"Menopur": kev qhia, nqi, xyuas, piav qhia, koob tshuaj

Uas yuav tsum tau tshuaj "Menopur"? Cov lus qhia tshuaj, nws ntau npaum thiab cov hau kev ntawm kev siv yog piav nyob rau hauv no tsab xov xwm. Los ntawm nws koj yuav tau kawm, thiab tej pov thawj muaj nyob rau hauv cov tshuaj no, yog hais tias nws muaj tej yam tshwm sim thiab contraindications uas tus neeg mob tham txog nws, dab tsi yog nws nqi thiab li ntawd.

Muaj pes tsawg leeg, hauv daim ntawv ntawm cov tshuaj tso tawm

muag cov tshuaj "Menopur" Nyob rau hauv dab tsi daim ntawv no? Cov lus qhia rau kev siv ntawm cov tshuaj muaj cov ntaub ntawv uas lub active tshuaj los nyob rau hauv daim ntawv ntawm ib tug lyophilizate, uas yog npaj rau kev npaj ib tug tov rau tso dej los yog subcutaneous kev txhaj tshuaj.

Cov tshuaj yog ib tug dawb los yog suab dawb preform tsis muaj tsw. Tsis tas li ntawd txuas mus rau nws tsis muaj kob thiab pob tshab kuab.

Uas muaj ib tug yeeb tshuaj "Menopur"? Instruction hais tias lub active tshuaj yog ib tug yeeb tshuaj follicle thiab luteinizing hormone. Nws kuj muaj xws li cam thiab nyob rau hauv daim ntawv ntawm cov polysorbate 20, lactose monohydrate, sodium hydroxide thiab hydrochloric acid.

Cov kuab yog ib tug tov ntawm sodium tshuaj dawb (isotonic).

Packing khoom

Cov lag luam muaj kev npaj nyob rau hauv vials ntawm 2 ml. Nrog rau nws mus thiab lub hnyav (1 ml ampoule muaj substance). Nyob rau hauv ib thawv yuav tsum muaj 5 los yog 10 poob lawm.

Lub pharmacological kev txiav txim ntawm cov tshuaj

Yuav ua li cas yog cov tshuaj "Menopur"? Cov lus qhia rau kev siv qhia tias cov tshuaj no yog ib tug txhais tau tias ntawm siab purity tib neeg gonadotropin (menopausal). Nws belongs rau cov pab pawg neeg menotoropinov thiab muaj FSH thiab LH nyob rau hauv ib qho ratio ntawm 1 mus rau 1. Lub medicament npaj los ntawm cov zis ntawm postmenopausal cov poj niam.

Thaum lub fairer pw ua ke, qhov no txhais tau hnia endometrial loj hlob, maturation thiab kev loj hlob ntawm zes qe menyuam hauv paus thiab ua rau ib qho kev nce rau hauv cov theem ntawm cov tshuaj no nyob rau hauv cov ntshav.

Raws li rau lub zog txiv neej pw, cov tshuaj no yuav tsub kom tus concentration ntawm testosterone. Ntxiv mus, nws nkoos spermatogenesis los ntawm qhov kev txiav txim nyob rau hauv tubular hlwb (noob).

Cov tshuaj ntawm lub lam khoom

tshuaj "Menopur" ntev npaum li cas yog absorbed? Phau Ntawv Qhia hais tias cov nyiaj pab ntau tshaj concentration ntawm FSH nyob rau hauv cov ntshav yog mus txog tom qab txog 7-24 teev nram qab no intramuscular thawj coj. Tom qab ntawd nws volume maj txo. Lub ib nrab-lub neej ntawm 5-12 teev menotropinov.

Indications rau ntawm kev noj tshuaj

Cov lus qhia mus rau yeeb tshuaj "Menopur" hais tias nws yuav siv tau tsis tsuas cov fairer, tab sis kuj cov neeg sawv cev ntawm lub zog txiv neej pw.

Yog li ntawd, xav txog lub indications rau kev siv rau cov poj niam:

• rau me nyuam cov hom kev kawm (koom haum pab) rau qhov pib ntawm conception (i.e., mus tsim kho follicular txoj kev loj hlob);
• rau cov kev kho mob ntxiv lawm tshob uas yog vim hypothalamic-pituitary mob (rau txoj kev loj hlob stimulation thawj hom follicle).

Vim li cas lub hom phiaj kho tshuaj txiv neej "Menopur"? Cov lus qhia, tswv yim, kev siv yuav tsum hais hauv qab no. Nrog hais txog cov pov thawj, cov suspects muaj xws li cov nram qab no:

• mus tsim kho spermatogenesis (pom zoo yuav tsum tau ua ke nrog tib neeg chorionic gonadotropin yeeb siv tshuaj).

Seb puas muaj cov contraindications nyob rau hauv cov tshuaj?

