Nrog hnub nyoog, qib ntawm estrogen hauv tus poj niam lub cev pib txo qis. Qhov no ua rau muaj ntau cov tsos mob uas ua rau tsis xis nyob. Cov no yog hmo ntuj tawm hws, nce hauv subcutaneous rog, kub siab, dryness ntawm qhov chaw mos mucosa, urinary incontinence. Hormone replacement therapy (HRT) yuav pab kom tsis txhob muaj qhov tsis zoo li no. Cov tshuaj muaj peev xwm tshem tawm cov tsos mob ntawm menopause thiab txo qhov kev pheej hmoo ntawm cov teeb meem cuam tshuam nrog lub sij hawm tsis muaj zog. Cov tshuaj xws li Klimonorm, Klimadinon, Femoston, Angelik. Nrog kev ceev faj heev, HRT yuav tsum tau nqa tawm nrog kev mob ntshav qab zib. Cov tshuaj tiam tshiab tsuas yog muab los ntawm tus kws kho mob gynecologist uas tsim nyog.
Klimonorm tso tawm daim ntawv
Cov tshuaj muaj nyob rau hauv cov tshuaj anticlimacteric. Nws yog tsim nyob rau hauv daim ntawv ntawm ib tug dragee ntawm ob hom. Thawj hom dragee yog daj. Cov ntsiab lus tseem ceeb hauv cov tshuaj yog estradiol valerate 2 mg. Qhov thib ob hom dragee yog xim av. lub ntsiabestradiol valerate 2 mg thiab levonorgestrel 150 mcg raug txiav txim siab. Cov tshuaj tau ntim rau hauv hlwv ntawm 9 lossis 12 daim txhua.
Nrog kev pab los ntawm cov tshuaj no, HRT feem ntau ua nrog kev mob ntshav qab zib. Cov tshuaj tiam tshiab muaj kev tshuaj xyuas zoo hauv feem ntau. Kev mob tshwm sim tsis tshwm sim yog tias koj ua raws li tus kws kho mob cov lus pom zoo.
Kev ua ntawm cov tshuaj "Klimonorm"
"Klimonorm" yog ib qho tshuaj sib xyaw ua ke uas tau sau tseg kom tshem tawm cov tsos mob ntawm tus poj niam cev xeeb tub thiab muaj cov tshuaj estrogen thiab progestogen. Ib zaug hauv lub cev, cov tshuaj estradiol valerate hloov mus rau hauv estradiol ntawm lub hauv paus chiv keeb. Cov tshuaj levonorgestrel ntxiv rau cov tshuaj tseem ceeb yog kev tiv thaiv ntawm endometrial cancer thiab hyperplasia. Ua tsaug rau qhov tshwj xeeb muaj pes tsawg leeg thiab cov txheej txheem tshwj xeeb, nws muaj peev xwm los kho cov poj niam cev xeeb tub hauv cov poj niam uas tsis tau tshem tawm tom qab kev kho mob.
Estradiol tag nrho hloov cov tshuaj estrogen hauv lub cev thaum lub sijhawm cev xeeb tub. Pab daws cov teeb meem vegetative thiab puas siab puas ntsws uas tshwm sim thaum cev xeeb tub. Nws kuj tseem tuaj yeem ua rau qeeb qhov tsim ntawm wrinkles thiab nce cov ntsiab lus ntawm collagen hauv daim tawv nqaij thaum HRT nrog menopause. Cov tshuaj pab txo qis tag nrho cov roj cholesterol thiab txo qhov kev pheej hmoo ntawm kev mob plab hnyuv.
YPharmacokinetics
Thaum noj qhov ncauj, cov tshuaj tau nqus hauv plab hauv lub sijhawm luv. Hauv lub cev, cov tshuaj yog metabolized los tsim estradiol thiab estrol. Twb nyob rau hauvTsis pub dhau ob teev, qhov siab tshaj plaws kev ua haujlwm ntawm tus neeg sawv cev hauv plasma tau pom. Cov tshuaj levonorgestrel yuav luag 100% khi rau cov ntshav albumin. Nws tawm hauv cov zis thiab me ntsis hauv cov kua tsib. Nrog rau kev saib xyuas tshwj xeeb, nws yog ib qho tsim nyog los xaiv cov tshuaj rau HRT nrog menopause. Cov tshuaj nyob rau theem 1 yog suav hais tias muaj zog thiab tuaj yeem txhim kho qhov kev sib deev ncaj ncees tom qab 40 xyoo. Klimonorm kuj yog cov tshuaj no.
