"Triojinal" - ukubuyekezwa odokotela neziguli

Ukungabi nesifo se-estrogen ekunqophiseni umzimba kuholela ekuthuthukiseni i-atrophic colpitis, isifo esibangela izinkinga eziningi kubantu abangaphezu kweminyaka engama-45 ubudala. Njengamanje, inkampani yaseBelgium inikeze ithuluzi elihle kakhulu lokuphatha lesi sifo - "Triojinal". Ukubuyekeza kwabo bonke abasebenzisa amakhandlela noma ama-capsules, bahle.

I-Atrophic colpitis: iyini

I-atrophic noma i-senile colpitis ukuvuvukala kwezindonga zelungu ngesikhathi sokuphila komfazi, lapho ukuya esikhathini kuyama. Abesifazane abangaphezu kuka-40% be-postmenopausal bane-atrophic vaginitis. I-postmenopausal atrophic vaginitis yenzeka ngenxa yokunciphisa izindonga zangasese, i-urogenital noma i-atrophy yangasese, ngenxa yokunciphisa izinga le-estrogens. Lokhu kuvame ukuvela ngemuva kokumisa esikhathini.

Abesifazane abane-vagin atrophy bajwayele ukutheleleka kwesifo sangasese kanye nezinkinga nge-urinary function. Ngokuvamile kusuka kwabesifazane ungase uzwe izikhalazo zesifo sokulala ngokocansi.

Izimpawu ze-atrophy

I-Atrophic colpitis ibonakala ngezibonakaliso ezinjalo:

• Ukungabikho kokugcoba kwesisu (ukoma kwesifazane);
• Ukuvutha emzimbeni;
• Ukukhishwa kwegazi ngemva kokulala;
• Ubuhlungu noma ubuhlungu phakathi kwalo;
• Ukungavumeli izindonga zesifazane;
• Ubuhlungu noma ukuvutha uma uchama;
• Ukuvuthwa njalo;
• Ukuvuthwa njalo ebusuku;
• Izifo ezithinta izikhukhula ezivame ukuqhuma;
• Ukungahambisani ne-Urinary (okungazibandakanyi noma okucindezelayo).

Abanye besifazane banezibonakaliso eminyakeni eminingana ngaphambi kokuya esikhathini, abanye baqala ukukhononda ngabo emva kokuyeka ukusebenza kokuya esikhathini, kanti abanye bangase bangenzi izikhalazo nhlobo. Zonke lezi zimpawu zalashwa ngaphambilini ngezilungiselelo ze-estrogenic noma izixazululo ze-homeopathic kwifomu yethebulethi. Kwakungeyona njalo ukwelashwa okwaletha impumuzo. Amacala angu-80% asetshenziswa ngokuphumelelayo ekulungiseleleni "oku-Triojinal". Impendulo iqinisekisa lezi zibalo.

Izimbangela ze-urogenital atrophy

Umbangela we-senile colpitis yinciphisa i-estrogen. Ngaphandle kwe-estrogens, izinhlayizi zesisu zangasese futhi zimile. Iba lula kancane, ifinyeleleke futhi ilimale kalula.

Ukunciphisa ukufakwa kwe-estrogen kungenzeka kwezinye izimo, kufaka phakathi:

• Ngesikhathi sokulahlwa;
• Ngemuva kokususwa kwama-ovari (ukukhishwa kwesikhashana kokuhlinzwa);
• Ngemuva kwe-chemotherapy yezinqubo zomdlavuza;
• Emva kokwelapha imishanguzo yamagciwane wezitho zomzimba;
• Ngemuva kokwelashwa kwe-hormone yomdlavuza webele;
• Kwabesifazane ababeletha yiChesarean section.

Ukubhema kudambisa ukujikeleza kwegazi kuzo zonke izitho, kufaka phakathi amaseli wesifazane. Kulokhu, wonke ama-tissu alamandla okomoya. Kukhona ukuncipha kwe-mucosa, ukugeleza kwegazi kuncipha noma kunciphile. Kumele kuqashelwe ukuthi ababhemayo nabo bancishiswa kakhulu nge-estrogens elinetiwe. Futhi ukusetshenziswa kwe "Triojinal" (amakhandlela) kulungile. Ukubuyekeza kwabantu abaningi kubona umphumela omuhle walesi sidakamizwa.

