Isilwanyana esinjalo, njengeDuston, ngexesha lokukhulelwa sivame ukunyulwa. Ubhekisela kwiqela lamayeza e-hormonal ezifaka isandla ekugcinweni kwenkqubo yokuthoma. Cinga ngeziyobisi ngokuchanekileyo, ukuchonga izibonakaliso zokusetyenziswa kwayo, siya kuhlala kwiimpawu zesicelo, sifumane indlela yokusela ngayo iDufaston ngexesha lokukhulelwa.
Yintoni uDufaston esetyenziselwa ukukhulelwa?
Abafazi bonke abalindele ukubukeka komntwana bayazi ukuba kutheni iDuphaston imiselwe abafazi abakhulelweyo, kwaye bajongana nalo mbuzo kumgqirha. Oogqirha bathi le ngonyango i-analog yokwenziwa kweprogesterone. Isilwayo sisekelwe kwi-dydrogesterone, esakhiweni kunye neepropati zifana ngokupheleleyo ne-hormone ehlanganiswa kumzimba wesetyhini.
Isilwayo sinokulawulwa kokubili kwisigaba sokucwangcisa ukukhulelwa , kwaye emva kokuqala kwayo, ngexesha elifutshane. Isithako sayo esisebenzayo silungiselela i-endometrium kwisilwanyana esilandelayo- ukufakwa kweqanda lomntwana kwi-wall uterine. Ngokukhawuleza ukusuka kulo mzuzwana uqala ukuzala. Oogqirha, ukhethe uDufaston ngexesha lokukhulelwa, landela ezi njongo:
- ukuphunyezwa ngokuphumelelayo;
- ukukhusela ukukhipha isisu;
- ukulungiswa kwenkqubo yokuzalana kwenkqubo yokunyusa.
Dufaston ekukhulelweni kokuqala
Ngokuqhelekileyo, iDuston xa ekhulelwe, kwiintsuku zakhe zakudala, inqunywe kwabasetyhini ababenenkathazo kwixesha elidlulileyo kunye nokuthwala umntwana. Isifo esiqhelekileyo sisisu sokukhulelwa komzimba. Ngokumalunga nokuphulwa, oogqirha bathi ukuba 2 okanye ngaphezulu kokukhulelwa kwaphazamiseka ekuqaleni. Ngelo xesha abazange bagqithise iiveki ezili-12. I-Duphaston kunye nokuqala kokukhulelwa kunciphisa ubunzima beli ngxaki kwaye inceda ukuthwala umntwana.
Ungathabatha njani uDufaston ngexesha lokukhulelwa?
Ngaphambi kokuthatha iDufaston, abafazi abakhulelweyo kufuneka babone ugqirha. Uyazi ngokuqondile iziganeko zalo mzimba, uhlalutya i-anamnesis yomama ozayo. Ngenxa yesiseko sedatha efunyenweyo, ikhosi nganye yonyango isilungisiwe - umlinganiselo, ukuphindaphinda kunye nobude bokusetyenziswa kwemveliso yeyeza. Kwiimeko ezininzi, iyeza lithathwe kwiiveki ezi-6-7 zokukhulelwa.
Umthamo weDuston ukukhulelwa
Kubalulekile ukuba uqaphele ukuba izidakamizwa zivame ukumiselwa ngaphambi kokuqala kokukhulelwa, kwinqanaba lokucwangcisa ukukhulelwa. Ukuze uzinze umsebenzi we-hormonal system, ibhinqa eliya kuba ngumama, lithatha iDufaston iminyaka engama-6. Phuza ukususela kwiintsuku ezili-11 ukuya kwii-25 (kunye nomjikelezo wesini kwiintsuku ezingama-28). Kunokwenzeka kunye nesinye isicwangciso sokwamukelwa, esilungiswa ngumgqirha ngamnye.
Emva kokukhulelwe, umama okhulayo uyaqhubeka esela iDufaston ngexesha lokukhulelwa. Ukuchithwa kwesigxina esisigxina kwesigxina akunakwenzeka - ukunciphisa uxinzelelo lwe-progesterone ye-hormone egazini legazi lingaqhubhisa ukuphuma kwesisu . Ngokumalunga nomyinge, ngokohlobo lwayo lweklasi kule xesha lithebhulethi e-2 kabini ngosuku (20 mg ngosuku).
