{"id":883,"date":"2015-09-03T12:22:50","date_gmt":"2015-09-03T12:22:50","guid":{"rendered":"http:\/\/www.sanatateafemeii.md\/?page_id=883"},"modified":"2017-05-18T13:12:46","modified_gmt":"2017-05-18T13:12:46","slug":"implantele","status":"publish","type":"page","link":"https:\/\/cidsr.mihaisiscanu.com\/ro\/implantele\/","title":{"rendered":"Implantele"},"content":{"rendered":"<strong>Ce sunt implantele?<img decoding=\"async\" class=\"alignright wp-image-979\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Impl-300x300.jpg\" alt=\"Impl\" width=\"250\" height=\"250\" srcset=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Impl-300x300.jpg 300w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Impl-150x150.jpg 150w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Impl.jpg 400w\" sizes=\"(max-width: 250px) 100vw, 250px\" \/><\/strong><\/p>\n<ul>\n<li>Capsule sau be\u0163e mici din plastic, fiecare de m\u0103rime similar\u0103 unui b\u0103\u0163 de chibrit, care elibereaz\u0103 un progestativ similar hormonului natural progesteron din corpul femeii.<\/li>\n<li>Un furnizor special instruit efectueaz\u0103 o procedur\u0103 chirurgical\u0103 minor\u0103 pentru a amplasa implantele sub pielea fe\u0163ei interne a p\u0103r\u0163ii superioare a bra\u0163ului.<\/li>\n<li>Nu con\u0163in estrogen, deci pot fi utilizate pe toat\u0103 durata al\u0103pt\u0103rii \u015fi de femeile care nu pot s\u0103 utilizeze metode cu estrogen.<\/li>\n<li>Exist\u0103 multe tipuri de implante:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; Jadelle: 2 be\u0163iga\u015fe, eficient timp de 5 ani<br \/>\n&#8211; Implanon: 1 be\u0163iga\u015f, eficient timp de 3 ani (sunt studii \u00een derulare pentru a vedea dac\u0103 eficien\u0163a dureaz\u0103 4 ani)<br \/>\n&#8211; Norplant: 6 capsule, cu indica\u0163ia de a fi utilizat timp de 5 ani (studii mari au ar\u0103tat c\u0103 este eficient timp de 7 ani)<br \/>\n&#8211; Sinoplant: 2 be\u0163iga\u015fe, eficient timp de 5 ani<\/p>\n<ul>\n<li>Ac\u0163ioneaz\u0103 \u00een principal prin:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; \u00cengro\u015farea mucusului cervical (astfel \u00eempiedic\u0103 \u00eent\u00e2lnirea spermatozoizilor cu ovulul)<br \/>\n&#8211; Interferarea cu ciclul menstrual, inclusiv prin prevenirea eliber\u0103rii ovulelor din ovare (a ovula\u0163iei).<\/p>\n<div id=\"accordion-2\" class=\"accordion no-js\" role=\"tablist\"><div class=\"accordion-item\"><h3 id=\"accordion-2-t1\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c1\" aria-selected=\"false\" aria-expanded=\"false\"><strong>C\u00e2t de eficiente sunt?<\/strong><\/h3><div id=\"accordion-2-c1\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t1\" aria-hidden=\"true\">\n<p><strong>Una din cele mai eficiente metode, cu durat\u0103 lung\u0103 de utilizare:<\/strong><\/p>\n<ul style=\"list-style-type: square;\">\n<li>Mai pu\u0163in de 1 sarcin\u0103 la 100 de femei \u00een timpul primului an de utilizare (5 la 10.000 de femei). Aceasta \u00eenseamn\u0103 c\u0103 9.995 din 10.000 de femei care utilizeaz\u0103 implante nu vor r\u0103m\u00e2ne \u00eens\u0103rcinate.<\/li>\n<li>Dup\u0103 primul an de utilizare persist\u0103 un risc mic de sarcin\u0103, care se men\u0163ine pe toat\u0103 durata utiliz\u0103rii implantelor de c\u0103tre femeie.