Levonorgestrel: menene wannan hormone, da kuma ga wanda ya ke da hakkin a cikin jiki?

Mutane da yawa mamaki: levonorgestrel - abin da yake wannan hormone? Wannan shi ne wani roba progestagen cewa sabobin tuba endometrium minimizes ovulation inhibiting hadi oocyte shirya. Bugu da ƙari kuma, shi zai iya mucosal rabe rage ji na ƙwarai da aka samu. A wannan labarin, za mu duba a shiri dauke da wani hormone kira.

pharmacology

Da miyagun ƙwayoyi "Levonorgestrel" - shi ne estrogen, wanda ya hana da kunnawa maniyyi saboda kara gamsai danko Properties. Da miyagun ƙwayoyi abubuwa gida a cikin mahaifa a fallopian tube, da endometrium, da daidaito da gamsai, sakamakon follicle-haramta motsa hormone rage aiki.

Ingestion kira magani rayayye tunawa a cikin gastrointestinal fili, Bioindication har zuwa 100%. A cikin jini, da aka gyara sun mayar da hankali a iyakar liyafar razovo 75 ml bayan 60 - 130 minti. An sano hormone interacts da jini da kuma globulin dauri ne kamar 50%.

Metabolism aka mayar da hankali a kan hanta, da m form pharmacologically metaboliks. Babban isoenzyme wannan hormone ne CYP3A4. A rabin-rai lokaci na iya wuce har zuwa 30 hours.

Properties

A mayar da martani ga tambaya "Levonorgestrel - abin da yake wannan hormone?" Ya kamata a shiryar da wa'azi na wannan sunan miyagun ƙwayoyi da kuma shawarwari na halartar likita. Manuniya kullum bambanci darajar da oda na 1.0 ml / min. / Kg (da jini). A hormone da aka shafe yafi ta cikin ureter, karamin sashi an cire daga stool.

A lura da tsari halitta fadowa gudun Manuniya a cikin mahaifa ba fiye da 20 MG da kullum, da kuma bayan shekaru biyar da fada to 11. The talakawan fitarwa kudi na hormone dabam a kusa da 14 ug / 24 hr. Over 50-60 watanni.

Intrauterine far yarda ga mata tare da wani canji hormone magani a tare da estrogen, progestin ba ciki har da abun da ke ciki. Levonorgestrel - a hormone implants a jini 60 minutes bayan gwamnati. Matsakaicin maida hankali a cikinta, an rubuta bayan 14 days na aikace-aikace.

shaidar

A amfani da wannan magani mai yiwuwa ne tare intrauterine far, kazalika a cikin wadannan lokuta:

• Idiopathic menorrhagia fuskantarwa.
• Dogon lokacin da maganin hana haifuwa kariya.
• M matakan ga canzawa rage tare da estrogen.
• Gaggawa gaggawa maganin hana haihuwa.

A hormone levonorgestrel, sakamakon wanda yana da m ikon yinsa, wadannan za su shafi kawai bayan shawarwarin da wani likita.

Amfani da sashi

Dauke da wani magani kunna ta intrauterine allura - allura a cikin igiyar ciki rami. Amfani for 4 kwanaki bayan da ma'amala a cikin adadin 0.75 zuwa 1.5 MG. Gaggawa maganin hana haihuwa masana karfi da ya shawarci ba gudanar da aiki fiye da sau daya kowane watanni shida.

Don kawar da hailar sake zagayowar, shi wajibi ne don cika da shawarar sashi ba tare da sake amfani. Kada ka yi amfani rahoton miyagun ƙwayoyi baki a matsayin Hanyar m maganin hana haihuwa, kamar yadda wannan tsokani bayyanar illa da kuma rage tasiri na da miyagun ƙwayoyi. A cikin hali na igiyar ciki jini samuwar bayan gaggawa maganin hana haihuwa ne sosai shawarar hanya ga jarrabawa ta hanyar wani likitan mata, kuma a take hakkin menopause fiye da daya mako wajibi ne a jinkirta da ganewa.

