Isidakamizwa esinjalo, njengeDuphaston, ngesikhathi sokukhulelwa kuvame ukushiwo. Ubhekisela eqenjini lemithi ye-hormone efaka isandla ekugcineni isenzo sokugaya. Cabanga ngalesi sidakamizwa ngokuningiliziwe, thola izinkomba zokusetshenziswa kwayo, sizohlala kuzo izici zesicelo, sithole ukuthi singaphuza kanjani uDufaston ngesikhathi sokukhulelwa.
Yini uDufaston esetshenziselwa ukukhulelwa?
Akubona bonke abesifazane abalindele ukubukeka komntwana ukuthi kungani uDuphaston enqunyelwe abesifazane abakhulelwe, futhi baqondisa lo mbuzo kudokotela. Odokotela bathi le mithi ingumfanekiso we-progesterone. Lesi sidakamizwa sisekelwe ku-dydrogesterone, esakhiweni nasezikhathini ezifana ngokuphelele ne-hormone ehlanganiswa emzimbeni wesifazane.
Isidakamizwa singasetshenziswa kokubili esigabeni sokuhlela ukukhulelwa , futhi emva kokuqala kwayo, ngesikhathi esifushane. Isithako saso esisebenzayo silungisa i-endometrium ngokufaka ukutshala okulandelayo - ukufakwa kweqanda lesibusiso emgqeni wesibeletho. Masinyane kusukela kulo mzuzu uqala ukubeletha. Odokotela, abamisa uDufaston ngesikhathi sokukhulelwa, baphishekele imigomo elandelayo:
- ukufakwa ngokuphumelelayo;
- ukuvimbela ukukhipha isisu okuzenzekelayo;
- ukulungiswa kwesistimu yokuzala yokucubungula.
Dufaston ekukhulelwe kokuqala
Ngokuvamile, iDuphaston ngesikhathi sokukhulelwa, ezinsukwini zakhe zakuqala, kunqunyelwe abesifazane abake babe nezinkinga esikhathini esidlule nokuthwala ingane. Isifo esivamile siyisisu sokukhubazeka. Mayelana nalokhu kwephulwa, odokotela bathi uma ukukhulelwa okubili noma ngaphezulu kuphazanyiswa ekuqaleni. Ngesikhathi esifanayo azange adlule amasonto angu-12. I-Duphaston lapho kuqala ukukhulelwa kunciphisa amathuba okule nkinga futhi kusiza ukuthwala ingane.
Ungathatha kanjani uDufaston ngesikhathi ukhulelwe?
Ngaphambi kokuthatha uDufaston, abesifazane abakhulelwe kudingeka babone udokotela. Uyazi ngokuqondile izici zaleli gestation, uhlaziya i-anamnesis yomama ozayo. Ngenxa yesitatimende esitholiwe, inkambo ngayinye yokwelashwa ilungisiwe - umthamo, ukuphindaphindwa nokusetshenziswa kwesikhathi komkhiqizo wokwelapha kusungulwa. Ezimweni eziningi, lesi sidakamizwa sithathwe emavikini angu-6-7 wokukhulelwa.
Umthamo weDuppston ekukhulelwe
Kumele kuqaphele ukuthi umuthi uvame ukushiwo ngaphambi kokuqala kokukhulelwa, esigabeni sokuhlela ukukhulelwa. Ukuze kuqiniswe umsebenzi we-hormonal system, owesifazane ozoba umama, uthatha uDufaston imijikelezo engu-6. Phuza kusukela ezinsukwini ezingu-11 kuya kwezingu-25 (unomjikelezo wokuya esikhathini ezinsukwini ezingu-28). Kungenzeka futhi elinye uhlelo lokuthola, olusungulwa ngudokotela ngamunye.
Ngemuva kokukhulelwa, umama okhulelwe uyaqhubeka ephuza uDufaston ngesikhathi ekhulelwe. Ukukhishwa kwesiguli esisodwa, ukukhansela kwesinye isikhathi akunakwenzeka - ukunciphisa ukuhlushwa kwe-progesterone ye-hormone egazini kungaphazamisa ukukhulelwa kwesisu . Ngokuqondene nesilinganiso, khona-ke ukuhluka kwawo okuvamile kule nkathi kubhekwe ithebulethi engu-2 izikhathi ezingu-2 ngosuku (20 mg ngosuku).
