I-divigel isilungiselelo se-estrogen yokusetyenziswa kwangaphandle. Unempembelelo yesetyhini, ikhuthaza ukuphuhliswa kwesisu, isondo, iimbumba ze-fallopian, i-stroma kunye neengcambu zamathambo ezincinci. Ukukhuthaza ukuhamba kwexesha eliqhelekileyo, elichaphazela ukulahlwa kwe-endometrium ngexesha elifanelekileyo.
Isenzo se-Divigel siqala emva kokuba sithathwe ngesikhumba. Uninzi lwalo lungena kwigazi ngokukhawuleza, inxalenye - ikhutshwe kwizinto ezincinci.
I-Divigel yindlela yokwenza isicelo
Umyinge uchongiwe ngamnye. Inkqubo yokonyango kufuneka ibe yintshukumo okanye iyaqhubeka. Umthamo wemihla ngemihla ye-Divigel kufuneka uhluthwe ngesikhumba senxalenye engaphantsi kwodonga lwangaphakathi lwesisu okanye kwesikhumba samatye. Indawo yesicelo kufuneka ibe ngama-1-2 entendelezo. Kule meko, amahlangothi angakwesokunene nakwesobunxele ahlukile. Emva kwesicelo, isikhumba kufuneka sivunyelwe ukuba somile imizuzu emininzi.
Igalelo le-Divigel kunye nezichaso
Ngokuqhelekileyo isichengisi asikho kwimiphumo emibi okanye bumnene. Kukho ukuvuvukala kweengcambu ze-mammary, intloko, ukuvuvukala, inzuzo, ukunyuka kwegazi, ukungcola, ukunyuka kwengcinezelo yegazi, ukucaphuka kwesikhumba endaweni yokuxubha i-gel.
Ngokubhekisele kokuchasene, i-Divigel ayikwazi ukusebenzisa isifo somhlaza webele, i-esrogen-dependence tumors, ukuphuma kwamanzi ngokwesisu, i-thrombosis, i- endroperometer hyperplasia , izifo ezinobulwelwesi nesifo esingapheliyo, i-hypersensitive to the components of the drug, ngexesha lokukhulelwa kunye ne-lactation, kunye ne-porphyria.
I-Дивигель kunye nokukhulelwa - oko kuyimfuneko?
I-Divigel ekucwangciseni ukukhulelwa imiselweyo kwimeko apho umfazi efunyaniswa ukuba ene-endometrium encinci. Ekubeni ukukhulelwa okuqhelekileyo kudinga ukuthotyelwa ubuncinane ubuncinane ezimbini - ubukho bombindi obunempilo kunye nobuqhelo obuqhelekileyo be-endometrium ukuba lwamkele umbungu, kucacile ukuba ubuncinci be-endometrium phakathi komjikelo (okt, ngaphantsi kwama-7 mm) kunciphisa kakhulu amathuba okukhulelwa.
Ngomlinganiselo we-endometrium ongaphantsi kwama-5 mm, ukuba unako ukukwazi ukukhulelwa ngu-1% kuphela. Ngoko ke kufuneka uyenze ukwenzela ukwakha ubukhulu be-endometrium? Kwaye kutheni ukuba ubukhulu be-endometrium abuhambelani nesiqhelo?
Isizathu sokuqala se- endometrium esincinci yimeko yedyshormonal. Ubunzima be-endometrium bunyuselwa yintsebenzo ye-estrogen - ziveliswa zii-follicle ekupheleni kwesigaba sokuqala se-follicular
Ukuba ukutshatyalaliswa kobugqwetha obuphambili buphazamiseka, kuba yimbangela ye-endometrium encinci, kuba ayikho ndawo yokuyithatha. Ngoko ke, amaxesha oogqirha abonelela ukusetyenziswa kwesalathisi sokufakelwa kwe-hormone estrogen ngendlela ye-divigel.
Nangona kunjalo, akufanele ugijime ngokuthatha izidakamizwa ze-estrogen ezine-hormonal. Okokuqala, kufuneka uqonde izizathu ze-folliculogenesis kunye ne-ovulation kwaye uzame ukuzinqumla. Ngokukodwa-ukufezekisa umgangatho weprolactin.