Njira yothandizira makonzedwe a Fraxiparin - momwe angagwiritsidwire ntchito mankhwalawa molondola?

Kodi kubaya Fraxiparin? Funso limakonda kufunsa kwa omwe adawalembera. Mankhwala zotsatira za mankhwalawa ndi anticoagulant ndi antithrombotic.

Zomwe zimagwira mmenemo ndi calcium nadroparin. Nthawi zina zimachitika kuti dokotala amafotokozera mayi mankhwalawa.

Makamaka panthawi yoyembekezera, Fraxiparin amalembedwa kuti ateteze magazi ambiri, omwe angayambitse magazi. Komanso, mankhwalawa angagwiritsidwe ntchito onse kupewa matenda ndikuwachiza.

Odwala ena amamwa mankhwalawa kwa miyezi isanu ndi inayi. Ndiye mankhwalawa ndi chiani, ndipo mungamulase bwanji molondola?

Zolinga

Ogwira ntchito zamagulu azachipatala amati mankhwalawa ndi otetezeka kwathunthu, chifukwa chake simungadandaule za kuvulaza thanzi. Odwala ena omwe amamwa, amawona kuti potsatira malangizo ake palibe zokhudzana ndi kugwiritsa ntchito mankhwalawa panthawi ya bere.

Pakadali pano, palibe maphunziro omwe adachitika pankhaniyi. Akatswiri ambiri amati chifukwa chake ndi motere: bukuli lilibe deta yatsopano, popeza sanalembedwe zaka makumi atatu.

Yothetsera subcutaneous makonzedwe a Fraxiparin

Mankhwalawa amalembedwa pokhapokha pazochitika zikuluzikulu, pomwe pali zovuta zambiri. Mwachitsanzo, ngati simulowa mankhwalawa panthawi yake osagwirizana ndi anticoagulant omwe ali ndi kuchuluka kwa magazi. Kulakwitsana kapena kufa kwa feteleza sikuchotsedwa.

Mndandanda wa zotsutsana, zilonda zam'mimba kapena zilonda zam'mimba, kusokonezeka kwakukulu kwa magazi m'maso, ndi matenda ena akhoza kuphatikizidwa. Ponena za njira yoyendetsera, yankho lomwe limafunsidwa limayendetsedwa mosadukiza.

Panthawi imeneyi, wodwalayo ayenera kukhala wofulumira.

Mankhwalawa ayenera kuyikidwa pansi pakhungu pamalo anterolateral kapena pambuyo pake pamimba.

Zimayambitsidwa mbali iliyonse: woyamba kumanja, kenako kulamanzere.

Ngati mukufuna, mutha kulowa m'dera la ntchafu. Singano imayikidwa pansi pa khungu m'malo a perpendicular, popanda vuto lililonse. Asanalowe, khungu limayenera kumanikizidwa pang'ono ndi kung'ambika pang'ono.

Amapangidwa m'derali pakati pa chala chachikulu. Malo omwe khola liyenera kusungidwa munthawi yonse yoyendetsera mankhwala. Pambuyo pa jekeseni, malo omwe mankhwalawo adagwiritsidwira ntchito sayenera kuzembedwa.

Zomwe mungagwiritse ntchito Fraxiparin kutengera zolinga:

