"Goserelin": imiyalelo ukusetyenziswa kunye nengxelo kumagqirha

Ngelishwa, umhlaza ezimbi zangasese, kwakunye iingxaki kunye nenkqubo emveliso amadoda namabhinqa into entsha. Ukuba ngaba kujongana nezi zifo, umntu uyafa. "Goserelin" imiyalelo ngokusebenzisa ekufuneka nakanjani kuviwa nomonde, nje ukunyanga izifo ezinjalo.

ifomu Ukukhululwa neempawu amanyathelo

Ngenxa yoko, ichiza kwebambela zokwenziwa of hormone gonadotropin-lokukhululwa. ukusetyenziswa zexesha elide kweli chiza kunciphisa isixa estradiol amabhinqa kunye testosterone into eyindoda. Oku kunciphisa izinga lokukhula yamathumba prostate onobungozi, umhlaza webele, fibroids zesibeleko okanye uyeke ngokupheleleyo oko.

Njengoko kwifom woyekelelo, ngoko "Goserelin" (imiyalelo zokusetyenziswa e iphakheji ichiza) ethengiswa njengezingxobo idepho ngesirinji applicator ukuba ziyindlela olukhuselayo. umthamo wabo 3.6 mg. Ukongezelela, unako ukufumana ichiza ngokohlobo njengezingxobo elide-ngokwenza, elawulwa phantsi kwesikhumba. capacitance lwabo kule meko 10.8 mg. Kananjalo zingathengwa isirinji applicator ezizodwa ziyindlela olukhuselayo.

Eli chiza a bioavailability eliphezulu. Xi igazi liphezulu kufikelelwa emva kweeyure 1.5-3 emva kulawulo, kuxhomekeke besini lomguli. Ngokuphathelele nokwakhiwa kwezimali, goserelin ngokwako yeyona nto engundoqo esebenzayo.

Ubungqina obubonakalayo buxela ukuba ukusetyenziswa

Ngoko ke, ukuze uqale ukuthatha "Goserelin" imiyalelo zokusetyenziswa banike ubungqina obunjalo:

• somdlavuza wendlala emadodeni.
• Umhlaza nesifo webele kwi abafazi premenopausal okanye yobudala okuzala.
• endometriosis.
• Surgery, nto leyo ifuna ukulungiswa kwangaphambili - thinning of nwebu endometrial.
• fibroids wesizalo.
• Nokupheliswa komsebenzi olusebenzayo posa xa kuthe amadlozi ngesirinji elizayo.

Zeziphi lawo Izimo?

Njengaye nawuphi na amayeza, kukho Izimo ukuba neziyobisi "Goserelin." Imiyalelo yokusebenzisa ulumkisa nezithintelo obunjalo ukuthatha eli yeza:

• uvakalelo ichiza eliphezulu kakhulu.
• An uxabane.
• Abantwana ukuya kwiminyaka engama-14.
• Ibele.
• Pregnancy (nokuba uqhubeka, ngoko kwimveku zingenzeka engekazalwa ongekazalwa).
• ucinezelo le umongo wethambo.
• Ureteral kokuphazamiseka.

Iimpawu ze isicelo

Ukuba isigulane sidinga ukuba usebenzise "Goserelin" imiyalelo yokusebenzisa (ixesha lokuyisebenzisa kumiselwa ngokungqongqo ngugqirha) zifanele ukutshekishisisiswa. Iqulethe ulwazi malunga iimpawu zezi zigaba: leli philisi ilungiselelwe yolawulo ongama. indawo yayo - udonga sobuKristu esiswini.

Ukuba wenza unyango ezimbi yamanina, leli philisi kufuneka kuthathwe nyanga zonke. Idosi ichanekile 3.6 mg. Ukuphelisa umntu somdlavuza wendlala ilawulwa 10.8 mg kwiiveki ezili-12.

Asimele silibale ukuba kwiiveki zokuqala unyango, isigulana kubuhlungu kakhulu, ngokuba kwinqanaba hormone ukunyuka. Le eqhelekileyo xa ufunyansiwe ukuba ezithatha ichiza.

Ubude unyango uzimisele ngamnye. ezimbi yamanina akangekhe ngaphezulu kweenyanga ezintandathu. Kubalulekile ukukhumbula ukuba xa isigulane yabelwe "Goserelin" umyalelo ayiboneleli ukuba sicatshulwa kwakhona unyango. Isibakala sokuba eli chiza kunciphisa kwamathambo kwamathambo.

Ukuba nangokwamkela philisi ngesizathu esithile ishiyiwe, kuyimfuneko ukuphumeza msinyane nje isigulane ukhumbule oku. Abasetyhini waphuthelwa kanye amayeza, kukho umngcipheko zesibeleko ukopha.

Buhle zingafuneki khona ukuze yenzeke?

Ukuba isigulane sidinga ixesha elide ukuthatha iyeza ezifana "Goserelin" sikhokelo kunye nohlaziyo kwezinye izigulane ziya kunika ithuba ukuqonda ukuba isebenza njani. Kakade ke, wonk 'iya uyazibuza ukuba ziintoni iziphumo ebezingalindelekanga kungabangela kumelwa iyeza.

