"Estrozhel": mirayiridzo kushandiswa, rondedzero rekugadzirira, analogs, nemishonga

Hazvina chakavanzika nokuda climacteric chirwere dzinoratidzwa autonomic-vascular, mupfungwa uye metabolic uye kwemakemikari anobudiswa zvinetso zvinomuka kubva naka pabonde ane zvachose zera involution pamusoro muviri, uyewo pamusoro pakanyorwa zvishoma nezvishoma kutsakatika hormone ovarian ushande.

Iyi yakaoma nokuti vakadzi vanovapisira vanonzwa inopisa flushes kune musoro, yokumusoro muviri uye maoko.

Uyezve, zviratidzo kubereka zvinosanganisira kunyanya kushatirwa, kushaya hope, kuora mwoyo, kushaya simba uye kunzwa kugara vachitya. Kazhinji, naka pabonde anochinja kudya kunokanganisa migraine, vertigo, uyewo ane kunyanya vangadikitira, edema uye vasospasm.

Wokumborerutsa womukadzi ezvinhu, zvinodhaka makambani vakatanga kubereka protivoklimaktericheskie zvinodhaka. Inonyatsobudirira aya anosanganisira mushonga akadai "Estrozhel". Reviews (munguva kubereka ndiyo nzira ushandiswe kakawanda) vanoshandisa zvichakurukurwa pazasi. Uchadzidzawo sei kushandisa akati chinodhaka, sei tinorasikirwa, uye zvichingodaro.

Description, akafanana, kavha uye kusunungurwa fomu

vakatengesa mushonga "Estrozhel" In ipi? Reviews vakadzi vanoti mushonga anogona kuwanikwa muchimiro transdermal gel. Hazvina Hauoneki, yakajeka, uye ane munhuwi panyaya iyi.

The vanoshingaira wemafuta mumiririri uyu anoita estradiol. Ebetsero zvinhu medicament rine carbomer, panyaya iyi, trolamine uye mvura Yakanatswa.

Kugadzirira "Estrozhel" (gel) iri wenyama akaita sepombi aruminiyamu. Also kwaisanganisira chinokosha applicator pakupa.

pharmacological zvinhu

Ndechipi gel "Estrozhel"? Instructions ari kushanda kunoratidza kuti hormone mumiririri, izvo zvinoita nokuda kushaya inonzi estrogen mumuviri mumwe mukadzi.

Nemhaka ayo unorapa mushonga uyu ane estrogenic basa. Mwari akaronga chete kwokunze kana kukamura uchishandisa kushanda.

Pakurapa chivako ichi muna naka pabonde yekudyidzana kwakaderedza zviratidzo kuenda kumwedzi urwere, kusanganisira kuora mwoyo, mapundu, kupisa flushes uye kusangana nekutsi kwemukadzi kuoma.

In yayo kunotoda kunyatsoshanda pakurapa postmenopausal zviratidzo vaiona mishonga asingadi kubvuma kurapwa pamwe nemumuromo inonzi estrogen mishonga. Uyezve, kana kushandisa ichi chishandiso varwere kuenda kumwedzi kwakaratidza tava kuderera pamusoro pezvakaitwa kuti kuderedza arambe achirema pakati mafupa tishu.

Akapedzawo kurapa kunobatsira kuderedza nhamba remafuta akawandisa.

Hatigoni kutaura kuti zvinodhaka "Estrozhel", mitengo iri pasi apa, ane procoagulant kunyatsoshanda. It kunoderedza uwandu antithrombin III uye anowedzera hepatic kwetunhu K-zvaanoda kweropa nevamiririri.

pharmacokinetic ehupfumi

Kana mishonga wefodya "Estrozhel"? Reviews vanamazvikokota vanoti mushure kushanda gel rikauya nokukurumidza zvikuru evaporating ari panyaya iyi, apo estradiol pakarepo chinopinda ganda. A guru chikamu zvinodhaka pakarepo anopinda systemic kuparadzirwa, uye duku - iri rakaramba mune subcutaneous mafuta, rinova asunungurwa zvishoma nezvishoma.

Mushure dzemo kushandiswa gel kunonyanyisa wevasungwa kuti estradiol muropa vakachengeta pashure maminitsi 180-240. The bioavailability zvinodhaka ndiko 82%.

Viewed medicament haisi pasi mugumisiro "vanopfuura wokutanga", chinopa yepamusoro yeplasma wevasungwa kuti estradiol tichienzanisa nemumuromo analogues.

Kushaya hanya pamusoro estradiol wayo metabolic kusanduka kungofanana nevaya nokuda chete dzinongoitika inonzi estrogen.

