Piritsi lachiberekero "Belara": ndemanga za madokotala, zopindulitsa, zamwano, zotsutsana, zovomerezeka za dokotala

Kodi mankhwala "Belar" ndi othandiza? Ndemanga za madokotala (zopindulitsa, zopusa) zidzafotokozedwa pansipa. Mudzaphunziranso za mawonekedwe omwe makonzedwewa amapangidwa, zomwe zimaphatikizapo, kaya zikutsutsana ndi machitidwe ndi zotsatira.

Mafotokozedwe, mawonekedwe, mawonekedwe, ma CD

Mankhwalawa "Belara" amayamba kugulitsidwa ngati mawonekedwe a mapiritsi ophimba a biconvex omwe ali ndi chigoba choyera. Zimaphatikizapo zowonjezera monga chloromadinone acetate ndi ethinylestradiol. Lili ndi zowonjezera zowonjezera monga lactose monohydrate, povidone, corn starch ndi magnesium stearate.

Pogwiritsa ntchito filimu ya pinki ya pinki, imakhala ndi titaniyamu ya dioxide, talc, hypromellose, lactose monohydrate, macrogol 6000, propylene glycol ndi dafi yowonjezera.

Pogulitsidwa, wogwira ntchitoyo akubwera ndi mablisters, omwe ali mu bokosi la makatoni.

Pharmacodynamics

Kodi mankhwala ndi "Belar" ndi chiyani? Ndemanga za madokotala (kuphatikizapo, zochepetseratu za mankhwalawa zidzawonetsedwa mtsogolo) zikunena kuti izi ndizophatikizapo njira zothandizira zogwiritsira ntchito mankhwala.

Kugwiritsira ntchito mapiritsi nthawi yayitali kumachepetsa kutsekemera kwa mankhwala a lyutenizing ndi osakaniza ndipo, motero, amalepheretsanso kupuma kwa ovulation. Komanso, mankhwalawa amalimbikitsa kuchulukitsa komanso kusinthika kwachinsinsi kwa endometrium. Zotsatira zoterezi zimalepheretsa kukonza dzira la umuna.

Mukamamwa mankhwalawa, mamasukidwe akayendedwe a mucosal secretions kuchokera pachibelekero amakula. Chifukwa cha izi, maselo achimuna ndi abambo amatha kupyolera mu ziwalo zoberekera.

Chloromadinone acetate yomwe ikuphatikizidwa mukukonzekera ndi gestagen yomwe imakhala ndi antiandrogenic. Zimatha kupikisana ndi androgens mu mapulogalamu enieni ndipo potero zimafooketsa zotsatira zake.

Zomwe zitha kuchitika za mimba kwa chaka zimasiyanasiyana pakati pa 0.29-0.69%, ndipo zimadalira zovuta kutsatira ma dosing ndi mankhwala regimen.

Pharmacokinetics

Mapiritsi a "Belara" ali ndi zinthu ziwiri zogwira ntchito. Zolemba zawo zimasiyana mosiyanasiyana:

• Chlormadinone acetate imatuluka mwamsanga ndipo imakhudzidwa kwambiri ndi kapangidwe ka zakudya. Nthendayi yapamwamba kwambiri m'magazi imasungidwa patapita ola limodzi ndi theka. Pafupifupi 95% ya mankhwala omwe amamanga mapuloteni a plasma (makamaka ndi albumin).

Pamene chigawochi chimasinthidwa, ma metabolite angapo amapangidwa (3-alpha ndi 3-beta-hydroxy-chloromadinone acetate).

Theka la moyo wa chinthu ichi ndi maola 33. Chlormadinone acetate, komanso metabolites, amawongolera mofanana ndi mkodzo ndi nyansi.

• Ethinyl estradiol imakhalanso mofulumira kwambiri ndipo imatulutsa kwathunthu m'matumbo. Malo ake opambana m'magazi amapezeka pambuyo pa mphindi 90. Kusintha kwa chinthu ichi ndi 40%.

