Piritsi yepabonde "Belara": kuongororwa kwechiremba, zvinotsigira, zvinopesana, zvinopesana, zvinorayirwa nachiremba

Mushonga "Belar" unoshanda here? Kuongorora kwechiremba (pros, cons) ichaiswa pasi apa. Uyewo iwe uchadzidza pamusoro pehuwandu hwekugadzirirwa uku kunoitwa, izvo zvipi zvayo zvinosanganisira, zvisinei kuti zvinopesana nehutungamiri nemigumisiro.

Tsanangudzo, kuumbwa, chimiro, kugovera

Mushonga we "Belara" unoenderera mberi uchitengeswa nenzira yepota biconvex chiedza chemapiritsi machena ane mutsvuku. Inosanganisira zvinoshandiswa zvinoshandiswa zvakadai sa chloromadinone acetate uye ethinylestradiol. Inowedzerawo zvimwe zvinoshandiswa mumhando ye lactose monohydrate, povidone, corn starch uye magnesium stearate.

Kana iri iyo firimu yepepipe yakaitwa pink, inoumba titanium dioxide, talc, hypromellose, lactose monohydrate, macrogol 6000, propylene glycol uye tsvuku yesimbi yakawanda.

Pakutengesa, mumiririri mubvunzo anouya mumablisters, ayo ari mune kadhibhodhi bhokisi.

Pharmacodynamics

Chii chinonzi "Belar"? Zviratidzo zvechiremba (kuwedzera, kushandiswa kwemishonga kwechirwere kuchaiswa gare gare) taura kuti izvi ndezvekubatana kwekudzivirira kwakagadzirirwa kutaurirwa mumuromo.

Kushandisa kwenguva yakareba mapiritsi kunoderedza kusviniswa kweiytenizing uye follicle-inosimudzira mahomoni uye, sechigumisiro, kunoderedza kushandiswa kweivulation. Uyewo, ichi chinodhaka chinokurudzira kupararira uye kushandura zvakavanzika kwe endometrium. Kuita kwakadaro kunodzivirira kugadzirirwa kwezai rinogadzirwa.

Kana uchitora mishonga iyi, iyo yakasvibiswa yezvinyorwa mumcosal kubva mumuviri wemukati inowedzera. Pamusana peizvi, varumekadzi zvepabonde nemasero vane dambudziko kudarika nhengo dzepabonde dzevakadzi.

Iko chloromadinone acetate yakabatanidzwa mukugadzirira iyi gestagen ine antiandrogenic. Inokwanisa kukwikwidzana ne androgens mune zvakagamuchirwa uye zvinowedzera kuderedza zvavanoita.

Zvichida kutanga kwekuzvara kwegore zvakasiyana pakati pe 0.29-0.69%, uye zvinotarisirwa nekuchengetedza zvakasimba kudhesa uye remishonga regimen.

Pharmacokinetics

Mahwendefa e "Belara" ane zvinhu zviviri zvinoshanda. Zviratidzo zvadzo zvinowirirana zvakajeka:

• Chlormadinone acetate yakakurumidza uye yakanyatsodonhedzwa kubva pamakumbo ekudya. Iyo yakanyanya kukosha muropa inochengetwa mushure meawa nehafu. Inenge 95% yezvinhu zvinosunga mapuroteni eplasma (kunyanya ne albumin).

Apo chikamu chacho chichinjwa, metabolites akawanda anoumbwa (3-alpha uye 3-beta-hydroxy-chloromadinone acetate).

Iyo hafu-hupenyu hwechi chinhu ichi maawa makumi matatu nemaviri. Chlormadinone acetate, pamwe chete nemetabolite yayo, yakanyanyiswa muhuwandu hwakaenzana pamwe nemuviri nemafuta.

• Ethinyl estradiol inokurumidza uye yakanyatsobviswa kubva mumuviri. Iyo yakanyanya kukwirira mumapulama inowanikwa mushure memaminitsi 90. Absolute bioavailability of this substance is 40%.

