"Estrozhel": malangizo ntchito, ikulongosola za kukonzekera, analogs, mavuto

Ndi palibe chinsinsi chimene kwa syndrome climacteric yodziwika ndi autonomic-mtima, maganizo kagayidwe kachakudya ndi endocrine matenda kuti kuwuka kwa kugonana fairer okwana zaka involution wa chamoyo, komanso pa maziko a zikuchititsa kuti mwapang'onopang'ono ntchito m'thupi yamchiberekero.

Mu yovuta imeneyi akazi awatentha kumva amatuluka otentha mutu, thupi chapamwamba ndi manja.

Komanso, zizindikiro za kusintha monga irritability kwambiri, kusowa tulo, kuvutika maganizo, kufooka ndi kumverera kwa mwamantha. Nthawi zambiri kugonana fairer amasintha kudya kusokoneza migraine, vertigo, komanso kukhala kwambiri thukuta, edema ndi vasospasm.

Kuwachepetsera chikhalidwe mkazi, makampani mankhwala anayamba kutulutsa mankhwala protivoklimaktericheskie. The zothandiza kwambiri zinthu monga mankhwala monga "Estrozhel". Ndemanga (pa kusintha ndiyo njira Kwalamulidwa zambiri) ogwiritsa Adzaperekedwa pansipa. Mudzakhala akuphunzira momwe ntchito mankhwala anati, momwe ndalama, ndi zina zotero.

Kufotokozera, zikuchokera, ma CD ndi mawonekedwe kumasulidwa

anagulitsa mankhwala "Estrozhel" ndi thupi lotani? Reviews akazi kunena kuti mankhwala angapezeke mu mawonekedwe a transdermal gel osakaniza. Ndi colorless, mandala, ndipo ali fungo Mowa.

The yogwira pophika wothandizila izi amachita estradiol. Pamene zosakaniza wothandiza medicament lili carbomer, Mowa, trolamine ndi madzi oyera.

Kukonzekera "Estrozhel" (gel osakaniza) chogulitsidwa machubu aluminiyamu. Kuphatikizanso ndi applicator wapadera yopereka.

mbali pharmacological

ndi gel osakaniza "Estrozhel" n'chiyani? Malangizo pa ntchito limasonyeza kuti ndi wothandizila m'thupi, zomwe amapanga chifukwa chosowa timafunika m'thupi la mkazi.

Ndiyamika zosakaniza ake yogwira mankhwalawa kugwira ntchito estrogenic. Chinali cholinga okha ntchito kunja kapena apakhungu.

Mu mankhwala a malo mu kugonana fairer kwambiri yafupika zizindikiro za matenda azimayi amsinkhu umenewu amakumana, kuphatikizapo maganizo, zotupa pa amatuluka otentha ndi dryness ukazi.

Mu dzuwa ake matenda mankhwalawa zizindikiro postmenopausal ankaona mankhwala si patukani mankhwala ndi esitirojeni mankhwala m'kamwa. Komanso, kugwiritsa ntchito chida ichi odwala azimayi amsinkhu umenewu amakumana amalembedwa liwiro la zomwe kuchepetsa osalimba a minofu fupa.

Anakhalapo mankhwala kumathandiza kuchepetsa okwana mafuta.

Sitingathe kunena kuti mankhwala "Estrozhel", mtengo wa chomwe chili m'munsimu, ali procoagulant dzuwa. Amachepetsa chiwerengero cha antithrombin III ndi kuonjezera kwa chiwindi kaphatikizidwe wothandizila K amadalira magazi clotting.

katundu pharmacokinetic

Kaya mankhwala odzipereka "Estrozhel"? Reviews akatswiri amanena kuti pambuyo ntchito gel osakaniza kumachitika mofulumira kwambiri evaporating Mowa ndi, umene estradiol yomweyo likulowerera khungu. Mbali yaikulu ya mankhwala yomweyo akulowa makope zokhudza zonse, ndi ang'onoang'ono - ali anapitiriza mu mafuta subcutaneous, chomwenso ndi anamasulidwa pang'onopang'ono.

Pambuyo ntchito m'dera la gel osakaniza pazipita ndende ya estradiol mu magazi anaona pambuyo Mphindi 180-240. The bioavailability wa mankhwala ndi 82%.

Ankaona medicament si pansi zotsatira za "mayeso woyamba", amene amathandiza apamwamba plasma ndende ya estradiol poyerekeza ndi analogues m'kamwa.

Achire wa estradiol ndipo kusinthika ake kagayidwe kachakudya ikufanana kwa chomwecho esitirojeni achilengedwe.

