Ngaba "iFemoston 2/10" isebenzayo ekucwangciseni ukukhulelwa?

Ukuba ngumama yinjongo enkulu yowesifazane. Abo babameli besini esilungileyo abanesizathu esithile abakwazi ukufikelela kule njongo ezukileyo, bazimisele ukufumana uncedo lwezonyango kwiinkalo ezahlukeneyo zeengcali, bafumana iimviwo ezininzi, banyamezele iinkqubo ezingathandekiyo. Nangona kunjalo, akuyiyo yonke into kwaye akusoloko ibuhlungu kangaka. Kukho amaxesha apho ibhinqa kufuneka iqhube iyeza lonyango, kwaye yileyo - inwabe. Kuza ukukhulelwa, kwaye ummeli wesini esilungileyo uhlala ekulindele ummangaliso - ukuzalwa komntu omtsha, umntwana wakhe.

Namhlanje, amanqaku amaninzi aphuhlisiwe anokunceda umfazi akhulelwe. Omnye wabo "nguFemoston 2/10". Xa ucwangcisa ukukhulelwa, eli liyeza linikeza inkxaso eninzi kumzimba wesetyhini kwaye yenze imimiselo yokuchumisa iqanda ngokuphumelelayo.

Amacandelo amakhulu kunye nendlela yokukhululwa

Iyeza liyiyobisi edibeneyo ye-hormonal eyenzelwe ukunciphisa ukungabikho kwe- hormone isrogen emzimbeni wowesifazane kunye nokubonelela unyango lwezonyango ngenxa yokuphuma kwamagciwane angasebenzi. Iipilisi "Femoston 2/10" zifakwe kwiiphakheji zeeqhekeza ezingama-28, kwi-blister nganye zinemibala emibini: i-pink kunye nephuzi eliluhlaza. Iipilisi ezipinki ezi-14 ezinjengezithako ezisebenzayo ziqukethe i-estradiol kwisixa somlinganiselo we-2 mg nganye. Iipilisi ezi-14 (i-yellow yellow) ziqukethe i-2 mg ye-estradiol kunye ne-10 mg ye-dydrogesterone nganye.

I-Lactose, i-hypromelase, isitashi (ingqolowa), i- magnesium stearate kunye ne-colloidal silicon dioxide isebenza njengamacandelo ancedisayo.

Amacwecwe ahamba ngebiconvex, ejikeleze ngokusemgangathweni, ehlanganiswe ngefom membrane.

Injongo yesilwanyana

Iyeza "Femoston 2/10" (ukuphononongwa, imiyalelo eqinisekisa le ngcaciso) yilungiso elungileyo lokutshintsha ukungabikho kwe-estrogen, edlalwa rhoqo emva kokuqala kokuphuma kwesisu. Eli mayeza alungile ekupheliseni ukungahambi kakuhle kwengqondo kunye nokutya okungahambisani nokuqala kokuphuma kwesisu. Ezi ziquka i-hyperhidrosis (ukunyuka okukhulayo), ukuqhuma kwesikhumba ebusweni, ukunyuka kweentlanzi, ukungaqhelekanga ekuphumeni, iintloko, isisu, ukuncipha kwethambo (i-osteoporosis).

Kukho nezinye izibonakaliso zokusebenzisa izilwanyana "Femoston 2/10", kwaye ukukhulelwa kwisigaba sokucwangcisa ngenye yazo. Ngenxa yokuqeshwa kwakhe, kufuneka kubekho iimeko ezithile:

1) Isixa esaneleyo se-estrogen ekupheleni kwesiqingatha sokuqala somjikelezo wesisitya (isigaba sesilandeleko) siya kuzibonakalisa ukunganelanga okwaneleyo (akukho ngaphaya kwe-7-8 mm) yocingo lwe-endometrium;

2) ukufumanisa ukungabikho komntwana kubangelwa ukungalingani kwamanye emzimbeni.

