He aha ke koho: Fraxiparin a Clexane paha?

Me ka hoʻonui pinepine ʻia o ke koko, hoʻohana ʻia nā anticoagulants e pale i nā kīnā koko. Loaʻa i kēia mau lāʻau i nā ʻano mea like ʻole a me nā ʻano hana. Hoʻomaopopo pinepine nā poʻe maʻi i nā mea e koho ai, Fraxiparin a Clexane. ʻO kahi hōʻike i nā hiʻohiʻona o nā mea anticoagulants e kōkua i ke hoʻomaopopo i ka lāʻau kūpono ke kūpono i kekahi kūlana.

Kākau Clexane

ʻO kēia mau lāʻau lapaʻau nā hiʻohiʻona e ʻike nei:

  1. E hoʻokuʻu i ke ʻano a me ka ʻano. Loaʻa ka Clexane ma kahi maʻi he injection, kahi ʻāpana ʻokoʻa, hoʻonaninani kaohi. Hoʻopili ʻia ka lāʻau lapaʻau i ka syringes hāmeʻa 0.2 ml. Loaʻa kēlā me kēia syringe he 20,40, 60, 80, a i ʻole 100 mg o ka sodium enoxaparin a me ka wai no ka paʻi. Hāʻawiʻia nā Ampoules i nā paʻi poli o 2 pcs.
  2. Ka hana lāʻau lapaʻau. Hoʻokomo ka sodium Enoxaparin ma ke kumu XA, ke kāohi nei i ka hoʻololi ʻana o ka prothrombin i ka thrombin. Ua ʻike ʻia nā hana ʻē aʻe o ka hana ikaika - ʻo ke kāpili ʻana o ka hana o nā mediants a me ka hoʻomaikaʻi ʻana i ka kūlana o nā pā vascular. Hoʻokomo ka lāʻau lāʻau i ka hana o kahi inhibitor o kahi kikoʻī a hōʻemi i ka wikiwiki o ka hoʻokuʻuʻana o von Willebrand factor mai ka vinal lining. Hāʻawi kēia mau hana i ka hana anticoagulant kiʻekiʻe o Clexane. Ke kōkua nei ka hoʻohanaʻana i ka lāʻau e hōʻemi i ka manawa prothrombin a me ka pākuʻina o ka platelet aggregation.
  3. Hoʻopuka, hoʻohele a me ka hoʻopuka. Hoʻopilikia ka hopena anticoagulant o ka lāʻau i nā hola 3-5 ma hope o ka hoʻokele ʻana. I loko o ka ate, ua hoʻohuli ʻia ka sodium enoxaparin i ka mololi haʻahaʻa haʻahaʻa me ka hana haʻahaʻa haʻahaʻa. ʻO ka hapalua ola o ka pakanui hoihoi mau 5 hola. Haalele ke Enoxaparin a me nā metabolites i ke kino me ka urine.
  4. Nā hōʻailona no ka hoʻohana ʻana. Hoʻohana ʻia ʻo Clexane i ka pale a me ka mālama ʻana i ka thrombosis vein hohonu i loko o nā mea maʻi me ka medium a me ka kiʻekiʻe. ʻO nā ʻōmaka no ka mālama ʻana i ka lāʻau lapaʻau: hoʻōla mai ka orthopedic a me ka hōʻemi maʻamau, thrombosis i nā mea maʻi me ka hoʻomaha hoʻomaha, thromboembolism o nā pulmonary pulmonary. Hiki ke hoʻohana iā Clexane e pale i nā koko koko i ka pint o ka cardiopulmonary i ka wā hemodialysis. Ke hōʻemi nei ka lāʻau lapaʻau i ka hopena o ka make i ka myocardial infarction a me ka angina ka paʻa.
  5. Nā Hoʻohui ʻAʻole hiki ke lawelawe ʻia ka Clexane ma kahi o nā hopena kūloko i ka enoxaparin, ka hoʻokaʻaka o loko, hemorrhagic stroke, exacerbation o ka ʻeha o ka gastric, nā hana mua ma mua o ka spinal cord, varicose veins o ka esophagus. Me ka makaʻala, hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi huhū, erosive a me ka ulcerative lesi o ka gastrointestinal tract i ke kala ʻana, ka ʻeha, ka hoʻihoʻi ma hope o ka hānau ʻana, ʻano type like type. ʻAʻole i hoʻopaʻa ʻia ka palekana o ka lāʻau no nā keiki, no laila ʻaʻole i kuhikuhi ʻia no nā mea maʻi ma lalo o ka 18 mau makahiki o ka makahiki.
  6. Ke ʻano o ka noi. Hoʻohana ʻia ka lāʻau ma ka subcutaneously. Hoʻoholo ʻia ka dosage ma ke ʻano o nā maʻi a me ke ʻano maʻamau o ke kino. Me ka thrombophilia, e mālama ʻia ana ʻo 20 mg o enoxaparin i kēlā me kēia lā. I mea e pale ai i ka trombosis postoperative, ua hāʻawi ʻia ka lāʻau mua o Clexane i nā hola 2 ma mua o ka wawaʻana. ʻO ka papa o ka mālama ʻana he 10 mau lā, inā pono, hoʻomau a hiki i ke koikoi koko.
  7. Hoʻohui nūhou. ʻAʻole hiki ke hoʻohanaʻia ʻo Clexane me ka hui pū me nā lāʻau anti-inflammatory non-steroidal, thrombolytics, acetylsalicylic acid. Me ka mālama aka, hoʻohana ʻia ka anticoagulant e hui pū me ka clopidogrel, ticlopidine, a me dextran. Ke hoʻohana nei iā Clexane i ka hui pū me ka hoʻomākaukau ʻana o ka calcium, koi ʻia ke koko a me nā hoʻāʻo urine.
  8. Nā hopena hopena. Hiki i ka hoʻohana nui ʻana o nā lāʻau kiʻekiʻe o ka lāʻau lapaʻau hiki i ke kōkua o ka hoʻomohala ʻana i ke koko o loko, i hele pū me ka kahe o ke koko, ka pallor o ka ʻili, nā nāwaliwali o ka ʻili. I ka wā o ka mālama ʻana, hiki ke ulu mai nā maʻi kūlohelohe i ke ʻano o ka hōʻeha o ka ʻili, urticaria, ʻūhili o ka maka a me ka larynx. Me ka hoʻokolohua kūlike o Clexane, hiki i nā hematomas a me nā infiltrates ke hoʻopumu.

Hōʻano ʻano o Fraxiparin

ʻO kēia mau hiʻohiʻona e hōʻike nei i ka fraxiparin:

  1. E hoʻokuʻu i ke ʻano a me ka ʻano. Loaʻa ka anticoagulant i ke ʻano o ka hopena o ka hoʻokele subcutaneous. He maʻa, mālamalama aniani. Hāʻawi ʻia ka lāʻau lapaʻau i ka 0.4 ml waiʻaʻa. ʻO kēlā me nā syringe he 3800, 5700 a i ʻole 7600 IU o ka anti-Xa nadroparin calcium, ka calcium hydroxide, hoʻoheheʻe wai hydrochloric.
  2. Ka hana lāʻau lapaʻau. Hoʻopili ka kalepona nadroparin i ka plasma o ka antithrombin, a kōkua e hōʻemi i ka hana Xa ʻano. Hōʻike kēia i ka hana antithrombotic kiʻekiʻe o ka mea ikaika. Hoʻohālikelike ia heparin, nadroparin he hopena liʻiliʻi i ka hopena o ka platelet aggregation a me ka hemostasis mua. I ka manawa e hoʻohana ai i nā pawaena waena, ʻaʻole e hōʻemi ʻo Fraxiparin i ka manawa prothrombin. Me ka hoʻohana pono, loaʻa ka lāʻau i kahi hopena lōʻihi.
  3. Lapaʻau lāʻau Me ka hoʻokūkū kūpapa, hoʻonui ka hana antithrombotic kiʻekiʻe ma hope o 3-4 mau hola. Hoʻopili loa ia ʻo Nadroparin. Me ka hoʻokele intravenous, hana ka Fraxiparin ma hope o 10 mau minuke. I loko o nā puʻuwai, ua hoʻololi ka nadroparin i nā metabolites i hana ʻole ʻia e nā keiki. ʻO ka hoʻopau hapa hapalua-ola e lawe i nā hola 3.5.
  4. Nā hōʻailona no ka hoʻohana ʻana. Hoʻohana ʻia ka lāʻau lapaʻau e pale i ka thromboembolism ma loko o nā hana hōʻokiʻoki, ka puʻuwai a me nā hāʻule ʻana o ka hanu. ʻO ka hoʻomaka ʻana o Fraxiparin i ka wā hemodialysis e pale i ka hono koko. ʻO ka anticoagulant he ʻāpana o ka hoʻoponopono hoʻoponopono maʻamau no ka myocardial infarction a me ka angina ka paʻa. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i ka wā e hoʻolālā ana i ka hāpai ʻana i nā wahine e loaʻa ana i ka thrombophilia.
  5. Nā Hoʻohui ʻAʻole hoʻohana ʻia ka lāʻau no ka thrombocytopenia i kumu o ka hoʻohana ʻana i ka anticoagulants i hoʻokumu ʻia i ka heparin, ka hoʻokaʻaka o loko, hemorrhagic syndrome, hemorrhage intracranial, pilikia hōʻeha loa, hoʻonā i ka endocarditis bacterial. ʻAʻole i kuhikuhi ʻia ka lāʻau lapaʻau no nā keiki a me nā wā ʻōpio ma lalo o ka makahiki 18. Me ka mālama aka, ua lawelawe ʻia ʻo Fraxiparin no nā maʻi o ka puʻuwai, ka maʻi hypertension, ulors peptic, a me ka luhi o ke kino. I ka mālamaʻana i ka maʻi maʻi, e nānā pono ʻia nā moku o ka moku kālā.
  6. Ke ʻano o ka noi. Hoʻohana ʻia ka lāʻau i ka kūlana o ka supine i ka kiko subutanant o ka pā o ka ʻōpū kūloko. Ma mua o ka hoʻohana ʻana iā Fraxiparin, ʻaʻole pono ʻoe e hoʻokaʻawale i nā ʻūmū hau i ka syringe. Hoʻokomo ʻia ka lāʻau pono ma nā kihi ʻākau i loko o ka paʻu i paʻa ʻia. ʻAʻole pono ke kahua ʻona e hoʻokaʻawale.
  7. Hoʻohui nūhou. I ka manawa e hoʻohana pū ai me ka inhibitions ACE, diuretics a me nā paʻakai pālolo, hiki paha i ka hyperkalemia. Hoʻohana pū ka hoʻohana ʻana me nā ʻaina antiplatelet i ka hopena o ke kahe koko. Me ka mālama aka, ua kuhikuhi ʻia ʻo Fraxiparin i nā poʻe maʻi e lawe ana i ka glucocorticosteroids.
  8. Nā hopena hopena. ʻO nā hopena maʻamau o ka mālama maʻi ke koko o nā hanana like ʻole, kahi hōʻemi i ka helu platelet a me nā hopena alerine. ʻO ka hopena ʻokoʻa ka ʻōpala necrosis kiko ma ka wahi i hōʻike ʻia, ka mea i piʻi mua ʻia e ka hoʻokumu ʻana o ka infiltrate.

