Leej twg pab "Dufaston" kom cev xeeb tub? "Dufaston": cov lus qhia rau kev siv thaum npaj cev xeeb tub

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

Ib puag ncig muaj kuab paug, noj zaub mov tsis zoo, raug kev ntxhov siab tas li tsis muaj txiaj ntsig zoo tshaj plaws rau poj niam noj qab haus huv. Txhua xyoo ntau thiab ntau tus poj niam tau ntsib nrog qhov tsis muaj peev xwm xeeb tub thiab yug tus menyuam noj qab nyob zoo. Qhov ua rau cov teeb meem no tuaj yeem ua tau ntau yam kab mob. Qee tus ntawm lawv tsis tuaj yeem kho tau, thiab cov tsev neeg yuav tsum tau mus rau cov kev pabcuam ntawm cov niam txiv, hauv vitro fertilization. Tab sis ua tsaug rau kev nce qib hauv cov tshuaj niaj hnub no, feem ntau ntawm cov teeb meem no tuaj yeem daws tau nrog kev pab ntawm cov tshuaj tshwj xeeb. Ib tug ntawm lawv yog Duphaston. Cov tshuaj no tau ua pov thawj nws tus kheej los ntawm qhov zoo tshaj plaws, hauv kev kho mob muaj ntau tus poj niam uas tau pab los ntawm Duphaston kom cev xeeb tub thiab yug me nyuam noj qab nyob zoo. Dab tsi yog qhov essence ntawm cov tshuaj? Peb yuav tham ntxiv txog yuav ua li cas conception tshwm sim ntawm Duphaston.

Poj niam deev poj niam

Kom nkag siab tias Duphaston cuam tshuam li cas rau kev xeeb tubme nyuam, koj yuav tsum to taub lub mechanism ntawm tus poj niam reproductive system. Kev coj khaub ncaws yog tsim los ntawm ob lub ntsiab poj niam cov tshuaj hormones - estrogen thiab progesterone. Progesterone yog tsim los ntawm zes qe menyuam thiab qog adrenal thaum lub sijhawm thib ob ntawm kev coj khaub ncaws thiab ua lub luag haujlwm tseem ceeb hauv cov txheej txheem fertilization, cev xeeb tub thiab kev coj khaub ncaws.

Nyob rau hauv thawj ib nrab ntawm lub voj voog, muaj ntau ntau cov tshuaj estrogen, nrog rau nws pab cov follicles paub tab, tus tseem ceeb sawv tawm ntawm lawv, uas tom qab ntawd yuav dhau los ua qe. Qhov thib ob ib nrab ntawm lub voj voog pib nrog ovulation, thaum lub sij hawm lub follicle ruptures. Tom qab ntawd cov ntsiab lus progesterone nce mus txog nws qhov txiaj ntsig siab tshaj plaws, thiab lub qe tawm hauv cov follicle hauv kev cia siab ntawm cov phev. Nyob rau ntawm qhov chaw ntawm rupture ntawm lub follicle, tsim ntawm corpus luteum tshwm sim, nws tswj cov qib siab ntawm progesterone hauv cov ntshav. txaus progesterone nyob rau theem no tseem ceeb heev thiab muaj ntau lub hom phiaj:

• tus qauv ntawm lub tsev me nyuam phab ntsa ua xoob, npaj kom tau txais lub qe fertilized;
• lub tsev menyuam ua kom zoo, tsis ntsws, tiv thaiv tus menyuam hauv plab los ntawm kev tsis lees paub;
• cov qog mammary twb pib npaj rau kev tsim mis nyuj, lawv cov duab thiab ntim hloov pauv;
• kev xav ntawm tus poj niam yog so, nws yooj yim los tswj kev xav;
• Lub tsev menyuam nthuav dav raws li qhov xav tau ntawm tus menyuam hauv plab.

Lub luag haujlwm twg progesterone ua si

Nws yog ntawm cov khoom no uas tag nrho cov txheej txheem ntawm kev xeeb tub yog nyob ntawm fertilization ntawm lub qe musyug. Tsis muaj progesterone ua rau tsis muaj peev xwm xeeb tub lossis yug menyuam hauv plab. Yog tias tus poj niam tsis tuaj yeem xeeb tub tau ntev, nws muaj kev coj khaub ncaws tsis zoo lossis yav dhau los nchuav menyuam, tom qab kev kuaj xyuas tiav thiab kev pom zoo ntawm qhov tsis muaj cov tshuaj no, tus kws kho mob gynecologist tau sau Duphaston. Yog li, Dufaston cuam tshuam li cas rau kev xav, nws ua lub luag haujlwm dab tsi hauv lub cim nco txog no?

