Levonorgestrel: he aha te mea tenei taiaki, a hoki i te mea ia haepapa i roto i te tinana?

E rave rahi iwi fifili: levonorgestrel - he aha te mea tenei taiaki? Ko tenei he progestagen waihanga e faafariu whakaiti endometrium kano hëoi rite kikiritanga oocyte. I tua atu, ka taea e mucosal reira heke whiwhi receptors te tūtohutanga. I roto i tēnei tuhinga ka titiro tatou i te faaineineraa kei roto i te taiaki i huaina.

Pūtaiao

Ko te tarukino "Levonorgestrel" - he estrogen, e ārai te faaitoitoraa o te parāoa e tika ana ki te whakapiki ake i ngā āhuatanga hūpē pokey. mahi te raau rohe i roto i te kōpū i roto i te pūkano, te endometrium, te ōritetanga o te hūpē, hua taiaki ruahuru-whakaongaonga whakaiti tona mahi.

Ingestion i huaina rongoa kaha whenumi i roto i te wahi gastrointestinal, Bioindication ki runga ki te 100%. I roto i te toto, kua hāngai ona wāhanga i te fariiraa mōrahi razovo ml 75 i muri i 60 - 130 meneti. pāhekoheko taiaki tirohia ki wē me te globulin here he āhua 50%.

arotahi pākia te i runga i te ate, te puka hāngū metaboliks pharmacologically. Ko te isoenzyme matua o tenei taiaki ko CYP3A4. kia muri i te wā hawhe-te ora ki runga ki te 30 haora.

āhuatanga

I roto i te whakautu ki te pātai "Levonorgestrel - he aha te mea tenei taiaki?" kia arata'ihia e te ako o te tarukino ingoa taua me nga tūtohutanga o te tākuta te haere. Tohu tikanga uara rerekētanga o te tikanga o te 1.0 ml / min. / Kg (te wē). whakakorea te taiaki te nuinga i roto i te awa mimi, nekehia he wahi iti te i te kumete.

I roto i te maimoatanga o te natura pūnahanaha hinga tohu tere i roto i te kōpū e kore te mea neke atu i te 20 mg ia, a muri iho rima nga tau hinga ki 11. Ko te tere putanga toharite o te taiaki rerekē a tawhio 14 UG / 24 hr. Neke atu i te 50-60 marama.

therapy Intrauterine whakaaetia hoki te wahine ki te maimoatanga taiki whakakapinga i roto i te taha ki te estrogen, e kore e tae atu progestin te hanganga. Levonorgestrel - he implants taiki i roto i te wē 60 meneti i muri i whakahaere. kukū mōrahi reira tuhia te i muri i nga ra e 14 o te tono.

iteraa papû

Ko te whakamahi o tenei tarukino he taea ki te therapy intrauterine, me rite i roto i te wā e whai ake nei:

• takotoranga menorrhagia Idiopathic.
• wā-roa tiaki ārai.
• āraihia atu hoki whakauru whakaiti ki estrogen.
• ārai whawhati tata Emergency.

Te levonorgestrel taiki, te pānga o e he whānuitanga whanui, ka tono te whai i muri anake i te kupu tohutohu o te tākuta.

Whakamahi, me te inenga

Whakaaro he raau whakahohe e werohia intrauterine - patia ki te kōhao uterine. Whakamahia mō te 4 ra i muri i takoto i roto i te nui o 0.75 ki te 1.5 mg. Emergency ārai tino tohutohu tohunga e kore e ki te mahi atu atu i te kotahi nga marama e ono.

Hei whakakore i te huringa paheketanga, he mea e tika ana ki te ū ki te inenga tūtohutia i waho anō-whakamahi. Kaua e whakamahi i pūrongo raau waha rite te tikanga o te ārai tūturu, rite whakaoho tenei te ahua o ngā pānga taha me te whakaiti i te whai huatanga o te tarukino. I roto i te take o te toto hanganga uterine i muri i ārai whawhati tata te tino tukanga hoki te whakamātautau i te rata mātai tūtohutia, a roto i te ofatiraa o te menopause he tika neke atu i te kotahi wiki ki te whakaroa i te haputanga.

i muri anake kōrero me te rata mātai whakatau ana i roto i te wā noa, taea reira mo te whai wāhi o te tarukino mō te ārai i roto i ngā rangatahi i roto i whawhati tata.

