Izindlela zokuvimbela inzalo amaphilisi "Janine." Yokusetshenziswa, ngempela

Izindlela zokuvimbela inzalo "Janine" amaphilisi zesimanje umthamo ephansi ejenti hormone. Yiba liphinyiselwe nomphumela oqabulayo. Siza ukubhekana nobuhlungu esesikhathini, i-endometriosis siyawina. Kujwayeleke umjikelezo wokuya esikhathini futhi ukuvikela ukukhulelwa okungafunwa. Kufanele zisetshenziswe kuphela kadokotela.

Ukwakheka kanye nefomu wokukhulula izidakamizwa

izindlela zokuvimbela inzalo amaphilisi "Janine" lunezinto ezimbili esebenzayo ethinylestradiol e isamba 0.03 mg kanye dienogest at umthamo 2 mg. Idatha inikezwe njengoba ngamunye capsule.

izingxenye engeziwe lichaza ekwakheni izibhebhe ukhonza monohydrate lactose, talc, amazambane isitashi, gelatin, magnesium stearate. amaphilisi igobolondo siqukethe dextrose, sucrose, povidone K25, macrogol 35000, i-calcium carbonate, carnauba wax titanium dioxide.

Tablets ekhiqizwa ukuma omhlophe nxazonke. Phama amabhamuza 21 into. Ibhokisi amakhadibhodi ingenye noma ezintathu aluminium ibhamuza. Ukuze kube lula lapho ethola ebhaliwe kwithebhulethi ngamunye ngosuku lweviki, kuyasiza owesifazane singalahlekelwa futhi ukuqapha ngokucophelela edonsa amaphilisi.

izici kwemithi

Lokuvimbela Inzalo "Janine" amaphilisi umuthi ziye zathi isinyathelo, okubonakala kuphela ngaphansi isenzo izindlela ezihlukahlukene aphelele. Okokuqala, it is a isixwayiso nge-ovulation kanye izinguquko isimo viscosity we isikhwehlela wesibeletho, ngenxa lapho kubonakala khona nje abangenakudlula kuwo isidoda.

Uma ukusebenzisa imithi ngokuhambisana imiyalelo, le Pearl Inkomba, okutshengisa inani abagada ukhulelwa emva ngokuthatha amaphilisi, awufiki eyodwa. Uma kabi amaphilisi umuthi futhi ukweqa Pearl Inkomba ukhuphuka ngokuqinile.

Dienogest ku "Janine" libhekene umsebenzi anti-androgen. A nomphumela omuhle iphrofayela igazi lipid.

Abesifazane abasebenzisa umuthi elihlangene ngaphakathi, phawula ukuzinza we umjikelezo wokuya esikhathini. Ezinsukwini abagxeka zabo ukhathazeke kancane ngobuhlungu, kuncishiswe inani ocucuzayo, encishisiwe ubude menses. Lokhu kunciphisa ematfuba nesenzakalo e abesifazane yensimbi ukuntula kwegazi, wesibeletho nomdlavuza endometrial.

Dienogest ugxile odongeni emathunjini ngokuphelele. Ubuningi esiphezulu lomcebo asebenzayo egazini waphawula ngemva kwamahora angu-2.5 emva ukusetshenziswa amaphilisi. Bioavailability kuyinto 96% kanye inkathi plasma yayo uhhafu-ukuphila zokhahlamba kusuka amahora 8.5 kuya 10.8. Ingxenye encane izidakamizwa livela azizange zishintshe, kanye umchamo futhi ukushiya kwenqwaba ngesimo metabolites nge izinso endaweni Ingxenye 3: 1.

Ethinyl estradiol, kanye dienogest, has a ukumuncwa ephelele futhi ngokushesha. Umkhawulo plasma lokuhlushwa waphawula ngemva kwamahora angu 1.5-4. Lapho reception wokuqala akheka esibindini, othinta bioavailability yabaphathi, okuyinto ilingana 44%. Ethinylestradiol basakaza ngokuphelele (98%), ngokuhlanganisa ne-albumin. Sihamba biotransformation presystemic esibindini futhi emathunjini amancane. Okwenziwe ngu hydroxylation elimnandi. Ngo angashintshiwe nomzimba womuntu ke kungaveli. Metabolites out Bile kanye nomchamo.

izinkomba

Izindlela zokuvimbela inzalo "Janine" Tablets asetshenziselwa ukuvikelwa ukukhulelwa okungafunwa. Lawa izinkomba esiyinhloko ukusetshenziswa kwezidakamizwa.

Izimo

Umuthi akuyona kudliwe hypersensitivity ukuba izinto asebenzayo futhi izidakamizwa izingxenye ezengeziwe. Musa ukuphuza amaphilisi nge lwemithambo futhi thrombosis emithambo yegazi, thromboembolism. Ban ukusetshenziswa "Janine" ukukhonza isimo ngaphambi kumiswa thromboses. Anikwazi ukuphuza amaphilisi e migraine ephelezelwa ebalulekile imihlola zezinzwa.