Cov khoom xyaw nquag

Nyob rau hauv infertility, cov tshuaj no yog siv los ua ib qho kev hloov pauv rau "kev xeeb tub" tshuaj hormones. Lub ntsiab active ingredient ntawm cov khoom yog dihydrogesterone, nyob rau hauv nws cov qauv nws yog ze li sai tau rau ntuj.

Yav dhau los, cov khoom siv dag zog zoo sib xws tau txais los ntawm txiv neej cov tshuaj hormones. Ntawm chav kawm, noj cov tshuaj no provoked ib tug lossis loj tus naj npawb ntawm cov kev phiv: txiv neej hom plaub hau, ib tug hloov nyob rau hauv lub timbre ntawm lub suab, hormonal tsis ua hauj lwm. Paub txog cov kev paub dhau los no, cov poj niam niaj hnub no ntshai tsam noj tshuaj hormonal, tab sis tam sim no qhov xwm txheej txawv kiag li.

Ntawm technologies tau ua kom tau txais cov tshuaj tiam tshiab, nws tsis muaj kev cuam tshuam zoo li no rau poj niam cov tshuaj hormonal. "Dufaston" tag nrho them rau qhov tsis muaj progesterone, txawm tias tsis muaj qhov tseem ceeb.

Txawm li cas los xij, haus ntau npaum li cas "Dufaston" kom cev xeeb tub, tsuas yog tus kws kho mob tuaj yeem hais tau. Kev noj tshuaj thiab lub sijhawm ntawm kev tswj hwm yog xam tus kheej rau txhua tus neeg mob. Yog li ntawd koj yuav tsum tsis txhobtsom ntsoov rau qhov kev paub ntawm cov poj niam uas "Dufaston" pab kom cev xeeb tub ua ntej.

Indications rau nkag

Muaj cov lus qhia meej rau kev teem caij ntawm "Dufaston":

• endometriosis - ib kab mob uas muaj cov ntaub so ntswg uterine overgrowth, muaj qeeb ntawm kev coj khaub ncaws;
• muaj menyuam tsis taus vim tsis muaj lutein;
• hem nchuav menyuam vim tsis txaus cov qib progesterone;
• menstrual irregularity;
• uterine los ntshav;
• hormonal tsis ua hauj lwm tom qab phais.

Hauv lwm lo lus, txawm tias koj muaj qhov pom tseeb hormonal tsis ua haujlwm, kev coj khaub ncaws tsis zoo, kev tswj hwm tus kheej ntawm Duphaston yog qhov tsis txaus ntseeg. Tsuas yog ib tus kws kho mob uas tsim nyog, tom qab ua tiav kev kuaj pom tseeb tias kev xeeb tub yog qhov tshwm sim ntawm kev cuam tshuam ntawm kev tsim cov tshuaj progesterone, sau Dufaston ua kev hloov kho.

Contraindications rau noj

Zoo li txhua yam tshuaj, Duphaston muaj contraindications rau kev siv:

• hypersensitivity rau cov khoom xyaw;
• mob raum tsis ua haujlwm;
• cim kev ua xua: khaus, tev tawm, ua pob;
• lub sijhawm lactation.

Kev mob tshwm sim thaum noj

Cov teebmeem tshwm sim thaum siv Duphaston:

• kiv taub hau;
• mob taub hau;
• ntshav qab zib;
• xeev siab thiab ntuav;
• vaginal los ntshav;
• daim siab mob;
• khaus, urticaria, oQuincke;
• xim av tawm thaum cev xeeb tub.

"Dufaston": cov lus qhia siv thaum npaj cev xeeb tub

Yuav kom cov tshuaj muaj cov txiaj ntsig xav tau, nws yog qhov yuav tsum tau ua kom raug suav cov tshuaj thiab cov tswv yim ntawm nws cov kev tswj hwm. Puas muaj peev xwm xeeb tub tom qab "Duphaston"? Qhov tseeb, koj tuaj yeem ua tau. Txawm li cas los xij, tsis muaj universal tshuaj kho regimen. Tsis muaj cov lus qhia meej rau kev siv "Duphaston" thaum npaj cev xeeb tub. Nws yog txwv tsis pub siv rau koj tus kheej lub sij hawm teem ntawm lwm tus neeg mob los yog tus kheej-medicate. Cov lus qhia rau kev siv tsuas yog cov lus qhia dav dav, yog li tsuas yog tus kws kho mob tuaj yeem hais tias yuav haus Duphaston li cas rau kev xeeb tub hauv txhua kis.

