Dab tsi yog Qhov Teeb Meem nrog Kev Tiv Thaiv Yug thiab Ntshav Qab Zib?

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Qhov tseeb tias cov tshuaj tiv thaiv menyuam yaus tuaj yeem ua rau koj pheej hmoo tsim cov ntshav khov tsis yog xov xwm. Qhov kev sib txuas ntawm cov qib tshuaj estrogen ntau ntxiv thiab DVT, lossis cov hlab ntshav sib sib zog nqus uas yog cov ntshav khov hauv cov leeg loj-tau tshaj tawm txij li xyoo 90s. Yog li muaj tseeb koj txoj kev pheej hmoo tau txhim kho txij thaum ntawd los, puas yog?

Alarmingly, uas tsis yog qhov tseeb. Thomas Maldonado, MD, kws phais plawv thiab koom nrog xibfwb hauv Lub Tsev Kho Mob ntawm NYU Langone hais tias "Nws tsis tau zoo dua li ntawd thiab yog ib qho teeb meem."

Qhov tseeb, ib txoj kev tshawb nrhiav pom tias daim ntawv tshiab ntawm cov tshuaj tiv thaiv kev yug menyuam (muaj cov tshuaj progestogen, xws li drospirenone, desogestrel, gestodene, thiab cyproterone) ua rau muaj kev pheej hmoo ntau dua li cov tshuaj qub. (Qhov no kuj tau tshaj tawm rov qab rau xyoo 2012.)

Thaum cov ntshav txhaws tseem tshwm sim tsawg (thiab cov neeg laus muaj feem yuav muaj kev pheej hmoo siab dua), nws yog qhov teeb meem uas txuas ntxiv tua cov poj niam hluas thiab noj qab haus huv txhua xyoo. (Qhov tseeb, nws yog qhov yuav luag tshwm sim rau qhov no haum rau 36-xyoo-laus: "Kuv Cov Tshuaj Tiv Thaiv Yug Menyuam Yuav luag tua kuv.")

"Kev paub tseem yuav tsum tau tsa, vim tias cov ceg txheem ntseeg siab, thiab qee yam tuaj yeem ua tiav ntawm nws," Maldonado hais. Yog li, raws li Ntshav Qab Zib Qhib Kev Paub Txog Lub Hlis qhwv tawm, cia ua txhaum dab tsi koj rzoo yuav tsum paub txog cov ntshav txhaws yog tias koj nyob hauv Pill.

Muaj cov xwm txheej txaus ntshai. Nws yog ib qho tseem ceeb uas txhua tus poj niam nkag siab txog nws tus kheej txoj kev pheej hmoo, hais tias Maldonado.Kev kuaj ntshav yooj yim tuaj yeem txiav txim siab seb koj puas muaj lub noob caj noob ces uas ua rau koj mob ntshav khov. (Txog li 8 feem pua ​​ntawm cov neeg Amelikas muaj ib qho ntawm ob peb yam tau txais los uas tuaj yeem ua rau lawv muaj kev pheej hmoo ntau dua.) Thiab yog tias koj nyob ntawm Pill, lwm yam xws li tsis muaj zog (zoo li thaum lub davhlau ntev lossis caij tsheb), haus luam yeeb, rog dhau, raug mob. , thiab cov txheej txheem phais yog tsuas yog qee qhov kev cuam tshuam uas tuaj yeem ua rau koj muaj feem tsim muaj ntshav khov, nws hais. (Tom ntej Tom ntej: Vim Li Cas Cov Poj Niam Thiaj Tau Ntshav Qab Zib.)

