"Prepidil" (gel): inkcazelo, imiyalelo ukusetyenziswa kunye nengxelo. Gel for kuFacebook zabasebenzi

Kutheni usebenzisa lo neziyobisi "Prepidil" (gel)? Ingxelo malunga nokusebenza ichiza, kwakunye ezibonisa esi sixhobo ziza kuchazwa uncitshiswe kancinane. Kwakhona ukunika inkcazelo malunga nendlela yokusebenzisa ichiza wathi, ziyimalini iindleko yaye yintoni na umgaqo esisetyenziswa ngayo.

Inkcazelo, ukupakisha kunye nokwakheka

Yeyiphi iphakheji iziyobisi ezikhoyo "Prepidil"? gel intracervical kuthengiswa iisirinji yeplastiki elahlwayo gqibezela catheter. Bona zibekwe kumadyunguza kunye iibhokisi zekhadibhodi, ngokulandelelana.

iziyobisi bukhanye kunye viscous "Prepidil" (gel) iqulethe njengempembelelo esebenzayo ezifana dinoprostone. Njengoko izinto abangabancedani wongezelela nale dust colloidal anhydrous kunye triatsetilglitserol.

indlela isenzo

Yintoni na ichiza "Prepidil"? Gel ngexesha lokuzalwa ivuselele zivuthwe wesibeleko. umenzeli wayo esebenzayo i okunamafutha acid unsaturated ukuba kuhlelwe phantsi kweemeko nokomzimba.

Specific isenzo iziyobisi mgaqo ukusetyenziswa kwayo intratservikalno khange kufundwe. Kodwa ke, iingcali zikholelwa ukuba dinoprostone ukuze ikhulise ukuhamba kwegazi wesibeleko, ngaloo ndlela nokukhawulezisa ekukhuleni kwayo (okuthambisa, smoothing kunye nokuvula). Izenzo ezinjalo ngokupheleleyo ne ngesiqhelo elibaleka utshintsho oluthile ezikhokelela ekuncipheni nokumelana womlomo wesibeleko kunye nokwandisa nokurhwaqela myometrial, kwakunye ukunikezelwa.

Kufuneka kwakhona uqaphele ukuba element engeyiyi imali nako ukuba nempembelelo emnandi izihlunu lokugaya. Kwiimeko ezinqabe kakhulu oko kudale isicaphucaphu nokugabha xa umfazi okhulelweyo.

Xa iidosi eziphezulu dinoprostone ekwaziyo ukuthoba uxinzelelo lwegazi (ngenxa yeziphumo kwi nemithambo egudileyo kwezihlunu, kunye emithanjeni), kunye nokuphakamisa iqondo lobushushu emzimbeni. Nakuba kunjalo, kufanele kuqatshelwe ukuba zonke ezi ziphumo hayi kuvandlakanywa xa ezithatha ichiza kakuhle, oko kukuthi, kwi ngokwemithamo ekucetyiswa ukuba zivuthwe wesibeleko.

kinetics

Zeziphi sibubona kwikinetiki parameters medicament "Prepidil"? Le gel, leyo iqulathe ixabiso ngakumbi intracervical emva ulawulo 500 .mu.g ifikelela xi ubuninzi egazini emva kwemizuzu 35-45. Emva koko, umxholo wenkqu esebenzayo yehliswe ngokukhawuleza ukuya kwinqanaba lokuqala (nokuba umsebenzi zesibeleko).

Dinoprostone ne albumin yabantu sibophelela 73%. Ngoko ke eyona nto ebonakalayo ichiza athunyelwa kuzo zonke izicwili kunye neencindi zomzimba parturient.

Kakhulu dinoprostone umzimba emiphungeni, kunye nezintso nomhlehlo wesibindi. Egazini labantu kunye nomchamo ziyazibhaqekela ubuncinane ezilithoba metabolite prostaglandin E-2.

Uninzi isithako esebenzayo "Prepidila" umntu ofakwe yi nezintso, kodwa izixa ezincinane - kunye endleni.

ubungqina

Kutheni kufuneka iyeza "Prepidil"? Le gel kunceda ukukhuthaza zivuthwe wesibeleko. Oku kusetyenziswa kuphela xa kubonisiwe ukubulaleka.

