Iipilisi zokulawula Birth "Janine." Imiyalelo yokusebenzisa, real

Zokucwangcisa "Janine" pilisi-dose ephantsi arhente hormone mihla. Yiba nomphumo enyangayo libizwe. Nceda ukumelana nentlungu esexesheni, endometriosis win. Bunjani sexesheni nokukhusela ekukhulelweni okungeyomfuneko. Kufuneka kusetyenziswe kuphela kagqirha.

Ukubunjwa kunye nefomu yokhululo iziyobisi

iipilisi zokulawula Birth "Janine" inezinto ezimbini esebenzayo i ethinylestradiol kwi-mali ka-0.03 mg kunye dienogest xa umthamo we-2 mg. Idatha inikwa ngamnye capsule mnye.

amacandelo ezongezelelweyo kwi ekwakhiweni kwezi tablets ikhonza monohydrate lactose, talc, iitapile starch, gelatin, wemagniziyam stearate. iipilisi Shell ibandakanya dextrose, sucrose, povidone K25, macrogol 35000, calcium carbonate, carnauba wax kunye titanium dioxide.

Iipilisi ziveliswa imilo ezimhlophe ngeenxa zonke. Zipakishwe namadyungudyungu-21 into. Ibhokisi yekhadibhodi enye okanye abathathu aluminium blister. Ukuze kube lula walunyukiswa ebhalwe ekhompyutheni ngamnye ngosuku lweveki, oko kunceda umfazi ukuba balahlekelwe kwaye esweni ngenyameko ukungenisa iipilisi.

features kwemithi

Inzalo "Janine" Iipilisi zothintelo kukhulelwa ndilithethile inyathelo, evela kuphela phantsi isenzo iindlela ezahlukeneyo ngokubambisana. Okokuqala, le isilumkiso ovulation kunye notshintsho kwimeko viscosity le yencindi yomlomo wesibeleko, ngenxa leyo iba nje ukungena kuloo ukuya ngamadlozi.

Ukuba usebenzisa iyeza ngokungqinelana nemiyalelo, i- Pearl Index, nto leyo ibonisa inani kumanenekazi abaye bakhulelwa emva kokuthatha iipilisi, alifikeleli mnye. Ukuba kakubi Iipilisi zothintelo kukhulelwa nezoogqaphu Pearl Index uyenyuka ngokuqinileyo.

Dienogest kwi "Janine" luphawulwa umsebenzi anti-androgen. A nemiphumo emihle kwiprofayili lipid igazi.

Abasetyhini abasebenzisa ukukhulelwa edityanisiwe ngaphakathi, phawula kuqheleke ukuba sexesheni. Ngemihla ezibalulekileyo ochaphazelekayo malunga intlungu yabo kancinane, ukunciphisa ubungakanani obhobhozayo, kuncitshiswa ubude menses. Oku kunciphisa amathuba okuba ukwenzeka xa abafazi ayoni anemia, ovarian kunye nomhlaza endometrial.

Dienogest ngokwenene eludongeni emathunjini. Le xi ubuninzi into esebenzayo egazini waphawula emva kweeyure 2.5 emva nokusela iipilisi. Bioavailability yi-96% kwaye ixesha plasma bawo ubomi isusela iiyure 8.5 ukuya 10.8. Inxalenye encinane ichiza ubonakala ayitshintshanga, ndawonye umchamo ushiye isambuku ngokohlobo metabolites ngokusebenzisa izintso kwi umlinganiselo we-3: 1.

Ethinyl estradiol, kwakunye dienogest, abe ukufakwa olupheleleyo ngokukhawuleza. I-plasma xi liphezulu waphawula emva kweeyure 1.5-4. Xa ukwamkelwa yokuqala umzimba esibindini, ethi ichaphazele bioavailability kweli candelo, nto leyo ilingana no 44%. Ethinylestradiol asasazwa ngokupheleleyo (98%), edibanisa kunye albumin. Udlula biotransformation presystemic esibindini kunye emathunjini amancinci. Okwenziwe yi hydroxylation enuka kamnandi. Xa kutshintsha ivela emzimbeni womntu ngayo kungaveli. Metabolites phandle enyongweni kunye nomchamo.

Ubungqina obubonakalayo buxela

Zokucwangcisa Amacwecwe "Janine" asetyenziswa yokukhuseleka ukukhulelwa okungafunekiyo. Ezi ke zibonisa ezingundoqo ukusebenzisa iziyobisi.

