Drug "Divigel" nokuda kukura endometrium: wongororo vanachiremba uye varwere, kuti dose

dambudziko hadzi kushaya mbereko mazuvano rakanyatsojeka chakasimba. Zvikonzero zvingava zvakasiyana - kubva siyana anogumbura zvirwere sikarudzi, uye matambudziko ari kwemakemikari anobudiswa mumuviri. Chimwe rakajairika zvikonzero - icho kukwana uwandu hadzi inonzi estrogen. Chavainyanya basa - kugadzira marongera pamusoro dumbu yomukati kuitwa zai.

Kubvisa chinetso ichi, vakadzi vanachiremba akarayira mishonga ine akati kemikari. Mumwe zvinodhaka izvi ndizvo "Divigel" nokuda kukura endometrium, varwere zvakanaka wongororo nezvazvo, uye vakadzi vazhinji pamuviri zvakanaka.

mushonga

"Divigel" kugadzirwa nevanhu vanogadzira ari muchimiro transdermal gel inotarisira kubvisa zviratidzo chokusava inonzi estrogen. Zviri yunifomu sezvamunoita uye mumapepa ari aruminiyamu muhomwe.

In kwayo sezvamunoita ane gel:

• Estradiol mune mari 500 MG kana 1 g
• Carbomer 974P.
• Triethanolamine.
• Propylene glycol.
• 96% ethyl doro.
• Yakanatswa mvura.

The pharmacological zviito zvinodhaka

"Divigel" rinoreva boka zvinodhaka izvo inoshandiswa nokururamiswa zvirwere zvinokonzerwa kubereka ari mukadzi muupenyu. Rine estrogenic basa.

The kuchirapa zvazviri kunoitwa pashure chikumbiro kuti basa estradiol. Izvi estrogenic mumiririri kuti rine "Divigel" nokuda kukura endometrium, zvayo zvoutachiona, zvemakemikari uye pharmacological zvivako akafanana kune endogenous estradiol, synthesized nokuda ovaries ari munhukadzi muviri.

Kana ukatarira panguva kupatsanura mishonga, iyo estradiol zvinosanganisira mapoka pharmacological akawanda:

1. Estrogens, progestins, homologues dzavo uye mhandu.
2. Antineoplastic hormone uye kemikari mhandu.

The rinoita chinodhaka fuma anozadza kushaya hadzi hormone inonzi estrogen Kanotokonya uye kunomutsa basa riri chipfuro mumasero.

Pharmacokinetics

Estradiol huri gel nenzira diffusion chinopinda pachena kunyika chipfuro masero, apo zvifambiswe kuti musimboti nokuumba ukama chete inonzi estrogen receptors. receptors izvi zvinowanika munyama siyana. Asi vakawanda vavo anowanikwa dumbu, chiropa, ovaries, mapfupa uye namazamu.

The kushingaira chezvinonhuwira gel - 17-Beta-estradiol - ane zvinotevera migumisiro:

• Kunomutsa kukura munhukadzi dzokubereka nadzo.
• Kunoita pigmentation ari munyatso.
• Inopa kuramba endometrium iyo mitsetse muchibereko chemusikana.

• Rinotibatsira dzose kumwedzi.
• It Anodzivisawo kugadzirwa mukaka.
• Rine procoagulant migumisiro.
• Chokwadi kunokanganisa kudzorerwa uwandu ropa masero machena pashure kukuvara nemwaranzi.

In estradiol vachiri vazhinji zvinokosha unhu, izvo zvinosanganisira:

• Kudzivirira atherosclerosis.
• Kuwedzera ropa kwevari HDL.
• Kuderedza LDL zviratidzo.
• Kuderedza uwandu remafuta akawandisa.

Pashure kubereka mune mukadzi ovaries kusiya estradiol, basa iri inoramba iri chiropa uye adipose tishu. Akaderedza inonzi estrogen yomuropa kunotungamirira kuti pane vasomotor kusagadzikana richiratidzwa Flushing, hope matambudziko.