Umsebenzi wocansi njalo usiza ukubuyisela amangqamuzana angama-vaginal futhi uzuze uhlelo lwesifo senhliziyo: kuthuthukisa isimo senhliziyo nemithambo yegazi. Futhi isebenza futhi "i-Triozhinal". Ubufakazi besiguli buqinisekisa ukuthi ezinye izimpawu zezifo ze-somatic ziyaqedwa.

Izibalo zezinkinga ze-atrophic

Idatha ngokusabalalisa kwezimpawu zalesi sifo ayibonakali isimo sangempela, ngoba abesifazane abaningi bathule ngezinkinga ezikhona. Lesi sigameko sihluka kusuka ku-3% ekupheleni komuntu kuya ku-60% kubesifazane be-postmenopausal ehlala iminyaka engaphezu kwengu-5.

Ukwakhiwa kwe "Trio"

Okufanele ukwelashwa kwe-urogenital atrophy, ikakhulukazi uma ihambisane nezinkinga ze-dysuric, ingumuthi we-Trioginal - suppositories. Impendulo yabo bonke abayisebenzise ihlale ihle. Ukwakhiwa kwe-Trioginal kufaka phakathi: i-estriol enani lika-0.2 mg, i-progesterone 2.0 mg, nesifo se-lactobacilli, esiyaziwa ngezinga eliphakeme lokuhlolisana nama cell of mucosa wesisu. Ukusebenza kwendawo ye-hormone ngokuhambisana nalezi zinhlamvu ezizuzayo kunikeza ukwanda kwezinga lika-Dodderlyn's stick in the vagina futhi kuvumela ukuthi izidakamizwa zenze imiphumela yayo ngokushesha, okunciphisa ingozi yokuphindaphinda i-dysuria ye-atrophic ngezikhathi eziningana. Ukwakhiwa kwe-biocenosis evamile yesisu ngenxa ye-lactobacilli kuvumela ukuhlinzeka ngemithi yokwelapha esebenzayo yokwelashwa kwe-vaginal mucosa nesisu ngesilinganiso esincane se-estriol.

Isilinganiso

Uhlelo olulandelayo lwezokwelapha ngokulungiselela "Triojinal" lubonakala luhle kakhulu: amasonto amabili kuma-capsules amabili ngesikhathi, bese kuthi 1 i-capsule 1 isikhathi ngosuku ngeviki. Futhi ukuze uthole ukwelashwa okuqhubekayo kwesondlo, i-1-2 i-capsules ngesonto yanele. Akudingekile ukuba usebenzise unomphela i-Triobium Triobioth (amakhemikhali). Ukubuyekezwa kwabesifazane kuqinisekisa ukuthi kwanele ukuyisebenzisa wonke amaviki amathathu. Futhi lokhu kwenza kube lula ukuqeda zonke izimpawu ze-urogenital atrophy, ikakhulukazi ukubonakaliswa kwazo kwe-dysuric, futhi ngokuphawulekayo ngcono izinga lokuphila kweziguli.

Umphumela wokulungiselela "U-Triojinal"

Ubufakazi bodokotela bubonisa ukuthi emva kokusetshenziswa kwalo muthi, i-biocenosis ye-vagin ijwayelekile. Lo mphumela awuhambisani nanoma yikuphi amalungiselelo e-estrogen asetshenziselwa ukwelapha i-colrocyte. Kulesi simo, lo wesifazane uphawula ukuthi izinga lokuphila ngokobulili liye lathuthuka kakhulu. Ubumile obunzima, izinzwa ezingathandeki ngesikhathi socansi. Lokhu kubangelwa ukuthi ukwakheka kwe-hormonal enhle yokulungiselela "Trioginal" kukhethiwe. Ukuphawula kweziguli kubonisa ukuthi isimo se-mucosa esiswini sithuthukisiwe kakhulu. Lokhu kungenxa yokuthi i-epithelium ye-trophic ye-vaginal ijwayelekile, inani le-glycogen landa, elisiza ukugcina i-pH enhle yesifazane - kusuka ku-3.8 kuya ku-4.5. Kusemvelweni onobuciko kangangokuthi izimo ezihle kakhulu zomsebenzi obalulekile wezinduku zenziwa, ezivikela i-mucosa ethonyeni elibi lezincane ze-pathogenic.

