Estrogen deficiency thaum lub sij hawm cev xeeb tub ua rau muaj kev loj hlob ntawm atrophic colpitis - kab mob uas ua rau muaj teeb meem ntau rau cov poj niam hnub nyoog 45 xyoos. Tam sim no, lub tuam txhab Belgian tau muab cov tshuaj zoo heev rau kev kho mob ntawm tus kab mob no - Triozhinal. Cov lus teb los ntawm txhua tus neeg uas siv tswm ciab lossis tshuaj ntsiav yog qhov zoo.
Atrophic colpitis: nws yog dab tsi
Atrophic lossis senile colpitis yog ib qho mob ntawm cov phab ntsa ntawm qhov chaw mos thaum lub sij hawm ntawm tus poj niam lub neej, thaum cev xeeb tub. Ntau tshaj 40% ntawm cov poj niam postmenopausal muaj atrophic vaginitis. Postmenopausal atrophic vaginitis tshwm sim vim thinning ntawm phab ntsa ntawm qhov chaw mos, urogenital lossis vaginal atrophy, uas yog vim qhov txo qis hauv cov tshuaj estrogen. Nws feem ntau tshwm sim tom qab menopause.
Cov poj niam uas muaj qhov chaw mos atrophy yog qhov ua rau muaj kab mob hauv qhov chaw mos thiab teeb meem tso zis ntau dua. Koj tuaj yeem hnov cov lus tsis txaus siab los ntawm cov poj niam hais txog qhov mob thaum muaj kev sib deev.
Cov cim qhia ntawm atrophy
Atrophic colpitis yog tshwm sim los ntawm cov tsos mob hauv qab no:
- tsis muaj qhov chaw mos lubrication(qhov chaw mos qhuav);
- kub hnyiab hauv qhov chaw mos;
- ntshav tom qab kev sib deev;
- mob lossis tsis xis nyob thaum nws;
- tso tseg ntawm phab ntsa ntawm qhov chaw mos;
- mob lossis kub hnyiab thaum tso zis;
- tso zis ntau zaus;
- tso zis ntau hmo;
- mob urinary ib ntus;
- urinary incontinence (involuntary lossis stress).
Qee tus poj niam muaj cov tsos mob ntau xyoo ua ntej poj niam cev xeeb tub, qee leej pib yws ntawm lawv tom qab kev ua haujlwm tsis zoo ntawm kev coj khaub ncaws, thaum lwm tus yuav tsis yws hlo li. Tag nrho cov tsos mob no yav dhau los tau kho nrog cov tshuaj estrogen ntshiab lossis tshuaj homeopathic hauv daim ntawv ntsiav tshuaj. Kev kho mob tsis tas yuav ua rau muaj kev ntxhov siab. Hauv yuav luag 80% ntawm cov neeg mob, kev siv tshuaj Triozhinal zoo. Kev tshuaj xyuas tau lees paub qhov txheeb cais no.
Ua rau urogenital atrophy
Qhov ua rau senile colpitis yog qhov txo qis hauv estrogen. Yog tsis muaj estrogen, cov ntaub so ntswg qhov chaw mos thins thiab dries tawm. Nws ua tsis tshua muaj elastic, nkig thiab raug mob yooj yim.
Kev txo qis hauv cov tshuaj estrogen tuaj yeem tshwm sim hauv lwm qhov xwm txheej, suav nrog:
- thaum pub niam mis;
- tom qab spaying (kev phais menopause);
- tom qab mob qog noj ntshav;
- tom qab siv hluav taws xob kho mob qog noj ntshav;
- tom qab kev kho tshuaj hormones oncological txheej txheem ntawm lub mis;
- poj niam yug me nyuamby caesarean section.
Kev haus luam yeeb ua rau cov kab mob tsis zoo ntawm txhua lub cev, suav nrog cov hlwb ntawm qhov chaw mos. Hauv qhov no, tag nrho cov ntaub so ntswg tsis muaj oxygen. Muaj ib tug thinning ntawm lub mucosa, cov ntshav khiav yog txo los yog txwv. Nws yuav tsum raug sau tseg tias cov neeg haus luam yeeb kuj tsis tshua teb rau qhov ncauj tshuaj estrogen. Thiab yog li ntawd, kev siv Triozhinal (tswm ciab) yog kev ncaj ncees. Kev tshuaj xyuas ntawm ntau tus nco ntsoov qhov zoo ntawm cov tshuaj no.
