Toviaz Европейски съюз - чешки - EMA (European Medicines Agency)

toviaz

pfizer europe ma eeig - fesoterodin fumarát - močový měchýř, nadměrně aktivní - urologika - léčba příznaků (zvýšená frekvence a / nebo naléhavosti a / nebo urgentní inkontinence), které mohou nastat u pacientů se syndromem hyperaktivního močového měchýře.

Tygacil Европейски съюз - чешки - EMA (European Medicines Agency)

tygacil

pfizer europe ma eeig - tigecyklin - bacterial infections; skin diseases, bacterial; soft tissue infections - antibakteriální látky pro systémové použití, - tygacil is indicated in adults and in children from the age of eight years for the treatment of the following infections: , complicated skin and soft tissue infections (cssti), excluding diabetic foot infections, complicated intra-abdominal infections (ciai) , tygacil should be used only in situations where other alternative antibiotics are not suitable. pozornost by měla být věnována oficiálním doporučením pro správné používání antibakteriálních látek. vhodné použití antibakteriálních látek.

Vfend Европейски съюз - чешки - EMA (European Medicines Agency)

vfend

pfizer europe ma eeig - vorikonazol - candidiasis; mycoses; aspergillosis - antimykotika pro systémové použití - vorikonazol je širokospektré, triazolové antimykotikum a je indikován u dospělých a dětí ve věku 2 let a výše, takto:léčba invazivní aspergilózy;léčba v candidaemianon-neutropenických pacientů;léčba flukonazol-rezistentní závažné invazivní infekce candida (včetně c. krusei);léčba závažných mykotických infekcí vyvolaných druhy scedosporium. a fusarium spp.. vfend je nutno podávat primárně pacientům s progredujícími, potenciálně život ohrožujícími infekcemi. profylaxe invazivních mykotických infekcí u vysoce rizikových alogenní transplantace hematopoetických kmenových buněk transplantace (hsct) příjemci.

Vyndaqel Европейски съюз - чешки - EMA (European Medicines Agency)

vyndaqel

pfizer europe ma eeig - tafamidis - amyloidóza - další léky na nervový systém - přípravek vyndaqel je indikován k léčbě transtyretinové amyloidózy u dospělých pacientů s symptomatickou polyneuropatií v 1. stupni ke zpomalení periferního neurologického poškození.

Imatinib Teva B.V. Европейски съюз - чешки - EMA (European Medicines Agency)

imatinib teva b.v.

teva b.v. - imatinib mesylátu - dermatofibrosarcoma; gastrointestinal stromal tumors; leukemia, myelogenous, chronic, bcr-abl positive - antineoplastická činidla - imatinib teva b. is indicated for the treatment of: , paediatric patients with newly diagnosed philadelphia chromosome (bcr-abl) positive (ph+) chronic myeloid leukaemia (cml) for whom bone marrow transplantation is not considered as the first line of treatment. u pediatrických pacientů s ph+ cml v chronické fázi po selhání terapie interferonem alfa, nebo v akcelerované fáze nebo blastické krize. dospělých pacientů s ph+ cml v blastické krizi. dospělých a dětských pacientů s nově diagnostikovanou philadelphia chromozom pozitivní akutní lymfoblastickou leukemií (ph+ all) integrované s chemoterapií. dospělých pacientů s relabující nebo refrakterní ph+ all jako monoterapie. dospělých pacientů s myelodysplastickým/myeloproliferativním onemocněním (mds/mpd) spojeným s krevních destiček odvozený růstový faktor receptor (pdgfr) genu re-uspořádání. dospělých pacientů s pokročilým hypereozinofilního syndromu (hes) a/nebo chronickou eozinofilní leukemií (cel) s fip1l1-pdgfra přeskupení. Účinek imatinibu na výsledek transplantace kostní dřeně nebyl stanoven. imatinib teva b. is indicated for: , the treatment of adult patients with kit (cd 117) positive unresectable and/or metastatic malignant gastrointestinal stromal tumours (gist). , adjuvantní léčbě dospělých pacientů, kteří mají významné riziko recidivy po resekci kit (cd117)-pozitivního gist. pacienti, kteří mají nízkou nebo velmi nízkým rizikem recidivy by neměli dostávat adjuvantní léčba. léčba dospělých pacientů s inoperabilním dermatofibrosarkomem protuberans (dfsp) a dospělých pacientů s rekurentním a/nebo metastatickým dfsp, kteří nejsou způsobilí operace. u dospělých a dětských pacientů je účinnost imatinibu je založena na míře celkové hematologické a cytologické odpovědi a doby přežití bez progrese onemocnění u cml, na hematologické a cytogenetické odpovědi u ph+ all, mds/mpd, na hematologické odpovědi u hes/cel a na míře objektivní odpovědi u dospělých pacientů s inoperabilním a/nebo metastatickým gist a dfsp a na opakování-free survival v adjuvantní léčba gist. zkušenosti s imatinibem u pacientů s mds/mpd spojeným se změnou genu receptoru pdgfr jsou velmi omezené. nejsou k dispozici žádné kontrolované studie, které by prokázaly klinický přínos nebo prodloužené přežití u těchto uvedených onemocnění.

