Cov tshuaj tiv thaiv kab mob yog cov khoom siv subcutaneous uas txuas ntxiv xa cov micro-progestogen mus rau hauv cov ntshav. Hauv ib ntawm tsib tus poj niam, cov tshuaj tiv thaiv kab mob ua rau amenorrhea, yog li tsis tas yuav txhawj xeeb yog tias koj tsis muaj lub sijhawm.

Cov tshuaj tiv thaiv kab mob yog nyob rau hauv daim ntawv ntawm ib tug me me saj zawg zog stick 4 cm ntev thiab 2 mm nyob rau hauv lub cheeb. Nws muaj ib qho active tshuaj, etonogestrel, ib tug hluavtaws hormone ze rau progesterone. Qhov no micro-progestin tiv thaiv qhov pib ntawm cev xeeb tub los ntawm kev thaiv cov ovulation thiab ua rau muaj kev hloov pauv ntawm lub ncauj tsev menyuam uas tiv thaiv kev kis ntawm cov phev mus rau lub tsev menyuam.

Lub implant yog li cas?

Ntxig rau hauv cov tshuaj loog hauv zos hauv caj npab, hauv qab ntawm daim tawv nqaij, kev cog qoob loo txuas ntxiv xa me me ntawm etonogestrel mus rau hauv cov hlab ntsha. Nws tuaj yeem tso rau hauv qhov chaw rau 3 xyoos. Hauv cov poj niam rog rog, koob tshuaj hormones yuav tsis txaus rau kev tiv thaiv zoo tshaj li 3 xyoos, yog li kev cog ntoo feem ntau raug tshem tawm lossis hloov tom qab 2 xyoos.

Hauv Fab Kis, tsuas yog ib qho kev tiv thaiv kab mob subcutaneous progestogen tshwj xeeb tam sim no muaj. Nov yog Nexplanon.

Cov tshuaj subcutaneous contraceptive implant yog muab raws li ib tug thib ob kab, nyob rau hauv cov poj niam uas muaj ib tug contraindication los yog intolerance rau estrogen-progestogen contraceptives thiab intrauterine khoom, los yog nyob rau hauv cov poj niam uas muaj teeb meem noj tshuaj txhua hnub.

Qhov ua tau zoo ntawm cov molecule siv yog ze rau 100% thiab, tsis zoo li cov ntsiav tshuaj, tsis muaj kev pheej hmoo ntawm kev tsis nco qab. Tsis tas li Pearl Performance index, uas ntsuas qhov theoretical (thiab tsis siv) kev siv tshuaj tiv thaiv kab mob hauv kev tshawb fawb soj ntsuam, yog siab heev rau kev cog qoob loo: 0,006.

Txawm li cas los xij, hauv kev xyaum, tsis muaj txoj kev tiv thaiv kab mob tuaj yeem suav tias yog 100% zoo. Txawm li cas los xij, qhov ua tau zoo ntawm cov tshuaj tiv thaiv kab mob yog kwv yees li ntawm 99,9%, uas yog li ntawd siab heev.

Thaum twg cov tshuaj tiv thaiv kab mob implant siv tau?

Yog tias tsis muaj cov tshuaj tiv thaiv hormonal tau siv nyob rau lub hli dhau los, qhov chaw cog qoob loo yuav tsum muaj nyob nruab nrab ntawm 1st thiab 5th hnub ntawm lub voj voog kom tsis txhob muaj menyuam. Yog tias cov tshuaj tso rau tom qab 5 hnub ntawm kev coj khaub ncaws, yuav tsum siv cov tshuaj tiv thaiv ntxiv (piv txwv li, hnab looj tes) rau 7 hnub tom qab txhaj tshuaj, vim tias muaj kev pheej hmoo ntawm cev xeeb tub thaum lub sijhawm latency no.

Kev noj tshuaj enzyme-inducing (qee yam kev kho mob rau qaug dab peg, tuberculosis thiab qee yam kab mob sib kis) tuaj yeem txo qhov kev siv tshuaj tiv thaiv kab mob, yog li koj yuav tsum tham nrog koj tus kws kho mob.