Kev sib deev tsis tu ncua pab txhawb cov hlwb ntawm qhov chaw mos thiab muaj txiaj ntsig zoo rau cov hlab plawv: nws txhim kho lub plawv thiab cov hlab ntsha. Triozhinal kuj tseem ua haujlwm. Cov neeg mob cov lus pov thawj lees paub tias qee cov tsos mob ntawm cov kab mob somatic ploj mus.
Txheeb cais ntawm atrophic mob
Cov ntaub ntawv hais txog qhov tshwm sim ntawm cov tsos mob ntawm tus kab mob no tsis cuam tshuam txog qhov xwm txheej tiag tiag, vim tias feem ntau cov poj niam nyob ntsiag to txog cov teeb meem uas twb muaj lawm. Qhov tshwm sim muaj li ntawm 3% hauv perimenopause mus rau 60% hauv postmenopause ntev tshaj 5 xyoos.
Cov ntsiab lus ntawm "Triozhinal"
Qhov zoo tshaj plaws rau kev kho mob ntawm urogenital atrophy, tshwj xeeb tshaj yog tias nws tau nrog cov kab mob dysuric, yog cov tshuaj "Triozhinal" - tswm ciab. Cov lus pom los ntawm txhua tus neeg uas tau siv nws yog qhov zoo. Cov muaj pes tsawg leeg ntawm "Triozhinal" muaj xws li: estriol nyob rau hauv tus nqi ntawm 0.2 mg, progesterone - 2.0 mg, thiab ib hom ntawm lactobacilli, paub rau ib tug high degree ntawm kev sib raug zoo nrog lub hlwb ntawm qhov chaw mos mucosa. Kev siv tshuaj hormones hauv zosUa ke nrog cov kab mob no, nws muab kev nce qib ntawm Doderlein sticks hauv qhov chaw mos thiab tso cai rau cov tshuaj qhia nws cov nyhuv yuav luag tam sim ntawd, uas ob peb zaug txo qhov kev pheej hmoo ntawm rov tshwm sim ntawm atrophic dysuria. Qhov tsim ntawm qhov chaw mos biocenosis vim yog lactobacilli ua rau nws muaj peev xwm muab kev kho mob zoo rau kev mob plab ntawm qhov chaw mos thiab zais zis ntawm qhov tsawg ntawm estriol.
KOJ
Cov txheej txheem hauv qab no ntawm kev kho mob nrog Trioginal zoo li zoo: 2 lub lis piam, 2 tsiav tshuaj ib zaug, tom qab ntawd 1 tsiav tshuaj 1 zaug hauv ib hnub rau ib lub lis piam. Thiab rau kev kho mob ntxiv, 1-2 ntsiav tshuaj ib lub lis piam yog txaus. Nws tsis tas yuav siv Trioginal tribiotic (capsules) ntev. Kev tshuaj xyuas cov poj niam paub tseeb tias nws txaus los siv nws tsuas yog 3 lub lis piam. Thiab qhov no tso cai rau koj los ntsuas tag nrho cov tsos mob ntawm urogenital atrophy, tshwj xeeb tshaj yog lawv cov tsos mob dysuric, thiab txhim kho lub neej zoo ntawm cov neeg mob.
Kev ua ntawm cov tshuaj "Triogynal"
Kev tshuaj xyuas ntawm cov kws kho mob qhia tias tom qab siv cov tshuaj no, biocenosis ntawm qhov chaw mos yog normalized. Cov nyhuv no tsis yog yam ntxwv ntawm ib qho ntawm cov tshuaj estrogenic siv los kho atrophic colpitis. Nyob rau tib lub sijhawm, tus poj niam sau tseg tias qhov zoo ntawm kev sib deev lub neej tau zoo tuaj. Qhuav, tsis xis nyob thaum muaj kev sib deev ploj mus. Qhov no yog vim lub fact tias cov xaivQhov zoo tshaj plaws hormonal muaj pes tsawg leeg ntawm cov tshuaj "Triozhinal". Kev tshuaj xyuas cov neeg mob qhia tau hais tias qhov mob ntawm qhov chaw mos mucosa yog qhov zoo dua. Qhov no yog vim lub fact tias lub trophism ntawm qhov chaw mos epithelium yog normalized, tus nqi ntawm glycogen nce, uas tso cai rau koj kom tswj tau qhov zoo pH ntawm qhov chaw mos - los ntawm 3.8 mus rau 4.5 microorganisms.
