Ntsiav tshuaj "Silhouette": xyuas ntawm cov kws kho mob, phau ntawv qhia. Yug tswj tshuaj yog "Silhouette": xyuas ntawm endometriosis

Nyob rau hauv peb era, ib tug poj niam muaj cai los mus npaj lawv tus kheej cev xeeb tub. Qhov no yuav ua tau ob peb txoj kev, tab sis ib tug ntawm cov feem ntau yooj yim thiab zoo - yog hormonal pov.

Thawj txhais tau tias rau kev tiv thaiv cev xeeb tub nyob rau hauv cov ntsiav tshuaj muaj ib tug es feem coob ntawm cov active tshuaj thiab inevitably ua rau sab los xws li koj qhov hnyav nce. Niaj hnub nimno hormonal contraceptives yog txawv nyob rau hauv uas lub koob active muaj nyob rau hauv lawv yog negligible. Nws tso cai rau ib tug poj niam kom koj qhov ceeb thawj nyob rau hauv kev tswj. Ntxiv mus, lub qhov ncauj contraceptives ntawm ib tug tshiab tiam yog tau ho txhim kho cov mob ntawm daim tawv nqaij thiab cov plaub hau, tshem tawm me me o thaum lub sij hawm ua poj niam.

"Silhouette" Ib tug ntawm cov niaj hnub cuab yeej rau kev tiv thaiv ntawm pliaj me nyuam yog ib ntsiav tshuaj. Comments txog cov tsheb no ua tau raws li ib tug ntau yam. Wb tsom xam nyob rau hauv kom meej li cas nta ntawm cov tshuaj no.

Yog hais tias peb xav txog tus kws khoom los ntawm lub standpoint ntawm kev soj ntsuam teej tug mus rau cov pab pawg neeg, ces nws yog monophasic contraceptive nrog antiandrogenic zog, npaj rau qhov ncauj thawj coj.

Nyob rau hauv dab tsi daim ntawv no yog ua?

Yug tswj tshuaj yog "Silhouette", uas xyuas feem ntau txoj kev zoo, yog dawb, puag ncig biconvex zoo engraved "G53" rau ntawm ib sab. Cov hlwv muaj 21 pcs.

cov tshuaj

Ib tug ntsiav tshuaj formulation muaj cov nram qab no lub ntsiab active cov khoom xyaw:

• Ethinylestradiol nyob rau hauv ib tug npaum li ntawm 30 mg.
• Dienogest nyob rau hauv ib tug concentration ntawm 2 mg.

Tsis tas li ntawd nyob rau hauv lub thiab koom haum pab khoom xyaw: lactose monohydrate, maize starch, hypromellose, talc, poov tshuaj polyarylate thiab magnesium stearate.

Raws li cov tshuaj ua hauj lwm zoo?

Ntsiav tshuaj "Silhouette", xyuas uas qhia nws ntsuam rau cov poj niam, yog ib tug neej coj lub cuab tam nrog ib tug cov lus hais anti-androgenic nyhuv. Nyob rau hauv nws cov qauv muaj cov tshuaj hormones ethinylestradiol, uas muaj cov kev ua ntawm cov tshuaj no thiab dienogest, uas yog ib tug progestogen. Qhov no contraceptive muaj cov nram qab zog nyob rau hauv ib tug poj niam lub cev:

• Nws cheeb ovulation.
• Tsub kom lub viscosity ntawm lub ncauj tsev menyuam hnoos qeev.
• Hloov peristalsis ntawm txoj hlab qe menyuam.
• Nws converts cov qauv ntawm cov endometrium.

Ob lub ntsiab active tivthaiv nyob rau hauv ua ke nrog rau txhua lwm yam muaj ib tug txo nyhuv ntawm androgens nyob rau hauv ntshav.

Muaj ntau cov poj niam ntsiav tshuaj "Silhouette" (testimonials - ntawv pov thawj) yuav pab tau tiv nrog me ntsis pob txuv teeb meem, thiab seborrhea.

Lawm dienogest tshuaj yog ib tug derivative ntawm norethisterone. Nws yog tsawg tshaj li 10 lub sij hawm affinitiven mus rau lub progesterone receptor tshaj li lwm hluavtaws tshuaj ntawm no pab pawg neeg. Nta dienogest - hais tias nws twb tsis muaj androgenic, glucocorticoid thiab mineralocorticoid zog. Lub ywj siab siv ntawm no lawm nyob rau hauv ib tug ntau npaum ntawm 1 mg ib hnub twg ua rau yus txo ovulation.

Yuav ua li cas contraceptive tshuaj?