Ingakanani uDufaston ayiphuza ngexesha lokukhulelwa?
Ukufumana i-Dufastona ekukhulelweni kufuneka ihlale ilungelelaniswa nogqirha. Ngokukhawuleza akubonisi kuphela umlinganiselo othile, kodwa ubude bokuba nokusetyenziswa kweziyobisi. Kuxhomekeke kwinqanaba lokuphulwa kunye nobunzima balo. Ukuba sithetha malunga nexesha elimalunga nokurhoxiswa kweziyobisi, ngoko kwenzeka ngeveki ye-20 yesigxina. Abafazi abathile abakhulelweyo bayeke ukuthabatha amayeza ngeveki ye-16, njengoko kugqitywe ngugqirha.
Ukuchonga ukuba ngaba ufuna ukurhoxisa izidakamizwa okanye uqhubeke uthabatha, oogqirha banika uvavanyo lwebhubhoratri. Iqokelela i-progesterone ye-hormone kwi-bloodstream ye-mother's future. Ngokukhawuleza iziphumo zohlalutyo zichonga enye i-algorithm yezenzo zonyango. Kule meko, umfazi okhulelweyo kufuneka alandele imiyalelo yonyango.
Imiphumo ye-Dufaston yokukhulelwa
Ukusetyenziswa kweDufaston ekukhuleleni kudibaniswa kunye nethuba lokuphuhlisa imiphumo emibi. Ubungakanani bokuphuhliswa kwabo bonyuka xa ama-dosages aboniswe ngugqirha ayengabonwa, ubude kunye nobude bokusetyenziswa kweziyobisi. Phakathi kweempembelelo eziqhelekileyo xa usebenzisa iyeza:
- intloko;
- isicefe
- ukungcola;
- ukukhupha kwi-vaginal blood;
- impembelelo.
Ukuba kukho ukuphulwa okukodwa ngentla apha, kufuneka uqhagamshelane nogqirha. Le nto ifanele ibe sisizathu sokuhlaziya isilinganisi okanye ukusetyenziswa kweli gama. Kwiimeko ezinzima, ukutshintshwa kwesilwanyana esifanayo. Qaphela ukusetyenziswa kwesi sidakamizwa kula maxesha apho kwakuqhutywe khona uphando lwe-estrogen unyango (ukusebenzisa izithintelo zokukhulelwa komlomo kuquka). Ukwamkela i-estrogens kunye kunye neprogesterone yenyuka ngokufanayo kwandisa umngcipheko we-thrombosis.
Ukuchasana kukaDuston xa ukhulelwa
Nangona kukho izibonakaliso zokusetyenziswa, iipilisi zeDufaston ngexesha lokukhulelwa azikwazi ukusetyenziswa ngabo bonke oomama bokamva. Ngenxa yoko, ngaphambi kokumisela izilwanyana, ugqirha kufuneka ahlalutye ngokucacileyo imbali yowesifazane okhulelweyo, ngaphandle kwezifo ezithile. Phakathi kwazo:
- I-Rotor syndrome;
- izifo zesimo senhliziyo;
- I-Dabin-Johnson syndrome;
- isifo sikashukela;
- isifo sesifo;
- kubetha.
Ndingayicima njani iDuphaston ngexesha lokukhulelwa?
Ukupheliswa kweDufaston ngexesha lokukhulelwa kufuneka kuphunyezwe. Iskimu senziwa ngabanye, kwaye kuxhomekeke kumyinge owenziwe ngumfazi okhulelweyo. Usuku ngalunye, luyancitshiswa ngu-0.5-1 tablet. Ngokomzekelo, ukuba ngokutyunjwa kukagqirha umama ozayo uza kuthatha iipilisi ezi-3 zonyango imihla ngemihla, yonke imihla elandelayo umthamo wehliswa ngamacwecwe a-1-0.5. Ngoko ekugqibeleni uyeke ukuthatha imithi emva kweentsuku ezi-3-6. Ukuqwalasela isicwangciso sokurhoxiswa esisungulwe ngugqirha akubandakanyi ukuba kunokwenzeka ukuhla kobukhali ekuxineni kweprogesterone egazini.