Pafupifupi 98% ya ethinyl estradiol imamangiriza ku mapuloteni a magazi. Amasinthidwa ndi hydroxylation ya mphete yonyeketsa. Kuchokera kwakukulu kwa chinthu ichi ndi 2-hydroxy-ethynyl estradiol.

Moyo wa theka wa chigawo chomwe chikugwiritsidwa ntchito ndi maora 13. Amachotsedwa ndi zisoti komanso ndi impso mu chiwerengero cha 3: 2.

Kuti athetsere ovulation, chloromadinone acetate ayenera kutengedwa kuchuluka kwa 1,7 mg tsiku lililonse. Mlingo wa mkodzo wathunthu ndi pafupifupi 25 mg.

Zizindikiro zogwiritsidwa ntchito

Mapiritsi "Belar" amapangidwa kwa akazi okha. Ndizofunikira kuti asamalidwe pakamwa.

Contraindications

Kodi ndi zotani zomwe simungathe kumwa mankhwala "Belar"? Maphunziro a madokotala (pluses, zochepetsedwa za mankhwalawa ayenera kuziganizira ndi akazi onse) amanena kuti mankhwalawa sangagwiritsidwe ntchito ndi:

• Thrombosis ndi thromboembolism (pulmonary embolism, myocardial infarction, vein thrombosis, kusintha kwa cerebrovascular);
• Kupanga opaleshoni yokhazikika (mwezi umodzi kale), komanso panthawi yoperewera;
• Kusamalidwa koopsa kwa magazi;
• Zizindikiro zoyambirira za thrombosis kapena thrombophlebitis, komanso zizindikiro za embolism (kuphatikizapo zida zazing'ono zamasikisi);
• Kuwonongeka kwakukulu kapena koopsa kwa chiwindi;
• Kusagwirizana ndi matenda a shuga;
• Kuyabwa kwa thupi lonse, cholestasis;
• Kupanga mawonekedwe kwa mawonekedwe a zowopsa ndi zowopsya;
• Kupweteka koopsa pa epigastrium, hepatomegaly, kapena zizindikiro za mimba ya m'mimba;
• Ziphuphu za chiwindi;
• Kuthamanga kwa migraine;
• Syndrome ya Rotor kapena Dubin-Johnson, komanso kuchepetsa kutuluka kwa bile;
• Kusokonezeka kwa magalimoto;
• Kuphwanya kosayenera kwa chikhalidwe chovuta;
• Porphyria;
• Matenda owopsa odalira mahomoni kapena omwe amawatsutsa;
• Kuvutika maganizo;
• Pancreatitis;
• Cryptogenic amenorrhea;
• Adatchulidwa kusintha kwa lipid kagayidwe kake;
• Pa lactation;
• Kuwonjezeka kwafupipafupi kwa matenda a khunyu;
• Mimba;
• Matenda ovuta kwambiri, kuphatikizapo mimba yapitayi;
• Kusamala kwa kusuta fodya (odwala omwe ali ndi zaka 35);
• Endometrial hyperplasia;
• Kusagwirizana kwa Lactose, kusowa kwa lactase ndi shuga-galactose malabsorption;
• Kuchiza kwa magazi kwa chiyambi chosadziwika;
• Kukhalapo kwa zifukwa zosiyanasiyana zoopsya za thrombosis yamagazi kapena yamagazi;
• Kuwonetsetsa ku mankhwala.

Kodi amamwa bwanji piritsi la "Belar"?

Malinga ndi malangizo, mapiritsi oyenera kulera ayenera kutengedwa pamlomo, popanda kutafuna ndi kutsuka ndi madzi pang'ono. Ndiyenera kutenga bwanji phwando? "Belara" ayenera kutengedwa tsiku ndi tsiku nthawi yomweyo (madzulo).

Kutalika kwa mankhwala ndi masiku 21. Ndiye izo ziyenera kusokonezedwa kwa sabata. Pakadutsa masiku awiri mpaka 4, mapiritsi otsiriza amayamba kusamba.

