Ichiza "Menopur": uhlolo kunye neziphumo, imiyalelo esetyenziswa kunye nenkcazo

Eziliqela izibini abanengxaki ukungachumi. amayeza Modern inethuba elikhulu ekucombululeni le ngxaki, kodwa ke izigulane kufuneka ulumkele ukuba unyango zandiswe. "Menopur" - ichiza leyo kuyasetyenziswa unyango ukungachumi. Eli nqaku liza kuzama ukuqonda ukuba yintoni na indlela yokusebenza nokubonakaliswa zokusetyenziswa leyo anako.

ifomu Ukukhululwa kunye nokwakhiwa ichiza "Menopur"

Le ndlela ifumaneka njengezingxobo.

Ukwakhiwa: into esisiseko - follicle ekhuthazayo hormone (FSH) kunye luteinizing ihomoni (LH) kwi-ratio 1: 1.

amacandelo ezongezelelweyo:

• monohydrate Obumele.
• Polysorbate 20.
• sodium hayidroksayidi.
• Zehydrochloric acid.

Kukwafakwe iyeza i ampoule kunye kwisinyibilkisi equlethe i isisombululo isotonic sodium chloride yaze yangxenga ifuthe lomanyano zehydrochloric acid ukudala kwinqanaba pH eqhelekileyo.

isiyobisi Efumanekayo ku ibhokisi, ezilingana 5 kunye ezineengqayi amayeza-5 - kunye sijike.

Njengenxalenye ichiza "Menopur" iqulethe ukucoca ekhethekileyo ngxaki yabantu gonadotropin. It livela umchamo wesiqingatha nemazi uluntu, emva kokuba kudlule exesheni. Xa elawulwa umfazi "Menopur" drug (uhlolo kunye neziphumo ezininzi izifundo proof) kukuloleka kwemveliso estrogen kunye ekukhuleni zoboya. Ukongezelela, iinkqubo proliferative ibakho kwi endometrium.

Ukuba ungenise ichiza umntu, oko konyusa inqanaba testosterone emzimbeni wakhe. Kwakhona ichiza ivuselele spermatogenesis, ngenxa ukusebenza ngomhla iiseli tubules seminiferous.

"Menopur": zikhombisa ukuba ukusetyenziswa

Abafazi bacetyiswa ukuba ukuthatha eli chiza ukuze ubudlolo olubangwa ukuphazamiseka hypothalamic-yebhinqa, kwakunye nokusetyenziswa kobuchwepheshe ezongezelelweyo okuzala ukuba ukukhulelwa ekhubekisayo.

nazo Amadoda bacetyiswa ukuba basebenzise i "Menopur". Ukuphonononga kunye neziphumo zonyango ukuqinisekisa impumelelo yayo ngokuba azoospermia kunye oligoastenospermii, nto leyo ngenxa lokuqala okanye ezenqanaba lesibini okhawulezileyo hypogonadotropic, kodwa ichiza kuphela eya kuhlanganiswa kunye nenye gonadotropin kweziyobisi chorionic yabantu - hCG.

"Menopur": ulwamkelo ekunene kubafazi

Women ichiza Kucetyiswa ukuba bangenele izifundo lwezitofu ngenxa nenzalo, obe ubaqhiphukisa iingxaki kwiinkalo ingqondo onoxanduva imveliso iihomoni ababhinqileyo. Kuba wonke umfazi idosi yoxhaso ngamnye. Isixa kangangoko ikhosi iziyobisi kunye nonyango lizakucwangcisa kuphela emva kokuba zonke izifundo:

• Ultrasound zamaqanda.
• Ukumisela umgangatho hormone ababhinqileyo egazini yesigulane.
• Zonke iimvavanyo eziyimfuneko.
• Incoko kunye nogqirha.

Root lokuphatha "Menopur 'ukulungiselela (ngokutsha ubungqina iziphumo zonyango) kunye ezineengqayi 1-2 ngosuku (75-150 IU). Ukuba amaqanda musa ukusabela, ithamo kufuneka yaba yintsimi yonke namanqanaba estrogen akayi kwandisa kunye nokukhula zoboya. Emva koko, lo idosi sihlala sikweli nqanaba de akayi kuba amanqanaba igazi estrogen ngokufanayo phambi ovulation. Ukuba inqanaba estrogen liphakame kakhulu ngokukhawuleza, ukunciphisa idosi.

