ʻO Fithxiparin ka lāʻau Antithrombotic: nā ʻōlelo no ka hoʻohana ʻana, nā kumukūʻai, nā loiloi a me nā analogues

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ʻO ka Fraxiparin kahi lāʻau lapaʻau maikaʻi me ka kikoo pololei o nā hana, e kau ana i nā nadroparin.

Ua kuhikuhi aku nā poʻe loea i kēia lāʻau lapaʻau i kā lākou poʻe maʻi me kahi prophylaxis a i ʻole no ka loaʻa ʻana o ka paʻakikī i nā path thrombotic ma ka poʻe i makemake i nā koko koko.

Pono ka lāʻau no ka subcutaneous (ma nā hihia loaʻa, intravenous) ka hoʻokō. I kēia manawa, ua manaʻo ʻia ka thromboembolism kekahi o nā maʻi koʻikoʻi loa no ke kanaka. Hiki i ke pani ʻana i kahi moku ka mea e hoʻowalewale i ka hoʻomaka koke ʻana o ka puʻuwai a i ʻole ischemia, e alakaʻi pinepine ana i ka maʻi a i ʻole ka make.

ʻOiai ka uluʻana o nā lāʻau lapaʻau i nā lāʻau lapaʻau hou he nui e hoʻopau i kēia maʻi, ʻike ʻia ʻo Fraxiparin ka mea maikaʻi loa, me nā huahana pharmacological āu e ʻike ai i nā ʻōlelo kuhikuhi.

Nā hōʻailona no ka hoʻohana ʻana

ʻO ka pinepine, ʻo Fraxiparin i kuhikuhi ʻia i kēlā mau mea maʻi i loʻohia i ko nā ola olakino e pili ana i lalo:

  • unstable form of angina pectoris;
  • thromboembolism o kekahi keke (blockage o nā moku koko nui e ka thrombus);
  • myocardial infarction me ka palaka ʻole Q (no ka pale a me ka mālama ʻana i ka hoʻouka ʻana ma hope);
  • nā hana a me nā hōʻiliʻili orthopedic i hana ʻia no nā mea maʻi me ka ʻeha o ka ea a me ka ʻole naʻau (e pale ai i ka thromboembolic relapses);
  • ka pale ʻana o ka hoʻomohala koko koko ʻole no nā poʻe maʻi e pono ai i nā hemodialysis panana.

ʻLoe a me ke kākele

Hoʻomaopopo nā mea hana o ka lāʻau Fraxiparin i ka mālama ʻana i ka lāʻau subcutaneously i loko o ka ʻōpū i loko o ke kūlana o ka mea i hoʻonoho. I kekahi mau hihia, ʻae ʻia ka hoʻomaka ʻana o ka lāʻau i loko o ka wahine femoral.

I mea e pale ai i ka nalowale o ka lāʻau, ʻaʻole e hoʻāʻo e hoʻokaʻawale i nā ʻūhā hau i loaʻa mai ka syringe ma mua o kahi maʻi o ka maʻi ʻaina. E hoʻokomo pono ʻia ka lāʻau pono i loko o kahi ʻāpana liʻiliʻi o ka ʻili, pono e hana pono ʻia me nā manamana ʻekolu o ka lima manuahi. ʻAʻole pono ka pahuhopu a wahi ʻia.

Nā ʻōlelo kuhikuhi Fraxiparin 0.3 ml

I mea e pale ai i ka hoʻomohala ʻana o ka thromboembolism ma loko o ka ʻoihana paʻahana, ʻo ka paʻu maʻamau ka lāʻau o ka laʻana he 0.3 ml. I ka hoʻomaka, ua mālama ʻia ka lāʻau lapaʻau i ka mea maʻi i nā hola 4 ma mua o ka hana, a laila i hoʻokahi manawa i ka lā.