Kawai bayan shawara da kuma sanar da yanke shawara likitan mata a talakawa lokuta, shi damar domin hannu da miyagun ƙwayoyi domin maganin hana haihuwa a minors a lokacin gaggawa.

Kamar yadda amfani da hormone levonorgestrel?

Yaya jiki amfani da hormone da aka bayyana, da kuma abin da ya yi don kauce wa illa? To, tambayar da aka tashe ta da yawa. M riko da gwani shawara, girmama sashi kuma bi umarnin - shi ya tabbatar da amintaccen amfani da miyagun ƙwayoyi.

Kafin amfani, dole ne ka wuce da dubawa na Navy likitan mata, ciki har da rajistan shiga mammary gland, pelvic gabobin, yin mahaifa shafa.

Re-jarrabawa ne da za'ayi bayan 30-40 kwanaki bayan da shigarwa na karkace, sa'an nan a shekara, kuma a duk lokacin da akwai wani presuppositions - sau da yawa. Wannan intrauterine far ne tasiri ga 4 zuwa 5 shekaru. Its shigarwa kamata magance musamman tare da likita kwarewa a wannan filin, ko da kwarewa tare da la'akari da irin miyagun ƙwayoyi.

kasada

Mata shan kwayoyi tare da progestogen, yana yiwuwa karuwa da venous thrombosis cikin wani mawuyacin lokacin. A lokacin da irin bayyanar cututtuka ne mai gaggawa bukatar dauki na gaggawa da matakan ga ganewar asali da kuma magani.

Bayan karbo daga cikin Navy na haihuwa resuscitated bayan watanni shida, a cikin rabin matan da suka shafi bayan watanni 12 - fiye da 96 bisa dari. Maganin hana haifuwa fuskantarwa ne kasa tasiri ga marasa lafiya da kiba.

contraindications

Mamaki "Levonorgestrel - abin da yake wannan hormone?" Ya kamata la'akari da duk contraindications. Daga cikin su:

• Beyond (wuce-wuri) na ƙwarai, tromboflebitnye samuwar.
• Thromboembolism, canje-canje a cikin jijiyoyi.
• Cerebrovascular cuta fuskantarwa, da daukar ciki.
• Game da ingestion: jaundice (ciki har da tarihi), pathological rikitarwa bile fitarwa ko hanta, lactation.
• Jima'i balaga.
• Bugu da ƙari, domin IUD - kumburi urogenital kamuwa recurrences ko aiki kumburi a kafafuwa, ta'addi zubar endometritis, m cutar hanta.
• Kwamin na tara abortifacient baki a karshe trimester, dysplastic canji igiyar ciki cervix Pathology a irin wannan zub da jini na unknown asalin, malignancies.
• Zo ko nakasar anomalies dõmin karkatarwa fibroids.
• Progestagenoz (ƙari, ciki har da wani cancerous nono raunuka).

ƙuntatawa

A iyakance factor ne sau da yawa dacewa ga warkewa baki a cikin mahaifa, da wuri ya zama idan kana da da wadannan cututtuka, ko kullum cututtuka:

• mai tsanani ciwon kai, a kowa da kuma gida migraine da Heart hangen nesa, da sauran cututtuka, mayar da hankali a kan yiwuwar jijiyoyin zuciya jijiya cuta.
• hujjõji jijiya hauhawar jini shugabanci, jaundice, hadaddun hallakaswa matakai a cikin jijiyoyi, ciki har da zuciya harin da shanyewar jiki.
• ciwon sukari mellitus.

Ya kamata ka nan da nan shawarci a kan kawar da Navy lokacin da samuwar ko gaban wani daga cikin wadannan jihohi.

