Miyala "Bergolak": ndemanga, malangizo, mitengo

"Bergolak" - mankhwala a agonists dopamine cholandilira ndi kupanga cabergoline, zofunika mankhwala mankhwala opangidwa kuchokera ku ergoline. "Bergolak" nthumanzi amakhudza ndondomeko ya prolactin. Chifukwa cha phwando ake mu mlingo magazi prolactin yafupika, pali kubwezeretsa chonde ndi kuwonongedwa kwa matenda kusamba. Timvere amuna, mankhwala amachepetsa kukula kwa mawonetseredwe ena a hyperprolactinemia.

Pharmacokinetics

Pali mayamwidwe zabwino ndi yunifolomu kufalitsidwa akachoka "Bergolak". Reviews kusonyeza kuti izi zizindikiro chakudya alibe chochita. Malinga ndi malangizo, ndende yaikulu lino mankhwala mu madzi a m'magazi pambuyo maola 2.5, pamene chigawo pakati amagwirizana ndi mapuloteni ndi 41-42%.

Mu thupi pali yogwira kagayidwe "Bergolaka". Anapanga chifukwa cha ndondomekoyi thunthu anachokera intestine (za 72%) ndi impso (pafupifupi 18%). The zikuchokera mkodzo alipo 2-3% ya pophika yogwira mu mawonekedwe sichinasinthe.

zikuonetsa

Mankhwalawa Kwalamulidwa kwa zotupa pituitary ndi osabereka wamkazi. Mkulu Mwachangu mu msambo mankhwala anasonyeza kumanzere "Bergolak" amatanthauza mavoti. Kuchotsa mkaka wa m'mawere chifukwa cha phwando lokonzekera n'zothekanso. Kufunika kwa yimitsira njira zimenezi zingachitikire pambuyo mimba ndi kubereka. Mkaka wa m'mawere simungathe yekha kubisa, komanso kuteteza.

"Bergolak" kumatha zipolowe chifukwa hyperprolactinemia. Zikuonetsa ntchito medicament ndi prolactin secreting adenomas pituitary, hyperprolactinaemia idiopathic. Kuchokera pa tsiku lokonzekera "Bergolak" kungakhale mankhwala a odwala matendawa, wotchedwa "wopanda sella syndrome" nakweza hyperprolactinemia.

Pamafunika kusamalidwa pa mankhwala ndi mwana wobala ndi yoyamwitsa. Phwando zikutanthauza odwala matenda a chiwindi zizichitidwa moyang'aniridwa ndi achipatala.

contraindications

Malangizo anachoka ndi "Bergolak" amatanthauza mayankho a sing'anga akusonyeza pamaso pa contraindications:

• Hypersensitivity kwa zigawo zikuluzikulu;
• zaka ana (pasanathe zaka 16);
• osakwanira mayamwidwe shuga ndi galactose;
• cholowa galactose tsankho m'njira kuti n'zochepa;
• kobadwa nako kusowa kwa lactase;
• psychosis akuwuka atatha kubereka;
• kupuma mavuto, matenda a mtima chifukwa cha kusintha fibrotic mu thupi, T H mbiri ..;
• kulimbikira kukwezedwa kwa magazi, ankakwiya kwambiri.

Mankhwalawa mankhwala achikulire ayenera kumwedwa mosamala. N'chimodzimodzinso odwala ndi chiwindi matenda.

Ntchito medicament, ndi mlingo

Monga kumanzere atalandira amatanthauza "Bergolak" mavoti, mkaka wa m'mawere angathe kupewedwa kapena linasokonekera. Malinga ndi mlingo anafuna vuto ndi:

• kuti chitukuko cha mkaka wa m'mawere - 1 mg wa mankhwala, logwirizana ndi magome awiri kudyedwa pa nthawi ina pambuyo pa kubadwa kwa mwana (tsiku lotsatira);
• pambuyo chitukuko - 0,25 mg, ofanana ndi theka piritsi kumwedwa masiku awiri ndi intervals wa maola 12.

Ngati pali nkhani zina Madokotala zambiri mankhwala odwala Bergolak "mu mlingo wa 0.5-1 mg wa mankhwala kamodzi kapena kawiri pa mlungu. The pazipita kololeka mtengo sabata 4.5 mg wa mankhwala. Izi si kusintha lakuthwa pa mlingo pazipita, pang'onopang'ono yekha ndi kuwasamalira ndi 0.5 mg wa mwezi uliwonse, ngati kufunika alipo. Mankhwala ntchito mkati ndi chakudya.

Odwala amene ntchito "mayankho Bergolak 'kuchepetsa milingo prolactin mu hyperprolactinemia kusiya makamaka positive. Zipolowe chifukwa cha ndondomekoyi, amaliona kutsatira koyamba mlingo mlungu ndi mlungu za 0.5 mg. A kulekana kwa Mlingo awiri 0,25 mg wa phwando njira. Pankhaniyi lokonzekera angagwiritsidwe ntchito kawiri pa sabata.