Chimwe akaipa mugumisiro kushaya inonzi estrogen ndiko kukura osteoporosis. zvirwere izvi metabolic rinoburitsa chikuru kuti nomuzongoza.

Kana kugamuchira estradiol nomuromo muchimiro mapiritsi, majekiseni ane zvishoma nezvishoma kuunganidza fuma mumuviri, zvinoita kuti chinokosha BP kusvetuka. "Divigel" nokuda kukura endometrium wongororo iyi zvakanaka, murwere ukuwo achitora hapana nehanya neBP.

Gel yakaitwa pachishandiswa doro, asi pashure kuonana ganda, panyaya iyi runopwa nokukurumidza, uye kushingaira fuma chinopinda chifukidziro uye wefodya unopinda muropa. A shoma estradiol iri kunonoka paganda, uye ipapo zvishoma nezvishoma asunungurwa kupinda muropa.

Munguva yawapiwa "Divigel" reshiyo pakati estrone uye estradiol anobva 0,4 kusvika 0,7. The bioavailability zvinodhaka - 82%. Treatment efficacy kuchaenderana zvakananga pamusoro sei kushandisa "Divigel" nokuda endometrial kukura.

umboo

Gel, vanachiremba vanoti kutora sezvo hormone yokutsiva kurapa vakadzi vakambova kusava inonzi estrogen nokuda kwezvikonzero zvakasiyana-siyana. The mushonga inowanzonzi ushandiswe kubvisa climacteric syndrome.

Gel vaudzewo pacharo kuzvidzivirira nechiyero, kudzivirira osteoporosis. Positive inofambiswa ndiye "Divigel" nokuti endometrial kukura pamwe IVF somunhu gadziriro kuti anoramba hwandaiva pamuviri.

The mushonga chinotarisirwa mu munhu chipimo chemushonga iyo anosarudzwa pachishandiswa kupinda chiremba repakiriniki apo muitiro akanga akatakurwa kunze muchangosangana. Kuushandisa nani pane vaviri mavhiki pamuviri uye kuramba zvadaro kwerinenge mwedzi.

Pashure pamuviri kugumiswa chikumbiro haigoni kuitwa pakarepo, sezvo iyi, pane mukana vaingoerekana pamuviri.

Kana basa "Divigel" nokuda endometrial kukura, kuti chipimo chemushonga anosarudzwa neimwe nyaya yoga. Panguva pamuviri ekuronga chiremba anofanira nechokwadi kuti une hypoplastic endometrium kuti kukurudzira ovulation Zvakakunakirai kushandisa gel kubatanidzwa nemamwe zvinodhaka hormone. Muchiitiko chimwe nechimwe, mishonga zvaiitwa achasiyana.

Contraindications

Asati yokuzvifungidzira panze sei kutora "Divigel" nokuda kukura endometrium, unofanira kuva nechokwadi chokuti hapana contraindications izvi, uye vane yakakwana chitsama zvinodhaka. Pakati pavo, kazhinji ndedzinotevera:

1. Hypersensitivity kuna zvinoriumba.
2. Kuvapo kenza yemazamu, kana yave munhau.
3. Nyanyisa mapundu ari ovaries, muchibereko chemusikana.
4. Kuvapo benign anomera munzvimbo sikarudzi ari pachipfuva.
5. Kubatwa kuti uterine ropa.
6. Endometrial hyperplasia isiri yekenza.
7. Pituitary anomera.
8. Anogumbura zvirwere nhengo dzokubereka nadzo.
9. Inosimudzira inonzi estrogen kugutsikana.
10. Thrombophlebitis.
11. Kuvapo namamota vari chiropa.
12. Zviratidzo chepfungwa kutenderera.
13. Jeko muchitokisi kupererwa neropa.
14. Kutyora mafuta muviri.
15. Diabetes mellitus.
16. Zvirwere yapakati nzeve.

Kunyanya Yambiro apo kushandisa gel inofanira kuchengetwa vakadzi vaicherechedza:

• Árbol asima.
• Migraine Kurwisa.
• CheBP.
• Cardiac, renal kana hepatic kukundikana.
• Heart chirwere.
• Tsika edema.
• Fibrocystic zamu chirwere.