Pregnancy kuma lactation lokaci

Duk da cewa levonorgestrel - mace hormone, ta yin amfani da shi ne unacceptable a lokacin daukar ciki. Idan ta zo, ta bada shawarar da kawar da tsarin saboda gaskiyar cewa wani intrauterine maganin hana haihuwa na kara hadarin haihuwar wanda bai kai ba, kuma rashin. Gudanar da uwar gabansa tsarin ko kashe wani lokacin haifar da ashara faruwa da ka. Yana bukatar gwani shawara a kan yiwuwa na wucin gadi ƙarshe na ciki idan akwai yiwuwar daidai maganin hana haifuwa hakar.

Lokacin da ba shi yiwuwa a cire intrauterine tsarin da kuma da gaggawa da marmarin ya ceci da ciki da mãsu haƙuri ya kamata sane da yiwu sakamakon da kasada ga baby saboda wanda bai kai ba haihuwa. A irin haka ne, dole ne ka zama tabbata a hankali saka idanu da ciki. Kafin haƙuri kuma kawo bayanai da shi dole ne nan da nan sanar da game da duk cututtuka, wanda zai taimaka wajen bayar da shawarar aiwatar wahala.

lactation

Lokacin da nono da kuma amfani da "Levonorgestrel" game da daya cikin goma da wani magani da shiga jiki baby. Shayarwar ciki for gaggawa maganin hana haihuwa da ya kamata a daina amfani da a 1.5 kwanaki.

a da shawarar sashi domin warkewa tsarin shigar a utero, kamar wani progestogen-kawai maganin hana haifuwa hanya, shi ne halayyar cewa yin amfani da wani rabin watanni bayan haihuwa yana da wani illa effects a kan girma da kuma ci gaban da yaro, saboda haka, da miyagun ƙwayoyi ne ba su iya haifar da hašari zuwa tayin .

m bayyanar cututtuka

Kuma dawo da tambaya "Levonorgestrel" - abin da shi ne, "bari mu dubi yiwu illa da contraindications da miyagun ƙwayoyi Su na iya faruwa a daban-daban tsarin na jiki da kuma ne da wadannan cututtuka :.

1. Daga cikin juyayi tsarin: gajiya, ciki, ciwon kai, yanayi swings.
2. Git. Amai, bacin, cramps, bloating.
3. Genito-urinary gabobin. Zubar da jini, da rabuwa, da jin zafi, candidiasis, yiwuwar samuwar m da kirki siffofin maruran.
4. Skin rashes, bayyanuwar eczema, itching, rash, kuraje.
5. Sauran: kumburi, hadin gwiwa zafi, matsa lamba surges, sepsis.

A rare lokuta seizures na epilepsy, cramps da kuma rufe da mãgãgi.

Hade da sauran kwayoyi

Karatu "Levonorgestrel" (abin da irin hormone), wajibi ne a ambaci yiwuwar hade tare da sauran kwayoyi da kuma Organic kwayoyi. A cikin hali na dũkiyõyinsu a tambaya da inducers na cytochrome P450 isoenzymes zai iya rage yadda ya dace saboda wani karuwa a cikin tafiyar matakai na rayuwa.

Wadannan kwayoyi na iya rage sakamako na "Levonorgestrel":

• Group barbiturates, "Tretinoin", "carbamazepine" qagaggun dauke da St. John wort kuma ta komponatsiyu.
• Rage tasiri na anticoagulants, hypoglycemic, anticonvulsant kwayoyi.
• "Levonorgestrel" qara damar glucocorticoids a cikin jini, kuma shi ne ma iya rushe metabolism.
• Saboda danniya na jima'i steroids recirculation, saboda da reorganization na hanji Flora, ta ƙara hailar zub da jini na iya faruwa a lokacin da hadaddun aikace-aikace na wasu kwayoyi.

Daya iya ba amma ƙara, magana game da yadda za su yi amfani "Levonorgestrel" cewa wannan magani ya haddasa karuwa a gefen sakamakon wasu magunguna, wani maganin guba to shi ne ba. A hali na yawan abin sama bukatar symptomatic magani.