Icwecwe "Omangalisayo": reviews oogqirha, yemiyalezo. iipilisi zokulawula nokuzalwa "Omangalisayo": Ukubuyekezwa endometriosis

Xa xesha wethu, umfazi unelungelo ukucwangcisa ukukhulelwa yabo. Oku kunokwenziwa ngeendlela ezininzi, kodwa ke omnye kakhulu lula nolusebenzayo - na kukhulelwa hormone.

iindlela zokuqala lokuthintela ukukhulelwa emacwecweni eziqulethwe inxalenye kunokuba enkulu ukwimo esebenzayo baze imiphumela ezifana umzimba. izicwangcisi Modern hormone zihlukile ukuba ithamo esisebenza kuzo ayinamsebenzi. Ivumela umfazi ukugcina ubunzima sakho phantsi kolawulo. Ngaphezu koko, le zokucwangcisa ngomlomo isizukulwana esitsha bayakwazi ukwenza ngcono imeko eluswini, unwele, ukuphelisa iindumbisa encinane esexesheni.

"Omangalisayo" Omnye izixhobo zale mihla okuthintela ukukhulelwa ongafunwayo tablet. Izimvo ngale kwesithuthi ukuhlangabezana ezahlukahlukeneyo. Makhe sihlolisise ngokweenkcukacha oko features kweli chiza.

Ukuba sicinga imveliso zoxubo ngokwembono lwesifo ngoweqela, ngoko ke ukukhulelwa monophasic ngempahla antiandrogenic, elungiselelwe ulawulo ngomlomo.

Ziziphi ifomu iveliswa?

iipilisi zokulawula nokuzalwa "Omangalisayo", nto leyo kwakhona ubukhulu becala ngendlela eyakhayo, amhlophe, ngeenxa zonke biconvex imilo oqingqiweyo "G53" kwicala elinye. Le blister iqulethe iiPC 21.

ichiza

Enye ekuqulunqeni tablet iqulethe izithako zilandelayo engundoqo esebenzayo:

• Ethinylestradiol kwi isixa mg-30.
• Dienogest enamandla of mg-2.

Kwakhona kule kwaye abangabancedani izithako: monohydrate lactose, starch umbona, hypromellose, talc, potassium polyarylate nezinki stearate.

Njengoko imisebenzi iziyobisi?

Icwecwe "Omangalisayo", nokubuyekezwa abonisa ukufaneleka kwayo amabhinqa aselula, sisixhobo odityanisiweyo kunye nempembelelo anti-androgenic libizwe. Kubume yayo kukho le ethinylestradiol iihomoni, nto leyo eye umsebenzi estrogen kunye dienogest, nto leyo Progestogen. Le ithile yokuthintela le misebenzi ilandelayo emzimbeni lebhinqa:

• It abangaphangeliyo ovulation.
• Wandisa viscosity le yencindi yomlomo wesibeleko.
• Utshintsha peristalsis le tubes.
• Itshintsha isakhiwo endometrium.

Ezimbini Icandelo engundoqo esebenzayo xa idityaniswe nayo omnye abe nempembelelo kuncitshiswa androgens kwi-plasma.

abafazi abaninzi tablet "Omangalisayo" (testimonials - proof) inceda ukumelana abangeva ukumodareyitha ingxaki amaqhakuva, kunye seborrhea.

Hormone dienogest ondoqo yemvelaphi norethisterone. Kuyinto amaxesha ngaphantsi kwe-10 affinitiven ukuya receptor dlala ngaphezu kwezinye izinto zokwenziwa kweli qela. Iimpawu dienogest - ukuba akukho androgenic, glucocorticoid kunye neempawu mineralocorticoid. Ukusetyenziswa ezimeleyo kwale hormone xa kukho umthamo 1 mg ngosuku kukhokelela ukunciphisa ovulation.

Yintoni pharmacokinetics ukukhulelwa?