Qhov no yog vim qhov tseeb tias qhov kev pom zoo ntawm estriol hauv Trioginal npaj tau raug xaiv. Cov lus qhia rau kev siv, kev tshuaj xyuas ntawm gynecologists qhia tias tom qab ib lub lim tiam cov txiaj ntsig ntawm 0.2 mg ntawm cov tshuaj estrogen no twb pom lawm, uas cuam tshuam tsis tau tsuas yog qhov chaw mos mucosa, tab sis kuj tag nrho cov kab mob ntawm lub cev xeeb tub. Nyob rau tib lub sij hawm, tsis yog tsuas yog trophism txhim kho, tab sis kuj cov ntshav ncig, qhov zoo ntawm lub ncauj tsev menyuam mucus nce.
2 mg ntawm progesterone, uas yog ib feem ntawm cov tshuaj Trioginal, txhawb kev tsim cov hlwb nruab nrab hauv qhov chaw mos mucosa thiab txhawb kev tsim cov protein thiab glycogen.
Qhov thib peb ntawm Trioginal yog cov kab mob qhuav ntawm Doderlein sticks. Lawv muab ib qho piv txwv ntawm cov sticks hauv qhov chaw mos thiab tiv taus ntau yam tshuaj tua kab mob, uas tiv thaiv qhov tshwm sim ntawm candidal colpitis.
Qhov piv txwv no sawv cev rau kev kho "Triozhinal". Cov lus qhia, kev tshuaj xyuas ntawm gynecologists qhia tias qhov no yog qhov feem ntauqhov kev pom zoo ntawm cov khoom tsim nyog.
txiaj ntsig ntawm "Trioginal"
Tam sim no, cov kws kho mob hais tias qhov ncauj estrogens tsis muaj kev cuam tshuam rau cov tsos mob ntawm qhov chaw mos atrophy. Lawv tsuas yog siv nyob rau hauv cov ntaub ntawv ntawm ib tug ua ke ntawm urogenital atrophy nrog menopausal teeb meem. Cov kev npaj hauv zos uas muaj cov tshuaj estrogens me me yog qhov zoo dua rau kev kho mob ntawm atrophic urogenital disorders, vim lawv tsis cuam tshuam rau tag nrho lub cev thiab tsis ua rau kev noj qab haus huv ntawm cov neeg mob. Cov txiaj ntsig siab tshaj plaws los ntawm kev siv cov tshuaj suppositories, cream, ntsiav tshuaj ntawm qhov chaw mos thiab silicone paum rings tshwm sim los ntawm peb lub hlis ntawm kev kho mob nrog Trioginal.
Kev tshuaj xyuas ntawm cov kws kho mob qhia tias cov tshuaj no muaj cov tshuaj estrogen estriol, uas tsis tshua muaj txiaj ntsig rau tag nrho lub cev ntawm tus poj niam. Tag nrho lwm yam tshuaj rau kev siv hauv zos thiab hauv zos suav nrog cov tshuaj hormones: 17β-estradiol, estradiol acetate, estradiol hemihydrate, conjugated estrogens, estrone. Tag nrho cov ntawm lawv, ntawm kev siv tshuaj ntau, tuaj yeem ua rau muaj kev phiv ntawm lub mis engorgement, xeev siab, ntuav, los ntshav me los ntawm qhov chaw mos, candidiasis, thiab kev puas siab puas ntsws tsis zoo.
