Umuthi 'Divigel'. imfundo

Ukulungiselela "Divigel" - transdermal gel utshwala ezisekelwe oqukethe Analogue zokwenziwa le estradiol yemvelo efana ke (estradiol) umsebenzi begazi. Mshini wezenzo zomuthi iyafana elijatshulelwa temlomo amalungiselelo estrogen-aqukethe. Ngokuvamile wasebenzisa isidakamizwa "Divigel" ukwakha endometrium.

Ukulungiswa ivala isikhala bikho estrogen, ukunciphisa ububi besimo sokuguquka iziyaluyalu elihlobene ne menopause futhi ovariectomy.

njalo usebenzise ama zomuthi "Divigel" futhi progestagen eningini labesifazane kuyinto ejwayelekile menstrualnopodobnoe ukopha, okuyisikhathi lapho isilinganiso izinsuku ezinhlanu noma eziyisithupha. Qala ukopha, ngokuvamile phakathi nesonto lika-umthamo wokugcina progestogen. Minor ukukhululwa Kubikwa 4-5% eziguli. Ngonyaka wokuqala yokwelapha e 3-5% abesifazane amenorrhea.

Lapho transdermal (isikhumba) ekusebenziseni estradiol kanye medroxyprogesterone acetate ukwehla Imininingwane cholesterol inkomba.

Ngemva lokusebenza isikhumba utshwala iyasha. Estradiol is ngokushesha wakwamukela futhi engena kwegazi. Ukusebenzisa imithi "Divigel" ku indawo sq 400 200. cm (ilingane endaweni yezandla elilodwa noma amabili), akunamthelela lemali Ukungena isithako esebenzayo esegazini. Nokho, lapho isetshenziswa ngezinga eningiliziwe ukumuncwa izigaba zingahluka.

ethile estradiol is zanqwabelana izicubu adipose ongama, okuyindawo kancane kancane ingena ukusakaza igazi. Transdermal isicelo ikuvumela ukuba ugweme ukuwa pass lokuqala izidakamizwa "Divigel", kwi pass lokuqala ngokusebenzisa isibindi. Ngakho-ke ekushintshashintsheni amazinga plasma estradiol mancane evelele uma usebenzisa izidakamizwa njengoba kuqhathaniswa amalungiselelo ngomlomo.

Kusho "Divigel" manual uncoma ekwelapheni menopausal syndrome, okuyinto kubangelwa ovariectomy noma menopause kanye lula izimo kubangelwa estrogen ukuntula. Ngaphezu kwalokho, ukulungiswa olukhonjiswa njengedifolthi nokuvimbela eyinhloko kwamathambo.

Umthamo lesi sidakamizwa "Divigel" Umhlahlandlela incoma ukubeka ngamunye. Njengoba ojwayelekile, ukhombe 0.5-1.5 angu ngosuku. Umthamo angavunyelaniswa ngudokotela. Inkambo zokwelapha kungase kube okuqhubekayo noma cyclical.

Lapho ukwelashwa kwesibeletho yayinjalo nge "Divigel" manual uncoma umjikelezo ngenkathi ethatha progestin izinsuku eziyishumi noma nambili emjikeletweni ngamunye (for the nokuvinjelwa izinqubo hyperplastic ku endometrium). Lapho uqeda inkambo menstrualnopodobnoe ukopha kumele kwenzeke.

Lapho i enwetshiwe noma nokunwetshiwe lesizalo ukopha kumele achaze imbangela. Isikhathi umjikelezo ezigulini postmenopausal kungaba izinyanga ezintathu.

Umthamo lesi sidakamizwa "Divigel" manual uncoma ukuba uwuhlikihle ezinhlangothini aphansi esiswini noma isetshenziswa ezinqeni endaweni ezandleni elilodwa noma amabili, kushintshana kwesokudla noma kwesokunxele. Ngemuva kokufaka isicelo izidakamizwa iyonikwa cwilisa imizuzu embalwa.

Ukulungiselela "Divigel" contraindicated ku idluliselwe, kulinganiselwa noma eqalwe yomdlavuza webele, umdlavuza i-estrogen ancike (umdlavuza endometrial, isibonelo), bleedings lwesitho sangasese sowesifazane imvelo engaziwa. Musa akunikeze imithi uma Hyperplasia ingelashwa we endometrium, idluliselwe thromboembolic embolism yamaphaphu noma deep vein thrombosis, isilethikusebenza ngaphakathi eminyakeni emibili, kabusha thromboembolism. Izimo zihlanganisa oyingozi noma isifo sesibindi esingelapheki kubantu, hypersensitivity, lactation. Umuthi 'Divigel "Ukukhulelwa futhi is ayizange inikezwe.

Ngaphambi kokusebenzisa imithi kufanele kudokotela ukuthola yonke imiphumela engemihle engase zomuthi.