"Goserelin": yokusetshenziswa nempendulo lodokotela

Ngeshwa, umdlavuza pathologies zangasese, kanye nezinkinga uhlelo zokuzala kokubili amadoda nabesifazane akusiyona into entsha. Uma ungenalo ukubhekana nalezi zifo, umuntu uyafa. "Goserelin" yokusetshenziswa zazo kumelwe nakanjani zihlolwe nesineke, nje ekwelapheni izifo ezinjalo.

Khipha ifomu netimphawu isenzo

Ngakho, umuthi engathatha zokwenziwa hormone gonadotropin-lokukhululwa. ukusetshenziswa eside lokhu izidakamizwa kunciphisa inani estradiol azalela ne-testosterone kwabesilisa. Lokhu kunciphisa inani lokukhula abulalayo wendlala izimila, umdlavuza webele, lesizalo fibroids noma ayeke ngokuphelele ke.

Njengoba uhlobo ukukhululwa ke "Goserelin" (yokusetshenziswa ku iphakethe ne izidakamizwa) okuthengiswa amaphilisi edepho isipetu nokokuyifaka kokuba indlela zokuzivikela. umthamo wabo 3.6 mg. Ngaphezu kwalokho, ungathola izidakamizwa ngesimo eside esebenza amaphilisi, iqondiswa ngaphansi kwesikhumba. capacitance yabo kulokhu 10.8 mg. Lemisebenti ingaphindze ithengwa isipetu nokokuyifaka obukhethekile indlela zokuzivikela.

Umuthi has a bioavailability okusezingeni eliphezulu. Umkhawulo igazi lokuhlushwa kufinyelelwe ngemuva kwamahora 1.5-3 emva abaphathi, kuncike ubulili isiguli. Ngokuphathelene Ukwakheka kwezimali, goserelin kukodwa isithako esebenzayo eyinhloko.

Izinkomba ukusetshenziswa

Ngakho, ukuze uqale ukuphuza "Goserelin" yokusetshenziswa enikeziwe kanjani ubufakazi obunjengalobo:

• umdlavuza wesinye kwabesilisa.
• Umdlavuza isifo wamabele kwabesifazane abakhuluphele premenopausal noma engu zokuzala.
• i-endometriosis.
• Ukuhlinzwa, okuyinto kudinga ukulungiselela kusengaphambili - thinning ungqimba endometrial.
• lesizalo fibroids.
• Ukugodla umsebenzi obusebenzayo indlala pituitary uma kwenzeka i-insemination yokufakelwa esizayo.

Lokho Izimo kuthiwa zikhona?

Njenganoma yimuphi umuthi, kukhona contraindications umuthi namaphesenti "Goserelin." Yokusetshenziswa uxwayisa enqabelo enjalo ekuthatheni lo muthi:

• Inkulu kakhulu uzwela izidakamizwa.
• Ukusabela nomzimba.
• Izingane ezineminyaka engu-14.
• Ibele.
• Ukukhulelwa (ngisho uma iqhubeka, bese i-fetus kungenzeka umbungu engakazalwa).
• kokucindezelwa we umnkantsha.
• Ureteral isimiso.

Izici isicelo

Uma isiguli idinga ukusebenzisa "Goserelin" yokusetshenziswa (ubude yokusetshenziswa akuvunyelwe kunqunywa udokotela) kufanele uhlolisisa. Iqukethe ulwazi mayelana nezici yalezi izigaba: i capsule senzelwe abaphathi ongama. indawo yayo - anterior udonga besisu.

Uma wenze ekwelapheni pathologies izifo zabesifazane, i-capsule kufanele kuthathwe njalo ngenyanga. Umthamo kuyinto 3.6 mg. Ukuze ulwe indoda ukuthi nginomdlavuza wesitho sobulili iqondiswa 10.8 mg njalo emavikini 12.

Akumelwe sikhohlwe ukuthi emasontweni okuqala okwelashwa, isiguli kubuhlungu kakhulu, ngoba izinga lama-hormone iyakhula. Lokhu kuyinto evamile ukuba ngokuthatha izidakamizwa.

Ubude besikhathi sokwelashwa kunqunywa ngamunye. pathologies gynecological ngeke kube izinyanga ezingaphezu kweziyisithupha. Kubalulekile ukukhumbula ukuthi uma isiguli inikezwa "Goserelin" imfundo engabondli abakubo ukudlula kabusha ukwelashwa. Iqiniso lokuthi izidakamizwa kunciphisa kwamathambo kwamathambo.

Uma yokwamukela capsule ngesizathu esithile kwaphethwa ivinjelwe, kubalulekile ukuba lelisu ngokushesha isiguli ekhunjuzwa lokhu. Abesifazane abashwebe kanye imithi, kukhona ingozi lesizalo ukopha.

Buhle buni obungaba engadingeki kungenzeka?

Uma kudingeka ukuba isiguli sibe isikhathi eside ukuthatha izidakamizwa ezifana "Goserelin" umhlahlandlela kanye nokubuyekeza kwezinye iziguli izonikeza ithuba baqonde okusebenza ngayo. Yiqiniso, wonke umuntu uzobe sizibuza ukuthi le miphumela engemihle ingase babangela emelelwa umuthi.