Njengoko kuchaziwe ngaphambili, eli cwecwe "Omangalisayo", nokubuyekezwa Othetha ndwa yayo, izinto ezimbini esebenzayo, esiziphethe emzimbeni womntu ngeendlela ezahlukeneyo.

Ethinylestradiol xa kukhululwa ukuya emathunjini amancinci wendele ngokukhawuleza yaye ifikelela ubuninzi eyavela emva kweeyure 1.5-4 kuphela. A iqhezu ebonakalayo ukwimo umzimba sisibindi. Isalathisi bioavailability elililo lwe ethinyl estradiol yi-44%. Le nto yaba 98% enebana albumin igazi kwandisa uyazikhomba globulin. Le iproteni ubophelela iihomoni ngesondo. Kwisiqingatha sesibini sale khosi inani iziyobisi waphawula ukufezekisa isiqulatho esiphezulu kuvuselele of ethinyl estradiol.

Le into umzimba kwi isifo wamathumbu kunye zesibindi ngu hydroxylation enuka esinamanani amakhulu avela. Iimveliso Isiphumo uhlahlelo sisibindi kunye nezintso ngokwezigaba ezibini:

• Origin of 1 hr.
• Ithuba lesibini ziiyure 10-20.

Ethinylestradiol kutshintsha emzimbeni womntu akukho ofakwe.

Dienogest kwakhona bafakwa egazini eludongeni wamathumbu yaye ifikelela ubuninzi eyavela emva kweeyure 2.5 kuphela emva kwe zokucwangcisa. ezimanyene yakhe bioavailability ethinylestradiol yi-96%. Dienogest sibopha kuphela albumin. lizama kwakhe ezinintsi plasma xi kufikelelwa kwiintsuku 4 unyango.

Dienogest ke umzimba iindlela hydroxylation kunye glucuronidation. Le mveliso yale ukubola ngokukhawuleza luyeke ukusebenza uze shiya plasma yegazi.

Dienogest ngesixa esincinci ngohlobo lingatshintshanga kwazona yi nezintso. Kunye nokusetyenziswa 0.1 mg / kg kweziyobisi malunga 86% kwazona ngeentsuku zokuqala 6 emathunjini kunye nezintso, yaye ngosuku lokuqala umchamo isuswe-42% ye-eziphathekayo.

Yiyiphi ithamo ichiza kufuneka kuthathwe?

iipilisi zokulawula nokuzalwa "Omangalisayo", izimvo zazo HIV, kufuneka zithathwe yonke imihla ngexesha elithile. Ukuba kuyimfuneko, ungenza usele imali encinci amanzi. Qiniseka ukuba bagcine umyalelo eliboniswe ekwibhokisi.

Isikhokelo Kubalulekile ukufumana ngokuchanekileyo i "Omangalisayo" (tablets) - umyalelo. Izimvo yale yokucwangcisa ukuthetha malunga nokufumaneka indlela ntetho yokusetyenziswa kwayo esi sishwankathelo. Uqulathe eyona inkqubo njengako apho ukulungiselela elinye icwecwe ethathwa kanye ngemini kwisithuba seentsuku ezingama-21. Elilandelayo ikhefu leentsuku ezisixhenxe phambi kokuba uqale pack entsha amayeza. Ngeli xesha, kukho "ukurhoxiswa ukopha". Ngokuqhelekileyo le meko luqala emva kweentsuku 2-3 emva tablet yokugqibela yaye yagqitywa kwiintsuku 4-5. Kweli nqanaba, kufuneka ukufumana amacwecwe kumadyunguza ezintsha.

Kukho ezincinane ebalulekileyo oluphawula ulwamkelo lokuqala iipilisi "Omangalisayo". Imiyalelo yokusebenzisa (feedback ukuba oogqirha nokubonisa) lubonisa imfuno zokucwangcisa yomlomo ngomhla woku-1 sexesheni. Le meko ke kuyimfuneko ukuba abo bangazange ngaphambili isicelo i zokucwangcisa hormone, okanye zange ukusebenzisa la machiza ngenyanga okanye ngaphezulu.

