Amene analogi "pregna" ntchito? Poyerekezera ndi zofanana "pregna"

"Pregnil" ntchito pa matenda a anovulatory osabereka mu akazi, padera, samoaborta kuopseza, komanso ankalamulira giperstimulirovaniya yamchiberekero, kupatsidwa ulemu wa ovulation ndi kuchuluka misinkhu esitirojeni. ntchito yake bwino M'MALO mankhwala chiwembu lutein amkati timadzi yotithandiza follicular kusasitsa.

Zikuonetsa ntchito mwa amuna kuchedwa kutha msinkhu kugwirizana ndi hypofunction wa zopangitsa kugonana, cryptorchidism, mkhutu spermatogenesis. Taganizirani odziwika bwino kwambiri analogue "pregna" m'nkhani ino.

Kufotokozera "Pregnil" mankhwala

"Pregnil" zikuphatikizapo chorionic gonadotropin (hCG), anthu. timadzi Izi kuyamba kubala minofu chorionic kumapeto kwa Ndisanaumbidwe ndondomeko implantation. HCG ali FSH ndi LH ntchito kumaonjezera katulutsidwe timafunika ndipo amayamba ndondomeko ovulation. Kenako izo amathandiza zinchito corpus luteum ntchito asanayambe kupanga estrogens ndi progesterone latuluka.

Kugwiritsa exogenous chorionic anthu gonadotropin osati timapitiriza katulutsidwe timafunika yamchiberekero ndi progesterone, komanso induces ovulation, luteal facilitates wotsatira akuphulikira follicle.

Ntchito yokonzekera hCG ali dzuwa kwambiri mu dera ndi cholinga cha azimayi amsinkhu umenewu amakumana anthu timadzi ndi follicle.

regimens

"Pregnil" (analogue "pregna" mlendo pa mlingo yomweyo) ndi inakhazikitsa mu 1500 ndi 5000 Mlingo MO. Ntchito jekeseni mu mnofu.

Mankhwalawa anovulatory osabereka mu akazi analimbikitsa jekeseni mmodzi ya 5000-10 000 Utumiki wa silikhali, pa mapeto a moyo mankhwala a FSH (follicle popatsana timadzi) kapena hMG (anthu azimayi amsinkhu umenewu amakumana gonadotropin).

Pamaso puncture, kulamulira yamchiberekero kukondoweza ndi kutumikiridwa mankhwala 5000 MO.

Thandizani gawo luteal ikuchitika jekeseni ozungulira pa mlingo wa 1000 mpaka 3000 MO masiku atatu - 3 zina.

Amuna ntchito hypofunction wa zopangitsa kugonana ndi kuphwanya spermatogenesis pa Mlingo wa 1000 mpaka 2000 MO kangapo pa mlungu (ndi analogue a "pregn" angathe kumwedwa mu njira yomweyo).

Mankhwalawa cryptorchidism ntchito ana mankhwala nthawi 2 sabata, analimbikitsa mlingo:

- zaka 2 - 250 MO;

- mpaka zaka 6 kuti uzipereke 500 1000 MO;

- pambuyo zaka 6 - 1500 MO.

Tafotokoza ntchito chiwembu cha mankhwala. Koma koposa zonse musanayambe mankhwala dokotala ndi kupeza mkumano kwa iye mankhwala.

Analogs "pregna»

Kodi pokonzekera "Pregnil" Anzawo? Ndipotu, ambiri a iwo, pali mtengo mankhwala, pali mtengo.

"Chorionic Gonadotropin"

"Chorionic Gonadotropin" ndi otsika mtengo analogue "pregna." Yopangidwa mu mlingo wa 500; 1000; 1500 ED. Kugwiritsidwa ntchito intramuscularly. Kutumikiridwa mu mlingo wa 1500 IU tsiku kapena 3000 IU 2-3 nthawi sabata mankhwalawa osabereka mu akazi. Mankhwalawa infantilism kugonana anaika kuchokera 500 mpaka 1000 IU kamodzi pa sabata, maphunziro kwa miyezi 2. Ana anaika 500-1000 MO kwa zaka khumi, ndiye - 1500 IU mwezi ndi maphunziro mobwerezabwereza. Ndiko kuti, mankhwala "Pregnil" analogues ndi wotchipa.

"Ovitrel"

"Ovitrel" limapangidwa horiogonadotropin Alpha. Yopangidwa mu mlingo 250 micrograms (6500 IU). Kugwiritsidwa ntchito subcutaneously. Zimathandiza mapangidwe a corpus luteum, follicle kusasitsa ndi ovulation. 250 ga wofanana mayunitsi 5000 a chorionic anthu gonadotropin. Pa kukondoweza kwa superovulation yamchiberekero ndi kulandira 250 .mu.g ntchito, pambuyo njira ya mankhwala kapena anthu azimayi amsinkhu umenewu amakumana FSH. Mankhwalawa anovulation Kwalamulidwa mlingo 1 tsiku asanayambe kugonana.