1. pa kukhazikitsa wogwira prophylactic mankhwala a thromboembolism munthawi yamankhwala othandizira mafupa, jakisoni amapangidwa pogwiritsa ntchito jekeseni wa subcutaneous pama voliyumu, molingana ndi kuwerengera kwa thupi lonse. Kwenikweni, kilogalamu imodzi yodwala pamafunika mlingo wa 39 IU anti-Xa. Pafupifupi tsiku lachitatu kapena lachinayi atachitidwa opaleshoni, mlingo wa mankhwalawa ukhoza kuwonjezeka kufika pa 45%. Kubayidwa koyamba kwa mankhwalawa kuyenera kuchitidwa maola khumi ndi awiri musanachite opareshoni. Koma chachiwiri - itatha nthawi yomweyo atandichita opareshoni. Pambuyo pa izi, jakisoni wa mankhwala amachitika nthawi yonse mpaka mwayi wa thrombosis, womwe umayambitsa chiwopsezo m'moyo wa wodwalayo, umachepetsedwa. Kutalika kwa mankhwalawa pogwiritsa ntchito mankhwalawa ndi masiku khumi;
2. pa mankhwala a thromboembolism nthawi ndipo atangopanga opaleshoni, amalangizidwa kuti apereke yankho mu mlingo wa 0.3 ml kapena 2851 IU anti-Xa. Iyenera kudulilidwa ndi jakisoni wofikira. Mankhwalawa amaperekedwa pafupifupi maola atatu musanachite opareshoni kapena pambuyo pake kamodzi patsiku. Mankhwalawa ayenera kukhala osachepera masiku asanu ndi awiri. Imatha kukhalapo mpaka chiwopsezo chowonjezeka cha magazi achepa;
3. odwala omwe ali pachiwopsezo cha thrombosis, limodzi ndi matenda opatsirana a kupuma, komanso kupuma komanso kulephera kwa mtima, mankhwalawa amayikidwa kamodzi patsiku. Ndikulimbikitsidwa kulowa mkati mwa khungu. Mlingo wa mankhwalawa umakhazikitsidwa malinga ndi kulemera kwa wodwalayo. Mankhwalawa amaperekedwa nthawi yonse ya ngozi yamagazi;
4. mankhwalawa thromboembolism, mankhwala okhala ndi anticoagulant zochita amapatsidwa mankhwala atangoyamba kuonekera kwa matenda. Kupanga mankhwala ndi jakisoni kumachitika mpaka zisonyezo zofunika za nthawi ya prothrombin zitheke. Mankhwalawa amaperekedwa pang'onopang'ono pafupifupi kawiri pa tsiku. Jekeseni iyenera kuchitidwa maola 12 aliwonse. Mlingo wa mankhwalawa umatengera kulemera kwa wodwalayo - muyenera jakisoni wa 87 IU anti-Xa pa kilogalamu.

Mlingo

Kuchuluka kwa mankhwala kumatengera kulemera kwa thupi. Ndi kulemera kwa makilogalamu 50 kapena kuchepera, mlingo woyenera wa mankhwalawa ndi 0,5 ml. Ili ndiye kuchuluka komwe kumayendetsedwa maola 12 musanachite opareshoni ndi nthawi yofanana pambuyo panu.

Koma mlingo womwe umafunikira jekeseni kamodzi patsiku masiku anayi pambuyo pa opaleshoni ndi 0,3 ml.

Ngati kulemera kwa thupi kumasiyana pakati pa 50-70 kg, ndiye kuti muyenera kulowa mu 0,3 ml ya mankhwalawa maola 12 musanachite opareshoni komanso pambuyo pake.Kuyambira tsiku lachinayi atachitidwa opaleshoni, voliyumu imodzi ya jakisoni wamankhwala ndi 0.4 ml.

Malemu opitirira 70 makilogalamu, mlingo woyenera ndi 0,4 ml kwa theka la tsiku musanayambe kuchita opareshoni. Koma kuchuluka kwa Fraxiparin, komwe kumachitika kamodzi patsiku lachinayi atachitidwa opaleshoni, ndi 0,6 ml.

Njira yolowetsera Fraxiparin pamimba: malamulo

Ndikofunikira kudulira mankhwala m'mimba. Sitikulimbikitsidwa kupereka jakisoni mu navel komanso mkati mwa thunthu.

Komanso, musalowe m'malo omwe muli mabala, mabala ndi mabala. Chala chachikulu ndi chofukula chimafunikira kupanga khola, zomwe zimapangitsa kuti mbali zitatu zotchedwa. Pamwamba pake pakhale pakati pa zala zanu.

Pansi pa khola ili, jekesani mankhwalawa ngodya yoyenera. Palibenso chifukwa chokwanira kuti musiye khola mukamayamwa mankhwala. Izi zikuyenera kuchitika mukangochotsa syringe. Sitikulimbikitsidwa kupaka jakisoni jekeseni.