Ntau hom estradiol ua rau txoj kev loj hlob ntawm endometrium, thiab yog li ntawd yuav tsum muaj kev ntsuam xyuas txhua xyoo ntawm tus mob ntawm lub tsev menyuam mucosa. Estriol tsis cuam tshuam rau kev ua haujlwm ntawm endometrium thiab tsis ua rau nws hyperplasia. Yog li ntawd, nyob rau hauv cov ntaub ntawv no, cov cuab yeej Triozhinal yog siv. Kev tshuaj xyuas ntawm ntau tus neeg mob qhia tias qhov zookev ua ntawm cov tshuaj no rau lub sijhawm luv luv ntawm nws siv.
Ntawm cov kev mob tshwm sim ntawm kev kho mob nrog Trioginal, tsuas yog mob lossis engorgement ntawm cov qog mammary yuav tsum raug sau tseg. Tsis tshua muaj, muaj lwm cov tsos mob tsis zoo: kub los yog khaus hauv qhov chaw mos, qhov chaw mos qhov chaw mos, edematous syndrome.
YContraindications
Muaj cov npe loj ntawm contraindications rau kev kho mob nrog Trioginal capsules, yog li nws yuav tsum tau coj mus rau hauv tus account qhov txaus ntshai ntawm cov txheej txheem oncological.
Kab mob uas cov tshuaj tau muab tshuaj yog contraindicated:
- mob qog noj ntshav mis;
- hormone-dependent oncological txheej txheem, tshwj xeeb tshaj yog mob qog noj ntshav endometrial;
- mob qog noj ntshav;
- qhov chaw mos los ntshav;
- Yendometrial hyperplasia;
- kab mob siab nrog kev hloov pauv hauv biochemical tsis;
- porphyria;
- hnub nyoog qis dua 18 xyoo;
- thrombosis lossis thromboembolism;
- keeb kwm ntawm lub plawv nres lossis mob stroke;
- lub sijhawm cev xeeb tub;
- pub mis niam;
- malignant arterial hypertension;
- kev tsis sib haum xeeb;
- mob ntshav qab zib mellitus nrog angiopathy;
- kev puas tsuaj loj rau cov hlab plawv;
- rhiab rau cov tshuaj tiv thaiv.
Cov tshuaj yuav tsum tau muab tshuaj nrog ceev faj hauv kev kub siab, endometriosis, kab mob thromboembolism hauv cov txheeb ze; kab mob siab; tsis muaj ntshav qab zib mellitus, cholelithiasis, migraine, qaug dab peg, bronchial hawb pob,Cov kab mob hauv lub cev.
Nrog rau kev siv tib lub sijhawm nrog Phenobarbital, Carbamazepine, Phenytoin, Rifampicin, Rifabutin, Nevirapine, Efavirenz, muaj kev nce hauv kev tawg ntawm estrogens. Qhov no txo qhov ua tau zoo ntawm cov tshuaj. Cov metabolism hauv cov tshuaj estrogen raug txo thaum siv ua ke nrog inhibitors ntawm microsomal daim siab enzymes ("Ritonavir", "Nelfinavir"). Hypericum perforatum npaj kuj ua haujlwm.
Siv Trioginal capsules
Kev tshuaj xyuas hais tias ob peb teev tom qab thov, kev txhim kho tau hnov. Tom qab thawj lub lim tiam ntawm kev nkag, cov tsos mob dysuric ploj mus. Qee tus poj niam nco ntsoov tias Triozhinal pab kho qee yam kab mob gynecological: adnexitis, fibroids, infertility. Kev thov kom raug thiab ua raws li tag nrho cov kws kho mob cov lus pom zoo tso cai siv Triozhinal (tswj tswm ciab) rau kev kho mob ntawm txhua yam kab mob tshwm sim los ntawm estrogen deficiency. Kev tshuaj xyuas tus neeg mob yog pov thawj ntawm qhov no.
Tus nqi ntawm cov tshuaj muaj. Tam sim no cov tshuaj "Triozhinal" yog nyob rau hauv kev thov heev. Cov neeg siv tshuaj xyuas qhia tias cov tshuaj tuaj yeem yuav ntawm lub tsev muag tshuaj, thiab ob lub raj mis txaus rau kev kho mob xwb.