Iimpawu izivimbela

Ukuba kukho utshintsho ukusuka odityanisiweyo ithile yokuthintela ngomlomo isicelo kwi "Omangalisayo" pilisi, imiyalelo ukusetyenziswa, oogqirha yokwenene sincoma kuqala iye yasetyenziswa ezithatha ichiza wenziwe ngexesha Njengesiqhelo ngengomso emva tablet wokugqibela.

Ukuba ufuna ukuhamba izicwangcisi equlathe dlala kuphela, oko kwenziwe naluphi na usuku oluhle. Ukuba isigulane lususa koko iye, ezifana Navy, ngayo loo mini angathatha i "Omangalisayo". Ukuba umfazi ithatha control lokuzalwa ngohlobo lwezitofu wabona ukuba makaye kwi yokucwangcisa ochazwe tableted, idosi lokuqala kufuneka athathe ngexesha xa uceba ngenaliti ukuba yenziwe.

Ukuba ibhinqa liye waba isisu kwithuba leenyanga ezintathu 1 yokukhulelwa, kwaye uceba ukuthatha iipilisi hormone "Omangalisayo", imiyalelo, ncomo, kunye neengcebiso kumagqirha zibonisa indlela yokusetyenziswa ngokukhawuleza imveliso amayeza. Ukuba isisu kwenzeke emva koko, ngoko kukho imfuneko ukuthatha ikhefu ngemini kunye nokusebenzisa iikhondom 21-28 ngeli thuba.

Kuthekani ukuba ipilisi liphosiwe?

Kwimeko ukuba ulibaziseko yokwamkela awudluli iiyure eziyi-12, nocwangciso amandla ayikho lifinyele. Umfazi kufuneka asebenzise eli cwecwe ngokukhawuleza kangangoko kunokwenzeka, kwaye kufuneka ubunxilile ngexesha ngokwesiqhelo.

Xa kunjalo, ukuba waba nexesha inkulu ulibaziseko ngaphezu kweeyure ezili-12, kufuneka isebenze ngokungqinelana nemigaqo esisiseko yokwamkelwa yokucwangcisa:

• Awukwazi ukuphazamisa ukusetyenziswa kwemali ngaphezu kweveki.
• Ukuze ukuba ichiza ukuya emsebenzini, kufuneka kwiintsuku ezi-7 reception ungaphazanyiswa.

Ngoko ke, oogqirha zibonisa oku kulandelayo:

• Ukuba uthe wagqithela ulwamkelo kwenzeka kwiveki yokuqala usebenzisa ichiza, lo mfazi kufuneka athathe ipilisi ngoko nangoko, kwaye kufuneka asetyenzisiweyo ngexesha ngokwesiqhelo. Ngelo xesha nye ufuna ukusebenzisa icondom kule veki izayo.
• Ukuba Kwathi ithuba leentsuku ezisixhenxe lwesibini, ngoko ke lwecwecwe kuthathwa ngoko nangoko kwaye indlela umqobo lwendlela ayikho imfuneko.
• Kwi kwiveki yesithathu, ukusilela wenzeke ulwamkelo yokulungiselela ezifunekayo kwi algorithm echazwe kumhlathi wokuqala. Emva koko kufuneka uqale i blister elandelayo ngaphandle kokuphazanyiswa. Kulo mzekelo, "Nhoza ukopha" ayikho, kunjalo, kufuneka zokubona.

Unga kwakhona alulibazisayo uhlaselo ukopha kunye ngoncedo iipilisi "Omangalisayo". Izimvo oogqirha ngale entamo acetyiswayo kule meko ukuze uqhubeke ezithatha ichiza, ukutshintsha isiphelo ukuya blister entsha. Ngexesha ukusetyenziswa, impahla ye amayeza umfazi yesibini kuphawulwe sokumbeka ibala obhobhozayo zesibeleko.

