aqtiuri nivTierebebia vardisferi draJe TeTri draJe oxra-yviTeli draJe ...

tri-regoli, <strong>draJe</strong>preparatis miRebamde yuradRebiT, srulad gaecaniT instruqcias.- SeinaxeT instruqcia, vinaidan misi wakiTxva SeiZleba kidev dagWirdeT.- damatebiTi kiTxvebis SemTxvevaSi, mimarTeT eqims an farmacevts.- aRniSnuli preparati Tqven dageniSnaT. nu gadascemT mas sxvebs. preparats SeuZlia avnos, TundacmaTi simptomebi Tqvensas emTxveodes.instruqciis Sinaarsi:1. ras warmoadgens da risTvis gamoiyeneba tri-regoli2. tri-regolis miRebamde3. tri-regolis miRebis wesi4. SesaZlo gverdiTi efeqtebi5. tri-regolis Senaxvis pirobebitri-regoli, <strong>draJe</strong><strong>aqtiuri</strong> <strong>nivTierebebia</strong><strong>vardisferi</strong> <strong>draJe</strong>TiToeuli <strong>draJe</strong> Seicavs 0,03 mg eTinilestradiols da 0,05 mg levonorgestrels.<strong>TeTri</strong> <strong>draJe</strong>TiToeuli <strong>draJe</strong> Seicavs 0,04 mg eTinilestradiols da 0,075 mg levonorgestrels.<strong>oxra</strong>-<strong>yviTeli</strong> <strong>draJe</strong>TiToeuli <strong>draJe</strong> Seicavs 0,03 mg eTinilestradiols da 0,125 mg levonorgestrels.damxmare <strong>nivTierebebia</strong><strong>vardisferi</strong> <strong>draJe</strong>guli: laqtozis monohidrati, simindis saxamebeli, siliciumis uwylo koloiduri dioqsidi, magniumisstearati, carci.<strong>draJe</strong>s garsi: Saqari, carci, kalciumis karbonati, titanis dioqsidi (E171), kapovidoni, makrogoli 6000,siliciumis uwylo koloiduri dioqsidi, povidoni, natriumis karmeloza.moyviTalo-moyavisfro <strong>draJe</strong>guli: laqtozis monohidrati, simindis saxamebeli, siliciumis uwylo koloiduri dioqsidi, magniumisstearati, carci.<strong>draJe</strong>s garsi: Saqari, carci, kalciumis karbonati, titanis dioqsidi (E171), kapovidoni, makrogoli 6000,siliciumis uwylo koloiduri dioqsidi, povidoni, natriumis karmeloza, rkinis <strong>yviTeli</strong> oqsidi (E172).1. ras warmoadgens da risTvis gamoiyeneba tri-regolitri-regoli hormonuli kontraceptiuli produqtia. misi kontraceptiuli moqmedeba ovulaciis daTrgunviTxorcieldeba.preparatis SeZena mxolod receptiT SeiZleba da unda gamoiyenebodes mxolod perioduli samedicinomeTvalyureobis qveS.2. tri-regolis miRebamdevidre tri-regolis miRebas daiwyebT, zogadi samedicino gamokvleva (sisxlis wnevis da glikemiis gazomva)da ginekologiuri gamokvleva unda CaitaroT.ar miiRoT tri-regoli:orsulobis, RviZlis mZime daavadebis, lipiduri cvlis darRvevis, sisxlis maRali wnevis mwvave formis,daubalansebeli Saqriani diabetis, ucnobi etiologiis vaginaluri sisxldenis, orsulobisas siyviTlis,orsulobisas herpesis an Semdegi mdgomareobebis amJamad an warsulSi arsebobis SemTxvevaSi:- Trombozi (sisxlZarRvebSi sisxlis koltebis arseboba) an Trombozuli darRvevebisaken midrekileba;- RviZlis simsivne;- sarZeve jirkvlis an saSvilosnos avTvisebiani simsivne.hormonuli kontraceptivebis gamoyeneba SeiZleba dakavSirebuli iyos garkveuli mdgomareobebis momatebulriskTan (rogoricaa Tromboembolizmi, miokardiumis infarqti da insulti). es riski asakTan erTad izrdeba(35 wlis zemoT), gansakuTrebiT, mwevelebSi. amis gamo, 35 welze ufrosi asakis qalebisTvis mkacrad arisrekomendebuli mowevisTvis Tavis danebeba.tri-regoli gansakuTrebuli sifrTxiliT gamoiyeneT:- Tu diabeti, arteriuli hipertenzia, flebiti (venebis anTeba), venebis varikozuli daavadeba,epilefsia/konvulsiebi, saSvilosnos keTilTvisebiani simsivne gaqvT.vidre tri-regolis miRebas daiwyebT, eqims am da sxva nebismieri, TqvenTvis cnobili darRvevis Sesaxeb undaacnoboT.hormonuli kontraceptivebi rZis gamoyofas Trgunavs. amis gamo, es preparatebi meZuZurma dedebma mxolodeqimis rekomendaciiT SeiZleba gamoiyenon.tri-regolis gamoyeneba dauyovnebliv unda SewvitoT da rCevisTvis eqims mimarToT, Tu Semdegidan romelimemdgomareoba ganviTardeba:

