"Menopur": waxbarida, qiimaha, dib u eegista, sharaxaada, dose

Taas oo u baahan daroogada "Menopur"? Tilmaamaha daroogada, oo ay qiyaasta iyo hababka la isticmaalo waxaa lagu qeexay in this article. ka waxaad ku baran doontaa, oo waxa cadaymo jiro in daroogada this, haddii uu lahaa waxyeellooyin iyo sababo in bukaanka la hadal waxa ku saabsan, waa waxa ay kharash iyo si bixi.

Curiska, foomka of sii daayo daroogada

iibin daawo "Menopur" In wixii foomka? Tilmaamaha loogu isticmaalo daroogada waxaa ku qoran warar ah in daawadu ay si firfircoon uga yimaado qaab lyophilizate ah, taas oo ah waxaa loogu talagalay diyaarinta xal loogu talagalay xididka ama duray subcutaneous.

Daawada waa preform cad ama ficil cad oo aan ur kasta. Sidoo kale ku lifaaqan waxaa dareeraha midab ah oo hufan.

Taasi waxaa ku jira daroogada ah "Menopur"? Waxbarashada dhigayaa in walaxda firfircoon waa follicle daroogada iyo farabadan. Waxa uu sidoo kale ka mid ah excipients iyo qaab polysorbate 20, laktosmonohydrat lactose, hydroxide sodium iyo Aashito.

dareeraha waa xal of chloride sodium (isotonic).

xirxiraan wax soo saarka

diyaarinta ganacsi la heli karo in toddobada fijaan oo 2 ml. Oo ay la socdaan tagaa oo dareeraha (1 ml dhalada walax ay ku jirto). In mid ka mid ah kartoonka laga yaabaa in 5 ama 10 qaybood.

tallaabada pharmacological daroogada

Waa maxay daawada "Menopur"? Tilmaamaha loogu isticmaalo jeedisay in daroogada tani waa hab ka mid ah sare gonadotropin khayroon daahirnimo aadanaha (dhaleysnimada). Waxaa iska leh menotoropinov kooxda oo ka kooban FSH iyo LH in cabirku yahay 1 1. medicament ka kaadida haweenka postmenopausal diyaariyey.

At jinsi ah caddaallad ah, taas macneheedu waxa weeye kicin badashada gooba, koriinkedu iyo koritaanka kiishashka ugxansiduhu iyo sababa la kordhiyo heerka estrogen ee dhiigga.

Sida jinsi xoog, daroogada wuxuu kordhiyaa-fiirsashada of testosterone. Waxaa intaa dheer, waxa ay u dareen spermatogenesis iyada oo tallaabo on unugyada embriyaha (abuur).

The pharmacokinetics ee alaabta, daawooyinka

daroogada "Menopur" Muddo intee leeg ayaa la nuugo? Guide dhigayaa in fiirsashada ugu badan ee FSH in dhiiggiisa la gaadhay ka dib oo ku saabsan 7-24 saacadood ka dib markii maamulka muruqyada dhexdooda. Ka dib markii in ay mugga si tartiib tartiib ah hoos u. The bar-nolosha ee 5-12 saacadood menotropinov.

Tilmaamayaasha loo isticmaalo daawooyinka

Tilmaamaha in daroogada "Menopur" ayaa sheegay in waxa loo isticmaali karaa oo keliya ma aha mid caddaallad ah, laakiin sidoo kale wakiilada jinsi xoog.

Sidaas, ka fiirsada oo tilmaan u ah isticmaalka loogu talagalay haweenka:

• waayo, farsamooyinka taranka (kaabayaal ah) si ay bilawga rimidda (i.e., in kobcitaanka dalool);
• waayo, daaweynta ee dhalmo la'aan taas oo ay sabab u tahay xanuunada hypothalamic-pituitary (waayo, kicinta koritaanka follicle horeysay xukuma).

Waayo, waa maxay ujeedada qoray nin daawo "Menopur"? Tilmaamaha, warcelin, codsiyada lagu hoos lagu soo bandhigay doonaa. Iyadoo la tixgelinayo caddayn, shakisan yahay waxaa ka mid ah kuwan soo socda:

• in ay kicin spermatogenesis (talinayaa in la isku daro daawooyinka gonadotorobin).

Haddii ay jiraan sababo in daroogada?