Gwiritsani ntchito pa nthawi yoyembekezera

Malinga ndi kuyesa kwa nyama, pali zambiri zambiri zomwe zimanena kuti zosakaniza zomwe zimapangitsa kuti mankhwalawa amapanga mankhwalawa zimadutsa placenta kupita kwa mwana wosabadwayo.

Chifukwa chake, kugwiritsa ntchito Fraxiparin pa nthawi yomwe ali ndi pakati sikulimbikitsidwa, koma nthawi zina amagwiritsidwa ntchito. Pali nthawi zina pamene phindu la mayi limaposa chiwopsezo cha mwana wosabadwa.

Panthawi yoyamwitsa, kugwiritsa ntchito mankhwalawo nkoletsedwa, chifukwa zosakaniza zake zimatha kudutsa mkaka.Kwenikweni, munthawi yoyamba kubereka, mankhwalawa saikidwa mankhwalawa kapena kupewa matenda aliwonse.

Koma lachiwiri ndi lachitatu kugwiritsidwa ntchito kwake ndizotheka popanda contraindication. Kufunika kogwiritsa ntchito Fraxiparin munthawi ya bere kumafotokozedwa chifukwa chakuti placenta imakula nthawi zonse panthawi yokhala ndi pakati, chifukwa chake, mitsempha yambiri yamagazi imawonekeramo.
Ndi coagulability yayikulu magazi, madzi a m'magazi amatha kuyenda m'magulu ang'onoang'ono.

Izi zimathandizira kuti magazi azioneka osafunikira, omwe pambuyo pake amatsogolera kuperewera kwa oxygen.

Mu trimester yachitatu, ziwiya zikuluzikulu za pelvis zimamezedwa mwamphamvu ndi chiberekero chokulirapo, zomwe zimapangitsa kuti magazi azituluka m'mitsempha. Zotsatira zake, magazi amayamba kusayenda, ndikuwoneka magazi.

Chovuta chachikulu kwambiri cha izi ndi mapapu am'mimba, omwe amatha kupha. Zotsatira zake, mwana amakhalanso ndi moyo.

Contraindication ndi zosafunikira zimachitika thupi kwa izo

Fraxiparin ndi njira yothandizira, yodziwika ndi kuchitapo kanthu mwamphamvu. Ichi ndichifukwa chake ili ndi mndandanda wazotsatira zoyipa ndi contraindication kuti mugwiritse ntchito.

Dokotala ayenera kuphunzirira za vutoli mosamala ndikuwunika kuopsa kovomerezeka.

Mankhwala sangathe kugwiritsidwa ntchito chifukwa cha chifuwa, kuchepa kwa magazi, komanso pakakhala kuti palibe chifukwa chochizira mankhwalawa.

Zotsatira zake zoyipa, kumbuyo kwa mankhwalawa, kugwiritsa ntchito mankhwala otupa, kuyamwa, urticaria, edema ya Quincke ndi anaphylactic. Mosamala kwambiri, iyenera kugwiritsidwa ntchito pamaso pa chiwindi chovutikira.

Izi zimagwiranso ntchito pakugwira impso, kusokonezeka kwa magazi m'magazi amaso, kuthamanga kwa magazi, zovuta zam'mimba.

Pali piritsi lamankhwala. Koma, ndikofunikira kudziwa kuti musanasinthe, muyenera kufunsa dokotala.

Kanema wothandiza

Malangizo a momwe mungabayire Fraxiparin ndi mankhwala ena m'mimba, mu kanema:

Tiyenera kudziwa kuti mawonekedwe a edema yaying'ono pamalo opangira jakisoni amawonedwa ngati abwinobwino. Zachidziwikire, palibe chifukwa chodera nkhawa pokhapokha ngati izi sizikwiyitsa mkazi. Chofunikira: ndizoletsedwa kudzijambulitsa nokha ndi Fraxiparin popanda chilolezo cha dokotala, makamaka panthawi yapakati. Dokotala yekha ndi amene ali woyenera kumuyimira.