"Horagon"

Wina analogue "pregna." Zimapezeka mlingo wa 1500 ndi 5000 MO. Kutumikiridwa intramuscularly. Izo ntchito dysmenorrhea, hypoplastic gonads, infantilism kugonana imathandizira msinkhu, kuopseza mimba lachibadwa, kupangira superovulation. Kupangira superovulation kutumikiridwa mu mlingo wa 5,000 10,000 MO kamodzi. Mankhwalawa mimba kabwerebwere Ndi bwino kugwiritsa ntchito tsiku loyamba la kukhazikitsidwa kwa mimba kwa masabata 14, kawiri pa mlungu 10 000 MO. hypogonadism chithandizo limapangidwa kugwiritsira kuchokera 1500 mpaka 6,000 MO kamodzi pa sabata. Androgen akusowa anthu ankachitira ndi ntchito HCG 1 iwiri iliyonse kwa miyezi itatu.

"Choriomon"

Yopangidwa mu mlingo wa 5000 IU / ml ya kwa makonzedwe mu mnofu. Ndi kwambiri zothandiza pa matenda a m'zinthu anovulatory ndi amenorrhoea. Ntchito limodzi ndi azimayi amsinkhu umenewu amakumana anthu gonadotropin (75 MO) kwa masiku 10 subcutaneously kapena intramuscularly, kuti kuonjezera katulutsidwe wa estrogens. Pamene ultrasound okhwima follicle kwa ovulation kupatsidwa ulemu kutumikiridwa kuchokera 5000 10 000 MO "Choriomon". mankhwala chikuyendetsedwera masiku 1-2 pambuyo jekeseni lotsiriza la FSH kapena hMG. kugonana tikulimbikitsidwa tsiku ndi tsiku mpaka ovulation.

Osabereka chifukwa osakwanira luteal gawo "Choriomon" ntchito 5000 MO 21, 23 ndi masiku 25 pa kuzungulira.

"Profazi"

"Profazi" - analogous kuti "pregna 5000". Zimapezeka mlingo wa 2000 ndi 5000 MO. Kugwiritsidwa ntchito intramuscularly. Therapy anovulatory osabereka wochititsidwa ndi kuyambitsa 10 000 MT pakati pa kuzungulira, mankhwala ndi HMG kapena FSH. Kupangira superovulation anaika MO 10000 patsiku kwa mpanda wa dzira. Pamene corpus luteum insufficiency analimbikitsa makonzedwe MO 5000, ndipo wachisanu ndi tsiku lachisanu ndi chinayi pambuyo ovulation. "Profazi" kwambiri zothandiza pa matenda a padera kobwereza. Izo ntchito ndi 10 000 MO mu ntchito choyamba, kenako - pa 5000 silikhali kawiri sabata masabata 14.

contraindications

Contraindications ntchito yokonzekera hCG:

- kusintha.

- timadzi yotulutsa zotupa za zopangitsa zoberekera.

- zotupa za ubongo imene imalamulira kutentha ndi pituitary England.

- zotupa la chiberekero atakwatirana ndi mimba.

- Thrombophlebitis.

- Hypothyroidism.

- Tubala mimba mbiri kwa miyezi itatu isanafike mankhwala.

- Polycystic n'kuwasanganiza.

- mkaka wa m'mawere.

zotsatira zoyipazi

Zotsatira zake zoyipa kugwiritsa ntchito chorionic anthu gonadotropin:

- Kuchuluka irritability, maganizo lability, litsipa, ndiponso nkhawa.

- matenda dyspeptic (nseru, kusanza).

- Kuchuluka tilinazo nsonga zamabele.

- gynecomastia anthu.

- totupa, ming'oma.

- Syndrome wa hyperstimulation yamchiberekero.

- A kuwonjezeka zosakhalitsa mbolo, nthenda erection.

- Kuchepetsa wa pituitary England.

- Kuchepetsa wa kufalitsidwa magazi buku (hypovolemia).

- kudzikundikira magazi zonse m'mimba.

- Thromboembolism.

- zingapo mimba.

- Chamadzimadzi posungira, anafotokoza, wamba edema.

Analogue "pregna 1500" sinathe olumala la chiberekero, ndi zokhudzana ukazi, adhesions mu Ukalawu, kulephera chachikulu yamchiberekero, fibrotic zotupa zazikulu mu chiberekero.

Mankhwalawa lonse chikuchitika mosamalitsa pansi Katswiri kuyang'aniridwa ndi kulamulira kusintha kuwunika, kugwiritsa ntchito mankhwala amenewa kunyumba ndikoletsedwa ndipo kungakhale ndi zotsatirapo mpaka kalekale thanzi.

Chithandizo cha anovulatory osabereka ayenera kuchitidwa pansi ultrasound kukula kulamulira follicle ndipo ziyenera kopitirira index khomo lachiberekero.

Zofunika tsiku kuwunika ndende ya estradiol. Ndi zizindikiro za osafunika yamchiberekero hyperstimulation chithandizo chorionic gonadotropin yomweyo kutsazikana.

Tafotokoza mankhwala "Pregnil" analogues, ntchito kuwatsogolera zinalinso.