Kungakanani uDufaston aphuza ngesikhathi sokukhulelwa?
Ukwamukela I-Dufastona ekukhulelwe kufanele kuhlangane njalo nodokotela. Ngokuqondile akubonisi kuphela umthamo othile, kodwa futhi isikhathi sokudla kwezidakamizwa. Kuxhomeke kwizinga lokuphula nokuqina kwalo. Uma sikhuluma ngesikhatsi esifanele sokuhoxiswa kwezidakamizwa, khona-ke kwenzeka ngeviki lama-20 lokubeletha. Abesifazane abakhulelwe ngabanye bayeka ukuthatha imithi ngesonto 16, njengoba kuqondiswa udokotela.
Ukuze unqume ukuthi ungawukhansela yini lesi sidakamizwa noma uqhubeke uwuthatha, odokotela banikeze ukuhlolwa kwesibhedlela. Ibeka ukuhlushwa okuqondile kwe-hormone progesterone egazini lomama ozayo. Masinyane imiphumela yokuhlaziywa inquma ukuthi i-algorithm eqhubekayo yezenzo zodokotela ozofika. Kulokhu, owesifazane okhulelwe kumele alandele imiyalo yezokwelapha.
Dufaston - imiphumela emibi yokukhulelwa
Ukusetshenziswa kukaDufaston ekukhulelweni kuhlotshaniswa nethuba lokuthuthukisa imiphumela emibi. Izindlela zokuthuthukiswa kwazo ziyanda uma izilinganiso eziboniswa udokotela zingabonwa, imvamisa kanye nokusetshenziswa kwesikhathi kwesidakamizwa. Phakathi kwemiphumela ejwayelekile lapho usebenzisa lesi sidakamizwa:
- ikhanda;
- isicasuli;
- isiyezi;
- ukukhipha emzimbeni wesisu;
- ukusabela okweqile.
Uma ukuphulwa okungenhla kwenzeka, kufanele uxhumane nodokotela. Lesi simo kufanele sibe yisizathu sokubuyekeza izinga noma imvamisa yokusetshenziswa kwesidakamizwa. Ezimweni ezimbi kakhulu, esikhundleni somuthi ofanayo. Ngokucophelela sebenzisa izidakamizwa kulawo mahlakalo lapho okwenziwe khona ngaphambili nge-estrogen therapy (ukusetshenziswa kwezibeletha zomlomo kufaka phakathi). Ukwamukela ngesikhathi esisodwa ama-estrogens kanye ne-progesterone kwandisa ingozi ye-thrombosis.
Ukuqhathaniswa kukaDuphaston ekukhulelwe
Ngisho nezinkomba zokusetshenziswa, amaphilisi e-Dufaston ngesikhathi sokukhulelwa angeke asetshenziswe ngabomama abazayo. Ngenxa yalokhu, ngaphambi kokumisela lesi sidakamizwa, udokotela kufanele ahlaziye ngokucophelela umlando wesifazane okhulelwe, ungafaki izifo ezithile. Phakathi kwabo kukhona:
- I-Rotor syndrome;
- izifo zesimiso senhliziyo;
- I-Dabin-Johnson syndrome;
- isifo sikashukela mellitus;
- isifo sezinso;
- itching.
Ngingamkhansela kanjani iDuphaston ngesikhathi sokukhulelwa?
Ukuqedwa kukaDufaston ngesikhathi sokukhulelwa kufanele kube kancane kancane. Loluhlelo lwenziwa ngabanye, futhi luncike kumthamo othathwe ngowesifazane okhulelwe. Usuku ngalunye, luyancipha ngo-0.5-1 tablet. Isibonelo, uma ngokuqokwa kukadokotela umama wesikhathi esizayo wathatha amaphilisi amathathu omuthi nsuku zonke, ngakho-ke usuku olulandelayo lolu dolophu luncishiswe ngamaphilisi angu-1-0.5. Ngakho ekugcineni uyeke ukuthatha imithi emva kwezinsuku ezintathu kuya kwezintathu. Ukuqaphela uhlelo lokuhoxiswa olusungulwa udokotela alufaki ukuncipha okubukhali ekuxhumeni kwe-progesterone egazini.