hais txog. Nws yuav tsum tau sau tseg tias tub ntxhais (sab hauv) ua los ntawm tooj liab. Npog nrog nyiaj ions tsis tsuas yog ntev lub neej pab (5 xyoo), tab sis kuj txo cov xwm txheej ntawm inflammatory kev. Tshem tawm qhov tsis muaj cov tshuaj tiv thaiv rau lub cev xeeb tub ntawm cev xeeb tub los ntawm cov poj niam lub cev tsis tau.
Cov khoom siv tooj liab
Qhov no ntawm IUD yog hais txog qub kev tiv thaiv kev tiv thaiv. Simplicity ntawm chaw ua khoom thiab luv nqi tau tshwm sim los ntawm qhov loj prevalence ntawm adaptation. Ua raws li nws yog ib lub hnab yas uas nyob ib ncig uas muaj tooj hlau xaim hluav taws. Nyob rau hauv view ntawm lub fact tias nws yog susceptible rau corrosion, xws li ib tug contraceptive muab hlua yuav tsum hloov nyob rau hauv 2-3 xyoos ntawm kev siv. Hlau ions nquag zoo rau cov phev, txo lawv txoj kev muaj mob. Fertilization ntawm lub qe tsis tshwm sim.
Hymnal intrauterine ntaus ntawv
Ib qho kev ua tshwj xeeb tseem ceeb yog qhov uas levonorgestrel muaj nyob rau hauv ib lub hnab yas tshwj xeeb. T-shaped spiral, zoo li qhov ncauj cov tshuaj tiv thaiv qhov ncauj, cuam tshuam tus txheej txheem ovulatory nyob rau qib hormonal, ntxiv rau tsim kom muaj kev kho dua tshiab rau lub implantation ntawm fertilized qe hauv endometrium.
Lub nplhaib-zoo li tus mob intrauterine ntaus piv muaj cov tshuaj hormones. Lawv raug faib rau txhua txhua hnub. Cov kev mob tshwm sim, nyob hauv daim ntawv ntawm cov tsos mob ntawm lub xeev siab, qhov hnyav nce lub cev, uas pom nrog siv cov tshuaj tiv thaiv kabmob ntev, tsis suav nrog. Nws yog vim qhov tseeb hais tias cov tshuaj hormones tsis tso tag nrho cov ntshav ntawm tus poj niam lub cev.
Intrauterine muab kauv - uas zoo dua?
Cov lus nug yuav ua li cas xaiv ib qho kev tiv thaiv kab mob qog yog feem ntau ntawm tag nrho cov kev txhawj xeeb los ntawm ib tug poj niam. Cov kws kho mob tsis qhia nws txog ib qho lus teb uas tsis muaj tseeb. Vim yog qhov tseeb tias qhov kev xaiv yuav tsum raug tshwj tawm los ntawm ib tug kws kho mob tshwj xeeb. Raws li cov kev tshawb pom, tom qab kev kuaj mob nyob rau hauv lub rooj zaum gynaecological, hom xaiv. Vim li no, tsis muaj ib qho khoom zoo li "zoo tshaj plaws cov tshuaj qev tsis zoo". Cov kws kho mob coj mus rau hauv tus account ntau nuances hauv lawv cov kev xaiv.
Intrauterine muab kauv - cuam tshuam thiab kev tsim
Zoo li tej yam tshuaj tiv thaiv kab mob, kev khov ntawm cev xeeb tub muaj qhov zoo thiab qhov tsis zoo. Muab qhov tseeb no, tsis tshua muaj lus teb rau lo lus nug: zoo li cas, ib lub tshuaj tua kab mob los yog tshuaj yug me nyuam, tsis yog ib tus kws kho mob ua tau. Ntawm qhov zoo ntawm no hom kev tiv thaiv, nws yog ib qhov tsim nyog rau lub npe:
- kev ua haujlwm siab 98%;
- sijhawm ntawm kev siv - 3-10 xyoo;
- tsis xav tau kev saib xyuas tas li;
- sai rov qab los ntawm kev ua me nyuam tom qab rho tawm.
Ntawm qhov tsis zoo ntawm daim ntawv thov ntawm Navy yog:
- qhov ntev, nce nyob hauv qhov ntim ntawm cev ntws;
- mob mob hnyav;
- kev hloov ntawm IUD - kev ntiab tawm;
- kev pheej hmoo siab zog ntawm ectopic cev xeeb tub;
- kev tsis haum tshuaj;
- txo cov thickness ntawm endometrium.
Intrauterine ntaus ntawv - kev tsis sib haum xeeb
Yog tsis muaj kev tiv thaiv universal. Rau qee yam yog vim li cas, ib tug poj niam yuav raug txwv tsis pub noj tshuaj hormonal, sib ntxiv - cov tshuaj uas txhaj rau hauv tsev menyuam. Deb ntawm tag nrho cov, qhov muab khib nyiab pov tseg, contraindications rau lub installation, yog tseem haum:
- qog zoo li cov txheej txheem nyob rau hauv kev ua me nyuam;
- o ntawm mob plab pelvic;
- tsis zoo ntawm lub tsev menyuam, deformation ntawm nws cov kab noj hniav;
- muaj ntshav qab zib;
- tam sim no cev xeeb tub;
- tuberculosis ntawm pelvic plab hnyuv siab raum.
Spiral intrauterine - teebmeem
Qhov kev cog hniav ntawm lub cev tsis zoo yuav tsum tau tshwj tawm los ntawm ib tus kws tsim tshwj xeeb. Txoj kev khaus teebmeem hauv kev khomob tau tsim muaj tsawg. Ntawm lawv yog:
- tus kab mob nyob hauv txoj kev ascending los ntawm qhov chaw mos;
- kev hloov hauv kev txav ntawm lub ncauj tsev menyuam ntawm lub ncauj tsev menyuam (ntawm lub tsev me nyuam ntog mus rau hauv cov hlab ntaws, qee zaum ncav lub plab kab noj hniav, feem ntau - los ntawm qhov chaw mos tawm mus sab nraud);
- ectopic cev xeeb tub;
- nce ntshav qis.