French anticoagulant Fraxiparin: ndi chiyani ndipo chifukwa chiyani imalembedwa?

Dongosolo la hematopoietic limagwira bwino ntchito zambiri zomwe zimatsimikizira kufunika kwa thupi. Kuchokera pamtima kudzera m'mitsempha ndi m'mitsempha yamagazi, magazi amakhala ndi michere ndi okosijeni wofunikira ziwalo ndi minofu.

Zachilengedwe zimapangidwa mwadongosolo kotero kuti hematopoietic system imatha kudzilamulira payokha.

Mwachitsanzo, pazinthu zingapo zakusokoneza kwakunja m'thupi kapena ma pathological process, imayang'anira chitetezo cha kuphatikizika kwa magazi ndi kuchuluka kwa zinthu zomwe zimaphatikizidwamo.

Njira zopatuka pafupipafupi zokhudzana ndikusintha kwa magazi ndi kuphwanya kwake. Nthawi zina, ngakhale kudula koyenera, nkovuta kusiya magazi, ndipo munthu amatha kutaya magazi ambiri. Izi nthawi zambiri zimawonetsa kuchepa kwake kochepa.

Komabe, njirayi imawonanso magazi atakhala onenepa. Kuchokera ku chizindikiro chofananira, Fraxiparin ndi mankhwala. Milandu yonseyi ndikusokera kwakukuru komwe kumafuna kuwunikidwa mosamala ndi munthu moyo wonse.

Fraxiparin: ndi chiyani?

Fraxiparin ndi mankhwala omwe amachepetsa magazi kutsekeka ndikuchepetsa mwayi wa mtima.

Kupanga kwakukulu kwa mankhwalawa kumaphatikizapo chinthu chopangidwa kuchokera mkati mwa ng'ombe.

Mankhwalawa amalimbikitsa kuchepa kwa magazi ndikuwonjezera kukondoweza kwa ziwalo zam'magazi, osakhudza kugwira ntchito kwawo.

Gulu la mankhwala

Ili ndiye mndandanda wa mankhwala omwe amakhudza hemostasis dongosolo, lomwe limayambitsa magazi kuundana.

Kuphatikiza apo, ali ndi cholinga chopewa mapangidwe am magazi omwe amachititsa zotupa zamatumbo a atherosulinotic.

Ma heparin ocheperako olemera kwambiri ndi amakono kwambiri ndipo ali ndi zabwino zingapo: kuyamwa mwachangu, kuchitapo kanthu kwa nthawi yayitali, mphamvu yowonjezera. Zotsatira zake, mlingo wa mankhwalawa kuti mupeze zotsatira zabwino kwambiri umachepetsedwa.

Kuperewera kwa mankhwala kumakhala pafupifupi kwathunthu (kuposa 85%). Zothandiza kwambiri mu maola 4-5 komanso ndi chithandizo cha mankhwala, zosaposa masiku 10.

Zogwira ntchito

Chofunikira chachikulu chomwe chili gawo la Fraxiparin ndi calcium nadroparin. Zotsatira zake zimayendetsedwa pazinthu zomwe kuphatikizana kwa magazi kumadalira mwachindunji.

Kutulutsa Fomu

Fraxiparin imapezeka mu mawonekedwe amadzimadzi mu ampoules. Amapangira jakisoni wotsekemera. Ndikofunika kupaka jakisoni mankhwala pamalo apamwamba..

Mankhwala Fraksiparin 0,3

Singano imayilowetsedwa m'matumbo a m'mimba mwamphamvu perpendicularly (osati pakona). Choyamba, ndikofunikira kutsina pakhungu pamimba ndi chala ndi chala chamtsogolo m'chigawo chomwe gawo loyambitsiralo likukonzekera, osalilola kudutsa jakisoni.

Ngati mukugwiritsidwa ntchito kwa nthawi yayitali, ndimitsempha yamagazi yopangidwa ndi jakisoni, kuperekera gawo la chikazi ndikololedwa. Pambuyo pa njirayi, musatikise malo a jekeseni.

Mlingo

Mlingo umawerengeredwa potengera kulemera kwa thupi la wodwala, zaka zake, matenda omwe amafananizidwa ndi zotsatira zake.

Mankhwala amapezeka mu mawonekedwe a matuza ndi ma ampoules a 0,5 ml, 0,3 ml, 0,4 ml, 0,6 ml, 0,8 ml. Kuphatikiza pa zachikhalidwe cha Fraxiparin, mankhwalawa Fraxiparin Forte pakali pano ali pamsika wamankhwala.