Raws li hais ua ntej lawm, cov ntsiav tshuaj "Silhouette", xyuas uas hais lus rau nws tej chaw, muaj ob tug active tshuaj, uas coj nyob rau hauv tib neeg lub cev nyob rau hauv ntau txoj kev.

Ethinylestradiol thaum tso tawm rau hauv lub me me hnyuv sai absorbed thiab nce mus txog nws tshaj plaws concentration tom qab xwb 1.5-4 sij hawm. Ib tug tseem ceeb feem ntawm cov tshuaj yeeb dej caw yog metabolized los ntawm lub siab. Qhov taw qhia meej bioavailability ntawm ethinyl estradiol yog 44%. Qhov no cov ntaub ntawv uas yog 98% uake rau albumin ntawm cov ntshav tsub kom lub concentration ntawm globulin. Qhov no protein uake nrog txiv neej pw cov tshuaj hormones. Nyob rau hauv lub thib ob ib nrab ntawm cov tshuaj kom tsawg kawg sau tau nyiaj pab ntau tshaj equilibrium cov ntsiab lus ntawm ethinyl estradiol.

Qhov no tshuaj yog metabolized nyob rau hauv lub plab hnyuv mucosa thiab siab los ntawm uas muaj ntxhiab hydroxylation nrog ib tug loj tus naj npawb ntawm derivatives. Tso zis neej puas khoom los ntawm lub siab thiab ob lub raum nyob rau hauv ob ua sawv:

• Keeb kwm ntawm 1 hr.
• Qhov thib ob lub sij hawm yog 10-20 teev.

Ethinylestradiol unaltered los ntawm tib neeg lub cev yog tsis outputted.

Dienogest kuj absorbed rau hauv cov hlab ntsha los ntawm cov plab hnyuv phab ntsa thiab nce mus txog nws tshaj plaws concentration tom qab xwb 2.5 teev tom qab kom tsawg ntawm contraceptives. Nws ob leeg nrog ethinylestradiol bioavailability yog 96%. Dienogest uake xwb los albumin. Nws equilibrium ib txhis ntshav concentration yog tiav tsis pub dhau 4 hnub ntawm kev kho mob.

Dienogest yog metabolized txoj kev hydroxylation thiab glucuronidation. Cov khoom ntawm no lwj tsaug zog thiab sai sai tawm hauv lub ntshav ntshav.

Dienogest nyob rau hauv ib tug me me npaum li cas nyob rau hauv ib tug unchanged daim ntawv tas los ntawm ob lub raum. Nrog tau ntawm 0.1 mg / kg ntawm tshuaj txog 86% tas nyob hauv cov thawj 6 hnub ntawm txoj hnyuv thiab lub raum, thiab cov thawj hnub nyob rau hauv cov zis tshem tawm txog 42% ntawm cov khoom.

Yuav ua li cas txhaj koob tshuaj ntawm cov tshuaj yuav tsum tau npaum li cas?

Yug tswj tshuaj yog "Silhouette", xyuas uas yog zoo, yuav tsum muab txhua txhua hnub nyob rau hauv ib tug tej lub sij hawm. Yog hais tias tsim nyog, koj muaj peev xwm haus dej haus ib me me ntawm cov dej. Nco ntsoov soj ntsuam qhov kev txiav txim nyob ntawm lub pob.

Cov tseem ceeb Guide kom raug txais lub "Silhouette" (ntsiav tshuaj) - kev qhia ntawv. Xyuas ntawm no contraceptive tham txog cov nyob rau ntawm qhov kev nthuav qhia txoj kev siv nyob rau hauv daim txoj kev. Nws muaj lub tswvyim raws li uas npaj ib ntsiav tshuaj noj ib zaug ib hnub twg tshaj ib lub sij hawm ntawm 21 hnub. Tom ntej no yog ib tug xya-hnub so ua ntej koj pib ib lub tshiab pob ntawm cov tshuaj. Thaum lub sij hawm no lub sij hawm, tsis muaj ib "ntsoos ntsoos los ntshav". Feem ntau qhov no tshwm sim pib tom qab 2-3 hnub tom qab kawg ntsiav tshuaj thiab yog ua kom tiav nyob rau hauv 4-5 hnub. Thaum no tus taw tes, nws yog tsim nyog yuav tau txais rau ntsiav tshuaj ntawm tshiab hlwv.