- SesaZlo orsuloba;- Sakikis tipis simptomebis pirvelad ganviTareba an gaZliereba, aseve, Tavis uCveulod Zlieritkivili;- mxedvelobis darRvevebi, mgrZnobelobis dakargva;- uCveulod Zlieri tkivili qveda kidurebSi;- tkivili da diskomforti gulmkerdis areSi;- siyviTle da zogadi qavili;- arteriuli wnevis momateba;- epilefsiuri gulyra;- gegmiur operaciamde 4 kviriT adre an xangrZlivi imobilizaciis SemTxvevaSi (magaliTad, ubeduriSemTxvevis Sedegad).sqesobrivi hormonebis xangrZlivi gamoyeneba dakavSirebuli iyo RviZlis keTilTvisebiani simsivnis iSviaTda RviZlis avTvisebiani simsivnis sporadul SemTxvevebTan. zogjer es dazianebebi identificirdeboda,rogorc letaluri potencialis mqone Sinagani abdominaluri sisxldenis wyaro.dauyovnebliv acnobeT eqims, Tu muclis zeda nawilSi uCveulod Zlieri da xangrZlivi tkivili igrZeniT.Tu analizisTvis sisxlis CaabareT, eqims unda acnoboT, rom oralur kontraceptivs iyenebT, vinaidan triregolisaqtiurma nivTierebebma SeiZleba garkveuli laboratoriuli parametrebis mniSvnelobebi Secvalos.mniSvnelovani informacia tri-regolis zogierTi komponentis Sesaxeb:laqtozis autanlobis mqone pacientebma mxedvelobaSi unda miiRon produqtSi laqtozis Semcveloba (33mg/<strong>draJe</strong>Si).urTierTqmedeba sxva preparatebTan:garkveulma preparatebma (magaliTad, antikonvulsiurma saSualebebma, antibiotikebma da trankvilizatorebma)SeiZleba kontraceptivebis efeqturoba Seamciros. tri-regolis gamoyenebisas SeiZleba insulinis anoraluri hipoglikemiuri agentebis saWiro gaxdes dozebis gazrda.SeatyobineT eqims an farmacevts Tqvens mier amJamad an axlo warsulSi miRebuli nebismieri sxva preparatisSesaxeb, ureceptod gacemulis CaTvliT.avtomanqanis da meqanizmebis marTva:kvlevebi avtomanqanis da meqanizmebis marTvis unarze tri-regolis zemoqmedebis Taobaze ar Catarebula.3. tri-regolis miRebis wesitri-regoli yovelTvis dozebis, gamoyenebis wesis da mkurnalobis xangrZliobis Sesaxeb eqimisrekomendaciis mixedviT miiReT.miiReT dReSi erTi <strong>draJe</strong>, Tu SesaZlebelia, dRis erTsa da imave dros, menstrualuri ciklis pirvelidRidan, 21 dRis ganmavlobaSi. am periods 7-dRiani Sesveneba unda moyves, rodesac tabletebis SewyvetiTganpirobebuli menstrualuri sisxldena iwyeba. <strong>draJe</strong>ebis miRebis dawyeba da adekvaturi rigiToba(dasawyisSi 6 <strong>vardisferi</strong> <strong>draJe</strong>, Semdeg 5 <strong>TeTri</strong> <strong>draJe</strong>, bolos 10 moyviTalo-moyavisfro <strong>draJe</strong>) blisterzericxvebiT da niSnulebiT aris miTiTebuli. momdevno 21 <strong>draJe</strong> unda miiRoT im intervalis me-7 dRidan,romlis ganavlobaSic <strong>draJe</strong> ar miiReba. aqedan gamomdinare, momdevno ciklebi yovelTvis kviris erTsa daimave dRes daiwyeba.Tu diarea an Rebineba ganviTarda, ganagrZeT tri-regolis miReba, magram damatebiTi kontraceptiuli zomebimiiReT. tri-regolis