EPITEST 36 Náplast pro provokační test Чехия - чешки - SUKL (Státní ústav pro kontrolu léčiv)

epitest 36 náplast pro provokační test

smartpractice denmark aps, hillerod array - 1529 sÍran nikelnatÝ; 2763 alkoholy tuku z ovČÍ vlny; 965 neomycin-sulfÁt; 1176 dichroman draselnÝ; 581 benzokain; 354 cinchokain-hydrochlorid; 1433 tetrakain-hydrochlorid; 17130 amylcinnamal; 17131 isoeugenol; 17132 cinnamal; 2822 eugenol; 17133 cinnamylalkohol; 17134 hydroxycitronellal; 17135 geraniol; 17136 mech dubovÝ; 2921 kalafuna; 934 methylparaben; 2759 ethylparaben; 2586 propylparaben; 5375 butylparaben; 5089 benzylparaben; 1085 peruÁnskÝ balzÁm; 4153 edamin-dihydrochlorid; 10277 chlorid kobaltnatÝ; 16700 butylfenol-formaldehydovÁ pryskyŘice; 4489 bisfenol a diglycidylether; 17137 difenylguanidin; 17138 zineČnatÁ sŮl ditiokarbu; 17139 zinkum-dibutyldithiokarbamÁt; 17140 isopropylfenylparafenylendiamin; 17141 cyklohexylfenylparafenylendiamin; 17142 difenylparafenylendiamin; 16697 isothiazolinony; 14179 kvaternium 15; 3138 methyldibromglutaronitril; 16702 parafenylendiamin; 17143 hydroxymethylsukcinimid; 17144 morfolinosulfanylbenzothiazol; 17145 cyklohexylbenzothiazolsulfenamid; 17146 dibenzothiazoldisulfid; 1457 thiomersal; 17147 tetramethylthiurammonosulfid; 6113 thiram; 1582 disulfiram; 17148 dicyklopentamethylenthiuramdisulfid; 15351 diazolidinylmoČovina; 370 kliochinol; 334 chlorchinaldol; 12109 tixokortol-pivalÁt; 1847 natrium-aurothiosulfÁt; 12784 imidomoČovina; 5362 budesonid; 2300 hydrokortison-butyrÁt; 1627 merkaptobenzthiazol; 115 bacitracin; 3195 parthenolid; 3136 disperznÍ modŘ 106; 1662 bronopol - náplast pro provokační test - testy pro alergickÁ onemocnĚnÍ