Pambuyo masiku asanu ndi awiri, muyenera kuyamba kumwa mankhwala kuchokera phukusi lina, mosasamala kanthu kuti mwazi waima kapena ayi.

Pulogalamu yoyamba iyenera kugwiritsidwa ntchito pa tsiku loyamba la thupi (kutanthauza tsiku loyamba la kusamba). Pokhapokha vutoli likuyamba kugwira ntchito ndipo limatha ngakhale pakatha sabata limodzi.

Komabe, piritsi loyamba likhoza kutengedwa pa tsiku lachiwiri lachisanu ndi chiwiri la kusamba. Pankhaniyi, njira zothetsera kulera ziyenera kugwiritsidwa ntchito masiku asanu ndi awiri oyambirira.

Ngati kusamba kunayambira masiku oposa asanu apitayi, ndiye kuti muyenera kuyembekezera chiyambi chazotsatira, ndipo pokhapokha pitirirani kumatenga mapiritsi.

Zotsatira zoyipa

Tsopano mukumwa kumwa mankhwala opatsirana. Tiyeneranso kuganizira kuti kutenga mankhwalawa kungachititse zotsatirazi:

• Mantha, kukhumudwa, kutaya mtima, kufooka kwa libido;
• Kuwonjezeka kwa kudya, kusintha kwa mafuta a magazi;
• Hypersensitivity kwa zigawo zikuluzikulu za mankhwala;
• Kusamvetsetsana kuti mukhale ndi malingaliro, kusokonezeka kwa maso, conjunctivitis, tinnitus, kumva kutaya;
• Chizungulire, mutu wa mutu wa migraine;
• Kupweteka kwa mitsempha, kuwonjezereka, kuwonongeka, kuthamanga kwa magazi, mitsempha yamagulu, matenda oopsa;
• Kupweteka, kupweteka m'mimba, mseru, kutsekula m'mimba, kusanza;
• Hyperhidrosis, acne, erythema, chloasma, urticaria, kutaya tsitsi, matenda a pigmentation, eczema;
• Kuwombera, kumverera kwachisoni, matenda a minofu;
• Matenda a candidiasis, dysmorrrhea, vulvovaginitis, kuwonjezeka kwa mazira, chiwerewere choyamba, amenorrhea, fetretenoma ya m'mawere, ululu m'mimba pamunsi.

Kuyanjana kwa Mankhwala

Kodi n'zotheka kuphatikizapo "Belara" ndi mankhwala ena? Kugwiritsira ntchito mapiritsiwa ndi ena kungafooketse. Mankhwala osokoneza bongo amenewa ndi awa:

• Zomwe zimayambitsa michere yambiri yamagetsi;
• Mavitamini omwe amalimbikitsa m'mimba motility;
• Maantibayotiki ena.

Pambuyo pa "Belara" ndi kugwiritsa ntchito ndalamazi, njira zina zowonjezererera ziyenera kugwiritsidwa ntchito.

Mtengo ndi kufanana

Manambala a mankhwala omwe ali m'munsimu ndi awa: "Vidora", "Daila", "Jess", "Diphenda", "Jeanine", "Lindineth 20", "Logest", "Mersilon", "Milanda", "Modell Tin", "Novinet" "Silest", "Woman", "Yarina Plus".

Malinga ndi mtengo, umadalira molingana ndi chiwerengero cha mapiritsi mu phukusi. Kawirikawiri mtengo wa mankhwala "Belar" ndi ruble 490-530 (ma PC 21).

"Belara": ndemanga za madokotala (zopindulitsa, zoyipa)

Malingana ndi akatswiri, mankhwalawa "Belara" adzikhazikitsa okha ngati njira yodalirika yowalera. Pamene imayendetsedwa bwino, mimba yosafuna imachotsedwa. Komabe, mankhwalawa ali ndi zifukwa zolakwika. Madokotala amanena kuti izi zingayambitse zotsatira zambiri. Mankhwalawa amalimbikitsa kulemera kwakukulu, ndipo amakhalanso owopsa kwa khungu. Komanso, ali ndi mndandanda wodabwitsa wa zotsutsana.