Ke hoʻohālikelike huakaʻi

Aia nā Anticoagulants i nā hiʻohiʻona nui a me nā hiʻohiʻona.

ʻO ka mea like ma waena o Clexane a me Fraxiparin e pili ana i kēia mau hiʻohiʻona:

  • ʻano ʻano ikaika o nā huahana ikaika (ʻelua enoxaparin a me nadroparin he haʻahaʻa hoohelepa nui).
  • nā hōʻike ākea no ka hoʻohana ʻana,
  • ka hiki o ka hoʻohana ʻana i ka wā o ka hoʻolālā a me ka hoʻokele ʻana o ka wā hāpai,
  • hoʻokuʻu i ke ʻano (loaʻa nā lāʻau ʻelua ke ʻano he hopena no ka ʻākala subcutaneous),
  • ka wā ākea a me nā hopena ʻaoʻao.

ʻO ka ʻokoʻa ma waena o ka lāʻau lapaʻau i ka nui a me ka hana o ka mea ikaika.

ʻO ka manaʻo o nā kauka

Sergey, 44 mau makahiki, Moscow, Hematologist: "ʻO Clexane a me Fraxiparin he hoʻohana ʻia e hōʻemi i ka pau ʻana o ke koko. Ma kēia e kōkua ai ke pale aku i ka hoʻomohala ʻana o ka trombosis hohonu a me nā kauā o ka lāʻau pulmonary i nā mea maʻi e pono e hoʻokō me ka hoʻomaha hoʻomaha. i ka wā hāpai a me ka lactation. Hiki i ke Clexane ke hōʻemi i kekahi hopena hopena, no laila e pono e hoʻohana ʻia ma lalo o ka mālama mau ʻana o kahi kauka. "

ʻO Tatyana, 55 makahiki, ʻo Tolyatti, gynecologist: "ʻO Clexane lāua ʻo Fraxiparin e kuhikuhi pinepine ʻia i ka wā e hāpai ana i ka hāpai ʻana. Ua noʻonoʻo pono nā lāʻau lapaʻau a maʻalahi hoʻi nā mea noʻonoʻo. "Hoʻomaʻamaʻa ʻia ka fraxiparin e ke kino a ua kuhikuhi ʻia ma hope o ka hāpai ʻana."

Hoʻokahi ka syringe, e pili ana i ka dosage: 10000 anti-Ha ME, 2000 anti-Ha ME, 8000 anti-Ha ME, 4000 anti-Ha ME a 6000 anti-Ha ME sodium enoxaparin.

Pharmacodynamics a me ka pharmacokinetics

Clexane INN (inoa inoa ʻole hoʻoilina inoa) enoxaparin. ^ E Ha yM. ʻO ka lāʻau lapaʻau ka haʻahaʻa haʻahaʻa molekeli me ke koʻikoʻi molekele e pili ana iā 4,500 daltons. Loaʻa e ka hydrolysis alkaline heparin benzyl eterʻedpili ʻia mai ka pua ʻawaʻawa puaʻa.

I ka wa e hoʻohana ai ma ka prophylactic dosis, loli iki ka lāʻau APTTV, aneane ʻaʻohe hopena ma ka hoʻohui ʻana o kahi platelet a me nā hana o ka fibrinogen. I nā pīkoi therapeutic enoxaparin hoʻonui APTTV 1,5-2.2 mau manawa.

Ma hope o ka hoʻonāukiuki ʻana o ka subcutaneous sodium enoxaparin 1.5 mg pākeleka o ke kaupaona o ke kino i hoʻokahi manawa i ka lā, ke kūleʻe ʻia nei ke kūkaʻi ma hope o 2 mau lā. Loaʻa ka bioavailability o ka hoʻokele subcutaneous i ka 100%.

Sodium Enoxaparin hoʻoneʻe ma ka ate ma lawaiʻa a depolymerization. ^ E Ha yM. ʻO ka metabolite hopena i loaʻa kahi hana haʻahaʻa loa.

ʻO ke kāpae hapa-ola he 4 mau hola (hoʻokahi hoʻokele) a i ʻole 7 mau hola (hoʻokele lehulehu). ʻO 40% o ka lāʻau lapaʻau ke kāpae ʻia ma o nā keiki. Leʻaleʻa enoxaparin i ka poʻe maʻi maʻi maʻi, lohi ʻia ka hana āpau i ʻole ke kīnā.

I nā poʻe me nā hōʻeha o ka aʻalolo, hoʻomaʻemaʻe enoxaparin hoemi.

Nā hōʻailona no ka hoʻohana ʻana

Ke loaʻa nei kēia lāʻau lapaʻau:

  • pale a embolism urena ma hope o ka hoʻomaʻemaʻe ʻana.
  • paʻakikī a paʻakikī paha,
  • pale aku ʻōpalaola a me ka embollism o nā veins i loko o ka poʻe i hiamoe no ka manawa lōʻihi ma muli o ke kūmole therapeutic pathology (ʻeha a me ke aloha puʻuwai paʻakikīkaumaha maʻi ʻana, pauna aho hanukoi maʻi nā maʻi),
  • pale aku ʻōpalaola i ka kahe koko extracorporeal,
  • hanoi ma ke ao ana Q
  • nā hana maʻi puʻuwai puʻuwai me ka hoʻonui ʻana o ka mahele ST i nā mea i pono o ka mālama ʻana i ka lāʻau lapaʻau.

Nā Hoʻohui

  • i nā māhele o ka lāʻau lapaʻau, a me nā kaupaona haʻahaʻa haʻahaʻa.
  • ʻO nā maʻi me ka nui o ka loaʻa o ke koko, e like me ka hoʻoweliweli ʻana i ka hoʻohaʻahaʻa, ke koko, hemorrhagic.
  • Hoʻohana ʻia ka hoʻohana ʻana o Clexane i ka wā hāpai ʻana i nā wahine me nā ʻōpū puʻuwai manuahi.
  • ʻOi aku ka liʻiliʻi ma mua o 18 mau makahiki (ʻaʻole i hoʻokumu ʻia ka palekana a me ka hiki ke kūpono).

E hoʻohana me ka akahele ʻana i nā hihia penei:

  • nā maʻi i hele pū me ka maʻi hemostatic (hemofilia, hypocoagulation, thrombocytopenia, von Willebrand maʻi) haiia vasculitis,
  • ulia ʻōpū a me nā ulī duodenal, erosive a me nā ulcerative lesi o ka ʻāpana pale,
  • i kēia manawa ischemic,
  • kaumaha
  • hemorrhagic a maʻi maʻi maʻi paha retinopathy,
  • i nā palapala koʻikoʻi
  • hanau hou
  • interological neʻouloulea i ʻole interhthalmic kālai ʻia,
  • hooko ana huʻi a i ʻole ʻuʻuku kikowaenacn punclure,
  • pepili ʻia
  • ʻae kūlike
  • pericarditis,
  • hana ʻino i ka pūpū a iʻole ka loko
  • nā hana hōʻeha nui, ākea ākea ākea,
  • ka hui pū ʻana me nā lāʻau e hoʻopilikia ana i ka ʻōnaehana kiʻekiʻe.

Nā hopena hopena

E like me nā anticoagulants, he pilikia ke koko, e pili pū ana me nā hana invasive a i ʻole ka hoʻohana ʻana i nā lāʻau i pili i ka hemostasis. Inā ʻike ʻia ke koko, e ʻoki e lawelawe i ka lāʻau lapaʻau, ʻike i ke kumu o ka hoʻopiʻi ʻana, a hoʻomaka i ka kūpono kūpono.

Ke hoʻohana ʻia nei i ka lāʻau lapaʻau ma ka ʻaoʻao huʻi kekahi ʻuʻuku kikowaena nā hihia no ka postoperative penetrating catheters hematomas neuroaxiale alakaʻi ana i nā maʻi neʻokeʻo o nā ʻano paʻakikī, me ka hoʻohui ʻole.

ʻO Thrombocytopenia me ka prophylaxis vein i nā mea maʻi me ka hoʻomaikaʻi lāʻau, ke mālama ʻana, a me ka piʻi ʻana o ka mahele ST, ua loaʻa iā ia ma ka 110% o nā hihia a ma 0.1-1% o nā hihia me ka prophylaxis ʻōpalaola urena i loko o nā mea maʻi e hoʻomoe ana i kahi hoʻomaha hoʻomaha a hoʻomākaʻi ʻia i ke ʻano maʻi myocardial infarction a.

Ma hope o ka hoʻopuka ʻana o Clexane ma lalo o ka ʻili, ka hiʻohiʻona o hematomas ma ka wahi ʻōlelo. I loko o 0.001% o nā hihia, kūloko nā ʻōpū ʻili.

ʻIke pinepine, hoʻonā a me nā ʻōnaehana systemic, komo.

Ua hoʻonui ʻia kahi hoʻonui transyymptomatic transitive i nā kao enzyme concentrations.

Nā ʻōkuhi no ka hoʻohana Clexane

Nā palapala e hoʻohana ai i ka Clexane hōʻike e mālama ʻia ka lāʻau lapaʻau i ka nui subcutaneously i kahi kūlana o ka mea maʻi.

Pehea e kālai ai iā Clexane?

E hoʻolilo ʻia ka lāʻau lapaʻau ma nā ʻaoʻao hema a ʻākau hoʻi o ka ʻōpū ma kahi o ke kahuli. No ka hana ʻana i ka injection, he mea pono ke hana i kēlā me nā mālamalama e like me ka wehe ʻana i ka syringe, e hōʻike ana i ka pūpū a e kau pū me ia i ka lōʻihi, i loko o ka ʻili i hoʻākoakoa ʻia ma mua o ka manamana a me ka lae. Hoʻokuʻu ʻia ka crease ma hope o ka pau ʻana. ʻAʻole ia e hāʻawi ʻia e hoʻoponopono i ka wahi i hoʻopaʻa ʻia.

Video e kiʻī ai iā Clexane:

ʻAʻole ʻae ʻia ka lāʻau lapaʻau e lawelawe ʻia intramuscularly.

ʻO ka hoʻolālā hoʻomaka. 2 mau ʻauʻau i kēlā me kēia lā me ka hoʻolaha ʻana o nā hola 12. ʻO ka maʻa no ka hoʻokele hoʻokahi he 100 anti-XA IU pāmu no ka paona o ke kino.

ʻO nā mea maʻi me ka uku awelika o ka hanana e pono ai kahi maʻa o 20 mg hoʻokahi i ka lā. ʻO ka ʻōlelo mua loa he 2 mau hola ma mua o ka hoʻokō ʻana.

