Levonorgestrel: He aha ka keia hōmona, a no ka mea ana i mea kuleana i loko o ke kino?

He nui nā kanaka kahaha no: levonorgestrel - He aha ka keia hōmona? He He kemikala progestagen i pio endometrium minimizes ovulation inhibiting fertilization oocyte hoomakaukau ai. A eia hoi, e hiki mucosal receptors ua hoʻemi pā lonoaʻili ua loaa. Ma kēia 'atikala, e nana aku kakou, i ko lakou hoomakaukau ana i loaʻa i ka hōmona kapaia.

pharmacology

Ka lāʻau "Levonorgestrel" - ka estrogen, a ālai 'ia' o ka ho'ā hope o ka sperm hālāwai hoʻolohe, e hoonui mucus (viscosity) waiwai. Ka lāʻau 'hana Tuamotu loko o ka uterus i loko o ka fallopian şarkı, ka endometrium, o ka hana mau ana o ka mucus, kūpono follicle-noho haumāna kahi hōmona ho'ēmi i kā kona hope.

'Ai, inu i kapa lapaau' Imi ke kemu i loko o ka gastrointestinal'āpana, Bioindication i ka 100%. Ma ke koko, e kia kona eiiiiiaiou ma ka i kā mākou? Eaia razovo 75 ml ma hope o 60 - 130 minuke. Nānā akula au i hōmona hana me ka wai koko a me ka globulin paa i ka hola 50%.

Pūnao ua hoʻomōhala ma ke akepaa, o ka OE palapala pharmacologically metaboliks. I ka papa kuhikuhiE isoenzyme o keia hōmona ka CYP3A4. Ka hapa-ola au i hope mai i ka 30 hola.

waiwai

Ma muli o ia i ka nīnau "Levonorgestrel - He aha ka keia hōmona?" E e alakaʻiʻia e ka aʻo ana o ka mea hookahi inoa lāʻau, a me nā koi o ka hele kauka. Nā hoailona nui koena unuhi waiwai o ka mea o 1.0 ml / min. / Kg (i ka wai koko). Ka hōmona Ua eliminatedʻano nui ma ka ureter, he uuku hapa ua wehe 'ia mai ka noho.

Ma ka iapaau ana o systemic ano e haule ana wikiwiki nā hoailona ma ka uterus mea i oi aku mamua o 20 mg kela la i keia, a hala na la elima makahiki e haule iho i ka 11. ka awelika auaiaea ana o ka hōmona loli aʻe a puni 14 ug / 24 HR. Over 50-60 mahina.

Intrauterine Inc ae no ka wahine me ka hope hōmona hana maikaʻiʻole i loko o ka huipūʻana me ka estrogen, progestin ua ole me ka haku mele 'ana. Levonorgestrel - he hōmona implants ma ka wai koko 60 minuke ma hope o hooponopono. I kā mākou lehulehu ma loko o laila ua palapala ma hope o 14 lā o ka palapala noi.

hoike

I ka hana o keia k mea hiki i intrauterine Inc, e like me ia ma ka kēia hihia.

• Idiopathic menorrhagia kohoʻia.
• Lōʻihi-makahiki contraceptive ka hoomalu ana.
• Kāohi ana no ka hakahaka ka ho'ēmiʻana me ka estrogen.
• Pilikia pilikia contraception.

Ka hōmona levonorgestrel, i ka hope o ka i mai he palahalaha laulā, e pili ma hope o ka hoike ana o ke kauka wale nō kēia.

Hoʻohana hou a me ka laʻau heluna

Noʻonoʻo i ka lāʻau ho'ā 'ia paha ma ka intrauterine ka pahu kui - injected i loko o ka uterine lua. Hoʻohana 'ia no ka 4 lā ma hope o kamaʻilio ma ka nui o ka 0,75 i 1.5 mg. Pilikia contraception poe akamai i ikaika i ka manao ole i ka hana hou aku ma mua o hookahi mahina a pau eono.

E hoʻopau i ka menstrual kalapona, ia mea pono, e like me ka paipai laʻau heluna me ka hou-ana. Mai ka hoʻohana hoike mai i ka lāʻau 'hōʻike waha' like me ka ano o ka paʻa contraception, e like me keia hoʻonāukiukiʻana mai o keʻano o kaʻaoʻao 'ole a me ka ho'ēmi i kā ka laulā o ka lāʻau. Ma ka hihia o uterine koko ho okumu ma hope o pilikia contraception mea pono i ke kaʻina hana no ka ninaninau ma ka gynecologist, a ma ka 'aʻe' ana o menopause hebedoma oi ma mua o kekahi mea e pono e hookaulua i ka hapai ana.

