"Dufaston" yog cov tshuaj Belgian uas tau txais kev ntseeg siab ntawm ntau tus kws kho mob hauv kev sau nws rau kev kho mob ntawm cov kab mob gynecological. Lub ntsiab active ingredient ntawm cov tshuaj no yog dydrogesterone, uas, nyob rau hauv lem, yog ib tug dag analogue ntawm cov tshuaj hormone progesterone. Cov tshuaj no muaj cov npe me me ntawm cov kev mob tshwm sim, tab sis tseem qee tus poj niam muaj kev ncua sij hawm ntawm kev coj khaub ncaws tom qab Duphaston.
Yuav ua li cas sau tshuaj
Feem ntau, "Dufaston" tau muab rau tus poj niam uas muaj amenorrhea, ncua kev coj khaub ncaws, vim progesterone tsis txaus thiab ua haujlwm ntawm zes qe menyuam tsis raug. Nyob rau hauv lub chav kawm ntawm kev kho mob zoo, raws li xav tau, nyob rau hauv nruab nrab ntawm lub theem nyob rau hauv cov poj niam lub cev, ovulation tshwm sim, tso tawm ntawm ib tug paub tab qe. Qhov no yog ua raws li kev tsim ntawm corpus luteum, uas ua rau progesterone. Hormone tswjnpaj lub endometrium rau conception. Tsis tas li ntawd, cov tshuaj no tiv thaiv kev nchuav menyuam thaum ntxov.
Progesterone deficiency ua rau cov kab mob hauv qab no:
- menopause;
- endometriosis;
- secondary amenorrhea;
- tsis muaj menyuam vim muaj luteal deficiency;
- lub sijhawm tsis xwm yeem thiab mob;
- dysfunctional uterine los ntshav - DUB;
- hem nchuav menyuam;
- nce cov tsos mob premenstrual;
- ovarian dysfunction.
Dydrogesterone, uas yog lub luag haujlwm ntawm "Duphaston", pab txhawb cov phab ntsa ntawm endometrium, uas ua rau los ntshav, yog tias qhov kev xav tsis tshwm sim. Qee lub sij hawm ib qho kev mob tshwm sim ntawm kev noj tshuaj hormonal yog kev loj hlob sai ntawm endometrium. Qhov no, nyob rau hauv nruab nrab ntawm lub voj voog muaj me me los ntshav.
Kev ncua tom qab Duphaston, kev coj khaub ncaws luv luv yog cov kev mob tshwm sim ntawm cov tshuaj. Kev faib nyiaj tuaj yeem pib ua ntej, tsis tshua muaj lossis, ntawm qhov tsis sib xws, ntau, lawv qhov kev siv zog tuaj yeem hloov pauv. Yog tias tag nrho cov kev hloov pauv no tsis tas mus li thiab tsis ua haujlwm, ces txhua yam yuav ua tiav ntawm nws tus kheej.
Qhov cuam tshuam ntawm dydrogesterone ntawm tus poj niam lub cev
Cov tshuaj no muaj peev xwm los them rau qhov tsis muaj progesterone thiab, raws li, stabilizes poj niam cev xeeb tub. Cov kev kho mob zoo li no feem ntau tau txais txiaj ntsig sai thiab zoo.tshwm sim. Cov neeg mob sai thiab zoo rov qab los ntawm lawv lub cev tsis tu ncua.
Nws yog ib qho tseem ceeb kom nkag siab tias qhov ntau npaum li cas ntawm cov tshuaj raug xaiv ib tus zuj zus rau txhua tus neeg. Cov txheej txheem ntawm kev kho mob yuav nyob ntawm qhov chaw kho mob dav dav ntawm tus neeg mob thiab cov ntaub ntawv kuaj mob. Tus kws kho mob gynecologist pib muab cov tshuaj txhua hnub ntawm cov tshuaj, uas tau muab faib ua ob peb ntu kom coj mus rau ib hnub.