ʻO nā maʻi i ka hopena kiʻekiʻe o ka hanana ʻōpalaola ke kono ʻia e lawelawe i 40 mg o Clexane hoʻokahi manawa i ka lā (ʻo ka hoʻokele mua 12 mau hola ma mua o ka hoʻomaʻamaʻa), a i ʻole 30 mg o ka lāʻau lapaʻau ʻelua ʻelua i kēlā lā (ʻĀpana mua 13-24 mau hola ma hope o ka hoʻomaʻamaʻa). ʻO ka manawa maʻamau o ka lapaʻau he pule a 10 mau lā paha. Inā kūpono, hiki ke hoʻomau ʻia ka mālama ʻana inā loaʻa ka hopena ʻōpalaola.

Hoʻomaʻamaʻa. Hoʻohana ʻia ka lāʻau lapaʻau ma ka nui o 1,5 mg pākeleka o ke koʻikoʻi o ke kino i hoʻokahi lā. ʻO ka papa papa o ka lāʻau ma ka maʻamau he 10 mau lā.

Kāohi ʻōpalaola a embolism urena i nā mea maʻi ma kahi hoʻomaha hiamoe i nā maʻi therapeutic maʻa. ʻO ka koi noi o ka lāʻau lapaʻau he 40 mg 1 mau manawa i kēlā me kēia lā (lōʻihi 6-14 lā).

Ke keu

Hiki i ka overdose pilikia ke alakaʻi i ka pilikia hemorrhagic pohala. Me ka hoʻokele waha, ʻaʻole paʻa ka ʻike ʻana o ka lāʻau i loko o ka ʻōnaehana hoʻonohonoho.

Hāʻawi ʻia kahi hoʻolele lohi ma kahi mea hōʻawale ʻole. protamine sulfate loaila ole Hoʻokahi mū o ka protamine e pale i hoʻokahi mg o ka enoxaparin. Inā he 12 mau hola i hala mai ka hoʻomaka ʻana o ka overdose, a laila hoʻokomo ka manaʻo protamine sulfate ʻaʻole i koi ʻia.

Nā ʻōlelo kikoʻī

I ka wā e hoʻohana ai i ka lāʻau lapaʻau i mea e pale ai i ka hoʻolōʻihi i ka piʻi o ke koko ʻaʻole i ʻike. Ke hoʻohana nei i Clexane no nā pahuhopu therapeutic, aia kahi hewa nui o ke koko i ka pākeke. I kēia mau hihia, pono ke mālama pono i ka maʻi.

ʻAʻole pili ʻo Clexane i ka hiki ke hoʻokele.

Nā lula Kleksan

Nā mākuhi no ka pāʻālua 4 ATX Level:

Kullan mea hoʻomohala me ka pahuhopu neʻe ikaika: Clexane 300, Novoparin, Enoxarin.

ʻOi aku ka maikaʻi: Clexane a i ʻole Fraxiparin?

Nīnau pinepine i nā poʻe maʻi i ka nīnau e pili ana i ka hoʻohālikelike pono ʻana i nā lāʻau. a ʻo Clexane kekahi o ka hui pū a he mau kikoʻī. ʻAʻohe noiʻi i hōʻoia i ka maikaʻi o kahi lāʻau lapaʻau ma mua. No laila, ʻo ka koho ma waena o nā lāʻau lapaʻau e pono e lawe i ke kauka e hele nei i ke kumu o ke kiʻi lapaʻau o ka maʻi, ke kūlana o ka mea maʻi a me ko lākou ʻike ponoʻī.

Contraindicated i nā kānaka ma lalo o 18 mau makahiki o ka makahiki.

Nā hōʻailona a me nā contraindications

I ka nui o nā hihia, kuhikuhi nā kauka iā Flexan a i ʻole Fraxiparin. Kahi like nā lāʻau lapaʻau, ʻokoʻa ka ʻokoʻa ma waena o Fraxiparin a me Clexane i ka nui o ka hana ikaika i hoʻokahi pāʻai. ʻO Clexane kahi hapa e like me ka ikaika e like me Fraxiparin.

Ma hope o nā mea a pau, e like me kāu e ʻike ai, he mānoʻo ke koko o ka wahine hāpai, e ʻōhala ana i ke kino e kū ana i ke koko koko copious i ka wā hānau. Akā me IVF, nā hōʻailona ma luna o ka maʻamau maʻamau i kū ʻole ʻia, no ka mea, hiki i kēia mau cell cell.

Ua kuhikuhi ʻia ʻo Clexane a me Fraxiparin no nā wahine hāpai he nui, ʻaʻole naʻe ke ʻike ka poʻe a pau no ke kumu e hāʻawi ʻia ai nā injections. Kōkua nā lāʻau ʻelua i ka pale ʻana i nā māka koko.

No ke aha ʻo Kleksanpri IVF i ʻōlelo ʻia:

  1. no ke koko kala,
  2. Hōʻea nā thrombosis,
  3. i mea e pale aku ai i ka mutations cell ma muli o ke ala mau i loko o ke kino,
  4. E hoʻihoʻi i ke kahe koko maʻamau i ka kuʻi.

E kōkua ka Clexane ma IVF i nā pilikia o ke koko. He mea nui hoʻi, ma mua o ka hoʻomaka ʻana o ka hoʻohana ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka nīnau ʻana i ka hematologist, no ka mea, ʻaʻole hiki i ke kino o ka wahine ke hiki ke hōʻola wale, akā ua loaʻa pū ka lāʻau lapaʻau.

  • maʻi kūlohelohe i ka heparin a me nā mea e ʻike ai,
  • aia kekahi hemahema o ka mare pōpilikia,
  • aia kekahi moʻolelo o nā maʻi i hele pū me ka kaʻe.

He mea pono ʻole e hiki ke hoʻohana pū i ka lāʻau lapaʻau me ka hui acetylsalicylic a me nā lāʻau lapaʻau e pili ana ia.

No ka hoʻokō ʻana i ka hopena maikaʻi loa mai nā injections, pono ʻoe e hahai i nā ʻōkuhi no kā lākou hoʻohana.

He aha ka maikaʻi ma mua o ka hemapaxan a i ʻole fraxiparin? ʻOiai lākou no ka anticoagulants, heʻokoʻa nā ʻano hana no lākou, ʻaʻole pono e hoʻohālikelike ʻia.

No ka hoʻokō ʻana i ka hopena koʻikoʻi, pono ʻoe e hana pololei ka ʻōkuhi.

  • moe ma kou kua
  • mai hoʻokuʻu i ka ea o ka lākou kuʻikuʻu,
  • e hoʻowahāwahā i kahi o ka maʻi ʻomaʻeha i hōʻike ʻia,
  • e hoʻopili i ka ʻili o ka ʻōpū,
  • pono e lawelawe ʻia ka lāʻau lapaʻau,
  • paipai i ka hoʻokuʻu ʻana i ka ʻili ma hope o kahi maʻi.
  • mai hoʻomoʻi i ka pā kui.
  • komo i nā ʻāpana ʻokoʻa o ka ʻōpū ma kahi o ke kahuli.

Loaʻa ka lāʻau lapaʻau i nā syringes disposable e hoʻoponopono i mua, he waiwai lākou.

Elena Volkova, Man, 42 makahiki

Ua loaʻa iaʻu kahi maʻi thrombophlebitis o nā pākiki haʻahaʻa no nā makahiki 14, me ka luku ʻana i nā urena hohonu. ʻO ka hoʻopiʻi ma ke ʻano o nā ulia trophic o ka wāwae haʻahaʻa a me ka bipi. Lawe au i warfarin 2 papa 2 mau manawa i ka lā. i hoʻokahi hebedoma, ma mua o kēlā, no 2 mau pule hou, ua lawe wau i ka papa 1 i nā manawa 2 i ka lā.ʻO nā loiloi hou e pili ana MNO1.14, IPT 84. Ma mua, ua hoʻokaʻawale ʻia ka heparin koʻikoʻi haʻahaʻa heparin i loko o kekahi kūlanakauhale, akā ʻaʻole i hoʻolohe nui nā kauka i ko lākou kūlanakauhale ua hoʻohana ʻia nā lāʻau lapaʻau. Makemake wau e ʻike pehea e helu ai i ka ʻeha a ʻoi aku ka lāʻau i ka ʻoi aku ka maikaʻi. ʻO koʻu kaumaha, he 105-110 kg. ʻO ka hoʻomākaukau a clexane a i ʻole ka fraxiparin. Mea ʻē paha kahi mea ʻē aʻe. ʻIke nō wau i kēia mau mea. Ma kahi, hiki iā ʻoe ke kauoha i loko o kahi kīkia me nā mea like ʻole wale nō. KLEKSAN INJECTION INJECTION 8 HO ANT-HA ME / 0.8 ML. 10 KAHIKI No. 10 FRAXIPARINE HANOLINA ПК К 9500 ANTI-HA ME / ML 0.8 ML. Keolanui No. 10

Aloha awakea Lawe ʻoe ia mau mea ʻole, no ka mea he mau kaukuhi INR o ka 2-3, inā ʻaʻole maikaʻi ia a ʻaʻohe kumu. Hiki iā ʻoe ke kahakaha iā Pradax a ((lawe ʻia lākou i nā ʻano maʻamau) ʻaʻole pono e nānā ʻo ke kikowaena) No ka clexane a me ka fraxiparin, ʻaʻole kūpono lākou no ke ala o ka hoʻokele waiwai. Mai poina e pili ana i ke kaomi hoʻokaʻina kiʻekiʻe no kāu pilikia. Haahaa, Kauka Vascular Evgeny A. Goncharov

ʻO ke kūkākūkā ʻana o ka phlebologist ma luna o ke kumumanaʻo "He thrombophlebitis aʻu e makemake e hoʻoiho i ka clexane a i ʻole fraxiparin" hāʻawi ʻia no nā hana kumu wale nō. Ma hope o ke kūkākūkā ʻana, e ʻoluʻolu e kauka i ke kauka, e ʻike ai i nā contraindications hiki.

Kauka, dokter maʻi cardiovascular (phlebologist), kauka kūloko, kauka lapaʻau ultrasound diagnostics.

ʻO ka lālā o ka Lūkini Lūkini o nā Angiologists a me nā mea hoʻonani Vascular, he lālā o ka European Society of Vascular Surgeons, he lālā o ka International Society of Lymphologists (ISL)

  • VGMA iā lākou. N.N. ʻO Burdenko iʻike i kaʻoihana olakino
  • Noho ma laila ʻo Clinical ma MMA i kapa ʻia ma hope iho I.M.Sechenov, ʻano hana "loiloi"
  • Noho hale haukaʻi ma NMHTS iā lākou. N.I. Pirogov, ka nui o ka hōʻoki ʻana i ka maʻi cardiovascular,
  • Hoʻomaʻamaʻa ʻo ka ʻoihana i ka hoʻopili "Ultrasound Diagnostics"

He wahi o nā makemake loea: nā ʻano o ka mālama ʻana a me ka mālama mālama ʻana i nā maʻi o nā arteri a me nā veins: atherosclerosis obliterans o nā aria hope loa me ka ischemia koʻikoʻi a me ka maʻi diabetes mellitus, nā maʻi vascular a me ka angiodysplasias congenital, kūlia i ka atherosclerosis o nā arteri brachiocephalic, aneurysm a me nā ʻōpū o ka ʻōpū , He maʻi a me ka maʻi maʻi o Raynaud, varicose veins o nā haʻahaʻa haʻahaʻa, thrombosis a me ka thrombophlebitis o nā luna o luna a me nā wāwae liʻiliʻi, lymphedema (elephantiasis), nā ʻōpio trophic, varicose veins o nā pelvis liʻiliʻi (pelvic venous congestion syndrome), etc., nā hana endolymphatic o ka mālamaʻana i nā maʻi.

