Na Ke Kumu "Gonal-F." Description o ka la hoomalolo, contraindications, analogs a me nā hōʻike manaʻo

Kekahi o ka mea pono ano o ka infertility lapaʻau mea e hoʻoulu ovulation. No ka mau hua kupono no ka fertilization, ka mea i pono, e hoʻomaka i ka hana mālama '-lāʻau Inc. "Gonal-F" ua manaoia kekahi o ka loa ka hoʻokō ai 'i loko o kēia wahi. Na Ke Kumu "Gonal-F" ikaika ia kekahi hana maikaʻiʻole ma lalo o ke kanana '' inikua hooponopono.

Description o

Ua noa i ike ia me ka ovulation hāpai keiki hiki ole ana. No laila, he nui no ka nani ke keka,ʻalo me ia i ka pilikia pilikia e e Wehewehe i nā hāʻina i stimulation, a ma lūmaua fertilization. Ka hele kauka pono mua lawe mai i ka 'inikua ninaninau, e koho i ka AYEIE noaia o ke kaʻina hana, a me ka kūpono hoomakaukau.

Ka loa palekana pono a me ka mea hana i ka nānā 'ana ma luna o follicle noho haumāna kahi hōmona - FSH (recombinant), i mea kuleana no ka maturation o follicles i loko o nā wāhine. Na Ke Kumu "Gonal-F" ai ia mau moʻolelo i ka lāʻau a pau a hiki i kēia mau mea hoʻoponopono, a me keʻano papa hana o ka 'ana, ua like kokoke i ka FSH kūlohelohe. Buy ka lapaʻauʻia wale nō ma luna o Kauka ka kuhikuhi.

nāʻikepili

Uluwehi O koi ma ka gynecological ke kahua, a ua häʻawi mai ka wā e haʻalele i ka ulu ana o follicles. Nāʻikepili no ka hoʻohana "Gonal-F" i ke kēia:

• E kaawale aku ai ovulation a me unsatisfactory result ma hope ana "Clomiphene".
• Polycystic ovarian maʻi pale (pathology pili i hormonal kāna hana ma o na la malfunction o na ovaries).
• I ka pono no ka stimulation ana i mau follicles no IVF.

Lehulehu 'inikua haʻawina i hoopaa i ka hopenaʻoi loa o ka lāʻau i ka wa kupono e ulu ai o ka lau follicles ma ke kaʻina hana o ka ovarian hyperstimulation (lāʻau). Ua Ua hoʻokumu i ka hana 'Oponopono ka paipai' ana i ka ulu ana o follicles, a pela nunui ho'ēmi i kā ka pilikia o ovarian hyperstimulation.

Noi no na kanaka

Ka wā 'ole-kaʻaeʻana me ka walaʻauʻana mana o ke kane gonads o spermatogenesis kaʻina - ka mea i haki - ke kahua a me ka hoʻomohala o sperm. Follicle noho haumāna kahi hōmona pono no ka "omaka" o kēia kaʻina hana, a mau 75 lā. Huai ae pathological moku'āina mea hiki ma hope o ka hooholo ia ana o 'inikua lapaʻau' ana a me ka haawi ana o semen wale.

Stimulation (a hoihoi) ka maʻamau kahua o ke kane ke keka gametes kekahi manawa lawe hou ma mua o ka like ina hana i loko o nā wāhine. No ka maikaʻi hopena o ka hana e hoʻokō loa me na koi andrologist. Pono e hoopili aku i ka pela papahanaʻai, e haawi mai i ka pono o ka waiʻona a me ka nicotine. He OAXA e hoonoho kūikawā hoomakaukau. Na Ke Kumu "Gonal-F" Hōʻike i ka lāʻau hiki ke hoʻohana 'ia ka hōʻoi' spermatogenesis i loko o na kanaka, ka poe i congenital a lilo hypogonadism. Inc E ia ma lalo mau hooponopono ana o ka hoʻomalu ka mea i hanaʻia i loko o ka iapaau ana o ka infertility.

i ka lāʻau

ʻeleu ke keʻena o ka lāʻau hana follitropin alfa - he waiwai e stimulates i ka ulu ana o follicles i na wahine me ka haunaele ma ka hypothalamic-pituitary kahua. Ke bioavailability o ka lāʻau i ka wa lawelawe subcutaneously i kahi o 70%.