Lactating akazi makamaka medicament kutumikiridwa kuti pa nthawi imodzi mu thupi afika osapitirira 0,25 mg wa mankhwala. Motero chiwerengero cha zingatheke kuthetsa zochita mbali zotheka.

Mlingo achire, anafuna kuti ntchito kwa mlungu umodzi, sakhala oposa 2 mg. Ngakhale munthu onse ndi wodwala aliyense dokotala amasankha chithandizo payekha mwina.

Akazi amene ali woyembekezera ntchito "Bergolak" ndemanga atsala ndi nkhani za mfundo za kufunika kugwiritsa ntchito bwino mankhwala. Panthawi zimenezi, moyo wa tanthauzo lake akutiyang'anira zonse zachipatala ndi kokha analimbikitsa Mlingo izo. Ngakhale kuti amayi apakati ntchito mapiritsi ali osavomerezeka pa nthawi imene phindu kwa thupi la mayi zayamba kuposa ngozi zotheka kwa mwana wosabadwa, ndi chovomerezeka. Kuyamwitsa pamene "Bergolakom" mankhwala ndi ndinayima.

zotsatira zoyipazi

zochita zoipa zingakhale zosiyanasiyana, komanso kusalekerera awo akhoza zosiyanasiyana. Nthawi zambiri, zizindikiro zonse zosasangalatsa kutha pa masiku awo mwa 14 mankhwala kapena patapita nthawi yina atasiya mankhwala.

Tikayang'ana chakuti anasiya chifukwa cha mankhwala mankhwala "Bergolak" mayankho amasonyeza Mwina yatsoka a chizungulire, tulo ndi zofooka zina kuvutika thanzi akukhudzidwira.

Pali chiopsezo cha chifuwa okhudza khungu. N'zotheka wotumbululuka khungu chifukwa kukhudzana ndi ozizira. Angakhale monga kusintha uziyenda m'mimba, mwachitsanzo, kudzimbidwa ndi nseru. Mwa zotsatira mbali inayo - m'mphuno m'kamwa mucosal desiccation.

Mwanjira mankhwala

Ife tipeza ngati angakuthandize ophatikizana mankhwala mankhwala "Bergolak". Reviews madokotala bwanji kuti mankhwala sayenera kugwiritsidwa ntchito molumikizana ndi alkaloids ergot, opangidwa kuchokera awo pa mankhwala yaitali.

Kumbukirani kuti ena muzikangana ya maselo dopamine zingathe kusokoneza ntchito ankachititsa cabergoline ndi macrolides - kulera mlingo wa yogwira thunthu "Bergolak" mankhwala magazi. Mowa ungathe mankhwala sakhala ogwira.

Mankhwala olimbana kuchepetsa magazi m'nthawi ya mankhwala ntchito mosamala.

Kusamala

Ngati mukufuna kukhala ndi pakati, ndi chomveka okha patapita nthawi zina pambuyo akamaliza mankhwala zambiri mwezi. "Bergolak" anapanga pokhapokha mosamala kwambiri pituitary lapansi. Pa mankhwala ayenera kusamala mosalekeza kwa boma la chamoyo.

Pamene achira ali osavomerezeka kuyendetsa galimoto ndi zina magalimoto, kuchita zinthu zimene zimafuna sanafike msanga ndi chisamaliro bwino. Nkofunika potsatira malangizo adokotala onse.

Cost, ndemanga

Kwa anthu ambiri amene zoti "Bergolak", mtengo, amakambirana - nthawi zonse mudziwe kuti muli zinthu zambiri zothandiza, limakupatsani kudziwa pasadakhale mtengo wa mankhwala, makamaka mankhwala ndi zotheka zosiyanasiyana chokhwima anakumana ndi odwala pa mankhwala ayese nchito zake .

Zoyerekeza mtengo miyala (2 ma PC. 0.5 mg) ndi 235-260 pakani. Ponena za kugwiritsa ntchito "Bergolaka" asiye mkaka wa m'mawere kapena kupewa izo, kuweruza ndi ndemanga, ntchito izi mankhwala si nthawi zonse kupirira bwino. Koma ndi ambiri zipangizo pa gipoprolaktinemii kukondwerera kupambana kwa anthu a mtima. Komabe, pali chiopsezo zochitika chowawa kumatanthauza kuti ena zindikirani pa siteji koyamba mankhwala.

Ambiri amasangalala kanthu mofulumira ndi mtengo wotsika wa mankhwala poyerekeza ndi mankhwala ena ofanana. Zotsatira zake zoyipa zina anati kudzimbidwa, kugona ndi mutu pang'ono.