Muaj yog ib qho tseem ceeb nuance uas characterizes thawj zaug txais tos ntawm cov ntsiav tshuaj "Silhouette". Cov lus qhia rau kev siv (tswv yim rau cov kws kho mob nyob rau hauv kev lees paub) qhia qhov yuav tsum tau rau qhov ncauj contraceptives nyob rau hauv lub 1 hnub ntawm kev coj khaubncaws. Qhov no mob yog tsim nyog rau cov neeg uas tsis tau yav tas los thov lub hormonal contraceptives, los yog tsis tau siv cov tshuaj no ib hlis los yog ntau tshaj.

Nta ntawm qhov ncauj contraceptives

Yog hais tias muaj yog ib txoj kev hloov los ntawm ib tug ua ke contraceptive qhov ncauj daim ntawv thov nyob rau hauv cov "Silhouette" ntsiav tshuaj, cov lus qhia rau kev siv, tiag tiag cov kws kho mob pom zoo kom koj thawj noj cov tshuaj nqa tawm nyob rau hauv lub li ib txwm lub sij hawm tom ntej no hnub tom qab kawg ntsiav tshuaj twb tau muab siv.

Yog hais tias koj yuav tau mus nrog contraceptives muaj tsuas progesterone, nws yuav ua tau nyob rau hauv tej kev yooj yim hnub. Yog hais tias tus neeg mob yuav tshem cog, xws li cov Navy, tib hnub uas nws yuav muab lub "Silhouette". Yog hais tias ib tug poj niam yuav siv sij hawm yug me nyuam tswj nyob rau hauv daim ntawv ntawm cov tshuaj thiab txiav txim siab los mus nyob rau hauv contraceptive piav tableted, thawj koob tshuaj ntawm nws yuav tsum coj ib lub sij hawm thaum npaj ib tug txhaj yog yuav tsum tau ua.

Yog hais tias ib tug poj niam tau muaj ib tug nchuav menyuam nyob rau hauv lub 1 peb lub hlis uas cev xeeb tub, thiab nws npaj rau kev mus noj tshuaj ntsiav tshuaj "Silhouette", cov lus qhia, xyuas, thiab cov tswv yim ntawm cov kws kho mob qhia tau tam sim ntawd siv ntawm tus kws khoom. Yog hais tias lub rho menyuam coj qhov chaw nyob rau ib tug tom qab hnub tim, ces muaj yog ib tug yuav tsum tau siv sij hawm ib tug so nyob rau hauv txoj Hauj Lwm 21-28 hnub thiab siv hnab yas looj thaum lub sij hawm lub sij hawm no.

Yuav ua li cas yog tias ib tug ntsiav tshuaj yog tu?

Nyob rau hauv rooj plaub yog tias qhov kev ncua nyob rau hauv kev txais tos tsis pub tshaj 12 teev, pov lub dag lub zog yog tsis txo. Ib tug poj niam yuav tsum tau siv cov ntsiav tshuaj sai li sai tau, thiab yuav tsum tau qaug dej qaug cawv nyob rau li ib txwm lub sij hawm.

Nyob rau hauv cov ntaub ntawv uas, yog tias qhov kev ncua yog lub sij hawm lub sij hawm ntau tshaj li 12 teev, nws yuav tsum khiav lag luam raws li cov kev cai ntawm nkag contraceptive:

• Koj muaj peev xwm tsis cuam tshuam rau kev siv cov nyiaj ntau tshaj li ib lub lim tiam.
• Nyob rau hauv kev txiav txim rau cov tshuaj ua hauj lwm, koj yuav tsum yog tsawg kawg yog 7 hnub ntawm uninterrupted txais tos.

Yog li ntawd, cov kws kho mob muab cov nram qab no:

• Yog hais tias koj kis tau tus txais tos coj qhov chaw nyob rau hauv thawj lub lim tiam ntawm kev siv yeeb tshuaj, cov poj niam yuav tsum coj ib tug ntsiav tshuaj sai li sai tau, thiab yuav tsum tau noj nyob rau li ib txwm lub sij hawm. Nyob rau tib lub sij hawm koj yuav tau siv hnab looj nyob rau hauv lub lim piam yuav tuaj.
• Yog hais tias nws tshwm sim nyob rau hauv lub thib ob xya-hnub lub sij hawm, ces cov ntsiav tshuaj yog coj tam sim ntawd thiab nyob rau hauv ib tug teeb meem txoj kev pov yog tsis tsim nyog.
• Nyob rau hauv peb lub lim tiam, tsis ua hauj lwm tshwm sim nyob rau hauv lub txais tos ntawm cov kev npaj yuav tsum tau nyob rau hauv lub algorithm piav nyob rau hauv thawj pawg lus. Tom qab ntawd koj yuav tsum tau pib tom ntej no sawv hlwv tsis muaj kev cuam tshuam. Nyob rau hauv cov ntaub ntawv no, "ntsoos ntsoos los ntshav" tsis yog, txawm li cas los, yuav tsum spotting.