Abaqeqeshi bezonyango beli ziza bazama ukuxazulula iingxaki ezikhusela ukuqala kokukhulelwa kwintombi: uluhlu oluncinci lwe-endometrium kunye nokungabikho kwe-estrogen. I-Dydrogesterone - enye yezinto ezinxulumene neziyobisi "Femoston 2/10" - xa ukucwangcisa ukukhulelwa kubangela ukuba umlenze weqanda ukhule, unqande. Oku kubalulekile ukwenzela ukuba iqanda elichumisiweyo lidibanise udonga lobumbano olungapheliyo.

Ukongezelela, le nkunkuma inceda umzimba womfazi ukuba ubuyisele inkqubo yovungulo, ngaphandle kokuba yintoni ukukhulelwa nokuqala kokukhulelwa akunakwenzeka. Nangona kufuneka ndixelele ukuba kwinkqubo yokuthatha amacwecwe, i-ovulation akufanele ivele. Le nkqubo iphinda iqale emva kokuba ikhosi yezolimo igqityiwe.

Abaninzi abameli bezesondo ezilungileyo bayathandabuza ukuphumelela kwesilwanyana "Femoston 2/10". Ukuphonononga, ukukhulelwa, okwenzeke kwinani elikhulu labasetyhini emva kokuphela kokungeniswa, kubonisa ukuba ukuthatha le myeza kuchaneke kakhulu xa uceba ukukhulelwa.

Ubani na le chiza lichazwe?

"Femoston 2/10" xa ukucwangcisa ukukhulelwa akukhethwa ngumntu onguchwepheshe. Isizathu siphepha uluhlu olukhulu lweengqinisiso. Akufanele kuthatyathwe ngabasetyhini abaye bafunyaniswa okanye bayakrokrelwa ukuba babe neeplasms eziyingozi, kuxhomekeke kwinqanaba le-estrogen kunye neprogesterone.

Musa ukumisela izilwanyana kubafazi abaswele ukuphuma kwegazi ngaphandle kwemvelaphi engaziwayo, abaphilwanga i-hyperplasia (i-pathological proliferation) ye-endometrium. Akuvumelekanga ukusebenzisa le mayeza ukuba kukho (okanye uphawu kwi-anamnesis) ye-thromboembolism ene-venousis, i-angina pectoris, i-myocardial infarction (kwisigaba esisebenzayo okanye esandisiwe).

Akuvumelekile ukuthatha izilwanyana kwizigulane eziphethwe zizifo zesibindi kwisigaba esisebenzayo, okanye ukuba imilinganiselo ye-biochemical yalo mzimba ingazange ibuyele ngokuqhelekileyo. Ukutshatyalaliswa kokuthatha amachiza kukubakho kwesifo se-porphyrin yesigulane (ukuphulwa kwe-pigmentation ngenxa yokwanda kwe-porphyrins kwimizimba kunye negazi).

Musa ukuthatha le nyamakazi ibhinqa ngolunye uvakalelo ku-estradiol kunye ne-dydrogesterone, kunye nalo lonke uhlobo lweyeza "Femoston 2/10". Ukuphonononga, imiyalelo ibonisa umphumo ongalunganga kwimeko yokuthatha iyeza xa ukhulelwe. Ngoko ke, kufuneka uyeke ukuyisebenzisa nokuba ucinga nje imeko echaphazelayo. Isilungiso sinqatshelwe ngexesha lexesha lokutya. Musa ukuyimisela kubantwana nakwishumi elivisayo phantsi kweminyaka eyi-18.