Izimo

Ichiza lingapheli kwi hypersensitivity nezinto esebenzayo kunye namacandelo ezongezelelweyo iziyobisi. Musa ukuthatha iipilisi kunye emithanjeni kunye thrombosis lwemithambo, thromboembolism. Vala ukusetyenziswa kwezinto "Janine" bakhonze imeko phambi kokuba ukwakheka thromboses. Aninako ukusela iipilisi kwi migraine kunye iziganeko focal-luvo.

Vala ukusetyenziswa iipilisi na isifo seswekile, apho iingxaki bebona nemithambo, kwakunye namathuba okuba ngenene ingenzeka of thrombosis lwemithambo okanye umfutho. Esi sifo, wabangela ngenxa yokwenzakala intliziyo vana ngezifo kweenqanawa ingqondo, fibrillation atrial, isifo sentliziyo kwemithambo.

Musa ukumisela amayeza xa kukho lwegazi kunye nongenelelo kakhulu yotyando. Kufuneka uthathe beziyobisi izigulane ukutshaya xa eneminyaka engama-35.

Musa abafumana iipilisi kubantu abane-pancreatitis, ukusilela isibindi kunye nezifo ezinzima zesibindi.

Akukho mfuneko ukusebenzisa i yokucwangcisa phambi yamathumba, ezimbi amabi, enama-abaxhomekeke, kwakunye ngokungathi kukho urhano nakancinane ubukho babo emzimbeni. Awukwazi ukusebenzisa isixhobo sokunika ukopha kusisi zemvelaphi ezingaziwayo. Contraindication ekufumaneni ikhonza ukukhulelwa kunye nokuncancisa.

Indlela isicelo, idosi

Drug "Janine" lisetyenziswa ngomlomo. Iipilisi kufuneka kusela ngaxesha omnye ukuze ipeyintiweyo kwi blister.

Medicine ukuthatha ipilisi enye ngosuku iintsuku ezingamashumi amabini ananye, ngoko lixhuzule i-zahlukane ngexesha ngeveki. Eli lixesha elizayo sexesheni. Emva koko uqale ukuthatha iipilisi kolwangu uqhubekiso entsha. Menses iintsuku 2-3 emva ukusetyenziswa yokugqibela philisi ukusuka ukuphakheja endala. Ayikwazi iphele kwixesha xa ufuna ukuthatha capsule of kumadyunguza ezintsha.

Ukusetyenziswa ichiza kuqale uma kwinyanga edlulileyo hayi asetyenziswa ezinye zokucwangcisa, kwakunye ngomhla wokuqala sexesheni. Iyeza ingasetyenziswa iiyure 2-5 ukopha ngenyanga, kodwa oku kuya kufuna amanyathelo ezincinane ekukhulelweni okungeyomfuneko kule veki izayo xa athathe ipilisi kolwangu uqhubekiso entsha.

Xa ukuguqukela "Janine" kunye nezinye izinto zokucwangcisa combined ziphele ngosuku olulandelayo xa isingxobo emva kokusebenzisa ipilisi entsha okanye isingxobo baphola ezivela kwiyeza blister wafumana ngaphambili. Umda phakathi ukusetyenziswa iipilisi ze nokupakishwa amatsha kunye namadala kunye akufuneki ngaphezulu ngeveki. Umfazi zocwangciso Ukuba uhamba patch transdermal okanye isazinge lobufazi, ukusetyenziswa kufuneka ziqalwe ngomhla ngokususwa kwezi zinto. Translation manenekazi zokucwangcisa progestin ( "mini-ipilisi") ukuya 'Jeanine "yenziwe naluphi na usuku ngaphandle kokuthatha ikhefu. Ukutshintshela kwi koko iye ithile yokuthintela okanye Progestogen alawulwa Esibelekweni, ngomhla ukususwa lwabo. Guqulela ukusuka Inaliti ekufuneka wenziwe ngexesha xa kulindeleke shot elandelayo. Kuzo zonke ezi meko kufuneka asebenzise ukusetyenziswa kukhulelwa eyongezelelweyo "Janine" kwiveki yokuqala.

Esi sixhobo lusetyenziswa emva isisu, owenzeka kwi I ezintathu. Kulo mzekelo, lo mfazi athathe eli chiza kwangoko emva kwale nkqubo. "Janine" ukuba ukusela ngamaxesha 21-28 emva kokuzalwa kwaye emva isisu kwenziwa ezintathu II. Xa ukwamkelwa kamva iipilisi kufuneka athathe iindlela ezongezelelweyo wokhuseleko iintsuku ezisixhenxe iipilisi ukusetyenziswa.