Hefiya Европейски съюз - чешки - EMA (European Medicines Agency)

hefiya

sandoz gmbh - adalimumab - spondylitis, ankylosing; hidradenitis suppurativa; psoriasis; arthritis, juvenile rheumatoid; uveitis - imunosupresiva - rheumatoid arthritishefiya in combination with methotrexate, is indicated for:the treatment of moderate to severe, active rheumatoid arthritis in adult patients when the response to disease-modifying anti-rheumatic drugs including methotrexate has been inadequate. léčbě závažné, aktivní a progresivní revmatoidní artritidy u dospělých, kteří nebyli předtím léčeni methotrexátem. hefiya can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate. adalimumabu bylo prokázáno, že snižuje rychlost progrese kloubního poškození měřeného pomocí rtg a že zlepšuje fyzické funkce, pokud je podáván v kombinaci s methotrexátem. juvenilní idiopatická arthritispolyarticular juvenilní idiopatické artritidy hefiya v kombinaci s methotrexátem je indikován k léčbě aktivní polyartikulární juvenilní idiopatické artritidy u pacientů od 2 let věku, kteří měli nedostatečnou odpověď na léčbu jedním nebo více nemoc modifikujícími antirevmatickými léky (dmard). hefiya může být podáván jako monoterapie v případě intolerance methotrexátu, nebo kdy pokračování v léčbě methotrexátem není vhodné (pro účinnost v monoterapii viz bod 5. adalimumab nebyl zkoumán u pacientů ve věku méně než 2 roky. související s enthesitis artritidy hefiya je indikován k léčbě aktivní související s enthesitis artritidy u pacientů ve věku 6 let a starších, kteří měli nedostatečnou odpověď nebo kteří netolerují konvenční léčbu (viz bod 5. axiální spondyloarthritisankylosing spondylitidy (as) hefiya je indikován k léčbě dospělých pacientů s těžkou aktivní ankylozující spondylitidou, u kterých nebyla dostatečná odpověď na konvenční léčbu. axiální spondylartritidy bez rentgenový nález jako hefiya je indikován k léčbě dospělých se závažnou axiální spondylartritidy bez radiografické důkazy o as, ale s objektivními známkami zánětu tím, že zvýšené crp a / nebo mri, kteří vykazovali nepřiměřenou reakci nebo nesnášenlivost na nesteroidní protizánětlivé léky. psoriatická arthritishefiya je indikován k léčbě aktivní a progresivní psoriatické artritidy u dospělých, pokud odpověď na předchozí léčbu chorobu modifikujícím antirevmatickým přípravkem nebyla dostatečná. adalimumabu bylo prokázáno snížení rychlosti progrese poškození periferních kloubů, měřeno pomocí rtg u pacientů se symetrickým polyartikulárním subtypem onemocnění (viz bod 5. 1) a zlepšení fyzických funkcí. psoriasishefiya je indikován k léčbě středně těžké až těžké chronické ložiskové psoriázy u dospělých pacientů, kteří jsou kandidáty pro systémovou léčbu. ložiskové psoriasishefiya je indikován k léčbě těžké chronické ložiskové psoriázy u dětí a dospívajících od 4 let věku, kteří vykazovali nepřiměřenou reakci nebo jsou nevhodné kandidáty pro lokální terapii a phototherapies. ložiskové psoriasishefiya je indikován k léčbě těžké chronické ložiskové psoriázy u dětí a dospívajících od 4 let věku, kteří vykazovali nepřiměřenou reakci nebo jsou nevhodné kandidáty pro lokální terapii a phototherapies. hidradenitis suppurativa (hs)hefiya is indicated for the treatment of active moderate to severe hidradenitis suppurativa (acne inversa) in adults and adolescents from 12 years of age with an inadequate response to conventional systemic hs therapy. crohn’s diseasehefiya is indicated for treatment of moderately to severely active crohn’s disease in adult patients who have not responded despite a full and adequate course of therapy with a corticosteroid and / or an immunosuppressant; or who are intolerant to or have medical contraindications for such therapies. paediatric crohn's diseasehefiya is indicated for the treatment of moderately to severely active crohn's disease in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including primary nutrition therapy and a corticosteroid and / or an immunomodulator, or who are intolerant to or have contraindications for such therapies. paediatric ulcerative colitishefiya is indicated for the treatment of moderately to severely active ulcerative colitis in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including corticosteroids and/or 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies.  ulcerative colitis hefiya is indicated for treatment of moderately to severely active ulcerative colitis in adult patients who have had an inadequate response to conventional therapy including corticosteroids and 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies.  uveitis hefiya is indicated for the treatment of non-infectious intermediate, posterior and panuveitis in adult patients who have had an inadequate response to corticosteroids, in patients in need of corticosteroid-sparing, or in whom corticosteroid treatment is inappropriate.  paediatric uveitis hefiya is indicated for the treatment of paediatric chronic non-infectious anterior uveitis in patients from 2 years of age who have had an inadequate response to or are intolerant to conventional therapy, or in whom conventional therapy is inappropriate.