<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; Mai mult de 5 ani de utilizare a Jadelle: Aproximativ 1 sarcin\u0103 la 100 de femei<br \/>\n&#8211; Mai mult de 3 ani de utilizare a Implanon: Mai pu\u0163in de 1 sarcin\u0103 la 100 de femei (1 la 000 de femei)<br \/>\n&#8211; Mai mult de 7 ani de utilizare a Norplant: Aproximativ 2 sarcini la 100 de femei<\/p>\n<ul style=\"list-style-type: square;\">\n<li>Eficien\u0163a implantelor Jadelle \u015fi Norplant \u00eencepe s\u0103 scad\u0103 mai repede \u00een cazul femeilor care au o greutate mai mare:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; La femei cu greutate de 80 kg sau mai mult, Jadelle \u015fi Norplant devin mai pu\u0163in eficiente dup\u0103 4 ani de utilizare<br \/>\n&#8211; La femei cu greutate de 70-79 kg, Norplant devine mai pu\u0163in eficient dup\u0103 5 ani de utilizare<br \/>\n&#8211; Aceste utilizatoare pot dori s\u0103 \u00eenlocuiasc\u0103 implantele mai repede .<\/p>\n<p><strong>Revenirea fertilit\u0103\u0163ii dup\u0103 extragerea implantelor:<\/strong> Imediat\u0103<br \/>\n<strong>Protec\u0163ia \u00eempotriva infec\u0163iilor cu transmitere sexual\u0103 (ITS):<\/strong> Nu protejeaz\u0103<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t2\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c2\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Efecte secundare, beneficii \u015fi riscuri pentru s\u0103n\u0103tate<\/strong><\/h3><div id=\"accordion-2-c2\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t2\" aria-hidden=\"true\">\n<p><strong>Efecte secundare<\/strong><\/p>\n<p>Unele utilizatoare raporteaz\u0103 urm\u0103toarele:<\/p>\n<ul style=\"list-style-type: square;\">\n<li>Modific\u0103ri ale caracterelor s\u00e2nger\u0103rii vaginale, ce includ:<\/li>\n<\/ul>\n<p><strong>\u00cen primele c\u00e2teva luni:<\/strong><\/p>\n<p>&#8211; S\u00e2nger\u0103ri mai reduse cantitativ \u015fi mai pu\u0163ine zile de s\u00e2ngerare<br \/>\n&#8211; S\u00e2nger\u0103ri neregulate cu durat\u0103 mai lung\u0103 de 8 zile<br \/>\n&#8211; S\u00e2nger\u0103ri mai rare<br \/>\n&#8211; Lipsa s\u00e2nger\u0103rii lunare<\/p>\n<p><strong>Dup\u0103 aproximativ un an:<\/strong><\/p>\n<ul>\n<li>S\u00e2nger\u0103ri mai reduse cantitativ\u00a0\u015fi mai pu\u0163ine zile de s\u00e2ngerare<\/li>\n<li>S\u00e2nger\u0103ri neregulate<\/li>\n<li>S\u00e2nger\u0103ri mai rare<\/li>\n<\/ul>\n<p>Utilizatoarele de Implanon au o probabilitate mai mare de a avea s\u00e2nger\u0103ri mai rare sau lipsa s\u00e2nger\u0103rii lunare dec\u00e2t s\u00e2nger\u0103ri neregulate cu durat\u0103 mai lung\u0103 de 8 zile.<\/p>\n<ul style=\"list-style-type: square;\">\n<li>Cefalee<\/li>\n<li>Dureri abdominale<\/li>\n<li>Acnee (se poate ameliora sau agrava)<\/li>\n<li>Modificarea greut\u0103\u0163ii<\/li>\n<li>Durere \u00een s\u00e2ni<\/li>\n<li>Ame\u0163eli<\/li>\n<li>Modific\u0103ri ale dispozi\u0163iei generale<\/li>\n<li>Gre\u0163uri<\/li>\n<\/ul>\n<p>Alte posibile modific\u0103ri fizice:\u00a0foliculi ovarieni de dimensiuni mai mari.