ImpiloAmalungiselelo

Imiyalelo "Gonal-F." Incazelo lokulungisela Izimo, analogs kanye nokubuyekeza

Eyodwa yezindlela ezivamile ukwelashwa ukungazali iwukuba ukugqugquzela ukukhiqizwa kwamaqanda. Ukuze amaqanda amaningi efanelekayo kokukhulelwa, kubalulekile ukuqhuba yokwelapha ekhethekile pre-izidakamizwa. "Gonal-F" kubhekwa omunye imithi eminye esebenza ngempumelelo kakhulu kule ndawo. Imiyalelo "Gonal-F" uncoma kakhulu ukwelashwa ngaphansi kweso lwezokwelapha esiqinile.

incazelo

Wonke umuntu uyazi ukuthi ngaphandle nge-ovulation sokukhulelwa abakwazi zenzeka. Ngakho-ke, abaningi wobulili fair, ebhekene nenkinga enzima kangaka ukuba ixazululwe stimulation futhi e kokukhulelwa kwesibeletho. Udokotela ukuba khona kufanele uqale afeze ngihlolwa, thatha isikimu ohambelana inqubo kanye amalungiselelo afanele.

Amathuluzi ephephile kakhulu futhi ephumelelayo zisekelwe follicle eqabulayo-hormone okuthiwa i - FSH (isakhi sokuzakhela), okuyinto unomthwalo nokuvuthwa of follicle kwabesifazane. Imiyalelo "Gonal-F" ibika ukuthi izidakamizwa kungokwalabo kulesi sigaba, futhi lo mshini wezenzo Kunjengoba eduze FSH zemvelo. Thenga imithi kuphela kadokotela kadokotela.

izinkomba

Izidakamizwa funa emkhakheni izifo zabesifazane kanye inikezwa lapho ukwenza kusebenze ukukhula follicle. Izinkomba ukusetshenziswa "Gonal-F" has okulandelayo:

  • Ukungabi bikho ukukhiqizwa kwamaqanda futhi yi abanelisi ngemva kokufaka "Clomiphene".
  • Polycystic syndrome wesibeletho (zokugula ezihlobene iziyaluyalu hormone abangela ukungasebenzi ezikhiqiza amaqanda).
  • Isidingo ukukhuthazwa follicle amaningi for yokusizwa.

lokuqeqeshwa eziningi isikuqinisekisile kusebenta izidakamizwa uma ukuthuthukiswa ledzingekako follicle amaningi inqubo hyperstimulation wesibeletho (elawulwa). It yasungulwa ukuthi isithako ikhuthaza ukukhula follicle, futhi ngaleyo ndlela kakhulu kunciphisa ingozi hyperstimulation wesibeletho.

Isicelo amadoda

Lapho abantu abangewona kuhambisana imisebenzi eyisisekelo gonads abesilisa inqubo spermatogenesis - the ukubunjwa nokuthuthukiswa kwezinhlangano isidoda - siphukile. Follicle inkanuko i-hormone ezidingekile "ukuqala" yale nqubo, ozobakhona izinsuku 75. Thola isimo sokugembula kungenzeka kuphela ngemuva ukudlula ukuhlola kwezokwelapha futhi ukulethwa isidoda.

Ingqondo (noma buyisela) kumiswa ejwayelekile ubulili gametes besilisa ngezinye izikhathi kuthatha isikhathi eside kunaleso inqubo efanayo abesifazane. Ukuze uthole umphumela omuhle ukwelashwa kufanele ngikwenze ngokugcwele izincomo andrologist. Kumelwe ahlale edla ukudla eziklanyelwe, ukuyeka utshwala nicotine. Kuphoqelekile lokuqoka amalungiselelo akhethekile. Imiyalelo "Gonal-F" ibonisa ukuthi izidakamizwa ingasetshenziswa ukuthuthukisa spermatogenesis e amadoda anomthwalo hypogonadism azalwa naso noma bathenga. Ukwelashwa kufanele kube ngaphansi ebhekiwe of onguchwepheshe onolwazi ekwelapheni ukungabi nenzalo.