Koj yuav tau ncua lub qhov pib ntawm los ntshav nrog kev pab los ntawm "Silhouette" tshuaj. Xyuas ntawm cov kws kho mob hais txog qhov no manipulation yog pom zoo nyob rau hauv cov ntaub ntawv no mus ntxiv noj cov tshuaj, hloov qhov xaus tshiab sawv hlwv. Thaum lub sij hawm siv, lub thib ob pob tshuaj poj niam yuav tau muab sau tseg rau ntawm spotting uterine tawm.

Yeej yuav muaj ib tug overdose?

Lub toxicity ntawm txhawb koob tshuaj ntawm cov tshuaj hormones hais tias ua li cov "silhouette" ntawm cov ntsiav tshuaj yog tsis tshua muaj. Nyob rau hauv cov ntaub ntawv ntawm overdose cai xeev siab, ntuav, mob qhov chaw mos paug los yog los ntshav. Muaj yog tsis muaj yuav tsum tau rau txoj kev kho.

Yog nws tau mus "Silhouette" noj nrog lwm cov tshuaj?

Nws tau muab sau tias tus nqi koom haum saib xyuas nrog tshuaj activating microsomal enzymes, tej zaum yuav raug nyob rau hauv los ntshav txhob xwm thiab txo cov contraceptive nyhuv. Cov tshuaj no yog "Phenobarbital", "Rafampitsin", "Hydantoin", "primidone", "carbamazepine", "Rifabutin", "EFV", "nevirapine", "Oksikarbazepin", "felbamate," "Griseofulvin" "Topiramate "" Ritonavir "thiab fitodrug Hypericum perforatum.

Noj tej yam tshuaj tua kab mob, xws li tetracycline los yog ampicillin, ua ke nrog lub "Silhouette" kuj thiaj li nws ua hauj lwm zoo. Nyob rau hauv cov ntaub ntawv ntawm kev sib txuas nrog ib yam ntawm cov saum toj no formulations yog qhov yuav tsum tau rau ntxiv tiv thaiv teeb meem rau ib lub sij hawm ntawm 7 hnub, muaj ib tug "rifamycins" - nyob rau hauv 28 hnub.

Yuav ua li cas yog cov kev phiv ntawm cov tshuaj?

Nws yog tsis yooj yim sua los txiav txim rau cov kev xaiv ntawm cov txhais tau tias ntawm pov. Nco ntsoov hais tias lub "Silhouette" - hormone tshuaj. Cov kws kho mob txog tej kev phiv los ntawm cov contraceptive hais tias nws txhawb nqa lub tsim ntawm cov ntshav txhaws nyob rau hauv cov hlab ntsha thiab cov leeg. Qhov no tshwm sim muaj peev xwm yuav aggravated los ntawm kev haus luam yeeb, tawg, puas ntshav txhaws, varicose leeg, rog, thrombosis thiab thrombophlebitis.

Ntawm cov ntau sab los kuj sau tseg:

• Migraine.
• Xeev siab thiab ntuav.
• Qhov hnyav nce;
• Hnov mob nyob rau hauv lub mammary caj pas thiab lawv nce;
• Emotional instability;
• Mob nyob rau hauv lub rov qab;
• Tu-sauv nyob rau hauv lub calf cov leeg.

Muaj ntau cov poj niam tsis kam siv qhov ncauj contraceptives vim hais tias ntshai yuav tau zoo dua. Yog cov kev ntshai kev txaus cai? Ib tug ntawm cov tseem ceeb tshaj plaws qhov chaw ntawm cov ntaub ntawv hais txog seb puas yog nws ua tau mus nce hnyav los ntawm kev noj "Silhouette" ntsiav tshuaj - xyuas. Qhov hnyav nce sau tseg nyob rau hauv nws es loj kev faib ua feem ntawm cov poj niam. Uas yog vim li cas cov nyhuv ntawm kev noj no contraceptive yog lub feem ntau.

Nyob rau ib lub zaus sib txawv ces nyob rau hauv cov neeg mob li nram qab no tshwm sim tsis zoo los ntawm kev noj "Silhouette" npaj:

• Hypotension los yog tawg.
• Thrombophlebitis thiab varicose veins.
• Migraine thiab kiv tauv hau.
• Txob taus.
• Mob plab.
• Kis kab mob ntawm cov mob txeeb system.
• Pob txuv, tawm pob, dermatitis thiab tsis haum akneiformny, alopecia, erythema, pruritus, chloasma.
• Nce qab los noj mov los yog yuag poob.
• Paum Candidiasis, vaginitis.
• Nkees nkees, malaise, edema.
• Acyclic thiab mob ntshav, endometrial hyperplasia, endometritis, salpingitis.