Hyrimoz Европейски съюз - чешки - EMA (European Medicines Agency)

hyrimoz

sandoz gmbh - adalimumab - arthritis, rheumatoid; arthritis, psoriatic; spondylitis, ankylosing; uveitis; hidradenitis suppurativa; colitis, ulcerative; arthritis, juvenile rheumatoid; crohn disease; skin diseases, papulosquamous - imunosupresiva - rheumatoid arthritishyrimoz in combination with methotrexate, is indicated for:- the treatment of moderate to severe, active rheumatoid arthritis in adult patients when the response to disease-modifying anti-rheumatic drugs including methotrexate has been inadequate. - the treatment of severe, active and progressive rheumatoid arthritis in adults not previously treated with methotrexate. hyrimoz může být podáván jako monoterapie v případě intolerance methotrexátu, nebo kdy pokračování v léčbě methotrexátem není vhodné. adalimumabu bylo prokázáno, že snižuje rychlost progrese kloubního poškození měřeného pomocí rtg a že zlepšuje fyzické funkce, pokud je podáván v kombinaci s methotrexátem. juvenile idiopathic arthritis- polyarticular juvenile idiopathic arthritishyrimoz in combination with methotrexate is indicated for the treatment of active polyarticular juvenile idiopathic arthritis, in patients from the age of 2 years who have had an inadequate response to one or more disease-modifying anti-rheumatic drugs (dmards). hyrimoz může být podáván jako monoterapie v případě intolerance methotrexátu, nebo kdy pokračování v léčbě methotrexátem není vhodné. adalimumab nebyl zkoumán u pacientů ve věku méně než 2 roky. - enthesitis-related arthritishyrimoz is indicated for the treatment of active enthesitis-related arthritis in patients, 6 years of age and older, who have had an inadequate response to, or who are intolerant of, conventional therapy. axial spondyloarthritis- ankylosing spondylitis (as)hyrimoz is indicated for the treatment of adults with severe active ankylosing spondylitis who have had an inadequate response to conventional therapy. - axial spondyloarthritis without radiographic evidence of ashyrimoz is indicated for the treatment of adults with severe axial spondyloarthritis without radiographic evidence of as but with objective signs of inflammation by elevated crp and / or mri, who have had an inadequate response to, or are intolerant to nonsteroidal anti-inflammatory drugs. psoriatic arthritishyrimoz is indicated for the treatment of active and progressive psoriatic arthritis in adults when the response to previous disease-modifying anti-rheumatic drug therapy has been inadequate. adalimumabu bylo prokázáno snížení rychlosti progrese poškození periferních kloubů, měřeno pomocí rtg u pacientů se symetrickým polyartikulárním subtypem onemocnění a zlepšení tělesné funkce. psoriasishyrimoz is indicated for the treatment of moderate to severe chronic plaque psoriasis in adult patients who are candidates for systemic therapy. paediatric plaque psoriasishyrimoz is indicated for the treatment of severe chronic plaque psoriasis in children and adolescents from 4 years of age who have had an inadequate response to or are inappropriate candidates for topical therapy and phototherapies. hidradenitis suppurativa (hs)hyrimoz is indicated for the treatment of active moderate to severe hidradenitis suppurativa (acne inversa) in adults and adolescents from 12 years of age with an inadequate response to conventional systemic hs therapy. crohn’s diseasehyrimoz is indicated for treatment of moderately to severely active crohn’s disease in adult patients who have not responded despite a full and adequate course of therapy with a corticosteroid and / or an immunosuppressant; or who are intolerant to or have medical contraindications for such therapies. paediatric crohn's diseasehyrimoz is indicated for the treatment of moderately to severely active crohn's disease in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including primary nutrition therapy and a corticosteroid and / or an immunomodulator, or who are intolerant to or have contraindications for such therapies.  paediatric ulcerative colitishyrimoz is indicated for the treatment of moderately to severely active ulcerative colitis in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including corticosteroids and/or 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. ulcerative colitishyrimoz is indicated for treatment of moderately to severely active ulcerative colitis in adult patients who have had an inadequate response to conventional therapy including corticosteroids and 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. uveitishyrimoz is indicated for the treatment of non-infectious intermediate, posterior and panuveitis in adult patients who have had an inadequate response to corticosteroids, in patients in need of corticosteroid-sparing, or in whom corticosteroid treatment is inappropriate. paediatric uveitishyrimoz is indicated for the treatment of paediatric chronic non-infectious anterior uveitis in patients from 2 years of age who have had an inadequate response to or are intolerant to conventional therapy, or in whom conventional therapy is inappropriate.

