
garbhanirodhana implaant

garbhanirodhanathinaayi upayogikkunna implaantabil medical upakaranamaan garbhanirodhana implaant. implaant andotpaadanathino beejavikasanathino thadassamaakunna hormonukalude samayabandhithamaya prakashanam, garbhaashayathinullil swaabhaavika beejanashiniyaayi pravarthikkaanulla chembinte kazhivu ennivaye aashrayichirikkaam, allengil hormon ithara, shaareerika thadayal samvidaanam upayogichu ithu pravarthichekkaam. mattu garbhanirodhana maarggangaleppole, garbhadharanam thadayunnathinaanu garbhanirodhana implaant roopakalppana cheythirikkunnathu, pakshe ithu laingikamaayi pakaruna anubaadhakalil ninnu samrakshikkunnilla.
sthreekal.
implaant.
60-ladhikam rajyangalil amgeekarikkappettathum lokamembaadumulla dasalakshakkanakkinu sthreekal upayogikkunnathumaaya garbhanirodhana implaant hormon adisthaanamaakkiyullathum valare phalapradavumaanu. ekadesham 40 millimeter neelamulla oru cheria flexible tubaanu saadhaarana implaant. pariseelanam labhichathum saakshyappeduthiyathumaaya aarogya parirakshaa daataav ithu saadhaaranayaayi mukalile, prabalamallaatha kaiyude aantharika bhaagath subdermally cherkkunnu. ulppeduthiyathinushesham, andothpaadanathe thadayunna projasttin purathuvidunnathiloode ithu garbhadhaaranathe thadayunnu. single-rooad etonogestral implaant, tuu-rooad levonorgestral implaant ennivayaanu ettavum saadhaaranamaaya rund pathippukal. norplaant, jadel (norplaant II), implaanon, nexplanon, sino-implaant (II), sarine, femplant, trastt enniva braandukalil ulppedunnu.
aanukoolyangal.
chilarkk implaantinte gunangalil kuranjathum bharam kuranjathumaaya aarthavangal, premenstral syndrominte mechappetta lakshanagal, moonnu muthal anchu varsham vare neendunilkkunna, pukavalikkunnathum mulayoottunnathum surakshithavum, ellah divasavum ithu upayogikkaan oormmikkendathilla ennathinte soukaryavum ulppedunnu.
paarshwafalangal.
chila sandarbhangalil, prathikoola phalangal sambhavikkunnu, ettavum saadhaaranamaayath kramarahithamaya rakthasraavamo aminorrheo aanu. rakthasraavam kramakkedukal chila sthreekalkku budhimuttaanengilum, ithu dysmenoria, menorrhagea, endometriosis ennivayude chikilsayilum upayogikkaan anuvadikkunnu. vishappile maattam, vishaadam, maanasikavastha, hormon asanthulithaavastha, sthanavedana, sareerabhaaram, thalakarakkam, garbhatthinte lakshanagal, alasata ennivayaanu saadhaarana lakshanagal. apoorvamaanengilum, implaant ulppeduthumbozho neekkam cheiyumbozho sankeernathakal undakanulla saadhyathayum undu.
levonorgestral-release cheiyunna garbhaashayathinullile garbhanirodhana samvidaanamaaya ell. jii. yuu. jill ninnaan saadhaaranayaayi report cheyyappedunnathu; sthanathile aardrata, thalavedana, veekkam, charmmatthile prakopam. neratthe unarnnukondirikkuka, idaykkide maanasikaavasthayile mattangal, eakaagratha kurayuka, sammarddam ennivayumaayum garbhanirodhana maarggam poruthappedunnu. kramarahithamaya yoniyile garbhashaya lining shedding norplaant upayokthaakkalil oru saadhaarana paatten aanu, ithu sambhavikkukayaanenkil ithu upayogathinte aadya 60 divasangalil kaanapedum, pakshe kaalakramena ithu kurayukayo aprathyakshamaakukayo cheyyum. implanoninu eee negatteevu paarshwafalangal undu, ithu ganyamaaya alavil yoniyile raktasrava kramakkedukalkku kaaranamaakunnu, koodaathe upayogam aarambhich adutha 90 divasangalil athinte upayokthaakkalil ekadesham 40%-30% ll aminoria undaakunnu.
