Ib qho ntawm cov cim qhia ntawm tus poj niam txoj kev noj qab haus huv ntawm kev ua me nyuam yog lub voj voog kev coj khaub ncaws ruaj khov. Yog tias muaj qhov tsis txaus ntseeg hauv lub cev, ces kev coj khaub ncaws yuav nres tam sim ntawd. Ib ntus amenorrhea yog ib qho cim ntawm ntau yam pathologies - los ntawm kev ua haujlwm yooj yim mus rau hormonal tsis ua haujlwm hauv lub cev. Feem ntau tus kws kho mob gynecologist tau sau ntawv "Duphaston" raws li cov lus qhia rau kev siv thaum cev xeeb tub qeeb. Cov tshuaj no pab tswj thiab txawm rov qab mus.
Duphaston yog dab tsi?
Cov tshuaj belongs rau cov tshuaj subgroup ntawm cov tshuaj raws li hormonal. Lub ntsiab active ingredient yog dydrogesterone, synthesized artificially. Cov tshuaj no yog ib qho analogue ntawm natural progesterone.
"Dufaston" yog tshuaj rau ntau yam poj niam pathologies, uas yog nrog los ntawm hormonal ntshawv siab. Feem ntau teem caijtau ua tiav tom qab kuaj tag nrho thiab kuaj, tab sis qee zaum, thaum pom cov cim qhia tias tsis muaj progesterone, tus kws kho mob tuaj yeem xaj tus poj niam noj cov tshuaj yam tsis tau kuaj xyuas cov tshuaj hormones. Txawm li cas los xij, nws yuav tsum xub qhia meej seb Duphaston suppresses ovulation.
Kev kho mob
Cov tshuaj yog nyiam rau lwm yam tshuaj, vim hais tias nyob rau hauv tus ntawm ib tug natural analogue ntawm progesterone, tsis muaj kev hloov nyob rau hauv thermogenesis, basal kub. Qhov ntsuas no yog siv los txiav txim hnub ntawm ovulation. Thaum noj tshuaj, nws tuaj yeem ntsuas tau ua ntej.
Lwm qhov txiaj ntsig tsis txaus ntseeg yog "Dufaston" tsis cuam tshuam rau cov txheej txheem metabolic tshwm sim hauv lub cev, thiab tsis cuam tshuam rau daim siab ua haujlwm. Lub ntsiab tivthaiv (dydrogesterone) muaj cov qauv zoo sib xws rau ntuj progesterone. Txawm li cas los xij, tom qab ua qhov kev sim tshuaj, nws tau pom tias Duphaston tsis ua rau muaj kev cuam tshuam tsis zoo uas yuav tshwm sim thaum noj lwm cov tshuaj niaj hnub hluavtaws progesterone-hom tshuaj.
Cov tshuaj kuj tsis muaj androgenic, anabolic, cardioid, estrogenic teebmeem. Yog tias tus kws kho mob tau sau ntawv "Duphaston" thaum lub sij hawm ncua kev coj khaub ncaws, ces cov tshuaj muaj txiaj ntsig zoo rau qib lipids hauv cov neeg mob ntshav. Qhov tsis muaj androgenic zog qhia tias tom qab siv mus ntev, cov tsos mob tshwm sim nrog kev siv lwm yam tshuaj steroids yuav tsis tshwm sim.
Thaum noj tshuaj, xaiv cov khoom tshwm simdihydrotestosterone nyob rau hauv endometrium nyob rau hauv lub tsev menyuam. Qhov no pab tiv thaiv hyperplasia thiab carcinogenesis. Cov kab mob no feem ntau provoked los ntawm kev tsim cov tshuaj estrogen. Nws yuav tsum tau nco ntsoov tias thaum noj "Duphaston" tsis muaj kev tiv thaiv kab mob.