Zvairatidza kuti kushanda chinhu gadziriro zvekunze

Nokuti chinangwa zvinodhaka "Estrozhel" anogona kushandiswa? Mirayiridzo dzokushandisa inoratidza kuti chingamubatsira ichi inokurudzirwa kuderedza kana kubvisa zviratidzo zviri climacteric urwere, kusanganisira artificially vakafurira kubereka. Mukuwedzera, mushonga mu mubvunzo inowanzoshandiswa nokuda kudzivirirwa uye Mabatirwo osteoporosis panguva kubereka.

Contraindications

Unozviziva kana uchifanira kushandisa gel "Estrozhel"? Mirayiridzo dzokushandisa inoshuma kuti paMhedziso contraindications venyika chokushandisa ichi zvinosanganisira zvinotevera ezvinhu:

• Rotor urwere;
• ischemic kana haemorrhagic sitiroko;
• chenjera thrombophlebitis kana thromboembolism;
• panguva pamuviri;
• uterine ropa pamusoro isingakwanisi mavambo;
• renal kukundikana;
• achiyamwa;

• ; Johnson - urwere Dubin
• inonzi estrogen-nemataundi malignancies kana fungidziro dzavo pamberi;
• hypersensitivity;
• benign kana nyanyisa mapundu pamusoro pituitary;
• Serious chiropa chirwere ari rikwanise chokutambudzika, chiropa namamota, uye jaundice.

Kunyatsoverenga kushandiswa medicament

Kana ndirege kushandisa gel "Estrozhel" nokungwarira kwakanyanya? Guest nyanzvi vanoti pamusoro zvinotevera ezvinhu:

• leiomyoma;
• coronary tsinga chirwere;
• endometriosis;
• vachivavhiringidza kuti chiropa basa;
• pfungwa nomuviri zvemwana asati;
• chirwere cheshuga;
• migraine;
• pfari;
• asima;
• mhuri hyperlipoproteinemia;
• hepatic porphyria;
• anogumbura chirwere dzokubereka nadzo dziri naka pabonde;
• akacherechedza pamberi jaundice, kusanganisira kuratidza kwayo mukufamba wokupedzisira pamuviri;
• trombozay, thrombophlebitis kana thromboembolism (zvichienzaniswa inonzi estrogen kurapwa);
• neBP kwazvo;
• zvokurwara gallbladder uye cholelithiasis (nhoroondo);
• hypercalcemia chokuita pfupa metastases kuti zamu rinenge riri namamota;
• kweropa zvirwere.

Gel "Estrozhel": mirayiridzo kushandiswa

Viewed kugadzirira rinoshandiswa chete topically. Muchiitiko ichi rinoshandiswa akaramba kana cyclically. Duration kurapwa uye chipimo chemushonga zvinodhaka vanosarudzwa nomumwe.

Imwe dose kuti gel "Estrozhel" (2,5 g) rine 1.5 MG ose estradiol.

Pakurapa kubereka zviratidzo dzakaratidza kuraswa kushandisa mushonga pazuva iri mari pa dose. Gel akanga thinly kupararira pamusoro ganda munharaunda yacho lumbar nharaunda, honokono, dumbu kana mafudzi, uye vanomirira ayo Mhedziso kubvisa.

Nzvimbo ganda apo mushonga rakaiswa, haangakoni zvishoma pane nzvimbo vaviri maoko murwere.

Nokuti yakarurama chokupika mafomu pamwe inonyatsobudirira mugumisiro kunoratidzwa ne Absorção de Água zvinodhaka mumaminitsi 3. Panguva iyoyowo ndichengetedze stickiness pashure kushanda chete dose zvinodhaka kwemaminitsi 5 kunoratidza kusava nzvimbo yaishandiswa ganda.

Shandisa mishonga anofanira murwere (mangwanani kana manheru). Shandisa gel ndiyo waifadza yakapfuura vakachenesa cover.

nemishonga

Ndezvipi pasingadiwi Migumisiro kuitika mushure kushandiswa "Estrozhel" gel? Reviews revakadzi dzinoshuma marwadzo:

• ganda nokushatiriswa ganda Flushing, nomusoro uye kutemwa nemusoro;
• Zvinyamusi, uye dzungu;
• nehanya uye kuwedzera kukura mammary omumuviri, kurwadziwa kwavo, menorrhagia, amenorrhea, budiriro ropa;
• namamota ari mammary omumuviri, wakawedzera libido, smearing kusangana nekutsi kwemukadzi zvinoyerera, kusanganisira intermenstrual nguva;
• fufune, nduru dundira mhingaidzo, kuda kurutsa, kurutsa, hepatitis, epigastric marwadzo, kudya pfungwa nomuviri zvemwana asati;
• cholelithiasis, cholestatic jaundice, manyoka, dumbu chinyamunhari chinorwadza, bloating;
• thromboembolism, kuonana izvo kusashivirira, uremu kuchinja, peripheral edema;
• wakawedzera BP, neutachiona (kusanganisira urticaria uye kuvaviwa ganda), kuonana dermatitis.

