"Triojinal" - ndemanga za madokotala ndi odwala

Kuperewera kwa estrogen pakusamba kwa thupi kumabweretsa chitukuko cha nthendayi, matenda omwe amachititsa mavuto ambiri kwa amayi oposa zaka 45. Panopa, bizinesi ya ku Belgium inapereka chida chabwino kwambiri chochiza matendawa - "Triojinal". Ndemanga za onse amene amagwiritsa ntchito makandulo kapena makapulisi, ali abwino.

Atrophic colpitis: ndi chiyani?

Kutupa kwa ntchentche kapena kutentha ndikutentha kwa makoma a umaliseche pa moyo wa mkazi, pamene kusamba kumasiya. Amayi oposa 40% amatha kudwala vaginitis. Manopaopausal atrophic vaginitis amapezeka chifukwa cha kupukuta kwa mazenera, urogenital kapena kumaliseche, chifukwa cha kuchepa kwa estrogens. Izi zimachitika pambuyo pa kusamba.

Azimayi omwe ali ndi matendawa amayamba kuchepetsa matenda opatsirana azimayi komanso mavuto a ubongo. Kawirikawiri kuchokera kwa amayi mukhoza kumva madandaulo okhudzana ndi kugonana.

Zizindikiro za atrophy

Matenda otchedwa Atrophic colpitis amadziwonetsera ndi zizindikiro zotere:

• Kutaya kwa mafuta amkati (ubweya wouma);
• Kuwotcha mukazi;
• Kutaya magazi pambuyo pa kugonana;
• Kupweteka kapena kusokonezeka nthawiyo;
• Kutaya makoma a vaginja;
• Kupweteka kapena kuyaka pamene mukukota;
• Kuthamanga mobwerezabwereza;
• Kuthamanga mobwerezabwereza usiku;
• Matenda ambiri omwe amabwera m'makina;
• Kusamalidwa mumtunda (zosadziwika kapena zosokoneza).

Akazi ena ali ndi zizindikiro zaka zingapo asanayambe kusamba, ena amayamba kudandaula za iwo atasiya kugwira ntchito, pamene ena sangadandaule nkomwe. Zizindikiro zonsezi zinkasamalidwa kale ndi mankhwala okonzedwa ndi estrogenic kapena mankhwala a homeopathic mu mawonekedwe a piritsi. Sizinali nthaŵi zonse chithandizo chimene chinabweretsa mpumulo. Pafupifupi 80% amagwiritsidwe ntchito mokonzekera "Triojinal". Yankho limatsimikizira izi.

Zifukwa za urogenital atrophy

Chifukwa cha kuchepa kwa ululu ndi kuchepa kwa estrogen. Popanda maestrogrog, mazira amkati a ubini ndi owuma. Amakhala otsika, osalimba komanso ovulala mosavuta.

Kuchepetsa satrogen saturation akhoza kuchitika m'madera ena, kuphatikizapo:

• Pa lactation;
• Pambuyo pa kuchotsedwa kwa thumba losunga mazira (kutsegula mimba);
• Pambuyo pa chemotherapy ya njira za khansa;
• Pambuyo pa mankhwala a ma radiation kwa khansa ya ziwalo za m'mimba;
• Pambuyo pa mankhwala a mahomoni a kansa ya m'mawere;
• Akazi omwe anabala ndi gawo la Kaisareya.

Kusuta kumapangitsa kuti magazi aziyendetsa ziwalo zonse, kuphatikizapo maselo a mkazi. Pachifukwa ichi, makoswe onse alibe oxygen. Pali kupopera kwa mucosa, magazi amachepetsedwa kapena kuchepa. Tiyenera kukumbukira kuti anthu osuta fodya amakhalanso osatetezedwa ndi mankhwala ovomerezeka. Ndipo kotero ntchito ya "Triojinal" (makandulo) ndi yolondola. Maphunziro a anthu ambiri amadziwa zotsatira zabwino za mankhwalawa.

Zochitika zogonana nthawi zonse zimathandiza kubwezeretsa maselo a m'mimba ndikupindula nawo mtima: imapangitsa kuti mtima ndi mitsempha ya m'mimba zikhale bwino. Zimagwiranso ntchito ndi "Triojinal". Umboni wa wodwalayo umatsimikizira kuti zizindikiro zina za matenda opatsirana amatha.

Ziwerengero za matenda a atrophic

Deta ponena za kuchuluka kwa zizindikiro za matendawa sizikuwonetsa mkhalidwe weniweni, popeza amayi ambiri samanena za mavuto omwe alipo. Chiwerengerocho chimasiyana ndi 3 peresenti pofika 60 peresenti ya amayi omwe amatha zaka makumi anayi amodzi.