<\/p>\n<p><strong><em>Beneficii pentru s\u0103n\u0103tate<\/em><\/strong><\/p>\n<p>Ajut\u0103 la protec\u0163ia \u00eempotriva:<\/p>\n<ul style=\"list-style-type: square;\">\n<li>Riscurilor asociate sarcinii<\/li>\n<li>Bolii inflamatorii pelvine\u00a0simptomatice<\/li>\n<\/ul>\n<p>Poate ajuta la protec\u0163ia \u00eempotriva:\u00a0anemiei prin deficit de fier.<\/p>\n<p><strong><em>Riscuri pentru s\u0103n\u0103tate: <\/em><\/strong>Niciunul.<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t3\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c3\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Cine poate \u015fi cine nu poate utiliza implantele<\/strong><\/h3><div id=\"accordion-2-c3\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t3\" aria-hidden=\"true\">\n<p>Cele mai multe femei pot utiliza implante \u00een siguran\u0163\u0103 \u015fi eficient, inclusiv femeile care:<\/p>\n<ul style=\"list-style-type: square;\">\n<li>Au n\u0103scut sau nu au n\u0103scut<\/li>\n<li>Nu sunt c\u0103s\u0103torite<strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/strong><\/li>\n<li>\u00a0Au orice v\u00e2rst\u0103, inclusiv adolescente \u015fi femei peste 40 de ani<\/li>\n<li>\u00a0Tocmai au avut un avort la cerere, avort spontan sau sarcin\u0103 ectopic\u0103 l Fumeaz\u0103, indiferent de v\u00e2rsta femeii sau de num\u0103rul de \u0163ig\u0103ri fumate l Al\u0103pteaz\u0103 (utilizarea \u00eencepe cel mai devreme la 6 s\u0103pt\u0103m\u00e2ni dup\u0103<\/li>\n<li>na\u015ftere)<\/li>\n<li>Au anemie \u00een prezent sau au avut anemie \u00een trecut<\/li>\n<li>Au vene varicoase<\/li>\n<li>Sunt infectate cu HIV, indiferent dac\u0103 utilizeaz\u0103 sau nu terapie antiretroviral\u0103<\/li>\n<\/ul>\n<p>Femeile pot \u00eencepe utilizarea implantelor:<\/p>\n<ul style=\"list-style-type: square;\">\n<li>F\u0103r\u0103 examinare ginecologic\u0103<\/li>\n<li>F\u0103r\u0103 teste din s\u00e2nge sau alte teste de laborator efectuate de rutin\u0103<\/li>\n<li>F\u0103r\u0103 screening pentru cancerul de col uterin<\/li>\n<li>F\u0103r\u0103 examinarea s\u00e2nilor<\/li>\n<li>Chiar dac\u0103 femeia nu este \u00een timpul menstrua\u0163iei, dac\u0103 se \u015ftie cu un grad rezonabil de certitudine c\u0103 ea nu este \u00eens\u0103rcinat\u0103.<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t4\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c4\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Corectarea miturilor<\/strong><\/h3><div id=\"accordion-2-c4\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t4\" aria-hidden=\"true\">\n<p>Implantele:<\/p>\n<ul>\n<li>Ac\u0163iunea lor \u00eenceteaz\u0103 dup\u0103 ce sunt extrase. Hormonii din implante nu r\u0103m\u00e2n \u00een corpul femeii.<\/li>\n<li>Pot cauza lipsa s\u00e2nger\u0103rii vaginale lunare, dar asta nu d\u0103uneaz\u0103. Este similar cu lipsa menstrua\u0163iei din timpul sarcinii. S\u00e2ngele nu se acumuleaz\u0103 \u00een interiorul corpului femeii.<\/li>\n<li>Nu produc infertilitate.<\/li>\n<li>Nu migreaz\u0103 spre alte p\u0103r\u0163i ale corpului.<\/li>\n<li>Scad substan\u0163ial riscul de sarcin\u0103 ectopic\u0103.