Pono e mālama ʻia ka ʻoihana pono ma ka liʻiliʻi loa i hoʻokahi hebedoma, ʻoi aku ka nui o ka mea maʻi i kauoha ʻia i nā inikini Fraxiparin a hiki i ka mea maʻi ke hoʻoneʻe i ka hana maʻi outpatient. No ka hoʻoponopono hou ʻana o ka mea maʻi ma hope o ka hōʻeha ʻana o ka naʻau a i ʻole me ka hihia o ka angina hiki ʻole, 0.6 ml o ka lāʻau lapaʻau e lawelawe ʻia ʻokoʻa ʻo 2 mau manawa i ka lā.

Pono ka hopena e hōʻemi ʻia ma kahi hebedoma. Ma kēia hihia, ke mālama ʻia nei ʻo ka maʻi huakaʻi mua me ia, a me nā mea a pau hope aʻe - subcutaneously. Kālai ʻia ka dosage ma ke ʻano o nā kuhikuhi a ka mea maʻi. I ka wā o ka manipulasi orthopedic, e mālama ʻia ka Fraxiparin ma ka subcutaneously ma ka nui e pili ana i ke kaumaha o ka mea maʻi (50 kg - 0,5 ml, 70 kg - 0.6 ml, 80 kg - 0.7 ml, 100 kg - 0.8 ml, ʻoi aku ma mua o 100 kg - 0.9 ml).

Hana ʻia ka injection mua he 12 mau hola ma mua o ka hana, a me ke kaʻa aʻe ma hope o ka manawa like o ka manawa o ka manawa ma hope o ka pau ʻana o ka hana. No ka hoʻomau hou aku, pono ka mea maʻi e hoʻohana iā Fraxiparin i hoʻokahi lā i ka lā. ʻO ka lōʻihi loa o ka mālamaʻana ma kahi o 10 mau lā.

E hakakā i ka hoʻoulu kaua thromboembolism, pono e kuhikuhi i nā anticoagulants. Hoʻohana ʻia ka lāʻau lapaʻau i nā manawa 2 i ka lā no 14 mau lā, 0.5-0.7 ml o ka lāʻau.

Nā hopena hopena

Hoʻomaʻomaʻo ka hapanui o nā maʻi he nui i nā inikini maʻamau o Fraxiparin maikaʻi, akā i nā hihia loaʻa ʻole, hiki i ka hiki ke hōʻike i ka hopena hōʻeha kino o ke kino.

  • huhū;
  • ʻulaʻula, nā hana o nā nodules liʻiliʻi, hematomas, a me ka hōʻeha ʻana i ka wahi ʻae;
  • pehu ana pane;
  • thrombocytopenia (komo pūpū);
  • thrombosis venous;
  • eosinophilia;
  • ka hōʻike ʻana mai i kahi hopena maʻi;
  • priapism;
  • hyperkalemia

I kēia hihia, pono e hoʻopili i ka mea maʻi e hoʻopili i kāna kauka, i ʻole e hoʻopulapula i ke kiʻi haukaʻi holoʻokoʻa.

Nā ʻōlelo kikoʻī

ʻOiai i ka hōʻike ʻana o nā haʻawina ʻepekema ʻaʻole i hōʻike i kahi hopena teratogenic, ʻoi aku ka maikaʻi o ka hōʻole ʻana i ka lawe ʻana iā Fraxiparin ma ka trimester mua o ka hānau ʻana.

I ka wā o ka trimester lua a me ke kolu, hiki ke hoʻohana ʻia ka lāʻau lapaʻau wale nō e like me nā ʻōlelo a ke kauka hele mai e pale i ka hoʻokumu ʻana o ka trombosis.

Ke papa ʻia i kahi papa therapeutic piha i kēia hihia. Inā pili ke kūlana i ka hoʻohana ʻana o ka hōʻeha o ka maʻi āpau, pono ka mea maʻi e hōʻole i ka mālama ʻana me ka heparin ma kahi o 12 mau hola ma mua o ka hoʻomaka ʻana o nā kaʻina lapaʻau.

