Mushonga we "Mifegin", murayiridzo wepa dosing

Mushonga we "Mifegin" unosunungurwa mumhando yemapiritsi, iyo inoshandiswa inoshandiswa iyo 200 mg ye mifepristone micronized. Mishonga yemishonga inopinda mumakiriniki-pharmacological boka re-anti-gestagenic zvinodhaka, inowedzera inzwi uye chibvumirano chemuviri mushumba wechibereko.

Mishonga "Mifegin" inoreva kushandiswa kwemaitiro steroidal anti-gestagenic zvinodhaka, inhibits the action hormone progesterone, haina gestagenic basa. Pasi pesimba remishonga, delamination yechinyorwa chemberi chinoitika uye kupera kwema fetal egg.

Mushonga we "Mifegin", murayiridzo wekushandiswa

Mishonga iyi inorayirwa nekupererwa kwehutano hwehupombwe hwemucheche kusvika pamasikati makumi mana; Penguva yekugadzirira nekukurudzira kwebasa mumutambo wechidiki wepamuviri.

Mushonga we "Mifegin", murayiridzo wepa dosing

Mishonga inoshandiswa neyanzvirapi mune zvekurapa.

Nokuda kwekubviswa kwepamuviri: mishonga yakagadzirirwa 600 mg ye mifepristone micronized. 3 mahwendefa emushonga we 200 mg murwere anotora mukati pane imwe nguva pamberi pechiremba. Mushure mokutora mishonga iyi "Mifegin", mukadzi anofanira kunge ari pasi pekutarisa kwakanyanya kwechiremba kweimwe maawa maviri.

Rimwe nehafu kwemazuva maviri mushure mekugamuchira mishonga "Mifegin" inodiwa ne ultrasound kuti ijekese chigumisiro, uye mushure memazuva masere kusvika ku14, chechipiri kuongororwa mumagariro ekugadzirisa uye kushandiswa kwe ultrasound kunoitwa. Iva nechokwadi chokuti uongorore huwandu hwe beta-chorionic hormone kuitira kuti usimbise chokwadi chekuparara. Kana zvisingakwanisi kuwana chidiro chaidiwa kwemazuva gumi nemana, ipapo chitubu chinogadziriswa chinoitwa mushure mekutsvakurudza kwekupedzisira kwechidimbu chechirongwa chake.

Nokuda kwegadziriro yezvarwadziro, kuitira kuti zviite kuti basa riite, imwe-dose yemefepristone inotarisirwa muhuwandu hwe 200 mg, 1-pfupa yepamusoro pamberi pechiremba. Dzorerai mifepristone mushure memaawa makumi maviri, zvakare imwe nguva-iyo 200 mg-1-piritsi yakanaka pamberi pechiremba. Kana kushanda kusingaiti, shure kwemaawa 48-72, mamiriro ekuberekwa anogona kuongororwa, uye prostaglandin kana oxytocin inorayirwa sezvinodiwa.

Mishonga "Mifegin", murayiridzo: migumisiro

Vakadzi vanonyunyutira marwadzo mudumbu rezasi, manzwiro okusuruvara, kubudiswa pamwe nekusanganiswa kweropa kubva munhengo dzekubereka. Pane kuwedzera kwezvirwere zvisingaperi zvechibereko uye zvikamu zvayo. Nhengo yechirwere inogona kuratidzika sehutera, kuora mwoyo, kurwadziwa musoro, kurutsa, chirwere. Kakawanda kazhinji, vanachiremba vakawana mune varwere zviratidzo zve hyperthermia, mikoko uye chirwere.

Mune hutano hwakaoma pamwe ne misoprostol, rutivi rwomumativi haruwanzoonekwi nekuvhiringidza kwebonde, kusuruvara, asthenia, kurwadziwa mumakumbo, kushungurudzika kusinganzwisisiki, kupererwa kwemaanti. Dzimwe nguva vanachiremba vaifanira kutarisa kuderera kwehuwandu hweHemoglobin muropa, kupera, kubudiswa nenzira ye whitecaps.

Mishonga "Mifegin", murairo: zvinopesana

Iwe haugoni kupa mishonga iyi:

• Nekuwedzera kwekusakwanisa;
• Nekukundikana kwechimbichimbi muhuwandu hwakaoma kana husingaperi;
• Nekusaziva kwakanyanyisa mumhando yakaoma kana isingaperi;
• Izvo zvakagadziriswa kuongorora porphyria;
• Mushure mekugamuchira glucocorticoids kwenguva refu;
• Ane anemia;
• Nokuputsika kwe hemostasis;
• Muzvirwere zvakakomba, syndromes nemamiriro ezvinhu anowanikwa nechirwere chekuwedzera ;
• Nekuwedzera kwekunzwa kwemishonga.

Mishonga "Mifegin" (mahwendefa) haagoni kugadziriswa kuitira chinangwa chokupedza kubata nemitiro wemishonga:

• Nokufungira ectopic pamuviri;
• Pakuberekwa, kwete kusimbiswa neongororo dzechipatara;
• Pakuberekwa, izwi ripi rinopfuura mazuva makumi maviri nemakumi matatu;
• Apo kubata pamuviri kunowanzobatanidzwa nekushandiswa kweprauterine pamuviri kana mushure mekurambwa kweHommonal contraceptive;
• Nezvirwere zvezvizvarwa zvepabonde zvakaoma nekuputira chirongwa;
• Nokusvuta kusvuta vakadzi vakasvika kune makore makumi matatu nemashanu, vasina kumbobvunzwa nekurapa.

Mushonga we "Mifegin" haugoni kurongerwa nokuda kwekugadzirira nekugadzirwa kwebasa:

• Ne gestosis muhutu hwakaoma, pre-eclampsia, eclampsia;
• Nokuzvitakura kusati kwasvika kana kunonoka ;
• Ne placenta previa;
• Apo paine kusagadzikana pakati pemusoro we fetal uye mapepa emamai;
• Pazviremera zvisina kukodzera zvemu fetus;
• Nekubuda ropa kweropa risina kujeka.