Puas muaj kev tswj tsis pub muaj menyuam rau hauv kev xeeb menyuam tomqab koj tso tseg tsis noj?


Puas muaj kev tswj tsis pub muaj menyuam rau hauv kev xeeb menyuam tomqab koj tso tseg tsis noj?

Cov ntsiav tshuaj tiv thaiv

“Muaj ob qhov sib txawv ntawm qhov ncauj ntawm kev xeeb menyuam hauv lub tebchaws UK: cov tshuaj progestogen nkaus xwb uas, raws li lub npe qhia, tsuas muaj ib hom tshuaj hormones, thiab cov tshuaj ua ke, uas muaj ob hom tshuaj hormones (estrogen thiab progestogen) ), “hais tias Dr Asha Kasliwal, tus thawj coj ntawm Lub Tsev Haujlwm ntawm Lub Tsev Haujlwm Sib Tw thiab Kev Kho Mob Lub Cev (FSRH).

“Tsis muaj pov thawj qhia pom qhov kev ncua sijhawm rov qab los ntawm kev muaj me nyuam tom qab kev txiav tawm ntawm cov tshuaj progestogen nkaus xwb,” nws hais ntxiv. “Cov lus qhia los ntawm Lub Chaw Haujlwm ntawm Kws Lij Choj Kev Sib deev thiab Chaw Kho Mob yuav qhia tias lwm txoj kev tswj kom tsis txhob muaj menyuam yuav tsum tau siv tam sim ntawd tom qab tsis txiav cov tshuaj progestogen tsuas yog tias cov poj niam xav kom zam dhau qhov tsis tau xeeb menyuam.”

Tib yam yog qhov tseeb ntawm cov tshuaj ua ke, Kasliwal piav qhia. “Cov poj niam uas xav kom cev xeeb tub tom qab txiav cov ntsiav tshuaj sib xyaw ua ke yuav tsum paub tias tom qab tsum tsis muaj kev ncua sij hawm txaus rau kev rov qab muaj menyuam, thiab qhov kev xav ntawm lub cev no yuav muab piv rau cov ntawm cov poj niam uas txwv lwm txoj kev tiv thaiv lossis siv tsis muaj kev tswj kom tsis pub muaj menyuam.”

Feem ntau ntawm cov poj niam yuav muaj sijhawm nyob ib ncig ntawm ob mus rau plaub lub lis piam tom qab tso tseg cov ntsiav tshuaj, tab sis qhov no tuaj yeem nyob ntawm koj lub cev mus los thiab lwm yam, xws li kev ntxhov siab, koj qhov hnyav thiab tej yam mob xws li polycystic ovary syndrome.

NHS qhia kom tso cai ntev txog peb lub hlis rau koj kev coj khaub ncaws ib txwm muaj los mus. Thawj thawj lub sijhawm tom qab tawm cov ntsiav tshuaj yog lub npe hu ua ‘rho ntshav’ – tab sis lub sijhawm txuas ntxiv yog koj thawj lub sijhawm. Nws tsis zoo li tias lub sijhawm koj tau noj tshuaj ntsiav yuav ua rau muaj teeb meem kev muaj me nyuam. Hauv qee kis, cov poj niam xeeb tub sai sai tom qab txiav nws.

Patient.info Saib tag nrho

Qhov kev xeeb tub hauv hormonal puas cuam tshuam rau koj tus txiv neej tsav?

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Cov tshuaj hormonal kauj

“Qhov tso tshuaj rau hauv lub cev (IUS) – cov tshuaj hormones hu ua Mirena, Kyleena thiab Jaydess – tso tawm cov tshuaj hormones hu ua levonorgestrel (ib qho progestogen). Ib zaug nkag mus, cov poj niam tsis tas yuav xav txog tshuaj rov qab lossis lwm yam zoo li ntawd; Mirena thiab Kyleena yuav kav rau tsib lub xyoos, thiab Jaydess, peb, “Dr Drlilial hais tias.

