Emndenini ngamunye kuza isikhathi lapho enquma ukuba nezingane. Ukuze kuzalwe impilo encane, abazali abazayo bahlolwa ngokugcwele futhi bathathe imithi yokwakheka okuhle. Izazi zezinkinga zezinkinga ngokuvamile ziyala uDufaston lapho ehlela ukukhulelwa . Thatha isidakamizwa kuyadingeka kuphela emva kobufakazi futhi emva kokuzijwayeza izakhiwo zayo.
DUFASTON - IZIPHUMA
Isidakamizwa senzelwe umphumela wokwelashwa emzimbeni wabesifazane abanenkinga ethile yokukhulelwa noma ukuthwala ingane. Lezi zinkinga zingenzeka ngezinga eliphansi le-hormone ye-steroid, njenge-progesterone. Ikhiqizwa yizigulane eziyingozi kanye nama-ovari, ukujikeleza kokuya esikhathini nokuqala kokukhulelwa okulinde isikhathi eside kuxhomeke kuyo.
Umjikelezo wesifazane uhlukaniswe ngezigaba ezimbili:
- I-proliferative (follicular). Ngalesi sikhathi, umzimba ulawulwa yi-estrogens, ngenxa yokuthi i-follicle evuthayo ivuthwa.
- Imfihlo (luteal). Ngesikhathi sokuvuthwa kweqanda, iqanda lihamba emgodini we-fallopian. Futhi endaweni yayo ukubunjwa komzimba ophuzi owenza i-progesterone. Ngemuva kwalokho, ungqimba lwamanzi obubelekayo luyandisa ukonga kwegazi, lukhulula futhi luthinte.
Lezi zinqubo zidala izimo ezihle zokukhulelwa kanye nokufakwa kweqanda elikhulelwe. Uma kwenzeka ukwephulwa noma ukungasebenzi kahle kwalesi senzo emzimbeni wesifazane, i-gynecologist ibeka amaphilisi e-Dufaston. Zinezinto ezisebenzayo eziyinhloko, okuthiwa i-dydrogesterone (10 mg). I-hormone ephelele ephephile, esakhiweni sayo ifana ne-progesterone.
Ithebulethi ngayinye inombala omhlophe. Izingxenye ezengeziwe ziyi:
- i-silicon dioxide;
- isitashi sommbila;
- i-magnesium stearate;
- i-lactose monohydrate.
Isikhombisi esikhulu sokusetshenziswa kwezidakamizwa uDyufaston ekuhleleni ukukhulelwa kungukuntuleka kwe-progesterone, okubangelwa yizo zonke izinhlobo zamacala. Isidakamizwa asiphazamisi umsebenzi wesibindi, isisombululo se-carbohydrates, umsebenzi wamathumbu. Lo muthi awunayo izakhiwo zokukhulelwa, awuvimbeli ukuvuthwa futhi kusiza ukubuyisela futhi ulungise umjikelezo wesimiso.
Ngingakwazi yini ukuphuza i-djufaston uma ngihlela ukukhulelwa?
Ukuphendula umbuzo mayelana nokuthi kufanelekile ukuphuza i-Dufaston uma uhlela ukukhulelwa, kufanele kuthiwa kuphephile ngokuphelele, kodwa kuthathe ngaphansi kwezinkomba ezithile. I-criteria eyinhloko yilezi:
- ukungakwazi ukusebenza kwesigaba sesibili somjikelezo;
- i-adenomyosis , eyenza ukungaziphathi kahle futhi ayivumeli owesifazane ukuba athwale umntwana.
Uma umama wesikhathi esizayo unomlando wokuvuthwa kwesisu okuphindaphindiwe, bakhuluma ngesifo esinjalo ngokuthi "ukukhulelwa komzimba okuvamile." Kulokhu, isidakamizwa se-hormonal Dufaston uma uhlela ukukhulelwa kufanele kuthathwe ngempela ukuze uphulukise ukungabi nabantwana. Umuthi kufanele udakwe yinkambo isikhathi eside, futhi umthamo kufanele unciphise kancane kancane.
U-Dufaston uthinta kanjani umzimba?
Isenzo esiyinhloko sikaDufaston ekuhleleni ukukhulelwa ukubuyisela isizinda se-hormonal sowesifazane. Thatha imithi idinga isikhathi eside - okungenani imijikelezo eyisithupha elandelako. Lesi sidakamizwa sibhekwa njengesiphephelo futhi ngesikhathi esifanayo sisebenza ekusongweni kokukhulelwa kwesisu nganoma yisiphi isikhathi, kungenzeka ukuthi ukuguqulwa kwesisu noma ukuvimbela ukuzalwa ngaphambi kwesikhathi.