Abesilisa kungenzeka ukusabela okunjalo:

• potency Ukwehliswa ubulili drive.
• Wamabele ukuvuvukala futhi ngobubele bakhe (akuvamile).
• Ukwephulwa ureteral patency.

Abesifazane futhi zingavela imiphumela emibi:

• ukujuluka Eliphakeme.
• Njalo kwemizwelo nokucindezeleka.
• Ubuhlungu ikhanda.
• ulwelwesi Dry lwamafinyila we umthondo.
• I eqinile ukwehla isifiso sobulili.
• Demineralization ithambo izicubu, okuholela ithambo fragility.
• Ukushintsha usayizi webele.
• Ukunqamuka kokuya (ezimweni eziningi, ukopha nyangazonke ngeke ibuyiselwe).

Common abesilisa nabesifazane futhi imiphumela emibi: ukuqubuka kwesikhumba, izifo acinene, umfutho ophakeme wegazi, inhliziyo isigqi thuthuva.

isiqondiso Specific, ukuxhumana kanye nokubuyekeza

Ngakho, uma isiguli kufanele uthathe isidakamizwa "Goserelin" imfundo (isidakamizwa isivele eyaziwa) unika lezi ziyalezo eziqondile:

• Amaphilisi akufanele kuthathwe kanye notshwala, ngoba kuqinisa ithambo demineralization.
• Akufanele kube kanye okufakiwe izidakamizwa isiphuzo anticonvulsants, futhi corticosteroids.

Njengoba for izibuyekezo, lapho kakhulu ngokuxazulula eziningi side effects kanye uma ungazizwa kahle emasontweni okuqala ukwelashwa. Akubona bonke iziguli sidakamizwa sisiza, nakuba ezikhathini eziningi namanje kuyaphumelela.

Uma uchwepheshe ukholelwa ukuthi kuyinto efiselekayo ukwenza nesineke "Goserelin" yokusetshenziswa (izibuyekezo lodokotela kumelwe ngaso sonke isikhathi ukuba kubhekelwe) Kumelwe kube isandla esigulini phakathi nayo yonke inkathi ukwelashwa. Ochwepheshe kukhona ngazwilinye imibono yabo: ngaphakathi spite of inqwaba ukusabela ezingezinhle ezenzeka cishe njalo nesineke, imithi siyasebenza ngempela.

izincomo ezithile

Kunezimo uma udinga ukubona udokotela emva ngokuthatha izidakamizwa. Ngokwesibonelo, uma:

• Baqala ukubonisa izimpawu waqinisa intracranial.
• Ebonisa izimpawu ukopha kule ndlala pituitary: ikhanda siqhamuke nje futhi sinamandla, izinkinga umbono, isiyezi, inkulumo kuhlangahlangene. Lezi zimpawu zingavela kudala njengoba 2 amaviki ngemva Ukuqalwa yokwelapha.
• Kukhona izimpawu kokucindezelwa ka umsele umgogodla noma izinkinga ngomgudu womchamo. ngokuvamile Lokhu kubonisa ubuhlungu esifundeni lumbar, kakhulu ukunyakaza nzima yezingalo nemilenze engenhla nengezansi, igazi umchamo. Ukuchama kubuhlungu.

Kukhona futhi abanye amaqiniso ukuthi kudingeka kucatshangelwe ngaphambi kokuqala ukwelashwa:

1. umlando Patient, okuyinto uyakucabangela khona kwamathambo, i-high blood cholesterol kanye khona lesizalo ukopha imvelo okungacaci ka thrombosis e isiguli nezihlobo zakhe.
2. Ukuthambekela komuntu ukuba ngibheme, ngoba lo mkhuba kunomthelela kwetinhlavu amahlule.
3. Isifiso wesiguli ukuba babe nomntwana esikhathini esizayo esiseduze noma usuvele sokukhulelwa.
4. Ukuthatha noma iyiphi imithi, ngisho nalabo ithengiswe ngaphandle kadokotela. Kubalulekile ukutshela udokotela ngazo zonke izakhamzimba ezithathwayo, kanye zezinkambi engamakhambi, ezisetshenziswa ekwelapheni.
5. Ukuba khona ukusabela iguliswa noma yimuphi umuthi.

Izici isitoreji futhi analogue

Njenganoma iyiphi enye wezokwelapha ukulungiselela "Goserelin" kufanele ligcinwe ngaso ekamelweni lokushisa endaweni okuyinto kahle bavikelekile imisebe ultraviolet izingane.

Uma isiguli akunakwenzeka ukuthatha "Goserelin" imfundo manual (analogs angabhekana ngayo le nkinga) weluleka kudokotela. Ikakhulukazi unikezwa ukuthi izidakamizwa has a zibiza - ruble 8000. isipetu ngayinye. Phakathi ingase analogue sahlola Zoladex ',' Buserelin ".

Lokho kusho zonke izici ethulwa. Hlala uphilile!