Wale ma hope o ke kūkā, a lohe lakou olelo hooholo gynecologist ma ka ano o na hihia, ka mea e leie aku no ke komo ana i ka lāʻau no ka contraception ma Nā hana i pilikia.

Penei ka hoʻohana 'hōmona levonorgestrel?

Pehea ke ano o ke kino ke hoʻohana 'ia i ka hōmona i ho'ākāka' ia, a me ka mea e hana i ka pale aku i kaʻaoʻao waiwai? No laila, ua hoalaia mai ma na mea he nui i ka ninau. Ke kanana 'adherence i makaukau'ōlelo aʻo, mahalo laʻau heluna, a hahai i ka hana - ia hoʻohiki pakele ana o ka lāʻau.

Mua ana, e pono e hele i ka nana ana o ka Moana gynecologist, me ponopono mammary glands, pelvic nā loko, hana cervical haukaʻe.

Re-keia hookolokolo ana ua lawe mai ma hope o 30-40 lā ma hope o ka mea hoʻonoho o kaʻoni iho, a laila, keia makahiki, a ina he mea kekahi presuppositions - pinepine. Kēia intrauterine Inc mea mana no ka 4 me 5 makahiki. Kona mea hoʻonoho E hana wale nō me ke kahuna lapaau e pono hana kūikawā ana ma keia kahua a i ka hoao ana me ka noʻonoʻoʻano o ka lāʻau.

ka pilikia

Women lawe ai 'me ka progestogen, he mea hiki i ka mahuahua ana o venous thrombosis i loko o ka pilikia koke. I ka wa ia symptoms mea he manaʻo pono, e lawe kaʻenaʻena ana no kaʻike, a me ka lapaau.

Ma hope iho o ka withdrawal o ka Moana o ka hanau keiki ana hoʻopakele iā ma hope o eono mahina i loko o ka hapalua o nā wāhine, ka poe noi ma hope o 12 mahina - oi ma mua o 96 pakeneka. Contraceptive kohoʻia Ua emi mana no nā mea maʻi me ka obesity.

Contraindications

O ka naau "Levonorgestrel - He aha ka keia hōmona?" E noʻonoʻo i nā contraindications. I waena o lākou:

• Ma kela aoao o (hyper) pā lonoaʻili, tromboflebitnye ho okumu.
• Thromboembolism, hoʻololi i loko o arteries.
• Cerebrovascular maʻi kohoʻia, hāpai keiki.
• E pili ana i 'ai, inu: jaundice (me ka mōʻaukala), pathological complications bile auaiaea a akepaʻa, lactation.
• Moe waiwai nui.
• Eia kekahi, no ka mea, o ka IUD - wahi urogenital maʻiʻaʻai recurrences aʻeleu li nui i loko o ka pelvis, excesses postpartum endometritis, huʻi ake maʻi.
• Septic abortifacient 'uao i loko o ka hope trimester, dysplastic hou' uterine cervix pathology i loko o ka like kahe ana ke koko o ka mea ike ole ia kumu, malignancies.
• E hele mai a congenital anomalies paha ka nānaina fibroids.
• Progestagenoz (ʻeho, a me ka cancerous umauma lesions).

palena

Na ke kaupalenaʻana ololi Ua pinepine pili no ka pākōlea 'uao i loko o ka uterus, i ka wahi e e ina oe i na kēia mau symptoms a maʻi maʻi:

• loa headaches, he pono ole, a kūloko migraine me blurred hihiʻo, nā symptoms, hoʻomōhala i ka manawa kūpono o coronary artery maʻi;
• maopopo arterial hypertension kuhikuhi, jaundice, luna 'luku keʻano o ka hanaʻana i loko o ka circulatory'ōnaehana, me ka naau ino a me ka hahau ana;
• mimikō mellitus.

Oe e ike koke kukakuka pu ma ka hoʻopau o ka Moana i ke kahua a me ka alo ana i kekahi o kēia mau Hawaii.