<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t5\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c5\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Managementul problemelor<\/strong><\/h3><div id=\"accordion-2-c5\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t5\" aria-hidden=\"true\">\n<strong>Probleme raportate drept efecte secundare sau complica\u021bii<\/strong>:<\/p>\n<ul>\n<li>S\u00e2nger\u0103ri vaginale neregulate (s\u00e2nger\u0103ri nea\u015fteptate care deranjeaz\u0103\u00a0\u00a0\u00a0 clienta)<\/li>\n<li>Lipsa s\u00e2nger\u0103rii vaginale lunare<\/li>\n<li>S\u00e2nger\u0103ri vaginale abundente sau prelungite (de dou\u0103 ori mai abundente dec\u00e2t de obicei sau mai lungi de 8 zile)<\/li>\n<li>Cefalee obi\u015fnuit\u0103 (nemigrenoas\u0103)<\/li>\n<li>Dureri abdominale de mic\u0103 intensitate<\/li>\n<li>Acnee<\/li>\n<li>Modificarea \u00a0greut\u0103\u0163ii<\/li>\n<li>Dureri \u00een s\u00e2ni<\/li>\n<li>Modific\u0103ri ale dispozi\u0163iei generale sau modific\u0103ri ale libidoului<\/li>\n<li>Gre\u0163uri sau ame\u0163eli<\/li>\n<li>Durere dup\u0103 inser\u0163ie sau extragere<\/li>\n<li>Infec\u0163ie la locul inser\u0163iei (ro\u015fea\u0163\u0103, c\u0103ldur\u0103 local\u0103, durere, puroi)<\/li>\n<li>Abces (colec\u0163ie de puroi sub piele, datorit\u0103 infec\u0163iei)<\/li>\n<li>Expulzie (c\u00e2nd unul sau mai multe implante \u00eencep s\u0103 ias\u0103 de sub pielea bra\u0163ului)<\/li>\n<li>Dureri severe \u00een zona inferioar\u0103 a abdomenului (suspiciune de sarcin\u0103 ectopic\u0103 sau foliculi ovarieni de dimensiuni mari sau \u00a0chisturi)<\/li>\n<\/ul>\n<p><strong>Probleme noi care pot necesita schimbarea metodei<\/strong><\/p>\n<ul>\n<li>S\u00e2ngerare vaginal\u0103 neexplicat\u0103 (care sugereaz\u0103 o afec\u0163iune medical\u0103 f\u0103r\u0103 leg\u0103tur\u0103 cu metoda)<\/li>\n<li>Cefalee migrenoas\u0103<\/li>\n<li>Anumite afec\u0163iuni medicale grave (suspiciune de cheaguri de s\u00e2nge \u00een venele profunde ale membrelor inferioare sau pl\u0103m\u00e2ni, afec\u0163iune hepatic\u0103 grav\u0103 sau cancer de s\u00e2n).<\/li>\n<li>Boal\u0103 cardiac\u0103 cauzat\u0103 de artere blocate sau \u00eengustate\u00a0(boal\u0103 cardiac\u0103 ischemic\u0103) sau accident vascular cerebral<\/li>\n<li>Suspiciune de sarcin\u0103<\/li>\n<\/ul>\n<p><strong>\u00cen caz de apari\u021bie a unor probleme din cele listate mai sus, adresa\u021bi-v\u0103 la medic.<\/strong><\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t6\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c6\" aria-selected=\"false\" aria-expanded=\"false\"><strong>\u00centreb\u0103ri \u015fi r\u0103spunsuri despre implante<\/strong><\/h3><div id=\"accordion-2-c6\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t6\" aria-hidden=\"true\">\n<p><strong>1. Sunt necesare vizite de urm\u0103rire \u00een cazul utilizatoare- lor de implante?<\/strong><br \/>\nNu. \u00cen cazul utilizatoarelor de implante nu sunt necesare vizite de urm\u0103rire periodice, de rutin\u0103. Vizitele anuale de urm\u0103rire pot fi folositoare din punctul de vedere al asisten\u0163ei medicale preventive, dar ele nu sunt o cerin\u0163\u0103 absolut\u0103. Desigur, femeile sunt bine-venite s\u0103 revin\u0103 oric\u00e2nd au \u00eentreb\u0103ri.<\/p>\n<p><strong>2. Pot fi l\u0103sate implantele permanent \u00een bra\u0163ul femeii?