Kulemba kwa "Trio"

Zokwanira za chithandizo cha urogenital, makamaka ngati zikuyenda ndi matenda a dysuric, ndi mankhwala a Trioginal - suppositories. Mayankho a onse omwe amagwiritsa ntchito nthawi zonse amakhala othandiza. Zizindikiro za Trioginal zikuphatikizapo: estriol kuchuluka kwa 0,2 mg, progesterone 2.0 mg, ndi mazira a lactobacilli, omwe amadziwika kuti ali ndi chibwenzi chokwanira ndi maselo a mukazi wamkati. Kugwiritsidwa ntchito kwa ma homoni kuphatikizapo mabakiteriya opindulitsa ameneŵa kumapangitsa kuwonjezeka kwa ndondomeko ya Dodderlyn mu umaliseche ndipo amalola mankhwalawo kuti agwiritse ntchito nthawi yomweyo, zomwe zimachepetsa chiopsezo cha kubwereza kwa dysuria kangapo. Kupangika kwa chibadwa cha abambo chifukwa cha lactobacilli kumapereka chithandizo chokonzekera chothandizira kuthandizira kumaliseche mumimba ndi chikhodzodzo pa mlingo wochepa wa estriol.

Mlingo

Njira yotsatira ya mankhwala ndi kukonzekera "Triojinal" ikuwoneka kukhala yabwino kwambiri: masabata awiri pa 2 capsules pa nthawi, ndiye 1 capsule 1 nthawi pa tsiku kwa sabata. Ndipo pofuna chithandizo chamakono chowonjezera, 1-2 makapisozi pamlungu ali okwanira. Sikofunika kuti mugwiritsire ntchito mankhwala a Triobium Triobioth (capsules). Maphunziro a amayi amatsimikizira kuti ndikwanira kuligwiritsa ntchito kwa milungu itatu. Ndipo izi zimathandiza kuthetsa zizindikiro zonse za urogenital atrophy, makamaka mawonetseredwe awo, komanso kusintha kwambiri moyo wa odwala.

Zotsatira za kukonzekera "Triojinal"

Umboni wa madokotala umasonyeza kuti atagwiritsidwa ntchito mankhwalawa, biocenosis ya umaliseche ndiyodalirika. Zotsatirazi sizinapangidwe muzochitika zonse za estrogen zomwe zimagwiritsidwa ntchito pochizira matenda. Pankhaniyi, mayiyo akufotokoza kuti khalidwe la kugonana labwino kwambiri. Kuuma, kukhumudwa kopanda kugonana. Izi zili choncho chifukwa chokonzekera bwino mahomoni omwe akukonzekera "Trioginal" amasankhidwa. Ndemanga za odwalawo zimasonyeza kuti chikhalidwe cha vaginja mumakhala bwino kwambiri. Ichi ndi chifukwa chakuti trophic epithelium ya vaginali imawonekera, kuchulukitsa kwa glycogen kukuwonjezeka, komwe kumathandiza kukhala ndi pH yabwino ya ukazi - kuyambira 3.8 mpaka 4.5. Ndi malo otetezeka kwambiri omwe mkhalidwe wabwino kwambiri wa ntchito zofunikira za ndodo zimalengedwa, zomwe zimateteza mucosa kuchokera ku zisonkhezero zoipa za tizilombo toyambitsa matenda.

Izi ndizo chifukwa chakuti kuchuluka kwa estriol pokonzekera "Trioginal" kunasankhidwa. Malangizo ogwiritsira ntchito, ndemanga za amayi amodzi amasonyeza kuti patadutsa sabata kale zakhala zogwira mtima za 0.2 mg wa izi ndi masoka a estrogen, omwe samakhudza chabe nembanemba ya umaliseche, komanso ziwalo zonse za maubereki. Izi zimawongolera osati trophic, koma komanso magazi, ubwino wa kervical mucus umakula.

2 mg wa progesterone, omwe ndi gawo la kukonzekera "Triojinal", amalimbikitsa mapangidwe a maselo apakatikati mwa vagini mucosa ndipo amachititsa mapangidwe a mapuloteni ndi glycogen.

Gawo lachitatu la kukonzekera "Triojinal" ndi zowuma za Dodderlein timitengo. Amapereka chiŵerengero chachilendo cha abambowa mumaliseche ndipo sagonjetsedwa ndi ma antibiotic osiyanasiyana, omwe amalepheretsa kutuluka kwa candida colpitis.

Chiŵerengero ichi chikuyimiridwa ndi njira za "Triojinal". Malangizo, ndemanga za akatswiri a gynecologists amasonyeza kuti izi ndizomwe zimakhala zofunika kwambiri.

Ubwino wa "Trio"

Pakalipano, madokotala amanena kuti ma oral estrogens alibe mphamvu pa zizindikiro za kugonana kwapakati. Zimagwiritsidwa ntchito pokhapokha ngati mutagonana ndi urogenital ndi matenda a menopausal. Kukonzekera m'masewero omwe ali ndi tizilombo toyambitsa matenda a estrogen pakuthandizidwa kwa matenda a urogenital ndi othandiza kwambiri, chifukwa sakhudza thupi lonse ndipo sizikuipitsa thanzi lonse la odwala. Zotsatira zazomwe zimagwiritsidwa ntchito pogwiritsira ntchito mankhwalawa, mavitamini, mapiritsi a m'mimba komanso mphete za m'mimba za m'mimba zimapezeka mwezi wachitatu wa mankhwala ndi kukonza "Triojinal".