Indications thiab contraindications
Cov tshuaj siv tau rau hauv cov xwm txheej hauv qab no:
- tshuaj hloov tshuaj hormone rau menopause;
- kev hloov pauv hauv daim tawv nqaij thiab cov mucous ntawm cov kab mob genitourinary;
- tsis txaus tshuaj estrogen thaum lub sijhawm cev xeeb tub;
- tiv thaiv kab mob osteoporosis;
- normalization ntawm lub voj voog txhua hli;
- txheej txheem kho rau thawj thiab theem nrab amenorrhea.
Contraindications:
- ntshav tsis cuam tshuam rau poj niam;
- pub mis niam;
- hormone dependent precancerous thiab mob qog noj ntshav;
- mob qog noj ntshav mis;
- kab mob siab;
- mob thrombosis thiab thrombophlebitis;
- hypersensitivity rau cov khoom xyaw;
- hypotension;
- kab mob ntawm lub tsev menyuam.
HRT tsis yog ib txwm qhia rau kev laus. Cov tshuaj tshiab tiam tshiab (cov npe tau hais los saum toj no) tsuas yog tau sau tseg yog tias kev mob ntshav qab zib tau nrog rau kev tsis zoo ntawm kev noj qab haus huv.poj niam.
KOJ
Yog tias kev coj khaub ncaws tseem nyob, ces kev kho mob yuav tsum pib rau hnub thib tsib ntawm lub voj voog. Nrog amenorrhea thiab menopause, cov txheej txheem kev kho mob tuaj yeem pib txhua lub sijhawm ntawm lub voj voog, nrog rau kev tsis suav nrog cev xeeb tub. Ib pob nrog cov tshuaj "Klimonorm" yog tsim los rau 21-hnub noj. Txoj kev kho yog qaug cawv raws li cov txheej txheem hauv qab no:
- thawj 9 hnub tus poj niam noj tshuaj daj;
- 12 hnub tom ntej - xim av dragees;
Tom qab kev kho mob, kev coj khaub ncaws tshwm sim, feem ntau yog hnub thib ob lossis thib peb tom qab noj tshuaj zaum kawg. Muaj kev so rau xya hnub, thiab tom qab ntawd koj yuav tsum haus cov pob tom ntej. Dragee yuav tsum tsis txhob zom thiab ntxuav nrog dej. Nws yog ib qho tsim nyog yuav tau noj cov tshuaj ntawm ib lub sijhawm, tsis txhob hla.
Nws yog ib qho tseem ceeb kom ua raws li HRT txoj cai rau kev ua poj niam. Cov tshuaj tiam tshiab tuaj yeem muaj kev tshuaj xyuas tsis zoo. Koj yuav tsis muaj peev xwm ua tau raws li qhov xav tau yog tias koj tsis nco qab noj cov tshuaj raws sijhawm.
Thaum siv tshuaj ntau dhau, qhov tshwm sim tsis zoo xws li plab zom mov, ntuav thiab los ntshav uas tsis cuam tshuam nrog kev coj khaub ncaws tuaj yeem tshwm sim. Tsis muaj cov tshuaj tiv thaiv tshwj xeeb rau cov tshuaj. Nyob rau hauv cov ntaub ntawv ntawm overdose, kho cov tsos mob yog muab.
Drug "Femoston"
Cov tshuaj belongs rau pab pawg ntawm cov tshuaj tiv thaiv menopausal. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm ob hom. Hauv lub pob koj tuaj yeem pom cov tshuaj dawb nrog lub plhaub zaj duab xis. Cov khoom tseem ceeb yog estradiol ntawm koob tshuaj 2 mg. Tsis tas li, thawj hom suav nrog cov ntsiav tshuaj grey. Cov tshuaj muaj estradiol 1 mg thiabdydrogesterone 10 mg. Cov khoom yog ntim rau hauv hlwv ntawm 14 pieces txhua. Hom thib ob suav nrog cov ntsiav tshuaj liab uas muaj estradiol 2 mg.
Nrog kev pab los ntawm qhov kev kho no, kev hloov kho feem ntau ua tiav. Nrog kev saib xyuas tshwj xeeb raug xaiv, yog tias peb tham txog HRT nrog menopause, tshuaj. Kev tshuaj xyuas "Femoston" muaj qhov zoo thiab qhov tsis zoo. Cov lus zoo tseem yeej. Cov tshuaj tso cai rau koj tshem tawm ntau yam kev mob menopausal.
Action
"Femoston" - ob-theem ua ke tshuaj rau kev kho mob tom qab yug menyuam. Ob lub ntsiab lus ntawm cov tshuaj yog analogues ntawm poj niam txiv neej cov tshuaj hormones progesterone thiab estradiol. Qhov kawg rov ntxiv cov khoom ntawm cov tshuaj estrogen thaum cev xeeb tub, tshem tawm cov tsos mob ntawm cov nroj tsuag thiab lub siab lub ntsws, thiab tiv thaiv kev txhim kho pob txha.
