Tableted rho menyuam - cov qauv ntawm cov nws siv, contraindications thiab txim

Feem ntau ib tug poj niam lub neej nws yog uas los ntawm lub ensuing cev xeeb tub yuav tsum tau tshem ntawm. Yog vim li cas rau qhov no tej zaum yuav nws tus kheej xav txog kev teem los yog possibilities, thiab kev kho mob tej yam kev mob. Ntau ntev los no, ib tug rho menyuam nqa tawm tsuas yog phais, uas ua nyob rau hauv ntau mob thiab sequelae. Tam sim no, tus tov thiab feem ntau nrov hom ntawm rho me nyuam yog tableted rho menyuam.

Tableted rho menyuam (nws ob lub npe kev kho mob) yuav ua li cas los ntawm kev noj tshuaj, lub hauv paus uas cov tshuaj noj "Mifepristone". Qhov no steroid thaiv cov hlab progesterone receptors, ua fertilized qe no tso tseg. Qhov siab tshaj plaws lub sij hawm rau cov uas nws yog pom zoo kom ua ib tug rho menyuam tableted - 6-8 lub lis piam, los yog 42 hnub los ntawm hnub kawg ntawm kev coj khaubncaws. Tus me dua cov gestational hnub nyoog, ntau dua qhov lub sij hawm uas nws txiav yuav tsis muaj teeb meem.

Yuav ua li cas kom muaj ib tug rho menyuam nrog tshuaj?

Yog hais tias ib tug poj niam tau txiav txim siab los txiav lub cev xeeb tub noj tshuaj txoj kev, yog thawj zaug uas nws yuav tsum:

• xeem dhau tag nrho tsim nyog kev ntsuam xyuas (cov ntshav rau tus kab mob HIV, kab mob siab, thiab lwm yam);
• kom paub tias lub caij nyoog lub sij hawm uas cev xeeb tub thiab cais ectopic cev xeeb tub - ua ultrasound;
• dhau ib kua ntswg los ntawm koj qhov chaw mos, qhov quav thiab zis rau cov kev tshawb fawb nyob rau hauv STI.

Nyob rau hauv lub rooj plaub uas muaj muaj tsis muaj contraindications thiab cia cev xeeb tub, tableted ua ib tug rho menyuam. Nyob rau hauv lub xub ntiag ntawm ib tug kws kho mob poj niam noj 3 ntsiav tshuaj ntawm cov kev npaj "Mifepristone", thiab tseem raug nyob raws kev tswj ntawm txog 2-3 teev, nyob rau hauv rooj plaub no tus yeeb tshuaj tivthaiv yuav ua rau ib tug tsis zoo teb (tsis haum tshuaj). Ces, tom qab txog 36-48 teev tus neeg mob yuav tsum tau tuaj mus rau lub tsev kho mob, qhov chaw uas rau cov nyhuv lawm, nws yog tsim nyog los noj lwm 2 ntsiav tshuaj "misoprostol". Qhov no pib los ntshav, uas yuav tham txog tus thaum ntxov rho menyuam. Nyob rau hauv ib tug kws kho mob saib xyuas nws xav tau kev pab yuav tsum tau tsawg kawg yog 2-3 lub sij hawm.

Ib tug obligatory mob tom qab kho mob rho menyuam yog mus ntsib koj tus kws kho mob 2 lub lis piam tom qab tau txais cov tshuaj. Tsis tas li ntawd yuav tsum yauv mus ua ib tug thib ob ultrasound, uas yuav paub meej tias yog tsis pom zoo hais tias cov tableted rho menyuam nqa tawm ntse. Txwv tsis pub (yog tias ib nrab tshem ntawm lub ovum los yog lub continuation ntawm lub cev xeeb tub) yuav tsum tau ntxiv cov kev kho mob kev pab. Tom qab ua ib hai rho menyuam siv tshuaj, cev xeeb tub yuav tsis raug cawm dim.

Ua kev kho mob rho menyuam tsis tau txhua tus poj niam, vim hais tias nws muaj ib tug xov tooj ntawm contraindications:

• muaj hnub nyoog yau dua 18 xyoo thiab laus tshaj 35 xyoo;
• hormonal contraceptives los yog intrauterine ntaus ntawv siv ua ntej cev xeeb tub;
• endometriosis los yog lwm yam kab mob ntawm lub tsev me nyuam system;
• ectopic cev xeeb tub;
• anemia;
• tau txais anti-inflammatory siv tshuaj;
• hepatic los yog lub raum tsis ua hauj lwm;
• xub ntiag ntawm inflammatory hnyuv kab mob;
• mob hawb pob;
• lus coj khaub mus ua ntej cev xeeb tub;
• kab mob plawv;
• ntshav siab;
• tsis haum rau cov tshuaj.

Txawm tias tableted rho menyuam yog tus tov nrog lwm yam kev rho me nyuam, tab sis tom qab ib co teeb meem yuav tshwm sim. Piv txwv li, nws tshwm sim tej zaum tsis tiav rejection ovum, uas yuav tsum tau phais kev cuam tshuam. Nws tseem yuav tshwm sim muaj zog uterine los ntshav, uas kuj yuav muaj kom tsis txhob intrauterine kev cuam tshuam.