ʻeleu 'Oponopono hoʻomaka e loaa i loko o ka meaola ma hope o ka puana hooponopono. Iloko o ka mea mua 3 lā malama threefold hoʻonui i ka equilibrium lehulehu o follitropin alfa, a hoomaka stimulation kaʻina.

Kākoʻo eiiiiiaiou na i loko o ka lāʻau o ka paʻakai hydroxide a me ka hydrogen posapahate dihydrate, phosphoricʻakika, methionine, sucrose, polysorbate 20.

hookuu palapala

"Gonal F" produces he Italian mea lāʻau lapaʻau poe "hana Farmasyutika Serono Spa". Palapala hookuu Agena - pāʻoihana no subcutaneous ka pahu kui a me lyophilisates no ka wai.

Ka ohe ma ke ano o ka mńka ke komo 0.5, 0,75 a me ka 1.5 ml. Ka haahaa mahele lāʻau e like me 22 micrograms o follitropin alfa (300 Iu), meakino - 33 mg oʻeleu 'Oponopono (450 Iu). Ka nui loa ka nui o kaʻeleu Agena iloko o 1.5 ml - 66 micrograms ( "Gonal-F 900"). Ke kumukuai o ka lāʻau hilinaʻi nui ma ka lehulehu o na hana waiwai.

Pen i ka kūikawā dispenser a me ka unahiʻole, i, mau hiʻohiʻona nōʻoe i ka pāʻana i ka mahele lāʻau. Ma keia palapala o ka lapaau, e kuai i ka loa e pono i ke aloha i ka mau dosages. Nā pono i ke wahi, aʻaʻohe nele no ka makaukau o ka pāʻoihana ma mua kēlā me ka pahu kui.

Lyophilizate no ka makaukau o ka pāʻoihana no ka pahu kui ua nāu kekahi me ka wai i mua o kēlā me kēia manipulation. Ke koi laʻau heluna o ka mālama '-ho omaulia i ke ka hoʻomalu no kēlā kanaka hihia.

Pehea o ka iapaau ana o "Gonalom-F"?

I ka wa e kaawale aku o ka ovulation Inc hoʻomaka i ka hebedoma mua o ka menstrual kalapona, nae regular menses (kekahi e hiki alapine (frequency) haiahū kūmau). Ke kaʻina hana o ka stimulation E e hoʻokō ma lalo o ka mana o ka ultrasound ao, a e leie aku oe i ka pāʻana i ka nui o na follicles. E hoʻomaka ana mahele lāʻau - 0,13-0,25 ml lāʻau "Gonal-F 75". Price pāʻoihana i loaʻa ka 5.5 mg o follitropin alfa, o ka lalo a me ka mea a puni 110 rubles. E hoomahuahua oe i ka mahele lāʻau ma 1-2 pule i 225 Iu (i kā mākou).

Inā i loko o hoʻokahi mahina lapaʻau 'aʻole e hāʻawi' oluʻolu hualoaʻa, lāʻau Inc E e hele aku. ka loiloi mua laʻau heluna e mahuahua e no ka hou lapaau.

I ka wā o ka pono no hoi malalo o ovarian hyperstimulation lāʻau ua lawelawe i loko o ka laʻau heluna o 150-225 Iu. ʻO kā mākou kela la i keia mahele lāʻau e ole oi 450 Iu. Inc hoʻomaka me 2-3 lā o ka menstrual pōʻaiapuni. Me ke kōkua o ke ultrasound hoʻomalu, e kanaka hoʻoponopono i ka ulu ana o follicles. Ka lōʻihi like 'ole o ka hana e ia mai ka 5 a hiki i 20 mau lā. Ma hope o ka hope infusion, 48 hola ma hope, i ka pahu kui o kanaka chorionic gonadotropin.

Men ka poe i pilikia me ka kaʻina spermotogenez kekahi hōʻike stimulation. "Gonal-F" ma keia hihia ua hoʻohana 'ia i loko o ka hui pu ana me kanaka chorionic gonadotropin. Mau lapaau regimen o ka subcutaneous ka pahu kui o ka lāʻau 'ekolu manawa i ka pule (mahele lāʻau 150 Iu). Duration o Inc E e ma ka liʻiliʻi 4 mahina, ma hope i nele i ke kanaka e e hookolokolo aku la ia. Me ka uuku paha i hana hou i loko o ka hopena o ka iapaau ana e ana i 18 mahina.