Ka rite ki levonorgestrel taiki whakamahia?

Nahea te whakamahi i te tinana te taiaki whakaahuatia, me aha ki te mahi ki te karo i te pānga taha? Heoi whakaarahia te pātai e maha. pipiki tino ki tohutohu tohunga, faatura inenga me te whai i nga tohutohu - whakapūmau i reira te whakamahi haumaru o te tarukino.

I mua i te whakamahi, me haere koe i te tirohanga o te rata mātai Navy, tae atu ki ngā repe mammary Taki, whekau papatoiake, hanga pani.

kawea Re-whakamātautau i roto i muri i te 30-40 ra i muri i te tāutanga o te tōrino, ka tau, a te wa e reira ko te presuppositions - maha. he whai hua hoki te 4 ki te 5 tau tenei therapy intrauterine. kia mahi anake tōna tāutanga ki te rata motuhake i roto i tenei mara ranei i wheako ki te ahua whakaaro o te tarukino.

tūponotanga

Women tango taero ki progestogen, ko reira taea te hua o te Thrombosis venous he momeniti tino i roto i. A, no te taua tohu ko te hiahia akiaki ki te tango i mehua akiaki mō te tātaritanga me te maimoatanga.

I muri i te withdrawal o te Navy o te whanautanga tamariki resuscitated i muri i te ono marama i roto i te hawhe o nga wahine nei tono i muri i te 12 marama - neke atu i te 96 ōrau. Ko iti whai hua mō ngā tūroro ki mōmona takotoranga ārai.

contraindications

Miharo "Levonorgestrel - he aha te mea tenei taiaki?" Me whai whakaaro contraindications katoa. I roto ia ratou:

• I tua atu (Kōnei) tūtohutanga, tromboflebitnye hanganga.
• Thromboembolism, huringa i roto i te pera.
• mate iaia roro takotoranga, hapūtanga.
• No nia i ingestion: jaundice (tae atu hītori), pōauautanga pathological putanga ate ate ranei, hohipera.
• paari Fakasekisualé.
• I tua atu, hoki te rore hua - kōpuku auau mate urogenital ranei mumura kaha i roto i te papatoiake, kakai e kulukia endometritis, whakapeka mate ate.
• wawaotanga abortifacient ero i roto i te huatū whakamutunga, dysplastic huringa uterine cervix māuiuitanga i roto i te toto rite o te take unknown, malignancies.
• Haere mai ranei kōhikohiko congenital distorting fibroids.
• Progestagenoz (puku, tae atu i te pāpaka uma matepukupuku).

here

Ko maha hāngai hoki wawaotanga whakaora ki te kōpū te take whāiti, ki te wahi e ki te whai koe i te tohu e whai ake nei ranei mate mau:

• pāhoahoa kino, he migraine noa, me te rohe ki te kite te peroo, te tahi atu tohu, e arotahi ana ki runga ki te taea o te mate te AVC;
• mārama te aronga matua takawhita, jaundice, ngā tukanga haamou matatini i roto i te pūnaha circulatory, tae atu patua ngakau me nga whiu;
• mellitus mate huka.

kia kōrero tonu koe i runga i te Whakakore o te Navy i roto i te hanganga aroaro ranei o tetahi o enei āhua.