Ban ukusetshenziswa amaphilisi kuyinto isifo sikashukela, lapho yezinkinga semithambo waphawula, kanye ematfuba okuvela emithambo yegazi noma lwemithambo thrombosis. Lesi sifo, okubangelwa ngenxa yokulimala we zokugula inhliziyo umphini imithambo ubuchopho, fibrillation atrial, isifo senhliziyo kwemithambo yegazi.

Musa akunikeze imithi uma kokungenela sina kuhlinzwa nomfutho wegazi ophezulu kanye. Akufanele bathathe izidakamizwa iziguli ukubhema eneminyaka engu-iminyaka engu-35.

Musa ethola amaphilisi kubantu abane pancreatitis, isibindi futhi kubangele izifo ezinzima isibindi.

Akubalulekile ukusebenzisa umuthi e khona izimila, ama-hormone engaphansi pathologies abulalayo, kanye uma kukhona izinsolo kancane yobukhona babo emzimbeni. Awukwazi ukusebenzisa ithuluzi ukopha lwesitho sangasese sowesifazane imvelaphi engaziwa. Contraindication ukuze eyamukelayo ukhonza bekhulelwe nangenkathi bencelisa.

Indlela isicelo, umthamo

Izidakamizwa "Janine" lisetshenziswa ngomlomo. Tablets kudingeka ziphuze ngesikhathi esifanayo by the oda ukuthi ngesineke phezu ibhamuza.

Medicine iphilisi elilodwa ngosuku izinsuku ezingamashumi amabili nanye, bese wenza ikhefu nge isikhathi masonto onke. Lesi isikhathi ukuza esikhathini. Khona-ke baqala ukuphuza amaphilisi kusuka iphakheji elisha. Menses izinsuku 2-3 ngemuva kokusebenzisa lokugcina capsule kusukela asemaphaketheni amadala. Ayikwazi ukuqeda nesikhathi lapho ufuna ukuthatha capsule ka amabhamuza entsha.

Ukusebenzisa izidakamizwa ziqala uma enyangeni eyedlule azisetshenziswa nezinye izinto zokuvimbela inzalo, kanye ngosuku lokuqala zokuya esikhathini. Umuthi ingasetshenziswa amahora 2-5 ukopha senyanga, kodwa lokhu kuzodinga izinyathelo zokuphepha ezincane ekukhulelweni ezingadingekile phezu ngesonto elizayo lapho bethatha iphilisi kusuka iphakheji elisha.

Uma ushintsha ukuthi "Janine" nezinye izinto zokuvimbela inzalo kuhlanganiswe kufanele kudliwe capsule ngosuku olulandelayo ngemva kokusebenzisa indlu iphilisi yakamuva noma capsule ngasebenzi kusukela imithi ibhamuza wathola ngaphambili. Break phakathi ukusetshenziswa amaphilisi isembozo abadala nabasha kumele singeqi ngesonto. Uma owesifazane umuthi uhambisana patch transdermal noma indandatho lwesitho sangasese sowesifazane, ukusetshenziswa kufanele uqale ngosuku ukususwa lezi zinto. Ukuhumusha izintokazi nge progestin zokuvimbela inzalo ( "mini-iphilisi") ukuze "UJeanine" kwenziwe noma iluphi usuku ngaphandle kokuthatha ikhefu. Ukushintsha ama kusuka nolwelwesi umuthi noma progestogen yaphathwa utero, ngosuku ukususwa kwabo. Inguquko kusuka umjovo kwenziwe ngesikhathi lapho kulindeleke shot esilandelayo. Kuzo zonke lezi zimo udinga ukusebenzisa ezengeziwe zokuvimbela inzalo ukusetshenziswa "Janine" ngesonto lokuqala.

Leli thuluzi lisetshenziswa emva isisu, owenzeka ngo-senyanga mina. Kulokhu, lo wesifazane kungathatha zomuthi ngokushesha ngemva kwalokhu nqubo. "Janine" bavunyelwe ziphuze ngesikhathi amahora 21-28 emva kokuzalwa nangemva isisu kwenziwe II senyanga. Edilini kamuva amaphilisi kufanele athathe izindlela yokuvikela yonke kube yizinsuku eziyisikhombisa ukusetshenziswa amaphilisi.