<\/strong><br \/>\n\u00cen general nu se recomand\u0103 p\u0103strarea implantelor mai mult timp dec\u00e2t durata recomandat\u0103 de utilizare eficient\u0103, dac\u0103 femeia continu\u0103 s\u0103 fie la risc de sarcin\u0103. Implantele ca atare nu sunt primejdioase, dar pe m\u0103sur\u0103 ce scad nivelele de hormoni din implante, ele devin din ce \u00een ce mai pu\u0163in eficiente.<\/p>\n<p><strong>3. Implantele cauzeaz\u0103 cancer?<\/strong><br \/>\nNu. Studiile nu au ar\u0103tat risc mai crescut pentru niciun fel de cancer la utilizatoarele de implante.<\/p>\n<p><strong>4. C\u00e2t timp dureaz\u0103 ca femeia s\u0103 r\u0103m\u00e2n\u0103 \u00eens\u0103rcinat\u0103 dup\u0103 extragerea implantelor?<\/strong><br \/>\nFemeile care opresc utilizarea implantelor pot r\u0103m\u00e2ne \u00eens\u0103rcinate la fel de repede ca \u015fi femeile care opresc metode nehormonale.\u00a0Implantele nu \u00eent\u00e2rzie revenirea fertilit\u0103\u0163ii femeii dup\u0103 extragerea lor.\u00a0Dup\u0103 extragerea implantelor, \u00een general, femeia va avea s\u00e2nger\u0103ri\u00a0menstruale similare celor avute \u00eenainte de utilizarea implantelor. La\u00a0unele femei, s\u00e2nger\u0103rile vaginale obi\u015fnuite pot s\u0103 revin\u0103 doar dup\u0103\u00a0c\u00e2teva luni.<\/p>\n<p><strong>5. Implantele produc anomalii congenitale? Va d\u0103una f\u0103tului faptul c\u0103 femeia r\u0103m\u00e2ne accidental gravid\u0103 \u00een timpul utiliz\u0103rii implantelor?<\/strong><br \/>\nNu. Conform unor dovezi clare, implantele nu vor cauza anomalii congenitale \u015fi nu vor d\u0103una f\u0103tului dac\u0103 femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een timp ce utilizeaz\u0103 implante sau dac\u0103, \u00een mod accidental, i se inser\u0103 implantele atunci c\u00e2nd este deja \u00eens\u0103rcinat\u0103.<\/p>\n<p><strong>6. Pot implantele s\u0103 migreze \u00een corpul femeii sau s\u0103 ias\u0103 de sub pielea bra\u0163ului?<\/strong><br \/>\nImplantele nu migreaz\u0103 \u00een alte zone ale corpului femeii. Implantele r\u0103m\u00e2n acolo unde au fost inserate, p\u00e2n\u0103 sunt extrase. Rareori, un be\u0163iga\u015f poate \u00eencepe s\u0103 ias\u0103 de sub piele, cel mai adesea \u00een primele 4 luni dup\u0103 inser\u0163ie. De obicei, aceasta se \u00eent\u00e2mpl\u0103 pentru c\u0103 nu au fost bine inserate sau din cauza unei infec\u0163ii ap\u0103rute la locul inser\u0163iei. \u00cen aceste cazuri, femeia va vedea implantele ie\u015find de sub piele. Unele femei pot prezenta o modificare brusc\u0103 a caracterelor s\u00e2nger\u0103rii vaginale. Dac\u0103 femeia observ\u0103 un be\u0163iga\u015f ie\u015find de sub piele, ea trebuie s\u0103 \u00eenceap\u0103 s\u0103 utilizeze o metod\u0103 suplimentar\u0103 \u015fi s\u0103 revin\u0103 imediat la cabinet.<\/p>\n<p><strong>7. Cresc implantele riscul de sarcin\u0103 ectopic\u0103?<\/strong><br \/>\nNu. Dimpotriv\u0103, implantele reduc substan\u0163ial riscul de sarcin\u0103 ectopic\u0103. Sarcinile ectopice apar foarte rar \u00een r\u00e2ndul utilizatoarelor de implante. Rata sarcinilor ectopice la femeile care utilizeaz\u0103 implante este de 6 la 100.000 de femei \u00eentr-un an de zile. Rata sarcinilor ectopice la femeile din Statele Unite care nu utilizeaz\u0103 nicio metod\u0103 contraceptiv\u0103 este de 650 la 100.000 de femei \u00eentr-un an de zile.