No ka mea ʻaʻole i hoʻopaʻa ʻo ka poʻe loea i nā hihia o ka lawe ʻana o ka lāʻau i ka ʻeha gastrointestinal i nā keiki ʻōpio, ʻaʻole i pāpā ʻia nā lilo o Fraxiparin e nā makuahine hānai.

Wahi a nā lāʻau lapaʻau e mālama palekana nā mea āpau o ka lāʻau i nā wahine i loaʻa i ka IVF. Ma muli o kēia mau lā he nui ka helu o nā mea kikoʻī, ua hāʻawi ʻia ʻo Fraxiparin i nā maʻi i nā maʻi wale nō inā he ʻeha e hoʻokumu i nā ʻōkuhi paa.

ʻO kekahi, inā he wahine i hoʻonui i ka coagulability koko.

Inā ʻoi mua nā pilikia o nā kino i loko, ua hōʻike ʻia ka maʻi hypertension a i ʻole ʻeha ʻōpū, pono i ka mea maʻi ke hoʻomaopopo i ke kauka e pili ana i kēia.

ʻOiaʻiʻo, i kēia hihia, pono ia e lawe Fraxiparin me ka makaʻala nui loa, no ka mea, he hiki i ka make intrauterine o ka huaʻū a me ka maʻi kuhihewa. ʻO ka hoʻokaʻawale, pono ke hoʻomaopopo ʻia e kuhikuhi ʻia kekahi mau wahine i ka hoʻohana ʻana i ka lāʻau i ka wā o ka wā holoʻokoʻa o ka wā e hāpai ai ka prophylaxis, i ka wā i ʻike ʻia ka hōʻino koʻikoʻi i ka laha o ka plasenta.

Akā inā, ʻaʻohe mea pono ʻoe e hoʻoholo i kēlā me ʻoe iho, pono ʻoe e kamaʻilio pū me nā poʻe loea. Hiki i kahi lāʻau lapaʻau ke kau wale ma hope o nā hōʻike a pau e pono ai no ka coagulability a me nā anticoagulability o ke koko.

Eia kekahi, kōkua ʻo Fraxiparin i ka pale ʻana i ka nui o nā loli maʻamau.

  • make ʻole o ke keiki;
  • hāpai ka male;
  • intrauterine ulu ʻana o ke keiki;
  • detachment wawe o ka plasenta;
  • preeclampsia;
  • kaʻai-ʻohi-lohi.

Hiki ke hoʻopiʻi ka Fraxiparin me ka hana o ka aldosterone, ma muli o ke alakaʻi i ka hoʻomohala ʻana o ka hyperkalemia kūikawā.

Ma kēia mau mea no ka nui o nā maʻi e hoʻokiʻekiʻe ʻia ai ke kiʻekiʻe o ka paʻakai koko, a i ʻole he loiloi metabolic a ʻoi ʻole ka nānā ʻana o ka naʻau maʻa. Pono kēlā mau maʻi e kiaʻi e kiaʻi pono ʻana e nā loea.

Nā Hoʻohui

Ua papa ʻia ka lāʻau lapaʻau no kēlā mau maʻi i loaʻa i ka maʻi e pili ana i kēia:

  • ka hoʻomaloka ʻana i ka calcium nadroparin;
  • hōʻeha poʻo;
  • pilikia paʻa ʻole a paʻa ʻole hoʻi;
  • hoʻonui mahuahua o ke kahe;
  • ka hana ma luna o ka lolo;
  • endocarditis;
  • hemorrhage pinepine ʻia;
  • nā hoʻokō maka mua;
  • nā ʻano kūlohelohe i nā kino kūloko (no ka laʻana: colcer ulcerative).

Me ka mālama nui, hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau ma ke alo o nā ala uila:

  • dystrophy (nā maʻi maʻi paona ma lalo o 40 kg);
  • ʻano hana koʻikoʻi o ka hypertension;
  • ulia peptic ulia;
  • ka hana like ʻana o nā lāʻau lapaʻau e hoʻonui ai i ka hopena o ke kahe;
  • ka hōʻino ʻana i ke kaila kūlohelohe o ke koko i ka retina a i ʻole choroid.