Akayi kuvalwa, ukuze kwenzeke ngayo ezinjalo:

• amandla okwehlileyo kunye drive ngesondo.
• Breast ukufukuka nesisa kwakhe (hayi rhoqo).
• Ukuhlukunyezwa ureteral patency.

Abafazi kwakhona angavela iziphumo ebezingalindelekanga:

• umbilo Ukwandiswa.
• kukutshintshatshintsha rhoqo kunye nokudakumba.
• Buhlungu nentloko.
• imifinya owomileyo kwiinwebu zangasese.
• Ukucutheka esomelela inkanuko yesini.
• Demineralization esiqwini ithambo, ekhokelela ubu ithambo.
• Ukutshintsha ubungakanani webele.
• Kwabadala (kwiimeko ezininzi, ukopha ngenyanga Awunakugcinwa kwakhona).

Common kuzo zombini ngokwesini nazo iziphumo ebezingalindelekanga: irhashalala eluswini, usulelo ngeempumlo, uxinzelelo oluphezulu lwegazi, nokuphazamiseka intliziyo isingqisho.

Specific isikhokelo, unxibelelwano kunye nohlolo

Ngoko ke, ukuba isigulane kufuneka uthathe iziyobisi "Goserelin" umyalelo (ichiza sele kwaziwa) unika le imiyalelo ethile:

• Le njengezingxobo akufuneki zithathwe kunye notywala, ekubeni kusenza demineralization ithambo.
• Kufuneka kube kunye anticonvulsants ethululwayo iziyobisi zingeniswe, kunye corticosteroids.

Njengoko nokubuyekezwa, apho intetho malunga eninzi iziphumo ebezingalindelekanga kwaye ukuba uziva mnandi kwiiveki zokuqala zonyango. Ayizizo zonke izigulane ichiza kunceda, nangona kwiimeko ezininzi nangoku kuyaphumelela.

Ukuba ingcali ikholelwa ukuba Kuyancomeka ukwenza i "Goserelin" imiyalelo nomonde zokusetyenziswa (ncomo kumagqirha kufuneka kusoloko kuthathelwa ingqalelo) kufuneka kusoloko zibe isandla isigulana lonke ixesha imithi. Iingcali ezi avumelana uluvo lwabo, nangona inani elikhulu abasabela ekunzima kwenzeka phantse zonke isigulane, iyeza lusebenza kakhulu.

izincomo ezithile

Kukho iimeko apho kufuneka ubone ugqirha emva ezithatha ichiza. Umzekelo, ukuba:

• Baqala ke ukuba ubonise iimpawu zokwanda koxinzelelo intracranial.
• Wabonisa zimpawu legazi kwi ingqondo yebhinqa: yintloko ngesiquphe yaye kakhulu, iingxaki umbono, isiyezi, intetho kunzima kakhulu ukuyilandela. Ezi mpawu zingavela iiveki kwasekuqaleni-2 emva kokuba unyango.
• Kukho iimpawu ucinezelo lomsele nomqolo okanye iingxaki womchamo. Oku kubonisa intlungu kummandla empontshwa, kakhulu intshukumo enzima imilenze ephezulu nesezantsi, igazi nomchamo. Echama lubuhlungu.

Kukho ezinye izinto ekufuneka ziqwalaselwe phambi kokuqalisa unyango:

1. Imbali Nomonde, nto leyo ethatha ingqalelo phambi kwamathambo, yegazi ephezulu kunye nobukho zesibeleko ezophayo indalo lichaza thrombosis kwi umguli kunye nezalamane zakhe.
2. utyekelo yabantu ukutshaya, ngenxa yokuba lo mkhwa inegalelo ukuyilwa egazi.
3. Umnqweno isigulane ukuba abe nosana kwixesha elizayo okanye sele ukukhulelwa.
4. Ukuthatha naziphi imithi, nkqu ezo zithengiswa ngaphandle kagqirha. Kubalulekile ke ukuba umxelele ugqirha malunga zonke izongezo ezibanjiswe, kwakunye iti esintu, ezisetyenziswa kulo unyango.
5. Ubukho ukusabela bayaliwa na amayeza.

yokugcina Iimpawu kunye analogue

Njengazo naziphi na ezinye zonyango ukulungiselela "Goserelin" kufuneka igcinwe kwiqondo lobushushu igumbi kwindawo olukhuselwa kakuhle yelanga eyingozi kunye nabantwana.

Ukuba isigulana akunakwenzeka ukuba i "Goserelin" yemiyalezo (analogs ukumelana nale ngxaki) ucebisa ukuba udibane nogqirha. Ingakumbi xa kujongwa ukuba chiza ngexabiso eliphezulu - ukususela 8000 engange. ngesirinji ngalinye. Phakathi analogue ukuze kuphawulwe 'Zoladex', 'Buserelin ".

Oko kuthetha ukuba zonke iifitsha thaca. Hlala uphilile!