Ntsiav tshuaj "Bergolak": xyuas, cov lus qhia, nqi

"Bergolak" - ib tug yeeb tshuaj teej tug mus rau lub dopamine receptor agonists thiab muaj cabergoline, yooj yim tshuaj tshuaj muab los ntawm ergoline. "Bergolak" overwhelmingly muaj feem xyuam rau tus txheej txheem ntawm prolactin. Raws li ib tug tshwm sim ntawm nws txoj kev txais tos nyob rau hauv cov ntshav prolactin theem txo, muaj yog ib tug kho tshiab ntawm fertility thiab tshem tawm ntawm cov coj khaub ntshawv siab. Ua raws cov txiv neej, cov tshuaj thiaj li heev ntawm tej ces hyperprolactinemia.

tshuaj

Muaj yog zoo haum thiab teeb tis tom qab siv "Bergolak". Xyuas qhia hais tias cov indicators noj mov muaj tsis ntxim. Raws li cov kev qhia ntawv, cov feem ntau siab concentration ntawm cov tshuaj uas tam sim no nyob rau hauv cov ntshav ntshav tom qab ib qho nruab nrab ntawm 2.5 lub sij hawm, thaum lub sij hawm cov tub ntxhais tivthaiv yog txuam nrog nws cov protein los ntawm 41-42%.

Nyob rau hauv lub cev yog ib qho active metabolism "Bergolaka". Tsim raws li ib tug tshwm sim ntawm txoj kev no rau yam khoom uas muab tau los hnyuv (txog 72%) thiab ob lub raum (kwv yees li 18%). Muaj pes tsawg leeg ntawm cov zis yog tam sim no 2-3% ntawm cov active muaj nyob rau hauv ib tug unchanged daim ntawv.

indications

Cov tshuaj yog tshuaj rau pituitary hlav thiab poj niam ntxiv lawm tshob. High efficiency nyob rau hauv lub cev ntas tom qab kev kho mob tso tawm kom pom sab laug "Bergolak" txhais tau tias kev. Tshem Tawm lactation raws li ib tug tshwm sim ntawm kev txais tos ntawm cov kev npaj yog tseem tau. Qhov yuav tsum tau rau cov hluav ntawm tus txheej txheem no yuav tshwm sim tom qab rho menyuam thiab yug menyuam. Lactation tsis tau tsuas suppress, tab sis kuj yuav tiv thaiv.

"Bergolak" eliminates teeb ua los ntawm hyperprolactinemia. Indications rau kev siv ntawm lub medicament yog prolactin secreting pituitary adenomas, hyperprolactinaemia idiopathic. Raws li cov kev npaj "Bergolak" tej zaum yuav cov kev kho mob ntawm cov neeg mob nrog cov syndrome, uas yog hu ua "empty Sella syndrome" thiab amplified hyperprolactinemia.

Nws yuav tsum tau kev pab tshwj xeeb thaum lub sij hawm kev kho mob uas tus me nyuam-tau cov kabmob thiab kev pub niam mis. Txais tos txhais tau tias cov neeg mob uas mob ntawm lub siab yuav tsum tau ua nyob rau hauv kev kho mob saib xyuas.

Contraindications

Cov lus qhia tawm los ntawm lub "Bergolak" txhais tau tias cov lus teb ntawm cov kws kho mob qhia hauv lub xub ntiag ntawm contraindications:

• Npau taws me ntsis rau lub Cheebtsam;
• Cov me nyuam lub hnub nyoog (tsawg tshaj li 16 xyoo);
• tsis txaus haum ntawm piam thaj thiab galactose;
• raws roj ntsha galactose intolerance nyob rau hauv cov ntaub ntawv uas tsis tshua muaj;
• congenital tsis muaj lactase;
• psychosis sawv tom qab tus me nyuam;
• ua tsis taus pa muaj teeb meem, mob ntawm lub plawv raws li ib tug tshwm sim ntawm fibrotic hloov nyob rau hauv lub cev, t h ib tug keeb kwm ..;
• pheej nce ntawm cov ntshav siab, tshwm.

Nyob rau hauv cov kev kho mob ntawm cov neeg laus cov tshuaj yuav tsum tau noj nrog ceev faj. Tib yam siv rau cov neeg mob nrog ib tug mob siab.