UDuphaston ekuhleleni kokukhulelwa kunqunyelwe lezo zibonakaliso:
- i-amenorrhea yesibili , uma owesifazane engena esikhathini esikhathini esingaphezu kwezinyanga eziyisithupha ngesikhathi sokubeletha;
- umjikelezo ongavamile - ukulibaziseka okuqhubekayo, okuqinisekisiwe ebhokisithri ngesikhathi sokuvivinya;
- I-Dysmenorrhea - ukuphuma kwegazi ngesikhathi sokuya esikhathini noma inkambo yabo ebuhlungu.
U-Dufaston uthinta kanjani ukuvuthwa?
Abesifazane abaphupha ngokushesha baba umama bavame ukuzibuza ukuthi iDuphaston ithonya kanjani ukuvota. Ukukhiqiza kubathintekayo yizinto eziningi, okubaluleke kakhulu kuzo zonke izifo ze-hormonal, izifo ezingapheli noma izifo zobulili. Isidakamizwa sinikeza inkambo evamile yokujikeleza kokuya esikhathini, kodwa futhi inegalelo ekukhiqizeni i-progesterone.
Uma owesifazane ephethe le hormone ngendlela evamile, lokho okweqa ngokweqile kuholele ekuvinjweni kwe-ovulation futhi ukukhulelwa okulinde isikhathi eside akukwenzeka. Ama-gynecologists e-Dyufaston amisa engxenyeni yesibili yomjikelezo, kodwa emva kokuhlolwa okuphelele nokudlula i-ultrasound. Lokhu kwenziwa ukuze kunqume inani leprogesterone, ukubhala ukwelashwa okufanele, futhi uma kwenzeka kuqala, ukugcina izithelo.
U-Dufaston uthinta kanjani i-endometrium?
I-pathology ye-endometrium ngokuvamile ihlala ekugcineni kwayo. Le nkathazo ihlotshaniswa nezifo ze-hormonal emzimbeni wesifazane futhi ixazululwa kalula ngenxa yemithi yesimanje. Kulokhu, u-Dufaston, uma ehlela, usetshenziswe esigabeni sokugcina somjikelezo, ophumelelayo ngempumelelo nenkinga. Izinkomba eziyinhloko zokuthatha imithi yilezi:
- i-endometriosis ;
- ukuntuleka komzimba ophuzi;
- i-dysmenorrhea encike hormone;
- ukungabi namuntu;
- ngokweqile ngokweqile kwe-endometrium, evezwe yi-estrogen.
Ingabe iDuphaston ithinta ukushisa okuyisisekelo?
Abesifazane abaningi, abafuna ukukhulelwa, balandele ukushisa kwabo okuyisisekelo . Kuyasiza ukunquma usuku lokuvuthwa, okusho ukuthi, nokukhulelwa ingane. Ukuthola i-Dyufaston akukhiyi ukuthi kungenzeka ukuthonya le nkomba, nakuba kuyi-analogue yokufakelwa kwe-hormone yemvelo yomuntu. Isidakamizwa singathathwa ngokuphepha kunoma isiphi isigaba.
Ingabe iDuphaston ithinta isisindo?
Lesi sidakamizwa sigxile ngokuphelele emathanjeni emathunjini, ngakho-ke asinamthelela ekusetshenzisweni kwamakhemikhali namafutha. Lesi yisizathu esiyinhloko sokuthi ngeke uzuze isisindo esiningi uma uthatha i-Dufastone, ukusetshenziswa kwayo kufanele kukhishwe uma kungezwani ukungaboni ngaso sonke isikhathi. Owesifazane angaphinde alulame ngenxa yokungasebenzi komzimba noma ukungondleki kahle.
Ungathatha kanjani uDufaston ngenkathi uhlela ukukhulelwa?
Lapho uphendula umbuzo mayelana nendlela yokuphuza kahle u-Dyufaston uma uhlela ukukhulelwa, kufanelekile ukusho ukuthi umthamo kanye nekhasi kufanele lithathwe ngumchwepheshe. Thatha imithi kuqala esigabeni sesibili sokujikeleza kokuya esikhathini, ngosuku olulandelayo emva kokuvuthwa. Njengomthetho, lena yithebhulethi eyodwa ngosuku, kodwa kukhona okuhlukile, okuxhomeke kuzo izici zomzimba wesifazane nesimo esithile.
Ayikho uhlelo olukhethekile lokuthatha iDupfaston. Uma umjikelezo unamaviki amane, sebenzisa lesi sidakamizwa kusukela ezinsukwini ezingu-11 kuya kwezingu-25 izinyanga eziyisithupha. Ngalesi sikhathi, owesifazane kufanele akhulelwe, kodwa awukwazi ukumisa ukuthatha imithi. Uyaqhubeka ephuza amanye amasonto angu-16, kuze kuqalwe ukuqala kwe-placenta, okuzoqala ukukhiqiza i-progesterone ngokwayo.