Raws li NHS, nws muaj peev xwm cev xeeb tub sai li sai tau IUS raug tshem tawm los ntawm tus kws kho mob lossis tus kws saib xyuas neeg mob.

“Ib qho kev qhia FSRH tau hais tias tsis muaj cov ntaub ntawv me me txog kev rov qab los ntawm kev muaj menyuam tom qab siv cov kauj vuam hormonal. Kev txheeb xyuas cov pov thawj pom tau tias tsis muaj kev ncua sijhawm rov qab los ntawm kev muaj menyuam,” nws hais. “Cov poj niam uas tsis xav xeeb tub tab sis xav kom tsis txhob siv lub tsho roj hormonal yuav tsum pib siv lwm txoj kev tswj kom tsis muaj menyuam tsawg kawg yog xya hnub ua ntej yuav tshem tawm.”

Qhov tooj liab ua kom sib deev (IUD) – tseem hu ua kauj – zaum hauv plab (tsev menyuam) thiab ua haujlwm ntev txog kaum xyoo. Nws tsis tso tawm cov tshuaj hormones thiab tuaj yeem nqa tawm thaum twg los ntawm tus kws kho mob tshwj xeeb lossis tus neeg tu mob. Nws muaj peev xwm cev xeeb tub sai tom qab nws tshem.

Diane Arnold, tus kws tu neeg mob ntawm Fertility Network UK “hais tias” Koj yuav tsum muaj qhov muaj roj txaus tom qab tshem tawm ib qho IUD, “. “Muaj kev pheej hmoo me me los ntawm kev cog lus muaj tus kab mob thaum muaj lub kauj tooj liab rau hauv qhov chaw, txawm tias qhov no tsis tshua muaj heev. Ib qho kev kis kab mob yuav cuam tshuam rau txoj hlab qe menyuam thiab ua rau txhaws, yog li tiv thaiv ib lub qe los nkag rau hauv lub raj txhawm rau txhawm rau npaj chiv. “

Qhov kev txhaj tshuaj tiv thaiv

Kev txhaj tshuaj tiv thaiv muaj nyob ntev li ob rau peb hlis – nyob ntawm hom – thiab tso tawm cov tshuaj hormones progestogen los tiv thaiv kev xeeb tub.

“Muaj peb txoj kev txhaj tshuaj ntev yog muaj nyob hauv Tebchaws Askiv. Qhov feem ntau siv yog Depo-Provera. Peb kuj muaj Sayana Press thiab Noristerat,” said Kasliwal. “Cov poj niam xav tau txhaj tshuaj los ntawm Depo-Provera thiab Sayana Xovxwm txhua 13 lub lis piam. Rau Noristerat, lawv xav tau ib zaug txhua yim lub lis piam.

“Nws tuaj yeem ncua sijhawm txog li ib xyoos rau kev muaj peev xwm xeeb tub rov qab los thaum lawv tsum tsis noj Depo-Provera thiab Sayana Press. Nws yog ib qho tseem ceeb uas cov pojniam paub txog cov qauv no cuam tshuam rau lawv qhov muaj menyuam li cas kom lawv tuaj yeem npaj lawv cev xeeb tub kom raug.

“Vim tias kev rov qab xeeb tub yuav txawv ntawm ntau tus poj niam mus rau poj niam thiab tej zaum yuav tshwm sim sai dua rau qee qhov, lwm tus poj niam uas xav tso kev txhaj tshuaj kom tsis txhob xeeb menyuam thiab zam kom tsis txhob xeeb tub yuav tsum tau pib siv lwm txoj kev tiv thaiv ua ntej lossis lub sijhawm ntawm lawv cov sijhawm mus txhaj tshuaj ntxiv, txawm hais tias lawv muaj tsum tsis coj khaub ncaws. “

Raws li kev txhaj tshuaj yog ua haujlwm ntev, nws tuaj yeem siv qee lub sijhawm tom qab kev txhaj tshuaj zaum kawg rau koj los ua menyuam dua, tab sis qhov no nyob ntawm tus neeg. Qee tus pojniam yuav tsis qe menyuam li rau rau yim lub hlis tom qab lawv txhaj koob zaum kawg, tab sis rau qee tus, nws tuaj yeem siv sijhawm ntev dua. Kev ncua sij hawm no tsis cuam tshuam nrog lub sijhawm koj siv tus qauv no pov.