Zvose izvi marwadzo akataurwa asi zvakaneta. Kakawanda kuitika mukutanga mumatanho yokurapa uye akapotsa kumbobvira zvinoda discontinuation kurapwa.

Zviratidzo ovhadhozi

Chii chichaitika kana yakawanda yacho zvinodhaka "Estrozhel" (sei kushandisa nzira iyi, hatina kuudzwa apa)? Kana dzakakwirira mishonga yacho medicament murwere kuda kurutsa uye kurutsa, uyewo kuva uterine ropa. In paumbwe zvezviratidzo izvi kushandisa gel pakarepo amira.

Kudyidzana nevamwe zvinodhaka

Zvinoita chokubatanidza nevamwe zvinodhaka zvinodhaka "Estrozhel" (gel)?

• Yakafanana kushanda antihypertensive uye hypoglycemic nevasori, uye anticoagulants vanogona kubudirira kwavo, izvo zvinoda kudzokorora dosing utongi.
• Tikafunga "Estrozhelya" uye zvinodhaka lipid-richikwidibira kunotungamirira kuti rakawedzera mugumisiro yokupedzisira.
• With mawa kushandisa zvinodhaka zviri inducers pamusoro microsomal chiropa makemikari (semuenzaniso, "rifamycins", "Carbamazepine", "griseofulvin" uye barbiturates), yeplasma estradiol anogona kudukupiswa.
• Kushandiswa gel kunoderedza kubudirira diuretics uye vanhurume mahormone.
• Kushandiswa mawa zvinodhaka, opioid analgesics uye zvinodhaka zvinoshandiswa kungopa yokutindivadza, Inowedzera muviri kuti estradiol.
• The akabatana vamwe mishonga (kusanganisira "Rifampicin" uye "ampicillin"), uyewo "phenylbutazone" kunoderedza yeplasma kuwanda estradiol.
• Mawa kurapwa pamwe folic asidhi uye thyroid kemikari kunowedzera estradiol migumisiro nzira.

chaizvo kurumbidza

Drug "Estrozhel" unoshandiswa zvachose hazvitenderwi panguva yepamuviri. Zvinofanira kucherechedzwa kuti pamberi pokushandisa gel vakadzi vanofanira kuva nechokwadi kuti munhu gynecological kuongorora zvizere. With kushandisa zvinodhaka kwenguva refu, nzira dzakadaro yaifanira kanenge kamwe pagore.

Maererano kurumbidza nyanzvi kurapa iri advantageously kuitwa akabatana estradiol, progestin kurapa. Kubatana kwakadaro achadzivirira endometrium.

Zvinofanira kudzivirira mucosa kuti vulva uye nyinyo, uyewo ganda iri chityu kubva kuwana pavari vaiona zvinodhaka.

Refu kushandiswa kwezvinodhaka, kusanganisira mukuru mishonga, kunowedzera mukana nebandauko endometrial kenza.

Kana uchida zvokuwedzera kuvhiyiwa, iyo inonzi estrogen kurapa inofanira vakarega kwevhiki 4-6 pamberi.

"Estrozhel" haafaniri kushandiswa panguva nokuronga pamuviri. Zvinofanira kucherechedzwa kuti yezviri medicament asingadi nhumbu zvivako uye hakutadzisi pamuviri.

Zvinodhaka "Estrozhel" uye "Utrozhestan" - mubatanidzwa akakwana. Nokuda urongwa uhwu unhu murwere upenyu panguva kubereka yekudyidzana hwakavandudzika.

Kwaunoita uye zvakafanana kugadzirira

How kuzhinji gel "Estrozhel"? Mutengo mumiririri uyu anenge 700 rubles. Kana waida, rinogona kutsiviwa zvimwe zvinodhaka zvakadai se "Estrokad", "Esterlan", "Estrovagin", "Ovestin", "Sinestrol", "Kolpotrofin", "ethinylestradiol", "Elvagin", "Ovipol Clio", "Pauzogest "," Klim "uye vamwe.

anodzokorora vakadzi

The naka pabonde uchishandisa nzira zvakazorodza kuenda kumwedzi zviratidzo, vachimusiya chete nyaya dzinovaka. Vanoona yakakwirira Kushanda kwayo uye duku kakawanda nekuomarara nemishonga ichienzaniswa nemumuromo dzomuzana.

Other nounhu mushonga zvinosanganisira yaro yakakodzera dosing mashandiro, kushaya tackiness pashure nzira uye kufambira Absorção de Água kupinda ganda.