Dydrogesterone yog ib qho progestogen uas txo qhov kev pheej hmoo ntawm hyperplasia thiab mob qog noj ntshav hauv tsev menyuam. Cov tshuaj no muaj estrogenic, androgenic, anabolic thiab glucocorticoid kev ua. Thaum nws nkag mus rau hauv lub plab, nws yog sai absorbed muaj thiab ces tag metabolized. Yog hais tias HRT raug qhia rau kev laus, Femoston thiab Klimonorm yuav tsum tau siv ua ntej.
Indications thiab contraindications
Cov tshuaj yog siv nyob rau hauv xws li mob:
- HRT thaum lub caij ua poj niam thiab tom qab phais;
- tiv thaiv kab mob osteoporosis cuam tshuam nrog menopause
Contraindications:
- xeeb tub;
- lactation;
- mob qog noj ntshav mis;
- malignant qog uas yog tshuaj hormone-dependant;
- porphyria;
- thrombosis thiab thrombophlebitis;
- hypersensitivity rau cov khoom xyaw;
- mob ntshav qab zib mellitus;
- mob ntshav siab;
- Yendometrial hyperplasia;
- migraine.
Pab txhim kho kev noj qab haus huv ntawm HRT nrog rau kev mob ntshav qab zib. Kev tshuaj xyuas tshuaj feem ntau yog qhov zoo. Txawm li cas los xij, koj yuav tsum tsis txhob siv yam tsis tau ntsib kws kho mob ua ntej.
KOJ
Femoston ntsiav tshuaj uas muaj estradiol ntawm koob tshuaj 1 mg yog noj ib hnub ib zaug tib lub sijhawm. Kev kho mob yog ua raws li lub tswv yim tshwj xeeb. Thawj 14 hnub yuav tsum tau noj cov ntsiav tshuaj dawb. Qhov seem 14 hnub - tshuaj ntsuab ntxoov ntxoo.
Pink ntsiav tshuaj uas muaj 2 mg estradiol yog qaug cawv rau 14 hnub. Rau cov poj niam uas tseem tsis tau tawg lub voj voog kev coj khaub ncaws, kev kho mob yuav tsum pib rau thawj hnub los ntshav. Rau cov neeg mob uas muaj lub voj voog tsis sib xws, cov tshuaj tau muab tshuaj tom qab kev kho ob lub lis piam nrog Progestogen. Rau txhua tus neeg, thaum tsis muaj kev coj khaub ncaws, koj tuaj yeem pib haus cov tshuaj txhua hnub. Nws yog ib qho tsim nyog yuav tsum tau ua raws li kev kho mob kom tau txais txiaj ntsig zoo ntawm HRT nrog rau kev mob ntshav qab zib. Cov tshuaj tshiab tiam tshiab yuav pab ua kom poj niam zoo thiab ua kom nws hluas.
Klimadinon npaj
Cov tshuaj yog hais txog kev txhim kho kev noj qab haus huv thaum cev xeeb tub. Nws muajphytotherapeutic muaj pes tsawg leeg. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tee. Cov ntsiav tshuaj liab nrog cov xim av xim av. Cov muaj pes tsawg leeg muaj qhuav extract ntawm cimicifuga 20 mg. Cov tee muaj cov kua extract ntawm cimicifuga 12 mg. Cov tee yog xim av xim av thiab tsw tsw ntawm ntoo tshiab.
Indications:
vegetative-vascular disorders txuam nrog cov tsos mob menopausal
Contraindications:
- hormone dependent qog;
- kev hloov pauv lactose intolerance;
- yuav haus cawv;
- hypersensitivity rau Cheebtsam.
Koj yuav tsum ua tib zoo kawm cov lus qhia ua ntej pib HRT nrog rau kev laus. Kev npaj (patch, tee, tshuaj) tsuas yog siv raws li kev pom zoo ntawm tus kws kho mob gynecologist.
Cov tshuaj "Klimadinon" tau sau ib ntsiav tshuaj lossis 30 tee ob zaug ib hnub. Nws yog ntshaw kom ua raws li kev kho mob tib lub sijhawm. Kev kho mob nyob ntawm tus kheej yam ntxwv ntawm lub cev.
