Piritsi "Silhouette": wongororo vanachiremba, kudzidziswa Chinyorwa. Birth kuzvidzora mapiritsi vari "Silhouette": wongororo kuti endometriosis

Munguva yedu, mukadzi ane kodzero kuronga pamuviri yavo. Izvi zvinogona kuitwa nenzira dzakawanda, asi zvikuru nyore uye inobudirira - iri pamuviri hormone.

nzira yokudzivisa pamuviri pamahwandefa First ine mugove nani guru yezviri fuma uye vanotozvikuvadza kukonzera marwadzo akadai kufuta. Modern hormone nhumbu yakasiyana pakuti dose kuti basa pazvokudya pavo kunyora nezvavo. Kunoitawo mukadzi kuchengeta uremu hwako pasi kuzvidzora. Uyezve nemumuromo nhumbu ane chizvarwa chitsva vanokwanisa yekudyidzana kuvandudza mamiriro ganda uye bvudzi, kubvisa duku kuzvimba panguva yekutevera.

"Silhouette" Mumwe ano zvishandiso kuti kudzivirira pamuviri pasingadiwi chinhu piritsi. Comments pamusoro motokari iyi inogona kusangana zvakasiyana siyana. Ngationgororei zvose chii inobudisa zvinodhaka ichi.

Kana tikafunga kuti mishonga chigadzirwa sokuona kunotoda kurapwa weboka racho, zvino yava monophasic pamuviri ne antiandrogenic ehupfumi, dzaizopiwa nemumuromo yaitonga.

In chii chimiro anogadzirwa?

Birth kuzvidzora mapiritsi vari "Silhouette", iro akaongororazve zvikurukuru yakanaka, ndivo chena, vakakomberedza biconvex chimiro chakavezwa "G53" rimwe divi. The mhoni rine 21 bv.

mushonga

Mumwe piritsi Pfungwa rine zvinotevera huru unorapa:

• Ethinylestradiol munzvimbo uwandu MG 30.
• Dienogest mune wevasungwa 2 MG.

Uye uye ebetsero zvinhu: lactose monohydrate, chibage starch, hypromellose, talc, potassium polyarylate uye magnesium stearate.

Sezvo chinodhaka mabasa?

Piritsi "Silhouette", wongororo iyo inoratidza suitability raro vakadzi vechiduku, ane yaisanganisa mudziyo aine iziviswe Anti-androgenic mugumisiro. In ayo mamiriro pane mahormone ethinylestradiol, iro rine mashandiro inonzi estrogen uye dienogest, ndiro imwe progestogen. kudzivirira pamuviri Izvi zvinotevera mashandiro mumuviri mukadzi:

• It kuchititadzisa ovulation.
• Kunowedzera viscosity ari remuromo madzihwa.
• Anoshandura peristalsis of fallopian sepombi.
• It anomuchinja kuti nemamiriro endometrium.

Huru mbiri achishingaira pakuderedza akabatana nevamwe vane kuderedza mugumisiro androgens mu plasma.

Vakadzi vazhinji piritsi "Silhouette" (uchapupu - uchapupu) kunobatsira kurarama nounyoro kuti zvive nomwero dambudziko mburwa, uye seborrhea.

Kemikari dienogest fuma rinobva norethisterone. Zviri asingasviki 10 nguva affinitiven kuti progesterone Kanotokonya pane dzimwe chakaita zvokugadzirwa zvinhu yeboka iri. Features dienogest - kuti hakuna androgenic, glucocorticoid uye mineralocorticoid zvivako. The rakazvimirira Kushandiswa kemikari uyu chipimo chemushonga 1 MG pazuva kunotungamirira kutapudzwa ovulation.

Chii pamuviri pharmacokinetics?

Sezvambotaurwa, hwendefa "Silhouette", wongororo iyo kutaura kwayo mukurumbira, ane mbiri vanoshingaira zvinhu, izvo kuzvibata muviri nenzira dzakasiyana.

Ethinylestradiol kana akasunungura kupinda ura duku nokukurumidza kunyura uye runosvika kunonyanyisa pfungwa pashure maawa 1.5-4 chete. A chinokosha chikamu nefuma rinoita chiropa. Chokukomborerwa kwakakwana bioavailability kuti ethinyl estradiol ndiyo 44%. Izvi zvinhu zvakanga 98% anosunga kuti sealbumin ropa kunowedzera wevasungwa kuti globulin,. mapuroteni ichi chinobatanidza bonde mahormone. In yechipiri yezana zvinodhaka yaunodya kosi yakati vawane kunonyanyisa zvakanyatsoenzana zviri ethinyl estradiol.

fuma iyi rinoita mune intestinal mucosa uye chiropa kubudikidza inonhuwirira hydroxylation pamwe vakawanda nomukaka. Output Kuparara zvigadzirwa pedyo chiropa uye itsvo mumatanho maviri:

• Mavambo 1 hr.
• Chechipiri nguva iri maawa 10-20.

