Kwintsapho nganye kuza ixesha apho enquma ukuzala. Ukuze kuzalwe ubomi obancinci, abazali bexesha elizayo baya kuhlolwa ngokugqibeleleyo baze bathathe amachiza okuba nombono othandekayo. Ababelethi be-Gynecologists bahlala banika iDufaston xa beceba ukukhulelwa . Thatha isidakamizwa kuyimfuneko kuphela emva kobubungqina kwaye emva kokuzibandakanya neempahla zayo.
DUFASTON - IINKQUBO
Isichengululo senzelwe ukuthintela unyango kumzimba wabasetyhini abaneengxaki ezithile zokukhulelwa okanye ukuthwala umntwana. Ezi ngxaki zingenzeka ngezinga eliphantsi le-hormone ye-steroid, njengeprogesterone. Ikhutshwe ngama-adrenal glands kunye nama-ovari, umjikelezo wokuya esikhathini nokuqala kokukhulelwa okude kulindeleke kuxhomekeke kuyo.
Umjikelo womfazi ulwahlulo kwiinqanaba ezimbini:
- Iproliferative (follicular). Ngeli xesha, umzimba ulawulwa yi-estrogens, ngokubonga apho ipollicle ephezulu ivuthwa.
- Imfihlo (luteal). Ngethuba lokuvuthwa kweqanda, iqanda lihamba kwi-tube fallopian. Kwaye kwindawo yayo yenziwe ngumzimba ophuzi owenzela iprogesterone. Emva koko, umgca we-uterus we-uterus ukwandisa ukunikezelwa kwegazi, ukhulula kwaye ukhulule.
Ezi nkqubo zenza iimeko ezifanelekileyo zokukhulelwa kunye nokufakelwa kweqanda elikhulelweyo. Xa kwenzeka ukuphulwa okanye ukungasebenzi kwele nkqubo emzimbeni wowesifazane, umfokazi wesifo somzimba uqoka iipilisi zeDufaston. Ziqulethe i-substance esebenzayo, ebizwa ngokuba yi-dydrogesterone (10 mg). I-hormone esebenzileyo ephephile, ebonakalayo efana neprogesterone.
Ithebhulethi nganye inemibala emhlophe. Iinkcukacha ezongezelelweyo zi:
- i-silicon dioxide;
- isitashi sombona;
- i-magnesium stearate;
- lactose monohydrate.
Isalathisi esiyinhloko sokusetyenziswa kweziyobisi uDyufaston ekucwangciseni ukukhulelwa kukungabikho kweprogesterone, ebangelwa ziintlobo zeemeko. Isichengiselwano asiphazamisi umsebenzi wesibindi, i-metabolism ye-carbohydrates, imisebenzi yesisu. Eli liyeza alinalo iipropati zokukhusela, aliyicinci i-ovulation kwaye inceda ukubuyisela nokulungisa umjikelezo wesini.
Ngaba ndingayinisela i-djufaston xa ndiceba ukukhulelwa?
Ukuphendula umbuzo malunga nokuba ufanelekile ukusela iDufaston xa uceba ukukhulelwa, kufuneka kuthiwe kuphephile, kodwa ungayithatha phantsi kwezibonakaliso ezithile. Iikhrayitheriya eziphambili zi:
- ukungakwazi ukusebenza kwesigaba sesibini somjikelo;
- i-adenomyosis , ebangela ukuba i-miscarriages kwaye ayivumeli umfazi ukuba athwale umntwana.
Ukuba umama wesikhathi esizayo unomlando wokuvalelwa kwesisu ngokuphindaphindiweyo, bathetha ngesifo esinjalo ngokuthi "ukukhulelwa komzimba." Kule meko, izidakamizwa ze-hormonal Dufaston xa kucwangciswa ukukhulelwa kufuneka kuthatyathwe ngokunyanga ukunyanga ukungabikho komntwana. Iyeza kufuneka linxilwe yikhosi ngexesha elide, kwaye i-dosage kufuneka iyancishiswe kancane kancane.
UDufaston uthintela njani umzimba?
Isenzo esiphezulu seDufaston ekucwangciseni ukukhulelwa kukubuyisela imvelaphi ye-hormonal yowesifazane. Thatha amayeza adinga ixesha elide - ubuncinane ubunzima obulandelayo. Le nkunkuma ithathwa njengesikhuselekileyo kwaye ngexesha elifanayo elisebenzayo kwisongelo lokuphuphuma kwesisu nganoma naliphi ixesha, ithuba lokutshatyalaliswa komntwana okanye ukuthintela ukuzalwa ngaphambi kokuzalwa.