Inenge 98% ye ethinyl estradiol inosungirirwa kune mapuroteni eropa. Inoshandurwa nehydroxylation yemhete inonhuhwirira. Izvo zvakakosha kubva kune iyi chinhu 2-hydroxy-ethynyl estradiol.

Iyo hafu-hupenyu hwechikamu chiri pasi pekufungisisa iawa gumi nemaviri. Inodonhedzwa nedzimwe uye nenzira dzeitsvo muchikamu che3: 2.

Kuvhara zvachose ovulation, chloromadinone acetate inofanira kutorwa muhuwandu hwe 1.7 mg zuva nezuva. Muyero wehuwandu hwakazara ndeye 25 mg.

Zviratidzo zvekushandiswa

Matafura "Belar" anongotarisirwa chete kuvakadzi. Izvo zvinodiwa pakunamatira kunyorera.

Contraindications

Ndezvipi pasi mamiriro ezvinhu haagoni kutora mishonga "Belar"? Kuongororwa kwechiremba (pluses, minuses zvemugadziro uyu inofanira kuongororwa nevakadzi vose) vanotaura kuti mishonga iyi haigoni kushandiswa ne:

• Thrombosis uye thromboembolism (pulmonary embolism, myocardial infarction, vein thrombosis, kushanduka kwemakumbo);
• Kugadziriswa kushanda kupindira (mwedzi mumwe chete zvisati zvaitika), uyewo munguva yekusagadzikana;
• Kusachengetedzwa kwehutano hwehutano hwakanyanya;
• Pakutanga zviratidzo zve thrombosis kana thrombophlebitis, pamwe chete nezviratidzo zvekumbolism (kusanganisira kurwiswa kwekanguva kuschemic);
• Yakanaka kana isingaperi yakaora chiropa kukuvara;
• Kusachengetedzwa kwechirwere cheshuga mellitus;
• Itching yemuviri wose, cholestasis;
• Kugadziriswa kwechimiro chekugadzirisa uye kupisa kwevhuni;
• Uturu hwakanyanya mu epigastrium, hepatomegaly, kana zviratidzo zvemuviri-mudumbu remvura;
• Zvironda zvechiropa;
• Migraine attack;
• Syndrome ye Rotor kana Dubin-Johnson, pamwe nekuderedza kubuda kwe bile;
• Matambudziko emotokari;
• Kukanganisa kunofadza kwemaitiro akaoma;
• Porphyria;
• Hemmone-inotarisana nemavhutu akaipa kana kushungurudzika kwavari;
• Kunyanya kuora mwoyo;
• Pancreatitis;
• Cryptogenic amenorrhea;
• Zvinoshandurwa kushandurwa kwechirwere chemagetsi;
• Pakati pekunyora;
• Kuwedzerwa kuwanda kwekurwadziwa kweputi;
• Kuberekwa;
• Maitiro akaoma otosclerosis, kusanganisira munguva yepamuviri yapfuura;
• Kunyanya kufungidzira kwekusvuta (varwere vane makore makumi matatu nemashanu);
• Endometrial hyperplasia;
• Lactose kusawirirana, kukwana lactase uye glucose-galactose malabsorption;
• Vaginal ropa rinotanga kusingazivikanwi;
• Kuvapo kwezvinhu zvakasiyana-siyana zvinokonzerwa nehutachiona kana hutachiona hwehutano;
• Kuziva nezvezvinhu zvinodhaka.

Nzira yekunwa chirwere chepurojekiti "Belar"?

Maererano nemirayiridzo, mapiritsi ekuberekwa anofanira kutorwa nemuromo, pasina cheku uye nekugeza nemvura shoma. Ndinofanira kutora sei mutambo? "Belara" inofanira kutorwa zuva nezuva panguva imwechete (manheru).

Nguva yezvinodhaka mazuva makumi maviri. Zvadaro inofanira kuvharwa kwevhiki. Panenge mazuva 2-4 mushure mekupedzisira mapiritsi, kubuda kwemwedzi kunoonekwa.

Mushure memazuva manomwe, unofanira kutanga kutora mishonga kubva kune imwe ganda, pasinei nokuti kubuda ropa kwakamira kana kwete.

