"Menopur": malangizo, mtengo, ndemanga, mafotokozedwe, mlingo

Chimene chimafuna mankhwala "Menopur"? Malangizo mankhwala, mlingo wake ndi njira ntchito zafotokozedwa m'nkhani ino. Kuyambira mungathe kuphunzira, ndipo pali umboni wotani pali mu mankhwala, ngati iye anali zovuta zilizonse ndi contraindications odwala kulankhula za izo, zomwe ndi mtengo wake ndi zina zotero.

Zikuchokera, mawonekedwe za kumasulidwa mankhwala

anagulitsa mankhwala "Menopur" ndi thupi lotani? Malangizo ntchito mankhwala lili mfundo mankhwala yogwira akubwera mu maonekedwe a lyophilizate, amene anafuna kukonza njira yothetsera mtsempha kapena jekeseni subcutaneous.

The mankhwala ndi loyera kapena pafupifupi woyera preform popanda fungo iliyonse. Komanso Ufumuyo colorless ndi poyela zosungunulira.

Umene uli ndi mankhwala "Menopur"? Malangizo limanena kuti mankhwala yogwira ndi follicle mankhwala ndi luteinizing timadzi. Iye mulinso excipients ndi mu mawonekedwe a polysorbate 20, lactose monohydrate, hydroxide ndi sodium ndi hydrochloric acid.

The zosungunulira ndi njira ya sodium kolorayidi (isotonic).

atanyamula mankhwala

Kukonza malonda likupezeka vayozi wa 2 ml. Pamodzi ndi zimakhalira ndi zosungunulira (1 ml ampoule munali mankhwala). Mu katoni imodzi kungakhale waika 5 kapena 10.

The kanthu pharmacological mankhwala

ndi mankhwala "Menopur" n'chiyani? Malangizo ntchito akusonyeza kuti mankhwala ndi njira mkulu chiyero anthu gonadotropin (azimayi amsinkhu umenewu amakumana). Adzaupereka kwa gulu menotoropinov ndipo lili FSH ndi LH mu chiŵerengero cha 1 1. medicament okonzeka ku mkodzo wa akazi postmenopausal.

Pa kugonana fairer, izi zikutanthauza yotithandiza endometrial kuchulukana, kusasitsa ndi kukula follicles yamchiberekero ndipo amachititsa kuwonjezeka mlingo timafunika m'magazi.

Koma kugonana wamphamvu, izi mankhwala kumawonjezera ndende ya testosterone. Komanso kumapangitsa spermatogenesis kudzera kanthu pa maselo tubular (mbewu).

The pharmacokinetics wa mankhwala mankhwala

mankhwala "Menopur" yaitali bwanji odzipereka? Guide limanena kuti ndende pazipita FSH m'magazi kukufika pambuyo pa 7-24 maola zotsatirazi makonzedwe mu mnofu. Pambuyo kuti buku lake pang'onopang'ono amachepetsa. Hafu ya moyo wa maola 5-12 menotropinov.

Zikuonetsa ntchito mankhwala

Malangizo mankhwala "Menopur" limanena kuti angagwiritsidwe ntchito osati fairer, komanso akuluakulu a kugonana wamphamvu.

Choncho lingalirani za zikuonetsa ntchito kwa akazi:

• chifukwa njira zoberekera (wothandiza) kwa isanayambike mimba (i.e., kuwalimbikitsa kukula follicular);
• zochizira osabereka ndilo chifukwa matenda hypothalamic-pituitary (kukula kukondoweza woyamba lalikulu follicle).

Zolinga zimene zinafotokozedwa mankhwala amuna "Menopur"? Malangizo, maganizo, ofunsira Adzaperekedwa pansipa. Pankhani umboni, akuwakayikira komanso zotsatirazi:

• yotithandiza spermatogenesis (analimbikitsa pamodzi ndi mankhwala anthu chorionic gonadotropin).

Ngati pali contraindications mu mankhwala?