I-Duphaston ekucwangciseni ukukhulelwa imiselwe ezo zibonakaliso:
- I-amenorrhea yesibini , xa umfazi engenakho ukuya esikhathini ukuya kweenyanga ezintandathu kwisithuba sokuzala;
- umjikelo ongaqhelekanga - ukulibaziseka okuqhubekayo, eziqinisekisiwe kwibhubhoratri ngexesha lokunikezelwa kweemvavanyo;
- I-Dysmenorrhea - ukuphuma kwexesha ngexesha lokuya esikhathini okanye kwinkqubo yabo ebuhlungu.
I-Dufaston ichaphazela njani i-ovulation?
Abasetyhini abaphupha ngokukhawuleza ukuba ngumama bavame ukuzibuza ngendlela iDuphaston ithonya ngayo i-ovulation. Ukuzaliswa kuchaphazelekayo kwizinto ezininzi, ezibaluleke kakhulu kuzo i-hormonal system, izifo ezingapheliyo okanye izifo zesondo. Isilwayo sibonelela isiqhelo esiqhelekileyo somjikelezo wokuya esikhathini, kodwa sinegalelo ekuvelweni kweprogesterone.
Ukuba ibhinqa linalo hormone kwinto eqhelekileyo, ke ukugqithisa kwayo kukukhokelela ekukhutshweni kwe-ovulation kwaye ukukhulelwa okulinde ixesha elide kungekhona. I-Dyufaston gynecologists iqesha kwisiqingatha sesibini somjikelezo, kodwa emva kokuhlolwa okupheleleyo kunye nokudlula i-ultrasound. Oku kwenziwa ukwenzela ukucacisa inani leprogesterone, ukubhala unyango oluchanekileyo, kwaye xa kwenzeka ekuqaleni, ukugcina isiqhamo.
I-Dufaston ichaphazela njani i-endometrium?
I-pathology ye-endometrium ihlala ihlala ekuhlaleni kwayo. Le nkathazo ihambelana neengxaki ze-hormones kumzimba wowesifazane kwaye iyancombulwa kalula kwiyeza zanamhlanje. Kule meko, uDufaston, xa ecwangcisa, isetyenziswe kwinqanaba lokugqibela lomjikelezo, ophumelelayo ngempumelelo nale ngxaki. Izibonakaliso eziphambili zokuthatha amachiza zi:
- endometriosis ;
- ukusilela komzimba ophuzi;
- i-dysmenorrhea exhomekeke kwi-hormone;
- ukungabikho;
- ukugqithisa ngokugqithiseleyo kwe-endometrium, evezwe kwi-estrogen.
Ngaba iDuphaston ithintela ubushushu obushushu?
Abafazi abaninzi, befuna ukukhulelwa, balandele ukushisa kwabo basal . Inceda ukugqiba umhla wokuvuthwa, oku kuthetha ukuba, nokukhulelwa umntwana. Ukufumana iDyufaston kungabandakanyi amathuba okubangela le nqondiso, nangona i-analogue engumfanekiso womntu we-hormone yemvelo. Isilwayo sinokuthathwa ngokukhuselekileyo nasiphi na isigaba.
Ngaba iDuphaston ithintela isisindo?
Esi sidakamizwa siphumelele ngokupheleleyo kwisigxina sesisu, ngoko asinasiphumo kwi-metabolism ye-carbohydrate namafutha. Esi sizathu esona sizathu sokuba awuzukufumana ubunzima obuninzi xa uthatha iDufastone, ukusetyenziswa kwayo kufuneka kungabandakanywa xa kwenzeka ukunganyanzeliseki. Ibhinqa liyakwazi ukubuyisela ngenxa yesifo se-metabolism okanye isondlo esingenamlinganiselo.
Ungathatha njani uDufaston ngelixa uceba ukukhulelwa?
Xa uphendula umbuzo malunga nendlela yokusela ngokufanelekileyo ngayo iDyufaston xa uceba ukukhulelwa, kukufanelekile ukuthetha ukuba i-dosage kunye nexesha elifanelekileyo kufuneka lichongwe yinkwenkwezi. Thatha la mayeza avela kwisigaba sesibini somjikelezo wesini, ngosuku olulandelayo emva kokuhamba. Njengomthetho, le nto enye ipilisi enye ngosuku, kodwa kukho ukungafani, okuxhomekeka kwiimpawu zobume bowesifazane kunye nemeko ethile.
Akukho sikimu esikhethekileyo sokuthatha iDupfaston. Ukuba umjikelo unemizuzu emine, sebenzisa isilwanyana ukususela kwiinyanga ezili-11 ukuya kwezi-25 kwiinyanga ezintandathu. Ngeli xesha, umfazi kufuneka akhulelwe, kodwa awukwazi ukuyeka ukuthatha amayeza. Uyaqhubeka esela ezinye iiveki ezili-16, de kube kuqaliswe ukuqala kweplacenta, eya kuqala ukuvelisa i-progesterone ngokwayo.
Xa uqala ukusela uDyufaston xa uceba ukukhulelwa?
