Abun da aka saka na hana haihuwa wata na’ura ce mai subcutaneous wacce ke ci gaba da isar da micro-progestogen cikin jini. A cikin daya daga cikin mata biyar, abin da ake sanyawa na hana haihuwa yana haifar da zubar jini, don haka babu bukatar damuwa idan ba ku yin al'ada.

Gyaran rigakafin rigakafin yana cikin ƙaramin ƙaramin sanda mai sassauƙa 4 cm tsayi kuma 2 mm a diamita. Ya ƙunshi wani abu mai aiki, etonogestrel, hormone na roba kusa da progesterone. Wannan micro-progestin yana hana fara ciki ta hanyar toshe ovulation da haifar da canje-canje a cikin ƙwayar mahaifa wanda ke hana wucewar maniyyi zuwa mahaifa.

Yaya ake saka abin da aka saka?

An saka shi a ƙarƙashin maganin rigakafi na gida a hannu, a ƙarƙashin fata, abin da aka saka yana ci gaba da ba da ƙaramin adadin etonogestrel cikin jini. Ana iya barin shi a wuri har tsawon shekaru 3. A cikin mata masu kiba, adadin hormones na iya zama bai isa ba don kariya mafi kyau sama da shekaru 3, don haka galibi ana cire ko canza bayan shekaru 2.

A Faransanci, ƙwararriyar hana haihuwa ta progestogen guda ɗaya kawai ke samuwa a halin yanzu. Wannan Nexplanon.

An ba da allurar rigakafin ƙwayar ƙwayar ƙwayar ƙwayar cuta azaman layi na biyu, a cikin mata masu hanawa ko rashin jituwa ga abubuwan hana haihuwa na estrogen-progestogen da na'urorin ciki, ko a cikin matan da ke da wahalar shan kwaya kowace rana.

Tasirin kwayar da aka yi amfani da ita tana kusa da 100% kuma, ba kamar kwaya ba, babu haɗarin mantawa. Hakanan ma'aunin Pearl, wanda ke auna ka'idar hana haihuwa (kuma ba mai amfani ba) ingantaccen maganin hana haihuwa a cikin karatun asibiti, yana da girma sosai ga abin da aka sanya: 0,006.

Koyaya, a aikace, babu wata hanyar hana haihuwa da za'a iya ɗauka 100% mai inganci. Koyaya, an kimanta fa'idar fa'idar aikin rigakafin rigakafin a 99,9%, wanda saboda haka yana da girma sosai.

Yaushe alurar riga kafi ke da tasiri?

Idan ba a yi amfani da maganin hana haihuwa na hormonal a cikin watan da ya gabata ba, yakamata a sanya wurin shigar tsakanin ranar 1 zuwa 5 na sake zagayowar don gujewa ɗaukar ciki. Idan an saka dasashi bayan ranar 5th na haila, dole ne a yi amfani da ƙarin hanyar hana haihuwa (kwaroron roba misali) tsawon kwanaki 7 bayan sakawa, saboda akwai haɗarin samun juna biyu a wannan lokacin latency.

Shan magungunan da ke haifar da enzyme (wasu jiyya na farfadiya, tarin fuka da wasu cututtuka masu yaduwa) na iya rage tasirin allurar rigakafi, don haka ya kamata ku yi magana da likitan ku.

Shigar da abin da ba daidai ba a lokacin hutu na iya rage tasirin sa, kuma yana haifar da cikin da ba a so. Don iyakance wannan haɗarin, sigar farko na shigar ciki, wanda ake kira Implanon, an maye gurbinsa a cikin 2011 ta Explanon, sanye take da sabon mai nema wanda aka yi niyya don rage haɗarin sanya wuri mara kyau.

Shawarwarin ANSM

Bugu da kari, biyo bayan lamurra na lalacewar jijiyoyi da ƙaura na dasawa (a hannu, ko kuma da wuya a cikin jijiya na huhu) galibi saboda ba daidai ba, ANSM (Hukumar Tsaron Magunguna ta Ƙasa) da samfuran kiwon lafiya) sun ba da sabbin shawarwari game da dasa shuki. wuri:

• ya kamata a saka da cire abin da zai fi dacewa daga kwararrun likitocin kiwon lafiya waɗanda suka sami horo na zahiri a cikin sakawa da dabarun cirewa;
• a lokacin shigarwa da cirewa, dole ne a nade hannun majiyyaci, hannun a ƙarƙashin kan ta don karkatar da jijiyar ulnar don haka rage haɗarin isa gare ta;
• an gyara shafin shigar, don fifita wani yanki na hannu gaba ɗaya ba tare da tasoshin jini da manyan jijiyoyi ba;
• bayan sanyawa kuma a kowane ziyara, ƙwararren mai kula da lafiya dole ne ya taɓa abin da aka saka.
• ana ba da shawarar dubawa watanni uku bayan sanyawa don tabbatar da cewa an yi haƙuri da shi kuma har yanzu ba a taɓa gani ba;
• ƙwararren masanin kiwon lafiya dole ne ya nuna majiyyaci yadda za a bincika kasancewar ɗigon da kanta, ta hanyar taɓarɓarewa da taɓarɓarewa (sau ɗaya ko sau biyu a wata);
• idan abin da aka ɗora ba ya sake buɗewa, mai haƙuri ya kamata ya tuntubi likitanta da wuri -wuri.

Waɗannan shawarwarin kuma yakamata su iyakance haɗarin cikin da ba a so.

Lamarin amenorrhea

A cewar mata, abin da aka saka a zahiri na iya canza ƙa'idodi. A cikin mata 1 cikin 5 (gwargwadon umarnin dakin gwaje -gwajen), shigar da subcutaneous zai haifar da amenorrhea, wato rashin samun lokaci. Yin la’akari da wannan sakamako mai yuwuwar tasiri da ƙimar ingancin abin da aka saka, ba ze zama dole a yi gwajin ciki ba idan babu haila a ƙarƙashin abin da aka hana. Idan akwai shakku, tabbas yana da kyau a yi magana game da shi ga ƙwararren likitan ku, wanda ya kasance mafi kyawun shawara.

Halin lokutan rashin daidaituwa

A wasu mata, haila na iya zama na yau da kullun, da wuya ko, akasin haka, mai yawa ko tsawaita (kuma 1 cikin mata 5), ​​tabo (zubar jini tsakanin al'ada) na iya bayyana. A gefe guda, lokutan da wuya su yi nauyi. A cikin mata da yawa, bayanin zubar da jini wanda ke tasowa a cikin watanni ukun farko na amfani da abin da aka dasa shi gabaɗaya yana hasashen bayanin martaba na jini na gaba, dakin gwaje -gwaje ya bayyana akan wannan batun.