Enye yezinkomba ezinkulu zempilo yokuzala komuntu wesifazane umjikelezo ovamile oya esikhathini. Ngokuvamile, isikhathi salo singukusuku ezingu-28, kodwa izinguquko ezincane ekuqondeni kokunciphisa noma ukukhuphula kwazo kuvunyelwe. Lokhu kungenxa yokushintsha kwesimo sezulu, ukucindezeleka, ukutholakala kwesifo esibi kanye nezifo ze-endocrine. I-Duphaston yisidakamizwa se-hormonal ngokuvamile esikelwe odokotela ngokulibaziseka kwezinsuku ezingu-10 noma njalo. Cabanga ngezici zokusetshenziswa kwayo, imiphumela emihle nemiphumela emibi.
Ingabe i-Dufaston ingabangela isikhathi?
Isibonakaliso sokuqokwa kukaDufaston yi-endocrine ukungasebenzi kahle kwama-ovari. Ngifuna nje ukugcizelela ukuthi kufanele iqoke kuphela umjozi wezifo zokwelapha futhi akukho nhlobo ayikwazi ukuzibandakanya emithi yokwelapha. Ukuze siqonde ukuthi kufanele sithathe ukuthatha isikhathi esingakanani uma singekho esikhathini esizayo, sizoqonda umphumela ekuqaleni kokusebenza kwayo. I-Duphaston iyi-analogue yokwenziwa kweprogesterone futhi iboniswa kwabesifazane abanokulibaziseka esikhathini sokuya esikhathini ngenxa yokuntuleka kwalo emzimbeni. Ukuthola i-Dufaston yocingo lanyanga zonke ngeke kukhuthaze kuphela ukukhula kwe-endometrium nokuvuthwa, kodwa futhi kungenze kube buhlungu.
Zingaki izinyanga ezithatha ngemuva kokuthatha uDufaston?
Cabanga manje ukuthi uDufaston uthinta kanjani inyanga zonke. Ngaphambi kokulwa nokulibaziseka kokuya esikhathini, ukuhlolwa kokukhulelwa kufanele kwenziwe ukuze kukhishwe isizathu esivame kakhulu sokukhulelwa. Ungasebenzisi iDyufaston njengendlela yokukhipha isisu. Kulesi simo, ukuhamba esikhathini ngemva kweDufaston kungenzeka ukuthi kwenzeke, kodwa kubangele ukulimala okukhulu empilweni. I-Duphaston ngokubambezeleka noma ukuya esikhathini esibi kufanele kuthathwe esigabeni sesibili sokujikeleza kokuya esikhathini ezinyangeni ezingu-3-4, ngesikhathi sokungalingani kwe-hormonal kufanele kususwe. Inyanga ngayinye emlandweni wokuthola uDufaston kufanele uqale ezinsukwini ezingu-2-3.
Dyufaston nge ukubambezeleka kokuya esikhathini - imfundo
I-Duphaston ibanjwe emaphethelweni emathunjini futhi emva kwamahora amabili kufinyelela ekugxilweni okuphezulu emaplasma egazi. Ikhishwe emcimbini emva kwamahora angu-24.
Dyufaston nge ukubambezeleka kokuya esikhathini kusuka 11 kuya ku-25 umjikelezo wokuya esikhathini 1 tablet 2 izikhathi ngosuku (ekuseni nakusihlwa).
Ukudla kukaDufaston kokubili i-phenobarbital kanye ne-rifampicin kungasheshisa ukuhlakazeka nokuziqhenya kwayo.
I-Duphaston ayinqatshelwe ekukhupheni naseLactation.
Njengazo zonke izidakamizwa zokwenziwa, uDufaston unemiphumela emibi:
- Kusukela ohlangothini lwe-central central system, izinsizwa, ukuphazamiseka kokulala nokucasula kungenzeka;
- Ukwelapha okunamandla okubeletha okubeletha kungenzeka ingxenye yesimiso sokuzala. Izinkathi ezinamandla emva kukaDufaston zingavinjelwa ngokukhulisa umthamo weDufaston. Mhlawumbe, ukuvuvukala nokwehliswa kwezigulane ezincelisayo;
- Ezingxenyeni ezingavamile, i-anemia ye-hemolytic yenzeka;
- kusukela ohlangothini lwamasosha omzimba, ukuthuthukiswa kwezibonakaliso zomzimba (isikhumba esibucayi, i-edema ye-peripheral, i-rash, imihlathi, i-edema ka-Quincke) kungenzeka.
I-Duphaston iphikisana ngokukhulisa ukuzwela komuntu ngamunye kwizingxenye zomuthi, kanye nezikhalo zokubamba ngesikhathi sokukhulelwa kwangaphambilini.
Sihlolisise ukukhethwa kwezenzo zikaDufaston nokulibaziseka kokuya esikhathini kwabesifazane, sazi ngemiphumela emibi, izinkomba kanye nokungahambisani nalokho okwamukelwayo. Ukufingqa lokho okukhulunywe ngenhla kungaba kanje: Indlela yokusebenza kaDufaston ifana ne-progesterone yemvelo, kodwa kuphela udokotela ozofika kufanele anqume ngokumiswa kwakhe. Ngaphambi kokuba uqale ukuthatha isidakamizwa kudingeka ufunde imiyalo bese uxhumana nomuthi owaziwa.