Marka aad ma u yeelaan karaan daroogada "Menopur" (lyophilisate)? Tilmaamaha loogu isticmaalo waxaa ka mid ah sababo soo socda:

• hypothalamic-pituitary aagga buro,
• horumarka aan caadi ahayn ee xubnaha taranka, iyo joogitaanka fibroids, makaanka, taas oo aan waafaqsanayn uurka;
• cudurka oo ka mid ah qanjidhada adrenal iyo qanjirka thyroid;
• hyperprolactinemia;
• wayneeyo ugxansiduhu (joogto ah), dhacdo ee fiix (kiiskan, haddii cudurku uusan la xidhiidha polycystic ovary syndrome);
• kansarka ugxansiduhu, minka ama qanjirada caanaha,
• dhiig-bax siilka ka soo jeedo aan la garanayn,
• failure ugxansiduhu Primary;
• uurka;
• Kansarka qanjirka 'prostate', iyo weliba burooyin kale (androgenozavisimye) wakiilada jinsi xoog;
• nuujinta,
• dareenka (kordhay) si menotropinam iyo daawo ay ku jirto LH ama FSH.

Daawada "Menopur": tilmaamaha loo isticmaalo, aan la taaban karin

Description of daroogada ayaa lagu kor ku soo bandhigay. Iyadoo la tixgelinayo qaybta this article, ka dibna waxa aan kuu sheegi doonaa waxa qiyaasta waa in la tixgeliyaa daroogada.

Diyaarinta waxaa maamula intramuscularly. xal An isku duro waa la diyaariyey ka hor isticmaalka adigoo isticmaalaya dareeraha ah oo la mid ah in xirmada.

Haddii ay sidaa tahay, haddii dhakhtarka aan caddeyn daaweynta kala duwan, waxaa lagu talinayaa inay raacaan nidaamka soo socda.

haweenka

Waayo, daaweynta dhalmo la'aan taas oo ay sabab u tahay jiritaanka dhibaatooyin la xiriira gobolka hypothalamic-pituitary ee hore u dhaqaajinayso kobcitaanka ee follicle qiyaasta adag ugu horreeya ee daawo ayaa lagu wadaa gaar ah. Inta ay isitcmaalo daroogada iyo mudada therapy doortay ayaa ku salaysan on our ugxansiduhu US, daawashada kiliinikada iyo go'aaminta heerka estrogens. By habka, qiimaha ugu dambeeya ee la xukumo on koriinkedu of follicle ah.

Sidaas daraaddeed sida loo isticmaalo daroogada "Menopur"? Qadarka Qaadashada iyo dose of daawo waxaa had iyo jeer la siiyaa tilmaamaha ku lifaaqan. Caddadka hore ee daroogada waxaa laga yaabaa in 75-150 IU (weelka ama maalin kasta 1-2).

Haddii jawaab ugxansiduhu lahayn, waxay ka dhigan tahay mugga waxaa si tartiib ah kor u kacay ilaa heer koritaanka iyo kororka dalool ah estrogen. dose Tani waxaa looga tegey badelin ilaa iyo haatan marka fiirsashada la soo dhaafay dhiig gaadho qiimaha preovulatory. Iyada oo korodhka weyn ee heerarka estrogen bilowga ah ee kicinta macnaheedu waa la jecel yahay si loo yareeyo qiyaasta.

duro ee la soo dhaafay ka dib markii ka dib markii 2 maalmood oo mar maamula 5-10 kun. IU hCG. Samee ujeeddo ah induction ugxan.

Muzhchinam

Sidee jinsi xoog si ay u isticmaalaan daroogada "Menopur"? Waxbarashada ayaa sheegay in spermatogenesis in ay kicin ragga waa soo geli 1-3 kun. IU hCG saddex jeer todobaadkii. iyada ka samaysaa si caadi ah ee heer testosterone. Intaas ka dib, muddo dhawr bilood ah, saddex jeer daawo todobaadkii maamula at 75-150 IU (ama 1-2 dhalooyin).

Dhibaatooyinka ay keento isticmaalka beerta daroogada

Hadda oo aad og tahay inta daawada waa in la maamulo "Menopur". Waxbarashada, dib u eegista codsiga waxaa lagu soo bandhigay in this article. Si kastaba ha ahaatee, waxaan la soco in daroogada taas waxay keeni kartaa muuqaalka kore ee tiro ka mid ah waxyeelo.