Ngaba kukho i libanda?

Ubuthi amathamo ephakamileyo iincindi zamadlala kubumba "silhouette" amacwecwe esezantsi. Kwimeko libanda, waphawula isicaphucaphu, ukugabha, ukukhupha langasese okanye ukopha. Akukho mfuneko yokuba unyango.

Ngaba kunokwenzeka ukuba "Omangalisayo" ezithathwe kunye nezinye iziyobisi?

Kuye kwaqatshelwa ukuba intsebenziswano kulawulo kunye iziyobisi isebenze enzyme microsomal, kunokubangela ukopha intuthuko indalo kunye nokunciphisa isiphumo yokucwangcisa. La machiza "Phenobarbital", "Rafampitsin", "Hydantoin", "primidone", "carbamazepine", "Rifabutin", "EFV", "nevirapine", "Oksikarbazepin", "felbamate," "Griseofulvin" "Topiramate "" Ritonavir "kwaye fitodrug Hypericum perforatum.

Ukuthatha antibiotics ezithile, ezifana tetracycline okanye ampicillin, kunye ne "Omangalisayo" kuphungula ukusebenza kwayo. Kwimeko lwendibaniso nayiphi na imixube ngentla imfuneko umqobo usikhusele ixesha kwiintsuku ezisi-7, kunye "rifamycins" - kwiintsuku 28.

Zintoni iziphumo ebezingalindelekanga ze ichiza?

Akwenzeki ukuba isigqibo ekukhetheni indlela yokucwangcisa. Khumbula ukuba i "Omangalisayo" - iipilisi hormone. Oogqirha malunga imiphumela emibi yokucwangcisa kubonisa ukuba lukhuthaza ukuyilwa egazi igazi emithanjeni ngemithambo. Lo mkhwa ibe mandundu ukutshaya, lwegazi, kuphazamisane amahlwili eliqhelekileyo igazi, imithambo varicose, ukutyeba, thrombosis kunye thrombophlebitis.

Phakathi kwicala eqhelekileyo ziphumo nabo yathi:

• Migraine.
• Isicaphucaphu kunye nokugabha.
• Weight inzuzo;
• Efakwe kwi ingaba mammary kunye nokwanda kwabo;
• ukungazinzi yomqondo;
• Intlungu umva;
• Mde imisipha ithole.

abafazi abaninzi bayala ukusebenzisa zokucwangcisa ngomlomo ngenxa yokoyika ukuba ngcono. Ngaba ezi uloyiko igwetyelwe na? Yenye yemithombo ebalulekileyo yolwazi malunga nokuba kunokwenzeka ukuba mkhulu ekuthabatheni "Omangalisayo" tablet - ncomo. Weight inzuzo waphawula ngokomlinganiselo yakhe kunokuba omkhulu wabafazi. Kungenxa yoko le nto ifuthe ngokuthatha lo ukukhulelwa yeyona common kakhulu.

Xa amaza ibonwa ahlukeneyo izigulane alandelayo ziziphumo ebezingalindelekanga emva kokuthatha ukulungiselela "Omangalisayo":

• Hypotension okanye lwegazi.
• Thrombophlebitis kunye varicose mithambo.
• Migraine kunye vertigo.
• Ucaphuka.
• iintlungu esiswini.
• Izifo ezosulelayo yenkqubo womchamo.
• Amaqhakuva, irhashalala, dermatitis kunye akneiformny komzimba, alopecia, erythema, pruritus, chloasma.
• kwanda okanye ukwehla kobunzima bomzimba.
• candidiasis lobufazi, හසුරුව isiphathi.
• Ukudinwa, umkhuhlane, nokudumba.
• ukopha Acyclic kunye buhlungu, hyperplasia endometrial, endometritis, salpingitis.