Siv ib tug medicament, ntau npaum

Raws li rau sab laug tom qab tau txais txhais tau tias "Bergolak" kev, lactation yuav tiv thaiv tau los yog tu ncua. Nyob rau hauv lub npaj ntau npaum ntawm qhov teeb meem yog:

• rau txoj kev loj hlob ntawm lactation - 1 mg ntawm yeeb tshuaj, coj mus rau ob ntsiav tshuaj yuav tsum tau noj nyob rau hauv ib lub sij hawm tom qab tus me nyuam yug ntawm ib tug me nyuam (ib hnub tom ntej);
• tom qab nws txoj kev loj hlob - 0.25 mg, sib npaug mus rau ib nrab ib ntsiav tshuaj uas yuav tau noj ob hnub nrog cov Team sib ntawm 12 teev.

Yog hais tias muaj yog lwm yam kws kho mob feem ntau yog muab cov neeg mob 'Bergolak "nyob rau hauv ib tug ntau npaum ntawm 0.5-1 mg ntawm yeeb tshuaj ib zaug los yog ob zaug ib lub lim tiam. Qhov siab tshaj plaws pub tus nqi yog lub lim tiam 4.5 mg ntawm yeeb tshuaj. Qhov no yog tsis yog ib tug ntse hloov ntawm lub siab tshaj plaws tshuaj, tsuas yog maj mam los ntawm raising lawv los ntawm 0.5 mg txhua txhua lub hli, yog hais tias tus yuav tsum tau tshwm sim. Tshuaj siv hauv cov zaub mov.

Cov neeg mob uas siv "Bergolak 'cov lus teb rau txo prolactin theem nyob rau hauv hyperprolactinemia tawm feem ntau zoo. Teeb tshwm sim los ntawm tus txheej txheem no, yog kho los ntawm kev thov ib tug thawj zaug rau txhua lub limtiam koob tshuaj ntawm 0.5 mg. Ib tug sib cais ntawm ob koob tshuaj 0.25 mg txais tos txhais tau tias. Nyob rau hauv cov ntaub ntawv no rau hauv kev npaj yuav siv ob zaug ib lub lim tiam.

Lactating cov poj niam mas medicament muab li tias nyob rau hauv ib lub sij hawm nyob rau hauv lub cev tau txais tsis ntau tshaj 0.25 mg ntawm yeeb tshuaj. Yog li cov xov tooj uas tau los mus tshem tawm tau sab tshua.

Tus kho koob, npaj rau kev siv rau ib lub lim tiam, feem ntau yog tsis ntau tshaj li 2 mg. Txawm tias tag nrho cov neeg thiab rau txhua tus neeg mob tus kws kho mob xaiv ib tug neeg kho mob xaiv.

Cov poj niam uas cev xeeb tub thaum lub sij hawm siv "Bergolak" xyuas yog sab laug nrog cov ntsiab lus ntawm cov ntaub ntawv nyob rau hauv lub xav tau ceev faj kev siv ntawm cov tshuaj. Thaum muaj tej lub sij hawm, lub neej ntawm nws daim ntawv thov nqa tawm nyob rau hauv kev kho mob saib xyuas thiab tsuas yog nyob rau hauv pom zoo koob tshuaj nws. Txawm tias muaj tseeb hais tias cev xeeb tub cov poj niam siv cov ntsiav tshuaj yog tsis pom zoo nyob rau hauv tus neeg mob qhov twg cov kev pab cuam mus rau leej niam lub cev tshuam ntau tshaj cov tau txaus ntshai rau lub fetus, nws yog permissible. Mis-feeding thaum "Bergolakom" txoj kev kho yog nres.

phiv

Undesired tshua tej zaum yuav sib txawv, thiab lawv heev tej zaum yuav kuj sib txawv. Nyob rau hauv feem ntau, tag nrho cov tsis kaj siab tsos mob ploj rau lawv tus kheej tsis pub dhau 14 hnub ntawm kev kho mob los yog tom qab ib tug tej lub sij hawm tom qab muab cov tshuaj no.