Kev siv tsis raug ntawm qhov cog thaum lub sij hawm so tuaj yeem txo nws txoj kev ua tau zoo, thiab ua rau lub cev tsis xav tau. Txhawm rau txwv qhov kev pheej hmoo no, thawj cov qauv ntawm cov tshuaj tiv thaiv kab mob, hu ua Implanon, tau hloov pauv hauv 2011 los ntawm Explanon, nruab nrog tus neeg thov tshiab npaj los txo qhov kev pheej hmoo ntawm qhov chaw tsis raug.

ANSM cov lus pom zoo

Tsis tas li ntawd, tom qab cov xwm txheej ntawm cov hlab ntsha puas tsuaj thiab kev tsiv teb tsaws ntawm cov khoom cog (hauv caj npab, lossis ntau dua tsis tshua muaj nyob rau hauv cov hlab ntsha pulmonary) feem ntau yog vim qhov tsis raug, ANSM (Lub Chaw Haujlwm Saib Xyuas Kev Nyab Xeeb Hauv Tebchaws) thiab cov khoom noj qab haus huv tau tshaj tawm cov lus qhia tshiab txog kev cog qoob loo. tso chaw:

• txoj kev cog qoob loo yuav tsum tau muab tso thiab tshem tawm zoo dua los ntawm cov kws kho mob uas tau txais kev cob qhia tswv yim hauv kev cog cog thiab kev tshem tawm;
• Thaum lub sij hawm tso thiab tshem tawm, tus neeg mob lub caj npab yuav tsum tau folded, tes nyob rau hauv nws lub taub hau nyob rau hauv thiaj li yuav deflect lub ulnar paj thiab yog li txo qhov kev pheej hmoo ntawm ncav cuag nws;
• qhov chaw ntxig yog hloov kho, nyob rau hauv kev pom zoo ntawm thaj tsam ntawm caj npab feem ntau tsis muaj cov hlab ntsha thiab cov hlab ntsha loj;
• Tom qab muab tso rau thiab ntawm txhua qhov mus ntsib, tus kws kho mob yuav tsum palpate qhov cog;
• kev kuaj xyuas yog pom zoo peb lub hlis tom qab cog cov cog kom paub tseeb tias nws zoo zam tau thiab tseem palpable;
• tus kws kho mob yuav tsum qhia tus neeg mob saib xyuas seb puas muaj cov tshuaj cog rau nws tus kheej, los ntawm kev ua kom pom tseeb thiab qee zaus palpation (ib zaug lossis ob zaug hauv ib hlis);
• Yog tias qhov kev cog hniav tsis pom kev lawm, tus neeg mob yuav tsum hu rau nws tus kws kho mob sai li sai tau.

Cov lus pom zoo no yuav tsum txwv tsis pub muaj kev pheej hmoo ntawm kev xeeb tub tsis xav tau.

Cov tsos mob ntawm amenorrhea

Raws li cov poj niam, kev cog qoob loo tuaj yeem hloov cov cai. Nyob rau hauv 1 ntawm 5 tus poj niam (raws li kev soj ntsuam cov lus qhia), subcutaneous implant yuav ua rau amenorrhea, uas yog hais tias tsis muaj sij hawm. Muab rau hauv tus account qhov tshwm sim tshwm sim thiab qhov ua tau zoo ntawm qhov cog, nws tsis zoo li yuav tsum tau ua qhov kev kuaj cev xeeb tub thaum tsis muaj kev coj khaub ncaws raws li kev cog qoob loo. Nyob rau hauv cov ntaub ntawv ntawm kev tsis ntseeg, nws yog ib qhov tsim nyog los tham txog nws rau koj tus kws kho mob, uas tseem yog cov lus qhia zoo tshaj plaws.

Cov ntaub ntawv ntawm lub sij hawm tsis xwm yeem

Hauv lwm tus poj niam, lub sijhawm tuaj yeem ua tsis xwm yeem, tsis tshua muaj lossis, ntawm qhov tsis sib xws, nquag lossis ntev (tseem 1 ntawm 5 tus poj niam), pom (los ntshav ntawm lub sijhawm) tuaj yeem tshwm sim. Ntawm qhov tod tes, lub sijhawm tsis tshua hnyav dua. Hauv ntau tus poj niam, los ntshav profile uas tshwm sim thaum thawj peb lub hlis ntawm kev siv cov implantation feem ntau kwv yees txog qhov tom ntej los ntshav profile, lub chaw soj nstuam qhia txog qhov no.