Bekukho nezinye, kodwa ngaphantsi rhoqo ziziphumo ebezingalindelekanga ezivela ukuthatha ipilisi "Omangalisayo". Imiyalelo yokusebenzisa, angqina nomonde yaye oogqirha zithetha neziphumo ezingathandekiyo zilandelayo:

• Anemia.
• Izifo yenkqubo sentliziyo.
• Ukutyeshelwa ejikeleza lobuchopho.
• ukuphazamiseka Visual.
• Sinusitis, iphika, isifuba.
• esiswini.
• Hypertrichosis, nangokhwekhwe, seborrhea, angioedema.
• Ukwehla imnyama.
• Umzimba.
• ulwabiwo omncinane, utshintsho kunye ithumba mammary, leiomyoma.
• Ubuthongo, ukudandatheka.
• Arthralgia, myalgia.

Kukho kwakhona iziphumo ebezingalindelekanga ezinqabileyo kakhulu enokuthi yenzeke ngenxa 'omhle' beziyobisi. Tablets uhlolo ukuqinisekisa oku, kunye rhoqo engaphantsi kwe-1 ityala ngaphandle kwe 10,000 enokukucaphukisa ukuhlaselwa yintliziyo, enyongweni, cholecystitis kunye nomhlaza endometrial.

Izimo

Ichiza "Omangalisayo" asikwazi ingenakuthatyathwa izigulo ezithile. Zezi:

• Izifo imithambo yegazi, loluthando thrombosis.
• Pancreatitis.
• Porphyria.
• Senyongo okanye hyperbilirubinemia, syndromes bekhubazekile.
• Ukutshaya emva kweminyaka 35.
• isifo sesibindi ezimandundu, kuquka umhlaza.
• Ikhondomu ukopha genesis unexplored.
• Migraine.
• Sokuwa.
• cell anemia irhengqa.
• Ukukhulelwa ne zisanyisa.
• nobandlululo yelactose.
• Le aleji ichiza.

Ukuba nasiphi na kwezi zifo zokucwangcisa zomlomo "Omangalisayo" into contraindicated.

unyango endometriosis

Endometriosis - isimo akuve kuvamile kwabasetyhini. Ithathwa ngeendlela angqingqwa okanye ngotyando, kuxhomekeke kwiimeko zesigulo. "Omangalisayo" (tablets) Iireyithingi endometriosis efunyenwe HIV. Eli chiza lidla ilawulwa kwizigulana kunoko, njengoko Togu le yokucwangcisa "Janine." Kulo mzekelo, gynecologists bathi ukhuseleko yayo nezihlobo kunye nokusebenza kakuhle.

"Omangalisayo" kukhokelela yoma okuqhubekayo endometriosis, kungakhathaliseki apho zifumaneka khona. Oku kunciphisa Yindibanisela estrogen, ofihla ovulation kunye neebhloko kunyebeleziso iiseli nyama ngaphandle lweHo- zesibeleko. Kwakhona, kukho nemiphumo emihle anti-yokukrala yokuthatha 'omhle' beziyobisi. Amacwecwe nohlolo endometriosis ibe neziphumo - amabhinqa yokuduka iimpawu seTrojan, polimenorei kunye neentlungu ngexesha lokwabelana ngesondo.

Ukongeza, amacandelo esebenzayo yokulungiselela "Omangalisayo" kunciphise igazi endometriosis. Ngenxa yale inyama uyeka ikhula. Amanqanaba eqhelekileyo Ababuyiselweyo mpilo.

Kufuneka kwakhona kuqatshelwe ukuba ukuthathwa eli chiza kufuneka ekucetyiswa ngugqirha emva yokuhluza epheleleyo nomonde lwezifo kunye neemeko ezandulela kubo. Ukusetyenziswa olungagunyaziswanga izicwangcisi hormone kunokubangela ngayo ezibi zomzimba.