prasavaananthara upayogam.
garbhadharanam uchithamayi nadatthaan sthreekale sahayikkunnathumaayi bandhappett, garbhadhaaranathinu sesham garbhanirodhana implaantukal ulppeduthunnathinulla ettavum phalapradamaaya samayathekkurichu chila charchakal nadakkunnundu. ennirunnaalum, aarr maasathe implaantukalude thudarchayaaya upayogathinteyo sthreekalude samthrupthiyudeyo kaaryatthil udanadi ulppeduthunnathum vaikunnathum thammil cheriyatho vyathyaasamo undakanamennilla. implaantukal adangiya projasttin (prathyekichu etonogestral) prasavaananthara vyakthikalilum garbhachhidraananthara vyakthikalilum udan ulppeduthunnathinu surakshithamaan.
garbhaashayathinullile upakaranam.
garbhaashayathil sthaapikkunna palappozhum 'tii' aakruthiyilulla oru cheria garbhanirodhana upakaranamaan garbhaashayathinullile upakaranam (iud). avaa hormonal allengil noonn-hormon aakam, avaa deerghakaalamaayi pravartthikkukayum reversible aakukayum reversible janana niyanthranatthinte ettavum phalapradamaaya tharangalumaanu. 2011 leeii kanakkanusarichu, lokamembaadum ettavum vyaapakamaayi upayogikkunna reversible garbhanirodhana maarggamaan iuds. janana niyanthranangalude tharangalil avaa janana niyanthrana implaantukalkkoppam upayokthaakkalkkidayil ettavum valia samthrupthi nalkunnu. sthreekalkku ettavum chelavu kuranja garbhanirodhana maargangalilonnaanu iuds. implaantukalkku samaanamaayi garbhaashayathinullile upakaranangalude doshafalangal, ulppeduthunnathinum neekkam cheiyunnathinum pariseelanam labhicha aarogyaparipalana vidagthante aavasyamaanu.
paraguard, kylena, liletta, myrena, skyla ennivayaanu braandukalil ulppedunnathu.
hormon iud.
hormon aidsil levonorgestral enna hormon adangiyirikkunnu, ithu oru projasttin aanu. saadhaaranayaayi, uthppannangal 5 varshathekku cherkkunnu, ithu aaa samayaparidikkullil kuranja alavil hormonukal purathuvidunnathinu avare anuvadikkunnu. hormon, noonn-hormon ides ennivayude pravartthana samvidaanam samaanamaan, koodaathe servical mucassinte kattiyakkunnathinu kaaranamakunna projasttinte adhika nettavum.
levonorgestral iud valare falapradamaanu, upayogathinte aadya varshathil 0.20% maathramaan parajaya nirakk. hormon ideadinte oru adhika gunam rakthakshayam kuraykkunnu, ithu rogikalil aminoria anubhavikkum. ennirunnaalum, garbhaashayathinullile upakaranam neekkam cheyth 1-3 maasathinullil, rogikalkku avarude saadhaarana aarthavachakrathilekku madangivaranam. ides adangiya levonorgestralinte ettavum saadhaaranamaaya paarshwafalamaanu aadyathe 3 maasangalil kaanappedunnath.
prasavaananthara rogikalil udan thanne upayogam charcha cheyyaamenkilum puranthallalinum sushirathin ulla kooduthal saadhyathakal shradhaapoorvvam pariganikkanam.
noonn-hormon iud.
