"Prepidil" (gel osakaniza): kufotokoza, malangizo ntchito ndi mayankho. Gel osakaniza kwa kupatsidwa ulemu ntchito

Chifukwa ntchito mankhwala monga "Prepidil" (gel osakaniza)? Feedback pa mphamvu ya mankhwala, komanso mmene chida ichi adzakhala anafotokoza pang'ono. Ife komanso kupereka mauthenga pa kugwiritsa ntchito mankhwala anati, momwe ndalama nanga opaleshoni ake mfundo.

Kufotokozera, ma CD ndi zikuchokera

Amene phukusi alipo mankhwala "Prepidil"? intracervical gel osakaniza chogulitsidwa pulasitiki syringes disposable wathunthu catheter a. Iwo anayikidwa mu matuza ndi mabokosi zikatoni, motero.

Translucent ndipo viscous mankhwala "Prepidil" (gel osakaniza) lili ngati amenewa pophika yogwira monga dinoprostone. Monga mankhwala othandiza anawonjezera thereto colloidal anhydrous silika ndi triatsetilglitserol.

limagwirira kanthu

ndi mankhwala "Prepidil" n'chiyani? Gel osakaniza pobereka kumapangitsa yakucha khomo lachiberekero. wothandizila wake wamphamvu ndi unsaturated mafuta asidi amene apanga m'mikhalidwe thupi.

Specific kanthu mankhwala mfundo kugwiritsa ntchito intratservikalno sichinayambe kuphunzira. Komabe, akatswiri amakhulupirira kuti dinoprostone kuti azimveka pa khomo lachiberekero magazi, potero mofulumira kusasitsa ake (pokonza, kuwongola ndi kutsegula). Zimenezi kwathunthu zizigwirizana bwinobwino loyenda kusintha generic kuti kukhala ndi kuchepa mu kukana khomo lachiberekero ndi kuonjezera myometrial chidule, komanso yobereka.

Tiyenera kuona kuti chinthu chomveka la ndalama akhozanso wapaulendoyo pa minofu ya thirakiti m'mimba. Nthawi zina izo amakwiya kunyansidwa ndi kusanza mu mayi woyembekezera.

Pa Mlingo mkulu dinoprostone amatha kutsitsa magazi (chifukwa mmene minofu mtima yosalala, ndi capillaries), ndi kuukitsa thupi kutentha. Komabe, tisaiwale kuti mavuto onsewa si anaona pamene bwino kutenga mankhwala, ndiko kuti, pa mlingo akulimbikitsidwa yakucha khomo lachiberekero.

kinetics

Kodi chibadidwe kayendedwe magawo medicament "Prepidil"? Gel osakaniza, imene muli mtengo zina intracervical pambuyo ka 500 .mu.g ukufika ndende pazipita mu magazi pambuyo Mphindi 35-45. Kenako, zili mankhwala yogwira mofulumira yafupika mlingo koyamba (kaya ntchito uterine).

Dinoprostone ndi albumin anthu chimamanga 73%. Choncho yogwira pophika mankhwala ndi anagawira kwa zimakhala ndi mthupi onse parturient.

Makamaka dinoprostone zimapukusidwa mu mapapo, ndi impso ndi chiwindi. Mu magazi a anthu ndi mkodzo ndi wapezeka pafupifupi metabolite prostaglandin E 2.

Ambiri mwa yogwira pophika "Prepidila" ndi outputted ndi impsozo, koma zochepa - pamodzi ndi chimbudzi.

umboni

N'chifukwa chiyani ndikufunika mankhwala "Prepidil"? Gel osakaniza amathandiza yotithandiza yakucha khomo lachiberekero. Izo ntchito kokha pamene anaonetsa kuti ntchito.

contraindications

Gel osakaniza kwa kupatsidwa ulemu ntchito si ntchito zinthu zimene contraindicated kwa nthawi yaitali contractions uterine. Njirazi ndi monga:

