The mushonga "Menopur": wongororo uye zvabuda, mirayiridzo kushandiswa uye tsananguro

Vakawanda vakaroorana kutambura kubva mbereko. mushonga ano ane mukana mukuru pakugadzirisa dambudziko iri, asi varwere vanofanira kuziva kuti mushonga mazhinji. "Menopur" - mushonga kuti rinoshandiswawo nokurapa kushaya mbereko. Nyaya ino edza kunzwisisa chii mashandiro chiito uye zvairatidza kuti kushandisa zvaanazvo.

Release chimiro uye Kuronga zvinodhaka "Menopur"

Nzira iripo mune capsules.

Zvinoumba: chikuru fuma - follicle anotokonya kemikari (FSH) uye luteinizing kemikari (LH) mu nhamba 1: 1.

Additional zvinoriumba:

• Lactose monohydrate.
• Polysorbate 20.
• yavaibvisa hydroxide.
• Hydrochloric acid.

Also yaisanganisira pamwe mushonga chiri ampoule ane solvent kane ane isotonic mhinduro kuti yavaibvisa chloride uye sanganisa hydrochloric asidhi kuumba hwandaiva ph pamwero.

Available mushonga ari atorwa, anofambirana 5 mishonga ndiro uye 5 - pamwe solvent.

Sezvo chikamu zvinodhaka "Menopur" rine rinokosha pakuchenesa kwevanhu kuenda kumwedzi gonadotropin. It Rinobva weti munhukadzi hafu revanhu, mushure kupfuura kubereka. Kana raitongwa kumukadzi "Menopur" zvinodhaka (wongororo uye migumisiro dzakawanda zveBhaibheri uchapupu) ndiro kweiyi inonzi estrogen kugadzirwa uye kuibvisa pamusoro follicles. Uyezve, proliferative pezvakaitwa kuitika endometrium.

Kana isu kuzozivisa mushonga kuti munhu, anowedzera padanho testosterone mumuviri wake. Uyewo mushonga zvinosimudzira spermatogenesis, nokuda sei masero seminiferous tubules.

"Menopur": zvairatidza yokushandisa

Vakadzi vari zano kutora mushonga mbereko anokonzerwa hypothalamic-pituitary zvinetso, uyewo nokuda Implementation yakawedzerwa dzokubereka ruzivo kuti inogumbura pamuviri.

Men vari zvakare zano kushandisa "Menopur". Reviews uye kurapwa zvabuda zvinoratidza kugona kwaro nokuti azoospermia uye oligoastenospermii, izvo zvinokonzerwa chikuru kana yechipiri hypogonadotropic hypogonadism, asi chete mushonga kuti pamwe mumwe mushonga kwevanhu chorionic gonadotropin - hCG.

"Menopur": rworudyi womuchato vakadzi

Women mushonga inokurudzirwa narwo mararamiro majekiseni mbereko, iyo kukonzera matambudziko ari nzvimbo uropi anokonzera pagadzirwe munhukadzi mahormone. Nekuti mumwe mukadzi chipimo chemushonga iri kugadziridzwa nomumwe. The optimum chitsama kosi zvinodhaka uye kurapa kuisa chete pashure ose zvidzidzo:

• Ultrassom of ovaries.
• Pakusarudza pachiyero mukadzi mahormone muropa murwere.
• miedzo All zvakakodzera.
• Kukurukura nachiremba.

Mudzi kutungamirira "Menopur" gadziriro (akaongororazve uchapupu kurapwa zvaitika) pamwe 1-2 ndiro pazuva (75-150 Iu). Kana ovaries havanzwi, asi dose anofanira kuwedzera zvishoma nezvishoma kuti nguva inonzi estrogen yomuropa havazowandi pamwe kukura follicles. Zvadaro, mukuru chipimo chemushonga kuramba ari pamwero uyu kusvikira kwevari inonzi estrogen ropa hahuzovi kufanana pamberi ovulation. Kana inonzi estrogen pamwero inokwira zvakare nokukurumidza, kuderedza dose.

Kuti kufurira ovulation pazuva, panguva dzakawanda, maviri pashure rokupedzisira jekiseni "Menopur" singly raitongwa 5 000-10 000 Iu hCG.

"Menopur" nokuda simba hafu yevanhu

"Menopur" kuvarume (wongororo uye kushandiswa migumisiro zvinopupurira kuti ichi) Zvinokurudzirwa kuti kweiyi nedanho paumbwe spermatozoa. Kutarisira kuti mushonga mu kwazvo 1 000-3 000 Iu hCG katatu pavhiki kusvikira normalization kuti testosterone siyana muropa.

Zvadaro, mushonga anofanira kunyoresa katatu pavhiki gono muviri, asi uwandu 1-2 ndiro (75-150 Iu) kwemwedzi inoverengeka.

Contraindications

"Menopur" - rakaisvonaka zvinodhaka, asi ine contraindications vayo nokushandiswa murwere nechimwe vasati vatanga kurapa anofanira kuudzwa kushuma kuti chiremba wako uye pamwe naye kuti atore yokutsiva kana zvakarurama dose. Musatora mushonga zvinotevera pathologies:

• Zvinetso adrenal uye thyroid mumasero.
• Bundu inotungamirwa mu gipatalamo-pituitary nharaunda.
• Hyperprolactinemia.
• Kuwedzera ukuru ovaries kana kuvapo cysts kuti dzisina chokuita chiratidzo polycystic ovaries.
• Kusangana nekutsi kwemukadzi ropa pamusoro zvisingazivikanwi hunhu.
• Zvemamiriro Kugadzirwa nhengo dzokubereka nadzo.
• Uterine fibroids, zvisina inowirirana vana.