Kuva zvose contraindications izvi uye nyevero inoratidza kuti asati achibvunza mubvunzo sei vaname "Divigel" nokuda kukura endometrium, zviri madikanwa kushanyira nyanzvi, uye pamwe naye nyaya yacho.

sequela pasingadiwi

muviri wese yakasiyana yazvo nenzira anoona nemadhiragi, saka kunyange kusavapo contraindications pakushandisa hakurevi kuti hauna chinhu nemishonga. Panguva kurapwa, vangava gel zvinotevera:

1. Kubva tsinga: nemusoro, dzungu, nezvipusha, migraine, kuora mwoyo.
2. On chikamu mwoyo uye ropa midziyo: thrombosis uye kuwedzera kwakuri BP.
3. The zvomudumbu Hurongwa anogona kudavira kuda kurutsa, kurutsa, dumbu marwadzo, flatulence.
4. On chikamu dzokubereka nadzo anogona kuitika: kusangana nekutsi kwemukadzi ropa, kuramba kubuda, endometrial kuwanda, kuchinja libido, uterine kenza muviri.
5. The kwemakemikari anobudiswa Hurongwa anogona kuratidza zvinotevera zviratidzo: kuti chidzoke yokufutisa, zamu engorgement.

With kushandiswa kwenguva yakareba gel Urume kuwanda kunogona kuitika mumuviri, zvichitungamirira edema. Yandakapiwa mushonga unoshandiswa topically, sema rashes, kuvaviwa kuonekwe paganda.

Vamwe varwere vanoshandisa "Divigel" nokuda kukura endometrium, siya kunaka inofambiswa nokuda kakawanda kuratidzwa nemishonga yakadai madzerere uye simba kusangana nekutsi kwemukadzi candidiasis.

Kuti tidzivise chero migumisiro vasingadiwi, kushandisa zvinodhaka anofanira zvachose ushandiswe nachiremba.

Sei kutora "Divigel" nokuda kukura endometrium

The mushonga chete tolerability zvakanaka uye kusavapo contraindications zvinogona kushandiswa kurapa-refu. Panguva kutanga kwekupwanyiwa kurapwa, asi uwandu husingakuvadzi ndiyo 1 g gel. Pamapoka anoverengeka, nokugadzirisa mufananidzo, murwere, kuti chipimo chemushonga anogona ngazviwedzerwe kana shoma.

Zvakakosha kuwana kubva chiremba kwete chete apo vaname "Divigel" nokuda kukura endometrium, asi zuva ripi kumwedzi zvakafanira kutanga kuita.

Maererano mashoko, gel anofanira kutevedzerwa kuchenesa ganda iri dzakaderera mudumbu, muchiuno, mapendekete, maoko kana magaro. Kuita izvozvo chinodiwa pane imwe chete nguva rimwe zuva, nzvimbo chikumbiro anofanira alternated.

Chinonyanya Zvakanyanya Kunaka Panguva Yepamuviri nzvimbo nokuda chikumbiro vaiona saizi 1-2 zvanza. Location kugadzira hazvibviri kweawa pashure kushandiswa gel kushambidzwa.

Kana mukadzi akanganwa kushandisa gel, ipapo zvinofanira kuitwa pasina paya pane maawa 12 pashure pokushandisa purogiramu zvinodhaka. Kana rave yakareba, zvinokosha kumbomira kusvikira nguva inotevera.

Kana dose iri kupfuura

Vanhu vakawanda vanodavira kuti kana ukawana mishonga muzvinhu mishonga, kutanga pamusoro zvakwakanakira chichaitika nokukurumidza, asi ichi hachisi chokwadi. Zvinotevera zvingaratidza kuonekwa kutyora chiremba kunenge pakushandisa "Divigel" uye vakapfuura uwandu husingakuvadzi:

• Soreness ari pachipfuva.
• Bloating.
• The chidzoke mwoyo.
• Kugumbuka.
• Svoto.
• Kurutsa.