Muaj kuj yog ib txhia lwm, tab sis tsawg heev phiv los ntawm kev noj cov ntsiav tshuaj "Silhouette". Cov lus qhia rau kev siv, ua siab ntev testimonials thiab cov kws kho mob xa mus rau cov nram qab no undesirable los:

• Anemia.
• Cov kab mob ntawm cov hlab plawv system.
• Kev ua txhaum ntawm cerebral ncig.
• Nrig txog kev pom teeb.
• Sinusitis, bronchitis, mob hawb pob.
• Digestive ntshawv siab.
• Hypertrichosis, eczema, seborrhea, angioedema.
• Tsis qab los noj mov.
• Kev tsis haum tshuaj.
• Meager nyiaj, kev hloov thiab mammary qog, leiomyoma.
• Insomnia, kev nyuaj siab.
• Arthralgia, myalgia.

Muaj kuj yog ib tug tsis tshua muaj heev phiv uas tej zaum yuav tshwm sim raws li ib tug tshwm sim ntawm "silhouette" ntawm cov tshuaj. Ntsiav tshuaj xyuas paub meej tias qhov no, nrog ib zaus ntawm tsawg tshaj li ntawm 1 tawm ntawm 10,000 yuav ntxias lub plawv tuaj, gallstones, cholecystitis thiab endometrial cancer.

Contraindications

Cov tshuaj "Silhouette" tsis tau noj nrog tej yam ailments. Lawv yog:

• Kab mob ntawm cov leeg thiab cov hlab ntsha, propensity rau thrombosis.
• Pancreatitis.
• Porphyria.
• Daj ntseg los yog hyperbilirubinemia, congenital syndromes.
• Haus luam yeeb tom qab 35 xyoo.
• Loj siab tus kab mob, xws li mob cancer.
• Paum los ntshav unexplored genesis.
• Migraine.
• Qaug dab peg.
• Sickle cell anemia.
• Cev xeeb tub thiab lactation.
• Lactase intolerance.
• Cov kev tsis haum tshuaj mus rau yeeb tshuaj.

Yog hais tias ib yam ntawm cov kab mob qhov ncauj contraceptives "Silhouette" yog txhob.

endometriosis kev kho mob

Endometriosis - ib tug mob uas yog heev nyob rau hauv cov poj niam. Nws yog kho los ntawm conservative los yog phais txoj kev, nyob ntawm seb qhov kev tshwm sim ntawm tus mob. "Silhouette" (ntsiav tshuaj) kev rau endometriosis khwv tau zoo. Qhov no tshuaj yog feem ntau siv rau cov neeg mob es, raws li ib tug analogue ntawm lub contraceptive "Janine." Nyob rau hauv cov ntaub ntawv no, gynecologists hais nws tus txheeb ze muaj kev ruaj ntseg thiab kev kawm zoo.

"Silhouette" ua rau hnyav Atrophy ntawm endometriosis, hais txog ntawm qhov chaw uas lawv nyob. Nws thiaj li synthesis ntawm cov tshuaj no, suppresses ovulation thiab blocks lub loj hlob ntawm lub hlwb ntawm cov ntaub so ntswg sab nraum lub uterine kab noj hniav. Tsis tas li ntawd, muaj yog ib tug zoo anti-inflammatory nyhuv ntawm kev noj "silhouette" ntawm cov tshuaj. Ntsiav tshuaj xyuas rau endometriosis muaj zoo - poj niam uas qhia lub disappearance ntawm cov tsos mob ntawm dysmenorrhea, polimenorei thiab mob thaum lub sij hawm kev com.

Nyob rau hauv tas li ntawd, lub active Cheebtsam ntawm cov kev npaj "Silhouette" txo cov ntshav mov endometriosis. Raws li ib tug tshwm sim ntawm no cov ntaub so ntswg tsis loj hlob. Rov qab ib txwm theem ntawm hemoglobin.

Nws yuav tsum rov muab sau tseg tias qhov tsawg ntawm cov tshuaj no yuav tsum tau pom zoo los ntawm ib tug kws kho mob tom qab ib tug ua tiav neeg mob kuaj rau cov kab mob thiab tej yam kev mob uas ua ntej lawv. Tsis tau tso cai siv ntawm hormonal contraceptives yuav ua rau muaj mob loj tshua ntawm lub cev.