Mankhwala olerela "Janine." Malangizo ntchito kwenikweni

Kulera "Janine" mankhwala ndi amakono otsika mlingo m'thupi wothandizira. Ndi kutchulidwa zotsatira achire. Thandizani kupirira ululu kusamba, endometriosis Nkhata. Matenda msambo ndi kuteteza motsutsana mimba zapathengo. Iwo ayenera okhawo pa mankhwala.

The zikuchokera ndi maonekedwe za kumasulidwa mankhwala

Mankhwala olerela "Janine" muli zinthu ziwiri yogwira ndi ethinylestradiol mu kuchuluka kwa 0,03 mg wa ndi dienogest pa mlingo wa 2 mg. Data amapatsidwa monga pa kapisozi mmodzi.

zigawo zikuluzikulu zinanso zikuchokera miyala akutumikira lactose monohydrate, talc, wowuma mbatata, gelatin, magnesium stearate. mapiritsi chipolopolo tichipeza dextrose, sucrose, povidone K25, macrogol 35000, calcium carbonate, carnauba sera ndi titaniyamu woipa.

Mapiritsi amapangidwa mawonekedwe woyera ndi lozungulira. Ankanyamula mu matuza chinthu 21. The katoni ndi imodzi kapena atatu zotayidwa chithuza. Pakuti mayiko atapatsidwa olembedwa pa chilichonse piritsi tsiku la sabata, zimathandiza mayi kuti asataye ndi mosamala kuyan'ana madyedwe a mapiritsi.

mbali pharmacological

Kulera zosiyanasiyanazi "Janine" mankhwala kulera zosiyanasiyanazi anatchula kanthu, yomwe imapezeka pa zochita za njira zosiyanasiyana wowonjezera. Choyamba, ndi chenjezo la ovulation ndi kusintha mkhalidwe wa kukhuthala kwa ntchofu khomo lachiberekero, chifukwa chimene izo zakhala chabe moti kwa umuna.

Ngati inu ntchito mankhwala motsata malangizo a Pearl Index, kumene kumasonyeza chiwerengero cha azimayi amene mimba atakhala makapisozi, sichoncho dera limodzi. Ngati chomwa mapiritsi kulera zosiyanasiyanazi ndi akulumphalumpha Pearl Index akupita mwamphamvu.

Dienogest mu "Janine" amakhala ndi ntchito odana androgen. A ubwino mbiri magazi zamadzimadzi.

Akazi amene ntchito kuphatikiza kulera zosiyanasiyanazi mkati, zindikirani normalization wa kuzungulira kusamba. Mu masiku kuweruza kwawo pang'ono nkhawa ululu, kuchepetsa kuchuluka kwa kumaliseche, yafupika nthawi ya menses. Izi amachepetsa Mwina yatsoka ndi akazi a chitsulo akusowa magazi m'thupi, yamchiberekero ndi khansa endometrial.

Dienogest kuganizira khoma matumbo. Ndende pazipita mankhwala yogwira mu magazi anaona pambuyo maola 2.5 pambuyo kumwa mapiritsi. Bioavailability ndi 96% ndi nthawi ya madzi ake theka moyo ranges ku maola 8.5 kuti 10,8. A mbali yaing'ono ya mankhwala limapezeka zikutsatiridwa, pamodzi ndi mkodzo ndi kusiya zambiri mu mawonekedwe a metabolites kudzera impso mu chiwerengero cha 3: 1.

Ethinyl estradiol, komanso dienogest, ali ndi lathunthu mofulumira mayamwidwe. The pazipita plasma ndende anati pambuyo maola 1.5-4. Pamene phwando woyamba zimapukusidwa mu chiwindi, izi zimakhudza bioavailability wa chigawo chimodzi, amene ali wofanana 44%. Ethinylestradiol anagawira kwathunthu (98%), kaphatikizidwe ndi albumin. Wapambana presystemic biotransformation mu chiwindi ndi intestine yaing'ono. Kukonzedwa ndi hydroxylation onunkhira. Mu unaltered kwa thupi la munthu si anasonyeza. Metabolites kunja ya ndulu ndi mkodzo.

zikuonetsa

Kulera "Janine" Mapale ntchito chitetezo ku mimba zapathengo. Izi ndi zizindikiro zazikulu ntchito mankhwala.

contraindications

mankhwala si amadya hypersensitivity kwa yogwira mankhwala zigawo zina. Musamalandire mankhwala ndi wolumikizira ndi thrombosis venous, thromboembolism. Aletse kugwiritsa ntchito "Janine" kutumikira boma isanafike mapangidwe thromboses. Inu Simungathe kumwera mankhwala mutu waching'alang'ala limodzi ndi zochitika focal ubongo.