ʻAʻole nā ​​wahine a pau i ka wā hāpai e lawe i nā lāʻau lapaʻau e hōʻemi i ka coagulation koko. Inā kū mai kahi mea e pono ai, makemake pinepine nā kauka iā Clexane. Akā, ua loaʻa ka lāʻau lapaʻau i kekahi mau contraindications a hiki i nā hopena hopena.

ʻO ka ʻōlelo hoʻomanawanui no ka Fraxiparin a me Clexane

ʻO Natalya, 56 makahiki, ʻo Kursk: "Ua hoʻohālikelike ʻia ʻo Fraxiparin ma mua o ka hana no ka prosthetics o nā ʻūlū kuli. Ma ke ʻano o ke kauka ʻana, kōkua kēia i ka pale ʻana i ka lawena hohonu ma hope o ka hana ʻana. "ʻO ka hoʻopuka ʻana i kahi anticoagulant ʻaʻole i pili i ka papa o ka ʻoihana. ʻAʻole i hopena ka hopena i ka hopena."

ʻO Fraxiparin a i Clexane: ʻoi aku ka maikaʻi e koho i ka wā hāpai

ʻO Fraxiparin e pili ana i nā lāʻau lapaʻau he mahele o ka hui anticoagulant kūlike a hōʻike i kahi hopena antithrombotic. Mālama i ka lāʻau i ke kahe o ke koko, hoʻomaʻamaʻa i ka cholesterol. ʻO ka mea ikaika a ka lāʻau lapaʻau he nadroparin Ca, he haʻahaʻa haʻahaʻa haʻahaʻa heparin, loaʻa i ka depolymerization o heparin.

Hōʻike ʻia ka hopena antithrombotic ma muli o ka hoʻōla ʻana o ka fibrinolysis ma ka wehe ʻana i ka activator plasminogen pololei mai nā cell endothelial a me ka hoʻoulu ʻia ʻana i ka kiko kiko pathway inhibitor ʻo ia iho. Hōʻike ʻia ʻo PM i ka hopena antithrombotic lōʻihi.

Ua makemake ka nui i ka mea ʻokoʻa ma waena o Clexane a me Fraxiparin, no ka mea he like nā hopena o nā lāʻau lapaʻau. ʻO Fraxiparin, ʻaʻole e like me Clexane, loaʻa i ka enoxaparin Na. Ma kahi o ka hana antithrombotic o ka mea, ʻaʻohe hopena i ka pilina o fibrinogen pololei me nā platelet receptors, a me ke kaʻina o ka hōʻuluʻulu o nā cellelet.

I ka manawa e koho ʻia

Pono e prick Fraksiparin a me Kleksan i kēlā mau hihia i ka wā e ulu ai ka wahine i ka trombosis a i ʻole ka naʻau o ka makuahine e hiki mai ana. Ke hāpai ʻia nei nō hoʻi nā lāʻau lapaʻau me kēia mau lāʻau no ka thrombophilia, me ka hana ʻana o nā kipi koko i loko o nā veins hohonu, me ka ischemia, a ma ke ʻano ke loaʻa ʻana o ka puʻuwai a i ʻole ka hanu.

ʻO ka maʻamau, ʻōlelo nā kauka i ka Clexane e hoʻohana no ka pale ʻana, i hōʻike ʻia no ka hoʻohana ʻana ma ka 2 trimester o ka hāpai ʻana. Inā ʻaʻole kūpono kēia lāʻau lapaʻau no ka wahine, hiki ke hoʻohana ʻia ʻo Fraxiparin.

Eia kekahi, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau me ka protocol IVF mua loa, pono e lawe ʻia aku ka hoʻohana ʻana i nā lāʻau i lalo o ka mālama koʻikoʻi o nā loea.

Nā hiʻohiʻona noi

Pono ʻia nā lāʻau ʻelua no ka hoʻokele sc; ʻaʻole ʻae ʻia nā inikini intramuscular.

Pehea e wīwī

Hāpai ʻia e hoʻokō i nā inikini ma hope o ka wahine i kahi paʻa. E pono ka hoʻololi ʻia ka wahi i ʻōlelo ʻia (hema a ʻākau hoʻi wahi o ka anterolateral a i ʻole posterolateral wahi o ka ʻōpū). Ma hope o ka hopu ʻana i ka ʻili o ka ʻili ma waena o ka manamana kikoʻī a me nā manamana lima, ua hoʻokomo ʻia ka pūpū me ke kū. ʻAʻole pono ka hoʻonui ʻana i ka wahi o ka lawelawe ʻana i ka lāʻau. ʻO ka lōʻihi ka mea mālama i ka lā 7-10 lā. Ma hope o kēia, pono e hāʻawi i ke koko no ka nānā ʻana e hōʻoia i ka helu ʻana o nā platelet āpau. He mea nui ia e mālama i kahi alemanaka o nā hoʻopaʻa ʻana i ka lāʻau lapaʻau ma ka hebedoma hāpai ʻana.

Hoʻoholo kū hoʻokahi ka manaʻo o Clexane a i Fraxiparin paha. I mea e pale ai i ka thrombosis, 40 mg o Clexane i kuhikuhi ʻia i hoʻokahi lā i hoʻokahi lā no 1-2 mau pule. Me ka thrombosis vein hohonu, 1,5 mg o ka lāʻau lāʻau no ka 1 kg o ka paona o 1 p. i ka lā a i ʻole 1 mg mau manawa i ka lā. Inā waiho nā ampoules me ka lāʻau lapaʻau ma hope o ka hāpai ʻana, hiki ke hoʻohana ʻia inā pono i ka wā e hiki mai ana.

ʻO ka maʻamau, ua lawa nā kīʻaha Fraxiparin no ka mālamaʻana i ke ʻano o ka mālama ʻana, ʻo ka hapa liʻiliʻi loa o nā lāʻau lapaʻau he 0.3 ml, ʻo ka hoʻomaka ʻana o nā lāʻau lapaʻau ke lawe ʻia i hoʻokahi manawa i ka lā. Inā ʻōlelo ʻia ka hematologist e hoʻohana i ka lāʻau e like me ke ʻano, ua kau ʻia ka paona kino o ke kanaka maʻi a me nā makahiki gestational.

ʻO ka Fraxiparin a: ʻoi aku ka maikaʻi o ke koho i ka wā hāpai

ʻO Fraxiparin e pili ana i nā lāʻau lapaʻau he mahele o ka hui anticoagulant kūlike a hōʻike i kahi hopena antithrombotic. Mālama i ka lāʻau i ke kahe o ke koko, hoʻomaʻamaʻa i ka cholesterol. ʻO ka mea ikaika a ka lāʻau lapaʻau he nadroparin Ca, he haʻahaʻa haʻahaʻa haʻahaʻa heparin, loaʻa i ka depolymerization o heparin.

Hōʻike ʻia ka hopena antithrombotic ma muli o ka hoʻōla ʻana o ka fibrinolysis ma ka wehe ʻana i ka activator plasminogen pololei mai nā cell endothelial a me ka hoʻoulu ʻia ʻana i ka kiko kiko pathway inhibitor ʻo ia iho. Hōʻike ʻia ʻo PM i ka hopena antithrombotic lōʻihi.

Ua makemake ka nui i ka mea ʻokoʻa ma waena o Clexane a me Fraxiparin, no ka mea he like nā hopena o nā lāʻau lapaʻau. ʻO Fraxiparin, ʻaʻole e like me Clexane, loaʻa i ka enoxaparin Na. Ma kahi o ka hana antithrombotic o ka mea, ʻaʻohe hopena i ka pilina o fibrinogen pololei me nā platelet receptors, a me ke kaʻina o ka hōʻuluʻulu o nā cellelet.

ʻO nā mea like o nā pūmole o Fraxiparin a me Clexane

ʻO ka fraxiparin he anticoagulant e loaʻa i nā waiwai antithrombotic. Ua hoʻonohonoho ia i ka microcirculation a hoʻomaʻamaʻa i ke kolamu o ke koko. ʻO ke ʻano ikaika o ka lāʻau nā kala calcium nadroparin.

ʻO ka hana antithrombotic o ka waiwai hana he hopena ia e pili ana i ka hemostasis. Ka hopena wikiwiki.

ʻO Clexane kahi haʻahaʻa o ka heparin koʻikoʻi molekane, a me kahi anticoagulant kūlike. ʻO ka mea hana ikaika no ka sodium enoxaparin, pili i ka heparins. Hōʻike ʻia ka hopena o ka lāʻau e ka hōʻike o antithrombin III, ma muli o ke kaohi ʻia ʻana o nā kumu IIa a me Xa i pale ʻia.

ʻO ka lāʻau lapaʻau ka hopena o ka antithrombotic hopena, ʻaʻole ia e hopena i ka hopena o ka fibrinogen me platelets.

  • no ka pale ʻana i ka thromboembolism ma hope o ka hana ʻana,
  • i ka mālamaʻana i ka thromboembolism, angina pectoris, varicose veins, heart heart.

  • no ka pale ʻana i ka thrombosis venous,
  • i ka mālamaʻana o ka pectoris angina, thrombosis, hōʻeha i ka naʻau.

Hoʻokomo ʻia ka Fraxiparin i loko o kahi vein a subcutaneously. Hoʻomaʻamaʻaʻia ka mālama ʻana i hoʻokahi pule, ʻo 0.3 ml o kēlā me kēia lā. E mālama ʻia ka ʻōlelo mua ma mua o 2 mau hola ma mua o ka hoʻomaʻemaʻe ʻana. Ma ka hoʻokalakia orthopedic, ʻo ka hoʻomaka mua o ka lāʻau lapaʻau ke mālama ʻia 12 mau hola ma mua o ka hana a me 12 mau hola ma hope o ke kaʻina hana. ʻO ke ala e mālama ai he 10 mau lā.

Hoʻohana ʻia ʻo Clexane ma kahi ʻōlelo he subcutaneous. ʻAʻole hiki ke hoʻokau ʻia ka lāʻau lapaʻau i ka intramuscularly. I loko o nā hana i loko o ka ʻōpū, ua kuhikuhi ʻia ka lāʻau lapaʻau ma kahi o 20-40 ml i kēlā me kēia lā. Hana ʻia ka inika mua 2 mau hola ma mua o ke kaʻina hana. No nā interthions orthopedic, kahi pāʻālua o 40 mg i kēlā me kēia lā e hoʻohana ʻia. Hoʻoponopono ʻia ka paapa mua 12 mau hola ma mua o ka hoʻomaʻamaʻa ʻana. ʻO ka papa papa o ke kauka 7 7 mau lā.