Yuflyma Европейски съюз - чешки - EMA (European Medicines Agency)

yuflyma

celltrion healthcare hungary kft. - adalimumab - arthritis, rheumatoid; arthritis, psoriatic; psoriasis; spondylitis, ankylosing; uveitis; hidradenitis suppurativa; colitis, ulcerative; crohn disease; arthritis, juvenile rheumatoid - imunosupresiva - rheumatoid arthritisyuflyma in combination with methotrexate, is indicated for:- the treatment of moderate to severe, active rheumatoid arthritis in adult patients when the response to disease-modifying anti-rheumatic drugs including methotrexate has been inadequate. - the treatment of severe, active and progressive rheumatoid arthritis in adults not previously treated with methotrexate. yuflyma can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate. adalimumabu bylo prokázáno, že snižuje rychlost progrese kloubního poškození měřeného pomocí rtg a že zlepšuje fyzické funkce, pokud je podáván v kombinaci s methotrexátem. juvenile idiopathic arthritispolyarticular juvenile idiopathic arthritisyuflyma in combination with methotrexate is indicated for the treatment of active polyarticular juvenile idiopathic arthritis, in patients from the age of 2 years who have had an inadequate response to one or more disease-modifying anti-rheumatic drugs (dmards). yuflyma can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate (for the efficacy in monotherapy see section 5. adalimumab nebyl zkoumán u pacientů ve věku méně než 2 roky. enthesitis-related arthritisyuflyma is indicated for the treatment of active enthesitis-related arthritis in patients, 6 years of age and older, who have had an inadequate response to, or who are intolerant of, conventional therapy (see section 5. axial spondyloarthritisankylosing spondylitis (as)yuflyma is indicated for the treatment of adults with severe active ankylosing spondylitis who have had an inadequate response to conventional therapy. axial spondyloarthritis without radiographic evidence of asyuflyma is indicated for the treatment of adults with severe axial spondyloarthritis without radiographic evidence of as but with objective signs of inflammation by elevated crp and/or mri, who have had an inadequate response to, or are intolerant to non-steroidal anti-inflammatory drugs (nsaids). psoriatic arthritisyuflyma is indicated for the treatment of active and progressive psoriatic arthritis in adults when the response to previous disease-modifying anti-rheumatic drug therapy has been inadequate. adalimumabu bylo prokázáno snížení rychlosti progrese poškození periferních kloubů, měřeno pomocí rtg u pacientů se symetrickým polyartikulárním subtypem onemocnění (viz bod 5. 1) a zlepšení fyzických funkcí. psoriasisyuflyma is indicated for the treatment of moderate to severe chronic plaque psoriasis in adult patients who are candidates for systemic therapy. paediatric plaque psoriasisyuflyma is indicated for the treatment of severe chronic plaque psoriasis in children and adolescents from 4 years of age who have had an inadequate response to or are inappropriate candidates for topical therapy and phototherapies. hidradenitis suppurativa (hs)yuflyma is indicated for the treatment of active moderate to severe hidradenitis suppurativa (acne inversa) in adults and adolescents from 12 years of age with an inadequate response to conventional systemic hs therapy (see sections 5. 1 a 5. crohn’s diseaseyuflyma is indicated for treatment of moderately to severely active crohn’s disease, in adult patients who have not responded despite a full and adequate course of therapy with a corticosteroid and/or an immunosuppressant; or who are intolerant to or have medical contraindications for such therapies. paediatric crohn's diseaseyuflyma is indicated for the treatment of moderately to severely active crohn's disease in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including primary nutrition therapy and a corticosteroid and/or an immunomodulator, or who are intolerant to or have contraindications for such therapies. ulcerative colitisyuflyma is indicated for treatment of moderately to severely active ulcerative colitis in adult patients who have had an inadequate response to conventional therapy including corticosteroids and 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. paediatric ulcerative colitisyuflyma is indicated for the treatment of moderately to severely active ulcerative colitis in paediatric patients (from 6 years of age) who have had an inadequate response to conventional therapy including corticosteroids and/or 6-mercaptopurine (6-mp) or azathioprine (aza), or who are intolerant to or have medical contraindications for such therapies. uveitisyuflyma is indicated for the treatment of non-infectious intermediate, posterior and panuveitis in adult patients who have had an inadequate response to corticosteroids, in patients in need of corticosteroid- sparing, or in whom corticosteroid treatment is inappropriate. paediatric uveitisyuflyma is indicated for the treatment of paediatric chronic non-infectious anterior uveitis in patients from 2 years of age who have had an inadequate response to or are intolerant to conventional therapy, or in whom conventional therapy is inappropriate.