isidakamizwa

ingxenye Active zomuthi izenzo follitropin alfa - ikhemikhali kuvusa ukukhula follicle e abesifazane ukuqeda iziphazamiso ezazingase ohlelweni hypothalamic-pituitary. I bioavailability zomuthi lapho zaphathwa phansi kwesikhumba kwaba mayelana 70%.

isithako uqala buthelela umzimba ngemva kokuphathwa okuphindaphindiwe. Phakathi nezinsuku ezingu-3 lokuqala waphawula mithathu ukwandisa lokuhlushwa yakhoibrium ka follitropin alfa, nezoqala inqubo ingqondo.

izingxenye Asizayo eziqukethwe izidakamizwa sodium hydroxide ne-hydrogen phosphate dihydrate, wali band acid, methionine, sucrose, polysorbate 20.

ukukhululwa Ifomu

"Gonal F" ukhiqiza inkampani Italy ezithaka imithi "Imboni Farmasyutika Serono SpA". Ifomu ukukhululwa ejenti - isixazululo umjovo ongama bese lyophilisates ngoba uketshezi.

I imijovo ngesimo izibaya ingaqukatha 0.5, 0.75 futhi 1.5 ml. Umthamo ephansi elihambisana 22 micrograms ka follitropin alfa (300 IU), eliphakathi - 33 mg isithako esisebenzayo (450 IU). Inani elikhulu ejenti asebenzayo eziqukethwe 1.5 ml - 66 micrograms ( "Gonal-F 900"). Intengo zomuthi incike lokuhlushwa izidakamizwa esebenzayo.

Ipeni has a dispenser akhethekile esikalini, ikuvumela ukulawula umthamo. Kuleli fomu wezokwelapha ukuthenga sibonga inzuzo kakhulu imithamo ahlukahlukene. Izinzuzo kungase kwenziwe isibaluli, futhi asikho isidingo ukulungiswa isixazululo ngaphambi umjovo ngamunye.

Lyophilizate for nokulungisa isixazululo umjovo buhlanjululwe ketshezi ngaphambi zokukhwabanisa ngamunye. Umthamo edingekayo of pre-sinquma kuchwepheshe ukuze ngamunye icala ngabanye.

Kushiwo ngamuphi umqondo ukuthi ekwelapheni "Gonalom-F"?

Ngo ukungabikho nge-ovulation yokwelapha iqala phakathi nesonto lokuqala nomjikelezo wokuya esikhathini, inqobo menses njalo (ezinye kungenzeka imvamisa ukuphambuka). Inqubo ukushukuma lufanele lwenteke ngaphansi kokulawulwa ultrasound cwaningo, okuyinto ikuvumela ukuba ukulawula ubukhulu follicle. Ukuqala umthamo - 0,13-0,25 ml izidakamizwa "Gonal-F 75". Inani isixazululo equkethe 5.5 mg follitropin alfa, kuyinto ephansi futhi emhlabeni ruble 110. Khulisa umthamo phezu amasonto 1-2 kuya ku-225 IU (esiphezulu).

Uma enyangeni eyodwa ukwelashwa akukuniki imiphumela emihle, ukwelashwa kufanele inqanyulwe. Isikali kokuqala izokwenyuka okunye ukwelashwa.

Lapho isidingo elawulwa hyperstimulation wesibeletho izidakamizwa iqondiswa ngezilinganiso ka 150-225 IU. esiphezulu I umthamo wansuku zonke kumele singeqi 450 IU. Ukwelashwa iqala izinsuku 2-3 of umjikelezo wokuya esikhathini. Ngosizo ultrasound Uchwepheshe uzoqapha ukukhula follicle. Isikhathi ukwelashwa kungase kube izinsuku ezingu-5 kuya ku-20. Ngemva ukumnika odlule, kamuva angu-48, umjovo we human chorionic gonadotropin.

Akhonza unezinkinga inqubo spermotogenez futhi libonisa ingqondo. "Gonal-F" kuleli cala sisetshenziswa ndawonye human chorionic gonadotropin. Ejwayelekile ukwelashwa lwemithi iyona umjovo ongama zomuthi katsatfu ngeliviki (umthamo 150 IU). Isikhathi yokwelapha kumele kube okungenani izinyanga 4, ngemva kwalokho indoda kumele sibukwe. Nge ngcono esincane noma abangenaso nhlobo imiphumela yokwelashwa ingase ukunweba ezinyangeni ezingu-18.

nokushintsha kokudla nokufakwa

Umjovo lokuqala izidakamizwa kufanele kube onguchwepheshe esibhedlela. Njengoba efundiswa, esikhathini esizayo isiguli ungasebenzisa ipeni ukwenza shot, "Gonal-F." Kufanele kuqala bajwayelane imiyalelo izidakamizwa.

