Zizindikiro zazikulu zogwiritsa ntchito mankhwalawa
Chida ichi chimaperekedwa ndi dokotala kokha ngati pali mavuto aakulu okhudzana ndi nthawi ya mimba. Mayi wam'tsogolo ayenera kudziwa, zomwe zofufuzira zimakhala zofunika Utrozestan pa mimba.
Ndilo analog ya progesterone yachibadwa, yomwe imapangidwa ndi thupi lakazi, lopangidwa kuchokera ku zinthu zakutchire. Choyamba, mahomoni amapanga thupi lachikasu la mazira ambiri, kenako pulasitiki: izi zimathandiza kuchepetsa kusamvana kwachiberekero kwa chiberekero ndikuthandizira kukula kwa dzira la fetus. Komanso, progesterone imayambitsa ntchito yoyamba yomwe ikugwira ntchito komanso ntchito ya thupi.
Chifukwa chake, yankho la funsolo, kodi makandulo a Utrozestan, ndi chiyani omwe amavomerezedwa, amawoneka ngati awa:
- Mankhwalawa amathandiza kwambiri akagwiritsidwa ntchito kumayambiriro kwa mimba, ngati mayi atapezeka kuti ali ndi vuto lopita padera. Kaŵirikaŵiri, zimadziwika m'mimba ya m'mimba ndi kupenya.
- Komanso, pakati pa zizindikiro zogwiritsira ntchito suppository za Utrozestan, malo ofunikira amakhala ndi matenda a mahomoni omwe amawoneka ndi osakwanira kupanga progesterone mu thupi. Ngati amayi oyembekezera atayesedwa asanayambe kutenga mimba ndipo amadziwa kuti thupi lake silikusowa, muyenera kumudziwitsa dokotala yemwe amalemba cholowa chake.
- Mankhwalawa ayenera kulembedwa kwa amayi omwe adutsa njira ya feteleza, mpaka sabata la 20 la mimba.
Mbali za kulandiridwa kwa Utrozhestan
Musanagule mankhwala, ndikofunika kuti musadziwe kokha chifukwa chake mudapatsidwa makandulo a makandulo, komanso momwe mungawagwiritsire ntchito molondola. Mankhwalawa amalembedwa kokha m'gawo loyamba ndi lachiwiri. Mwadzidzidzi, popanda kufunsa dokotala, sizingatengedwe: katswiri wa amayi okha ndiye amene amatsimikizira nthawi ya chithandizo ndi mlingo. Mu trimester yachitatu, ngati kuli koyenera, amalowetsedwa ndi Dufaston.
Pangozi yoperewera padera komanso poopsezedwa, Utrozhestan imalembedwa katatu pa tsiku kwa 2-4 suppositories mpaka kumayambiriro kwa sabata la 20 la mimba. Komabe, dokotala yekha ndi amene angadziwe mlingo woyenera wokhudzana ndi mkhalidwe wa wodwalayo, kotero simungathe kumwa mankhwalawa. Amachotsedwa pang'onopang'ono, sabata iliyonse, kuchepetsa mlingo wa tsiku ndi 100 mg. Choncho, ngati mwaika makandulo 1 ndi mankhwala okwanira 100 mg katatu patsiku, kuchepetsa chiwerengero cha maulendo oposa 2 patsiku, ndipo patapita sabata 1 nthawi patsiku mpaka mutasiya kuchotsa mankhwala.
Zotsutsana zazikulu ndi zotsatira zake zotheka
Kugwiritsira ntchito mankhwala sikuvomerezeka pazochitika zoterezi:
- kupititsa patsogolo thrombosis;
- kutayirira kwa chiwindi;
- matenda opatsirana pogwiritsa ntchito ziwalo za m'mimba.
Nthawi zina kutenga utrozhestan kumayambitsa kuoneka kwa zotsatira zake: kufooka, chizungulire, kunyowa, kusaganizira ndi kugona.