49計劃生育.ppt

　计划生育;概述;计划生育;避孕是指采用科学的方法，使妇女暂时不受孕。 ;一、药物避孕;药物避孕原理及适应症;禁忌证;副反应及处理;种类;复方短效口服避孕药;长效口服避孕药;长效避孕针;较大剂量孕激素制剂，针对子宫内膜、排 卵、宫颈黏液抑制作用 如炔诺酮、甲地孕酮、炔诺孕酮、53号探亲避孕片，探亲当日服用，每日一次，至探亲结束，始末服药加服倍量 ;一次性给药在体内通过持续、恒定、微量释放甾体激素，达到长期避孕 皮下埋置剂 缓释阴道避孕环 微球或微囊避孕针 避孕贴片 ;;;外用避孕药;二、宫内节育器避孕;(一)?? 种类;国内常用的宫内节育器;母体乐;达尔康盾型IUD;浙江—铜T型;可塑性铜套节育器（吉妮环）;含孕激素T形IUD （曼月乐）;T型圈;拉加环;机械作用 前列腺素作用 吞噬细胞的作用 炎性细胞的作用 活性物质作用 免疫作用;(四）禁忌证;（五）放置时间;放置方法;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;放置节育器的副反应、并发症及处理;IUD断裂;IUD断裂;IUD套肌瘤;IUD嵌顿;IUD取出术;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;三、避孕套避孕;四、安全期避孕;五、紧急避孕;紧急避孕原理;服用紧急避孕药副反应及处理;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;第二节 输卵管绝育术;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;术后并发症;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;第三节 人工流产;人工流产种类;药物性流产;作用机理： 米非司酮：抗早孕作用，使妊娠的蜕膜、绒毛组织变性，使胚囊坏死而发生流产，使内源性前列腺素释放，促进子宫收缩及宫颈软化。 前列腺素：抗孕激素和抗雌激素作用，加强子宫平滑腺收缩。使子宫血流量减少，破坏胚泡组织。;抗孕酮对蜕膜的支持作用;用药方法： 1）用药前准备：讲清方法、疗效、副反应排除禁忌 2）用药方法： 米非+卡孕栓：米非司酮150mg分2-3日口服