• nidaamka hormoonada: kordhay (af badan) Digo estrogen kaadida, mastalgia ah, formation of fiix ukun-side, wayneeyo ugxansiduhu dhexdhexaad daran, gynecomastia (wakiilada jinsi xoog).
• mareenka dheefshiidka: matag, xanuun colicky, lallabo.
• reactions Local: casaan, barar iyo xoqida hab muday.
• Xasaasiyadda: finan maqaarka ah, qandho, arthralgia, formation antibody, taas oo yaraynaysa waxtarka daawaynta.
• Kale: oliguria, miisaanka oo kordha, cadaadiska dhiigga oo hooseeya, uurka badan.

Sidoo kale waa in la ogaadaa in isticmaalka daroogada hoos tixgelin keeni kartaa ugxansiduhu hyperstimulation syndrome. By calaamadaha u horeeya ee leexashooyinkaasi sida ka mid ah xanuun (muujiyay) ee caloosha, matag, ascites, miisaanka oo kordha, lalabo, hypovolemia, dheelitir la'aanta elektrolytka, hydrothorax, sii kordhaya tirada unugyada dhiigga cas, hemoperitoneum iyo thromboembolism.

hanuun gaar ah loo isticmaalin lacagaha

Waxa aad u baahan tahay inaad ogaato ka hor inta la isticmaalayo daawada "Menopur"? Fiiro gaar ah, gobolka-celinta in ka hor maamulka ka mid ah medicament ee bukaanka waa in ay haystaan daaweynta ku haboon (haddii la'aan adrenal, hypothyroidism saameen, gobolka buro hypothalamic-pituitary, hyperprolactinaemia).

Ka hor inta aadan bilaabin daawaynta dhalmo la'aan ayaa loo baahan yahay si ay u qiimeeyaan gobolka ugxan. Si arrintan loo sameeyo, fuliyaan ultrasound iyo hubi heerka estradiol ee dhiigga. Intii ay waxbarashada waa in laga hirgeliyo Maalin ama maalin kasta.

Fadlan la soco in isticmaalka macnaha guud ee HMG waa siday suuragal u ah ee horumarinta hyperstimulation ugxansiduhu. Sida caadiga ah, waxa uu noqonayaa mid caafimaad cad oo kaliya ka dib markii maamulka daroogada iyada oo ujeedadu of ugxan iyo la muujiyey in foomka of formation of fiix waaweyn. Xaaladaha noocaas ah, bukaanka waxaa laga yaabaa hydrothorax, ascites, syndrome thromboembolic iyo hypotension.

Marka calaamadaha ugu horeeya ee daaweynta daroogada hyperstimulation ugxansiduhu waa in si degdeg ah loo joojiyo.

Marka wakiilada daaweynta HMG waxaa inta badan la aasaasay uurka badan.

The wakiilada jinsi xoog leh heer sare ah FSH dhiigga daroogada waa natiijo la'aan.

Waa maxay kharashka daawada?

Waa imisa daroogada ah "Menopur"? qiimaha Guide of qalab this waxaa lagu soo bandhigay in this article. Qiimaha daroogada tani waa mid aad u sarreeya. 1 weelka daawada waxaad yeelan doontaa in ay bixiyaan oo ku saabsan 1000-1400 rubles Ruush. Ka fiirsaneysa Dabcan celceliska daaweyn waa 5-10 maalmood, therapy ku kharash bukaanka ah waa mid aad u qaali ah.

Reviews daawo

Waxaa jira tiro aad u badan ee ra'yi-celin wanaagsan on medicament ah "Menopur". Sida laga soo xigtay iyaga, daroogada si fiican u ahaa berriba for dhalmo la'aan, dhowr jeer kordhaya suurtagalnimada of rimidda. Waana mid ka, tiro badan oo ah dadka bukaanka ah ka dib markii isticmaalka qalab this horumarsan uurka badan.

khasaare keliya ee daroogada waxaa loo arkaa in ay kharashka. bukaanka intooda badan aan iska bixin karin daawada noocan oo kale ah. Inkastoo farmashiistayaasha sheegan in qiimaha daroogada tani waa si buuxda cudur daar. Dhab ahaantii, ka dib markii ay isticmaalka saxda ah waa fursad weyn oo dheer la sugayay ee rimidda iyo, sida natiijo ah, dhalashada dheer la sugayay ee ilmaha. Sidaa darteed, inta badan ee dhallinyarada lammaanaha oo aan uuraysan karaa ilmo aan libiqsanayn bartaan xarunta this.