Yog tias cov tshuaj noj thaum lub sijhawm tsis raug ntawm lub voj voog, nws ua raws li kev tiv thaiv kab mob. Synthetic progesterone tshem tawm kev xeeb tub tsuas yog tias qhov ua rau nws tsis muaj.

Feem ntau "Dufaston" raug tshuaj rau ntu thib ob ntawm lub voj voog: hnub tom qab ovulation thiab ua ntej pib kev coj khaub ncaws. Kev tshem tawm tsuas yog tshwm sim thaum tsis muaj cev xeeb tub. Txhawm rau kom paub tseeb tias qhov no, koj yuav tsum tau tos koj lub sijhawm lossis kuaj cev xeeb tub, koj tuaj yeem pub ntshav los txiav txim siab qib hCG. Yog tias koj tsis noj cov tshuaj ua ntej kuaj pom cev xeeb tub, qhov dhia dhia hauv cov tshuaj hormones yuav ua rau muaj kev tshaib plab thiab tsis lees txais tus menyuam hauv plab.

Txhawm rau ua tiav cov txiaj ntsig siab tshaj plaws, "Dufaston" raug tshuaj rau rau lub hlis. Yog tias kev kho mob txuas ntxiv rau ntau tshaj ib xyoos yam tsis tau txais txiaj ntsig, ces nws yuav tsum tau tham nrogtus kws kho mob hloov kho thiab rov kuaj dua.

Yuav ua li cas

Raws li tau hais lawm, kev kho mob yog tus kheej, tab sis muaj cov ntsiab cai dav dav rau kev sau tshuaj. Nrog rau kev xeeb tub los ntawm endometriosis, 10 mg yog muab peb zaug ib hnub tsis tu ncua lossis hnub 5-25 ntawm lub voj voog.

Yog tias luteal insufficiency ua rau infertility, 10 mg ntawm Duphaston yog muab rau hnub 14-25 ntawm lub voj voog. Kev cuam tshuam ntawm kev kho mob nyob rau hauv rau lub voj voog yog contraindicated. Tom qab kev kho mob, nws raug nquahu kom kho txuas ntxiv hauv thawj 2-3 lub hlis tom qab xeeb tub.

Yog tias muaj kev hem thawj ntawm kev nchuav menyuam, noj 40 mg ntawm Duphaston ib zaug thiab 10 mg txhua 8 teev kom txog thaum cov tsos mob ploj.

Yog tias tsis ua raws li kev coj khaub ncaws, 10 mg yog muab rau hnub 11-25 ntawm lub voj voog.

Tom qab pib cev xeeb tub, nws raug txwv tsis pub noj tshuaj sai li sai tau, txij li thaum lub sijhawm cev xeeb tub, cov tshuaj hormones qis zuj zus, thaum lub cev luteum hloov nws txoj haujlwm mus rau qhov placenta. Nyob rau hauv tus txheej txheem ntawm kev npaj cev xeeb tub, Duphaston kho cov qib ntawm progesterone thiab txhawb nqa implantation ntawm embryo.

Thaum kuaj xyuas, xaiv lub sijhawm zoo rau kev sim, vim tias qib ntawm progesterone txawv nyob ntawm theem ntawm lub voj voog. Pub ntshav nyob rau nruab nrab ntawm theem ob, nws yog qhov zoo tshaj plaws los xaiv ib hnub ntawm ovulation thiab qhov pib ntawm kev coj khaub ncaws. Yog tias koj lub caij nyoog tsis zoo, saib xyuas koj lub voj voog los ntawm kev ntsuas koj lub cev kub txhua txhua tag kis. Yog tias qhov no ua tsis tau, sim ob zaug ntawm lub sijhawm kwv yees nrog lub sijhawm ntawm ob peb hnub.

Kuv puas yuav tsum kho tom qab cev xeeb tub?

