Ichiza 'Divigel'. umyalelo

Ukulungiselela "Divigel" - transdermal gel utywala-based equlethe analogu zokwenziwa of the estradiol zendalo ezifana kuyo (estradiol) umsebenzi eziphilayo. Indlela yokusebenza ye ichiza iyafana ezixhanyulwa amalungiselelo estrogen-equlethe ngomlomo. Basebenzisa iziyobisi "Divigel" nelokwakha endometrium.

Amalungiselelo kuthethelela yokunqongophala estrogen, ukunciphisa ubuzaza ukuphazamiseka ezinxulumene ukuya exesheni kunye ovariectomy.

yokusetyenziswa ichiza "Divigel" kunye progestagen kwabasetyhini kakhulu rhoqo ukopha menstrualnopodobnoe, ixesha apho umlinganiselo iintsuku ezintlanu okanye ezintandathu. Qala ukopha, ngokuqhelekileyo ngeveki idosi yokugqibela Progestogen. ukukhululwa Minor exeliweyo 4-5% kwizigulane. Kunyaka wokuqala unyango ngo-3-5% abasetyhini babe amenorrhea.

Xa transdermal (eluswini) nokusebenzisa estradiol kunye medroxyprogesterone acetate ukuhla iyonke isibonisi cholesterol.

Emva kokuba isicelo nolusu utywala ngumphunga. Estradiol ngokukhawuleza wendele kwaye engena kwegazi. Ukusebenzisa amayeza "Divigel" kwi kummandla ezingama-400 ukuya-200. cm (elilingana kummandla izandla omnye okanye emibini), alunasiphumo kwi-mali kwii-isithako esebenzayo egazini. Noko ke, xa isicelo iqondo ebanzi kakhulu amacandelo ukufunxeka ungahluka.

isixa esithile estradiol okongezeleke kwi izihlunu adipose ongama, ukusuka apho ngcembe ongena egazini. Isicelo Transdermal ikuvumela ukuba uphephe ngokuwa pass lokuqala ichiza "Divigel", phezu lokuphumelela lokuqala esibindini. Ngoko ke ukuhla nokunyuka amanqanaba plasma estradiol abangathathi ngokukhawuleza xa usebenzisa ichiza xa kuthelekiswa kumalungiselelo ngomlomo.

Lithetha "Divigel" manual icebisa ukuba unyango lwe ngxaki syndrome, nto leyo ebangelwa ovariectomy okanye exesheni, ngokunjalo ukulungiselela iimeko okubangelwa estrogen. Ngaphezu koko, ukulungiswa uboniswa nokuthintela ephambili kwamathambo.

Le umthamo i "Divigel" guide iziyobisi icebisa ehleli ngabanye. Njengomthetho jikelele, amisele milligrams 0.5-1.5 ngosuku. Umthamo anokuhlenga-hlengiswa ngugqirha. Ikhosi therapeutic inokuba rhoqo okanye nokungazinzi koqoqosho.

Xa unyango wesibeleko yayinjalo nge "Divigel" manual lithethelela ukuba umjikelo ngexesha uthatha progestin iintsuku ezilishumi okanye ezilishumi elinambini kumjikelo ngamnye (kuthintelo iinkqubo hyperplastic kwi endometrium). Kokuqukunjelwa kwikhondo menstrualnopodobnoe ukopha kufuneka kwenzeke.

Xa wesizalo ukopha eyandisiweyo okanye ixesha elide kufuneka ukuchonga unobangela. Ixesha yomjikelo kubaguli postmenopausal kunokuba ukuya kwiinyanga ezintathu.

Le umthamo i "Divigel" manual ngamachiza icebisa ukuba uthambise emacaleni esiswini okanye isicelo kule ndawo ngeempundu esezandleni elinye okanye amabini, ukutshintsha ekhohlo aphantsi kunye ekunene. Emva ngokusebenzisa ichiza kufuneka anikwe ukufunxwa okwemizuzu embalwa.

Ukulungiselela "Divigel" contraindicated kwi leyo, kuqikelelwa okanye esekwe umhlaza webele, estrogen-abaxhomekeke umhlaza (umhlaza endometrial, umzekelo), bleedings lobufazi zendalo ezingaziwayo. Musa ukumisela amayeza ukuba hyperplasia alunyangwanga le endometrium, wasiwa Embolism thromboembolic pulmonary okanye deep vein thrombosis, iposi engabalulekanga phakathi kwiminyaka emibini edlulileyo, kwakhona thromboembolism. Izimo ziquka isifo oyingozi okanye esingapheliyo isibindi, hypersensitivity, zisanyisa. I 'Divigel "Pregnancy iziyobisi kwakhona ongaphathiswanga.

Ngaphambi kokuba usebenzise amayeza kufuneka udibane nogqirha ukufumana phandle zonke iziphumo ebezingalindelekanga eli ichiza.