Judging los ntawm qhov tseeb hais tias rau sab laug raws li ib tug tshwm sim ntawm cov kev kho mob tshuaj "Bergolak" cov lus teb qhia qhov tshwm sim ntawm tshwm sim los ntawm kiv taub hau, tsaug zog thiab tsis muaj zog tej zaum paug zuag qhia tag nrho noj qab haus huv.

Muaj yog ib tug uas yuav ntawm tsis haum rau ntawm daim tawv nqaij. Tau tawv nqaij daj vim raug mob khaub thuas. Tej zaum muaj xws li cov kev hloov nyob rau hauv hnyuv hauj lwm, e.g., cem quav thiab xeev siab. Cov lwm sab los - qhov ntswg, qhov ncauj mucosal desiccation.

tshuaj cov kev sib tshuam

Peb nrhiav tau tawm seb koj yuav siv tau rau lub neej coj kev kho mob tshuaj "Bergolak". Xyuas ntawm cov kws kho mob qhia tias cov tshuaj yuav tsum tsis txhob yuav siv nyob rau hauv ua ke nrog ergot alkaloids, lawv derivatives thaum lub sij hawm heev txoj kev kho.

Khaws nyob rau hauv lub siab hais tias ib co antagonists ntawm dopamine receptors yuav adversely cuam tshuam rau qhov kev txiav txim sib sib zog tsa cabergoline thiab macrolides - mus tsa rau theem ntawm cov active tshuaj "Bergolak" tshuaj nyob rau hauv cov ntshav. Cawv yuav ua rau cov tshuaj tsis tshua zoo.

Cov tshuaj uas target cov yuav txo tau ntawm cov ntshav siab thaum lub sij hawm lub sij hawm ntawm txoj kev kho siv nrog ceev faj.

ceev faj

Yog hais tias koj npaj yuav xeeb tub, nws yog siv tau tsuas yog tom qab ib tug tej lub sij hawm tom qab kawm tiav ntawm txoj kev kho, feem ntau yog ib lub hlis. "Bergolak" ua tsuas yog tom qab ib tug faj txoj kev tshawb no ntawm lub pituitary. Thaum lub sij hawm txoj kev kho yuav tsum tau saib xyuas tsis tu ncua rau hauv lub xeev ntawm tus kab mob.

Thaum ib tug kho yog tsis pom zoo kom tsav ib lub tsheb thiab lwm yam tsheb, mus koom nyob rau hauv kev ua ub no uas yuav tsum tau ceev cov lus teb thiab paub kho mob. Nws yog ib qho tseem ceeb ua raws li tag nrho cov kws kho mob lub tswv yim pom zoo.

Nqi, xyuas

Rau ntau tus neeg uas yuav npaj mus noj "Bergolak", nqe, xyuas - nws yog ib txwm cov ntaub ntawv uas muaj ib tug ntau ntawm cov pab tej yam, tso cai rau koj paub nyob rau hauv ua ntej tus nqi ntawm cov tshuaj, tshwj xeeb tshaj yog cov kev kho mob thiab tau kev phiv tshuaj tej ntawm cov neeg mob thaum lub sij hawm txoj kev kho, ntsuam xyuas nws cov hauj lwm zoo .

Approximate nqi ntawm cov ntsiav tshuaj (2 pcs. 0.5 mg) yog 235-260 muab. Hais txog cov kev siv ntawm "Bergolaka" kom tsis txhob lactation los yog tiv thaiv nws, judging los ntawm tus xyuas, cov kev pab raws qib tshuaj yog tsis ib txwm paub daws zoo. Tab sis muaj ntau yam ntawm cov cuab yeej ntawm gipoprolaktinemii nquam paj nquam nruas kev kawm tau ntawm cov yam nyhuv. Txawm li cas los, muaj txoj kev pheej hmoo ntawm kev phiv cov txheej xwm txhais tau hais tias hais tias ib co daim ntawv ceeb toom ntawm thawj zaug rau theem ntawm kev kho mob.

Muaj ntau haum kev ceev thiab tsis muaj nqi ntawm cov tshuaj piv nrog rau lwm cov uas zoo sib xws tshuaj. Sab los tej zaum cai cem quav, koj nkees nkees thiab me ntsis mob taub hau.