Ukuba umfazi phambi kokuthatha iipilisi ukuba neentlobano zesini kuye, kufuneka ngaphandle phambi kokuba ukukhulelwa kunokwenzeka okanye silinde kuqala ukusetyenziswa sexesheni "Janine."

ukweqa iipilisi

Ukuba umfazi ephosiweyo ukuzalwa iipilisi zokulawula "Janine," kwaye ukulibaziseka zange ngaphezulu iiyure ezilishumi, isiphumo zokhuseleko oku kuthetha akayi lifinyele. Kufuneka athathe ipilisi ngokukhawuleza kangangoko kunokwenzeka. iipilisi elandelayo sebenzisa ngokuqhelekileyo.

Ukuba ulahlekelwe ipilisi, "Janine" ntoni? Ukuba Ukulibaziseka ekufumaneni ichiza iiyure ezingaphezu kwama elinambini, ukhuselo ukukhulelwa lifinyele. Kufuneka isekelwe phezu kwala magama alandelayo:

• A bekhefu cwecwe-ukuthatha kufuneka ingadluli kwiintsuku ezisixhenxe.
• Ukuze kuphunyezwe uvimba ngempumelelo ummiselo hypothalamic-yebhinqa-ovarian kufuneka uthathe ichiza ngokuqhubekayo iintsuku ezisixhenxe.

Xa yokulibaziseka kokufumana imali ngaphezu kweeyure ezingama 12-36 ukuthatha iipilisi ngokukhawuleza kangangoko kunokwenzeka, nokuba kufuneka ukusela iipilisi ezimbini ngaxeshanye. Kamva reception oluqhutywa kwisingqi eqhelekileyo ichiza. Kuyo yonke le veki, kufuneka usebenzise kukhulelwa engaphezulu.

Ukuba neentlobano phambi komfazi wayelangazelela ezithatha ichiza, kusenokwenzeka ukuba inkqubo ifakwe.

Ukuba philisi ugqithele kwiveki yesibini kokusetyenziswa izicwangcisi hormone, kuyimfuneko ngokukhawuleza kangangoko kunokwenzeka ukuba athathe ipilisi. iipilisi Okulandelayo ziyathathwa ngexesha ngokwesiqhelo. Ukuba umfazi kwiveki engaphambili abazange ndiqhekeze ipilisi, akukho mfuneko yokusebenzisa amanyathelo abangabancedani ukukhulelwa. Le meko yahlukile kunye sicatshulwa iipilisi ezimbini okanye ngaphezulu, nantsi kuyimfuneko ukubhenela imiqathango eyongezelelweyo yokhuselo yonke le veki ezifumana arhente hormone.

Ndingalufumana ndikhulelwe, ukuthatha iipilisi zokulawula inzala "Janine"? Hayi, ukuba musa ukutsiba iipilisi. Itshiba i iipilisi, ingakumbi kwiveki yesithathu kwandisa umngcipheko ukukhulelwa ngenxa kufutshane ikhefu ekusebenziseni amayeza. Ukuba kwakungekho nekhefu yangaphambili iintsuku ezisixhenxe ezithatha ichiza, la manyathelo zasesekondari Akuyomfuneko ukusebenzisa ukukhuselwa. Ukuba kwenzeka ngethuba ulwamkelo amacwecwe idlula, ngoko:

• Pill lady kufuneka asele ngokukhawuleza kangangoko kunokwenzeka, nokuba kungade kufuneke ukuba usebenzise amabini ngaxeshanye. Le philisi kulandelayo kuyimfuneko ukuba basela ngexesha njengesiqhelo, lo gama nje zonke ezi pilisi kwi umqulu blister sishiywe. iipilisi Ukwamkelwa evela pack entsha kufuneka uqale ngoko nangoko ngaphandle kwekhefu veki. Ngexesha ulawulo ichiza bangafumana sokumbeka ibala okanye ukuyila ukopha indalo.
• Lady Ungayeka abafumana iipilisi ukusuka nokupakishwa lwangoku kwaye wenze ikhefu ngeveki, ukuba iipilisi imini wayelangazelela Wajika, uze uqale ukuthatha iipilisi, kodwa kumadyunguza ezintsha.

Ukukhulelwa emva kokuthatha iipilisi zokulawula inzala "Janine" kunokwenzeka ukuba ukuqeshwa entweni iipilisi, kwaye ngexesha ixesha lekhefu iveki Abazange beze.

iimeko ezizodwa at yolwamkelo

Ukuba kumaza iipilisi ladies esebenzayo wayiphawula phakathi iiyure ezine, ukugabha okanye isifo sorhudo, ngoko ke ukufakwa isiyobisi ayigqitywanga. Kulo mzekelo, thatha amanyathelo zasesekondari zokuzikhusela asele Iipilisi zothintelo kukhulelwa "Janine" ngendlela efanayo iipilisi ephosiweyo.