copper ides ennum ariyappedunna noonn-hormon ides, hormon rahita garbhanirodhana maarggamaan, ithu rund pradhana pravartthana samvidaanangalaal pravartthikkunnu. beejam phalopian tyoobukalil athunnathinte vegathaye mandagathiyilaakkukayo muttayude beejasankalanathe kuraykkukayo cheiyumennu karuthappedunnu. chembu ayonukalude vardhanavum mattu koshangaludeyum ensaimukaludeyum vardhanavum beejathinte pravartthanatheyum garbhadharanam thadayunnathineyum badhikkunnu.
hormon iyudukalumaayi thaarathamyappeduthumbol avarkk garbhadhaaranathinulla saadhyatha kooduthalaanengilum, copper aiyudinte parajaya nirakk ippozhum ekadesham 0.8% maathramaan. brandineyum nirmmathaavineyum aashrayich 2.5 muthal 10 varsham vare evideyum ninnu avaa samrakshanam nalkunnu. chembu aidsinte prathikoola phalangalil kanatha aarthavavum vardhicha aarthavavedana ulppedunnu.
10 minitt muthal 48 manikkoor vare prasavaananthara samayat chembu ayadukal cherkkaan kazhiyum. eee udanadi ulppeduthalinte poraayma puranthallalino garbhashaya sushirathino ulla uyarnna apakadasaadhyathayaan, ennirunnaalum, nettangal saadhyathayulla eathu apakadasaadhyathayeyum marikadakkunnu. mulayoottalil avaa upayogikkaan surakshithamaan.
chembu aidsinte oru adhika nettam adiyanthira garbhanirodhanathinulla avayude upayogamaanu. avaa adiyanthira garbhanirodhanathinte oru roopamaayi upayogikkaan kazhiyumennu mathramalla, adiyanthira garbhanirodhanathinte ettavum phalapradamaaya reethiyaanivayenn oru cochrain avalokanam abhiprayappettu. surakshithamallaatha laingikabandham kazhinju 7 divasathinullil ulppeduthumbol, avaykku garbhadhaarana saadhyatha 99 sathamaanam kuraykkaanum rogiyil thudarunna garbhanirodhanathinte adhika aanukoolyam nalkaanum kazhiyum.
purushanmaar.
avyakthamaaya niyanthrana maargganirddeshangal, upakarana vikasanathinte dairkhyameriya samayaparidhi, soukaryathodulla purushanmaarude manobhaavam, dhanasahaayathinte ganyamaaya abhavam ennivayulppede purushanmarkkaayi implaantabil, mattu garbhanirodhana reethikalilekkulla gaveshanam vipuleekarikkunnathin niravadhi thadassangal nilanilkkunnu. hormon, noonn-hormon enningane niravadhi implaantabil upakaranangal pareekshichittundu.
gaveshanam.
2001-ll, dutch farmaceutical kambaniyaaya organon athinte implaantabil etonogestral adisthaanamaakkiyulla purusha garbhanirodhana maarggathinte klinikkal pareekshanangal europilum yuu. esilum aarambhikkumenn prakhyaapichu.ezz.2005-ll thanne vipananam cheyyaavunna oru uthppannam pratheekshichirunnenkum, prateeksha nalkunna phalangal undaayirunnittum, vipaniyogyathayude abhavam oru gadakamaayirunnuvennu purathuninnulla oohaapohangal moolam gaveshana vikasanam nilachu. oorgaanon prathinidhi monic molls 2007-ll prasthaavichathu "20 varshathe gaveshanathinu sheshavum, vishalamaaya purusha janasamkhyaykku sveekaaryamaaya oru [hormon] reethi vikasippikkaan saadhyathayilla" ennaanu. shering/bair traimasa kuthivayppukalulla samanamaaya oru vaarshika implaantil pravartthikkunnundena 2006/2007 leeii gaveshanam raddaki, purushanmaar ithine "oru divasam orikkal gulika kazhikkunna oru sthreeyeppole soukaryapradamalla" ennu prakhyaapikkunnu."