Dosing

Ka mua ka pahu kui o ka lāʻau e e ka hoʻomalu i loko o ka haukapila. Ua aoia, i loko o ka wā e hiki mai ai ka hoʻomanawanui ke hoʻohana i ka peni, a e i ka pana, "Gonal-F." Pono mua e ike lea i na kuhikuhi ana i ka waiʻona.

ʻO kēia mau koi no ke kuokoa pono o ka lāʻau.

1. Mamua o ka hou ae la oia, "Gonal-F", e holoiʻo ia i kā lākou mau lima loa me ke kopa a me ka wai, a hiki hou hoʻokō 'antiseptic.
2. Decomposed ma luna o ka mea maemae ili koi 'ia' ikamu: peni 'ohe, hue o ka pauka a me ka wai no ka pahu kui, ka waiʻona swabs.
3. He pono, e hoomakaukau i ka peni, wehe i ka chap, i ka makemake laʻau heluna, a paʻa i ka kuikele.
4. Lyophilisate (he lepo lā) nāu kekahi me ka wai no ka pahu kui ma ka wai a me ka maloo waiwai i hoʻolaunaʻia ma loko o ka hue. Ka laholio uhi pono e puncture kui kele, e wehe i ka hue ia mea i pono. I ka wai a E e hoʻolauna lohi.
5. Ua mea e hōʻike degere i loko o ka lewa 'ohe a ke koi' ia mahele lāʻau, ka hoʻokomo 'ana i kekahi kuikele i loko o ka hue a me ka pāʻoihana o (mua huli i lalo ke alo), e hoʻolauna makani, a hōʻike degere i ka makemake nui o ka lāʻau.
6. Ka 'ohe E e ole ea Oe. I mea e kiʻi pohaku uinihepa, o lakou, e pono e piula wai i kou manamana lima ma luna o nā paia o ka 'ohe, a me nā Oe neʻe i ka luna. Laila ia mea e pono i ka pahu i ka plunger a me ka hoʻokuʻu loa ea.
7. Skin E e hana me ka antiseptic (waiʻona) ma ka ka pahu kui paena.
8. Ke ka pahu kui Ua hana subcutaneously ma 45 a me 90 degere. Ikaika, e holo ikaika aku nei i ka plunger mea i pono. Ke k Pono e lawelawe lohi.
9. No ka mea, "Gonal-F" Via 'ohe mńka Ua lawa e holo ikaika aku nei i ke pihi hoʻomaka' ana. Ke kui kele ma loko o kēia manaʻo mea lahilahi, a liʻiliʻi, no laila, me ka eha mehana a aneane kahi e.
10. Ma hope iho o ka ka pahu kui i ka paena o ka pahu kui E e ukali ma kekahi pulupulu swabʻona nō i loko o antiseptic.
11. Disposable 'ohe i kāpaeʻia ma hope o ke kaʻina hana.
12. Me ka puka o-'ohe komo pono e wehe' ia, kau ma luna o ka chap. No ka mea e hiki mai ana manipulation mea pono e hoʻohana i ka hou kuikele, a ke hele mai piha i ka waiʻona.

ʻaoʻao waiwai

E hoomakaukau ai "Gonal-F" hiki iʻaoʻao ona i lapaau. Kekahi wahine kaulana i ke kēia symptoms:

• Reproductive'ōnaehana - pinepine hoʻomōhala ovarian cysts.
• Ka hopena maikaʻi hopena o ka lāʻau ke loli i nā nā loko o ka digestive'āpana. Ua Ua hoikeia ma ke ano o ka nausea, ka luaʻi, diarrhea, discomfort a me kaʻeha i loko o ka abdomen.
• Ke ka pahu kui paena kānāwai haanou ana paha redness o ka ili.
• hihia o allergic reactions i loa pohihihi keia: poʻe noʻonoʻoʻole, ka ohane, pilikia hanu, wikiwiki.
• Ma ka hapa o ka Central ko mākou hopohopo'ōnaehana - i lilo hou pinepine headaches.
• Ka liʻiliʻi loa pinepine, aia no na hihia o ka hopena maikaʻi 'ole ma luna o ka mea'ōnaehana mānowai koko'ōnaehana (thromboembolism).

Na Ke Kumu "Gonal-F" Hōʻike i na kanaka me ka lapaʻau e ikea huehue, iki mahuahua kino ke kaumaha. Aia i pohihihi keia hihia o ka varicocele, gynecomastia.