Lokhu kungenxa yokuthi inani elihle le-estriol ekulungiseleleni "i-Trioginal" likhethiwe. Imiyalo yokusetshenziswa, ukubuyekezwa kwama-gynecologists kusikisela ukuthi emva kwesonto sekuvele kubonakale ukuphumelela kuka-0.2 mg yalolu isrogen yemvelo, engathinti kuphela i-membrane yomsindo wesifazane, kodwa nazo zonke izitho zesistimu yokuzala. Lokhu kuthuthukisa hhayi kuphela i-trophic, kodwa futhi nokuhamba kwegazi, ikhwalithi ye-mucus yomlomo wesibeletho iyanda.

2 mg we-progesterone, engxenyeni yokulungiselela "Triojinal", ukukhuthaza ukwakhiwa kwamangqamuzana aphakathi komzimba we-vaginal mucosa futhi kushukumise ukwakhiwa kwamaprotheni kanye ne-glycogen.

Ingxenye yesithathu yokulungiselela "Triojinal" yinkinga emisiwe yezintambo zeDodderlein. Banikeza isilinganiso esivamile salaba bantu be-hangmen besifazane futhi basamelana nama-agent antimicrobial ahlukahlukene, okuvimbela ukuvela kwe- candida colpitis.

Leli nani limelelwa izindlela zokuthi "oku-Triojinal". Ukufundiswa, ukubuyekezwa kwama-gynecologists kusikisela ukuthi lena isethi enhle kunazo zonke izingxenye ezidingekayo.

Izinzuzo ze "Trio"

Njengamanje, odokotela bathi i-estrogens yomlomo ayinamthelela ezimpawu ze-atrophy yangasese. Zisetshenziswa kuphela uma kwenzeka inhlanganisela ye-urogenital atrophy enezinkinga zemesopausal. Amalungiselelo etihloko eziqukethe amancane amancane we-estrogen ekwelapheni izifo ze-urogenital atrophic ziphumelela kakhulu, ngoba aziphazamisi yonke inyama futhi azibubi kakhulu impilo yeziguli. Umthelela omkhulu wokusetshenziswa kwalezi zidakamizwa, ama- creams, amaphilisi wesisindo kanye namasongo angasese omzimba wesisu ayenzeka ngenyanga yesithathu yokwelashwa ngokulungiswa "oku-Triojinal".

Ubufakazi bodokotela bubonisa ukuthi le mithi iqukethe i-estrogen hormone estriol, enethonya elingaphansi komzimba wonke wesifazane. Zonke ezinye izidakamizwa zokusetshenziswa okujwayelekile kanye nama-topical zihlanganisa ama-hormone: i-17β-estradiol, i-estradiol acetate, i-estradiol hemihydrate, i-estrogens ehlanganisiwe, i-estrone. Bonke labo abakwehla kakhulu bangabangela imiphumela emibi ngendlela yokugcoba izilonda ze-mammary, ukucabangela, ukuhlanza, ukuphuma okuncane kwamanzi okuphuma emgodini, ukhetho lwe-candidamycosis nokukhathazeka kwengqondo.

Izinhlobo ezihlukahlukene ze-estradiol ziholela ekwandiseni i-endometrium, ngakho-ke kuyadingeka ukuthi kuqhutshwe ukuhlolwa kwonyaka wesimo se-uterine mucosa. I-Estriol ayithinti umsebenzi we-endometrium futhi ayibangeli i-hyperplasia yayo. Ngakho-ke, kulezi zimo, i- "Triojinal" isetshenziswa. Ukubuyekezwa kweziguli eziningi kubonisa umsebenzi omuhle walesi sidakamizwa isikhathi esifushane sokusetshenziswa kwawo.