Ukuba isibini esitshatileyo sinobudlelwane bokulala ngokwesini iminyaka engama-2, kwaye umkhwa oyifunayo awunakwenzeka, ngoko kula maxesha oogqirha benza i-diagnostic engathandabuzekiyo yokuba "Ukungenanto." Ukwamkelwa kukaDufaston ngexesha lokukhulelwa ngokuphumelelayo kukunceda ukujamelana nesifo eso, kwaye umfazi unako ukuphatha nokuzala umntwana ophilileyo. Nika isilwanyana emva kokuthatha iimvavanyo zehommoni kwisigaba sesi-2.
Dyufaston - irejimenti yokwamkelwa ngexesha lokukhulelwa
Abazali bexesha elizayo bahlala benomdla kwindlela yokusela uDufaston ngelixa beceba ukukhulelwa. Ukuze ubale inani elichanekileyo, kufuneka ukwazi inani elichanekileyo le-hormone egazini. Ukwenza oku, emva kokuvavanywa kwe-ovulation, ukuba awukwazi umhla ochanekileyo, uya kufuneka:
- Qaphela ukushisa kwe-basal.
- Yenza uvavanyo ngomhla wokukhulelwa.
- Hamba kwi-ultrasound de ugqirha ubona ipolisi evuthiweyo.
Ngokusekelwe kwiziphumo, umzinzi wesifo somzimba uqoka uDufaston, umyinge xa uhlela ukukhulelwa ubuncinane ubuncinane be-10 mg yezinto ezisetyenziswayo. Ingxininiso ephezulu yee-enzyme kwi-plasma iyenzeka emva kweeyure ezimbini, emva kokusetyenziswa kweziyobisi. Amacwecwe awanxilwanga imihla ngemihla: kufuneka athathwe emva kokuvuthwa kwaye agqitywe ngosuku lokuqala lokuya esikhathini, ukuba akafumaneki.
UDuston xa eceba ukukhulelwa emva kokukhulelwa okukhuni?
Ukuba ukukhipha izisu ngokukhawuleza kwenzeke ebomini bombhinqa, isicelo sikaDufaston sokucwangcisa ukukhulelwa siyimfuneko. Iyeza liza kunceda nje kuphela ukulungisa iqanda lomntwana, kodwa nokuqala kokukhulelwa. Isilinganisi kweli lixa lifikelela kwi-40 mg kwisamkelo sokuqala, kwaye emva kweeyure eziyi-8 kwithebhulethi enye. Amachiza aqhutywayo ukufikelela kwiiveki ezingama-20 ukuba akukho nengozi yokuphela.
Ukupheliswa kweDufaston ekucwangciseni ukukhulelwa
Ukuba ngexesha leemvavanyo zakho zibuyele eziqhelekileyo, u-Dufaston ukhansela lwenziwe ngokuthe ngcembe kwaye kuphela ngokwesiqendu esichazwe ngugqirha wakho. Umzekelo, namhlanje usela amacwecwe amathathu, ngomso - ezimbini, ngomso emva komso - enye ipilisi. Ngexesha lokucwangcisa ukukhulelwa, eli nyanga ligqityiwe kuphela ekufikeni kwexesheni. Oku kwenziwa ukwenzela ukuba emzimbeni womfazi akakho ukuhluleka kwe-hormonal.
Dyufaston - ukuchasene kunye nemiphumo emibi
Iyeza ngalinye linamathuba alo kunye neempembelelo, imiphumo emibi okanye iimeko zokugqithisa. Esi sidakamizwa siyakunyamezela, kodwa sinemiphumo emibi. Abasetyhini banokusabela kwisichengululo esifana ne:
- ukubetha;
- ukugqithisa isikhumba;
- intloko okanye i-migraine;
- ukuphuma kwegazi;
- ukuphulwa ekusebenzeni kwesibindi.
Ukugqithisa kakhulu kweyeza akukabiwanga ngokusemthethweni, kodwa ukuba oko kwenzeka, ngoko kufuneka uhlambulule isisu. Ngaba i-Dyufaston ingqinisiso, eziphambili zi:
- kuncelisa;
- ubukho beethambo ezimbi;
- ukuphazamiseka kwegazi;
- ukufumanisa izifo zesibindi, umzekelo, i-Dabin-Johnson syndrome okanye i-Rotor.
Ngazo zonke iinguqu kunye nokuphendula kumzimba wowesifazane, umele umxelele ugqirha wakhe, kuba kwezinye iimeko kuya kufuneka ukuba ubuyekeze i-regimen kwaye ukwandise umthamo, ngelixa kwabanye, ngokuchaseneyo, ukunciphisa okanye kulukhansele le nkunkuma. Impilo yowesifazane kunye nosana lwakhe lwexesha elizayo yinto ebalulekileyo yentsapho, okufuneka uhlale uyixabisa.