Alymsys Европейски съюз - чешки - EMA (European Medicines Agency)

alymsys

mabxience research sl - bevacizumab - colorectal neoplasms; breast neoplasms; ovarian neoplasms; peritoneal neoplasms; carcinoma, non-small-cell lung; carcinoma, renal cell; uterine cervical neoplasms - antineoplastická činidla - alymsys in combination with fluoropyrimidine based chemotherapy is indicated for treatment of adult patients with metastatic carcinoma of the colon or rectum. alymsys in combination with paclitaxel is indicated for first line treatment of adult patients with metastatic breast cancer. alymsys in combination with capecitabine is indicated for first line treatment of adult patients with metastatic breast cancer in whom treatment with other chemotherapy options including taxanes or anthracyclines is not considered appropriate. patients who have received taxane and anthracycline containing regimens in the adjuvant setting within the last 12 months should be excluded from treatment with alymsys in combination with capecitabine. alymsys, in addition to platinum based chemotherapy, is indicated for first line treatment of adult patients with unresectable advanced, metastatic or recurrent non small cell lung cancer other than predominantly squamous cell histology. alymsys, in combination with erlotinib, is indicated for first line treatment of adult patients with unresectable advanced, metastatic or recurrent non squamous non small cell lung cancer with epidermal growth factor receptor (egfr) activating mutations. alymsys in combination with interferon alfa 2a is indicated for first line treatment of adult patients with advanced and/or metastatic renal cell cancer. alymsys, in combination with carboplatin and paclitaxel is indicated for the front line treatment of adult patients with advanced (international federation of gynecology and obstetrics (figo) stages iii b, iii c and iv) epithelial ovarian, fallopian tube, or primary peritoneal cancer. alymsys, in combination with carboplatin and gemcitabine or in combination with carboplatin and paclitaxel, is indicated for treatment of adult patients with first recurrence of platinum sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents. alymsys, in combination with topotecan, or pegylated liposomal doxorubicin is indicated for the treatment of adult patients with platinum resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other vegf inhibitors or vegf receptor targeted agents. alymsys, in combination with paclitaxel and cisplatin or, alternatively, paclitaxel and topotecan in patients who cannot receive platinum therapy, is indicated for the treatment of adult patients with persistent, recurrent, or metastatic carcinoma of the cervix.