Tso tseg cov tshuaj no ob peb hnub ua ntej yuav coj khaub ncaws. Thaum lub sij hawm no, theem ntawm progesterone txo qis, uas, nyob rau hauv lem, ua rau kev coj khaub ncaws. Nws tsis tuaj yeem txiav txim siab txog hnub kawg ntawm qhov pib ntawm hnub tseem ceeb nrog kev ncua sij hawm ntawm kev coj khaub ncaws tom qab kev tshem tawm Duphaston, vim txhua tus muaj lawv tus kheej lub cev. Tseem, cov kws kho mob ntseeg tias kev coj khaub ncaws yuav tsum tshwm sim hauv 3-7 hnub, kev sib txawv me me kuj tau txais.
Qhov laj thawj ntawm kev tuaj txog ntawm kev coj khaub ncaws ua ntej ntawm kev kho "Dufaston"
Yog tias ntshav pib ntxov dua li qhov xav tau, ces qhov laj thawj yog:
- Cov tshuaj tiv thaiv ntawm lub cev rau dydrogesterone.
- Tus neeg mob txoj kev kho mob raug xaiv tsis raug, lossis nws tus kheej ua txhaum txoj cai.
Thawj zaug kev coj khaub ncaws tom qab txiav tawm cov tshuaj yuav muaj xim daj thiab cov tsos ntawm daub, uas yog qhov tseeb. Sij hawm dhau mus, thaum lub voj voog yuav txhim kho, thaum kawg rov zoo, txhua yam yuav zoo li qub.
Kev ncua tom qab "Duphaston" yog suav tias yog pathology yog tias tsis yogcev xeeb tub. Cov tshuaj no tsim cov progesterone uas ploj lawm hauv lub cev. Thaum tus poj niam tsis noj nws, qhov tsis muaj progesterone qhia tias endometrium tsis kam lees txhua yam tsis tsim nyog los ntawm cov phab ntsa hauv tsev menyuam. Qhov tshwm sim yog tias txhua yam tsis tsim nyog hauv tus poj niam lub cev tso nws nrog rau kev coj khaub ncaws.
Vim li cas ho tsis coj khaub ncaws tom qab noj Duphaston
Thaum tus poj niam noj cov tshuaj hormonal no, nws yuav tsum nco ntsoov tias nws tsis ua raws li kev tiv thaiv qhov ncauj. Thaum nyob rau hauv tus txheej txheem ntawm kev kho mob ntawm ib tug txiv neej thiab ib tug poj niam tsis muaj kev tiv thaiv kev sib deev, qhov no yuav ua rau kom muaj kev xeeb tub. Kev ncua ntawm kev coj khaub ncaws tom qab "Duphaston" tuaj yeem yog ib qho laj thawj rau tus poj niam cev xeeb tub.
Yog tias kev coj khaub ncaws tsis pib li ntawm ob lub lis piam tom qab qhov kawg ntawm kev kho mob, nws yuav tsum tau kuaj xyuas cev xeeb tub. Txoj kev yooj yim tshaj plaws thiab feem ntau yog kev sim tshwj xeeb, thiab kom paub tseeb tseeb, koj tuaj yeem kuaj xyuas gynecological ultrasound.
Puas tuaj yeem ncua sijhawm tom qab "Dufaston" thaum cev xeeb tub thiab yuav tsum tau noj ntxiv? Tsuas yog cov kws kho mob tuaj yeem txiav txim siab qhov no. Lawv feem ntau sau ntawv kom txuas ntxiv noj cov tshuaj no kom txo tau qhov kev pheej hmoo ntawm nchuav menyuam. Nws yuav tsum tau muab tso tseg kom zoo, maj mam, ua raws li tus kws kho mob cov lus qhia.
Yog tias, thaum ncua sijhawm tshwm sim tom qab Duphaston, qhov kev sim tsis zoo, ces qhov ua rau ntawm qhov tshwm sim no yuav tsum tau qhia meej dua. Nws zoo li ntawdqhov tsis ua tiav tau tsim los ntawm cov khoom xws li:
- kho tus kheej;
- kev ua txhaum cai ntawm kev siv tshuaj;
- thaum kev kho mob nres ua ntej ntxov.
siv cov tshuaj tsis nyeem ntawv tuaj yeem ua rau muaj kev cuam tshuam hormonal thiab cuam tshuam hauv kev ua haujlwm ntawm kev ua me nyuam. Tag nrho cov no tau teeb tsa theem rau kev tsis ruaj khov ntawm poj niam lub voj voog.