Iimiphumo ezimbi ezinokuthi zonyango

Ngokuqhelekileyo, isilwanyana sinokuvalelwa kumxholo ongekho ngenxa yembonakalo engafanelekanga kwindlela yokuphathwa kwentloko, ukungathandeki kwintlungu kwintlambo kunye nasesisu, ukuhlaselwa kwe-migraine, i-nausea, i-flatulence. Ukusetyenziswa kwe "Femoston 2/10" kunokubangela ukukhathazeka okubuhlungu kwiintlanzi zamathambo, kwandise ukuqonda kwabo, kuqhubise ukubonakala kwegazi lokuphuma kumfazi kwisimo seminyaka esele ifika emva kokuphuma kwesisu, kwaye kuthintela kakhulu utshintsho lwesisindo (ukwanda okanye ukunciphisa).

Ucwaningo lwezonyango luye lwabonisa ukuba unako ukuva malunga nemiphumo emibi kwindlela yokuphuhlisa i-candidiasis yobunini, ukwandisa ubukhulu be- uterine fibroids, utshintsho kwi-libido, ukwanda ukwethuka okanye ukudandatheka. Ukongezelela, ukuphuhliswa kwezilonda kwi-cervix, ukubonakala kweemveliso ezivela kwiingcali zengxondorha yomlomo wesibeleko zibeka ngokuxhomekeka ngokuthe ngqo kwi-drug "Femoston 2/10". Iingxelo zoogqirha zibika ukuba, kwimvelaphi yokusetyenziswa kweyeza, iziganeko ze-edema yengingqi, imihlathi, i-skin rashes, i-dysmenorrhea yabhalwa.

Yinto engaqhelekanga, kodwa unokuva malunga nemiphumo enjalo njengengxaki ekusebenzeni kwesibindi, isifo sokuxhatshazwa kwangaphambili, utshintsho (ngokuqhelekileyo kwicala elincinci) lokukhawuleka kwe-eye cornea, ukukhishwa, ukulahlwa kwee-lens.

Ngamanye amaxesha kunokwenzeka ukuhlakulela izifo ezinzima njenge-stroke, ukunyuka kwezinto eziphezulu kwi-myocardial infarction, i-anemia (i-hemolytic nature), i-purpura ye-vascular. Kwakukho iimeko zokunyusa uxinzelelo lwegazi, ukuphuhliswa kwe-dyspepsia, i-pancreatitis, i-systemic lupus erythematosus, ukubonakala kweempawu zengqondo (ngokungafanekiyo).

Isicwangciso sokumkela kunye neerim

Ngaphambi kokuba uphendule umbuzo malunga nendlela yokusela "i-Femoston 2/10", kufuneka kuthiwa isigaba se-estrogenic sonyango siyacetyiswa ukuba sithathwe ngokuqhubekayo, kunye neprogesagenic - ukusuka phakathi kwimijikelezo yokuya esikhathini ukuya ekupheleni (kunye nomjikelezo weentsuku ezingama-28 ukususela ngomhla we-15). Ukubeka nje, kwisiqingatha sokuqala somfazi kufuneka adle ipilisi enye epinki, kwaye ukusuka kwinqanaba lomjikelezo, njengomthetho, ukususela ngomhla we-15, ukuya kwamukelwa kwamacwecwe ebalaphu.

Ngokuqhelekileyo, unyango luqala ngeqondo elincinci le-estradiol, eli-1 mg. Ngoko ke, ukuba unyango olude oludibeneyo kunye nokusetyenziswa kwesi sigulo kulindeleke, iingcali zikhetha ukukhetha kuqala "iFemoston 1/10". Emva koko, ukuba kuyimfuneko, isigulane sidluliselwa kumlinganiselo ophezulu.

Ukuqala unyango kuvunyelwe kuphela emva kokuba umjikelezo weeveki ezine uzalisekile.