Ukuze eyenza ovulation ngemini, maxa amaninzi, ezimbini emva naliti yokugqibela "Menopur" zibangele ilawulwa 5 000-10 000 IU hCG.

"Menopur" ibe kwisiqingatha enamandla yoluntu

"Menopur" kumadoda (uhlolo kunye nokusetyenziswa kweziphumo zingqinele oku) kucetyiswa ukuba ukukhuthazwa inkqubo ekumisweni spermatozoa. Ukulawula beziyobisi izixa-1 000-3 000 IU hCG kathathu ngeveki de kuqheleke amanqanaba testosterone egazini.

Emva koko, ichiza kufuneka kwakhona zibhalise emzimbeni inkunzi kathathu ngeveki, kodwa imali ezineengqayi 1-2 (75-150 IU) kangangeenyanga eziliqela.

Izimo

"Menopur" - ichiza obalaseleyo, kodwa Izimo yayo ukusetyenziswa isigulane ngasinye phambi kokuqala unyango kufuneka baxelelwe ukuba ingxelo ukuba ugqirha wakho kunye naye makathathe indawo okanye idosi echanekileyo. Musa ukuthatha amayeza kule ezimbi zilandelayo:

• Iingxaki kwi adrenal kunye ndlala namadlala.
• Ithumba uluhlu kummandla gipatalamo-yebhinqa.
• Hyperprolactinemia.
• Ukwanda ubungakanani amaqanda okanye ubukho cysts ukuba akukho ezinxulumene uphawu zamaqanda polycystic.
• ukopha kusisi zendalo ezingaziwayo.
• Uphuhliso okuthile zokuzala.
• fibroids wesizalo, nto leyo ehambelana kunye nabantwana.

• Amahlathi umhlaza kwi isibeleko, zamaqanda, amabele.
• Ukungaphumeleli Ovarian kweqonga yokuqala.
• Ukukhulelwa kunye ibele-lwebele.

Abantu bayacetyiswa ukuba ichiza "Menopur" (iimpendulo kunye neziphumo zonyango ukuqinisekisa oku) somdlavuza ze esinobubovu prostate okanye ubukho bezinye yamathumba androgenozavisimyh.

"Menopur" ukuze superovulation

Ngaphambi kokuqhubeka IVF, abafazi emiselweyo ichiza oluya kunceda ukukhuthaza superovulation. La machiza kakhulu, "Diferelin", "Tsetrotid", "Puregon" kunye nabanye abaninzi.

"Menopur 'ukuba amadoda IVF protocol yenye amachiza olusebenzayo lubonise iziphumo ezilungileyo emva kokuba le nkqubo. Khetha protocol ekunene kuya kunceda ugqirha kwimeko nganye. Yingcali liya kuthathela ingqalelo zonke izifundo ze ukhethe indlela ekunene kwaye idosi eza kunceda kwandisa iziphumo ezintle inkqubo IVF izihlandlo eziliqela.

"Menopur" kunye neziphumo zalo

Emva kokuba nokusebenzisa "Menopur" ncomo neziyobisi kunye neziphumo IVF kwiimeko ezininzi HIV, unako ukuzisa ulonwabo iintsapho ezininzi.

Noko ke, simele sikhumbule ukuba buye ziziphumo ebezingalindelekanga:

1. Ngomhla inxalenye yenkqubo yokwetyisa: isicaphucaphu, ukugabha kunye flatulence.
2. Ukusuka kwinkqubo yonyango: ovarian hyperstimulation syndrome, ukwanda estrogen zinomgutyulo kwi umchamo, iintlungu esiswini asezantsi. Abantu bangase gynecomastia.
3. Ngomhla inxalenye iinkqubo pathways lomzimba: egazi igazi, ukusilela ulwelo kunye electrolyte, ascites kunye hydrothorax.
4. Ukongeza, ngexesha unyango, izigulane ezininzi ziye waphawula ekubonakalisweni negazi lakho, kwakunye nokudumba kunye ukurhawuzelela kuyo inaliti.