\u00a0\u00cen foarte rarele cazuri de e\u015fec al implantelor \u015fi de apari\u0163ie a sarcinii, un num\u0103r de 10 p\u00e2n\u0103 la 17 din 100 de astfel de sarcini sunt ectopice. Astfel, marea majoritate a sarcinilor care apar \u00een caz de e\u015fec al implantelor nu sunt ectopice. Totu\u015fi, sarcina ectopic\u0103 prezint\u0103 risc vital \u015fi, de aceea, furnizorul trebuie s\u0103 fie con\u015ftient de faptul c\u0103 sarcina ectopic\u0103 este posibil\u0103 \u00een caz de e\u015fec al implantelor.<\/p>\n<p><strong>8. Pot implantele cauza femeilor modific\u0103ri ale dispozi\u0163iei generale sau ale libidoului?<\/strong><br \/>\n\u00cen general, nu. Unele femei care utilizeaz\u0103 implante relateaz\u0103 aceste tulbur\u0103ri. Totu\u015fi, marea majoritate a utilizatoarelor de implante\u00a0nu relateaz\u0103 acest tip de modific\u0103ri \u015fi unele relateaz\u0103 ameliorarea at\u00e2t a dispozi\u0163iei generale c\u00e2t \u015fi a libidoului. Este dificil de apreciat dac\u0103 asemenea modific\u0103ri sunt datorate implantelor sau altor cauze. Nu exist\u0103 dovezi privind modificarea de c\u0103tre implante a comportamentului sexual al femeilor.<\/p>\n<p><strong>9. Femeile grase ar trebui s\u0103 evite utilizarea implantelor?<\/strong><br \/>\nNu. Totu\u015fi, aceste femei trebuie s\u0103 \u015ftie c\u0103 implantele lor Jadelle\u00a0sau Norplant trebuie s\u0103 fie \u00eenlocuite mai repede, pentru men\u0163inerea unui nivel \u00eenalt de protec\u0163ie \u00eempotriva sarcinii. \u00cen studiile privind implantele Norplant rata sarcinilor la femei cu greutate \u00eentre 70-79 de kg a fost de 2 la 100 de femei, \u00een cel de-al \u015faselea an de utilizare. La aceste femei, implantele trebuie \u00eenlocuite dup\u0103 5 ani, dac\u0103 asta doresc ele. La femeile care au utilizat implante Norplant sau Jadelle \u015fi care aveau greutatea de 80 de kg sau mai mult, rata sarcinilor\u00a0a fost de 6 la 100 de femei \u00een cel de-al cincilea an de utilizare. La aceste femei, implantele trebuie \u00eenlocuite dup\u0103 4 ani. Studiile privind Implanon nu au ar\u0103tat c\u0103 greutatea ar descre\u015fte eficien\u0163a pe durata de utilizare aprobat\u0103 pentru acest tip de implant.<\/p>\n<p><strong>10. Ce trebuie f\u0103cut dac\u0103 o utilizatoare de implante prezint\u0103 un chist ovarian?<\/strong><br \/>\nMarea majoritate a chisturilor nu sunt chisturi adev\u0103rate, fiind de fapt forma\u0163iuni cu con\u0163inut lichidian (foliculi) localizate \u00een ovare, care continu\u0103 s\u0103 creasc\u0103 \u00een dimensiuni mai mult dec\u00e2t este obi\u015fnuit \u00eentr-un ciclu menstrual normal. Acestea pot cauza unele dureri abdominale u\u015foare, dar necesit\u0103 tratament doar \u00een caz de cre\u015ftere la dimensiuni anormal de mari, torsiune sau eclatare. De obicei, ace\u015fti foliculi dispar f\u0103r\u0103 tratament.<\/p>\n<p><strong>11. C\u00e2nd nu vor mai fi implantele Norplant disponibile?<\/strong><br \/>\nFirma produc\u0103toare inten\u0163ioneaz\u0103 s\u0103 fabrice implante Norplant p\u00e2n\u0103 \u00een anul 2011 \u015fi dore\u015fte s\u0103 \u00eenlocuiasc\u0103 Norplant cu un produs mai nou, Jadelle. Implantele Jadelle sunt similare cu Norplant. Jadelle se inser\u0103 \u015fi se extrage mai u\u015for \u015fi mai rapid deoarece are doar 2 be\u0163iga\u015fe, spre deosebire de cele 6 capsule ale Norplant. Un studiu a ar\u0103tat c\u0103 furnizorii pot trece cu u\u015furin\u0163\u0103 de la furnizarea Norplant la furnizarea Jadelle. Ei au preferat u\u015furin\u0163a mai mare a inser\u0163iei \u015fi extragerii Jadelle.