Yog tias, tom qab sab laj tus kws kho mob gynecologist txog qhov ncua sij hawm ntawm kev coj khaub ncaws tom qab noj Dufaston, vim li cas qhov kev noj tshuaj tsis raug ploj, ces cov hauv qab no yuav tsum tau txiav txim siab:
- Qhov muaj qhov yuam kev hauv kev kuaj mob.
- Tom qab ovulation hauv poj niam.
- Kev muaj kab mob zais.
- Tsis muaj tshuaj estrogen txaus hauv lub cev.
- kab mob Adrenal.
- Kev muaj qog nyob hauv lub cev.
- Kev siv tshuaj npaj rau cov kab mob uas tsis yog gynecological.
Txoj kev los kho lub cev ntaj ntsug
Yuav ua li cas yog tias qhov ncua sij hawm tom qab noj "Duphaston" tsis xaus nrog qhov tseeb tias kev coj khaub ncaws tuaj? Ua ntej, koj yuav tsum ua ib qho kev kuaj cev xeeb tub thiab mus ntsib gynecologist. Cov ntsiab lus tseeb tshaj plaws ntawm kev xav yuav yog kuaj ntshav rau hCG thiab kuaj pom los ntawm tus kws kho mob muaj peev xwm.
Yog tias qhov ncua sijhawm tom qab noj "Duphaston" tsis yog qhov ua rau cev xeeb tub, feem ntau tus kws kho mob yuav sau cov ntshav thiab zis rau kev tshawb fawb soj ntsuam. Nws yog ib qho tseem ceeb los txiav txim seb tus neeg mob tam sim no muaj dab tsihormonal xwm txheej. Hauv chav kuaj, nws yog ib qho tsim nyog los suav txhua cov tshuaj hormones uas tsim los ntawm pituitary, zes qe menyuam, thyroid thiab adrenal qog.
Lwm txoj kev tshawb fawb tau zoo yog ultrasound, qhov uas tus kws kho mob them nyiaj tshwj xeeb rau cov qog adrenal thiab zes qe menyuam. Txhawm rau txiav txim siab qib ntawm progesterone, nws yog ib qho tsim nyog yuav tsum pub ntshav rau hnub 21-23 ntawm kev coj khaub ncaws.
Yog tus kws kho mob xav tias tus poj niam muaj qog, nws yuav teem sijhawm rau CT scan. Qee zaum, kev txhaj tshuaj ntawm zes qe menyuam thiab cov thyroid hormone kuaj yuav raug sau tseg.
Muaj peev xwm pathologies thaum tsis coj khaub ncaws
Kev ncua tom qab "Duphaston" yuav qhia tau tias lub teeb liab rau kev txhim kho cov txheej txheem pathological:
- Estrogen deficiency.
- Obstruction ntawm cov hlab ntsha fallopian.
- Cicatricial hloov nyob rau hauv lub uterine kab noj hniav.
- Ntev ovulation.
- Kev tsis ua haujlwm ntawm cov qog adrenal.
- Hloov pauv hauv lub caj pas pituitary, cov kab mob hauv qhov chaw mos, uas yog cov xwm txheej oncological.
Thaum kho tus kab mob uas kuaj pom, tus kws kho mob yuav tsum tsim ib tus neeg lub tswv yim, qee zaum, tswj kev ncua tom qab Duphaston ua rau tus kws kho mob tsis suav cov tshuaj no. Qhov no feem ntau yog siv rau cov neeg uas tau noj cov tshuaj no ntev.