Iziphakamiso ezilandelayo ukusetshenziswa ukuzimela izidakamizwa:

  1. Ngaphambi kwalesi sigameko, "Gonal-F", kufanele ageze izandla zawo kahle ngensipho namanzi futhi mhlawumbe eminye kusetshenzwe isinqandakuvunda.
  2. Ukubola phezu ahlanzekile izinto edingekayo: ngepeni emjovweni umfuma ubhuqu amanzi umjovo, utshwala swabs.
  3. Kuyadingeka ukuba ulungiselele esibayeni, asuse cap, setha umthamo oyifunayo bese unamathisela inaliti.
  4. Lyophilisate (powder) buhlanjululwe ngamanzi ngoba umjovo ngokwethula uketshezi isitsha nge into eyomile. Ikhava iraba kumele kube inaliti wokubhoboza ukuvula ibhodlela ke akudingekile. Lolu ketshezi kufanele kwetfulwe kancane.
  5. Kuyinto ukudayela phakathi isipetu emoyeni kuze umthamo edingekayo, ufaka inalithi lo isitsha nge isixazululo (ngaphambili ibheke phansi), ukwethula emoyeni futhi ushayele ngenani elithandekayo izidakamizwa.
  6. I isipetu akufanele Bubbles emoyeni. Ukuze balahle kubo, udinga uthepha umunwe wakho ezindongeni isipetu kanye Bubbles ukuthuthela phezulu. Khona-ke kubalulekile ukuba ibenze plunger futhi ukukhulula emoyeni ngokweqile.
  7. Skin kufanele luphathwe isinqandakuvunda (utshwala) kusayithi umjovo.
  8. Umjovo kwenziwa phansi kwesikhumba at 45 noma ngo-90 degrees. Ngokucijile cindezela plunger akudingekile. Umuthi kumele iqondiswa kancane.
  9. Ukuze abaphathi "Gonal-F" nge isipetu izibaya yanele ukuba ucindezele inkinobho isiqalo. Inalidi kule divayisi mncane futhi ezincane, ngakho ubuhlungu okuncane noma iyivelakancane.
  10. Emva umjovo kusayithi Umjovo kumele kuhambisane swab ukotini ofakwe isinqandakuvunda.
  11. isipetu alahlwayo kulahliwe ngemva kokuhlinzwa.
  12. Nge inaliti-isipetu izibambo kumelwe kususwe, agqoke cap. Ukuze zokukhwabanisa elilandelayo kubalulekile ukusebenzisa ezintsha, okuyinto ufika uphelele izidakamizwa.

side effects

Ukulungiselela "Gonal-F" kungase kubangele side effects ngesikhatsi ukwelashwa. Abanye besifazane abangamaRom babesizakala waphawula zimpawu ezilandelayo:

  • uhlelo wokuzala - ngokuvamile ukuthuthukisa izinhlumba wesibeletho.
  • Umphumela ongemuhle zomuthi kungathinta izinhlaka ipheshana wokugaya ukudla. Lubonakaliswa ukubukeka isicanucanu, ukuhlanza, uhudo, ukungakhululeki kanye ubuhlungu esiswini.
  • Isayithi umjovo kungenzeka ukuvuvukala noma ububomvu kwesikhumba.
  • amacala komzimba abasakwazi ezingavamile: ukuqubuka, ukulunywa, nobunzima bokuphefumula, ukuqubuka.
  • On the ingxenye isimiso sezinzwa esiyinhloko - bangase babe ikhanda njalo ngaphezulu.
  • Okungenani ngokuvamile kukhona amacala nomthelela omubi esimiso senhliziyo nemithambo yegazi (thromboembolism).

Imiyalelo "Gonal-F" ibonisa ukuthi amadoda ukwelashwa kungase kubonakale induna, isisindo somzimba kancane anda. Kukhona Ezimweni ezingavamile ka varicocele, gynecomastia.

