"Menopur": kurairirwa, mutengo, ongororo, rondedzero, dose

Kunoda mushonga "Menopur"? Instructions chinodhaka, ayo chipimo chemushonga uye nzira kushandiswa vanorondedzerwa munyaya ino. Mariri uchadzidza, uye uchapupu hupi kune zvinodhaka ichi, kana akanga chero divi nemigumisiro uye contraindications kuti varwere nezvazvo, chii chiri rinodhura nezvakadaro.

Zvinoumba, chimiro zvinodhaka yokusunungurwa

vakatengesa mushonga "Menopur" In ipi? Mirayiridzo kushandiswa zvinodhaka chine ruzivo kuti zvinoshingaira zvinodhaka unosvika muchimiro lyophilizate, riri akaronga kuti kugadzirira mhinduro intravenous kana subcutaneous jekiseni.

The mushonga ari chena kana kushanda chena preform asina kwakanaka. Also ndaisa Hauoneki uye segirazi solvent.

Ine zvinodhaka "Menopur"? Instruction inoti kuti kushingaira fuma iri zvinodhaka follicle uye luteinizing kemikari. Naiyewo zvinosanganisira Excipients uye muchimiro polysorbate 20, lactose monohydrate, yavaibvisa hydroxide uye hydrochloric acid.

The solvent ndiyo mhinduro kubva yavaibvisa chloride (isotonic).

kurongedza chigadzirwa

The kutengeswa kugadzirira mune ndiro 2 Rine mamiririta. Pamwe unoenda uye solvent (1 Rine mamiririta ampoule ine fuma). Mune imwe atorwa kungava 5 kana 10 pazvinhu.

The pharmacological zviito zvinodhaka

Chii chinodhaka "Menopur"? Mirayiridzo dzokushandisa kunoratidza kuti zvinodhaka ichi inzira yakakwirira kutsvinda munhu gonadotropin (kuenda kumwedzi). Nderake boka menotoropinov uye rine FSH uye LH ari nhamba 1 1. The medicament kugadzirirwa kubva weti vakadzi postmenopausal.

Panguva naka pabonde, ichi chinomirira ude endometrial kuwanda kuibvisa uye kukura kwakaita ovarian follicles uye kunokonzera kuwedzera padanho inonzi estrogen muropa.

Kana simba pabonde, zvinodhaka izvi anowedzera wevasungwa kuti testosterone. Uyezve, kunomutsa spermatogenesis kuburikidza chiito pamusoro tubular masero (mbeu).

The pharmacokinetics of somushonga chigadzirwa

zvinodhaka "Menopur" rini kunyura? Guide rinoti kuti kufadza Kuwanda FSH muropa zvasvika pashure maawa anenge 7-24 inotevera intramuscular yaitonga. Mushure inzwi rayo zvishoma nezvishoma shoma. The hafu-upenyu maawa 5-12 menotropinov.

Zvairatidza kuti kushandisa mishonga

Mirayiridzo kuti mushonga "Menopur" anodaro kuti rinogona kushandiswa kwete naka, asiwo vamiririri akasimba pabonde.

Saka, funga zvairatidza kuti kushandiswa nevakadzi:

• nokuti dzokubereka nzira (ebetsero) kusvika kutanga pamuviri (i.e., kuti ude follicular kukura);
• nokuti mishonga kushaya mbereko riri kukonzerwa hypothalamic-pituitary zvirwere (nokuti kukura dzishande kutanga kureva follicle).

Nokuti kwezvinangwa chii ushandiswe mushonga varume "Menopur"? Instructions, inofambiswa, mafomu zvichakurukurwa pazasi. Panyaya uchapupu, yevaifungidzirwa zvinosanganisira zvinotevera:

• havi spermatogenesis (varumbidzwa kuti pamwe kwevanhu zvinodhaka chorionic gonadotropin).

Kana pane contraindications ari zvinodhaka?