Pamene inu simungakhoze perekani mankhwala "Menopur" (lyophilisate)? Malangizo ntchito zikuphatikizapo contraindications zotsatirazi:

• hypothalamic-pituitary chotupa m'dera;
• nthenda chitukuko cha ziwalo zoberekera, ndi kukhalapo kwa fibroids uterine, lomwe ndi yosemphana ndi mimba;
• matenda a zopangitsa kwa adrenal, pammero England;
• hyperprolactinemia;
• yamchiberekero kukulitsa (kulimbikira), pakutchulidwa wa cysts (mu nkhani iyi, ngati nthendayo kumphatikiza ndi matenda polycystic n'kuwasanganiza);
• khansa yamchiberekero, uterine kapena zopangitsa mammary;
• magazi kumaliseche kwa mkazi chiyambi sakudziwika;
• Pulayimale yamchiberekero kulephera;
• mimba;
• Cancer ya prostate, komanso zotupa zina (androgenozavisimye) oimira za kugonana mphamvu;
• mkaka wa m'mawere;
• tilinazo (kuchuluka) kuti menotropinam ndi mankhwala okhala LH kapena FSH.

Mankhwala "Menopur": malangizo ntchito, umboni

Kufotokozera za mankhwala waperekedwa pamwamba. Pankhani gawo m'nkhani ino, ndiye ife angakuuzeni za zomwe mlingo ayenera kuonedwa mankhwala.

Kukonzekera chikuyendetsedwera intramuscularly. Njira injectable zakonzedwa chabe pamaso ntchito pogwiritsa ntchito zosungunulira kuti zili m'gulu zida za.

Zikatero, ngati dokotala alibe kufotokozapo chithandizo chosiyana, izo tikulimbikitsidwa kuti kutsatira chiwembu zotsatirazi.

akazi

Zochizira osabereka ndilo chifukwa kukhalapo kwa mavuto ndi dera hypothalamic-pituitary yotithandiza kukula kwa lalikulu follicle mlingo woyamba wa mankhwala anapereka payekha. The mulingo woyenera kwambiri kuchuluka kwa mankhwala ndi nthawi ya mankhwala osankhika zochokera wathu US yamchiberekero, matenda kuonerera ndi kudziwa mlingo wa estrogens. Mwa njira, phindu chatha amaweruzidwa kusasitsa wa follicle lapansi.

Choncho kugwiritsa ntchito mankhwala "Menopur"? N'zimene ndi mlingo wa mankhwala nthawi zonse malangizo akachita. Kuchuluka koyamba mankhwala akhoza kukhala 75-150 IU (vial kapena 1-2 pa tsiku).

Ngati ayi yamchiberekero, zikutanthauza voliyumu pang'ono ndi pang'ono kuchuluka mpaka milingo follicular kukula ndi kuchuluka timafunika. mankhwalawa yatsala zikutsatiridwa mpaka nthawi imene magazi otsiriza ndende umalandira mfundo preovulatory. Ndi Zinthu misinkhu esitirojeni pa chiyambi cha kukondoweza kumabweretsa ndi zofunika kuchepetsa mlingo.

Pambuyo jekeseni otsiriza atapita masiku 2 kamodzi kutumikiridwa 5-10 zikwi. IU hCG. Kodi izo ndi cholinga ovulation kupatsidwa ulemu.

amuna

Kodi kugonana mphamvu kugwiritsa ntchito mankhwala "Menopur"? Malangizo limanena kuti yotithandiza spermatogenesis anthu alowe 1-3 zikwi. IU hCG katatu pasabata. Kupita ku normalization wa milingo testosterone. Kenako, kwa miyezi ingapo, katatu mankhwala sabata kutumikiridwa pa 75-150 IU (kapena mabotolo 1-2).

Zotsatira zoyipa za ntchito m'munda mankhwala

Tsopano kuti mudziŵe mmene mankhwala ayenera kuperekedwa "Menopur". Malangizo, ndemanga ntchito ali m'nkhani ino. Komabe, tiona kuti mankhwala zikhoza kuoneka angapo mavuto.