ʻAʻole hiki ke kāwili ʻia ka Fraxiparin me kekahi mau ʻano. Nā contraindications no ka hoʻohana ʻana o Fraxiparin:

  • keʻano ʻole o ka lāʻau,
  • kahe koko
  • ʻeha ka ʻōpū a i ʻole ulī duodenal,
  • endocarditis.

Ke hōʻemi nei ka lāʻau i ka thrombocytopenia.

Nā maʻi hoʻohālikelike i ka hoʻohana ʻana o Clexane:

  • keʻano ʻole o ka lāʻau,
  • kahe koko
  • hapai
  • ka puka ʻana o kahi valima puʻuwai naʻau,
  • malalo o 18 makahiki
  • he uliane
  • is strokeic stroke
  • hanau hou
  • endocarditis
  • maʻi mellitus maʻiʻi
  • pericarditis
  • akea a me ka hana pāpaʻi hana.

Hiki i ke Fraxiparin ke hoʻopiʻi i kēia mau ʻaoʻao:

  • nā hopena kūlohelohe
  • kahe koko
  • lawelawe aho ʻaia,
  • hematomas ma ka wahi hoʻokae,
  • thrombocytopenia
  • hyperkalemia

I ka wā o ka mālama ʻana me Clexane, hiki mai paha nā hopena maikaʻi ʻole:

  • kahe koko
  • ʻōpū o ka ʻōpū,
  • ʻO nā polanial cranial,
  • hematomas o ka mokupuni,
  • pilikia kino
  • lolo
  • Paresis
  • thrombocytopenia
  • maʻi kūlohelohe ma ka wahi maʻi.

Me ka hoʻouluʻana o ke kahe, pono ia e hooki i ka lapaʻau me kahi lāʻau lapaʻau lāʻau.

He aha ka hopena ma waena o Fraxiparin a me Clexane

Hoʻ aneʻa like ka lāʻau lapaʻau, ʻokoʻa ka hopena ma waena o Fraxiparin a me Clexane, i ka nui o nā mea hana i ke kaha hoʻokahi. ʻO Clexane kahi hapa e like me ka ikaika e like me Fraxiparin.

Hoʻohana ʻia ka Clexane no ka hoʻopiʻi kūlohelohe:

  • no ke koko kala,
  • Hōʻea nā thrombosis,
  • i mea e pale aku ai i ka mutations cell,
  • E hoʻihoʻi i ke kahe koko maʻamau i ka kuʻi.

ʻO ke kumukūʻai o ka lāʻau Clexane i loko o nā mākeke:

  1. ʻRingwili ʻia 40 mg, 0.4 ml, 10 kekona. (Farani), kumukūʻai - 2760 mau rubles.
  2. ʻRinglelo 60 mg, 0.6 ml, 2 pcs. (Farani), ke kumukūʻai - 713 mau rubles.
  3. Kauʻauʻau 20 mg, 0.2 ml, 10 pcs. (Farani), ke kumukūʻai - 1785 mau rubles.

ʻO ke kumukūʻai o ka lāʻau Fraxiparin i loko o nā lāʻau lapaʻau.

  1. Kauwaho 2850 IU 0.3 ml 10 mau pā. (Irlandia), kumukūʻai - 1950 rubles.
  2. ʻLelo 5700 IU 0.6 ml 10 mau pā. (Ireland) kumukūʻai - kumukūʻai - 3409 rubles.
  3. ʻRinglio 7600 IU 0.8 ml 10 mau pā. (Ireland) kumukūʻai - 4640 mau rubles.
  4. ʻRinglelo 3800 IU 0.4 ml 10 mau pā. (ʻĀpana), kumukūʻai - 2934 rubles.

Manaʻo nā kauka e pane i ka nīnau no ka mea ʻoi aku ka paʻakikī. No kēlā me kēia kanaka, koho ke kauka hoʻokahi i ka lāʻau lapaʻau. He liʻiliʻi nā maʻi o Fraxiparin a hoʻokō i nā hoʻopiʻi hou. Hiki i ka Clexane ke hana i kahi nui o nā hopena maikaʻiʻole me nā hopena koʻikoʻi.

Ma ke kumu kūʻai o Fraxiparin he mea maʻalahi loa ia. Ma ka uluʻana, loaʻa nā kumukūʻai ʻelua.

Ke kuhikuhi nei ke kauka i kekahi o kēia mau lāʻau lapaʻau, pono ʻo ia e nānā pono i ka mea maʻi a ʻike inā loaʻa nā maʻi i ka pathologies e hoʻohālike ai kēia lāʻau lapaʻau.

Haumāna. ʻO ke kiʻi no nā māmā māmā

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Pono nā kaikamahine i ʻōlelo aʻo, ʻoi aku ka maikaʻi o Kleksan a i ʻole Fraksiparin?
Ua ʻōlelo aku ke kauka iā Fraxiparin iaʻu, akā ua lohe wau aia ʻoi aku ka hopena o ke ʻano mai iā Clexane.

E wehe i ka taupānga

Oe i ike oe i na kiʻi a pau, e hooikaika a heluhelu i na pou e ae ma ka lihi Mom.life

E wehe i kēia pou
i ka noi Mom.life

ʻEha ʻo Kleksan Och! A ʻaʻole ʻo Fraxiparin

A ua maikaʻi nā mea ʻelua

Ua ʻōlelo mai ʻo Kauka Kleksan iaʻu. ʻAʻole hōʻeha maoli ka make ʻo Stitching (ʻoiai ua loaʻa ka paepae hōʻeha nui a makaʻu wau i ka ʻeha). ʻAʻole maikaʻi loa

Inā lawe wau i ka heparin e lahilahi i ke koko

Ua kauoha ʻia au iā Clexane

- @ marika7051 heparin i ka wā hāpai? ʻAʻole hiki iā ia ke clexane a frax wale nō

Ua ʻehi wau iā Kleksan i kēia manawa, ʻeha!

ʻO nā lua hāpai i hoʻoulu ʻia

ʻAʻohe ona hopena, kōkua paha ʻo ia iā ʻoe? @ 1978koty

ʻAʻole maopopo iaʻu i ka hakakā ʻana ʻo pololei ke haʻi mai nā kaikamahine iaʻu

Ua kauoha ʻia au i ka heparin analogue o fraseparin i ka moena

A he mea maʻamau nā platelets

- @ marika7051 I lawe mua. waiho i ka pa mua, i ka flibology, ma laila lākou i haʻi mai ai he hopena weliweli ko heparin, ʻaʻole ʻo ia i kū ʻia loa. a pehea ka nui i moe ʻole ai i loko o nā hale hoʻomaha a i ʻoki wale ʻia ka clexane

- @ elena51577 ttt, ʻaʻohe, he maikaʻi nā kaikamahine ʻelua. Ua nānā wau ma ka YouTube pehea e hakaka pono ai. i ka manawa mua he mea makaʻu ʻole ia, a laila e like me ka manaʻo ʻole me ka makaʻu

Ua haʻi iā ke kauka iā Kleksan ka mea palekana loa

Kukulu i ka umbilical region subcutaneously. Makemake wau i kahi papa o nā mea maʻi: ma ka ʻōpū, ua lawe kahi hale kūʻai a me kahi wowai. Ua ʻōlelo lākou ʻaʻole hōʻeha ʻia, maikaʻi wale nō. a inā loaʻa paha nā pōpoki ma nā pihi.

Ua ʻōlelo ke kauka hiki iā ʻoe a ʻo Kleksan.

Ma ka manawa mua aku wau i fraksiparin 0.3 no ka manawa iki, a laila hele i kahi allergy i loko o ka helu ʻana, ʻaʻole wau e ʻike i kēlā me kēia mea ʻē aʻe, akā ua hoʻoneʻe ʻia wau i clexane 0.4, akā no kekahi mau kumu ʻaʻole i hana kēia hana iaʻu, no laila ua hoʻonui wau i ka 0.6 , e nānā mākou. ʻO wau ʻo ia, pono ʻoe e hoʻāʻo a koho i nā mea e hana ai. ʻAʻole hoʻi iaʻu kahi hopena koʻikoʻi ma nā fraks)

ʻO Kolya fraksiparin āpau āpau, ʻaʻohe hopena ʻaoʻao! Wahi a ke kauka hoʻokahi like lākou! Akā ʻaʻole iki a clexane he 0.3, a pono au e like me kahi 😊 ʻo ia ke kumu i kuhikuhi ai lākou!

I ka lā 1b, hoʻopiʻi ka fraxeparin. ʻaʻole loaʻa nā hopena pili. E pili ana iā Kleksan, ʻaʻole i lohe.

He ʻano ʻokoʻa lākou. ʻAʻole kōkua ʻo Clexane, no ke kōkua ʻana mai iaʻu, ua ulu wale ke d-dimer. aole no i pili i ka fraxiparin

- @polimishik, ʻo ia nō no kekahi kumu, ulu ka d-dimer. Ua pāpālua ʻia nā ʻōmole. 0.6 + 0.6 i kēlā me kēia lā

Hoʻopili i fraxiparin, hiki ʻole i clexane kūpono no ʻoe. 0.6 + 0.6 nui!

E hōʻiliʻili i nā loiloi mai Kleksan, a laila hiki iā ʻoe ke hoʻi i 13% o ka nui i uku ʻia. Puhi wau i koʻu wā hānau a hoʻi hou i 8,000 rubles. Hiki iā ʻoe ke heluhelu hou ma PM a i kaʻu hui https://m.vk.com/vernindfl2015

- @ persefona-85, akā pehea ka mea i hoʻololi ai ʻoe mai kekahi lāʻau i kekahi? I ka lā aʻe e paʻi hou lākou i kekahi? A hoʻomaha paha i kahi lā a ʻelua paha?

- @marmelade koke lā e kālai i kahi ʻē aʻe.

- @ persefona-85, mahalo nui! ☺️ pono wau e hele i ka lā ʻapōpō) ʻaʻohe mea nāna e pane i kaʻu nīnau i ka kahawai. hopohopo

- @marmelade, hauʻoli e kōkua))

Me ka hoʻonui pinepine ʻia o ke koko, hoʻohana ʻia nā anticoagulants e pale i nā kīnā koko. Loaʻa i kēia mau lāʻau i nā ʻano mea like ʻole a me nā ʻano hana. Hoʻomaopopo pinepine nā poʻe maʻi i nā mea e koho ai, Fraxiparin a Clexane. ʻO kahi hōʻike i nā hiʻohiʻona o nā mea anticoagulants e kōkua i ke hoʻomaopopo i ka lāʻau kūpono ke kūpono i kekahi kūlana.

Ke ʻano o ka noi

Ka lāʻau pilikino wale nō a subcutaneous a intravenous:

  1. papa holoʻokoʻa . ^ E Ha yM. Manaʻo ʻia e hoʻohana i kēia lāʻau lapaʻau no ʻehiku mau lā i kahi hapa o 0.3 milliliters. ʻO ka dosis mua loa e mālama ʻia nei i nā mea maʻi i ʻelua a hiki i ʻehā mau hola ma mua,
  2. o ka ʻoihana orthopedic . ^ E Ha yM. ʻO ka hopena mua loa o Fraxiparin e mālama ʻia i nā mea maʻi i nā hola he ʻumikumamālua ma mua o ka hana ʻana, a ma hope iho o ka manawa like o ia manawa ma hope o ia. Pono kēia lāʻau lapaʻau no ka hoʻohana ʻana ma loko o nā lā he ʻumi.

