Dung thuoc tranh thai nen biet.

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Dung thuoc tranh thai nen biet

Hien nay co kha nhieu loai thuoc tranh thai dang duoc ban tren thi truong. Khi dung thuoc, can luu y mot so van de.

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Dung thuoc tranh thai nen biet.




- Dung thuoc khang sinh co lam giam hieu qua cua vien thuoc tranh thai (TTT)?

- Anh huong cua thuoc khang sinh den vien TTT co the da bi cuong dieu, ngoai tru TTT voi rifampicin vi thuoc khang sinh lam giam hieu qua ngan can rung trung cua TTT. Mot so khang sinh khac cung bi coi la lam giam hieu qua rung trung nhu amoxillin, metronidazol, tetracyclin, isoniazid... nhung khong co nghien cuu  lon nao chung minh. Tuy nhien cac nha nghien cuu khong loai tru su ngan can rung trung co the xay ra voi mot so it phu nu khi dung khang sinh. Vay tot nhat nen dung them phuong phap tranh thai ho tro khac (bao cao su, xuat tinh ngoai... ) khi phai dung cac loai khang sinh.


- TTT co gay tang huyet ap?

- Vien TTT co the lam tang huyet ap. Nguy co tang huyet ap o phu nu  dung vien TTT cung tang len theo tuoi va thoi gian  dung thuoc. Trong vien TTT co chua progestin, mo phong tac dung cua progesteron tu nhien; thay doi cong thuc cua vien TTT cung khong lam thay doi tac dung den huyet ap. Neu dung TTT thuong xuyen thi nen duoc thay thuoc dinh ky kiem tra huyet ap. Neu phu nu  co benh tang huyet ap thi nen chuyen sang phuong phap tranh thai khac. Neu van lua chon dung TTT thi can duoc thay thuoc theo doi huyet ap chat che hon.

- TT co the gay tang can khong?

- Hau het phu nu  tang can khi dung vien TTT nhung khong tang qua 2kg, thuong do giu nuoc va khong tang khoi luong co the hay mo. Nhieu phu nu  tang can mot cach binh thuong vao nua nam sau cua chu ky kinh do nhung thay doi ve hormon ma khong lien quan gi den viec uong TTT. Rat hiem, nhung mot so phu nu co the tang can do tang co bap khi uong TTT vi tac dung nhe cua hormon nam trong qua trinh chuyen hoa cua vien thuoc. Nhieu nghien cuu  cho thay chat Progestin moi co ten drospirenon co the tranh duoc tang can do giam hien tuong giu nuoc. Drospirenon la mot thanh phan trong TTT co ten la yeasmin.

- Nhung ai khong nen dung vien TTT?

- Khong dung TTT uong cho nhung nguoi: hut thuoc la tren 15 dieu moi ngay, tu 35 tuoi tro len; co lich su  bi nhoi mau co tim, dot quy hay tao thanh cuc mau; co lich su bi ung thu vu, tu cung hay gan. Truoc day, cac nha khoa hoc  lo lang su tang nguy co ung thu vu cua nhung nguoi tieu dung  TTT nhung mot nghien cuu cong bo tren tap chi  New England Journal  of Medicine so thang 6/2002 cho thay nguy co ung thu vu khong tang o nhung nguoi dang dung hay da tung dung vien TTT.

- Ngung TTT da vai thang de co thai nhung chua thay co kinh tro lai, xet nghiem thai van am tinh, nhu the co binh thuong khong?

- Phu nu  ngung dung vien TTT co the vai thang khong thay co kinh do TTT ngan can co the nguoi phu nu tao ra hormon tham gia vao hien tuong rung trung va kinh nguyet. Khi ngung uong TTT co the can mot thoi gian  de hoi phuc hoat dong  bai tiet binh thuong cac hormon noi tren. Thong thuong, kinh nguyet co the tro lai trong vong 3 thang sau khi ngung dung thuoc va hau het phu nu co rung trung ngay va co kinh trong vong 4-6 tuan sau do. Mot so, nhat la nhung phu nu  uong thuoc vien TTT de dieu hoa chu ky kinh thi co the mat kinh toi vai thang. Neu khong thay kinh sau 3 thang ke tu khi ngung thuoc thi can gap thay thuoc de tim nguyen nhan.

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Updated: 09/03/2008 | Views: 1208 | Comments: 0

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