Zikuonetsa kuti ntchito ya kukonzekera kunja

Kodi cholinga mankhwala "Estrozhel" angagwiritsidwe ntchito? Malangizo ntchito akusonyeza kuti mankhwala izi tikulimbikitsidwa kuti mupewe zizindikiro za matenda climacteric, kuphatikizapo chongopeka anachititsa kusintha. Komanso, mankhwala funso kawirikawiri amagwiritsidwa ntchito kuti kupewa ndi kuchiza wa kufooka kwa mafupa pa kusintha.

contraindications

Kodi mukudziwa pamene inu sayenera kugwiritsa ntchito gel osakaniza "Estrozhel"? Malangizo ntchito inanena kuti ku contraindications mtheradi chida monga zinthu zotsatirazi:

• Ozungulira syndrome;
• ischemic kapena haemorrhagic sitiroko;
• pachimake thrombophlebitis kapena thromboembolism;
• pa mimba;
• magazi uterine chiyambi undetermined;
• aimpso kulephera;
• Kuyamwitsa;

• ; Johnson - syndrome Dubin
• esitirojeni amadalira malignancies kapena kukayikitsa pamaso pawo;
• hypersensitivity;
• chosaopsa kapena zilonda zotupa za pituitary ya;
• Akuluakulu chiwindi matenda mu gawo pachimake, zotupa chiwindi, ndi matenda a chikasu ndiyo.

Kusamala ntchito medicament ndi

Kodi ndigwiritsa ntchito gel osakaniza "Estrozhel" mosamala kwambiri? Mlendo akatswiri amanena za zinthu zotsatirazi:

• leiomyoma;
• inatsekeratu mtsempha wamagazi matenda;
• endometriosis;
• zipolowe za ntchito chiwindi;
• kapamba;
• shuga;
• migraine;
• khunyu;
• mphumu;
• banja hyperlipoproteinemia;
• kwa chiwindi porphyria;
• yotupa matenda a ziwalo zoberekera za amuna fairer;
• anati pamaso matenda a chikasu ndiyo, kuphatikizapo mawonetseredwe ake mu njira ya mimba otsiriza;
• trombozay, thrombophlebitis kapena thromboembolism (poyerekeza esitirojeni chithandizo);
• oopsa mu chaukali;
• kudwala ndulu ndi cholelithiasis (mbiri);
• hypercalcemia kugwirizana ndi metastases fupa la m'mawere minofu zotupa;
• matenda magazi.

Gel osakaniza "Estrozhel": malangizo ntchito

Ankaona kukonzekera ntchito timitu yekha. Pankhaniyi ntchito mosalekeza kapena cyclically. Nthawi chithandizo ndi mlingo wa mankhwala amasankhidwa payekha.

mlingo wina wa gel osakaniza "Estrozhel" (2.5 g) lili 1.5 mg wa estradiol.

Mankhwalawa zizindikiro kusintha wasonyeza chopanda ntchito mankhwala patsiku mu kuchuluka pa mlingo. Gel osakaniza anali enaake anayesa kufalitsa pa khungu m'dera la lumbar dera, forearm, pamimba kapena paphewa, ndi kuyembekeza suction ake mtheradi.

malo a khungu pamene mankhwala anali ntchito, sikudzakhala zosakwana m'dera la manja onse wodwala.

Pakuti ntchito olondola a ntchito ndi zotsatira yabwino kwambiri amakhala ndi mayamwidwe ya mankhwala mu mphindi 3. Pa nthawi yomweyo kuteteza stickiness pambuyo ntchito mlingo umodzi wa mankhwala kwa mphindi 5 akusonyeza kuti iye analibe malo ntchito ndi khungu.

Ikani mankhwala ayenera wodwala (m'mawa kapena madzulo). Ikani gel osakaniza ndi zofunika kuti chimakwirira kale kutsukidwa.

zotsatira zoyipazi

Kodi zotsatira osafunika zimachitika pambuyo ntchito "Estrozhel" gel osakaniza? Reviews a azimayi mavuto:

• khungu likuyabwa, khungu ankatenthetsa, mutu ndi mutu waching'alang'ala;
• mmene alili, ndi chizungulire;
• tilinazo ndi kuwonjezeka mu kukula kwa zopangitsa za mammary, ululu, menorrhagia, amenorrhea, yojambula magazi;
• zotupa mu zopangitsa za mammary, kuchuluka libido, Kupaka kumaliseche ukazi, kuphatikizapo nthawi intermenstrual;
• kudzimbidwa, ndulu kutsekeka, nseru, kusanza, matenda a chiwindi, epigastric ululu, anorexia, kapamba;
• cholelithiasis, cholestatic matenda a chikasu ndiyo, kutsekula m'mimba, m'mimba omangana, bloating;
• thromboembolism, kukhudzana mandala tsankho, kusintha kulemera, edema zotumphukira;
• kuthamanga magazi, thupi lawo siligwirizana (kuphatikizapo urticaria ndi kuyabwa khungu), kukhudzana dermatitis.