Hoʻohana wale ʻia ka lāʻau lapaʻau Clexane no ka hoʻokele subutaneus, ʻoiai he mea maopopo loa ia i ka mea ke pāpā ʻia ʻole ʻia kēia lāʻau lapaʻau e lawelawe ʻia intramuscularly:

  • i nā hana ʻōpū . ^ E Ha yM. Hoʻohana ʻia ia ma kahi waihona o 20-40 milliliters hoʻokahi manawa i ka lā hoʻokahi. ʻO ka ʻōmua mua ma mua o ke mālama ʻia ʻana i ʻelua mau hola,
  • i ka wā o ka hana orthopedic . ^ E Ha yM. Hoʻohana ʻia kahi dosis o 40 milligrams hoʻokahi manawa i ka lā hoʻokahi. I ka mua, ua mālama ʻia ka lāʻau lapaʻau i ʻumikūmālua hola ma mua o ka hoʻomaʻamaʻa ʻana. Eia nō naʻe, he koho hou aku no kahi hoʻoponopono, a he 30 mau mililiona i ʻelua manawa i ka lā, a e mālama ʻia ana ka hana mua ma ka hola 12-24 ma hope o ka hana.

ʻO ke ʻano o ka mālama ʻana me kēia hāmeʻa mai kahi pule a 10 mau lā, ʻoiai hiki ke hoʻolōʻihi ʻia a hiki i kekahi manawa, ʻoiai aia nō ka hopena o ka thrombosis. Hoʻonui pinepine ʻia e ka hapa he ʻelima mau pule.

He mea kūpono ia i ka hoʻohana ʻole ʻia o Fraxiparin, ʻaʻole ia i hui pū ʻia me nā lāʻau ʻē aʻe.

Nā hopena hopena

I ka wā o ka maʻi me Fraxiparin, hiki i nā hopena hope loa:

  • nā hopena kūlohelohe
  • kahe koko
  • ua hoʻonui nui ʻia o nā ate o nā ate,
  • hematomas liʻiliʻi ma ka wahi o ka injection,
  • nā nodles ʻeha ʻeha ma ka wahi o ka ʻōlelo ʻona,
  • thrombocytopenia
  • eosinophilia
  • hyperkalemia

I ka wā o ka maʻi me Clexane, hiki i nā hopena hope aʻe:

  • kahe koko
  • ʻōpū maʻi hemorrhagic
  • ka hoʻomohala ʻana o ka hemorrhage i ka lumi retroperitoneal,
  • ka hooulu ʻana o ka hemorrhage i ka lua cranial,
  • hopena hopena
  • ka hoʻomohala ʻana o ka hematoma o ka mokukaua,
  • ka hoʻomohala ʻana o ka maʻi neurological,
  • lolo
  • Paresis
  • thrombocytopenia
  • maʻi kūlohelohe ma ka wahi hahau.
  • nā hoʻonui kiʻekiʻe o nā transaminases.

Ke hoʻoheheʻe ʻia, pono e pani i ka hoʻohana ʻana o Clexane.

I ka hanana ʻana o nā hōʻeha a me ke ʻulaʻula ʻili o ka ʻili i hoʻokumu ʻia ma ka pūnaewele injection, pono loa e hoʻopau koke i ka hoʻohana a ʻōlelo aku i kāu kauka.

Pehea ka lōʻihi e hiki ai i ke kauka ke kuhikuhi iā Clexane?

ʻO ka hoʻoholo i ka hiki o ke komo ʻana i ka hoʻoponopono mālama ʻia o Clexane e hana ʻia e ke kauka wale nō. I nā mahina ʻekolu o ka wā ʻo ka hapai, ua hoʻāʻo nā kauka e kākau i nā ʻōlelo i hiki aku ai i nā makuahine e kali ana. ʻO kēia ma muli o ka hakakā inā ʻaʻohe ʻikepili i ka hopena o ka mea hana ma ka embryo. I ka wā mua, he mea nui loa ia e hōʻemi i nā pōʻino o ka hoʻomohala ʻana o nā pathologies o ke pēpē, no ka mea aia i kēia manawa hana nā ʻano kino a me nā ʻōnaehana o ke keiki.

Wahi a nā ʻōlelo kuhikuhi, ʻaʻole pono nā lāʻau lapaʻau no nā wahine hāpai. Eia nō naʻe, ma ka hoʻomaʻamaʻa, kuhikuhi pinepine nā kauka mai ka hoʻomaka ʻana o ka lua. Akā ma ka mālama ʻana i kahi kauka i mālama pono i ke ʻano o ke olakino o ka makuahine, e aʻo ana i nā loli o nā helu koko.

ʻO kahi ʻōpū uluʻi ʻaʻole ia e hoʻopuʻi wale i nā wahī o ka wahine, akā ke hoʻonui pū ka lolo i nā uaua. I ka hopena, loaʻa ke mumū o nā paia o nā kīʻaha koko a me ke ʻano o nā kaha koko. Hoʻolālā ʻia ʻo Clexane e pale i ka trombosis ma nā pelvic a me nā haʻahaʻa haʻahaʻa.

Pehea e hāʻawi ai i nā injections

He ʻokoʻa nā ka hoʻokele ʻana o Clexane ma o ka maʻamau. ʻO kaʻoiaʻiʻo ʻo ia ka mea i pāpā ʻia e hoʻokomo i intramuscularly a i ʻole intravenously. Wahi a nā ʻōlelo kuhikuhi, e hana ʻia kahi inikua ma lalo o ka ʻili ma ka ʻākau a me ka ʻōpū ʻākau ma ke huli. Hoʻoholo ʻia ka dosage e ke kauka wale nō, ma muli o ka hopena o ka manaʻo o ka makuahine ʻāpono a me nā ʻano pilikino o ke ʻano o ka hāpai ʻana. ʻO ka pinepine, ʻo nā wahine e kali ana i kahi pēpē e kuhikuhi ana i kahi laʻe o kēlā me kēia lā, ʻo ia ka 0.2-0.4 ml o ka hoʻonā.

Nā ʻōkuhi no ka hoʻolauna ʻana ma lalo o ka ʻili i ka ʻōpū

No ke komo pololei i ka lāʻau lapaʻau i loko o ke kino, pono ʻoe e pili i nā ʻōlelo kūkala i hōʻike ʻia.

No ka hōʻoluʻolu, ʻōlelo ke kauka iā ʻoe e hana i ke kaʻina hana i kahi kūlana kūlana. Hooholo ʻia hoʻi ke ʻano o ke ʻano e ke kauka hele. ʻO ka awelika, ʻo ia he 7-14 lā.

Pehea e pani ai i ka lāʻau lapaʻau: e kiki mālie a i ʻole lohi

ʻO nā hoʻopau ʻana o Clexane ma mua o ka hānau keiki ʻana he mau hiʻohiʻona pono. I kekahi mau kūlana, hoʻokuʻi ikaika lākou iā ia (no ka laʻana, me ka hoʻoweliweli no ka huki a me ke kahe koko). Akā i ka nui o nā hihia, pono e hana ʻia kēia a ma lalo o ka mālama ʻana o kahi kauka, e hoʻolōʻihi me ka dosage a me ka hoʻokō i nā hōʻike koko maʻamau. Ma mua o ka pauku cesarean i hoʻolālā ʻia, hoʻohana pinepine ʻia ka hoʻohana ʻana i ka lāʻau i hoʻokahi lā ma mua o ka hana, a ma hope o ka nui i nā inikini he nui e pale ai i ke ʻano o nā māka koko.

E pili ana i nā poho āpau o ke kāpae ʻana o Clexane e haʻi i ka loea.

Clexane i ka wā hāpai a me ka lactation

Hoʻole ia (koe naʻe inā ʻoi aku ka ʻoi o ka pono i ka makuahine ma mua o ka loaʻa ʻana o ke kanaka makua) e hoʻohana ai iā Clexane i ka wā hāpai. ʻAʻole hiki ke hopena i ka hopena, no ka mea, ʻaʻohe ʻikepili pololei e pili ana i ka hopena o ka hoʻohana ʻana o Clexane i ka wā hāpai ma kāna papa.

Inā pono ʻoe e hoʻohana iā Clexane, pono ʻoe e hoʻopilikia i ka umauma ma ka wā o ka mālama ʻana.

Haumāna. ʻO ke kiʻi no nā māmā māmā

Hoʻoiho no iOS a Android paha

Pono nā kaikamahine i ʻōlelo aʻo, ʻoi aku ka maikaʻi o Kleksan a i ʻole Fraksiparin?
Ua ʻōlelo aku ke kauka iā Fraxiparin iaʻu, akā ua lohe wau aia ʻoi aku ka hopena o ke ʻano mai iā Clexane.

E wehe i ka taupānga

Oe i ike oe i na kiʻi a pau, e hooikaika a heluhelu i na pou e ae ma ka lihi Mom.life

E wehe i kēia pou
i ka noi Mom.life

ʻEha ʻo Kleksan Och! A ʻaʻole ʻo Fraxiparin

A ua maikaʻi nā mea ʻelua

Ua ʻōlelo mai ʻo Kauka Kleksan iaʻu. ʻAʻole hōʻeha maoli ka make ʻo Stitching (ʻoiai ua loaʻa ka paepae hōʻeha nui a makaʻu wau i ka ʻeha). ʻAʻole maikaʻi loa

Inā lawe wau i ka heparin e lahilahi i ke koko

Ua kauoha ʻia au iā Clexane

- @ marika7051 heparin i ka wā hāpai? ʻAʻole hiki iā ia ke clexane a frax wale nō

Ua ʻehi wau iā Kleksan i kēia manawa, ʻeha!

ʻO nā lua hāpai i hoʻoulu ʻia

ʻAʻohe ona hopena, kōkua paha ʻo ia iā ʻoe? @ 1978koty

ʻAʻole maopopo iaʻu i ka hakakā ʻana ʻo pololei ke haʻi mai nā kaikamahine iaʻu

Ua kauoha ʻia au i ka heparin analogue o fraseparin i ka moena

A he mea maʻamau nā platelets

- @ marika7051 I lawe mua. waiho i ka pa mua, i ka flibology, ma laila lākou i haʻi mai ai he hopena weliweli ko heparin, ʻaʻole ʻo ia i kū ʻia loa. a pehea ka nui i moe ʻole ai i loko o nā hale hoʻomaha a i ʻoki wale ʻia ka clexane

- @ elena51577 ttt, ʻaʻohe, he maikaʻi nā kaikamahine ʻelua. Ua nānā wau ma ka YouTube pehea e hakaka pono ai. i ka manawa mua he mea makaʻu ʻole ia, a laila e like me ka manaʻo ʻole me ka makaʻu

Ua haʻi iā ke kauka iā Kleksan ka mea palekana loa

Kukulu i ka umbilical region subcutaneously. Makemake wau i kahi papa o nā mea maʻi: ma ka ʻōpū, ua lawe kahi hale kūʻai a me kahi wowai. Ua ʻōlelo lākou ʻaʻole hōʻeha ʻia, maikaʻi wale nō. a inā loaʻa paha nā pōpoki ma nā pihi.