Izimo

Umuthi has a negalelo elinamandla umzimba futhi azikwazi iqondiswa ngaphandle kokwelashwa ngaphambi. Ingqikithi asebenzayo futhi izingxenye ezengeziwe babe ezinye ukulinganiselwa lapho lusetshenziswa. Udokotela kufanele nithathe lesi ku-akhawunti bese ulungise lwemithi yokwelapha.

Imiyalelo "Gonal-F" kuxwayisa ukuthi izidakamizwa kungavunyelwe ukusebenzisa abantu nge ukungabekezelelani noma hypersensitivity ukuba izinto ekwakhiweni. Kulokhu, angagcina ezinzima ukusabela iguliswa noma ezinye izinkinga. Futhi Izimo zihlanganisa:

  • Lesizalo ukopha of omsakazo engaziwa.
  • zokugula Oncologic of umthondo yangaphakathi.
  • izinhlumba okungatheni wesibeletho esezikhona isizinda polycystic.
  • Nokukhulelwa kanye lactation.
  • kwezinso azalwa naso kwezitho, okuyinto azihambelani sokukhulelwa.

Uchwepheshe uyakucabangela zonke comorbidities ukuthi ayatholakala emlandweni lesiguli. Kwezinye izimo, asikho isidingo ukusebenzisa amathuluzi, "Gonal-F." Inani yokwelashwa kuncike isikhathi sokwelashwa Isikali zomuthi, kodwa ngisho ukwelashwa okubizayo Ungalethi yi kulindeleke e pathologies ezifana lesizalo fibroids, menopause kungakabi isikhathi, kodwa isimiso kuzo ngemibhobho fallopian.

Izici isicelo

Ngaphambi kokunika izidakamizwa ukuze sikhuthaze nge-ovulation noma inqubo spermatogenesis, udokotela onguchwepheshe ekwelapheni ukungabi nenzalo, kufanele ukuqhuba yezokwelapha uphethwe imibhangqwana, ukusiza siqambe khona contraindications isidingo sokwelashwa. Kuyadingeka futhi isikimu Isikali lizofakwa.

Iziguli ibhekane ukushukuma "Gonalom-F" phambi IVF kwandisa amathuba okuthi ukhulelwe amawele. Udokotela ubophekile ukuba wazise wesifazane ngaphambi kokuqala ukwelashwa.

ukusetshenziswa ngesikhathi esisodwa izidakamizwa nezinye ejenti ukuthi nomthelela ekwandeni follicle, ungakwazi avuse ukuthuthukiswa hyperstimulation. Kuwo wonke yokwelapha kuyadingeka ukuze ukuqhuba uphethwe ultrasonic futhi ukuqapha ukukhula follicle.

"Gonal-F": intengo kanye nokubuyekeza

izidakamizwa Italy ukuze sikhuthaze nge-ovulation kakade isikhathi eside engabelwe ekwelapheni ukungabi nenzalo e kokubili amadoda nabesifazane. Lona omunye amathuluzi amahle kakhulu (odokotela abaningi abhekisela kuso ngokuthi "wezikhali esindayo"). "Gonal-F" yabonisa ukuthi uba nemiphumela emihle ngisho nalapho ezinye izindlela aziwayo zazingenawo amandla. I oyisisekelo ukuba ilandelwe iziguli, is GCWELE ENGAMELA wezokwelapha inqubo follicle ukuguga spermatogenesis.

Esikhathini umthamo ukwelashwa singashintshwa e ezincane futhi ngendlela enkulu. Izindleko zomuthi kuhluka ruble 1100. ruble 16 000. ( "Gonal-F" 900 IU). Ngaphezu ukusetshenziswa amathuluzi ezibizayo, kubalulekile ukulandela imithetho ethile ekudleni futhi ususe ngokuphelele ukudla okungenamsoco, imikhiqizo Semi-siphelile.

Phakathi ukwelashwa, Kwenqatshelwe yini ukuphuza utshwala, okuyinto has a kunethonya elibi emsebenzini okhiqizwayo isidoda, ezithinta indlala pituitary kanye le ngxenye, zikhala umzimba ubulili steroid. ukuzwela Ukwandisa sperm-nicotine.

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