Nā kūlana mālama

Pono e mālama i ka lāʻau lapaʻau ma kahi wahi i kaawale ʻia mai nā keiki, ma kahi mahana ambū o + 18 ° C a + 30 ° C. ʻAʻole hiki i ka ʻike ke nānā i nā mea wela a me ka lā. ʻO 3 mau makahiki kahi ola. Loaʻa i loko o nā mea kūʻai me ka laʻana.

Uila

ʻOiaʻiʻo, hopohopo nā maʻi āpau e pili ana i ka hoʻolālā kālā, no ka mea, ʻaʻole hiki i nā mea maʻi ke maʻalahi.

ʻO ke kumukūʻai kūpono o Fraxiparin e like me 300 rubles no kahi syringe hoʻokahi a hiki i 3000 rubles no ka uku holoʻokoʻa, aia kahi 10 inikini.

Akā ʻo ka poʻe i ʻike i ka maʻi hōʻeha, ʻo ia ka mea nui. Eia kekahi, ma ka hapanui o nā hihia, ua nui nā maʻi o nā ʻōkuhi 5-10.

Nā kuʻina

Ke hāʻawi nei nā mākeke kalepaʻai haʻahaʻa a me nā mea kūʻai aku ʻana i kahi ākea o nā kaona kiʻekiʻe kiʻekiʻe o Fraxiparin. Aia lākou a pau i ka hui like lāʻau, a he like pū ka hana o nā hana i nā ʻōnaehana o ke kino.

ʻO nā hua lāʻau i manaʻo ʻia ka mea i kaulana loa:

  • Hōʻailona;
  • Arikstra;
  • Halekino ʻole;
  • Hepium sodium;
  • Zibor 3500;
  • Anfiber;
  • Sinkumar;
  • Warfarin;
  • Flagmin;
  • Heparin.

Hoike Mai

Ma ka hoʻomaʻamaʻa olakino a ma ka Pūnaewele, hiki iā ʻoe ke ʻike i nā loiloi e pili ana i ka lāʻau Fraxiparin, ʻo ka hapa nui o ia mau mea kūpono, akā aia pū kekahi manaʻo maikaʻi ʻole.

No ka nui o nā mea maʻi e hopohopo nei i nā hematomas hōʻeha ma hope o nā inikua.

Akā ʻo ka ʻoiaʻiʻo, pili nā hopena like ʻole me ka hoʻohana pono ʻana i nā injections.

I kēia hihia, pono ʻoe e hoʻopili i kahi loea a noi iā ia e wehewehe i ka kikoʻī o ka ʻenehana injection. I ke aʻo ʻana pehea e hoʻohana pololei ai i ka lāʻau lapaʻau, ʻaʻole ʻoe e hālāwai me ia ʻano kūlohelohe. I ka holoʻokoʻa, hōʻoluʻolu nā mea maʻi a pau i ka hopena o ke papa lāʻau.

Hoʻomaʻamaʻa maikaʻi ka lāʻau lapaʻau e ke kino, hana koke a ma nā hihia koʻikoʻi ʻaʻole e hōʻeha i nā hopena ʻino.

Nā wikiō pili

ʻO ka Obstetrician-gynecologist ma ke kuleana o ka thrombophilia a me nā maʻi kūlohelohe i ka laweʻana.

I ka hopena, hiki iā mākou ke manaʻo i ka Fraxiparin he lāʻau multifunctional hou o ka hana hou i hoʻohana ʻia i ka lāʻau lapaʻau no kahi manawa lōʻihi. Hōʻike ʻia ia e ka maikaʻi maikaʻi, kahi ākea ākea o ka hana a me nā loiloi he nui.

Mahalo i kēia, ua hiki i ka hapa nui o nā poʻe maʻi e hoʻihoʻi i ka hana o ke kino holoʻokoʻa, hoʻāla maoli i ko lākou olakino a hoʻi hou i ko lākou ola mua.

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