2005-ll, poppuleshan kaunsil, yooniversitti oof california, loss enchals, medical research kaunsil ennivayude neethrthwathilulla oru sahakarana padhathi, testostironinu samanamaaya synthetic stiroyidaaya ment (7α-methyl-19-nortestostin allengil treastolon) adangiya oru maachstikk valippathilulla implaantinekkurichu gaveshanam aarambhichu."2011loow 2012loow klinikkal pareekshanangal aarambikkaan theerumaanichirunnu, aadyathe reversible purusha garbhanirodhana maarggamaayi amgeekaaram labikkumenna pratheekshayode 2016 vare padhathi nadannukondirunnu.
2006-ll, sheppered medical kambanikku vaas differenukalile beejapravaham thadayunna rund plugukal ulkkollunna intra vaas device (ivd) enna hormon ithara implaantinte klinikkal trialinu fda amgeekaaram labhichu. athinte pailat padanatthinte vijaythilum klinikkal pareekshanangalil ninnulla sakthamaaya phalangalilum pravarthichu, athinte pareekshanangal moonnu yuu aayi vipuleekarikkumennu kambani prakhyaapichu.ezz. aaa varsham nagarangal. deerghakaalaadisthaanathil eee nadapadikramam ethratholam reversable akumennathinekkurichulla chodyangal avasheshikkunnu; ennirunnaalum, ithu vandhyamkaranathekkaal kooduthal reversable akumennu pratheekshichirunnu. 2008ll saambathika prathisandhi kaaranam kambani pirichuvittuvenkilum sariyaaya dhanasahaayathode gaveshanam punaraarambhikkumenn ariyichu.
2016 januvariyil, oru hormon ithara, implaantabil valve-bumec slv-yekkurichulla vaarthakal puratthuvannu. vaas deferenceumaayi bandhippikkunna oru switch ithil ulppedunnu, ithu aavashyamullappol beejathinte ozhukk nirthaanum punaraarambhikkaanum udamaye anuvadikkunnu. upakaranathinte falaprapti kooduthal parishodhikkunnathinaayi 25 pankaalikale klinikkal trialil ulppeduthi.
mattu mrugangal.
implaantabil garbhanirodhana marggangal mrugangalkku, prathyekichu mrgashaalakalileyum mattu bandika mruga soukaryangalileyum mruga maanejarmarkk, parimithamaaya bandika aavaasavyavasthayile janasamkhyayude valarcha niyanthrikkunnathin reversible garbhanirodhana reethikal aavasyamaanu. sent luis mrgashaalayile association oof suus aandu aquariums (aasa) reproductive maanejment sentar (munbu aasa wildlife garbhanirodhana kendram ennariyappettirunnu). luis, misauri athinte garbhanirodhana daattaabes vazhi garbhanirodhana vivarangal gaveshanam cheiyunnathilum pracharippikkunnathilum pradhana punk vahichittundu. noorukanakkinu enangalude 30,000-ladhikam rekhakal ivideyundu. mrgashaalakalum (valarthumrgangalilum) upayogikkunna ettavum janapriyamaaya garbhanirodhana reethikalilonnaanu 1970 kalude madhyathil vikasippichedutha projasttin adisthaanamaakkiyulla hormon garbhanirodhana maarggamaaya melangestrol asattett (mga) implaant. mrugangalil sthaapicha mattu projasttin adhishtitha implaantukalil norplaant, jadel, implaanon enniva ulppedunnu. agonist (uttejaka) gonadotropin-release hormon (jii. enn. aarr. echu) upayogikkunna androjan adhishtitha implaantukalum oru paridhivare, iyudukalum niravadhi gaarhika, videsha enangalilum upayogichittundu. implaant enthuthanneyaayaalum, implaant migrationo nashtamo undakanulla saadhyatha kuraykkunnathinu kurachu shradhikkanam.

