I-Saitotec - eyesibili yezidakamizwa "ze-tandem" ezisetshenziselwa ukukhipha isisu. Okokuqala kwezidakamizwa yi-Mifepristone.
I-Saitotec, njengabalingani bayo (Misoprostol, Mirolut, Cytotec, Misonyuvel) yilungiselelo le-misoprostol futhi litholakala njengamaphilisi, ngalinye libe ne-200 μg yesithako esisebenzayo.
Izinkomba zokusetshenziswa kwesayithi ziyathandeka kakhulu. Isidakamizwa singasetshenziswa kokubili ukwelashwa kwesilonda esiswini kanye nenhloso yokukhipha isisu . Ezinye izinkampani zokwelapha-abakhiqizi Saytoteka emibhalweni yokusetshenziswa esikhundleni sezidakamizwa nje kuphela njenge-antiulcer. Abanye abakhiqizi ohlwini lwalezi zibonakaliso basabonisa ukuthi kungenzeka ukusebenzisa amaphilisi e-Saitoteka ukuphazamisa ukukhulelwa.
Isenzo sempilo
Isakhi esisebenzayo se-Saitoteca - misoprostol - into ehlanganiswayo efana ne-prostaglandin yemvelo E1. Emzimbeni wesifazane, i-misoprostol iyaqaphela umphumela we-uterotonic: yandisa ithoni iphinde isebenze umsebenzi wokusebenza wezinhlanzi ezibushelelezi ze-myometrium ye-uterine. Ngokufanayo, i-cervix iyancipha ngaphansi kwesenzo somuthi. Ngakho-ke, iqanda lomntwana wesisu likhishwa, elahlekelwa yi-Mifepristone ngaphambilini lilahlekelwe ikhono lokuhlala esibelethweni. Ukuze kuqedwe ukukhulelwa, i-Saitotec isetshenziswa kuphela ngokuhlanganiswa ne-Mifepristone.
Okukhethekile kokusebenzisa amaphilisi e-Saitotec
I-Mifepristone ne-Saitotec isetshenziswa ngezigaba ezimbili:
- ukuphazamiseka kokukhulelwa okungadingeki;
- esimweni sokukhulelwa okubandayo ;
- uma kungabikho ukukhulelwa komzimba okungaphelele.
Ukwamukela kokubili izidakamizwa kwenziwa esikhungweni sezokwelapha ngaphansi kokuqondiswa udokotela. Ukukhipha isisu nge-Mifepristone ne-Saitotec kwenziwa kuphela ekukhulelweni kokuqala - kuze kube yizinsuku ezingu-49 (amasonto angama-6) emva kokuqala kokuphela kokuya esikhathini.
Imiyalo yokusetshenziswa I-cytoteca inikeza ulwazi olulandelayo mayelana nezici zesicelo nesilinganiso somuthi:
- I-dose ephakanyisiwe yokuqedwa okuphephile kokukhulelwa yi-400 μg (amaphilisi amabili e-Saitoteka), esithathwa kanye ngamahora 24-36 ngomlomo ngemva kokuthatha i-Mifepristone.
- Imiphumela yomuthi iqala imizuzu engama-30 kuphela emva kokungeniswa futhi ihlala emahoreni angu-6; cishe masinyane owesifazane uqala ukuzizwa eqine ukuchoboza ubuhlungu emathunjini aphansi.
- Iningi leziguli ezingakapheli amahora angu-6 ziqala ukuphuma kwegciwane lesisu, okuholela ekuphumeni kwesisu okuphoqelelwe; kwamanye abesifazane ukuxoshwa kweqanda le-fetal kwenzeka ngaphakathi kweviki elilodwa.
Ukungahambisani nemiphumela emibi yemithi
Ngokweziqondiso, i-Saitotek iphikisana nokusebenzisa isisu:
- abesifazane abane-hypersensitivity kuma-prostaglandins;
- amantombazane angaphansi kweminyaka engu-18;
- omama abahlengikazi;
- Iziguli ezinezinhlungu zokubeletha nge-intrauterine (izindandatho, iminyango, njll);
- esimweni sokukhulelwa kwe-ectopic noma okusolakala kuso;
- phambi kwesifo sofuba sesibindi;
- abesifazane abaphethwe yisifo sokuphuza, isifo se-asthma esibulalayo, i-glaucoma, izifo ezinzima ze-cardiovascular or endocrine;
- iziguli ezine-renal noma insufficiency ye-hepatic.
Umbono ovamile mayelana nokuphepha kwezikhwama zezokwelapha akuqinisekiswa ngaso sonke isikhathi ekusebenzeni. I-Saitotec (njengokwemigomo, ne-Mifepristone) ine "isixha" sezinto ezingathandeki, futhi ngezinye izikhathi imiphumela engozini yokuphila. Ukusetshenziswa kwesidakamizwa seSaitotec sokukhipha isisu kukhishwa:
- ukuphazamiseka kwesifo (isifo sohudo, flatulence, ukuqotshwa, ukuhlanza, ubuhlungu besisu);
- isikhumba ukusabela okweqile;
- ikhanda, isizungu, ukungavamile kwegazi;
- ukuphazamiseka, umkhuhlane;
- shintsha ngesisindo somzimba;
- ukwephulwa komjikelezo wokuya esikhathini, ukuhamba esikhathini esibuhlungu, obukhulu;
- ukuhlukaniswa okungaphelele kweqanda lesisu;
- ukuphuma kwegazi okukhulu;
- esikhathini esizayo esiseduze - ukungabi nabantwana.