Mankhwalawa ndi Dimia ndi njira zothandizira kuti azitha kulera mankhwala omwe amachititsa kuti azitha kulera. Ali ndi drospirenone ndi ethinyl estradiol, ali ndi antimineralalocorticoid yogwira ntchito, sasiyana ndi anti-glucocorticoid, glucocorticoid, estrogenic ntchito. Zimachepetsa kupanga zofiira zamadzimadzi, zimachepetsa mapangidwe a ziphuphu. Mchitidwe wa kulera kwa Dimia ndi mphamvu yothetsera kuvuta, kusintha endometrium, kuonjezera ndondomeko ya mamasukidwe akayendedwe a chitetezo cha chiberekero.
Dimia: kupanga
- zinthu zogwira ntchito: ethinyl estradiol micronized, drospirenone crystalline;
- Zothandizira: chimanga chodya, lactose monohydrate, magnesium stearate, macrogol;
- Placebo: anhydrous lactose, microcrystalline cellulose, magnesium stearate, silicon dioxide, wowuma.
Dimiya: malangizo oti mugwiritse ntchito
Ma mapiritsi a Dimia ayenera kutengedwa tsiku ndi tsiku, panthawi inayake, kutsatira ndondomeko yomwe yawonetsedwa pa phukusi. Mlingo woyenera: piritsi patsiku kwa masiku 28. Phukusi lirilonse liyenera kuyambira pakagwiritsidwe ntchito kotsiriza pakapaka. Cholandira chiyenera kuyambika tsiku loyamba la kusamba kwa magazi. Kupitako kwa placebo kumanyalanyazidwa. Kutaya nthawi yovomerezeka kwa maola 12 kapena pang'ono sikuchepetsa kuchepetsa kulera. Kutaya kwa maola oposa 12 kumachepetsa kutetezedwa, kukonzedwa kwa mlingo womwe umasowa kuyenera kuchitidwa mwamsanga.
Zizindikiro zogwiritsidwa ntchito:
- kulandira chithandizo;
- mankhwala a seborrhea, acne.
Contraindications:
- lactation, mimba;
- thromboembolism ya mitsempha ya pulmonary, deep vein thrombosis mu anamnesis;
- matenda opatsirana, shuga;
- matenda oopsa kwambiri;
- matenda aakulu a chiwindi, pachiwindi chachikulu cholephera;
- matenda a chiwindi; oncology ya njira yoberekera;
- migraine, wolemedwa ndi zizindikiro za ubongo;
- kuperewera kwa lactase, magazi a m'mimba osadziwika;
- kusagwirizana pakati pa zigawo za mankhwala a Dimia.
Zowopsa:
- kusokoneza kayendedwe ka kayendedwe kake;
- zizindikiro za matenda a cerebrovascular, thralsis yamagetsi;
- ukalamba, kuchepa kwa nthawi yaitali;
- kunenepa kwambiri, kuledzeretsa kwa nicotine, kupha tizilombo toyambitsa matenda;
- matenda a mtima valves, dyslipoproteinemia.
Dimia: zotsatirapo
- kuperewera kwamagazi, thrombocytopenia, anorexia, kuwonjezeka kwa kudya, kulemera;
- candidiasis opatsirana;
- mutu, chizungulire, kusowa tulo, kuvutika maganizo;
- kunachepetsa libido, anorgasmia, kutengeka kwa miyendo;
- nosebleeds, kuthamanga kwa magazi, syncope;
- tachycardia, akulimbikitsanso kusanza, kunyowa, kupweteka m'mimba;
- mitsempha ya minofu, ululu kumbuyo;
- dermatitis wothandizira, eczema, kuthamanga, kuyabwa;
- cholecystitis, kupweteka kwa mammary glands, kutha kwa msambo, vaginitis, kupweteka kwapakhosi;
- khungu la m'mawere, mapepala a chibelekero, chiwindi cha umaliseche.
Zizindikiro za overdose:
magazi amaliseche, kusanza, kunyoza. Chithandizo ndi chizindikiro.
Dimiya ya kulera: ndemanga ndi zofanana
Mapiritsi a Dimia ali mbali ya mahomoni ogonana komanso njira zothandizira kubereka, ndi njira zothandizira kulera (kupatulapo kwa chiwerengero cha gestagenic ndi maestrogenic omwe amakhalapo nthawi zonse). Mankhwalawa amachititsa kuti ovulation, ntchito ya mazira, imalimbikitsa "kuponderezana", zomwe zimapangitsa kukhala kosavuta kuika dzira la umuna. Zizindikiro: Jess , Jarina .
Malingaliro abwino:
- Kutetezedwa koyenera ku mimba yosafuna (99% ya milandu);
- kubwezeretsa kusamba, kuchepetsa ululu m'mimba;
- kuchepetsa mawonetseredwe a matenda oyambirira;
- kumbuyo kwa kutenga mapiritsi a Dimia, kusamba kumakhala kochepa ndipo kumakhala kochepa;
- kuchepetsa chiopsezo cha khansa ya cyst / ovarian, endometriosis;
- kuthandizira mchere, kulimbikitsa kuchotseratu madzi owonjezera kuchokera mu thupi;
- Momwe mungagwiritsire ntchito: Pulojekiti 4 yopanda mphamvu komanso 24 mapiritsi ogwira ntchito, omwe amathetsa kufunika kopuma pakati phukusi.
Zoipa:
- kufunikira kutsata ndondomeko yeniyeni yopezera mapiritsi;
- mankhwala ochepetsa antibiotic amachepetsa kwambiri njira zothandizira kulandira mankhwala;
- mu 5-7% amapezeka, kupezeka kupenya kuchokera kumaliseche ndi kotheka. Vuto limatha kumapeto kwa gawo lachitatu-lachisanu ndi chimodzi;
- kuwonjezeka kudya, kungachititse kuti tsitsi liwonongeke;
- zambiri zotsutsana ndi zotsatira.
Dimiya: ndemanga za madokotala
Maginecologists amadziwa kuti Dimia ali ndi mphamvu zowathandiza kulera ndi kuyamba koyambirira kwa maphunzirowo. Mankhwalawa ndi abwino kugwiritsa ntchito, ali ndi zovuta zingapo, makamaka zomwe zimagwirizanitsidwa ndi isrogen chigawo (kutupa, kumapeto kwa msambo, chizungulire, kusanza, kunyoza). Akatswiri amalimbikitsa mapiritsi a Dimia kwa azimayi a msinkhu wobereka kuti athe kulera. Asanayambe kuvomerezedwa, kufufuza ndi kukambirana koyambirira kwa mayi wamayi ndikofunikira. Zambiri zokhudzana ndi mapiritsi otha kulera angapezeke pano.