Uma owesifazane phambi amaphilisi bebelokhu ocansini, kufanele ayifakiwe ngaphambi kokukhulelwa kungenzeka noma ulinde ukuqala kokuya esikhathini ukusetshenziswa "Janine."

ukweqa amaphilisi

Uma owesifazane aphuthelwe sokuzalwa isilawuli amaphilisi "UJanine," futhi ukubambezeleka akazange singaphezulu kwamahora nambili, umphumela ukuphepha lokhu kusho akuyona encishisiwe. Sidinga ukuthatha iphilisi ngokushesha ngangokunokwenzeka. amaphilisi Okwalandela zisebenzisa evamile.

Uma ulahlekelwa ephilisini, "Janine" yini okufanele uyenze? Uma Ukwephuza ukuthola umuthi amahora angaphezu kwayishumi nambili, ukuvikelwa umuthi kuyehla. Kumele esekelwe imiqondo alandelayo ayatholakala:

• A ikhefu ithebhulethi ukuthatha kumele singeqi izinsuku eziyisikhombisa.
• Ukuze kuzuzwe Ukuvinjwa ephumelelayo ukulawulwa hypothalamic-pituitary-wesibeletho kufanele sithathe izidakamizwa ngokuqhubekayo izinsuku eziyisikhombisa.

Ngezinye ukubambezeleka kokuthola imali amahora angaphezu kuka-12-36 ukuphuza amaphilisi ngokushesha ngangokunokwenzeka, ngisho noma kufanele uphuze amaphilisi amabili ngesikhathi esifanayo. Ngemva kwalokho reception wenziwa isigqi evamile zomuthi. Kuyo yonke sonto, kufanele usebenzise zokuvimbela inzalo engeziwe.

Uma nje ukuya ocansini esasiphambi owesifazane ezingabanjwanga ukuthatha izidakamizwa, kungenzeka inqubo sokukhulelwa.

Uma capsule is wadlulela ngesonto ukusetshenziswa zokuvimbela inzalo hormone yesibili, kubalulekile ngokushesha ngangokunokwenzeka ukuthatha iphilisi. amaphilisi Landelayo ezithathwe ngesikhathi evamile. Uma owesifazane ngesikhathi eledlule awazange ayiphule e iphilisi, asikho isidingo ukusebenzisa izilinganiso asizayo umuthi. Isimo siba esihlukile ukudlula amaphilisi amabili noma ngaphezulu, lapha kuyadingeka ukuze iphendukele letengetiwe zokuzivikela isonto lonke ethola ejenti hormone.

Ngingathola abakhulelwe, ukuthatha izinto zokuvimbela inzalo amaphilisi "Janine"? Cha, uma ungenawo weqa amaphilisi. Yeqa amaphilisi, ikakhulukazi ngesonto lesithathu kwandisa ingozi yokukhulelwa ngenxa budebuduze ikhefu ukusetshenziswa imithi. Uma kwakungekho ikhefu odlule izinsuku eziyisikhombisa sokuthatha izidakamizwa, hhayi izinyathelo yesibili okudingeka ukusebenzisa Ukuvikelwa. Uma kwake kwenzeka ngesikhathi yokwamukela amaphilisi sihamba, bese:

• Iphilisi lady kufanele uphuze ngokushesha ngangokunokwenzeka, ngisho noma ngisebenzisa ezimbili ngesikhathi esisodwa. I capsule elandelayo kuyadingeka ukuze baphuze ngesikhathi evamile, inqobo nje uma zonke amaphilisi iphakethe ibhamuza siphela. Ukwamukelwa amaphilisi kusuka iphakethe entsha kufanele waqala ngokushesha ngaphandle ikhefu esingangesonto. Phakathi nesimiso sokuqondisa izidakamizwa bangezwa zokubona noma ukuphumelela ukopha nemvelo.
• Lady ungakwazi ukumisa ukuthola amaphilisi kusukela isembozo zamanje futhi wenze ikhefu ngesonto ephendukela usuku aphuthelwe amaphilisi, bese uqale ukuthatha amaphilisi, kodwa ka amabhamuza entsha.

Ukukhulelwa ngemva kokuthatha zokuvimbela inzalo amaphilisi "Janine" zingenzeka uma ukuqokwa ukuthi uphuthelwe amaphilisi, futhi phakathi kwesonto-eside break nezikhathi wangafika.

izimo ezikhethekile reception

Uma ukwamukela kusukela asebenzayo amaphilisi izintokazi waphawula kungakapheli amahora amane, uhlanze noma uhanjiswe isisu ke ukumuncwa izidakamizwa akuphelele. Kulokhu, thatha izinyathelo yesibili zokuzivikela futhi baphuze amaphilisi umuthi "Janine" ngendlela efanayo e-amaphilisi aphuthelwe.