<\/p>\n<p><strong>12. Femeia se poate \u00eentoarce repede la munc\u0103 dup\u0103 ce \u00eei sunt inserate implantele?<\/strong><br \/>\nDa, ea poate s\u0103 \u00ee\u015fi desf\u0103\u015foare activit\u0103\u0163ile obi\u015fnuite imediat dup\u0103 ce pleac\u0103 din cabinet, cu condi\u0163ia s\u0103 nu loveasc\u0103 \u015fi s\u0103 nu ude locul de inser\u0163ie.<\/p>\n<p><strong>13. Este necesar\u0103 examinarea ginecologic\u0103 \u00eenainte ca femeii s\u0103 i se insere implantele?<\/strong><br \/>\nNu. \u00cen schimb, punerea \u00eentreb\u0103rilor potrivite poate ajuta furnizorul s\u0103 \u015ftie cu un grad rezonabil de certitudine c\u0103 femeia nu este \u00eens\u0103rcinat\u0103. Nicio afec\u0163iune care ar putea fi depistat\u0103 prin examinare ginecologic\u0103 nu exclude utilizarea implantelor.<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t7\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c7\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Unde va adresa\u021bi<\/strong><\/h3><div id=\"accordion-2-c7\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t7\" aria-hidden=\"true\">\n<p>Pentru o consulta\u021bie \u00een planificarea familial\u0103:<\/p>\n<ul>\n<li>Adresa\u021bi-v\u0103 medicului de familie din cadrul institu\u021biei medicale din raionul Dvs de re\u0219edin\u021b\u0103 (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>). ATEN\u021aIE: daca apar\u021bine\u021bi unuia din grupurile social-vulnerabile (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>) pute\u021bi beneficia de contraceptive gratuite!<\/li>\n<li>Adresa\u021bi-v\u0103 la <a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Centrele de S\u0103n\u0103tate Prietenoase Tinerilor<\/a><\/li>\n<li>Telefona\u021bi la Linia Fierbinte a CIDSR (apel gratuit \u0219i confiden\u021bial) &#8211; 0800-088-08<\/li>\n<li>Telefona\u021bi la CIDSR &#8211; 022355072 \/ 060903782 \/ 078306973<\/li>\n<li>Scrie\u021bi la adresa de e-mail CIDSR &#8211;<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/cidsr.mihaisiscanu.com\/planificarea-familiala\"><img decoding=\"async\" class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>Ce sunt implantele? Capsule sau be\u0163e mici din plastic, fiecare de m\u0103rime similar\u0103 unui b\u0103\u0163 <a class=\"read-more\" href=\"https:\/\/cidsr.mihaisiscanu.com\/ro\/implantele\/\">more>><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-planificarea-single.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/883"}],"collection":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/comments?post=883"}],"version-history":[{"count":13,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/883\/revisions"}],"predecessor-version":[{"id":3196,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/883\/revisions\/3196"}],"wp:attachment":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/media?parent=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}