How to practise contraception under disease state?

How to practise contraception under disease state?
Often someone asks me privately: "Doctor Zhou, falling ill is not be sexual? " My answer is: "Vary with each individual, vary with condition, must do the work of practising contraception well. " Modern medical science thinks, in a situation that the body condition permits (namely under not aggravating the situation of the condition) ,Fall ill (not generally get on very well and point chronic disease) And then there can be appropriate sexual activities, therefore improve the quality of patient's life, and, the appropriate sexual love contribute to the recovery of the body among couple. To women of child-bearing age, suffering from chronic disease if has sexual lives, should consider practising contraception, because gestation is unfavorable to the aristogenesis, unfavorable to disease and recover in spite of illness, so, how to practise contraception during suffering from chronic disease? What kind of contraceptive device is chosen not to practise contraception safely as well as aggravate the condition? Please see my analysis: If getting hepatopathy, we know, the liver is the supersession organ of the human body, the function that detoxify. Contraceptive needs to pass the liver supersession again while contributing in the body, discharged outside the body by the kidney finally. When liver function is bad, using contraceptives will aggravate the liver burden, impel the condition to worsen, will also cause the liver to be poisoned. So, when liver function is bad, it is unsuitable to use contraceptives to practise contraception. Will make internal thrombinogen reduce when liver function is bad, the function obstacle of blood coagulation, therefore is easy to cause bleeding. It will cause menorrhagia or uterus to bleed to put the intrauterine device. So liver function bad women unsuitable to put the intrauterine device too. Should practise contraception with condom, contraceptive diaphragm and membrane of contraceptive for external use most while suffering from liver disease women. Suffer from hepatitis B, third liver, adopt the condom practise contraception, can avoid making the husband infect and have the hepatitis virus because of contact of the vaginal secretion. If it is a kind of chronic respiratory tract infectious disease to suffer from pulmonary tuberculosis and pulmonary tuberculosis. Suitable for pregnant the intersection of pulmonary tuberculosis and patient find unexpected to should make induced abortion within 6 weeks while being pregnant. Pulmonary tuberculosis needs to take and resist the drug therapy of tuberculosis for a long time, some antituberculotic such as rifampin, isonicotinyl hydrazine resists function, curative effect to weaken contraceptive, result in, practise contraception, fail, so should not law practise contraception with contraceptive. Suffer from woman's most suitable law of tuberculosis and practise contraception with condom, contraceptive diaphragm and contraceptive for external use,etc., do not have harmful effects to pulmonary tuberculosis. The pulmonary tuberculosis patient can also practise contraception with the intrauterine device, but the physique of the pulmonary tuberculosis patient is relatively bad, after the ring put if the vagina bleeds too many and should be taken out in time, so as not to influence treatment and recovery of pulmonary tuberculosis. If there is diabetic diabetes because insulin is relative or absolutely insufficient, cause candy supersession a disorderly a kind of endocrine and supersession disease, diabetic women will aggravate the condition, and apt to miscarry and influence the growth of the foetus behind being pregnant, foetus' odd-shaped incidence and mortality obviously increase. -Like say is it diabetic woman unsuitable to take by contraceptive, because can last tolerance against glucose contraceptive, impel the condition to worsen. Other, it is unsuitable to adopt the intrauterine device to practise contraception to suffer from diabetic women. Because diabetic patient relatively high blood glucose have, sour the intersection of alkalinity and increase, corrode the intrauterine device in the uterus organize, therefore the contraception result will be influenced. If there is heart disease that suffers from the women of different heart disease, if the heart function is relatively bad, can't be pregnant and bearing, so as not to aggravate the condition. First of all, heart disease patient unsuitable to use medicines to practise contraception, this is because can't contain estrogen in short, long-efficiency contraceptive in various degree, there is too much content of internal estrogen after using contraceptives, receive ion and moisture to discharge and reduce in the body, the blood capacity increases, aggravate the heart burden and even cause heart failure. Moreover, contraceptive can make the blood viscidity increase, apt to form the thrombus, it is disadvantageous to heart. If there is vaginitis, it is unsuitable to put the intrauterine device that neck inflammation of palace suffer from the intersection of vaginitis, palace neck and women of the inflammation, put ring in the course, perhaps will or bacterium at the cervix uteri bring into the uterus and cause membrane inflammation or pelvic inflammatory disease in the uterus in the vagina, have woman of pelvic inflammatory disease put behind the ring might make the condition aggravate ing originally. Vaginitis and palace the intersection of neck and inflammation patient too unsuitable to use contraceptive diaphragm practise contraception, because contraceptive diaphragm put in more than 8 hours under vagina after the each sexual intercourse, in this way, will influence the excretion of the vaginal secretion, may make inflammation become more serious. Contraceptive for external use has certain irritation, so unsuitable to use too. Can use fugitive or long-efficiency contraceptive while suffering from vaginitis women. The condom is very applicable too, because it can also prevent the germ in the vagina from passing to the other side. If the woman's discomfort that period quantity passes many menorrhagia uses the intrauterine device to practise contraception, usually presented period increasing or uterus to bleed after because the intrauterine device put, but, there is a kind of intrauterine device containing progestogen, can make period reduce, so can use this kind of intrauterine device. Too much women of period quantity had better take fugitive contraceptive for the 2nd, because it reduces the efficiency with oligemic period. In addition, can also select the contraceptive medicines and devices for external use not influencing period, such as condom, contraceptive diaphragm, membrane of contraceptive for external use,etc. for use. If suffer from epileptics and epileptics and is commonly called as " Epilepsy " ,Typical symptom of onset fall down suddenly and mouth foam at the mouth and cramp of limbs, consciousness lose, can return to normal by oneself several minutes later. Epileptics is divided into primary epileptics and then sending epileptics. Most physicians verify, the primary epilepsy patient's children, epileptics replies disease rate and is obviously higher than the normal crowd, so, suffer from to the primary epilepsy, especially the young woman who has obvious family's history, you had better not bear. Some resist the epileptics medicine such as benzene proper Great Britain sodium, attack Xian ketone and amide miaow piperazine etc. and resist function with contraceptive, accelerate the contraceptive supersession, weaken contraception function, it is apt to result in practising contraception and failing. So patient is taking the epilepsy for epileptics medicine period unsuitable to use contraceptives, can select other contraceptive devices for use according to the detailed conditions.

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