Kugula mapiritsi a njira zachipatala Dienogest ndi ena ambiri, amayi ambiri, powasamalira, amazindikira kuti ali ndi valerate ya estradiol. Ndi mankhwalawa omwe amapanga pang'ono kupanga estrogen, makamaka, yosagonjetsa. Polamulira kusinthanitsa kwa mapuloteni, komanso mafuta ndi zakudya, zomwe zimakhudza thupi la electrolyte, thupi la validate la estradiol limachepetsa mlingo wa kolesterolo m'magazi. Kuonjezera apo, mothandizidwa ndi chinthu ichi, kuchulukitsa kwa uterine endometrium kumachitika, kuchepa kwa mafupa kumatetezedwa, zomwe zimalepheretsa kuti chitukukochi chikhale chonchi monga matenda osteoporosis. Zili pansi pa kugwiritsidwa ntchito kwa valentate ya estradiol kuti somatic komanso zizindikiro za m'mimba zokhudzana ndi kutha kwa thupi zimachitika panthawi ya kusamba kwa thupi.
Kodi ndi mankhwala ati?
Zokonzekera zomwe zili m'magulu awo ndi estradiol valerate, nthawi zambiri zimatchula za chithandizo cha kulera, zomwe zimapezeka pamapiritsi. Ndipo m'mapiritsi ena muli validate ya estradiol? Lero, chinthu ichi ndi gawo la mankhwala ambiri. Chitsanzo cha izi zingakhale:
- Munthuyo;
- Klimen;
- Divissek;
- Proginova ;
- Clinonorm;
- Zaumulungu, ndi zina zotero.
Ndi liti pamene likugwiritsidwa ntchito?
Valradi ya Estradiol ndi mbali ya mankhwala ambiri, omwe amagwiritsidwa ntchito pamene:
- kuperewera kwa thupi la mkazi wa estrogens (kusamba, kusamba thupi, matenda oopsa);
- chikhodzodzo;
- kusintha khungu kumatenda ndi mucous membrane;
- kupewa matenda opatsirana pogonana pa nthawi ya kusamba.
Monga lamulo, mankhwala ndi mankhwala omwe ali ndi validate ya estradiol ndi yaitali. Choncho, njira yamankhwala ikhoza kutenga miyezi isanu ndi umodzi. Chirichonse chimadalira pa chithandizo cha matenda omwe amachitika mothandizidwa ndi chinthu ichi. Mwachitsanzo, njira za kulera ndi validate ya estradiol imagwiritsidwa ntchito masiku 21, piritsi 1 patsiku. Patatha mwezi umodzi ndikupumula - sabata imodzi, ndiye kuti kumwa mankhwalawa kubwerezedwa. Kulowa kwathunthu kumatha pafupifupi miyezi isanu ndi umodzi.
Mankhwala onse omwe ali ndi valetate ya estradiol mumapangidwe awo ali ndi malangizo omwe mayeza ndi mafupipafupi a mankhwala amasonyezedwa momveka bwino. Koma mulimonsemo, mankhwala akuyenera kulandiridwa motsatira ndondomeko za dokotala komanso cholinga chake. Apo ayi, zitha kuchitika zosiyanasiyana zovuta ndi zotsatira zomwe zingafunike chithandizo chamankhwala chodzidzimutsa komanso kuchipatala.
Contraindications
Monga mankhwala aliwonse, validate ya estradiol imatsutsana. Ndicho chifukwa chake, musanayambe kugwiritsa ntchito, kufunsa kwa dokotala n'kofunikira. Mfundo zotsutsana ndi ntchito zake ndi izi:
- hyperplasia wa endometrium ya uterine ;
- endometriosis;
- uterine myoma;
- Mapulogalamu oopsa omwe amapezeka m'mimba ya mammary, komanso kukayikira;
- wosalimba chiwindi ntchito;
- Kuphwanya malamulo a magazi coagulability (thromboembolism m'mbiri);
- shuga;
- mimba yamakono ndi lactation;
- kusalolera.
Zotsatira Zotsatira
Azimayi ena panthawi yokonzekera ali ndi valitate ya estradiol, yotchuka, yopwetekedwa mutu, kupwetekedwa mtima, kupwetekedwa m'mimba, kupindula. Nthaŵi zina, khungu limasonyeza mtundu wosaoneka bwino wa nkhumba ngati mawonekedwe aang'ono, amdima, omwe patapita kanthawi amapezeka mosavuta ndipo sanafunikire mankhwala.