Ethinylestradiol unaltered kubva muviri hauna outputted.

Dienogest zvakare wefodya unopinda muropa intestinal madziro uye runosvika kunonyanyisa pfungwa pashure maawa 2,5 chete pashure yaunodya kuti pamuviri. vagari yake ethinylestradiol bioavailability ndiyo 96%. Dienogest anosunga chete sealbumin. zvakanyatsoenzana ake maximal yeplasma wevasungwa kunokwanisika mukati 4 mazuva kurapwa.

Dienogest vari rinoita nzira hydroxylation uye glucuronidation. Zvibereko kuora ichi vakaneta uye nokukurumidza kusiya plasma.

Dienogest duku shoma iri kuchinja chimiro yabudiswa pedyo neitsvo. With kudyiwa 0.1 MG / makirogiramu yamarudzi vanenge 86% yabudiswa muna 6 pamazuva ura uye itsvo, uye pazuva rokutanga iri weti yokutanga abvisa vanenge 42% of zvinhu.

Chii dose of zvinodhaka zvinofanira kutorwa?

Birth kuzvidzora mapiritsi vari "Silhouette", wongororo zvacho zvakanaka, zvinofanira kutorwa ose zuva pane imwe nguva. Kana zvakakodzera, unogona kunwa shoma mvura. Iva nechokwadi kuti vachengete murayiro yakaratidza pamusoro pasuru.

The Essential Guide kuti zvakarurama kugamuchira "Silhouette" (Mahwendefa) - kudzidziswa. Reviews kuti pamuviri ichi kutaura Kuwanikwa mharidzo nzira kushandiswa yaro zvakabatanidzwa pfupiso. Rine zano maererano izvo gadziriro rimwe piritsi akatorwa kamwe pazuva pamusoro mazuva 21. Next riri-zuva nomwe zororo usati watanga mutsva remidzanga zvokurapa. Munguva iyi, pane "kurega ropa". Kazhinji Fani iyi rinotanga pashure pemazuva 2-3 mushure wokupedzisira hwendefa uye rapera mumazuva 4-5. Panguva iyi, zvakakodzera kugamuchira mahwendefa Maronda akasiyana matsva.

Pane chinhu chinokosha nuance kunozivisa kutanga kugamuchira mahwendefa "Silhouette". Mirayiridzo kushandiswa (inofambiswa kune n'anga mu mukubvuma) inoratidza kudiwa waiita nhumbu iri 1st pazuva kumwedzi. Ichi ezvinhu anodiwa avo vakanga vasina kare vakanyatsoshandisa hormone pamuviri, kana haana kushandisa zvinodhaka izvi mwedzi kana kupfuura.

Features nomumukanwa nhumbu

Kana paiva kuchinja kubva zvikabatanidzwa pamuviri nomumukanwa chikumbiro pamusoro "Silhouette" Mahwendefa, mirayiridzo kushandiswa, vanachiremba chaivo dzinorumbidza kutanga kutora mushonga kuitwa zvatinosiita nguva zuva rakatevera pashure rokupedzisira hwendefa rave richishandiswa.

Kana uchida kuenda pamuviri ane chete progesterone, zvinogona kuitwa chero imwe zuva. Kana murwere anobvisa kudyara, dzakadai Navy, iwoyo iye anogona kutora "Silhouette". Kana mukadzi anotora kubereka rokudzora chimiro majekiseni uye takasarudza kuenda pamusoro pamuviri rakarondedzera tableted, ari dose kwayo wokutanga anofanira panguva kuronga imwe jekiseni rinofanira kuitwa.

Kana mukadzi akava kupfupfudzika iri 1st trimester pamuviri, uye iye anoronga kutora kemikari mapiritsi "Silhouette", mirayiridzo, ongororo, uye vanorumbidza kuvarapi anoratidza mukana pakarepo kushandisa mishonga chigadzirwa. Kana pamuviri kwakaitika pane musi gare gare, zvino pane kudiwa kutora yokumbozorora 21-28 zuva uye kushandisa makondomu panguva iyi.

Zvakadini kana piritsi iri ndakarovha?