Thaum twg koj tsis muab cov tshuaj "Menopur" (lyophilisate)? Cov lus qhia rau kev siv muaj xws li cov nram qab no contraindications:

• hypothalamic-pituitary mob cheeb tsam;
• txawv txav kev loj hlob ntawm me nyuam lub nruab nrog, thiab muaj cov uterine fibroids, uas yog incompatible nrog cev xeeb tub;
• kab mob ntawm cov qog adrenal thiab cov thyroid caj pas;
• hyperprolactinemia;
• ntawm zes qe menyuam o (pheej), qhov tshwm sim ntawm cov hlwv (nyob rau hauv cov ntaub ntawv no, yog hais tias tus kab mob no yog tsis txuam nrog polycystic zes qe menyuam syndrome);
• ntawm zes qe menyuam cancer, uterine los yog mammary qog;
• paum los ntshav ntawm tsis paub hais tias keeb kwm;
• Thawj ntawm zes qe menyuam tsis ua hauj lwm;
• cev xeeb tub;
• Cancer ntawm lub prostate caj pas, raws li zoo li lwm yam hlav (androgenozavisimye) tus neeg sawv cev ntawm lub zog txiv neej pw;
• lactation;
• rhiab heev (muaj zog) rau menotropinam thiab cov tshuaj noj uas muaj LH los yog FSH.

Cov tshuaj "Menopur": cov lus qhia rau kev siv, paub daws teeb

Hauj lwm ntawm cov tshuaj tau raug nthuav saum toj no. Nrog hais txog qhov tsab xov xwm seem, ces nws peb yuav qhia rau koj txog nyob rau hauv dab tsi ntau npaum yuav tsum raug xam tias yog ib tug yeeb tshuaj.

Kev npaj yog muab intramuscularly. Ib injectable tshuaj yog npaj cia li ua ntej yuav siv los ntawm kev siv ib tug hnyav uas yog muaj nyob rau hauv cov khoom siv.

Nyob rau hauv cov ntaub ntawv uas, yog hais tias tus kws kho mob tau tsis spelled ib tug txawv kev kho mob, nws yog pom zoo kom ua raws li cov nram qab no cov tswvyim.

cov poj niam

Rau cov kev kho mob ntawm ntxiv lawm tshob uas yog vim muaj cov teeb meem nrog rau cov hypothalamic-pituitary cheeb tsam mus tsim kho txoj kev loj hlob ntawm lub hom follicle thawj koob tshuaj ntawm cov tshuaj yog muab ib lub zuj zus. Lub pom npaum li cas ntawm cov tshuaj thiab ntev ntawm txoj kev kho xaiv raws li peb US ntawm zes qe menyuam, soj ntsuam soj thiab txiav txim rau theem ntawm kev estrogens. Los ntawm txoj kev, lub xeem tus nqi yog raug txiav txim nyob rau hauv lub maturation ntawm lub follicle.

Yog li ntawd yuav ua li cas siv cov tshuaj "Menopur"? Dosing thiab koob tshuaj ntawm cov tshuaj yog ib txwm nyob rau hauv uas xa tuaj nrog cov lus qhia. Tus nqi ntawm cov tshuaj tej zaum yuav 75-150 IU (vial los yog 1-2 tauj ib hnub).

Yog hais tias tsis muaj ntawm zes qe menyuam teb, txhais tau tias lub ntim yog maj nce mus txog rau thaum follicular txoj kev loj hlob thiab nce theem ntawm cov tshuaj no. Qhov no tshuaj yog tshuav unchanged kom txog thaum lub sij hawm ntawd thaum kawg cov ntshav concentration nce mus txog lub preovulatory qhov tseem ceeb. Nrog tus ua txoj nce rau hauv cov tshuaj no ntau nyob rau thaum pib ntawm lub stimulation txhais tau tias nws yog ntshaw kom txo tau cov tshuaj.

Tom qab qhov kawg txhaj tom qab 2 hnub ib zaug muab 5-10 txhiab. IU hCG. Ua rau lub hom phiaj ntawm ovulation induction.

cov txiv neej

Yuav ua li cas yuav tsum muaj zog nrog txiv neej pw yuav siv cov tshuaj "Menopur"? Instruction hais tias mus tsim kho spermatogenesis nyob rau hauv cov txiv neej yuav tsum tau nkag 1-3 txhiab. IU hCG peb lub sij hawm ib lub lim tiam. Ua nws mus rau lub normalization ntawm testosterone ntau ntau. Tom qab ntawd, rau ob peb lub hlis, peb zaug ib lub lim tiam tshuaj rau noj tom 75-150 IU (los yog 1-2 fwj).

Tshwm sim los ntawm siv cov tshuaj teb

Tam sim no uas koj paub ntau npaum li cas cov tshuaj yuav tsum tau muab "Menopur". Kev qhia ntawv, daim ntawv thov kev xyuas uas hais nyob rau hauv no tsab xov xwm. Txawm li cas los, peb nco ntsoov tias cov tshuaj no tej zaum yuav ua rau cov tsos ntawm ib tug xov tooj ntawm cov kev phiv.