Ili ndi chinthu chomwe chikugwiririka bwino kwambiri ndipo chifukwa chake, muyezo wake umachepetsedwa. Izi ziyenera kuyang'aniridwa kwa odwala omwe amapereka jakisoni osati kuchipatala, koma kunyumba.Pofuna kupewa thrombophilia komanso pa nthawi yomwe mayi ali ndi pakati, madokotala amakupatsani mlingo wa 0,3 ml.

Pazidziwitso zina, kuchuluka kwa mankhwala omwe amaperekedwa amatsimikiziridwa ndi kuwerengera kutengera kulemera kwa thupi la wodwalayo. Ngati kulemera kwa wodwala kumakhala kochepera 50 kg, ndiye osaposa 0.4 ml umagwiritsidwa ntchito kamodzi patsiku. Ndi misa 50 mpaka 70 makilogalamu - 0,5 kapena 0,6 ml. Jekeseni amatchulidwa kamodzi maphunzirowa kwa zosaposa masiku 10.

Ndi chiwopsezo chowonjezereka cha thrombosis - kusintha matendawa azikhala.

Mwa ana ndi achinyamata, kukhazikitsidwa kwa mankhwalawa kumaloledwa pokhapokha, chifukwa zimakhala zovuta kukhazikitsa mlingo wa mankhwalawa.

Akuluakulu safuna kusintha kwa mankhwalawa ngati vuto la impso silinakhazikitsidwe.

Zomwe zalembedwa Fraxiparin: Zizindikiro

Fraxiparin amagwiritsidwa ntchito pochita zachipatala pochiza komanso kupewa matenda otsatirawa:

• thromboembolism - pachimake kufalikira kwamitsempha yamagazi ndi thrombus;
• thromboembolic zovuta pa opaleshoni ndi zamankhwala othandizira odwala omwe ali pachiwopsezo;
• Mu hemodialysis ndondomeko (owonjezera magazi kuyeretsa aakulu aimpso kulephera);
• ndi kusakhazikika kwa angina ndi myocardial infarction;
• mutabereka mwana wosabadwayo pambuyo pa IVF;
• pa opaleshoni iliyonse odwala amadwala magazi.

Kodi Fraxiparin adalembera IVF?

Njira yakukula kwa magazi imatha kuchitika mwa amuna ndi akazi onse. Komabe, kwa onse awiri, izi sizomwe zimachitika.

Mwa akazi, njirayi imawonedwa pafupipafupi, chifukwa mwachilengedwe magazi awo amalowerera kwambiri kuti asatenge msambo.

Pa nthawi ya pakati, dongosolo lonse loyenda magazi limakakamizidwa kuti lizolowere zochitika zomwe zilipo: kuchuluka kozungulira magazi ndipo, chifukwa chake, ma setifiketi onse amitsempha yamagazi amawonjezeka. Pa nthawi yobereka, kuthira magazi kumatha kukhala vuto lenileni, zomwe zimakhudza kwambiri thanzi la mkazi.

Kuphatikiza apo, asanabadwe, magaziwo amakhala akhama kwambiri momwe angathere kuti magazi asatayike kwambiri, zomwe zingayambitse ngozi ya moyo wa mayi. Komabe, Fraxiparin sinafotokozedwe pa nthawi yachilengedwe, popeza thupi limasintha pang'onopang'ono pakukonzanso.

Ndi njira ya IVF, mkazi amakhala ndi nthawi yovuta kuposa kukhala ndi pakati.

Kukula kwa magazi kumakhala kovuta chifukwa cha mphamvu ya mankhwala a mahomoni, popanda popanda umuna wabwino. Zotsatira zake, pamakhala ngozi ya magazi, omwe amatha kuvulaza mayi ndi mwana. Pofuna kupewa izi, anticoagulants ndi mankhwala.

Pa mimba ndi IVF, Fraxiparin ndi mankhwala:

• chifukwa cha kuwonda kwa magazi;
• kuteteza kutsekeka kwamitsempha yamagazi ndi mapangidwe a thrombotic;
• mawonekedwe abwino a placenta, omwe amachititsa kuti zinthu zisinthe kuchokera mthupi la mayi kupita kwa mwana wosabadwayo;
• kukhazikitsidwa koyenera ndi kumalumikiza kwa mluza.

Makanema okhudzana nawo

Obstetrician-gynecologist za thrombophilia pa nthawi yapakati:

Ngati ali ndi pakati, madokotala adzazindikira kuti thupi lenilenilo linayamba kupanga zovuta zachilengedwe, ndiye kuti jakisoniyo amalephera kufikira kusanthula kwotsatira.