Onse zotsatira zoyipa anasonyeza m'malo ofooka. Iwo zambiri zimachitika mu magawo oyambirira mankhwala ndi pafupifupi konse amafuna discontinuation mankhwala.

Zizindikiro cha mankhwala osokoneza bongo

Kodi chidzachitike n'chiyani pamene wambirimbiri mankhwala "Estrozhel" (mmene tingagwiritsire ntchito chida ichi, talankhula pamwamba)? Pankhani ya mlingo waukulu wa medicament mu nseru mtima ndi kusanza, komanso kukhala magazi uterine. Mu mapangidwe zizindikiro ntchito gel osakaniza yomweyo anasiya.

Mogwirizana ndi mankhwala ena

Kodi n'zotheka zimagwirizizirana ndi mankhwala ena mankhwala "Estrozhel" (gel osakaniza)?

• Mu ntchito yomweyi wothandizila antihypertensive ndi hypoglycemic, ndi anticoagulants kungachepetse mogwira awo, chimene chimafuna mubwereze za ulamuliro n'zimene.
• Kuphatikiza "Estrozhelya" ndi mankhwala zamadzimadzi-kutsitsa kumachititsa zotsatira bwino mtsogolo.
• Ndi ntchito munthawi yomweyo ndi mankhwala amene ali inducers wa microsomal chiwindi michere (mwachitsanzo, "rifamycins", "Carbamazepine", "griseofulvin" ndi barbiturates), plasma estradiol mwina ndichepe.
• Ntchito gel osakaniza ndi amachepetsa mphamvu ya okodzetsa timadzi chiwalo chachimuna.
• The ntchito munthawi yomweyo mankhwala, analgesics opioid ndi mankhwala ntchito mankhwala ochititsa dzanzi ambiri, Iyamba kagayidwe wa estradiol.
• Kulumikizana ndi mankhwala ena (kuphatikizapo "Rifampicin" ndi "ampicillin"), komanso "phenylbutazone" kumachepetsa woipa plasma wa estradiol.
• Munthawi yomweyo mankhwala vutoli ndi folic acid komanso mabele timadzi kumawonjezera estradiol zotsatira njira.

ayamikira yeniyeni

Mankhwala "Estrozhel" ntchito koletsedwa pa mimba. Iwo ayenera kukumbukira kuti patsogolo ntchito gel osakaniza akazi ayenera kuonetsetsa kuti wathunthu matenda bwino. Ndi ntchito nthawi yaitali mankhwala, njira zimenezi ziyenera kuchitidwa kamodzi pa chaka.

Malinga ndi malangizo ndi chithandizo katswiri ali advantageously ikuchitika osakaniza estradiol mankhwala progestin. Chotero kuwaphatikiza adzateteza endometrium.

Iwo ayenera kuteteza mucosa wa akumaliseche kwa mkazi, komanso khungu mu bere kuyamba iwo ankaona mankhwala.

ntchito yaitali mankhwala, kuphatikizapo mlingo waukulu, kumaonjezera ngozi ya m'mawere ndi khansa endometrial.

Ngati mukufuna kusankidwa opaleshoni, ndi esitirojeni mankhwala ayenera anasiya kwa masabata 4-6 kale.

"Estrozhel" ayenera kugwiritsidwa ntchito pa mapulani mimba. Iwo ayenera kukumbukira kuti medicament yogwira sikuti kulera zosiyanasiyanazi katundu ndi samaletsa pathupi.

Mankhwala "Estrozhel" ndi "Utrozhestan" - osakaniza wangwiro. Chifukwa dongosolo limeneli ndi khalidwe la moyo wodwala pa kusintha kwambiri bwino.

Kukonzekera mtengo ndi ofanana

Kodi kwambiri ndi gel osakaniza "Estrozhel"? Mtengo wa wothandizila izi 700 rubles. Ngati chofunika, tingathe m'malo ndi mankhwala ena monga "Estrokad", "Esterlan", "Estrovagin", "Ovestin", "Sinestrol", "Kolpotrofin", "ethinylestradiol", "Elvagin", "Ovipol Clio", "Pauzogest "," Klim "ndi ena.

Reviews akazi

The kugonana fairer ntchito njira mpumulo zizindikiro azimayi amsinkhu umenewu amakumana n'kumusiya maganizo chabe positive. Amati dzuwa ake okwezeka ndi pafupipafupi yaing'ono komanso kusalekerera mavuto poyerekeza ndi Anzawo m'kamwa.

makhalidwe ena abwino mankhwala monga yabwino dosing njira yake, kupanda tackiness pambuyo ndondomeko ndi mayamwidwe mofulumira mu khungu.