• Endocrine system: nce (ntse) cov tshuaj no feem nyob rau hauv cov zis, mastalgia, tus tsim ntawm zes qe menyuam hlwv, moderately mob loj heev ntawm zes qe menyuam o, gynecomastia (tus neeg sawv cev ntawm lub zog txiv neej pw).
• Hnyuv: ntuav, colicky mob, xeev siab.
• Local tshua: liab, o thiab khaus ntawm lub qhov koob txhais tau tias.
• Kev tsis haum tshuaj: daim tawv nqaij sawv pob, kub taub hau, arthralgia, antibody tsim, uas thiaj li muaj qhov hauj lwm zoo ntawm cov kev kho mob.
• Lwm yam: oliguria, koj qhov hnyav nce, tsis tshua muaj ntshav siab, ntau yam uas cev xeeb tub.

Nws yuav tsum tau muab sau tseg tias cov kev siv ntawm cov tshuaj nyob rau hauv kev saib xyuas tej zaum yuav ua rau ntawm zes qe menyuam hyperstimulation syndrome. Los ntawm thaum ntxov tej yam tshwm sim ntawm tej deviations muaj xws li mob (expressed) nyob rau hauv lub plab mog, ntuav, ascites, koj qhov hnyav nce, xeev siab, hypovolemia, ntsha tsis txaus, hydrothorax, nce lub xov tooj ntawm cov ntshav liab, hemoperitoneum thiab thromboembolism.

Cov kev taw qhia nyob rau kev siv ntawm cov nyiaj

Yuav ua li cas koj yuav tsum paub ua ntej yuav siv cov tshuaj "Menopur"? Nco ntsoov, tawm tswv yim lub xeev hais tias ua ntej thawj coj ntawm lub medicament rau tus neeg mob yuav tsum tuav ib tug tsim nyog kho mob (yog tias adrenal insufficiency, concomitant hypothyroidism, hypothalamic-pituitary mob cheeb tsam, hyperprolactinaemia).

Ua ntej yuav pib ntxiv lawm tshob kev kho mob yuav tsum tau mus ntsuam xyuas hauv lub xeev ntawm lub zes qe menyuam. Ua li no, nqa tawm ultrasound thiab xyuas cov qib ntawm estradiol nyob rau hauv cov ntshav. Thoob plaws hauv lub chav kawm ntawm cov kev tshawb fawb yuav tsum tau siv nyob rau hauv ib hnub los yog txhua txhua hnub.

Thov tsum paub hais tias nyob rau hauv lub ntsiab lus teb kev siv ntawm hMG yog qhov yuav tshwm ntawm kev tsim ntawm zes qe menyuam hyperstimulation. Raws li ib tug txoj cai, nws yuav clinically tshwm tsuas yog tom qab thawj coj ntawm cov tshuaj nrog aim ntawm ovulation thiab yog manifested nyob rau hauv daim ntawv ntawm cov tsim ntawm loj hlwv. Nyob rau hauv xws li mob, cov neeg mob tej zaum yuav muaj hydrothorax, ascites, thromboembolic syndrome thiab hypotension.

Thaum tus thawj cov tsos mob ntawm zes qe menyuam hyperstimulation tshuaj kho yuav tsum tam sim ntawd lawm thiab.

Thaum hMG kev kho mob ua hauj lawm yog feem ntau tsim nyob rau ntau yam uas cev xeeb tub.

Cov neeg sawv cev ntawm lub zog txiv neej pw nrog ib theem siab ntawm FSH nyob rau hauv cov ntshav ntawm cov tshuaj yog tsis zoo.

Yuav ua li cas yog tus nqi ntawm cov tshuaj?

Yuav ua li cas npaum li cas yog ib tug yeeb tshuaj "Menopur"? Phau Ntawv Qhia nqi ntawm qhov cuab tam uas hais nyob rau hauv no tsab xov xwm. Tus nqi ntawm cov tshuaj no yog heev. 1 vial ntawm tshuaj uas koj yuav tau them txog 1000-1400 Lavxias teb sab rubles. Xav hauv nruab nrab hoob kawm ntawm kev kho mob yog 5-10 hnub, txoj kev kho nqi ib tug neeg mob yog heev kim.

Tshuaj Xyuas

Muaj ib tug lossis loj npaum li cas ntawm zoo tswv yim rau cov medicament "Menopur". Raws li lawv, cov tshuaj yog zoo cures rau ntxiv lawm tshob, ob peb lub sij hawm ua qhov yuav ua rau muaj conception. Incidentally, ib tug loj tus naj npawb ntawm cov neeg mob tom qab siv ntawm no lub cuab tam yog tsim ntau yam uas cev xeeb tub.

Lub tsuas drawback ntawm cov tshuaj yog suav tias yog nws cov nqi. Feem ntau cov neeg mob yuav tsis muaj nyiaj them xws li ib tug yeeb tshuaj. Txawm tias pharmacists hais tias tus nqi ntawm cov tshuaj no yog kiag li tsis txhaum. Nyob rau hauv qhov tseeb, tom qab nws kom siv yog ib tug lossis loj ntev-awaited sij hawm ntawm conception thiab, raws li ib tug tsim nyog tau, qhov ntev-awaited yug me nyuam ntawm tus me nyuam. Yog li ntawd, feem ntau ntawm cov tub ntxhais hluas uas muaj peev xwm tsis xeeb tub ib tug me nyuam tsis muaj hesitation tau lub tsev no.