Ukuba, nangaliphi na isizathu, ipilisi elandelayo ilahlekile, kufuneka ithathwe ngokukhawuleza. Nangona kunjalo, ukuba iiyure ezingama-12 zigqityiwe ukusuka kwithuba apho isisombululo sidla ngokusetyenziswa, idosi ephosakeleyo ayikho mfuneko. Akukhuthazwa ukusebenzisa i-dose ephindwe kabini yeyeza "Femoston 2/10". Amalungiselelo afanayo ayenayo impawu ezifanayo zokufumana. Ukuba uthatha i-dose ephindwe kabini, awuyi kukwazi ukuhlawula idiza ephosakeleyo, kodwa ukunyuka kwamanzi kuya kwanda. Kwimeko ezinje, ukubonakala kokukhutshwa kwamanzi ngesisu.

Ngokuphathelele ukusetyenziswa kweziyobisi ngezigulane ezingaphezu kweminyaka engama-65 ubudala, kunzima ukusho nto, kuba akukho nolwazi olunokwaneleyo malunga neziphumo zokusetyenziswa. Njengoko akukho bungqina bokumisela "i-Femoston 2/10" (isicatshulwa sisabhonomoni) kubantwana nakwishumi elivisayo.

Amayeza afanayo

Ukuba sithetha ngezifaniso zesakhiwo (i-generics) ze "Femoston", ngoko ukufutshane kwabo "Femoston 1/5 Conti". Umgaqo ofanayo onempembelelo emzimbeni wesifazane ulawulwa yi "Trieskvens", "Divina", "Cleiogest", "iKlimonorm". Igama elichanekileyo kumbuzo wendlela yokutshintsha indawo ethi "Femoston 2/10" kufuneka ihlale kunye noogqirha.

Ngendlela efanelekileyo, abasebenzi bezonyango baphendula kwisiganeko esifana ne "Klimonorm". Isizathu kukuba, ngokweengcali zeklinikhi, kule ngxube inxalenye yeprogestogen ikhona kwinqanaba elifanelekileyo elifanelekileyo ekulawuleni ngokufanelekileyo umjikelezo nokuqinisekisa izinga elifanelekileyo lokukhuselwa kwe-endometrial ukusuka kwintsebenzo ye-estrogen. Ngendlela efanayo, kunokwenzeka ukugcina iziphumo ezilungileyo ze-estrogen kwimeko yesimo senhliziyo kunye neenkqubo ze-lipid metabolism.

Kwakhona, "i-Femoston 2/10", efana neyodwa eyenza iqela elifanelekileyo, izigulane zihlala zichithwa yi-"Angelica". Nangona iingcali zithandekile ukukholelwa ukuba akukho ntlukwano ethile phakathi kwala mayeza. Uhlobo oluphambili kukuba i-gestagenic icandelo "kwi-Angelica" liyi-drospirenone kwisilinganisi se-2 mg kwithebhulethi enye.

Ngoko ukhulelwe njani?

Ukuba kuyaziwa ngokuqinisekileyo ukuba umfazi ukhulelwe okanye kukho izizathu zokucinga ukuba kunjalo, kufuneka ukhansele ukusetyenziswa kwesilwanyana "Femoston 2/10".

Xa ucwangcisa ukukhulelwa, inokusebenza kakuhle kuba umthamo we-estradiol kwiipilisi zepinki ezicetyiswayo ukuba zisetyenziswe kwisahlulo sokuqala somjikelezo awuvimbeli okanye ziwuthintele inkqubo ye-ovulation, ifanisa inkqubo efanelekileyo yesigaba sesilandelayo kwaye ivuselele iiseli ze-endometrial ukuba zihlukane kwaye zikhule.

Ubungakanani obukhulu bezinto ezibini eziphambili kwinqanaba lesibini lomjikelezo liyakwazi ukubonelela (xa kwenzeka ukukhulelwa) isingeniso esiqhelekileyo seqanda elichumayo kwiindawo eziphakathi kwentsholongwane. Ngaloo ndlela, "iFemoston 2/10" (ukuphononongwa koogqirha kwakhona kwakhona kuyaqinisekisa) - indlela yokuphelisa ukuphambuka komjikelezo wesini.