Paunoona Zviratidzo izvi zvinofanira kukurukurwa nachiremba wako uye agoshandura dose kana kukanzura kushandiswa kwezvinodhaka.

"Divigel" akabatana nevamwe vamiririri

Kana chiremba prescribes "Divigel", iva nechokwadi kwerubwinyo rwakagara rwuripo yokuzvifungidzira kunze chii mishonga murwere anotora. Estradiol angava zvinotevera migumisiro:

• Kuwedzera kubudirira zvinodhaka lipid-richikwidibira.
• Kupedza matambudziko mishonga, izvo zvinosanganisira vanhurume mahormone.
• Nyadza maratidzirwo mishonga inoshandiswa cheshuga.
• Kuderedza kubudirira zvinodhaka pamusoro neBP.
• Attenuate kuti mishonga mugumisiro anticoagulants.

It zvinoita kuti ukurumidze muviri kuti estradiol co-adhimini:

• Barbiturates.
• Marwadzo analgesics.
• Agents zvinoshandiswa yokutindivadza.
• Vamwe Anti-zvipusha zvinodhaka.

Kunyatsoshanda "Divigel" substantially akaderedzwa, kana kushandiswa pachiimbwa zvimwe nemishonga, uyewo "phenylbutazone". unogona kuudza naye kutora folic asidhi zvokuwedzera kuti thyroid shwanu kuwedzera kushanda.

chaizvo kurumbidza

"Divigel" nokuda kukura endometrial apindure vanachiremba kwava zvakawanda zvakanaka, asi nyanzvi dzinokurudzira kuti taurira izvozvo pashure kumbonyatsoongorora kuzviongorora murwere uye hwakadzama hurukuro naye.

Kuti tidzivise varwadziwe, mukadzi aifanira zvizere kuongorora pelvic nadzo uye mammary mumasero. Zvinofanira kunge kugara uye kumarudzi kurapwa.

Takurukura, "Divigel" nokuda kukura endometrium apo vaname pane zvimwe nzvimbo. Zvadaro zvakakosha kugeza maoko ako nesipo nemvura uye hamubati ziso.

Regai kushandisa gel kuti nzvimbo yacho thoracal uye zvepabonde omumuviri, uyewo nzvimbo pane bundu. Kushandisa "Divigel" anogona kuvhiringidza chirongwa ovulation. The kwetunhu mahormone kunoenderana wevasungwa ose inonzi estrogen muropa, uye kana ukagamuchira kubva kunze chinogona kuputswa, saka kutora zvinodhaka kana uchironga pamuviri inomira nokungwarira zvikuru.

Kushandisa zvinodhaka panguva yepamuviri uye lactation

Pasinei chokwadi chokuti "Divigel" nokuda kukura endometrium wongororo IVF zvaunoswedera zvakanaka, kana pamuviri kunoitika vanofanira kukurukura nzira mberi kushandiswa kwayo nachiremba wako. Kana chirwere ane dzinonakidza chinzvimbo mune mukadzi haisi mubvunzo, zvino, Ungangove, chiremba achaita chisarudzo kumisa kushandisa zvinodhaka.

zvidzidzo Various dzinoratidza kuti imwe-nguva uye neapo kushandisa gel panguva pamuviri haakonzeri teratogenic migumisiro, asi ngozi utano mwana ramangwana hakusi zviripo.

Panguva achiyamwa hakubvumidzwi kushandisa gel.

Vakadzi Health - kunyatsogadzikana chinhu, rinogona kuputsika panguva isina kutombokodzera nguva. Hapana anoda nhumbi muviri wako mishonga, asi pane dzimwe nguva apo iwe chete vanoda "Divigel" nokuda kukura endometrium, ongororo, awana gurusa. Chokwadi maitiro mushonga uyu kwete chete vanachiremba asiwo varwere, kunyanya mu kubereka.

Musava chakaipa kuyeuka kamwe zvakare kuti mishonga ipi inofanira chete gadzai anokwanisa nyanzvi, hazvina zvakakodzera kutora zvinodhaka zvakakura zvakadai pamusoro mazano shamwari kana ona kushambadza paTV. Chengetedza utano hwako!