Puas tuaj yeem ncua sijhawm tom qab Duphaston? Raws li nws tau muab tawm, qhov no feem ntau tshwm sim vim tsis paub siv tus kheej noj tshuaj, thiab muaj feem yuav rov qab tau sai.kev noj qab haus huv tsawg. Txhawm rau daws qhov teeb meem, nws yog ib qho tsim nyog yuav tsum koom nrog tus kws tshaj lij tshwj xeeb. Nws yog ib qho tseem ceeb kom paub tias txhua yam tshuaj hormonal tuaj yeem noj tau tsuas yog nrog kev tso cai los ntawm tus kws kho mob tuaj koom.
Leej twg yuav tsum tsis txhob noj Duphaston?
Cov tshuaj no muaj nws tus kheej contraindications, xws li:
- Cov menyuam yaus hnub nyoog qis dua 18.
- Malignant neoplasms.
- Txhob muab zais cia.
- kab mob siab.
- Npaj Ntsuag.
- Kev tsis haum rau cov khoom hauv kev npaj.
- Pob cawv.
Cawv txo qis qhov zoo ntawm cov tshuaj, txo nws cov txiaj ntsig. Yog li ntawd, lub cev tsis tau txais qhov tsim nyog ntawm cov tshuaj hormones. "Dufaston" yog tsim los cuam tshuam rau kev coj khaub ncaws ntawm tus poj niam, nrog rau kom ntev lub sijhawm ntawm corpus luteum. Yog tias koj siv nws tsis zoo rau cov lus qhia, feem ntau yuav, qhov kev txiav txim no yuav ua rau kev coj khaub ncaws tsis muaj ovulation. Ntawm no cov txheej txheem ntawm kev siv tshuaj tiv thaiv qhov ncauj ua haujlwm, uas yog qhov tsis zoo, ua txhaum cai ntawm kev ruaj ntseg ntawm lub voj voog. Tsis txhob kho tus kheej thiab hloov cov koob tshuaj uas kws kho mob tau sau tseg, vim qhov no feem ntau ua rau muaj kev phom sij rau kev noj qab haus huv.
Yog vim li cas rau qhov tsis muaj kev coj khaub ncaws tom qab kev tshem tawm ntawm Duphaston
mob khaub thuas, tsis muaj menyuam, nchuav menyuam - qhov no tsuas yog ib daim ntawv teev cov kab mob me me uas tau kho nrog cov tshuaj no. Koj yuav tsum haus nws los ntawm hnub ntawm ovulation thiab ua ntej ua poj niam. Txawm li cas los xij, qee zaumCov poj niam ntsib teeb meem ntawm kev ncua tom qab tshem tawm Duphaston.
Qhov zoo tshaj plaws, 2-3 hnub tom qab noj tshuaj kawg, koj yuav tsum tau txais koj lub sijhawm. Tos txog 10 hnub yog txais. Yog tias lub sijhawm tau los, tab sis tsis muaj kev coj khaub ncaws, qhov no yog vim li cas thiaj nrhiav kev tawm tswv yim los ntawm gynecologist. Ib qho laj thawj rau qhov ncua sij hawm tom qab "Duphaston" yog tus neeg mob lub cev xeeb tub. Yog tias qhov no tsis tau lees paub, tom qab ntawd kev tshuaj xyuas ntxiv thiab kev txheeb xyuas qhov tshwj xeeb ntawm cov kab mob pathology yog qhov tsim nyog.
Hormonal tsis ua haujlwm hauv lub cev
Yog vim li cas rau qhov ncua sij hawm tom qab "Duphaston" tuaj yeem ua haujlwm tsis zoo ntawm cov qog adrenal thaum lawv tsim cov tshuaj adrenocorticotropic ntau dhau. Qhov ntau tshaj ntawm cov tshuaj no ua rau lub fact tias hypothalamus tsim ib qho tsis txaus ntawm luteinizing thiab follicle-stimulating cov tshuaj hormones. Tag nrho cov no ua rau muaj kev ua txhaum ntawm kev ua haujlwm ntawm lub tsev menyuam - qhov tsis muaj kev coj khaub ncaws.