Umbono wezigulane malunga neziyobisi

Iingxelo zezigulane ziphikisana. Uninzi lwamaxesha amaninzi isilwanyana sasisetyenziselwa ukulungelelanisa imeko emva kokuqala kokuphuma kwesisu kunye nokucwangciswa kokukhulelwa. Abantu abaninzi bashiya ngentshiseko malunga neziyobisi "Femoston 2/10". Ukukhulelwa, ngenxa yonyango, kwenza abafazi banonwabe. Ezi gulane zithetha ngokunyamezela kakuhle kwamacwecwe, malunga nokuzinza kwimeko yezempilo, ukuphucula imeko yezempilo. Amachiza anemiphumo emihle kwesikhumba, ingaqhelanisa umjikelezo wokuya esikhathini (xa kwenzeka ukuphulwa kwakhe).

Ubuninzi beempendulo ezingalunganga zidibaniswa nophuhliso lwemiphumo emibi. Izigulane zithetha ngeemeko zokudandatheka, ukwanda kwisisindo somzimba, ukubonakala kwe-edema, intlungu edibeneyo. Kungase kube nokuncipha komsebenzi okwenyama, ukubonakala kwesikhumba. Iqela elithile labesetyhini likhalaza ngokungabikho kwefuthe elindelekileyo.

Oogqirha malunga neFemoston

Ngokutsho kweengcali zonyango, "iFemoston 2/10" isichenge esinokusebenza kakuhle kwiinkatho zezifo ezinxulumene nokusebenza kakubi kwee-ovari, ukukhulelwa kwabo kwangaphambili. Iibhilebhe ngokubanzi zixhomekeke kakuhle zizigulane. Ucwaningo lwezonyango luvumela ukuba sikhulume ngesiphumo esihle kwiprofayili yepilid yegazi, kwi-intlalo jikelele yowesifazane. Kwakhona, kunesizathu sokuthetha ngokunyusa ukusetyenziswa kwe-oksijeni nokuphucula i-osteo-ekhuselekileyo ye-estrogen.

Nangona kunjalo, akubona bonke ababelethi be-gynecologists baphendula kakuhle "kwiFemoston". Ngokwamaninzi, umlinganiselo wezinto ezisebenzayo kwiyeza liphezulu ngokwaneleyo, kwaye kwimeko yokukhulelwa, ichiza lingachaphazela kakhulu umntwana. Ukongezelela, iingcali zikholelwa ukuba xa uceba ukukhulelwa, amayeza ayisebenzi: ukukhulelwa kwenzeka kwiimeko ezininzi kuphela emva kwexesha elide lokusetyenziswa. Makugqirha oogqirha kunye nokubonakaliswa ngokuthe rhoqo kweziphumo zempembelelo ngendlela yesisu, isisu, isithwaba, ukucaphuka, isisulu sokuncwina. Kwiimeko ezinqabileyo, kukho ukuphulwa okungakumbi.

Ngoko iphi i nyaniso?

Ngokuqinisekileyo, iqela elikhulu labasebenzi bezonyango liye ludinga ukuxilongwa kwangaphambili kunye nokuqaliswa kwonyango ngokungafaniyo kwabasetyhini abanomsebenzi ongasebenzi, owenza ukukhulelwa kungenzeki.

Nangona kunjalo, kukho iqela elincinci labantwana besifo somzimba abayazi indlela yokutshintsha "iFemoston 2/10" kwimeko yomfazi wesifiso sokukhulelwa aze abelethe umntwana. Oogqirha bakhetha ukunyula iilisi ezikhethekileyo "iDyufaston" kwisiqingatha sokuqala somjikelezo, okwandisa amathuba okukhulelwa.

Kukho nawuphi na, kuyimfuneko ukuba uhambelane ngokungqongqo kumyalelo, qwalasela iingqinisiso kwaye usombulule zonke iingxaki ezichaphazelayo ugqirha wonyango.