Kana usingagoni kupa mushonga "Menopur" (lyophilisate)? Mirayiridzo yokushandisa rinosanganisira zvinotevera contraindications:

• hypothalamic-pituitary mota nzvimbo;
• zvemamiriro Kugadzirwa nhengo dzokubereka nadzo, uye kuvapo uterine fibroids, riri kuchipesana pamuviri;
• chirwere of adrenal omumuviri uye thyroid shwanu;
• hyperprolactinemia;
• ovarian akawedzera (kukaramba), panowanikwa cysts (mu iyi, kana hosha haina chokuita polycystic ovary urwere);
• ovarian kenza, uterine kana mammary mumasero;
• kusangana nekutsi kwemukadzi ropa pamusoro asingazivikanwi mavambo;
• Primary ovarian kukundikana;
• pamuviri;
• Kenza kweprostate gland, uyewo mamwe mapundu (androgenozavisimye) vamiririri akasimba pabonde;
• lactation;
• wanda (yakawedzera) kuti menotropinam uye mishonga dzine LH kana FSH.

The mushonga "Menopur": mirayiridzo kushandiswa, zvakaoma

Description of zvinodhaka yave kukurukurwa pamusoro. Panyaya iyi nyaya chikamu, ipapo isu vachakuudza pamusoro mune chipimo chemushonga chinofanira vaitirei mushonga.

Kugadzirira chinotarisirwa intramuscularly. An injectable mhinduro rinogadzirirwa asati kushandiswa pachishandiswa solvent kuti rwuripowo Kit.

Pakadaro, kana chiremba haana chinyatsotsanangurwa zvakasiyana, Zvinokurudzirwa kuomerera zvinotevera zano.

vakadzi

Nokuti kurapa kushaya mbereko iri nokuda pamberi nezvinetso hypothalamic-pituitary munzvimbo kukurudzira kukura chikuru follicle dose kurapwa wokutanga wakaiswa nomumwe. The Zvakanyanya Kunaka Panguva Yepamuviri Huwandu zvinodhaka uye nguva yokurapa musanangurwa kwakavakirwa yedu US ovarian, chiremba akataura uye kuziva huwandu estrogens. Nenzira, wokupedzisira ukoshi haanzverwi pamusoro kuibvisa ari follicle.

Saka sei kushandisa zvinodhaka "Menopur"? Dosing uye dose wemishonga anogara dzakapiwa akanyudzwa mirayiridzo. The kutanga chitsama zvinodhaka kungava 75-150 Iu (chinu kana 1-2 pazuva).

Kana pasina ovarian mhinduro, zvinoreva inzwi kuwedzera zvishoma nezvishoma kusvikira follicular kukura uye kuwedzera kwevari inonzi estrogen. dose iyi akasiya kuchinja kusvikira nhambo apo wokupedzisira ropa wevasungwa anosvika preovulatory tsika. With kunoshamisa kuwedzera inonzi estrogen yomuropa pakutanga pfungwa zvinoreva zviri chinodiwa kuti kuderedza uwandu husingakuvadzi.

Mushure rokupedzisira jekiseni pashure kamwe 2 Mazuva raitongwa 5-10 zviuru. Iu hCG. Kuzviita nechinangwa ovulation induction.

varume

Sei zvepabonde akasimba kushandisa zvinodhaka "Menopur"? Instruction anoti havi spermatogenesis nevanhu vanofanira kupinda 1-3 zviuru. Iu hCG katatu pavhiki. Ita kuti normalization kuti testosterone siyana. Zvadaro, kwemwedzi inoverengeka, katatu pavhiki mishonga raitongwa pa 75-150 Iu (kana mabhodhoro 1-2).

Side kunoita kushandisa zvinodhaka munda

Zvino kuti munoziva kuti mishonga yakawanda inofanira kupiwa "Menopur". Instruction, Chikumbiro wongororo vari munyaya iyi. Zvisinei, tinoona kuti zvinodhaka izvi zvingaita nechitarisiko zvinoverengeka nemishonga.