Ua ʻōlelo ke kauka hiki iā ʻoe a ʻo Kleksan.

Ma ka manawa mua aku wau i fraksiparin 0.3 no ka manawa iki, a laila hele i kahi allergy i loko o ka helu ʻana, ʻaʻole wau e ʻike i kēlā me kēia mea ʻē aʻe, akā ua hoʻoneʻe ʻia wau i clexane 0.4, akā no kekahi mau kumu ʻaʻole i hana kēia hana iaʻu, no laila ua hoʻonui wau i ka 0.6 , e nānā mākou. ʻO wau ʻo ia, pono ʻoe e hoʻāʻo a koho i nā mea e hana ai. ʻAʻole hoʻi iaʻu kahi hopena koʻikoʻi ma nā fraks)

ʻO Kolya fraksiparin āpau āpau, ʻaʻohe hopena ʻaoʻao! Wahi a ke kauka hoʻokahi like lākou! Akā ʻaʻole iki a clexane he 0.3, a pono au e like me kahi 😊 ʻo ia ke kumu i kuhikuhi ai lākou!

I ka lā 1b, hoʻopiʻi ka fraxeparin. ʻaʻole loaʻa nā hopena pili. E pili ana iā Kleksan, ʻaʻole i lohe.

He ʻano ʻokoʻa lākou. ʻAʻole kōkua ʻo Clexane, no ke kōkua ʻana mai iaʻu, ua ulu wale ke d-dimer. aole no i pili i ka fraxiparin

- @polimishik, ʻo ia nō no kekahi kumu, ulu ka d-dimer. Ua pāpālua ʻia nā ʻōmole. 0.6 + 0.6 i kēlā me kēia lā

Hoʻopili i fraxiparin, hiki ʻole i clexane kūpono no ʻoe. 0.6 + 0.6 nui!

E hōʻiliʻili i nā loiloi mai Kleksan, a laila hiki iā ʻoe ke hoʻi i 13% o ka nui i uku ʻia. Puhi wau i koʻu wā hānau a hoʻi hou i 8,000 rubles. Hiki iā ʻoe ke heluhelu hou ma PM a i kaʻu hui https://m.vk.com/vernindfl2015

- @ persefona-85, akā pehea ka mea i hoʻololi ai ʻoe mai kekahi lāʻau i kekahi? I ka lā aʻe e paʻi hou lākou i kekahi? A hoʻomaha paha i kahi lā a ʻelua paha?

- @marmelade koke lā e kālai i kahi ʻē aʻe.

- @ persefona-85, mahalo nui! ☺️ pono wau e hele i ka lā ʻapōpō) ʻaʻohe mea nāna e pane i kaʻu nīnau i ka kahawai. hopohopo

- @marmelade, hauʻoli e kōkua))

He mea paʻakikī i kekahi manawa i ka male a mare ka wahine i ka pēpē. No kēia kumu, ua koi ʻia lākou e hoʻohana i nā ʻano o ka manaʻo. Akā i kēia hihia, pono ia e kākoʻo i ke kino o ka makuahine me ka lāʻau lapaʻau, no ka mea ma mua o ka IVF ʻo ia e mālama ai i ka hana maʻi hormonal. Mai ka lapalapa ke koko o kahi wahine hāpai, ʻikea kēia me nā hopena ʻaʻole wale nō iā ia, akā no ka neʻe ʻana o ke koko o ka pēpē. No laila, ua kuhikuhi ʻo ia i nā anticoagulants. Akā ʻo ka mea ʻoi aku ka maikaʻi o Kleksan a i ʻole Fraksiparin - ʻo kēia ka ʻike e kōkua e hoʻomaopopo.

ʻO ka hopena a me ka palekana o ka lāʻau Clexane

No Clexane nā pūʻulu o nā anticoagulants kūlike; ʻo ia ka mea e hoʻomaikaʻi ai i nā ʻāpana rheological (hoʻololi i ka viscosity) o ke koko. Hoʻoulu ka hua lāʻau lapaʻau i kahi loea therapeutic i loko o ke ʻano o ka syringes karaima wai me ka pale melemele a i ʻole ke aniani wai i nā ʻano like ʻole.

ʻO ka mea hana nui a Clexane ʻo ka sodium enoxaparin, a hana ka wai i ka mea hoʻohui. ʻO ka bioavailability o ka lāʻau me ka hoʻokele subcutaneous ʻo 100%. ʻO kēia ke ʻano o ka lāʻau lapaʻau me ka piha loa.

ʻO Clexane kahi anticoagulant kūpono-hana e pili ana i ka hui koko

Hoʻomaʻamaʻa ka mea hana i ka antithrombin III (kahi kikoʻi pilikino o ke kino), a laila hoʻokaʻawale i ke ʻano o nā clots koko. Ma muli o ka hana antithrombotic o ka lāʻau lapaʻau, hōʻemi ke kahe koko, e hoʻomaʻemaʻe ka ʻike.

ʻAʻole loaʻa nā ʻōlelo i ka ʻike i pāpā ʻia ʻole iā Kleksan e hoʻohana ʻia i ka wā hāpai. Eia nō naʻe, ua hōʻike ʻia kahi lāʻau lapaʻau wale nō i ka wā e loaʻa ai nā hōʻailona kūpono no kēia paʻa e ka hematologist a i ʻole gynecologist.

Kūkū paʻa ʻo Clexane ma ka hana lapaʻau, ʻike ʻia nā manaʻo o nā kauka e pili ana i ka lāʻau lapaʻau. Eia naʻe, aia kekahi mau manaʻo. ʻO ka mea ʻoi a ma ka wā hāpai, kahi kaʻina hypercogulation (ka hoʻohuihui ʻana i ke koko, i hui pū ʻia me ka hoʻomākaukau no ka hānau keiki) ʻo ia ke kumu. No laila, i ka hapanui o ka hihia, ʻaʻole pono ka makuahine nona ka hoʻohana ʻana i nā mea nui thrombolytic.

No nā wahine me ka makemake nui e hoʻohālikelike i ka trombosis, ua ʻōlelo ʻia ʻo Clexane me kahi prophylaxis me nā ʻano ala ʻē aʻe, ʻoiai lākou he 50% ka manawa o nā kīʻaha koko (ʻoi aku, ma 90% o nā hihia, hoʻopiʻi ka hoʻopiʻi thromboembolic ma hope o ka hānau ʻana). Ke hoʻohana nei i ka lāʻau lapaʻau no nā kumu prophylactic, ʻaʻohe ʻano o ka ulu ʻana o ke ʻano o ke kahe.

ʻO nā mea nui no ka koho ʻana o Clexane i ka wā hāpai.

  • throbosis hohonu hohonu,
  • ka hoʻomohala ʻana o ka maʻi hypercoagulable (hoʻonui i ke kōkiko koko),
  • ka lani panghina,
  • puʻuwai paʻakikī
  • predisposition e hōʻike i ka trombosis.

I kahi wahine hāpai, hāʻawi ʻia ka lāʻau lapaʻau i loko o nā mea hoʻomaʻamaʻa II a me III. ʻAʻole nō i aʻo ʻia pehea e pili ai ka lāʻau lapaʻau i ka hoʻolālā ʻana o ka embryo, no laila, ma nā hebedoma 12 mua, i ka wā e waiho ai nā hui a me nā ʻōnaehana o ke pēpē, ʻaʻole ia i kuhikuhi ʻia.

Ua kau ka American Food and Drug Administration iā Clexane i Kāleka B. ʻO kēia ke ʻano o nā hoʻokolohua holoholona ʻaʻole i hōʻike i kahi hopena maikaʻi loa i ka pēpē. Eia nō naʻe, ʻaʻole i hoʻokō ʻia nā haʻawina kūpono a pau i nā wahine hāpai. No laila, hiki i ke kauka ke kuhikuhi i ka lāʻau lapaʻau wale nō inā inā loaʻa maoli kahi pono.

Nā rula no ka hoʻohana ʻana i ka lāʻau lapaʻau

Hoʻoholo ʻia ka nui o ka hopena a me ka lōʻihi o ke kūpaʻa ʻana i ka paʻakikī o ka maʻi, ka makahiki o ka wahine hāpai a me kona paona. Lawe ʻia ka lāʻau e like me ka mea i kuhikuhi ʻia e ke kauka a ma lalo o kāna alakaʻi koʻikoʻi. ʻO ke kumu o ka mālamaʻana ke hiki i nā lā 2-10, inā pono, hoʻomau.

Hoʻokuʻu ʻia ka lāʻau lapaʻau Kleksan me ka hoʻopau ʻia nā ampoules-syringes

ʻLelo hoʻokō

Hoʻokomo ʻia nā ʻōlelo inikani wale nō i loko o ka ʻōpū.

  1. Ma mua o ka hoʻokō ʻana i ke kaʻina hana, moe ka wahine ma luna o ka moena.
  2. Hana ʻia kahi wīlū ma ka hema a hema paha o ka pusela.
  3. Ma kahi wahi i koho ʻia ai, ʻili ʻia ka ʻili i loko o kahi pālima a hoʻokomo ʻia kahi syringe i loko o ia ʻano e pili pololei ana i ka hohonu holoʻokoʻa.
  4. Ma hope o ka hoʻokomo piha ʻana i ka ʻaila, hoʻokuʻu ʻia ka pale ʻili.

Pono e hāpai ʻia i ka pāpā ʻia ʻana i ka hoʻopiʻi a kāpili i ka wahi i ʻōlelo ʻia.

Loaʻa i nā wahine hāpai i nā inikini Clexane mai nā kahu hānai i ʻike ʻia i kahi hana o ka hau

Hoʻokomo ʻia nā ʻikepili e komo i ka intramuscularly. Me ka lāʻau lapaʻau Kleksan, ke kauka, e like me ka lula, ka mea i kuhikuhi dragees Curantil a i Dipyridamole (e hoʻomaikaʻi i ke kahe koko, hoʻokaʻawale i nā ala venous, a e hoʻopau hoʻi i ka hypoxia fetal).

Hōʻalo i nā hana hoʻopunipuni ʻaʻole ʻia. Hoʻomaʻamaʻa nā kauka i ka hoʻohaʻahaʻa ʻana i ka dosis o ka lāʻau a hōʻoki i ka hāʻawi ʻana i nā inikini 2-3 mau lā ma mua o ka hānau ʻana (ma mua o ka māhele cesarean - i ka lā). Hana ʻia kēia i nā pilikia ʻole i ke koko. Ma hope o ka lawe ʻana, hoʻopili hou ʻia nā ʻikepili ma ka palena liʻiliʻi maʻa mau e pale ai i nā koko koko.