Thaum lub sijhawm kho nrog Duphaston, hluavtaws progesterone tsim cov xwm txheej hauv tsev menyuam uas muaj txiaj ntsig zoo rau kev sib txuas thiab kev loj hlob ntawm lub embryo. Cov neeg uas "Dufaston" pab kom cev xeeb tub, hauv lawv cov kev txheeb xyuas nco ntsoov tias tom qab qhov tshwm sim ntawm qhov tshwm sim ntev, nws tsis tuaj yeem so thiab nres kev kho mob. Ntawm qhov tsis sib xws, kev kho mob tau txais lub zog. Qhia rau koj tus kws kho mob tam sim ntawd txog kev xeeb tub, raws li koj tus mob, nws yuav txiav txim siab seb puas yuav kho ntxiv lossis hloov cov tswv yim.

Cov nyhuv ntawm "Duphaston" nyob rau theem ntawm kev xeeb tub yog qhov sib txawv tshaj li thaum npaj. Yog li ntawd, yuav tsum tau hloov koob tshuaj. Progesterone cuam tshuam rau cov leeg nqaij ntawm lub tsev menyuam, tiv thaiv nws cov contraction, txo cov suab nrov. Ua tsaug rau cov tshuaj no, tus poj niam lub cev muab cov xwm txheej rau kev xeeb tub hauv plab, txo qis kev pheej hmoo ntawm nchuav menyuam.

Cov khoom xyaw nquag ntawm cov tshuaj so cov hnyuv, npaj lub mis rau lactation, cev xeeb tub yog muab tso rau hauv thawj qhov chaw ntawm lub cev thiab lub siab lub ntsws. Nws yog ib qho tseem ceeb uas Duphaston pab tsis tau tsuas yog nrog tsis muaj progesterone thaum lub sij hawm xeeb tub, tab sis kuj nrog kev hem thawj ntawm nchuav menyuam thaum ntxov ntawm cev xeeb tub.

Yog tias cev xeeb tub tau tshwm sim vim qhov kev txiav txim ntawm Duphaston, qhov tsim nyog ntawm nws qhov kev noj haus ntxiv, lub sijhawm thiab koob tshuaj yog sib tham nrog tus kws kho mob. Nws yuav daws cov teeb meem no tom qab kuaj ultrasound thiab kuaj.

Thaum twg yog lub sijhawm tshem tawm?

Los ntawm 18-20 lub lis piam, qib progesterone dhau losruaj khov, nws cov khoom raug coj los ntawm cov placenta, thiab noj cov tshuaj yuav tsis tsim nyog. Lub lim tiam 20, lub cev xeeb tub muaj peev xwm tswj hwm nws tus kheej cov qib hormonal thiab tswj kev xeeb tub.

Tab sis txawm tias tam sim no nws tsis tuaj yeem tso tseg sai sai ntawm Duphaston. Lub cev yuav tsum maj mam kawm kom ntxiv cov progesterone reserves ntawm nws tus kheej. Kev tshem tawm sai sai ntawm cov tshuaj yuav ua rau poob qis hauv qhov concentration ntawm cov tshuaj hormones hauv cov ntshav, kev tshaib plab ntawm cov placenta thiab nce lub suab ntawm lub tsev menyuam.

Yog tus kws kho mob hais kom teem sijhawm

Yog tias koj tus kws kho mob hais kom koj pib noj Dufaston tom qab ovulation kom xeeb tub, tsis txhob tawm tsam nws. Cov tshuaj no, txawm tias nws cov khoom hluavtaws, muaj kev nyab xeeb rau cov poj niam thiab menyuam yaus thiab tau ua pov thawj nws cov txiaj ntsig tau ntau xyoo. Ntau tus poj niam hauv Russia thiab txawv teb chaws tau dhau los ua niam ua tsaug rau cov tshuaj no. Koj lub luag haujlwm tseem ceeb yog nrhiav tus kws tshaj lij uas muaj peev xwm xaiv tau tus kheej txoj cai rau kev noj tshuaj, thiab tso siab rau nws.

Txhawm rau tiv thaiv koj tus kheej los ntawm cov kev mob tshwm sim, koj yuav tsum noj cov tshuaj tsuas yog tom qab sab laj nrog kws kho mob, kuaj xyuas lub cev kom zoo thiab nruj raws li kws kho mob cov tshuaj. Nrog rau kev siv cov tshuaj kom raug, qhov txiaj ntsig zoo yog lav. Nws tuaj yeem hais tsis meej tias cov poj niam uas "Duphaston" tau pab cev xeeb tub tau ua raws li cov kev coj cwj pwm zoo li no.