"Menopur": imiyalelo ezizodwa ukuze zisetyenziswe

Phambi kokuqala unyango, elowo umfazi kunye umntu kufuneka azi ukuba kukho izithintelo ezininzi eziifunekayo. Konke oku kunika ulwazi oluneenkcukacha eziqhotyoshelwe medicament "Menopur" imiyalelo zokusetyenziswa. Price (reviews bathi njengento eliphezulu ngokwanelisayo kodwa hayi emba) kuyahlukana kuluhlu engange-1500 ziphene nganye. Noko ke, ichiza olusebenzayo wavumela iintsapho ezininzi ukufumana uvuyo lokuba ngumzali.

Phambi isicelo oko kuyimfuneko ukuze kupheliswe syndrome umonakalo okanye ukuxhathisa ovarian endocrinopathy extragenital.

Kwakhona, umfazi ngamnye ochitha inkanuko "Menopur" (reviews of izigulane zigxininisa oku) kufuneka bazi ukuba umphumo ube ukhulelwe.

Ukuba isigulane wabonisa iimpawu hyperstimulation ovarian, unyango kufuneka ngoko nangoko yayekwa. Oku kubonisa iintlungu esiswini, ngokunjalo ultrasound. Ngexesha unyango kuyimfuneko yonke imihla levels hormone ultrasound ntoni nokuphuhlisa follicle.

Ukuba ukukhulelwa sele lwenzekile, iimpawu hyperstimulation ngokugqithiseleyo ukuze ukwandisa kakhulu kwaye umguli waphawula ixesha elide, oko unako ukukhonza njenge ingxaki enkulu ebomini bakhe.

Ngexesha unyango emadodeni kunye xi aphezulu FSH egazini, menotropiny na ukubonisa iziphumo ezihle.

"Menopur": ncomo

Njengangoku, uninzi abafazi ukufumana ukukhulelwa ngendlela yemvelo, nto ke leyo ebangele ukuba uyavumelana IVF, nto leyo enika ithuba ukuba nomntwana. Kodwa ngaba iziphumo 100% unganiki ukususela kwixesha lokuqala, ngoko ke kufuneka ukuba iqalise le nkqubo izihlandlo eziliqela. Kodwa asingabo bonke umfazi unalo ithuba, njengoko kubiza kakhulu. Ukwenzela ukuba abasetyhini ukuba ukukhulelwa okokuqala ngenxa IVF yasungulwa iziyobisi "Menopur" 300 IU. Ukuphonononga kunye neziphumo zonyango ziye muhle. Amayeza kwandisa amathuba okufumana izihlandlo abakhulelweyo eziliqela.

Tool kuba neziphumo ezihle kakhulu emva konyango, izigulane kuphela uhlolo ezintle, loo nto kuphela into elothusayo abaninzi babo, ngoko ke ukuba ukhulelwe, ezinokuthi zenzeke emva kwikhondo unyango "Menopur" iziyobisi. Kukwakho Izimo ezininzi kunye neziphumo ebezingalindelekanga, kodwa ukuba kusoloko phantsi kweliso ugqirha oza kubeka esweni imeko yomguli kunye ukulawula ithamo, yonke imiphumo ezingathandekiyo iya kuba ezoyikekayo.

Xa ndiqukumbela, ndifuna ukuthi: umnqweno umfazi ukuba abe umntwana likhulu kangangokuba ukulungele ukuya nantoni oyithandayo, nje ukwazi ulonwabo ngumama. Ngoko ke, uthomalaliso "Menopur" zonke neziphumo zalo akukho eyoyikekayo. Kodwa ke kubalulekile ukukhumbula ukuba isigqibo ngokungxama kunye nokusetyenziswa kwamalweyile ngendlela iziyobisi kunokukhokelela nemiphumela emibi kakhulu noqhekeko. ugqirha kuphela ukuba ube nomfazi Kwathi le ndlela kwaye wenze konke okusemandleni ukuze ufumane iziphumo ezidibanisayo.