Aletse kugwiritsa ntchito mankhwala ndi shuga, amene ananena mtima mavuto, komanso Mwina zosayembekezereka wa thrombosis venous kapena wolumikizira. matenda chifukwa chifukwa zoipa za mtima vavu kudwala ziwiya ubongo, matenda fibrillation, inatsekeratu matenda a mtima wa mitsempha ya.

Musati mankhwala vuto la matenda oopsa ndi phukusi lalikulu opaleshoni. Iwo sayenera kumwa mankhwala odwala kusuta ali ndi zaka 35.

Musati kulandira mankhwala kwa anthu ndi kapamba, kulephera chiwindi ndi matenda aakulu chiwindi.

Sikuti ntchito kulera zosiyanasiyanazi pamaso pa zotupa, timadzi amadalira pathologies zilonda, komanso ngati pali kukayikitsa pang'ono anafikapo ku thupi. Mukhoza kugwiritsa ntchito chida cha magazi kumaliseche kwa mkazi chiyambi osadziwika. Contraindication kulandira akutumikira mimba ndi yoyamwitsa.

Njira ya ntchito, mlingo

Mankhwala "Janine" ntchito pakamwa. Mapiritsi ayenera kumwa nthawi imodzi mwa dongosolo limene chojambulidwa pa chithuza pa.

Medicine kutenga mankhwala limodzi pa tsiku kwa masiku makumi awiri ndi chimodzi, ndiye kupanga yopuma ndi nthawi mlungu uliwonse. Izi ndi nthawi kubwera kusamba. Mukatero yambani mukumwa mapiritsi a phukusi latsopano. Menses masiku 2-3 pambuyo ntchito lotsiriza la kapisozi a ku ma CD akale. Kodi si mapeto a nthawi imene mukufuna kutenga kapisozi a matuza latsopano.

Ntchito ya mankhwala ayamba ngati mwezi wapitawo sizigwiritsidwa ntchito kulera ena, komanso pa tsiku loyamba kusamba. Mankhwalawa angagwiritsidwe ntchito maola 2-5 magazi pamwezi, koma izi Pakufunika kusamalitsa zazing'ono ndi mimba zosafunika pa sabata yamawa pamene iwo kutenga mankhwala kwa phukusi latsopano.

Pamene kusintha kwa "Janine" ndi kulera ena amaphatikizidwa ayenera kudyedwa mu kapisozi tsiku lotsatira akachoka atsopano piritsi kapena kapisozi anafooka kwa mankhwala chithuza analandira kale. Kutulukira pakati pa kumwa mankhwala ya ma CD akale ndi atsopano sayenera upambana sabata. Ngati mkazi kulera zosiyanasiyanazi amapita ndi transdermal chigamba kapena mphete ukazi, ntchito ayenera kuyamba pa tsiku kwa kuchotsa zinthu izi. Translation madona ndi progestin kulera ( "mini-piritsi") kuti "Jeanine" ikuchitika tsiku popanda yopuma. Kusintha ndi kulera zosiyanasiyanazi m'mimba kapena progestogen kutumikiridwa mu utero, pa tsiku la kuchotsa awo. Kusintha kwa jekeseni kuchitidwa pa nthawi imene chikuyembekezeka mpirawo lotsatira. Pa nthawi zonsezi ayenera kugwiritsa ntchito zina kulera ntchito "Janine" sabata loyamba.

Chida ichi ntchito pambuyo mimba, komwe kunachitika mu Ine trimester. Pankhaniyi, mkazi akhoza kutenga mankhwala mwamsanga pambuyo njirayi. "Janine" analola kumwa pa maola 21-28 atabadwa ndipo pambuyo mimba ikuchitika mu II trimester. Ali pa phwando la pambuyo mankhwala ayenera kutenga njira zina chitetezo mu masiku asanu ndi awiri a ntchito mapiritsi.