Umboni wa madokotala umasonyeza kuti mankhwalawa ali ndi hormone estriol, yomwe imakhudza thupi lonse la mkazi. Mankhwala ena onse omwe amagwiritsidwa ntchito ndi opaleshoni ndi awa: 17β-estradiol, estradiol acetate, estradiol hemihydrate, conjugated estrogens, estrone. Zonsezi zimakhala ndi zotsatira zoyipa zofanana ndi engorgement zamatumbo a mitsempha, nseru, kusanza, kutaya magazi pang'ono kuchokera kumaliseche, candidamycosis komanso kusokonezeka maganizo.

Mitundu yosiyana ya estradiol imatsogolera kuwonjezeka kwa endometrium, choncho imayenera kuyesa kafukufuku wapachaka wa dziko la uterine mucosa. Estriol sichikhudza ntchito ya endometrium ndipo siimayambitsa hyperplasia. Choncho, muzochitika izi, "Triojinal" imagwiritsidwa ntchito. Ndemanga ya odwala ambiri imasonyeza ntchito zabwino za mankhwalawa kwa kanthaŵi kochepa ka ntchito yake.

Zotsatira za mankhwala ndi mankhwala "Triojinal" ziyenera kuzindikiridwa kupweteka kokha kapena engorgement ya ma thovu a mammary. Kawirikawiri, pali zizindikiro zina zosafunika: kuyaka kapena kuyabwa mukazi, kumaliseche kwa magazi , matenda osokoneza bongo.

Contraindications

Pali mndandandanda waukulu wa zotsutsana ndi mankhwala a "Triojinal", choncho, m'pofunika kuganizira zoopsa za zamoyo.

Matenda omwe kugwiritsa ntchito mankhwalawa akutsutsana:

• Khansara ya m'mimba;
• Njira za khansa zokhudzana ndi mahomoni, makamaka kansa ya endometrial ;
• Khansara ya chiwindi;
• Kutsegula kuchokera kumaliseche;
• Endometrial hyperplasia;
• Matenda a chiwindi ndi kusintha kwa magawo a zachilengedwe;
• Porphyria;
• M'badwo uli pansi pa zaka 18;
• Thrombosis kapena thromboembolism;
• Kuthamanga kwa mtima kapena zikwapu mu anamnesis;
• Nthawi ya mimba;
• Kuyamwitsa;
• Matenda owopsa kwambiri;
• Chiwawa cha coagulation;
• Matenda a shuga amakhala ndi angiopathy;
• Kuwonongeka kwakukulu kwa dongosolo la mtima;
• Kutengeka kwa zigawo zikuluzikulu za mankhwala.

Mankhwalawa ayenera kuchitidwa mosamala mu matenda opatsirana kwambiri, endometriosis, matenda okhudza tizilombo toyambitsa matenda mwa achibale; Matenda a chiwindi; Zovuta za matenda a shuga, cholelithiasis, migraine, khunyu, matenda a shuga, matenda opatsirana.

Pogwiritsidwa ntchito panthawi imodzi ndi "Phenobarbital", "Carbamazepine", "Phenytoin", "Rifampicin", "Rifabutin", "Nevirapine", "Efavirenz", kuwonongeka kwa estrogens kumakula. Izi zimachepetsa mphamvu ya mankhwala. Mavitabolism a estrogens amachepetsedwa ngati akuphatikizidwa ndi mavitamini a chiwindi ("Ritonavir", "Nelfinavir"). Mankhwala omwewo amagwiritsidwanso ntchito kwa wort St. John's.

Kugwiritsira ntchito makapisozi "Triojinal"

Ndemanga amati patatha maola ochepa mutatha kugwiritsa ntchito, mumamva bwino. Pakatha sabata yoyamba ya chithandizo, zizindikiro za dysuric zimatha. Azimayi ena amalemba kuti "Triojinal" imathandiza kuchiza matenda ena achibadwa: adnexitis, fibroids, infertility. Kugwiritsa ntchito ndikugwiritsira ntchito malangizowo onse a dokotala kumakupatsani mwayi wogwiritsa ntchito "Trioginal" (makandulo) kuti muzitha kuchiza matenda onse osowa ndi estrogen. Kuyankha kwa odwala ndi chitsimikizo cha izi.

Mtengo wa mankhwala ulipo. Tsopano mankhwala "Triojinal" akufunika kwambiri. Ndemanga za makasitomala amavomereza kuti mankhwalawa angagulidwe mu pharmacy iliyonse, ndi mitsuko iwiri yokwanira ya mankhwala.