• mimba angapo;
• pakalibe mayikidwe a mutu yoopsa;
• ku mimba 6 zonse chabe;
• zoopsa kapena zovuta kubadwa (kuphatikizapo mbiri);
• opaleshoni chiberekero kapena gawo cesarean (kuphatikizapo mbiri);
• kukula mismatch mafupa a chiuno mutu akuchikazi ndi yoopsa;
• yoopsa masautso (isanafike);
• zinthu mu phukusi opaleshoni Ndi bwino;
• chisokonezo mu yoopsa mungoli mtima;
• kumaliseche wamagazi kwa mundawo maliseche pa mimba (chiyambi osadziwika);
• matenda thirakiti ubereki (magulu m'munsi);
• nthenda yoopsa ulaliki ;
• hypersensitivity kuti zosakaniza gel osakaniza.

CHENJEZO wosasamala wothandizila ntchito oopsa, matenda a mtima, kwa chiwindi kukanika, bronchial mphumu, impso ntchito mkhutu, komwe kunasonyeza sac, ocular oopsa kapena khungu.

Mankhwala "Prepidil" (gel osakaniza): Malangizo

Ngati mlingo woyambilira ntchito nkhani lonse la syringe pogwiritsa ntchito kwa iyi catheter Ufumuyo. Iwo umayamba mu ngalande khomo lachiberekero, limene lili pansipa mlingo wa Os mkati.

Kamodzi gel osakaniza wakhala adalowa, mkazi wakubala ayenera ¼ maola atagona pa nsana wake. Izi ndi zofunika kuti kuchepetsa kutayikira mankhwala.

Ngati kukondoweza pa mankhwala koyamba mlingo zimachokeradi, medicament ndi kutumikiridwa kachiwiri (pambuyo maola 6). The mlingo makonzedwe mobwerezabwereza mankhwala akhala sichinasinthe.

Kufunika kwa ntchito zina za gel osakaniza ndi anatsimikiza ndi zinthu matenda.

The pazipita tsiku mlingo ankaona medicament ndi 1.5 mg.

dosing

Kodi ndimagwiritsa ntchito gel osakaniza kwa kupatsidwa ulemu ntchito? Malangizo lili zotsatirazi owonjezekera:

• Kungomasula ndi syringe wosabala ndi catheter.
• Chotsani syringe nsonga kapu.
• Amaika ndi syringe kapu (mbali inayo) ntchito monga pisitoni ndi.
• Wopanda catheter (mwamphamvu) ndi kunsonga ya syringe kuti mowa zinachitika.
• Lowetsani mayi latsopano zili zonse syringe lapansi.

zosiyanasiyana chokhwima

ndi mavuto a mankhwala zingachititse "Prepidil" n'chiyani? Gel osakaniza mu parturient angathe n'zothandiza contractions Titanic uterine (kuonjezera kamvekedwe ake, pafupipafupi ndi nthawi ya contractions wa), komanso nseru, chophukacho uterine, kusanza, kupweteka kwa msana, kutsegula m'mimba, malungo, zochita hypersensitivity ndi kutentha kumverera mu nyini.

Mu chitukuko yoopsa ya mankhwala zingachititse syndrome zowawa, komanso kusintha kugunda kwa mtima, kuchepetsa ziyenera a boma obadwa ndi Apgar mphambu mfundo 7. Mwa zina, ntchito mankhwala sikawirikawiri ankaona, koma amachititsa nthayo.

Mankhwala "Prepidil" (gel osakaniza): ndemanga ndi mtengo

Mtengo wa ndalama si mkulu. syringe wina ndi gel osakaniza akhoza kugulidwa kwa 580-650 rubles. Tikumbukenso kuti kugwiritsa ntchito mankhwala chofunika chokha m'chipatala.

Madokotala amanena kuti ntchito "Prepidila" ayambe ngoziyo kugwilizana cha mafupa a chiuno cha akazi ndi yoopsa mutu kukula. Ngati sizikugwirizana, ndiye mankhwala si ntchito.

Malinga ndi odwala, nkhani wothandizila zingachititse yaikulu ya mavuto, kuphatikizapo mwana moyo pachiswe. Choncho, ambiri a iwo amakana kugwiritsa ntchito gel osakaniza, makamaka akafika zaka 35 zakubadwa.