Kev cog hniav tsis huv

Cov progestogen-tsuas cog hniav yog hloov kho me me yas pas tso rau hauv qab daim tawv nqaij ntawm sab caj npab. Nws tso tawm cov tshuaj hormone progestogen rau hauv koj cov hlab ntshav kom tsis txhob muaj menyuam hauv plab thiab kav ntev txog peb xyoos.

“Cov poj niam tuaj yeem muaj txoj kev cog qoob loo progestogen tsuas tshem tawm tau txhua lub sijhawm, thiab lawv lub cev xeeb tub yuav rov qab los sai. Cov poj niam uas xav kom tsis txhob muaj menyuam yuav tsum paub tias yuav tsum muaj kev tiv thaiv kom tsis txhob muaj menyuam sai sai tom qab muab cog hniav tag,” hais Kasliwal.

“Tsis tas yuav tsum tau muaj kev ceev faj ntxiv ua ntej tshem tawm cov khoom cog tiv thaiv progestogen nkaus xwb, yog tias kev tshem tawm tsis pub dhau peb xyoos tom qab tso tawm.”

Cov kabmob sib dhos lossis cov nplhaib sib dhos

Kev tiv thaiv kev sib deev muaj cov tshuaj estrogen thiab progestogen thiab raug khuam rau ntawm daim tawv nqaij yog li ob lub cev tshuaj ua ntu zus mus rau lub cev kom tiv thaiv kev xeeb tub.

Ntiv nplhaib paum yog cov mos mos, cov nplhaib yas uas koj muab tso rau hauv koj qhov chaw mos. Nws tso tawm cov tshuaj hormones estrogen txuas ntxiv thiab progestogen rau hauv cov ntshav.

“Thaj chaw hloov pauv thiab lub nplhaib ntawm lub paum muaj ob hom tshuaj hormones, estrogen thiab progestogen. Lub thaj mus los ntawm lub npe ntawm Evra nyob rau hauv UK thiab tau hnav ntawm daim tawv nqaij. Lub paum ntiv nplhaib, NuvaRing, yog lub nplhaib yas me me tso rau hauv Qhov chaw pab yuav tsum tau pauv txhua lub lis piam, thiab ntiv nplhaib, 21 hnub tom qab tso ntxig.

“Tsis muaj pov thawj pom tias kev siv tshuaj sib xyaw ua ke cov tshuaj tiv thaiv hormonal yog cuam tshuam nrog kev txo sij hawm ntev hauv kev muaj menyuam hauv plab. Zoo li nrog rau lwm txoj kev ua ke ntawm kev xeeb menyuam, tsis muaj qhov ncua sij hawm rov qab los ntawm kev muaj menyuam thaum cov poj niam tsum tsis siv cov hau kev no.

Kasliwal hais tias “Raws li kev lig kev cai, cov poj niam muaj hnub xya-hnub tsis muaj cov tshuaj hormones tsis pub dhau lub lim tiam thib plaub hauv txhua lub hlis, thaum lawv los ntshav,” hais tias Kasliwal.