Drug "Angelique"
Hais txog cov tshuaj uas siv los kho tus mob menopause. Muaj nyob rau hauv daim ntawv ntawm grey-pink ntsiav tshuaj. Cov tshuaj muaj xws li estradiol 1 mg thiab drospirenone 2 mg. Cov khoom yog ntim rau hauv hlwv, 28 pieces txhua. Tus kws kho mob tshwj xeeb yuav qhia koj yuav ua li cas coj HRT kom zoo nrog rau kev mob ntshav qab zib. Cov tshuaj tiam tshiab yuav tsum tsis txhob siv yam tsis muaj kev sab laj ua ntej. Kev kho tshuaj Hormone tuaj yeem ua rau muaj txiaj ntsig thiab tsis zoo.
Tshuajmuaj cov ntawv nyeem hauv qab no:
- menopausal hormone hloov kho;
- tiv thaiv kab mob osteoporosis hauv menopause.
Contraindications:
- los ntshav los ntawm qhov chaw mos uas tsis paub keeb kwm;
- mob qog noj ntshav mis;
- mob ntshav qab zib mellitus;
- mob ntshav siab;
- thrombosis.
Nyob rau lub caij tsis muaj hnub nyoog, ntau tus kws kho mob gynecologists pom zoo HRT rau kev laus. Cov tshuaj tiam tshiab yog ib qho tshuaj zoo heev rau cov poj niam tshaj 45.
Khoom noj tshuaj Angeliq
Ib pob siv sijhawm 28 hnub. Ib ntsiav tshuaj yuav tsum tau noj txhua hnub. Nws yog qhov zoo dua los haus cov tshuaj tib lub sijhawm, tsis txhob zom thiab haus dej. Kev kho mob yuav tsum tau ua yam tsis muaj qhov khoob. Kev tsis saib xyuas cov lus pom zoo yuav tsis tsuas yog ua rau muaj txiaj ntsig zoo, tab sis kuj tuaj yeem ua rau qhov chaw mos los ntshav. Tsuas yog ua raws li cov txheej txheem yuav pab ua kom lub cev tsis muaj zog thaum lub sij hawm HRT nrog rau lub cev tsis muaj zog.
Tshiab tiam tshuaj ("Angelik", "Klimonorm", "Klimadinon", "Femoston") muaj ib tug tshwj xeeb muaj pes tsawg leeg, ua tsaug uas nws muaj peev xwm los kho cov poj niam hormonal tsis txaus.
Climara thaj
Cov tshuaj no tuaj hauv daim ntawv uas muaj 3.8 mg ntawm estradiol. Cov cuab yeej oval-puab yog glued mus rau thaj tsam ntawm daim tawv nqaij zais hauv qab khaub ncaws. Nyob rau hauv tus txheej txheem ntawm kev siv thaj ua rau thaj, lub active ingredient yog tso tawm, txhim kho tus mob ntawm tus poj niam. Tom qab 7 hnub, cov khoom yuav tsum tau muab tshem tawm thiab ib tug tshiab glued mus rau lwm qhov chaw.
Cov kev mob tshwm sim los ntawm kev siv thaj chaw tsim kho tsis tshua muaj. Txawm li cas los xij, cov tshuaj hormonal yuav tsum tau siv tom qab kev sab laj nrog kws kho mob.
Kev tshuaj xyuas txog HRT cov nyiaj
Cov tshuaj tiam tshiab uas siv los kho cov tshuaj hormone hloov kho tuaj yeem kho cov poj niam txoj kev noj qab haus huv thaum cev xeeb tub. Lawv muaj kev tshuaj xyuas zoo los ntawm cov poj niam tshaj 45 xyoos. Cov tshuaj nyob rau hauv ib lub sij hawm luv luv txo cov neeg mob ntawm vegetative thiab psycho-lub siab xav, lawv kuj yog ib tug zoo heev tiv thaiv ntawm osteoporosis. Tag nrho cov khoom tau txais txiaj ntsig zoo thiab tsis muaj tshuaj lom.
Cov kws kho mob tshwj xeeb nco ntsoov tias tom qab kev kho mob, kev coj khaub ncaws ntawm cov poj niam normalizes, daim tawv nqaij tau txais ib qho ntxoov ntxoo noj qab haus huv thiab ua du thiab sib tw. Cov qib roj cholesterol hauv cov ntshav txo qis. Cov wrinkles me me yog smoothed tawm ntawm lub ntsej muag, cov neeg mob muaj lub siab zoo thiab lub zog ntawm lub zog. Cov ntsiav tshuaj thiab dragees yog ib qho yooj yim mus noj, raws li lub tswv yim. Tag nrho cov ntawm lawv muaj lub plhaub tiv thaiv uas tsis ua rau lub plab mucosa. Cov tshuaj hormone patch kuj nrov.