• dongosolo Endocrine: kuwonjezeka (lakuthwa) esitirojeni excretion mu mkodzo, mastalgia, mapangidwe cysts yamchiberekero, aakulu amtengo yamchiberekero kukulitsa, gynecomastia (oimira akazi wamphamvu).
• M'mimba thirakiti: kusanza, colicky kupweteka m'thupi, nseru.
• zochita Local: redness, kutupa ndi kuyabwa pa njira jekeseni.
• Ziwengo: ziwengo, malungo, arthralgia, oteteza mapangidwe, omwe amachepetsa mphamvu ya mankhwala.
• Other: oliguria, kunenepa kwambiri, kuthamanga otsika magazi, mimba angapo.

Iwo ayenera kukumbukira kuti ntchito mankhwala pansi kulingalira zikhoza yamchiberekero hyperstimulation syndrome. Mwa zizindikiro oyambirira zolakwika zimenezo zimaphatikizapo ululu (anafotokoza) m'mimba, kusanza, ascites, kunenepa kwambiri, nseru, hypovolemia, electrolyte vutoli, hydrothorax, kuwonjezera chiwerengero cha maselo ofiira, hemoperitoneum ndi thromboembolism.

malangizo enieni kugwiritsa ntchito ndalama

Kodi mukufuna kudziwa musanagwiritse ntchito mankhwala "Menopur"? Onani, maganizo boma kuti pamaso akuluakulu a medicament kwa wodwalayo ayenera kuwalanga chithandizo choyenera (ngati adrenal insufficiency, concomitant hypothyroidism, hypothalamic-pituitary chotupa dera, hyperprolactinaemia).

Asanayambe osabereka chithandizo chofunika kuwunika boma la thumba losunga mazira ndi. Kuti tichite zimenezi, achite ultrasound ndipo fufuzani mlingo wa estradiol m'magazi. Kuyambira maphunziro awa ayenera akuyendera tsiku kapena tsiku lililonse.

Chonde kudziwa kuti ntchito nkhani ya hMG ndi Mwina kukhala yamchiberekero hyperstimulation. Monga ulamuliro, izo zimakhala kukomoka zimaonekera pokhapokha ka mankhwala ndi cholinga ovulation ndipo anawonetseredwa mu mawonekedwe a mapangidwe cysts lalikulu. Zikatero, odwala ndi hydrothorax, ascites, thromboembolic syndrome ndi hypotension.

Pamene zizindikiro loyamba yamchiberekero hyperstimulation mankhwala ayenera yomweyo anasiya.

Pamene hMG wothandizila mankhwala nthawi zambiri anapanga mimba angapo.

Oimira akazi mphamvu ndi mkulu mlingo wa FSH mu mwazi wa mankhwala ndi operewera.

mtengo wa mankhwala ndi chiyani?

Kodi zambiri ndi mankhwala "Menopur"? Guide mtengo chida ali m'nkhani ino. Mtengo wa mankhwala ndi mkulu. 1 nsupa ya mankhwala muyenera kulipira pafupi 1000-1400 Russian rubles. Poganizira pafupifupi njira ya mankhwala masiku 5-10, chithandizocho ndalama wodwala ali okwera mtengo kwambiri.

mankhwala Reviews

Pali ndalama yaikulu ndemanga yothandiza pa medicament "Menopur". Malinga ndi iwo, mankhwala anali bwino mankhwala osabereka, kangapo kuwonjezeka mosavuta mimba. Zodabwitsa ndizakuti, ambiri odwala pambuyo ntchito chida ichi chimakula mimba angapo.

The drawback yekha mankhwala imatengedwa mtengo wake. odwala ambiri sangakwanitse kugula mankhwala amenewa. Ngakhale mankhwala amanena kuti mtengo wa mankhwala n'chofunikira kwathunthu. Ndipotu, pambuyo ntchito yake ndi yaikulu yaitali mwayi wa mimba ndi, monga Motero, nthawi yaitali mwana wake. Choncho, ambiri achinyamata amene sangathe pakati mwana ndilipo kupeza malo ichi.