Transdermal estrogen-progestogen contraception (chigamba cholerera) ndi njira ina m'malo mwa kuwongolera pakamwa (mapiritsi). Chipangizochi chimapereka mosalekeza mahomoni a estrogen-progestogen omwe amalowa m'magazi akadutsa pakhungu. Pogwira ntchito ngati mapiritsi olerera, chigamba cholerera chimachepetsa mwayi woyiwala mapiritsiwo.

“Chigambacho ndi kachigamba kakang’ono kamene kamamatirira pakhungu, akufotokoza motero Dr. Julia Maruani, dokotala wa matenda achikazi. Lili ndi ethynyl estradiol ndi synthetic progestin (norelgestromin), osakaniza ofanana ndi a oral mini-piritsi ophatikizana. Mahomoni amafalitsidwa ndi khungu kenako ndikulowa m'magazi: amatha kuchitapo kanthu pa nthawi ya msambo mwa kutsekereza ovulation ngati mapiritsi ”.

Chigamba cholerera ndi ma centimita angapo m'litali; ndi lalikulu kapena lozungulira, la khungu kapena loonekera.

Mayi aliyense amene angagwiritse ntchito mapiritsi ophatikizana angagwiritse ntchito chigamba cholerera.

Kuti agwiritse ntchito koyamba, chigambacho chimagwiritsidwa ntchito pakhungu pa tsiku loyamba la kusamba. "Zimasinthidwa sabata iliyonse patsiku lokhazikika kwa masabata atatu otsatizana, ndikutsatiridwa ndi sabata imodzi popanda chigamba chomwe malamulowo adzachitike. Chigamba chotsatira chiyenera kusinthidwa pambuyo pa masiku 3 opuma, kaya nthawi yanu yatha kapena ayi ”.

Malangizo Ogwiritsa Ntchito:

• Itha kugwiritsidwa ntchito pamimba, mapewa kapena kumbuyo. Kumbali inayi, chigambacho sichiyenera kuikidwa pa mabere kapena pakhungu lokwiya kapena lowonongeka;
• "Kuonetsetsa kuti amamatira bwino pakhungu, tenthetsani chigambacho pang'ono musanagwiritse ntchito pakati pa manja anu, sungani pakhungu loyera, louma lopanda tsitsi, lopanda kirimu kapena mafuta a dzuwa";
• Pewani madera akukangana monga lamba, zingwe za bra kuti muchepetse chiopsezo cha kutsekeka;
• Sinthani malo ofunsira sabata iliyonse;
• Ndikoyenera kupewa kuwonetsa dera lachigamba kumalo otentha (sauna, etc.);
• Kuti muchotse chigamba chomwe chagwiritsidwa ntchito, kwezani mphero ndikuchotsa mwachangu.

“Kugwira ntchito kwa chigamba cholerera ndikofanana ndi mapiritsi omwe amamwedwa mosaiwala, mwachitsanzo, 99,7%. Koma popeza chigambacho chimagwira ntchito sabata iliyonse, mwayi woyiwala kapena kuzigwiritsa ntchito molakwika umachepa poyerekeza ndi mapiritsi omwe amachititsa kuti pakhale njira yolerera m'moyo weniweni ”.

Ngati muiwala kusintha chigamba patatha masiku 7, kulera kumatenga maola 48 ndipo mkazi amakhalabe wotetezedwa. Kupitilira maola 48 awa, chigambacho sichikugwiranso ntchito ndipo chikufanana ndi kuyiwala piritsi.

Kusindikiza

"Kuchita bwino kumatha kuchepetsedwa mwa amayi olemera kuposa 90 kg. Koma izi sizikutsutsa kugwiritsa ntchito kwake chifukwa magwiridwe ake amakhalabe apamwamba kwambiri ”.

Zotsatira zoyipa

Ziphuphu zimatha kuwoneka pachigamba: ndikofunikira kuziyika pamalo osiyanasiyana sabata iliyonse.

Zotsatira zina ndizofanana ndi mapiritsi: chifuwa cha m'mawere, nseru, mutu, kuuma kwa nyini, kuchepa kwa libido.

"Ndi njira yothandiza kwambiri yolerera, yothandiza kwa iwo omwe amakonda kuyiwala mapiritsi awo zomwe zimalola kuwongolera bwino pakutsata".

Ubwino wake:

• Kuopsa kwa kuiwala kumakhala kochepa poyerekeza ndi kulera kwapakamwa;
• Kusamba kumachepa ndipo kumatenga nthawi yochepa;
• Akhoza kuchepetsa ululu wa nthawi;
• Amayang'anira kutuluka kwa msambo;
• Amachepetsa zizindikiro za ziphuphu zakumaso.

Kuipa kwake:

• Amangoperekedwa pamankhwala achipatala;
• Ngakhale sichinamezedwa, chimapereka zoopsa za thromboembolic monga njira zina zolerera za estrogen-progestogen (phlebitis, pulmonary embolism);
• Chigambacho chimatha kuwoneka ndipo chifukwa chake chimakhala chocheperako kuposa mphete yakumaliseche, mwachitsanzo;
• Ndi kulera kuti midadada mkombero m`thupi, ovulation, chifukwa akafuna ake mogwira mtima.

Chigambacho sichimaloledwa kwa amayi omwe ali ndi vuto la mitsempha monga momwe zimakhalira ndi mapiritsi (mwachitsanzo, wosuta fodya wazaka 35).

Sitiyenera kugwiritsidwa ntchito ngati muli ndi mbiri ya venous kapena arterial thromboembolism, ngati muli ndi mbiri ya khansa ya m'mawere kapena endometrial, kapena muli ndi matenda a chiwindi.

Ndibwino kuti tisiye kugwiritsa ntchito chigambacho pakachitika zizindikiro zachilendo (kuwawa kwa ng'ombe, kupweteka pachifuwa, kupuma movutikira, migraine, etc.).

Chigambacho chikhoza kuperekedwa ndi dokotala (katswiri wamkulu kapena gynecologist) kapena mzamba. Kenako amaperekedwa ku pharmacies, pamankhwala. Bokosi la zigamba za 3 zimawononga pafupifupi € 15. Sizibwezeredwa ndi inshuwaransi yaumoyo. "Pali ma generic omwe ndi othandiza koma mtengo wake ndi wotsika."