Emiphumeleni emibi yokwelashwa nomuthi othi "Triojinal" kufanele kuphawulwe ubuhlungu kuphela noma ukugcoba kwezigulane ezincelisayo. Ngokuvamile, kunezinye izimpawu ezingathandeki: ukushisa noma ukushaya ngaphakathi kwesiswini, ukulahlekelwa kwegazi lesiswini, i- edematous syndrome.

Ukungafani

Kukhona uhlu olubanzi lwezingqinamba zokwelapha ama-capsules "Triojinal", ngakho-ke, kubalulekile ukucabangela izingozi zezinqubo zemvelo.

Izifo lapho ukusetshenziswa kwesidakamizwa kuphikisana khona:

• Umdlavuza wesibeletho;
• Izinqubo zomdlavuza ezisekelwe ku-hormone, ikakhulukazi umdlavuza we-endometrial ;
• Umdlavuza wesibindi;
• Ukukhipha isisu kusuka kwesifazane;
• I-endometrial hyperplasia;
• Isifo sesibindi kanye nezinguquko kumingcele yezinto eziphilayo;
• I-Porphyria;
• Ubudala bungaphansi kweminyaka engu-18;
• I-Thrombosis noma i-thromboembolism;
• Ukuhlaselwa yinhliziyo noma imivimbo emamnesis;
• Isikhathi sokukhulelwa;
• Ukuncelisa isisu;
• I-hypertension engezansi emangalisa;
• Ukuphulwa kwe-coagulation;
• Isifo sikashukela sinomqondo wokungaqondakali;
• Umonakalo omkhulu esimisweni senhliziyo;
• Ukuzwela ezakhiweni zomuthi.

Isidakamizwa kufanele siphathwe ngokucophelela emfuthweni wegazi ophezulu, endometriosis, izifo ze-thromboembolic ezizalwa njengezihlobo ezihlotsheni; Izifo zesibindi; Isifo sikashukela esingaqondakali, i-cholelithiasis, i-migraine, isithuthwane, isifuba se-bronchial, izifo zesimiso.

Ngesicelo esisodwa ngesikhathi esithi "Phenobarbital", "Carbamazepine", "Phenytoin", "Rifampicin", "Rifabutin", "Nevirapine", "Efavirenz", ukwehla kwama-estrogens kuqinisa. Lokhu kunciphisa ukusebenza komuthi. I-metabolism ye-estrogens inciphisa uma ihlangene nama-inhibitors we-enzyme ye-forosomal ye-fosiomal ("Ritonavir", "Nelfinavir"). Imithi efanayo iyasetshenziselwa isilwane saseSt. John.

Ukusetshenziswa kwama-capsules "Triojinal"

Ukubuyekeza kusho ukuthi ngemuva kwamahora ambalwa emva kohlelo lokusebenza, uzizwa uphuthukisiwe. Ngemuva kwesonto lokuqala lokwelapha, izimpawu ze-dysuric ziyanyamalala. Abanye besifazane bayaqaphela ukuthi "i-triojinal" iyasiza ekwelapheni izifo ezithile zokugula: i-adnexitis, i-fibroids, i-infertility. Ukusebenza okulungile nokusetshenziswa kwazo zonke izincomo zikadokotela kukuvumela ukuba usebenzise i- "Trioginal" (amakhandlela) ukuphatha zonke izifo ezibangelwa ukuntuleka kwe-estrogen. Impendulo yeziguli iyisiqinisekiso salokhu.

Intengo yomuthi iyatholakala. Manje isidakamizwa "Triojinal" sidinga kakhulu. Ukubika kwamakhasimende ukuthi lesi sidakamizwa singathengwa kunoma iyiphi ikhemisi, kanye nezimbiza ezimbili ngokwanele okwenziwe ukwelashwa.