Thaum muab tshuaj, cov nyhuv xaiv uas nws muaj nyob rau ntawm cov tshuaj progestin receptors ntawm lub tsev menyuam mucosa yog muab rau hauv tus account. Vim nws qhov zoo sib xws nrog cov tshuaj hormones ntuj, theem ntawm excitability ntawm myometrium yog txo qis nrog rau kev ua haujlwm ntawm lub tsev menyuam. Ua ntej koj pom tias Duphaston suppresses ovulation, koj yuav tsum xav txog tias nws muaj kev cuam tshuam rau tib neeg lub cev. Yog li ntawd, nws yog ib qho nyuaj rau unambiguously kwv yees seb yuav tshwm sim thiab cov kev phiv yuav tshwm sim.
Kev qhia
Qhov laj thawj tseem ceeb vim li cas tus kws kho mob tau sau ntawv siv Duphaston yog qhov tsis muaj cov tshuaj hormone progesterone tseem ceeb. Cov kab mob no tuaj yeem ua rau cov kab mob thiab cov xwm txheej hauv qab no:
- endometriosis - qhov tshwm sim ntawm foci ntawm endometrium sab nraum lub tsev menyuam;
- hem nchuav menyuam vim qis qis ntawm endogenous progesterone;
- thawj thiab theem nrab infertility vim luteal insufficiency (txo qis hauv kev ua haujlwm ntawm corpus luteum ntawm zes qe menyuam);
- premenstrual syndrome txuam nrog mob hnyav, lub siab hloov pauv thiab lwm yam kev hloov pauv hauv poj niam lub cev;
- secondary amenorrhea - qhov tsis muaj kev coj khaub ncaws, uas tshwm sim tom qab muaj kab mob ntawm kev ua me nyuam;
- dysmenorrhea yog kev ua txhaum caimenses ib txwm;
- uterine los ntshav ntawm ntau yam etiologies.
Ntxiv rau, cov tshuaj tuaj yeem raug sau los ntawm kws kho mob gynecologist yog tias xav tau kev kho tshuaj hormone hloov. Nws yog siv thaum nws yog ib qho tsim nyog los ua kom tsis muaj zog ntawm cov tshuaj hormone estrogen ntawm endometrium. Feem ntau ib qho kev cuam tshuam xws li ntuj los yog ua rau lub cev tsis muaj zog tshwm sim tom qab kev phais, yog li kev kho tshuaj hormone yuav tsum tau.
YContraindications
Kev sab laj ntawm tus kws kho mob ua ntej noj tshuaj yog qhov tseem ceeb. Koj tus kws kho mob yuav pab koj txiav txim siab npaum li cas. Nws yuav muaj peev xwm txiav txim siab seb puas muaj contraindications rau noj cov tshuaj. Koj tsis tuaj yeem siv "Dufaston" yog tias muaj cov kab mob hauv qab no:
- hypersensitivity rau dihydrotesterone;
- kab mob siab - mob siab heev;
- Rotor thiab Dubin-Johnson syndrome.
Yog tias cov tshuaj tsis tau noj ua ntej, nws raug nquahu kom pib chav kawm nrog qhov tsawg kawg nkaus. Tom qab ntawd, thaum muaj kev tsis haum tshuaj, nws yuav ua tau kom tsis txhob muaj qhov tshwm sim tsis zoo.
Side effects
Thaum xaiv cov tshuaj tsis raug lossis muaj kev tsis haum rau cov khoom ntawm Duphaston, ntau yam kev mob tshwm sim tuaj yeem tshwm sim. Lawv cuam tshuam rau lub cev thiab lub cev sib txawv. Cov tseem ceeb yog:
- mob siab;
- mob hauv lub gallbladder;
- daj ntawm daim tawv nqaij;
- paroxysmal mob taub hau;
- mis hypersensitivity;
- urticaria;
- puffiness;
- uterine los ntshav;
- hemolytic anemia ua rau muaj kev puas tsuaj ntau ntawm cov qe ntshav liab.
Yog hais tias uterine los ntshav tshwm sim thaum lub sij hawm txais tos, koj yuav tsum tam sim ntawd mus rau lub tsev kho mob. Tsis tas li ntawd, nrog rau lwm yam kev mob tshwm sim, tus kws kho mob yuav tsum kho cov tshuaj Duphaston. Feem ntau, qhov nce me ntsis hauv cov koob tshuaj ua rau nres ntawm qhov tsis xav tau los ntshav thiab txo qis ntawm cov qog mammary.