Qhov tshwm sim tuaj yeem ua rau tuag taus. DVT yog cov ntshav khov uas feem ntau ua rau hauv cov leeg hauv ob txhais ceg, thiab tuaj yeem ua rau mob thiab o. Yog tias hom ntshav khov no tawg los ntawm cov hlab ntsha phab ntsa nws tuaj yeem taug kev-zoo li lub pob zeb hauv kwj dej-mus rau lub plawv uas nws tuaj yeem cuam tshuam cov ntshav ntws mus rau koj lub ntsws. Qhov no hu ua pulmonary embolus thiab tuaj yeem ua rau tuag taus, piav qhia Maldonado. Muaj txog li 600,000 tus neeg Asmeskas tuaj yeem cuam tshuam los ntawm DVT txhua xyoo, thiab txog li 30 feem pua ​​ntawm cov neeg tuag nyob rau hauv tsuas yog ib hlis ntawm kev kuaj mob, raws li Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob.

Kev kuaj mob sai yog lub neej lossis tuag. Yog tias koj tau ntsib ceg lossis mob hauv siab-cov cim tseem ceeb ntawm pulmonary embolus-kuaj mob sai thiab kho yog qhov tseem ceeb, nws hais. Qhov xwm zoo yog kev kuaj mob tuaj yeem ua tiav sai heev nrog ultrasound. Raws li Maldonado, thaum txiav txim siab khov, koj tus kws kho mob yuav pom zoo kom koj tsum tsis txhob noj koj cov ntsiav tshuaj thiab pib noj ntshav kom tsawg tsawg li ob peb hlis.

Tab sis qhov kev pheej hmoo yog qhov tsawg. Yuav ua li cas thiaj li muaj ntshav khov rau tus poj niam uas tsis noj tshuaj tiv thaiv menyuam yog peb rau txhua 10,000-lossis 0.03 feem pua. Qhov kev pheej hmoo rau cov poj niam ntawm cov tshuaj tiv thaiv kev yug menyuam nce peb-txog txog cuaj rau txhua 10,000 tus poj niam lossis kwv yees li 0.09 feem pua, hais tias Maldonado. Yog li, thaum nws muaj tseeb tias kev pheej hmoo ntawm kev tsim DVT rau cov poj niam ntawm kev tiv thaiv qhov ncauj yog qhov tsawg, qhov kev txhawj xeeb tseem tseem ceeb vim tias muaj coob tus poj niam coj lawv, nws hais.

Nws tsis yog ntsiav tshuaj nkaus xwb. Maldonado piav qhia tias txhua qhov kev tiv thaiv qhov ncauj tau cuam tshuam nrog qee qhov kev pheej hmoo ntawm DVT txij li lawv cuam tshuam nrog koj lub cev qhov sib npaug uas ua haujlwm kom koj tsis txhob los ntshav thiab khov ua rau tuag. Txawm li cas los xij, qee yam tshuaj tiv thaiv kab mob sib xyaw ua ke (muaj cov tshuaj estrogen thiab progestin, hluavtaws progesterone) ua rau muaj kev pheej hmoo siab dua. Los ntawm tib lub tswv yim ntawd, thaj chaw tswj kev yug menyuam thiab ib ncig (zoo li NuvaRing) uas tseem muaj cov tshuaj estrogen thiab progestin tuaj yeem ua rau muaj kev pheej hmoo ntshav nce ntxiv. Yog tias koj muaj ntau yam txaus ntshai rau cov ntshav txhaws raws li tau hais ua ntej, zam cov ntsiav tshuaj thiab xaiv rau IUD uas tsis yog tshuaj hormones yuav yog txoj hauv kev mus, qhia Maldonado. (Ntawm no, 3 nqe lus nug txog kev yug me nyuam koj yuav tsum nug koj tus kws kho mob.)

Muaj tej yam yooj yim uas koj tuaj yeem ua los txo koj txoj kev pheej hmoo. Thaum koj tsis muaj kev tswj hwm koj cov caj ces lossis tsev neeg keeb kwm, muaj lwm yam koj ua tau tswj. Zam kev haus luam yeeb thaum nyob hauv ntsiav tshuaj yog qhov tseeb yog qhov loj. Thaum mus ncig ntev ntev, koj yuav tsum nco ntsoov nyob twj ywm tsis txhob haus cawv thiab caffeine uas ua rau lub cev qhuav dej, sawv thiab ncab koj ob txhais ceg, thiab hnav ib thooj thom khwm.

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