“Txawm li cas los xij, cov lus pom zoo tshiab tshaj tawm xyoo no los ntawm FSRH tseem ceeb tias cov poj niam tuaj yeem muaj kev nyab xeeb tsawg dua lossis tsis ncua sij hawm kom tsis txhob mob ntshav txhua hli, mob plab thiab lwm cov tsos mob uas tsis xav tau, vim tias tsis muaj kev noj qab haus huv los ntawm xya hnub-tsis muaj tshuaj hormones. uas ncua kev siv txiav ua ke cov tshuaj tiv thaiv hormonal tsis cuam tshuam rau kev muaj menyuam thaum cov txheej txheem raug txiav tawm. “

Yuav ua li cas koj txoj kev muaj menyuam hauv plab kom siab kawg nkaus

Txhawm rau kom koj muaj feem ntau cev xeeb tub tom qab tawm tsam kev xeeb tub, muaj ob peb yam koj tuaj yeem ua.

Txiav kev haus luam yeeb thiab noj zaub mov zoo

Arnold hais tias “Poj niam feem ntau tau qhia tseg kom tsis txhob haus luam yeeb thiab noj zaub mov muaj txiaj ntsig zoo thiab saib xyuas lawv qhov hnyav thaum noj tshuaj hormonal – cov lus qhia zoo txhua lub sijhawm,” Arnold hais.

“Ua kom koj tus kheej haum nrog kev tawm dag zog thiab kev noj zaub mov kom lub cev muaj txiaj ntsig zoo tsuas yog ua tau zoo thaum koj tab tom sim cev xeeb tub. Txiav kom raug, lossis txiav tawm ib qho twg, haus cawv thiab tsis haus luam yeeb.”

Mus ntsib koj tus GP

Cov poj niam muaj qee yam mob xws li mob ntshav qab zib, mob vwm, mob hlwb lossis lwm yam mob muaj txiaj ntsig, yuav tau txais txiaj ntsig los ntawm cov lus qhia ua ntej xeeb menyuam. Nws yog ib qho tseem ceeb kom mus ntsib koj tus kws kho mob los tham txog cev xeeb tub yog tias koj muaj tus mob ntev ntev lossis yog tias koj noj tshuaj – tsis txhob tso tseg ib qho tshuaj yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Koj GP tseem yuav tuaj yeem tawm tswv yim rau koj yog tias koj tau sim xeeb menyuam tab sis tseem tsis tau xeeb. Txawm li cas los xij, qhov no tsis tau txhais tias yuav maj mus yog tias koj tsis xeeb tub hauv ib hlis lossis ob – koj cov GP yuav tsis tuaj yeem ua ib yam dab tsi.

“Puas yog koj tau mob siab nrhiav cev xeeb tub rau ib xyoos lossis ntau dua tom qab tawm tsam tsis pub muaj menyuam, tom qab ntawd koj yuav tsum tau nrog koj tus kws kho mob yog tias koj xav tau kev tshawb nrhiav lossis xa mus rau cov kws paub txog kev xeeb tub,” Arnold hais.

Noj tshuaj pab

Arnold hais tias “Nco ntsoov kom noj folic acid thiab vitamin D ib yam nkaus.” Folic acid yog ib qho vitamin uas tshwm sim hauv tej zaub mov, xws li zaub cob pob thiab qos yaj ywm, thiab koj xav tau cov tshuaj folic acid kom pab tau menyuam txoj kev loj hlob.

Qhov tsim nyog, koj yuav tsum noj cov tshuaj folic acid yog tias koj tab tom xav txog cev xeeb tub thiab noj ntxiv mus txog thaum tsawg kawg lub asthiv thib 12 ntawm cev xeeb tub. Rau feem ntau ntawm cov poj niam, qhov koob tshuaj yog 0.4 mg ib hnub twg.

Vitamin D xav tau kev loj hlob thiab pab ntxiv yog pom zoo rau txhua tus poj niam cev xeeb tub. Yog tias koj muaj kev pheej hmoo tias tsis muaj vitamin D tsawg – piv txwv li, yog tias koj tsuas yog them tawm sab nraud, lossis yog tias koj tsis noj nqaij ntses, qe, nqaij, lossis cov zaub mov muaj vitamin D-muaj zog – tej zaum yuav tsim nyog pib tsim Txog qib hauv koj lub cev ua ntej koj xeeb tub.

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