Ukuhlehlisa usuku ekuqaleni kwenyanga hhayi ukwenza ikhefu ngesonto futhi kudingeka uqhubeke ukuphuza amaphilisi kusukela amabhamuza entsha ukuze usuku, lapho owesifazane ofuna. Iphakheji yesibili ingasetshenziswa ngokuphelele ngaphandle lady ikhefu wezinsuku eziyisikhombisa. Lapho ethola amaphilisi kusuka ibhamuza ungase uphazamise ukufohla yesibili ukopha futhi ukubeka amabala ezincane. Qhuba ngokuthatha izidakamizwa sibe ngemuva ikhefu esingangesonto.

Uma kungekho nezikhathi lapho ukuphuza amaphilisi umuthi "Janine", lokhu kubonisa ukucindezelwa ngokweqile umsebenzi wesibeletho hormone. Kulokhu, kufanele uxhumane nodokotela wakho ukuze uthole ukuxilongwa oluphelele futhi kutholakale imbangela yokushona lesi simo.

side effects

Kufanele usebenzise izinto zokuvimbela inzalo amaphilisi "Janine" kuphela sikadokotela wezifo zabesifazane. Yokusetshenziswa uchaza ngokuphelele yonke imininingwane izindlela reception. Ngokuvamile, uma usebenzisa izidakamizwa, abesifazane ukubhekana nemiphumela engemihle ezifana ukucanuzela kwenhliziyo, ukuhlanza reflex. Endaweni zangasese kungenziwa izinguquko uketshezi lwesitho sangasese sowesifazane waphawula, imbangela webele isisa ukuvuvukala, ukuzehlukanisa nasenkathazweni webele uketshezi, ukuntula isifiso sobulili.

Futhi, amaphilisi angabangela ezimbi kwemizwelo, ikhanda elibuhlungu, migraine, ukucindezeleka. Phakathi isicelo zomuthi livele chloasma, nokugcinwa uketshezi emzimbeni, oxhumana naye wokudayela lens nokungabekezelelani komzimba.

analogs

Kuye hhayi kuphela umuthi umphumela, kodwa futhi ukuba aphathe iphilisi "Janine." Imiyalelo unamathisele kubo futhi kumele ifundwe ngaphambi kokusebenzisa umkhiqizo wakho. Uma ithuluzi akezi nganoma isiphi isizathu, ke lingakwazi kuthathelwe indawo amaphilisi alandelayo ayatholakala:

• "UYasmin".
• "Jess."
• "Marvelon".
• "Trikvilar".
• "Loveston".
• "Benateks".
• "Chloe."
• "Mikrolyut".

Akubalulekile ukuba esikhundleni izidakamizwa hormone kuphela, ngoba kuphela udokotela ukuhlola isimo empilweni yabesifazane, uzokwazi ukuthola Analogue ofanele ngokulungile.

izindleko

Izindlela zokuvimbela inzalo "Janine" amaphilisi (ngesandla likuchaza ngokuningiliziwe contraindication ukuthi kufanele kubhekwe ngaphambi kokusebenzisa lolu umuthi) zidayisa emabhokisini lapho kukhona amabili iphilisi elilodwa ebhokisini, equkethe ezintathu ibhamuza (amaphilisi 63). I okufana lokuqala itholakala ngaphakathi ruble 800, kwesibili - ruble 2,000.

izindlela zokuvimbela inzalo amaphilisi "Janine": Izibuyekezo

Lesi sidakamizwa has ezihlukahlukene izimpendulo. imicabango yabantu emihle ngendlela amaphilisi bethi 100% evikelwe sokukhulelwa, aphathe i-endometriosis, polycystic syndrome esibelethweni kanye Hyperplasia yezindlala. Siza kulesetayelekile nomjikelezo wokuya esikhathini, ukususa izimpawu PMS. Abesifazane bathi kanye lapho yamukelwa, abazi isisindo, kodwa kunalokho, ulahlekelwe isisindo. Ezinye isimo ngokuphawulekayo ngcono izinwele isikhumba. Lezi zintokazi abangu ejabulela izidakamizwa bese uqhubeke ukulawula lokuzalwa amaphilisi "Janine."

Izibuyekezo ezingezinhle uqaphele ukuthi leli thuluzi kungabangela imiphumela emibi, kuhlanganise ikhanda, ukuhlanza reflex, ukucanuzela kwenhliziyo, ubuhlungu endaweni isibindi, kwehle libido, ukushintshashintsha kwemizwelo, amehlo ukulungiswa isikhathi kanye ukwesulwa, webele isisa ukopha isikhathi eside. Iziguli eziningi bathi abasakwazi eqolo zokuvimbela inzalo amaphilisi "Janine."

Uphenyo odokotela mayelana izidakamizwa ogxile omuhle. Bavame siyincomela endometriosis, izinhlumba, ngokuba ukuzinza we umjikelezo wokuya esikhathini, kanye esikhathini okubuhlungu futhi ezisindayo. Bakubheka njengenjabulo okuhle umthamo ephansi ejenti hormone ongavikela ngokugcwele ekukhulelweni bengafuni.