Izimo

Gel for yoqheliso yabasebenzi alisetyenziswa kwiimeko contraindicated ngenxa izishunqulelo zesibeleko kuyoluka. Ezi ziquka:

• ukukhulelwa multiple;
• ukungabikho ukufakelwa intloko foetal;
• ukusuka abakhulelwe 6 ngokupheleleyo-term;
• ukuzalwa traumatic okanye kunzima (kuquka imbali);
• utyando kwi isibeleko okanye uqhaqho (kuquka imbali);
• ubukhulu ukungafani isinqe intloko koomama foetal;
• lokubandezeleka ezingekazalwa (phambi);
• imeko apho ungenelelo utyando bungcono;
• yokuphazamiseka the foetal intliziyo isingqisho;
• Amanzi igazi evela iphecana angasese ngexesha lokukhulelwa (of imvelaphi ayaziwa);
• womchamo zokuzala (amaqela asezantsi);
• engaqhelekanga intshumayelo Palsy ;
• hypersensitivity izithako gel.

Amanyathelo ithathwa arhente isetyenziswa lwegazi, izifo sentliziyo, kwekhono hepatic, isifuba inyumoniya, umsebenzi kidney kakuhle, into leyo eyaye sac, hypertension ocular okanye glaucoma.

Drug "Prepidil" (gel): Imiyalelo

Njengoko i oyidlayo kokuqala ukusebenzisa iziqulatho emzimbeni walo ngokusebenzisa ngenxa yoko catheter eqhotyoshelweyo. Le eyaziswa emjelweni wesibeleko, nto leyo ifumaneka ngezantsi kwenqanaba os lwangaphakathi.

Xa gel sele wangena, njengomfazi ozalayo kufuneka ¼ iiyure engqengqe ngomqolo. Oku kuyimfuneko ukuze kuncitshiswe ukuvuza ichiza.

Ukuba kushukumisa kwiziko amayeza sokuqala ithamo akwenzeki, i-medicament ilawulwa kwakhona (emva kweeyure 6). Ithamo for Ulawulo okuphindwayo beziyobisi kuhlala ingatshintshanga.

Imfuneko ukusetyenziswa olongezelelweyo ijeli umiselwa meko lwezonyango.

Le idosi iphezulu yemihla ngemihla ingqalelo medicament ngu 1.5 mg.

umthamo

Ndingayisebenzisa njani gel ngenxa kuFacebook yabasebenzi? Imiyalelo iqulathe amanyathelo uguquko alandelayo:

• Kuhlalutywe le ngesirinji abulawe catheter.
• Susa isiciko ngesirinji kwincam.
• Faka cap isirinji (kwelinye icala) ukuze zisetyenziswe njengendawo piston.
• Uslayide catheter (ngokuqinileyo) ukuya ngencam nesirinji etywaleni yenzekile.
• Faka umama entsha yonke imixholo nesirinji.

ukusabela ezingalunganga

Zintoni iziphumo ebezingalindelekanga amayeza kungabangela "Prepidil"? Gel kwi parturient ekwaziyo ingqondo izishunqulelo Titanic zesibeleko (ukwandisa ilizwi layo, rhoqo kunye nexesha eli izishunqulelo), kwakunye isicaphucaphu, zesibeleko komsipha, ukugabha, iqolo, urhudo, ifiva, reactions hypersensitivity kunye ukufudumala imvakalelo kwi lobufazi.

Kuphuhliso ezingekazalwa beziyobisi kunokubangela ukubandezeleka syndrome, kwakunye ukutshintsha izinga intliziyo, ukunciphisa uvavanyo imeko usana of the Apgar ngamanqaku ngamanqaku 7. Phakathi kwezinye izinto, ukusetyenziswa ichiza kunqabile ingqalelo, kodwa ebangela ifile.

Drug "Prepidil" (gel): ncomo kunye nexabiso

Iindleko kwemali kakhulu eliphezulu. Enye isirinji ne gel zingathengwa ngenxa 580-650 engange. Kufuneka kuqatshelwe ukuba ukusetyenziswa kwale ichiza kufuneka kuphela esibhedlele.

Oogqirha bathi ukuba ukusetyenziswa kwe "Prepidila" kufuneka kuqala bahlole kokulandelwa isinqe abasetyhini kunye nobukhulu intloko ezingekazalwa. Ukuba ngaba akufani, ngoko ke akukho kusetyenziswa amayeza.

Ngokutsho izigulane, i-arhente isifundo kungabangela isixa esikhulu yeziphumo ebezingalindelekanga, kubandakanywa umntwana ubomi emngciphekweni. Ngoko ke, inkoliso yabo bayala ukusebenzisa le gel, ingakumbi emva kokuba iminyaka engama-35 ubudala.