Raws li koj paub, lub hypothalamus tseem yog lub luag haujlwm rau prolactin - ib yam tshuaj uas yog lub luag haujlwm rau cov tsos ntawm cov mis nyuj hauv poj niam lub mis thaum lub sijhawm pub menyuam. Qee lub sij hawm, nrog kev ua tsis tiav hormonal, prolactin blocks cov synthesis ntawm cov tshuaj hormones lub luag haujlwm rau kev loj hlob ntawm cov follicle, yog li kev coj khaub ncaws tsis pib. Lub cev ntseeg tias thaum lub sijhawm tus poj niam pub mis rau menyuam thiab, los ntawm qhov xwm txheej, kev ua haujlwm ntawm kev loj hlob yog inhibited.
Puas yog vim li cas tus poj niam muaj kev ncua sijhawm tom qab tshem tawm Duphaston ua haujlwm tsis zoo ntawm zes qe menyuam? Nws yog qhov ua tau, thiab ovulation yuav yog, tab sis lig. Nyob rau hauv cov ntaub ntawv no, nyob rau hauv poj niam lub cev, thiab thiaj li siabtheem ntawm tus kheej progesterone, thiab txog thaum nws poob, cov hnub tseem ceeb yuav tsis tuaj.
Rau poj niam txoj kev noj qab haus huv, muaj lwm yam tshuaj hormones tseem ceeb - estrogen. Hauv thawj ib nrab ntawm lub voj voog hauv cov ntshav, koj tuaj yeem soj ntsuam nws qhov nyiaj ntau tshaj. Yog tias tsis muaj cov tshuaj hormone no txaus hauv lub cev poj niam, ces qhov kev loj hlob ntawm endometrium yuav qeeb. Hauv qhov no, tsis muaj kev coj khaub ncaws tsuas yog vim tsis muaj dab tsi los sawv ntawm lub tsev menyuam. Yog tias cov thyroid caj pas tsis ua haujlwm txaus, tsis muaj zog tsim cov thyroid hormones, ces hnub tseem ceeb yuav tsum nres tag nrho.
Lwm yam yog vim li cas
Hmoov tsis zoo, ntau tus poj niam, tom qab mloog kev tshuaj xyuas thiab nyeem cov lus qhia, sau lawv cov tshuaj ntawm lawv tus kheej. Hauv qhov no, ntau tus nug ib lo lus nug ntawm lub rooj sab laj txog kev ncua tom qab Duphaston. Nws yog ib qho tseem ceeb kom paub tias koj tsis tuaj yeem sim nrog cov tshuaj no! Kev tsis muaj poj niam cev xeeb tub tuaj yeem ua rau mob ntev, nrog rau qhov tshwm sim tsis zoo.
Cov tshuaj tau sau rau hauv tus account qhov kev kawm ntawm hormonal profile ntawm tus neeg mob. Yog tias qhov ncua sij hawm tom qab Duphaston tsis yog vim cev xeeb tub lossis hormonal tsis ua haujlwm, ces qhov ua rau muaj qhov adhesions, nti ntawm lub tsev menyuam thiab lub tsev menyuam nws tus kheej. Lawv tuaj yeem tsim los ntawm kev phais, rho menyuam, yug menyuam lossis kis kab mob. Hauv qhov no, cov caws pliav pib maj mam hloov cov nqaij leeg, thiab yog li ntawd tsis muaj peev xwm ntawm cov ntshav tawm ntawm lub tsev menyuam.
Qhov tsis muaj poj niam cev xeeb tub li 6 hnub lossis ntau dua yog vim lub cev muaj zog ntau dhau. Piv txwv li, ib tug poj niam nqa qhov hnyav los yog koom nrog kev ua kis las. Tsis tas li ntawd, lub xeev ntawm cov tshuaj hormones tuaj yeem cuam tshuam los ntawm ntau qhov xwm txheej tsis zoo, kev nyuaj siab ntev. Tus kab mob no feem ntau ua rau kev coj khaub ncaws ntxov ntxov lossis ncua ntev txog 15 hnub.
Txawm li cas los xij, yuav luag txhua yam kho tau tam sim no, thiab sai sai tus neeg mob nrhiav kev pab kho mob, nws yuav ua tau zoo dua.