Ukuyi- umhla ekuqaleni kwenyanga ukuba phula ngeveki yaye kufuneka siqhubeke ukusela iipilisi ukusuka kumadyunguza ezintsha imini, apho lo mfazi efuna. Iphakheji yesibini zingasetyenziswa ngokupheleleyo ngaphandle nenekazi ikhefu leentsuku ezisixhenxe. Xa abafumana iipilisi ukusuka blister unakho ukuphazamisa idabi yesibini ukopha kunye zokubona minor. Qhuba ezithatha ichiza kufuneka ibe emva kwekhefu veki.

Ukuba akukho maxesha ngexesha uthatha iipilisi zocwangciso "Janine", oku kubonisa ingcinezelo ngokugqithisileyo umsebenzi ovarian hormone. Kulo mzekelo, kufuneka udibane nogqirha wakho ukuba unesifo enengqiqo ukukhangela unobangela wale meko.

imiphumela emibi

Kufuneka usebenzise iipilisi zokulawula inzala "Janine" Kuphela njengengqesho ugqirha. Imiyalelo yokusebenzisa uchaza ngokupheleleyo zonke iinkcukacha indlela ulwamkelo. Ngokuqhelekileyo, xa usebenzisa ichiza, abasetyhini bajongene iziphumo ezingalunganga ezifana isicaphucaphu, ukugabha reflex. Kule ndawo lenzala ibonakala utshintsho secretion lobufazi, ukuba isisa webele ukuqunjelwa, ikheswa nasezinkathazweni secretion ibele, ukungabikho inkanuko yesini.

Kwakhona, iipilisi kunokubangela i embi mood, intloko ebuhlungu, migraine, ukudandatheka. Ngexesha isicelo ichiza wabonwa chloasma, ukugcinwa ulwelo emzimbeni, osisigxina contact lens zobandlululo komzimba.

analogs

Kuye nje zokuthintela ukusebenza, kodwa ukunyanga ipilisi "Janine." Imiyalelo eziqhotyoshelwe kuzo yaye kufuneka ifundwe phambi kokusebenzisa imveliso. Ukuba sixhobo asikusebenzeli eze ngenxa yaso nasiphi na isizathu, ngoko oko kutshintshwa yi kwiipilisi zilandelayo:

• "Yasmin".
• "UJess."
• "Marvelon".
• "Trikvilar".
• "Loveston".
• "Benateks".
• "KaKlowe."
• "Mikrolyut".

Akukho mfuneko yokuba indawo ichiza hormone ndedwa, ngokuba kuphela ugqirha ukuhlola imeko yempilo yoomama, uya kuba nako ukufumana kwiwotshi yamanani efanelekileyo ngokuchanekileyo.

iindleko

Zokucwangcisa "Janine" iipilisi (manual ikuchaza ngokweenkcukacha contraindication ekufuneka ziqwalaselwe phambi kokuba usebenzise olu yokucwangcisa) ithengiswa apha ukupakisha, apho kukho amabini ananye Icwecwe bhokisi, leyo iqulathe blister amathathu (63 njengezingxobo). Uhlobo lokuqala ibekwe ngaphakathi engange 800, le yesibini - engange 2,000.

iipilisi zokulawula Birth "Janine": ncomo

Eli chiza iintlobo ngeentlobo neempendulo. izimvo ezakhayo malunga iipilisi bathi 100% ikhuselwe ekukhulelweni, imphathe endometriosis, polycystic yamaqanda syndrome kunye hyperplasia glandular. Nceda bunjani sexesheni, ukususa iimpawu PMS. Abafazi bathi bakuba bayanamkela, musa bafumane ubunzima, kodwa kunoko, ukuncipha. Abanye ngonyuka umgangatho nemeko iinwele kunye nesikhumba. La manenekazi Bavuyiswa ichiza nokuqhubeka ukuthatha iipilisi zokulawula inzala "Janine."

reviews ezimbi uqaphele ukuba esi sixhobo kunokubangela iziphumo ezingalindelekanga, kuquka intloko ebuhlungu, ukugabha reflex, isicaphucaphu, iintlungu kwindawo isibindi, sinciphise yobuntu, utshintsho kwimo, ixesha hlengiso kunye ukurhoxiswa, isisa webele ukopha. Izigulane ezininzi bathi iipilisi zokulawula inzala luyabiza "Janine."

Izimvo oogqirha malunga ichiza ubukhulu becala ezintle. Badla bancoma ukuba endometriosis, cysts, kuba kuqheleke ukuba sexesheni, kwakunye sexesheni buhlungu kwaye inzima. Bathi bakugqala-ithamo eliphantsi arhente elungileyo kwamadlala unako ukukhusela ngokupheleleyo ekukhulelweni okungeyomfuneko.