• Kwemakemikari anobudiswa hurongwa: kuwedzera (unopinza) inonzi estrogen excretion iri weti, mastalgia, paumbwe ovarian cysts, zvine mwero zvikuru ovarian nedumbu, gynecomastia (vamiririri akasimba pabonde).
• Zvomudumbu turakiti: kurutsa, colicky kurwadziwa, kuda kurutsa.
• Local kuita: akatsvuka, kuzvimba uye kuvava panguva jekiseni nzira.
• Chisimbwa: ganda mapundu, fivha, arthralgia, antibody inotungamirwa, izvo zvinoderedza kubudirira kurapwa.
• Other: oliguria, kufuta, pasi BP, vakawanda pamuviri.

Zvinofanira kucherechedzwa kuti kushandisa zvinodhaka pasi kukurukurwa kungaita ovarian hyperstimulation syndrome. Pakazosvika mangwanani zviratidzo zvarakasiya dzakadaro dzinosanganisira marwadzo (akaratidza) mudumbu, kurutsa, ascites, kufuta, kuda kurutsa, hypovolemia, electrolyte kusaenzana, hydrothorax, kuwedzera masero matsvuku eropa, hemoperitoneum uye thromboembolism.

nhungamiro chaiwo pakushandisa mari

Zvaunofanira kuziva asati kushandisa zvinodhaka "Menopur"? Ona, inofambiswa mamiriro kuti asati kwokubatsira ari medicament murwere unofanira kuchengeta rakakodzera kurapwa (kana adrenal insufficiency, concomitant hypothyroidism, hypothalamic-pituitary bundu nharaunda, hyperprolactinaemia).

Asati atanga kushaya mbereko kunodiwa kuongorora mamiriro ose ovaries. Kuti aite izvi, ubudise Ultrasound uye tarisa padanho estradiol muropa. Mumazana kosi yezvidzidzo izvi zvinofanira chinozoiswa nezuva kana mazuva ose.

Tapota ziva kuti akapoteredza kushandiswa hMG ndiye ndingangokuvara nekukudziridza ovarian hyperstimulation. Kazhinji, zvinova akaora pachena chete pashure kwokubatsira zvinodhaka nechinangwa ovulation uye kunoratidzwa muchimiro paumbwe guru cysts. Muzviitiko zvakadaro, varwere vangava hydrothorax, ascites, thromboembolic chirwere uye hypotension.

Kana zviratidzo ovarian hyperstimulation zvinodhaka kurapa wokutanga hwobva kuva vakarega.

Apo hMG kurapwa nevasori kazhinji kuumbwa vakawanda pamuviri.

The vamiririri akasimba pabonde rurefu azvipire FSH iri muropa zvinodhaka riri isashande.

Chii Mari zvinodhaka?

How kuzhinji chinodhaka "Menopur"? Guide mutengo chokushandisa ichi vari munyaya iyi. Mari zvinodhaka izvi yakakwirira chaizvo. 1 chinu mishonga uchava kubhadhara anenge 1000-1400 rubles Russian. Tichitarisa avhareji yawapiwa mazuva 5-10, mishonga yakawanda murwere zvinodhura chaizvo.

mishonga Reviews

Pane rakakura uwandu nyaya dzinovaka pamusoro medicament "Menopur". Maererano navo, mushonga zvakanaka nokuporesa mbereko, kanoverengeka kuwedzera mukana wokuti pamuviri. Sezvineiwo, vakawanda varwere pashure kushandisa chokushandisa ichi kunokudziridzwa vakawanda pamuviri.

The chete drawback zvinodhaka anonzi mutengo wayo. Varwere vakawanda havagoni kuwana mushonga wakadaro. Kunyange zvazvo vemishonga vanoti mutengo zvinodhaka izvi zvachose kwakarurama. Kutaura zvazviri, pashure ayo kushandisa chinhu chihombe refu-akamirirwa mukana pamuviri uye, sezvo zvakaita kuti refu-akamirirwa kuberekwa mwana. Saka, vakawanda vechiduku vakaroorana vasingakwanisi mimba mwana pasina kumbozengurira wana chivako ichi.