Hāpai keiki, a lactation au

I loko nō o ka mea i levonorgestrel - he wahine hōmona, kona hoʻohana mea unacceptable i hāpai keiki. Inā hele mai, e waiho i ka hoʻopau o ka'ōnaehana aie i ka mea i kekahi intrauterine contraception maoli i ka pilikia o premature hanau a me miscarriages. E mālama nei makuahine kaʻimiʻana'ōnaehana a hoʻopau i kekahi manawa ka hopena i miscarriage 'ia randomly. Ua pono hoʻomalu manaʻo ma luna o ka feasibility oʻimi hoʻopunipuni hoopau wale o ka hāpai keiki ma ka hihia o ka impossibility o ka pololei contraceptive pōʻalo.

I ka mea, he mea hiki ole i ka intrauterine'ōnaehana a me ka manaʻo makemake, e hoola i ka hāpai keiki i ka hoʻomanawanui ë he mähele wale no ka mea hiki hopena a me ka pilikia no ke kamaiki ma muli o ke premature hanau e wehe. Ma ia mau hoopii, e pono e hōʻoia i ka pono kanaka hoʻoponopono i ka hāpai keiki. Ma mua o ka hoʻomanawanui e lawe mai i ka 'ike i ka mea pono koke hoʻomaopopo e pili ana i na symptoms a pau, a e kōkua i ka paipai i ke kaʻina complication.

lactation

I ka breastfeeding a hoʻohana "Levonorgestrel" ma kahi o kekahi-hapaumi o ka lāʻau i loko o ke kino bebe. Breastfeeding loko no ka pilikia contraception E e hele aku ma 1.5 lā.

ma ka paipai laʻau heluna no ka pākōlea'ōnaehana hoʻouka kekahi ma ka utero, e like kekahi progestogen-wale contraceptive iaoia, ia mea ano e ka hana ana o ka hapalua mahina ma hope o ka hānau mai i adverse 'ole ma luna o ka ulu a me ka ulu ana o ke keiki, nolaila, i ka lāʻau mea ole paha, e ho oweliweli i ka pilikia a hiki i ka fetus .

Adverse symptoms

A hoi mai i ka nīnau "Levonorgestrel" - He aha ia mea, "e i ka nānā i ka mea e hikiʻaoʻao ole a me contraindications o ka lāʻau lākou ke hana i kekahi nenoai o ke kino, a nō ka mea kēia symptoms :.

1. Mai ka ua'emi'ōnaehana: luhi, kaumaha, headache, naʻau i loko nā poʻohiwi.
2. GIT. Ka luaʻi, indigestion, cramps, bloating.
3. Genito-urinary nā loko. Kahe ana ke koko, kaawale, eha, candidiasis, ka pahiki o ke kahua o malignant a me ka benign hikoko.
4. Skin rashes, hoike ana o ka eczema, ka ohane, poʻe noʻonoʻoʻole, huehue.
5. Other: nani, hui eha, puʻe kēia, sepsis.

Ma pohihihi keia hihia hopu o epilepsy, cramps a me ka maʻule hou ihola nō.

Ka hui pu ana me ka 'ē aʻe ai'

Këia "Levonorgestrel" (mea ano o ka hōmona), ia mea pono e hōʻike i ka manawa kūpono o ka hoʻohui pū 'ia me ka' ē aʻe ai 'a me ke aloha ai'. Ma ka hihia o ka waiwai ma ka ninau me inducers o ka cytochrome P450 isoenzymes e emi ka hoʻokōʻana no ka mea, o ka mahuahua i loko o kona metabolic keʻano o ka hanaʻana.

ʻO kēia mau ai 'ke emi i ka hopena o ka "Levonorgestrel":

• Group barbiturates, "Tretinoin", "carbamazepine" mele i loaʻa ka St. John ka wort a me kona komponatsiyu.
• Ho'ēmi i kā ka laulā o anticoagulants, hypoglycemic, anticonvulsant ai '.
• "Levonorgestrel" maoli i ka 'auhau o glucocorticoids i loko o ke koko, a me ka mea i hiki no loko pūnao.
• Ma muli o ka suppression o ke keka steroid recirculation, ukuia a hiki i ka reorganization o ka intestinal flora, a mahuahua nui menstrual kahe ana ke koko e hoʻomaka ai ka wā luna 'noi ana i kekahi ai'.

Kekahi hiki ole aka, e hoʻouka hou aku au, kamailio pu ana pehea e pili "Levonorgestrel" i keia laau ke kumu no ka hua i loko o kaʻaoʻao hopena o nā lapaʻauʻia, he antidote no ia mea,ʻaʻole. I Ina o ka overdose koi symptomatic lapaau.