Umuthi 'Mifegin "nesiyalo nokushintsha kokudla nokufakwa

Ukulungiselela "Mifegin" ikhiqizwa ngendlela amaphilisi, isithako esebenzayo okuyinto micronised 200 mg mifepristone. sredstovo kwemithi kufakwe izidakamizwa iqembu emitholampilo kwemithi antigestagens kwandisa ithoni bese contractility odongeni imisipha kwesibeletho.

Ukulungiselela "Mifegin 'kubhekisela esenzakalweni esiyisimangaliso zokwenziwa steroid izidakamizwa antigestagens, kuvimbela isenzo progesterone hormone, asinawo umsebenzi gestagen. Ngaphansi kwethonya izidakamizwa kwenzeka delamination decidua nabo bokulahlekelwa esibelethweni.

Umuthi 'Mifegin "yokusetshenziswa

Umuthi ezinqunyiwe ekunqanyulweni yezokwelapha yokukhulelwa intrauterine kuze kube yizinsuku ezingu-42; phakathi ukuqeqeshwa inductions ngesikhathi evamile sokukhulelwa umnyuziki eside.

Umuthi 'Mifegin "nesiyalo nokushintsha kokudla nokufakwa

Umuthi isetshenziswa odokotela - Ochwepheshe in a isikhungo sokwelapha.

Ukuze ukukhipha izisu: imithi enqunyiwe indlela 600 mg mifepristone micronized. 3 I-Tablet ukulungiselela 200 mg isiguli ngasinye edla kanye khona udokotela. Ngemva Ukungenisa "Mifegin" owesifazane namanje 2 amahora uye phambili ukuthi agcinelwe ukuhlolwa egadiwe lodokotela.

Nesishiyagalombili - Ezinsukwini ezimbili ngemva isimiso sokuqondisa 'Mifegin "kumele kucaciswe esebenzisa ultrasound yalokho, futhi emva kwezinsuku 8-14 kabusha luhlolo wenziwa yezilungiselelo emitholampilo nokulawula US. Qiniseka ukuphenya lokuhlushwa beta-human chorionic i-hormone ukuqinisekisa yisisu. Uma ungeke ukwazi ukufeza umphumela oyifunayo izinsuku ezingu-14, bese labetibambile vakuumaspiratsiya nge cwaningo oyisibopho aspirate ku Histology.

Ukulungisa ukulethwa ntombazane mifepristone Kufinyeta razovo yaphathwa isamba 200 mg, 1 tablet kahle khona udokotela. Mifepristone iqondiswa amahora ngokuphindaphindiwe emva 24, futhi yesikhathi esisodwa 200 mg - 1-kahle ithebhulethi ebukhoneni udokotela. Uma zabasebenzi akezi, ngemva 48-72 amahora ukuhlola isimo emgudwini wokuzala, uma kunesidingo, ukhethe prostaglandins noma oxytocin.

Umuthi 'Mifegin "imfundo: imiphumela emibi

Abesifazane esekhala ubuhlungu aphansi besisu, ukungakhululeki, khulula ngegazi kusukela Izitho zokuzala. Kube okubi kakhulu izifo ezingamahlalakhona kwesibeletho futhi ezihlobene yayo. imiphumela emibi izidakamizwa singenzeka ubuthakathaka, isicanucanu, ikhanda, ukuhlanza, ukukhishwa isisu. Kakhulu akuvamile laliphinyiselwa iziguli izimpawu komzimba okukhulu, urticaria nesiyezi.

Lapho ukwelashwa kuhlangene misoprostol ohlangothini imiphumela asivamile ukubonwa i ukuvuvukala sangasese, ukuqwasha, ukukhathala, ubuhlungu emlenzeni, ukukhathazeka okungadingekile, anemia. Ngezinye izikhathi odokotela ukuba agcine ukwehla elithwala umoya-mpilo egazini, yokufikelwa, Kwabiwa uhlobo izintambo.

Umuthi 'Mifegin "imfundo: Izimo

Kuyinto engenakwenzeka linqume izidakamizwa:

• nge esingamahlalakhona adrenal;
• ukuhluleka kwezinso ngefomu oyingozi noma ezingamahlalakhona;
• ukuhluleka hepatic ngefomu oyingozi noma ezingamahlalakhona;
• porphyria ngesikhathi uphethwe;
• lapho ethola Yiqiniso omude glucocorticoids;
• anaemia;
• e iziyaluyalu hemostasis;
• yezifo ezinzima, syndromes nemibandela ehambisana ne- pathology extragenital ;
• uma hypersensitivity kuya izidakamizwa.

Medicine "Mifegin" (amaphilisi) akufanele ebekiwe ngenhloso imithi isisu indlela:

• okusolakala ukhulela ethunjini;
• Ukukhulelwa is hhayi ukuqinisekisile by izifundo zokwelapha;
• ngesikhathi ekhulelwe, lapho igama elithi idlula izinsuku 42 amenorrhea;
• ekukhulelweni, okwadala lihambisana i intrauterine noma emva ukwenqatshwa inzalo hormone;
• yezifo izitho zobulili, nzima ukuvuvukala;
• Ukubhema kosikazi finyelela abaneminyaka engu-35 ukuthi azibanga luhlolo zokwelapha.

Umuthi 'Mifegin "akufanele ebekiwe ngenhloso ukuqeqeshwa lokungeniswa zomsebenzi:

• gestosis e ezinzima ifomu, preeclampsia, eclampsia;
• e preterm noma ukukhulelwa okuthunyelwe eside ;
• placenta previa;
• ngesikhathi ukushayisana phakathi kwe-inhloko-fetus omama ukhalo;
• ngaphansi normal izikhundla fetus;
• lapho zokubona omsakazo engaziwa.