oraluri kontracefcia unda ganagrZoT moulodneli sisxldenis SemTxvevaSic:Cveulebriv, igi spontanurad wydeba. Tu sisxldena ar Sewyda an sisxlis raodenoba ar Semcirda, acnobeTeqims.Tu menstrualuri sisxldena ar daiwyo 7 dRian intervalSi, romlis ganmavlobaSic <strong>draJe</strong>s ar RebulobT,unda gamoricxoT orsulobaze eWvi.mSobiarobis an abortis Semdeg, tri-regoliT oraluri kontracefcia SegiZliaT daiwyoT Tqveni eqimisinstruqciebis Sesabamisad, magram ara mSobiarobis/abortis Semdgom meore menstruaciis pirvel dRemde.Tu kontracefciis ufro adre dawyeba gamarTlebulia samedicino mizeziT, SegiZliaT tri-regolis miRebamSobiarobis/abortis Semdgom pirveli menstruaciis pirvel dRes daiwyoT. Tumca, amgvar SemTxvevebSi,pirveli 2 kviris manZilze sxva kontraceptiuli meTodic (arahormonuli) unda gamoiyenoT.Tu tri-regolis <strong>draJe</strong>ebis saWiroze didi raodenoba miiReT:Tu tri-regolis <strong>draJe</strong>ebis saWiroze didi raodenoba miiReT, dauyovnebliv daukavSirdiT Tqvens eqims.dozis gadaWarbebisas raime mZime gverdiTi efeqti ar aris cnobili, bavSvis mier <strong>draJe</strong>ebis didi raodenobisgadaylapvis SemTxvevaSic ki.dozis gadaWarbebis SemTxvevaSi saWiroa simptomuri mkurnaloba.Tu dagaviwydaT tri-regolis miRebaTu dagigviandaT erTi <strong>draJe</strong>s miReba, magram ig Cveuli droidan 12 saaTis ganmavlobaSi miiReT, damatebiTikontracefcia ar aris saWiro. Semdegi <strong>draJe</strong>ebi Cveul dros unda miiRoT. Tu 12 saaTze meti dagigviandaT,bolo daviwyebuli <strong>draJe</strong> gaxsenebisTanave unda miiRoT (gamotoveT wina <strong>draJe</strong>ebi) da miReba Cveuli wesiTganagrZoT. Tu erTi an meti <strong>draJe</strong> gamotoveT, momdevno 7 dRis ganmavlobaSi damatebiTi kontracefcia(barieruli, spermicidi) unda gamoiyenoT.4. SesaZlo gverdiTi efeqtebiyvela sxva preparatis msgavsad, tri-regols gverdiTi efeqtebis gamowveva SeuZlia.

SesaZlebelia Semdegi gverdiTi efeqtebis ganviTareba: gulisreva, Rebineba, Tavis tkivili, daZabulobagulmkerdis areSi, sxeulis masis cvlileba, depresiuli mdgomareobebi, qloazma (yavisferi laqebi, kanisferis araTanabari Secvla), kontaqturi linzebis amtanianobis daqveiTeba, menstruaciaTa Soris sisxldena,sisxlis wnevis momateba, sisxlSi glukozis donis momateba, kanis qavili, sisxlis Sededeba (Trombozi),RviZlis da naRvlis buStis daavadebebi, uCveulo daRliloba da diarea.Tu romelime zemoaRniSnuli simptomi an darRveva SeniSneT, acnobeT eqims.5. tri-regolis Senaxvis pirobebiar gamoiyenoT SefuTvaze miTiTebuli vargisianobis vadis amowurvis Semdeg.SeinaxeT 25°C-ze dabal temperaturaze, originalur SefuTvaSi.SeinaxeT bavSvebisaTvis miuwvdomel adgilze.SefuTvakolofSi erTi kalendaruli, PVC-PCDC/Al blisteri, 6 <strong>vardisferi</strong> + 5 <strong>TeTri</strong> + 10 moyviTalo-moyavisfro<strong>draJe</strong>Ti.kolofSi sami kalendaruli, PVC-PCDC/Al blisteri, 6 <strong>vardisferi</strong> + 5 <strong>TeTri</strong> + 10 moyviTalo-moyavisfro<strong>draJe</strong>Ti.gaicema mxolod receptiTmwarmoebeliRss gedeon rixteri, ungreTisavaWro licenziis mflobeliRss gedeon rixterigiomroi ut 19-21, H-1103 budapeSti, ungreTiSida SefuTvatri-regoli, <strong>draJe</strong>eTinilestradioli, levonorgestreliRss gedeon rixteriorSabaTi, samSabaTi, oTxSabaTi, xuTSabaTi, paraskevi, SabaTi, kvira1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21