Wonke amabhinqa amaphupha okuba ngumama. Kwaye, ngelishwa, kwihlabathi lethu nge-ECOLOGY eyinkimbinkimbi, ukutya okunomgangatho osweleyo kunye nezinye iimpembelelo ezingathandekiyo, abaninzi abafazi bafumana ukungalingani kwe-hormonal kwaye ngenxa yoko, iingxaki zokukhulelwa komntwana. Ndiyabulela unyango lwangoku, umfazi ufumana ithuba lokukhulelwa - i-IVF kunye namayeza anamhlanje uya kuhlangula. Ukuzinzisa umsebenzi wenkqubo yokuzala kunceda umntu onokukwazi ukugcina i-endocrinologist, okhokelwa yimiphumo yokuhlalutya komfazi, uya kubeka ezinye iziyobisi ezisekelwe kuma-hormone. Abaninzi be-endocrinologists batusa ukuthatha i-Metipred xa becwangcisa ukukhulelwa kunye ne-Metipre xa kungekho ntsholongwane.
Kutheni ukhetha iMeti?
I-Metipred yilungiselelo leqela lama-hormone ye-glucocorticosteroid, apho isithako esisebenzayo esisisiseko senziwe yi-methylprednisolone, esine-anti-inflammatory, immunosuppressive and anti-allergen action (hormone yokwenziwa).
I-Metyred - ubungqina
Isilwanyana esixubileyo sineendidi ezahlukeneyo, kodwa njengesihloko sethu, imiselwe ukonyango kokungalingani kwe-hormonal - izinga eliphakamileyo lamahomoni angamadoda kunye nokutshatyalaliswa kokusweleka. Iimpapasho zancedisa ukuba zingakhulelwe enye ibhinqa elinye, ukuqeshwa kwakhe kunye ne-testosterone ephakamileyo kunika iziphumo ezilungileyo-imvelaphi ye-hommonal equals hyperandrogenism. Isiphumo siphinde siphumelele kunye ne- myoma ye-uterine eqhubekayo emncinci omdala - Indlela yoMtipred iyakhawuleza inkqubo yokukhulelwa.
Imiba echaphazelekayo
Esi sigqirha sinokuphikisana amaninzi, ngoko ungathathi unyango, kuphela ugqirha onokumisela izilwanyana, ziqwalasele iingxaki zempilo ezikhoyo kwaye kuphela ngokwezibonakaliso ezibalulekileyo. Ngokugqithiseleyo, uluhlu lwezinto ezichasayo Iinkcukacha ezibhaliweyo kunye nokukhulelwa, kodwa utyunjwe kwisongelo lokuphuphuma kwesisu, ngokukodwa xa kuthathwa kwisigaba sokucwangcisa ukukhulelwa. Ukunyamekela okuthethekileyo kufuneka kuthathelwe ukufumana i-Metipred ngexesha lokukhulelwa njengenkwenkwe, njengoko ichaphazela umsebenzi weengqungquthela ze-adrenal of fetus, ngokukodwa isondo lesilisa. Kukho nawuphi na, emva kokuzalwa komntwana, kubalulekile ukuba uhlolisise ngokupheleleyo iinjongo kunye neengqungquthela ze-adrenal of the newborn.
Ungathabatha njani iMpepti?
Abasetyhini abaninzi bayazibuza ukuba bangathatha njani uMphathiswa xa beceba ukukhulelwa. Kukho okukhethwa kukho apha, owokuqala yiMathebhulethi eneeMpepha - enye ithebhulethi ine-4 okanye 16 mg ye-methylprednisolone.
Ingqungquthela yesibini yesilwanyana Ixutywe - ipowder yejoyile: ibhotile ye-1 iqukethe i-250 mg ye-methylprednisolone i-sodium succinate kunye ne-bhotile ye-1 + isolvent (amanzi adibeneyo 4 ml-ampoule), kungeniswa kucetyiswa nge-intramuscularly. Ukulungiselela isisombululo, kubalulekile ukongeza i-4 ml yamanzi kwisirya - isisombululo sesirini - usebenzisa i-syringe enealiti kwipuphu e-vial.
Ifom yesithathu yokukhutshwa kwe-depot yokumiswa kwejoza, ifumaneka kwiibhola ezingama-30 kunye ne-100, ibhotile ye-1 kwibhokisi. Isetyenziselwa i-parenterally, isicatshulwa silawulwa nge-intramuscularly and intra-articularly.
Musa ukulibala malunga noluhlu olumangalisayo lokuchaswa kweziyobisi ezixutywayo, kwaye ungabandakanyi ukumkelwa kwakhe okuzimeleyo ngaphandle kokongamela ugqirha.
I-IVF
Ngaphambi kokucwangciswa kwe-vitro fertilization okanye emva kwe-IVF ephumeleleyo, oogqirha batusa ukuba bathathe umthamo wokulawula ulwalamano lomzimba kunye nombungu, kunye nokulungiswa kwinqanaba le-hormone 17-OH-progesterone yeengqungquthela ze-adrenal.
Umxholo kunye nokukhulelwa
Ugqirha kufuneka aphuhlise ikhosi epheleleyo yokunyanga, ngokuqwalasela ukutywala kweziyobisi ezinceda ukunciphisa umngcipheko wemiphumo emibi ekusebenziseni iMitha ngexesha lokukhulelwa . Umama ozayo kufuneka akhumbule ukuba xa kukho ithuba - kufuneka lisetyenziswe kwaye xa kunesidingo sesicelo seziyobisi, nangona uluhlu olude lweengqinisiso, kuyimfuneko ukuthatha izilwanyana kwisilinganisi esifanelekileyo kwaye ungakhathazeki malunga nantoni na. Ngenxa yoko, umngcipheko kufuneka ulungele.