Ikopafura yekutanga inofanira kushandiswa pazuva rekutanga rehupenyu hwepanyama (kureva, pazuva rokutanga rekuenda kumwedzi). Chero bedzi munyaya iyi, kubata pamuviri kunotanga kushanda uye kunopedza kunyange panguva yevhiki rimwe chete.

Zvisinei, bhodhi rekutanga rinogona kutorwa pazuva rechipiri-5 rekuenda kumwedzi. Muchiitiko ichi, nzira dzinopesana dzekudzivirira kubata pamuviri dzinofanira kushandiswawo mumazuva manomwe ekutanga.

Kana kuenda kumwedzi kwakatanga mazuva anopfuura mashanu apfuura, iwe unofanira kumirira kutanga kwechipiri, uye chete ipapo enderera mberi pakutora mahwendefa.

Zvikanganiso

Iyezvino iwe unoziva kunwa mairi mapiritsi. Inofanirawo kuonekwa kuti kutora mishonga iyi kunogona kukonzera maitiro ekutevera awa:

• Kutya, kutsamwa, kuora mwoyo, kuderera kwe libido;
• Kuwedzera kudya kudya, kuchinja muhutano hwehutano hweropa;
• Hypersensitivity kune zvikamu zvechirwere;
• Kuvhiringidzika kutarisa lensiti, kuvhiringidzika kunoonekwa, conjunctivitis, tinnitus, kurasikirwa kwekunzwa;
• Dhimini, migraine musoro;
• Thrombosis ye mitsipa, kuwedzera kwekumanikidzwa, kuwa, kushaya hutachiona, hutano hwevaricose, hutachiona hwehutano;
• Kunyarara, kurwadziwa mumimba, kushungurudza, kurarisa, kurutsa;
• Hyperhidrosis, acne, erythema, chloasma, urticaria, kurasikirwa kwevhudzi, kushungurudzika kwemavara, eczema;
• Lumbodynia, kunzwa kusuruvara, kushungurudzika kwemisimba;
• Vaginal candidiasis, dysmenorrhea, vulvovaginitis, kuwedzera kwechikadzi, premenstrual syndrome, amenorrhea, fibroadenoma yezamu, kurwadziwa mucheche pasi.

Kubatana Kwemishonga

Zvinokwanisika here kubatanidza pamuviri "Belara" nemamwe madhiragi? Kushandiswa kwemahwendefa aya nevamwe kunogona kuderedza simba ravo. Zvimwe zvinodhaka zvinodhaka zvinosanganisira:

• Zvinhu zvinoshandisa microsomal hepatic enzymes;
• Agent anovandudza utumbo motility;
• Mamwe maantibayoti.

Mushure me "Belara" uye kushandisa mari iyi, dzimwe nzira dzekubata pamuviri dzinofanira kushandiswa.

Mutengo uye zvakaenzana

Nhamba yemishonga iri mubvunzo ndeiyi inotevera: "Vidora", "Daila", "Jess", "Diphenda", "Jeanine", "Lindineth 20", "Logest", "Mersilon", "Milanda", "Modell Tin", "Novinet" "," Silest "," Femoden "," Yarina Plus ".

Kana ari mutengo, inonyatsoenderana nenhamba yemapiritsi ari muhomwe. Ivhareji mari yechirwere "Belar" ndiyo 490-530 rubles (21 pcs.).

"Belara": kuongorora kwechiremba (pros, cons)

Maererano nenyanzvi, mushonga we "Belara" wakazvisimbisa sekudzivirira kwakasimba. Apo inonyatsogadziriswa, chirwere chisingadiwi hachina kubviswa. Zvisinei, ichi chemishonga inewo mhinduro dzisina kunaka. Vanachiremba vanozivisa kuti zvinogona kukonzera nhamba yakawanda yemigumisiro. Iyi mishonga inokurudzira chiyero cheupfu hwakanyanya, uye inokuvadzawo kune ganda. Uyezve, ane ruzivo rwakakosha rwezvinyorwa.