Kana kana kunonoka mabiko hazvirevi kupfuudza maawa 12, nhumbu simba hakuna ipfupi. Mukadzi anofanira kushandisa pahwendefa nekukurumidza, uye zvinofanira wakamwa dzose nguva.

Pakadaro, kana kunonoka yaiva nguva nguva kupfuura maawa 12, chinofanira ishande maererano dzinokosha nemitemo rubvumo pamuviri:

• Haukwanisi kudimburira kushandisa mari yakawanda kupfuura pavhiki.
• Kuti mushonga kuti basa, unofanira mazuva anenge 7 risina kumiswa mabiko.

Naizvozvo, vanachiremba vanoti zvinotevera:

• Kana mayambuka mabiko kwakaitika vhiki yokutanga kushandisa zvinodhaka, mukadzi anofanira kutora piritsi pakarepo, uye apere panguva dzose nguva. Panguva iyoyo unofanira kushandisa kondomu iri vhiki inouya.
• Kana zvaitika pazuva rechipiri-zuva nomwe nguva, ipapo hwendefa chinobviswa pakarepo uye chipingamupinyi nzira pamuviri hakusi zvakakodzera.
• On vhiki rechitatu, kukundikana kwakaitika nokugamuchirwa rekugadzirira inodiwa ari algorithm inorondedzerwa mundima yokutanga. Pashure paizvozvo iwe unofanira kutanga inotevera mhoni usingamudimburiri. Muchiitiko chino, "kurega ropa" harisi Zvisinei, zvinogona kusvibisa.

Unogonawo kunonotsa kutanga ropa achibatsirwa "Silhouette" mapiritsi. Reviews vanachiremba pamusoro evanhu ichi inokurudzirwa iyi nyaya kuramba achitora chinodhaka, kuchinja nokuguma kuti mhoni itsva. Panguva kushandiswa, wechipiri pasuru mishonga mukadzi anogona kuonekwa pa kusvibisa uterine buditsa.

Pangava imwe ovhadhozi?

The toxicity pamusoro yakakwirira mishonga ine mahormone anoumba "siluetti" zvemahwendefa yakaderera. Kana ovhadhozi vakachengeta kuda kurutsa, kurutsa, kusangana nekutsi kwemukadzi zvinoyerera kana ropa. Hapana chikonzero mushonga.

Zvinobvira here "Silhouette" atora nedzimwe zvinodhaka?

Yakati kuti co-rokutarisira zvinodhaka simba microsomal makemikari, angaguma ropa budiriro hunhu uye kuderedza pamuviri mugumisiro. mishonga ava "Phenobarbital", "Rafampitsin", "Hydantoin", "primidone", "carbamazepine", "Rifabutin", "EFV", "Nevirapine", "Oksikarbazepin", "felbamate," "Griseofulvin" "Topiramate "" Ritonavir "uye fitodrug Hypericum perforatum.

Kutora mamwe mishonga, zvakadai tetracycline kana ampicillin, pamwe "Silhouette" kunoderedza kunyatsoshanda kwayo. Kana anofambidzana kunomumwe pamusoro Formulations ndiyo kudiwa mamwe kudzivirira chipingamupinyi kuti mazuva 7, aine "rifamycins" - mumazuva 28.

Ndezvipi marwadzo zvinodhaka?

Hazvibviri kusarudza kusarudza nzira pamuviri. Yeuka kuti "Silhouette" - kemikari mapiritsi. Doctors pamusoro divi zvinokonzerwa pamuviri dzinoti kunosimudzirawo paumbwe ropa clots mu arteries uye mutsinga. Fani iyi inogona kuwedzerwa kusvuta, BP, vanotaura pamusoro zvakajairika pakugwamba ropa, varicose mutsinga, kufutisa, thrombosis uye thrombophlebitis.

Pakati vanhuwo nemishonga vari akati:

• Migraine.
• Svoto uye kurutsa.
• Kufuta;
• Soreness ari mammary shwanu uye Zvibereko zvavo;
• Kusagadzikana Emotional;
• Marwadzo kumashure;
• Chinyamunhari chinorwadza iri mhuru netsandanyama.

Vakadzi vazhinji vanoramba kushandisa waingoita pamuviri nokuti kutya kuti nani. Vari kutya izvi anoruramiswa? Chimwe chezvinhu zvinokosha zvikuru mashoko pamusoro kana zvichibvira kuti uremu kutora "Silhouette" piritsi - wongororo. Kufuta munyaya yake panzvimbo guru inorwara vakadzi. Ndokusaka mugumisiro kutora kudzivirira pamuviri ichi ndicho.