Contraindications

Ka lāʻau i ka ikaika hopena ma luna o ke kino, a no ia mea, hiki ole ke lawelawe me mamua lapaau. Theʻeleu waiwai a me nā eiiiiiaiou i kekahi hoʻokau 'Ke hoʻohana'. Ke kahuna lapaau e pono e lawe i kēia i loko o no, a hoʻomaʻa i ka iapaau ana regimen.

Na Ke Kumu "Gonal-F" ao mai i ka lāʻau 'ua hiki ole i ka hana no ka poʻe me ka intolerance a hypersensitivity i ka waiwai i loko o ka hoʻomanaʻo. Ma keia hihia, e hoʻomōhala loa allergic naoh 'ole' ē aʻe complications. Kekahi Contraindications nā:

• Uterine kahe ana ke koko o na mea ike ole etiology.
• Oncologic pathology o na wahine.
• Sporadic ovarian cysts mea i hoʻomohala i loko o ke kāʻei kua o ka polycystic.
• Hāpai keiki, a lactation.
• Congenital abnormalities o nā loko, i mea incompatible me ka hāpai keiki.

A hoʻomalu i loko o ka mooolelo a pau o ka comorbidities mea i loaʻa i loko o ka hoʻomanawanui ka mōʻaukala. Ma kekahi wahi, i hiki, aole he pono e hoʻohana hana, "Gonal-F." Price o ka lapaau hilinaʻi nui ma luna o ka lōʻihi like 'ole o ka lapaau a me ka laʻau heluna o ka lāʻau, akā, e like pipiʻi lapaau i lawe mai i ka manao hopena i loko o ia mau pathologies me uterine fibroids, premature menopause, iaʻi o ka fallopian paipu.

Hiʻona o ka palapala noi

Mua oe hāʻawi i ka lāʻau, e hoʻoulu ovulation paha spermatogenesis kaʻina hana, he kauka hana kūikawā ana i loko o ka iapaau ana o ka infertility, e hoʻomaka 'inikuaʻike, Leomakana, e kōkua noho alii mai ke alo mai o contraindications a me ka pono no ka lapaau. Ua mea no hoi e pono ai, a me ka laʻau heluna noaia e e hoʻouka kekahi.

E hoomanawanui i ka poe undergo stimulation "Gonalom-F" mua IVF maoli o ka manawa o ka noho hapai i mau māhoe'anetelope lāua. Ke kauka ua koiia e hai aku i ka wahine i mua o ka hoʻomaka 'ana o ka lapaau.

I ka wā hoʻokahi 'ana o ka lāʻau a me nā konohiki e ho ololi i ka ulu ana o follicles, hiki hoʻonāukiuki ulu o ka hyperstimulation. Ma ka papa o ka Inc mea pono e hoʻomaka kani ultrasonicʻike, a me kanaka hoʻoponopono i ka ulu ana o follicles.

"Gonal-F": o ka uku a me ka hōʻike manaʻo

Italian lāʻau e hoʻoulu ovulation i manawa no ka lōʻihi manawa i hoakaka ia no ka iapaau ana o ka infertility i loko o nā kānaka a me nā wāhine. 'O kēia kekahi o nā loa ka hoʻokō hana (na kauka i kapa ia ia e like me "kaumaha mea kaua"). "Gonal-F" hōʻike maikaʻi hualoaʻa a hiki i ka hihia ma kahi'ē aʻe i ike ano, he powerless. Ke kumu o rula e e ukali e hoʻomanawanui iki mai, o ka piha 'inikua e hooponopono i ke kaʻina hana o ka kūnewa follicles a me spermatogenesis.

Ma ka iapaau ana laʻau heluna i ke hoʻololi i ka uuku, a me ka nui ala. Ke kumu o ka lāʻau loli aʻe mai ka 1100 rubles. i ka 16 000 rubles. ( "Gonal-F" 900 Iu). Ma waho aʻeo ia i ka hoʻohana 'ana o ka pipiʻi hana, ia mea mau Kuleana e hahai aku i kekahi mau rula i kaʻai a me ka loa hoʻopau junk ai, kalaka nui-pau huahana.

Ma Inc, papaia e inu waiʻona, a i ka hopena maikaʻi 'ole ma sperm? Iecaianoaaiiuo, me ka hoohuoi ana i ka pituitary gland a me ka hypothalamus, disrupting ka pūnao o keka steroid. Mahuahua pā lonoaʻili ma ka sperm a me ka nicotine.