Pregnancy me te hohipera wā

Ahakoa te meka e levonorgestrel - he taiaki wahine, tona whakamahinga he Kāore i roto i te hapūtanga. Ki te haere mai ia, te reira tūtohutia te whakakorenga o te pūnaha e tika ana ki te meka e faarahi tetahi ārai intrauterine te mōrea o ngā whānautanga taimi halá, me nga Hapanga. Whakahaere pūnaha Tārewa whaea ranei te whakakore i te tahi taime hua i roto i te materoto puta matapōkeretia. E titau te reira tohutohu mātanga i runga i te whaihuanga o te whakamutunga tāwhaiwhai o hapūtanga i take o eita o tangohanga ārai tika.

A, no te e kore e taea ki te tango i te pūnaha intrauterine me te hiahia akiaki ki te whakaora i te hapūtanga kia te manawanui mōhio o te mau hopearaa taea me tūponotanga mo te tamaiti e tika ana ki te whanau taimi halá,. I roto i te take i taua, me waiho e koe mohio ki te āta aroturuki i te hapūtanga. I mua i te manawanui kia kawea te mōhiohio e me e tonu reira e pā ana ki nga tohu katoa, e ka tauturu i ki whakaaro te pōauautanga tukanga.

hohipera

A, no te whāngai ū me te whakamahi i "Levonorgestrel" e pā ana ki te kotahi-tekau o te tarukino tomo te tamaiti tinana. Whāngai ū i roto hoki ārai whawhati tata kia mutu i 1.5 ra.

i te inenga tūtohutia hoki te pūnaha whakaora tāuta i utero, rite tetahi tikanga ārai hapū progestogen-anake, ko reira āhuatanga e te whakamahi o nga marama i te hawhe i muri i whanau e kore paanga kino i runga i te tipu me te whanaketanga o te tamaiti, na reira, e kore te mea pea ki te tū i te tūpono ki te kukune te tarukino .

tohu kino

A, hoki mai ki te pātai "Levonorgestrel" - he aha te mea te reira, "kia titiro a ki te pānga taha taea me contraindications o te tarukino e taea e ratou puta i roto i ngā pūnaha rerekē o te tinana, me te ko nga tohu e whai ake nei :.

1. Mai i te pūnaha io: rohirohi, korekore, ānini, hīrere, te tūāhua.
2. Git. Ruaki, tokopā, cramps, bloating.
3. whēkau Genito-mimi. Toto, wehenga, mamae, candidiasis, te tūponotanga o te hanganga o te pukupuku mārere me mārire.
4. rashes kiri, faaiteraa o te katoatia, minamina, hikaka, hakihaki.
5. Ētahi atu: ngawhatanga, mamae tahi, ngaahi ongo te pēhanga, sepsis.

I roto i te onge take haurangi o haurangi, cramps me kaihapai.

I ngā ki ētahi atu taero

Te tai'oraa i "Levonorgestrel" (he aha te ahua o te taiki), he mea e tika ana ki te whakahua i te taea o te ngā ki ētahi atu taero me taero organic. I roto i te take o te taonga i roto i te pātai ki te whāpoapoa o isoenzymes P450 cytochrome kia whakaiti tōtika no o te hua i roto i ona tukanga pūkoro tinana.

Ko te taero e whai ake nei kia whakaiti i te pānga o "Levonorgestrel":

• barbiturates Group, "Tretinoin", "carbamazepine" tito kei marou o St John me tona komponatsiyu.
• Te whakaiti i te whai huatanga o anticoagulants, hypoglycemic, taero anticonvulsant.
• "Levonorgestrel" faarahi te kaha o glucocorticoids i te toto, a ka he ahei o whakapōrearea i pākia hoki.
• Nā ki te pehanga o te sex steroids recirculation, e tika ana ki te whakariterite anō o te tipu intestinal, nui haere kia puta toto paheketanga ka whīwhiwhi tono o etahi raau taero.

e kore e taea e tetahi, engari tāpiri, korero e pā ana ki te pehea, ki te tono "Levonorgestrel" e tenei rongoa ai he hua i roto i te pānga taha o ētahi atu rongoā, e kore te mea he raau ki reira. I roto i te take o te tuwhena rawa rapua e maimoatanga symptomatic.