Raws li kev tsis haum tshuaj, cov kev tshwm sim no yuav tsum tau ceeb toom tam sim, vim tias lawv qhia qhov tsis haum rau cov ntsiab lus tseem ceeb. Hauv qee kis, qhov tshwm sim xws li Quincke's edema thiab anaphylactic shock tau pom. Yog tias cov tsos mob tshwm sim, koj yuav tsum tsis txhob noj "Duphaston" thiab sab laj nrog kws kho mob txog kev xaiv cov tshuaj analogue. Cov kev mob tshwm sim no yog vim li cas tsis noj tshuaj.
Mechanism of action
Ntau zaus, cov poj niam uas muaj lub voj voog tsis xwm yeem raug tshuaj "Dufaston". Lub mechanism ntawm kev txiav txim ntawm cov tshuaj yog yooj yim. Synthetic hormone ua cov haujlwm ntawm ntuj progesterone. Yog li ntawd, yog hais tias muaj ib tug tsis txaus ntawm nws nyob rau hauv lub cev ntawm ib tug poj niam, cov khoom yuav pab txhawb rau txoj kev loj hlob ntawm lub puab txheej ntawm lub tsev menyuam. Yog tias cov qog no, hu ua endometrium, yog cov tuab tuab, tus neeg mob yuav muaj peev xwm xeeb tub yam tsis muaj teeb meem thiab yug me nyuam noj qab haus huv. Yog li ntawd, kev xeeb tub ntev ntev tom qab kev tshem tawm ntawm "Duphaston" yog qhov zoo dua.
Thaum lub sijhawm kev loj hlob ntawm cov theem ntawm kev coj khaub ncaws, cov kab mob endometrial pib loj hlob thiab tuab. Cov txheej txheem no yog nteg los ntawm xwm kom zoo dua txuas ntawm lub qe fertilized rau phab ntsa ntawm lub tsev menyuam. Yog hais tias tag nrho cov txheej txheem mus tsis muaj pathologies, ces yuav tsum tau ib tug siab ntawm cov tshuaj hormones kom lub endometrium nyob rau hauv ib txwm lub xeev. Thaum lub embryo tsis txuas mus rau phab ntsa ntawm lub tsev menyuam, feem pua ntawm cov progesterone hauv cov ntshav pib txo qis, thiab cov endometrium tuaj nrog rau cov ntshav tawm.
YEffect on ovulation
Feem ntau cov kws kho mob, thaum nug los ntawm cov poj niam seb Duphaston suppresses ovulation los yog tsis, muab cov lus teb tsis zoo. Cov tshuaj, tau sau tseg nyob rau hauv qhov tseeb npaum li cas, tsis tuaj yeem muaj qhov tsis zoo rau kev tsim cov qe. Txawm li cas los xij, nws yuav tsum nco ntsoov tias nws tsis pom zoo kom noj ntau dua 30 mg ntawm cov tshuaj txhua hnub. Qhov koob tshuaj no ntawm cov tshuaj hormones nyob rau hauv kev cuam tshuam ntawm ntau yam tuaj yeem cuam tshuam tsis zoo rau kev ua me nyuam ua haujlwm.
txhawm rau xyuas seb "Duphaston" suppresses ovulation los yog tsis, kev sim kev tshawb fawb tau ua tiav. Cov kws kho mob coj ob peb tus poj niam nyob rau hauv kev soj ntsuam. Lawv tau kawm yuav ua li cas lawv tsim cov txheej txheem ntawm qe maturation. Yog tias tus neeg mob muaj qhov tsis txaus ntawm lub sijhawm luteal, uas lub qe tawm ntawm lub hauv paus, nws tau muab cov tshuaj no. Thaum lub voj voog tom ntej, Duphaston txuas ntxiv mus. Kev kuaj ovulation thiab lub tshuab ultrasound taug qab yuav ua li cas lub qe tawm ntawm lub follicle tom qab maturation. Hauv 99% ntawm cov neeg mob, cov txheej txheem tshwm sim tsis muaj pathologies thiabxyuas kom tiav implantation. Yog li, thaum nug seb puas tuaj yeem muaj ovulation tom qab Duphaston, tus kws kho mob tsuas yog teb hauv qhov kev lees paub.