• Kenza growths ari dumbu, ivo ovaries, mazamu.
• Ovarian kukundikana wokutanga pechikuva.
• Pamuviri uye uchiyamwisa.

Varume vari zano haana kutora zvinodhaka "Menopur" (mhinduro uye kurapwa zvabuda zvinoratidza ichi) kuti kenza kweprostate gland kana kuvapo mamwe androgenozavisimyh anomera.

"Menopur" nokuda superovulation

Asati mberi IVF, vakadzi vari ushandiswe mushonga kuti chichabatsira havi superovulation. zvinodhaka izvi zvakawanda, "Diferelin", "Tsetrotid", "Puregon" uye vamwe vakawanda.

"Menopur" vanhu IVF dzakati ndeimwe inobudirira mishonga akaratidza nemigumisiro yakanaka pashure nzira. Sarudzai zvakarurama dzakati kuchabatsira chiremba ari munhu nyaya imwe neimwe. Mazvikokota achatora kufunga zvose zvidzidzo uye kusarudza nzira yakarurama uye chipimo chemushonga ichabatsira kuwedzera zvakanaka pamusana IVF nzira kakawanda.

"Menopur" yayo nemishonga

Pashure kushandisa "Menopur" zvinodhaka wongororo uye migumisiro IVF kakawanda akanaka, zvinokwanisika kuunza mufaro mhuri dzakawanda.

Zvisinei, tinofanira kuyeuka kuti naiyewo ane nemishonga:

1. Pamusoro chikamu zvomudumbu ezvinhu: svoto, kurutsa uye flatulence.
2. Kubva kwemakemikari anobudiswa maitiro: ovarian hyperstimulation chirwere, yakawedzera inonzi estrogen excretion iri weti, kurwadziwa rezasi mudumbu. Men vanogona gynecomastia.
3. Pamusoro chikamu metabolic dzinotsanagura muviri: clots ropa, Urume uye electrolyte kukundikana, ascites uye hydrothorax.
4. Uyezve, panguva kurapwa, varwere vakawanda aona kuratidzwa neutachiona, uyewo edema uye kuvaviwa panguva jekiseni nzvimbo.

"Menopur": mirayiridzo inokosha yokushandisa

Asati atanga kurapwa, mukadzi mumwe nomumwe uye murume anofanira kuziva kuti pane mitemo yakawanda uye ndishushikane. izvi zvose rinopa mashoko hwakadzama vasiyana medicament "Menopur" mirayiridzo yokushandisa. Price (Wongororo sechirevo kumbonyanya mukuru asi kwete yakakurisa) zvichisiyana iri kuwanda 1500 rubles por jekiseni. Zvisinei, kuti mushonga unoshanda uye akabvumira mhuri dzakawanda kuti mufaro mubereki.

Asati Chikumbiro zvakafanira kubvisa kuparadza chirwere kana ovarian nemishonga extragenital endocrinopathy.

Uyewo, mukadzi mumwe nomumwe uyo anopedza dzishande "Menopur" (wongororo wevarwere zvinosimbisa chokwadi ichi) vanofanira kuziva kuti mugumisiro aigona vakawanda pamuviri.

Kana murwere akaratidza zviratidzo ovarian hyperstimulation, kurapwa kunofanira pakarepo vakarega. Izvi zvinogona chiratidzo marwadzo mudumbu, uyewo Ultrasound. Munguva nokurapwa kunokosha ose zuva kuti akuteerere mahomoni uye Ultrasound sei kukura follicle.

Kana pamuviri kwakatoitika, zviratidzo kunyanya hyperstimulation kungawedzera yekudyidzana uye murwere vakachengeta kwenguva refu, unogona kuva nengozi kwaari upenyu.

Panguva mushonga nevanhu rurefu Kuwanda FSH muropa, menotropiny haana kuratidza migumisiro yakanaka.

"Menopur": wongororo

Pari, yakawanda vakadzi havagoni kubata pamuviri yepanyama nzira, iyo ndokusaka vanobvuma kuti IVF, zvinopa mukana ave mwana. Asi hazvina kupa 100% zvabuda kubva pakutanga, saka unofanira kuita muitiro kakawanda. Asi kwete mukadzi wose ane mukana, sezvo tinorasikirwa zvikuru. Kuti vakwanise vakadzi pamuviri nguva yokutanga pamusana IVF yakazokudziridzwa zvinodhaka "Menopur" 300 Iu. Reviews uye kurapwa zvabuda zvave yakawandisa akanaka. Mishonga kunowedzera mikana kubata pamuviri kanoverengeka.

Danho anopa nemigumisiro yakanaka chaizvo pashure kurapwa, varwere chete wongororo akanaka, chete Anovhundutsira vazhinji vavo, saka ndiko vakawanda pamuviri, izvo zvinogona kuitika pashure nzira yokurapa "Menopur" chinodhaka. Panewo contraindications zhinji uye marwadzo, asi kana iwe nguva dzose kuva pasi kutarisira chiremba uyo achava kuongorora murwere mamiriro uye kudzora dose, vose zvisingadiwi migumisiro achavatyisa kwazvo.

In mhedziso, ndinoda kutaura: mukadzi chido kuva mwana rakakura kwazvo kuti akagadzirira kuenda chinhu chaunoda, chete kuziva mufaro amai. Naizvozvo, kurapa "Menopur" nezvose divi migumisiro hazvisi vanotyisa. Asi zvinokosha kuyeuka kuti munhu anokurumidza chisarudzo uye kusingadzoreki Kushandisa zvinodhaka kungaita kuti dzakakomba zvikuru uye irreparable nemigumisiro. chiremba chete inofanira kuva nomukadzi kupfuura nenzira iyi uye kuita zvose zvinobvira kuti zvakanaka mugumisiro.