The use of mifepristone in obstetrics and gynecology (medication abortion) issue of family planning in modern terms, against the background of a declining birth rate and negative growth population is of particular importance. At this stage, one of the main objectives of Obstetricians and Gynecologists is the preservation of women's reproductive health. Even in promoting contraception issue unplanned pregnancy is relevant to the modern woman. Alternative to surgical abortion is a medical abortion. Currently, medical science offers a variety of schemes the use of certain drugs to induce abortion without surgical intervention or facilitate their production and, consequently, reduce the risk of complications.
Our clinic uses the drug Mifepristone (Trade name "Mifegin"), which is a synthetic steroid for oral use, is an antagonist of progesterone and glucocorticoids. The drug is designed to termination of early pregnancy (up to 42 days of amenorrhea). 600 mg of mifepristone (three 200 mg tablets) taken orally once in the presence of a doctor, 1-1.5 hours after meals (light breakfast), drinking half a glass boiled water. The patient is under the supervision of medical staff within 2 hours after application. 36-48 hours after mifepristone patient should come to the hospital for an ultrasound konrolya and, if need to receive misoprostol (mirolyut). 10-14 days to re-conducted clinical examination and ultrasound monitoring, if necessary, determine the level of gonadotropin horionichekogo to confirm that miscarriage occurred. In the absence of the effect of the drug on day 14 (incomplete abortion or ongoing pregnancy) spend vakuumaspiratsiyu followed by histological examination aspirate.
Most likely there will be no mature person who does not feel for once in your life pain. Bent over to brush your teeth or pull the tights and suddenly – froze in an awkward position. Some kind of attempt to straighten causing the pain. Scientific and technological shift to free or heavily restricted in human movements. He just sits or stands, when traveling in public transport to work continuously in uniform position at the bench or behind a desk. So, back pain occur in many people.
Any pain, many of you know, – said the alarm, pointing to the 'damage', the patient was a point in the body. In many cases (but thoroughly stress – not all!) Severe low back pain – a symptom of degenerative disc disease in the corresponding region of the spine. Back pain can be found at almost every turn. Recognize the differences in pain symptoms is sometimes difficult even for an expert without the use of special methods obsledovaniya.Osnovnymi challenges in treating patients with neurological manifestations of lumbar degenerative disc disease are: addressing the factors that compressing, irritating the nerves in the spine, the suppression of encountered pathologic istimulirovanie reduction reactions, the formation of adaptive motor stereotype. These tasks are successfully solved in a landmark treatment that allows you to organize medical care This large group of patients. In the first phase it should be directed to the treatment of pain and is in any medical institution or by way of self-help – undifferentiated symptomatic treatment (Anesthetic cocktails solux, Amplipuls, compresses, rubbing). In the second stage, after examination by a doctor, is symptomatic differentiated care (different types of pain embargo vasodilator drugs – a solution of nicotinic acid, etc.
baralgina, dehydrating agents – Furosemide, Lasix). In the neurological department of a hospital (third stage) is carried out differential pathogenetic treatment (epidural administration of long-acting hormones, different types of traction and manual treatment, physical therapy and various types of reflex action). Restorative treatment (fourth stage) is carried out in the department of rehabilitation clinics or hospitals, dispensaries or health centers. It aims to restore lost functions and the formation of adaptive motor stereotype. The success of the treatment and rehabilitation is largely dependent on the active participation of patients themselves, the good faith implementation of the recommendations of the motor mode, occupational postures and movements. It must be remembered The following rules apply: Frequently change positions and status. Need to sleep on hard beds, not to sag pozvonochnik.Utrom to do exercises to strengthen the muscular system. So good luck!
Thus, Brazil (2002), informs that the cellophanes I contend 21 drgeas must be initiated in the first day of bleed and to have pause of seven days; cellophane with 22 drgeas must also be initiated in the first day of bleed and to have only pause of six days; whereas the ones that are composed for 24 drgeas have beginning in day the same of already cited, however it will only have a referring pause the four days. Already the cellophanes that possess 28 drgeas are the only ones that even so they have the same day of beginning of its taking, will not have period of pause between the cellophanes. (BRAZIL, 2002). Mechanism of action the Mechanism of action of these drugs acts inhibiting the ovulao, that is, possessing anovulatria action, becoming muco cervical thick and in such a way making it difficult the ticket of the spermatozoa. Promoting still alterations in the characteristics physicist-chemistries of the endometrium, keeping it are of the conditions adjusted for the implantation of the blastcito, and intervening with the motilidade and the quality of the secretion to glandular tubria (BRAZIL, 2009). In summary the mechanism of action of the pill is the following one: after the normal menstruation, hipfise, small situated gland in the skull, through a hormone of course elaborated by it, called folculo stimulant (FSH) and also responsible for the increase of vulo, stimulate the ovariana ovulao. At this moment, the ovrio also produces a estrognio hormone called, whose action is to transform the mucosa, that internally coats the uterus in excellent environment for the egg to nestle itself. This hormone when it reaches certain to rasp, goes to act braking hipfise in the manufacture of the FSH and the brake on hipfise is bigger. The FSH will be diminished or even though suppressed, making with that the matureness does not occur to ovular e, as consequence, does not happen to the ovulao.