Nini ukuqala ukuphuza uDyufaston lapho uhlela ukukhulelwa?
Uma umbhangqwana oshadile unompilo osebenzayo ocansini iminyaka emibili, futhi ukukhishwa okufisa akukenzeki, ngalezi zinkathi odokotela benza ukuxilongwa okubi "kokungenzi lutho." Ukwemukelwa kukaDufaston ngesikhathi sokukhulelwa ngempumelelo kusiza ukubhekana nesifo esinjalo, futhi owesifazane unamandla okuthwala nokubeletha umntwana onempilo. Nika izidakamizwa emva kokuthatha izivivinyo ze-hormone esigabeni sesi-2.
Dyufaston - umumo wokungena ngesikhathi sokukhulelwa
Abazali besikhathi esizayo bavame ukuthakazelisa indlela yokuphuza uDufaston ngenkathi behlela ukukhulelwa. Ukuze ubale umthamo oqondile, udinga ukwazi inani eliqondile le-hormone egazini. Ukwenza lokhu, emva kokuhlolwa kwe-ovulation, uma ungawazi usuku oluqondile, uzodinga:
- Qaphela ukushisa kwe-basal.
- Yenza ukuhlolwa ngosuku lokukhulelwa.
- Hamba nge-ultrasound kuze kube yilapho udokotela ebona u-follicle ovuthiwe.
Ngokusekelwe emiphumeleni, umjozi wesifo somzimba uqoka uDufaston, umthamo lapho uhlela ukukhulelwa okungenani u-10 mg wezinto ezisebenzayo. Ukuhlushwa okukhulu kwala ma-enzyme eplasma kwenzeka ngemva kwamahora amabili, emva kokusetshenziswa kwezidakamizwa. Amathebulethi awadakiwe nsuku zonke: kufanele athathwe emva kokuvuthwa futhi aqedile ngosuku lokuqala lokuya esikhathini, uma engakhulumi.
UDustonston lapho ehlela ukukhulelwa emva kokukhulelwa okuqinile?
Uma ukukhipha isisu okuzenzakalelayo kwenzekile empilweni yomfazi, isicelo sikaDufaston sokuhlela ukukhulelwa kuyadingeka. Umuthi ngeke usize kuphela ukulungisa iqanda lomntwana, kodwa futhi ukuqala kokukhulelwa. Isilinganiso kuleli cala sifinyelele ku-40 mg ekwamukelwa kokuqala, bese-ke wonke amahora angu-8 wethebhulethi eyodwa. Imithi iqhutshwa kuze kube amasonto angama-20 uma kungekho sengozini yokukhula.
Ukuqedwa kukaDufaston ekuhleleni kokukhulelwa
Uma phakathi nemithi yakho izivivinyo zakho zibuyele ezivamile, ukukhansela kuka-Dufaston kwenziwa kancane kancane futhi kuphela ngokulandela uhlelo olubekwe udokotela wakho. Isibonelo, namuhla uphuza amaphilisi amathathu, kusasa - amabili, usuku olulandelayo - amaphilisi owodwa. Ngesikhathi sokuhlela ukukhulelwa, le mithi isuqedile kuphela lapho kufika ukuya esikhathini. Lokhu kwenziwa ukuze emzimbeni wesifazane akukho ukwehluleka kwe-hormonal.
Dyufaston - ukungqubuzana nemiphumela emibi
Imithi ngayinye inezinzuzo nezinkinga zayo, imiphumela emibi noma amacala okudlula ngokweqile. Lesi sidakamizwa sibekezeleleke kahle, kodwa sinemiphumela embi kakhulu. Abesifazane basabela kumuthi onjengokuthi:
- itching;
- ukuqhuma isikhumba;
- ikhanda noma i-migraine;
- ukuphuza ukuphuma;
- ukwephula ekusebenzeni kwesibindi.
Ukudlula ngokweqile komuthi kungakabhalwanga ngokusemthethweni, kepha uma kwenzeka lokhu, kufanele nje uhlanza isisu. I-Dyufaston contraindications, okuyinhloko yiyo:
- ukuncelisa;
- ukutholakala kwezicubu ezimbi;
- ukuphazamiseka kwegazi okwephutha;
- ukutholakala kwezifo zesibindi, isibonelo, i-Dabin-Johnson syndrome noma i-Rotor.
Mayelana nazo zonke izinguquko kanye nokuphendula emzimbeni wesifazane, umane kufanele amtshele udokotela wakhe, ngoba kwezinye izimo kuzodingeka ukuthi ubuyekeze umgomo futhi ukwandise umthamo, kanti kwabanye, ngokuphambene nalokho, kuncishise noma kukhansele ngisho nalesi sidakamizwa. Impilo yowesifazane nengane yakhe yesikhathi esizayo iyinhloko ebalulekile yomndeni, okudingeka uhlale uyiqaphela.