Ngati mkazi pamaso kumwa mankhwala akhala zachiwerewere, Tisawasale pamaso mimba nkotheka kapena kudikira isanayambike ntchito kusamba "Janine."

akulumphalumpha mapiritsi

Ngati mkazi anaphonya mankhwala olera "Janine," ndi kuchedwa chiyani musalumphe maola khumi ndi awiri, chitetezo zotsatira za izi zikutanthauza osati yafupika. Tiyenera kutenga mankhwala ndi posachedwapa. mapiritsi wotsatira ntchito bwinobwino.

Ngati mutaye mapiritsi ndi, "Janine" zoyenera kuchita? Ngati akuchedwa kulandira mankhwala ndi maola oposa khumi ndi chitetezo kulera zosiyanasiyanazi yafupika. Kuyenera zochokera mfundo zotsatirazi:

• A yopuma pa piritsi kutenga sayenera upambana masiku asanu ndi awiri.
• Pofuna kukwaniritsa Letsani ogwira mtima a hypothalamic-pituitary-yamchiberekero lamulo ayenera kutenga mankhwala mosalekeza kwa masiku asanu ndi awiri.

Pa akuchedwa chiphaso cha ndalama kwa maola oposa 12-36 kutenga mankhwala posachedwapa, ngakhale ngati muli kumwa makapisozi awiri pa nthawi yomweyo. Kenako phwando ikuchitika kayendedwe yachibadwa ya mankhwala. Kuyambira sabata, muyenera kugwiritsa ntchito njira zolera owonjezera.

Ngati kugonana anali pamaso pa mkazi uja anaphonya kutenga mankhwala, n'zotheka ndondomeko ya umuna.

Ngati kapisozi pa wadutsa sabata chachiwiri cha ntchito ya kulera m'thupi, m'pofunika posachedwapa kutenga mankhwala a. Kenako mankhwala amwedwa pa nthawi mwachizolowezi. Ngati mkazi pa sabata yapita sanali ziboola mapiritsi a, palibe kufunika kwa ntchito miyeso wothandiza kulera. Koma n'zosiyana ndi ndime ya makapisozi awiri kapena kuposa, apa m'pofunika amachita ena amene zoteteza mu sabata kulandira nthumwi m'thupi.

Kodi nditatenga mimba, kutenga mankhwala olera "Janine"? Ayi, ngati mulibe mwadya mankhwala. Akulumphalumpha mankhwala, makamaka Msabata lachitatu kumaonjezera ngozi ya mimba chifukwa cha moyandikana ndi kusokonezeka kugwiritsa ntchito mankhwala. Ngati panalibe yopuma m'mbuyomo mumasiku seveni kutenga mankhwala miyezo sekondale safuna kugwiritsa ntchito chitetezo. Ngati zinachitika mu nthawi ya phwando la miyala chitadutsa, ndiye:

• Mapiritsi dona ayenera kumwa posachedwapa, ngakhale ndiyenera kugwiritsa ntchito ziwiri nthawi imodzi. The kapisozi zotsatirazi n'kofunika kumwa nthawi zonse, malinga onse a mapilitsi mu paketi chithuza nkutha. Chikuonetseratu mapiritsi a paketi ayenera anayamba nthawi yomweyo popanda kusweka kwa mlungu wathunthu. Pa utsogoleli wa mankhwala akhoza kuona zoonera kapena yojambula magazi chikhalidwe.
• Lady chingaimitse kulandira mankhwala kuchokera ma CD atsopano ndiponso kupanga yopuma sabata, adapotolokera kwa tsiku anaphonya mankhwala, kenako kuyamba kutenga makapisozi, koma matuza latsopano.

Mimba atakhala mankhwala olera "Janine" angayambe ngati poika anali ataphonya mankhwala, ndi pa yopuma nthawi mlungu umodzi sanabwere.

zinthu mwapadera pa phwando

Ngati phwando kwa yogwira mankhwala madona anati pasanathe maola anayi, kusanza kapena kutsekula m'mimba, ndiye mayamwidwe mankhwala ndi chosakwanira. Pankhaniyi, kutenga miyezo sekondale kumatenda ndi kumwa mapiritsi kulera zosiyanasiyanazi "Janine" chimodzimodzi monga mankhwala anaphonya.