Yuav siv li cas
"Duphaston" yog hais txog cov tshuaj uas tuaj yeem noj ua ntej thiab tom qab noj mov. Ib ntsiav tshuaj muaj 10 mg ntawm dydrogesterone. Thaum muab tshuaj, tus kws kho mob coj mus rau hauv tus account tag nrho cov yam ntxwv uas cuam tshuam rau txoj kev loj hlob ntawm pathologies, yog li ib tug neeg txhaj koob tshuaj rau txhua tus neeg mob.
Muaj cov lus qhia tus qauv rau kev siv "Dufaston" nrog kev ncua sij hawm ntawm kev coj khaub ncaws. Cov tshuaj nyob rau hauv cov ntaub ntawv no yog muab ib ntsiav tshuaj 2 zaug ib hnub twg. Cov tshuaj yog noj los ntawm 11 mus rau 25 hnub ntawm lub voj voog. Yog hais tias ib tug poj niam muaj amenorrhea, ces kev kho mob yog muab raws li tib lub tswv yim, thaum noj tshuaj estrogen. Nws yuav tsum tau nco ntsoov tias thaum kho nrog Duphaston nws tsis pom zoo kom haus dej cawv.
Thaum lub voj voog rov qab los
Ntau tus neeg mob xav tias kev coj khaub ncaws sai npaum li cas tom qab Duphaston, tom qab pes tsawg hnub kev coj khaub ncaws yuav tuaj. Cov kws kho mob qhia kom tsis txhob maj kom tsis txhob siv cov tshuaj - lub sijhawm ntawm kev kho yuav txawv kiag li. Lub sijhawm pom zoo ntawm chav kawm yog los ntawm 1 txog 5 lub hlis. Yog tias qhov ua txhaum cai yog tshwm sim los ntawm cov kev daws teeb meem me me, txhua yam tau rov qab los nyob rau hnub thib peb tom qab cov tshuaj tau tso tseg.
Qee zaum, lub sijhawm tuaj yeem tuaj ua ntej kawg ntawm kev kho mob. Txawm li cas los xij, hauv qhov no, nws raug nquahu kom noj ntxiv, tsis yogdeviating los ntawm cov txheej txheem los ntawm kws kho mob. Qhov no yog qhov tsim nyog txhawm rau txhawm rau txhawm rau hormonal keeb kwm ntawm tus poj niam kom normalize tag nrho.
Reviews
Thaum saib xyuas cov tshuaj noj thiab ua raws li cov cai ntawm kev noj tus neeg mob, lawv pom kev sib raug zoo ntawm Duphaston thiab ovulation. Cov kev tshuaj xyuas sab laug txog cov tshuaj tau sau tseg thaum tsis muaj poj niam cev xeeb tub yog qhov zoo. Cov tshuaj muaj txiaj ntsig zoo hauv feem ntau. Cov poj niam sau hais tias lawv nug tus kws kho mob hauv gynecologist ua ntej seb Duphaston suppresses ovulation. Cais, cov neeg mob nco txog tus nqi pheej yig ntawm cov tshuaj, uas yog pheej yig rau ntau pawg ntawm cov pejxeem.
Zaj lus
Txawm hais tias cov tshuaj tsuas muaj ib qho active ingredient, "Dufaston" zoo kawg nkaus tiv nrog ntau yam teeb meem ntawm poj niam lub cev, pab kom xeeb tub thiab yug me nyuam noj qab nyob zoo. Cov kws kho mob uas sau cov tshuaj pom zoo kom tsis txhob teem sij hawm ywj pheej thiab tiv tauj lub tsev kho mob kom cov tshuaj tau raug xaiv.
