ʻO nā heparins weight low heparins (LMWH) kahi papa o nā lāʻau anticoagulant i hoʻohana ʻia e pale a mālama i nā hoʻopiʻi thromboembolic.
ʻO ka pālahalaha nui o nā noi, hoʻopili ʻia i ka ʻōlelo paʻa me ka ʻaoʻao therapeutic, a me ka lāʻau lapaʻau ʻoluʻolu.
ʻAʻole like me kona mea i hana mua ai, ʻo Heparin, LMWH i hoʻolaha i ka hana ʻoi lāʻau lapaʻau, e palekana a mālama hou ʻia, hiki ke lawelawe ʻia a subcutaneously a i ʻole intravenously.
I kēia mau lā, ua hōʻike ʻia nā hanauna o kēia mau lāʻau i ka mākeke, i hoʻohui mau ʻia i nā lāʻau hou. Eʻike kēia ʻatikala iā Fraxiparin, ke kumukūʻai a me ka maikaʻi o ka mea e hoʻokō pono ai i nā pono o nā kauka a me nā maʻi.
Nā Hōʻike
ʻO ka mea hana a Fraxiparin he calcium nadroparin, kahi i hōʻike ʻia ma nā kūlana kulekele penei:
- ka pale ʻana o ka thrombosis i nā maʻi me kahi hoʻolaha paʻa;
- ka mālama ʻana i ka embolism pulmonary;
- ka mālama ʻana i ka thrombophlebitis o nā ʻano kumu like ʻole;
- ka pale ʻana o ka hakakā koko i ka wā o hemodialysis;
- i ka mālamaʻana i ka maʻi coronary syndrome (hōʻeha o ka naʻau).
He mea nui ia e hoʻomaopopo e hoʻohana nui ʻia ʻo Fraxiparin i loko o kahi hale hoʻomaha ma lalo o ka mākaʻi o kahi kauka. Ma mua o ke koho ʻana, pono e hana ʻia kahi ʻano lapaʻau a me ka ʻoihana ʻoihana.
Nā Hoʻohui
ʻAʻohe lāʻau lapaʻau i kūpono i nā maʻi āpau.
Ma mua o ka hoʻohana ʻana, pono ʻoe e heluhelu pono i nā ʻōkuhi a hoʻoholo inā loaʻa ʻoe i kēia mau contraindications:
- maʻi kūlohelohe i ke kalapona nadroparin a i ʻole nā mea kōkua i hana i ka hopena o ka hoʻonā;
- thrombocytopenia;
- uʻi ikaika a i ʻole ka hoʻonui ʻia ʻana o kona hoʻomohala;
- traumatic ʻeha naʻau;
- hapai a lactation;
- pilikia hōʻeha;
- na keiki malalo o na makahiki 18 o lakou (relatif contraindication).
ʻAʻole ia e like me Heparin, he kūlohelohe kūlohelohe - Protamine sulfate, ʻaʻole nā LMWH.
E hoʻokuʻu i ke ʻano
Loaʻa ka Fraxiparin ma ke ʻano he hopena no ka loea subcutaneous a i ʻole intravenous. Loaʻa i nā syringes i hoʻopaʻa ʻia me ka pāpale pale, kahi paʻa paʻa i nā ʻāpana o 10 i kahi pākeke.
ʻO ka hoʻonā ʻana no ka hoʻokele subcutaneous o Fraxiparin
Hoʻokomo pinepine ʻia nā subcutaneously, no kēia syringe i hoʻoneʻe ʻia mai ka membrane a lawe ʻia ka pāpale paʻa. Hoʻonohonoho ʻia ka wahi i kahi maʻi (umbilical region) ʻekolu manawa me kahi antiseptic.
Kūkulu ʻia ka paʻu me nā lima o ka lima hema, ua hoʻokomo ʻia ka pūpū me ke kūlohelohe i ka ʻili no ka lōʻihi holoʻokoʻa. Lawe ʻia ka syringe, ʻaʻohe kūpono no ka hoʻohana hou ʻana.
Mea hana
ʻO Fraxiparin kahi lāʻau lapaʻau hōʻailona ia mai nā hui lāʻau lapaʻau ʻAmelika Hui Pū ʻIa.Aia ma mua o kēia ʻoihana ma mua o ka ʻoihana ma mua o 160, e like me ka 2017, aia ʻo ia ma waena o nā alakaʻi he ʻumi ma ka honua i ka hana ʻana o nā lāʻau lapaʻau, nā lāʻau lapaʻau a me nā mea hana maʻi.
ʻO nā hui Farani Sanofi-aventis a me Glaxosmithkline i hōʻike i nā ʻano panikena o nā kalana nadroparin kūloko, aia nō hoʻi ma lalo o ka inoa kālepa Fraxiparin.
I kēia hihia, he mea lapaʻau ka mea lapaʻau (kūʻai i ke kuleana pono e hana mai Aspen). I Ukraine, ua loaʻa nā Nadroparin-Farmeks no ke kūʻai aku, kahi mea i hana ʻia e ka hui Pharmex hui.
ʻOhiʻohi
Loaʻa i nā syringes hiki i ka wai o 0.3, 0.4, 0.6 a me 0.8 ml, he 10 hapa i loko o hoʻokahi pākau.
Keʻano lāʻau
0.3 ml
Kuhi ʻia ka pākolo i ka paʻa ʻana o ka waiwai ikaika - calcium nadroparin, ana ʻia i loko o nā hui honua.
1 ml o Fraxiparin he 9500 IU o ka hana ikaika.
No laila, ma ka 0.3 ml e lilo i 2850ME. I kēia helu, hōʻike ʻia ka lāʻau lapaʻau no nā mea maʻi o ko lākou kaumaha ʻaʻole iʻoi aku i ka 45 kg.
0.4 ml
Loaʻa i kahi 3800 IU o ka kalepona nadroparin, hōʻike ʻia no nā mea maʻi ma ke kaupaʻa ʻana mai 50 a 55 deg.
0.6 ml
Loaʻa kahi papa hana aktif 5700ME, kūpono no nā mea maʻi mai 60 a 69 kg.
Uila
Kūpaʻa ke kumukūʻai o Fraxiparin i ka maʻi a me ka mea hana. Hele ʻo ia me ka ʻōlelo ʻole e kūʻai aku ʻoi aku ka hoʻohana ʻana i kahi lāʻau i kūʻai ʻia ma mua o ka mea maʻamau.
Kuhi ke kumu o Fraxiparin ma muli o ke kao:
| Dosis i ka ml | ʻO ke kumukūʻai kumukūʻai ma Rusia i nā rubles no 10 syringes |
| 0,3 | 2016 ― 2742 |
| 0,4 | 2670 ― 3290 |
| 0,6 | 3321 ― 3950 |
| 0,8 | 4910 ― 5036 |
Palaha nā kumukūʻai, hōʻike ʻia no 2017. Ka loli ʻē a ka ʻāina a me ka lāʻauʻai.
Nā wikiō pili
E pili ana i ka papa o ka thrombophlebitis ma ke kanulau i loko o ke wikiō:
No laila, ʻo Fraxiparin kahi lāʻau lapaʻau nui loa no ka mālama ʻana a me ka pale ʻana i ka thrombosis. Ma waena o nā pono kūpono ʻo ia nā ʻano hana o ka ana, palekana a me ke kumukūʻai kūpono.