Ola tsiku la kuyamba kwa mwezi osati kuchita yopuma sabata ndi kupitiriza kumwa mapiritsi ku matuza latsopano tsiku, mkaziyo akufuna. The phukusi yachiwiri ntchito kwathunthu popanda dona masiku asanu ndi yopuma. Pamene kulandira mankhwala kuchokera chithuza akhoza kusokoneza yojambula chachiwiri magazi ndi zoonera zazing'ono. Kuyambiranso kumwa mankhwala ayenera kukhala pambuyo yopuma mlungu.

Ngati nthawi palibe pamene mukumwa mapiritsi a kulera zosiyanasiyanazi "Janine", amasonyeza yimitsira kwambiri a yamchiberekero ntchito m'thupi. Pankhaniyi, muyenera kukaonana ndi dokotala anu matenda mabuku ndi kudziwa chifukwa cha zodabwitsazi.

zotsatira zoyipazi

Muyenera kugwiritsa ntchito mankhwala olera "Janine" Only udindo gynecologist. Malangizo ntchito kwathunthu limafotokoza tsatanetsatane wa phwando njira. Nthawi zambiri, pamene ntchito mankhwala, akazi amakumana ndi mavuto monga nseru, kusanza reflex. M'dera zoberekera zingaoneke kusintha katulutsidwe ukazi, chifukwa chifuwa wachifundo ndi bloating, vuto kudzipatula katulutsidwe chifuwa, kusowa chilakolako chogonana.

Komanso, mankhwala zingachititse Okwiya, mutu, migraine, maganizo. Pa ntchito mankhwala chinaoneka chloasma, posungira madzimadzi mu thupi, amodzi kukhudzana mandala mtopola ndi chifuwa.

analogs

Izo osati kulera zosiyanasiyanazi tingati komanso kuchitira mapiritsi "Janine." Malangizo kuwakonda ndi ayenera kuwerenga musanagwiritse ntchito mankhwala. Ngati chida sichibwera chifukwa chilichonse, ndiye akhoza m'malo mwa mapiritsi zotsatirazi:

• "Yasmin".
• "Jess."
• "Marvelon".
• "Trikvilar".
• "Loveston".
• "Benateks".
• "Chloe."
• "Mikrolyut".

Sikuti m'malo mankhwala m'thupi ndekha, chifukwa yekha dokotala kuwunika ukupeza akazi tidzatha kupeza analogue abwino molondola.

mtengo wa

Kulera "Janine" mankhwala (Buku limafotokoza mwatsatanetsatane contraindication kuti ayenera kuganizira asanayambe ntchito kulera zosiyanasiyanazi izi) amagulitsidwa ma CD, pamene pali makumi awiri wina piritsi mu bokosi, lomwe lili ndi atatu chithuza (63 makapisozi). The zosinthika loyamba lili mkati rubles 800, wachiwiri - 2,000 rubles.

Mankhwala olerela "Janine": Ndemanga

Izi mankhwala ali zosiyanasiyana mayankho. malingaliro abwino okhudza mankhwala amati 100% kutetezedwa ku mimba, kuchitira endometriosis, polycystic n'kuwasanganiza syndrome ndi glandular hyperplasia. Kuthandiza kuteteza matenda a msambo, kuchotsa zizindikiro za PMS. akazi kuti kamodzi iwo analandira, iwo alibe kunenepa, koma m'malo mwake, kuonda. Ena ndinasintha kuthetseratu vuto tsitsi ndi khungu. madona izi anasangalala ndi mankhwala ndi kupitiriza mankhwala olera "Janine."

ndemanga zoipa dziwani kuti chida ichi angathe kuyambitsa zotsatira zoyipa kuphatikizirapo mutu, kusanza reflex, nseru, ululu m'dera chiwindi, utachepa libido, mmene alili, nthawi kusintha ndi Kulipira, chifuwa wachifundo ndi yaitali magazi. odwala ambiri kuti iwo ndi okwera mtengo kwambiri mankhwala olera "Janine."

Reviews madokotala za mankhwala ambiri positive. Kawirikawiri amalangiza kwa endometriosis, cysts, kuti normalization wa kuzungulira kusamba, komanso zopweteka ndi katundu msambo. Iwo amaona kuti ndi abwino otsika mlingo m'thupi wothandizila kuti ingathandize kuchilango mimba zapathengo.