Pamusangano kakawanda kuratidzwa yakasiyana varwere anotevera marwadzo kutora "Silhouette" gadziriro:

• Hypotension kana BP.
• Thrombophlebitis uye varicose mutsinga.
• Migraine uye vertigo.
• Kugumbuka.
• Abdominal marwadzo.
• Zvirwere nezvezvimwe zvinetso zvedundira.
• Mburwa, mapundu, dermatitis uye sema akneiformny, alopecia, erythema, pruritus, chloasma.
• Nzara yakawedzerwa kana uremu.
• Kusangana nekutsi kwemukadzi candidiasis, vaginitis.
• Kuneta, zvakawanda zvive, edema.
• Acyclic uye chinorwadza ropa, endometrial hyperplasia isiri yekenza, endometritis, salpingitis.

Paivawo nezvimwe, asi zvishoma kakawanda divi migumisiro kutora piritsi "Silhouette". Mirayiridzo yokushandisa, murefu uchapupu uye vanachiremba vanotaura zvinotevera sadikanwa Migumisiro:

• Kupererwa neropa.
• Zvirwere kumwoyo.
• Kutyorwa chepfungwa kutenderera.
• Kutarisana vachivavhiringidza.
• Sinusitis, bronchitis, asima.
• Nomudumbu.
• Hypertrichosis, eczema, seborrhea, angioedema.
• Ungaderedza kudya.
• Chisimbwa.
• Shomanana yavaive, shanduko uye mammary bundu, leiomyoma.
• Hope, kuora mwoyo.
• Arthralgia, myalgia.

Panewo kushoma chaizvo nemishonga kuti zvingaitika somugumisiro "siluetti" zvinodhaka. Mahwendefa Wongororo zvinoratidza izvi, ane kakawanda asingasviki 1 nyaya kubva 10,000 aigona kumutsa mwoyo kurwiswa, matombo omunduru, cholecystitis uye endometrial kenza.

Contraindications

The mushonga "Silhouette" haigoni kubatwa zvimwe zvirwere. Ivo:

• Zvirwere mutsinga uye arteries, propensity kuti thrombosis.
• Pfungwa nomuviri zvemwana asati.
• Porphyria.
• Jaundice kana hyperbilirubinemia, vachiberekwa syndromes.
• Kusvuta pashure pemakore 35.
• Zvakakomba chiropa chirwere, kusanganisira kenza.
• Kusangana nekutsi kwemukadzi ropa unexplored Genesisi.
• Migraine.
• Chepfari.
• Jeko muchitokisi kupererwa neropa.
• Pamuviri uye lactation.
• Lactase kusashivirirana.
• The chisimbwa kuti zvinodhaka.

Kana zvirwere izvi dzinogamuchidzanwa nhumbu "Silhouette" iri contraindicated.

endometriosis kurapwa

Endometriosis - chirwere kuti rakanyatsojeka nevakawanda vakadzi. Zvinonzi kubatwa kuchinja kana zvomusejari nzira, zvichienderana nemamiriro ezvinhu ari kurwara. "Silhouette" (Mahwendefa) ratings kuti endometriosis akawanazve zvakanaka. mushonga iri kazhinji raitongwa varwere asi ive analogue ari pamuviri "Janine." Muchiitiko chino, gynecologists vanoti hama dzayo vakachengeteka uye vaita zvakanaka.

"Silhouette" unotungamirira mberi atrophy pamusoro endometriosis pasinei kwavanofudza dziri. It akazoita kwetunhu estrogen, anovanza ovulation namatombo kuwandisa masero ari zvinyama kunze uterine mhango. Uyewo, pane zvakanaka Anti-anogumbura mugumisiro kutora "siluetti" zvinodhaka. Mahwendefa wongororo kuti endometriosis uine - vakadzi dzinoshuma kunyangarika zviratidzo dysmenorrhea, polimenorei uye marwadzo pabonde.

Mukuwedzera, zvinoshingaira zvinoumba kugadzirira "Silhouette" akaderedza ropa zvitengeswa endometriosis. Somugumisiro zvinyama ichi hunomira kukura. Vakadzorerwa zvinoitika kwevari hemoglobin.

Zvinofanira zvakare kucherechedzwa kuti yaunodya zvinodhaka izvi zvinofanira ndakarumbidzwa chiremba pashure rakazara murwere kuongorora zvirwere uye zvinhu zvinotangira navo. Kunze komutemo kushandisa hormone pamuviri kunogona kukonzera dzakakomba nenjodzi muviri.