Nā hiʻohiʻona o ka lāʻau

No ka Clexane nā pūʻulu haʻahaʻa heparins haʻahaʻa haʻahaʻa, no laila ʻaʻole i hoʻopili ʻia ke kikowaena paʻa i ka hopena. Hoʻololi nā lāʻau āpau a pau i ke kaumaha molekiʻe, hoʻopili a me nā hopena i ke kino o ka wahine hāpai.

Ke hoʻololi nei ʻo Clexane me kekahi lāʻau lapaʻau ʻē aʻe i ka hihia a i nā hopena ʻē aʻe paha.

Papa - nā lāʻau lapaʻau no ka pale ʻana i ka thrombosis i ʻae ʻia e nā wahine hāpai

Ke poʻo inoaʻO ke ʻano waiwaiE hoʻokuʻu i ke ʻanoNā HōʻikeNā HoʻohuiKahawai
FraxiparinKalepono kalapekaHoʻolaha kaʻi ʻana
  • ʻO ka pale a me ka mālama ʻana mai i ka thrombosis,
  • ka lani panghina,
  • ʻO kahi infocrose Myocardial me ke neʻe Q.
  • Allergy i nā māhele o ka lāʻau lapaʻau,
  • ka pehu a me ke koʻikoʻi o kā lākou hanana,
  • ʻōpū ʻōpū
  • pilikia kaumaha ʻole
  • pauku endocarditis i ka hopena ʻokē.
ʻAʻole i hōʻike ʻia nā haʻawina holoholona i ka hopena maikaʻi o ka nadroparin calcium i ka maʻa, akā naʻe, i kēia manawa aia wale nō nā mea e pili ana i ka komo ʻana o kahi mea ma o ka placenta i loko o nā kānaka. No laila, ʻaʻole i kuhikuhi ʻia ke koho ʻana i ka lāʻau Fraxiparin i ka wā hapai, ke ʻole ke loaʻa i ka pōmaikaʻi ponoʻī i ka makuahine ma mua o ka hopena i ka pēpē.
He sodium HeparinHe sodium HeparinʻO ka hopena no ka hoʻokele subcutaneous a me ka intravenous
  • ʻO ka pale a me ka mālama ʻana mai i ka thrombosis,
  • myocardial infarction, angina pectoris, arrhythmia,
  • kuʻi o ka microcirculation o ke koko.
  • Hypersensitivity o nā māhele,
  • kahe koko
  • nā maʻi o ka puʻuwai, ka ate, ka gastrointestinal tract,
  • hoʻoweliweli me ka hala ʻole.
Hiki ke hoʻohana ʻia i ka wā hāpai a ma lalo o nā hōʻike koʻikoʻi a ma lalo o ka mākaʻi loea.
NovoparinSodium EnoxoparinHoʻolaha kaʻi ʻana
  • Hoʻokomo ʻia
  • hoʻonele (thrageembolism) (pani i nā kahe koko e ka thrombus),
  • myocardial infarction
  • kaikaina ʻaʻano kikowaena.
  • Pilikia ke koko
  • nā ʻano maʻi like ʻole, me ka ʻeha ʻeha a me nā ulī duodenal,
  • hypersensitivity i nā ʻāpana.
ʻAʻohe mea iʻike i ke pani o ka sodium enoxaparin i kahi paʻa i ka maʻi. Akā, pono e hoʻohana ʻia i ka wā hānau wale nō i ka wā e loaʻa ai ka pilikia, i ka manawa i manaʻo nui ʻia ai ka pōmaikaʻi i ka makuahine i nui o ka hiki ʻana i ka maʻi hānau. ʻAʻole kuhikuhi ʻia kēia mea no ka hoʻohana ʻana i nā wahine hāpai me nā pūpū naʻau.
Gemapaxan
FragminSodium DalteparinNā kūmole no ka ʻōlelo
  • Ka mumumu ʻana o nā paia o nā kīʻaha koko
  • pani ana i ka pulmonary arteri,
  • kaohi ana o ka hoʻonui koko coagulation.
  • Hukia, huehu, nāu
  • thrombocytopenia
  • Endoʻoliki septic,
  • ka hana o ka hoʻopili ʻana i nā kikowaena kūwili o ke kikowaena, lohe a ʻike paha.
  • hypersensitivity i nā ʻāpana o ka lāʻau.
I ka wā i hoʻohana ʻia ai i ka wahine ma kahi o ke kūlana, ʻaʻohe hopena maikaʻi ʻole o ka wā o ka hapai, me ka mālama pono ʻana o ke keiki, no laila ʻo ka hopena o nā hopena maikaʻi ʻole o ka maʻi wahine a nānā ʻia ʻo ia ka haʻahaʻa. Akā ʻoiai ʻaʻole hiki ke hoʻokaʻawale loa ia ka pōʻino, ua ʻōlelo ʻia ʻo Fragmin e like me nā kuhikuhi koʻikoʻi, ka wā i loaʻa ai ka pōmaikaʻi i manaʻo ʻia no ka makuahine.
Heparin aila
  • Heparin sodium,
  • benzocaine
  • bennyl nicotinate.
Hoʻokomo ʻia
  • ʻO ka thrombophlebitis o nā wāwae
  • ʻeleʻele
  • vascular thrombosis,
  • hematomas
  • ka phlebitis (ʻulaʻula ʻana o nā paia venous) ma hope o ke kūpaʻa.
  • Hypersensitivity
  • nā ʻōpio ma nā wahi i hoʻopā ʻia ai,
  • ka kuʻe ʻana o ka kūpaʻa o ka ʻili.
ʻO ka hoʻohana ʻana o ka ʻaila heparin i ka wā hapai hiki ke kūpono wale nō ma nā hōʻike koʻikoʻi. Mai hoʻohana me Clexane.

Hoʻokahi ka syringe, e pili ana i ka dosage: 10000 anti-Ha ME, 2000 anti-Ha ME, 8000 anti-Ha ME, 4000 anti-Ha ME a 6000 anti-Ha ME sodium enoxaparin.

Hoʻohana nui me nā lāʻau lapaʻau'ē aʻe

Ka pāpā ʻia i ka hoʻohana ʻana iā Clexane me nā lāʻau lapaʻau ʻē aʻe e pili ana i nā ʻōnaehana coagulation koko, no ka laʻana, me Curantil a i Dipyridamole paha. Me kekahi mau pūʻulu o nā lāʻau lapaʻau, no ka laʻana, nā lāʻau anti-inflammatory non-steroidal, anticoagulants (ke pale nei lākou i ka ʻikepili o ke koko) a me ka thrombolytics (hoʻoheheʻe i ke koko koko), ʻaʻole i hoʻohana ʻia ʻo Clexane e hiki ke hoʻonāukiuki i ke koko.

He aha nā mea kūlili a me nā koho ʻē aʻe no ka hoʻopili ʻana iā Clexane

Aia kekahi mau lāʻau lapaʻau e pili ana i ka sodium enoxaparin ma ke kūʻai aku i ka lāʻau lapaʻau, no laila hiki i nā poʻe lapaʻau ke hāʻawi i kahi mea hou. ʻO nā mea kikoʻī piha o Xexan:

Inā, ma muli o ka mālama ʻana me Clexane, ʻike pū kekahi wahine i nā hōʻailona maikaʻi ʻole a he contraindications paha no kāna hoʻohana, e koho ke kauka komo i kekahi lāʻau lapaʻau hou. Nā like hopena hopena:

  • ʻO Fraxiparin kahi mea ikaika i ka mālama a me ka pale ʻana o nā kihe koko,
  • Warfarin - loaʻa ia ma ke ʻano o nā papa uliuli a hoʻohana ʻia i ka wā o ka kali ʻana o kahi keiki wale nō i nā mea hana lua a me ke kolu.
  • ʻO Fragmin - hoʻonā no ka injection ka hopena antithrombotic.

Kiʻi: Fraxiparin, Warfarin, Gemapaxan a me nā lāʻau lapaʻau ʻē aʻe i hoʻohanaʻia e mālama ai i ka thrombosis

Ua kauoha ʻia ʻo Fragmin no nā wahine hāpai e mālama i ka thrombosis
ʻAʻole pāpā ʻia ka Warfarin ma ka trimester mua o ka hāpai ʻana. Loaʻa ka Fraxiparin ma kahi o ka maʻi.

Loaʻa ka Anfibra i loko o nā ʻano he nui .. Hoʻohana ʻia ʻo Gemapaxan e wāwahi i ke koko a kaua i nā kahe koko.

Paleka: nā hiʻohiʻona o nā lāʻau lapaʻau hiki ke kuhikuhi i nā wahine hāpai i ka hoʻololi ʻana iā Clexane

Ke poʻo inoaE hoʻokuʻu i ke ʻanoʻO ke ʻano waiwaiNā HoʻohuiHoʻohana i ka wā hāpai
hoʻonā ʻaisodium dalteparin
  • thrombocytopenia kūwau
  • trauma a i ʻole ma ka pūnaehana poepoe o ka pūnaehana poʻo, nā maka a me ka pepeiao,
  • kaomi kaumaha
  • maʻi kūʻai i nā mea o ka lāʻau,
  • haehae maʻi
  • nā maʻi ʻeha a me nā puʻuwai.
Hiki ke hoʻohana ʻia ka lāʻau lapaʻau i ka wā o ka hapai ʻana, he liʻiliʻi ka hopena o nā hoʻopiʻi no ka wahine. Akā, e hoʻomau ana, no laila pono ke hōʻemi ʻia ka lāʻau lapaʻau ma luna o ke kauoha ʻana a kekahi kauka.
ʻO nā pōpōsodium warfarin
  • ka mea mua o ka hāpai ʻana a me ka hopena o nā wiki he 4 i ka wā mua.
  • ka hōʻike ʻana o ke ʻano kiʻekiʻe i nā mea o ka lāʻau lapaʻau a i ʻole ka kānalua o ka hoʻonui ʻia ʻana.
  • ka hopena wailua
  • maʻi koʻikoʻi a me nā maʻi puʻuwai,
  • huehiko DIC
  • thrombocytopenia
  • ka hemahema o ka huakaʻi C a me S,
  • varicose veins o ke kūwili a,
  • aneurysm arterial,
  • hoʻonui mahuahua o ke kahe, a me nā pilikia hemorrhagic,
  • w hōkekoke
  • nā hōʻeha ʻeha, e komo pū ana,
  • lumbar puncture
  • endocarditis bacterial,
  • kala hewa,
  • ʻōpū kikipopa,
  • ʻōpū kik hemorrhagic.
Kūʻai koke ke ʻano o ka waiwai i ka plasenta a hana i nā hemahema hānau i ka 612 mau hebedoma o ka make.
I ka wā e hānai ai i ka pēpē a i ka wā hānau, hiki ke hoʻonāukiuki i ke kahe.
ʻAʻole i kuhikuhi ʻia ʻo Warfarin i ka trimester mua, me ia i loko o ka 4 mau pule i hala ma mua o ka hānau ʻana o ke keiki. I nā manawa hana, e hoʻohana wale nō inā pono maoli.
wili a ka ʻōpūkalekaʻi nadroparin
  • pehu a nānā ʻia paha kona hopena e pili ana i ka ulu ʻana o ka hemostasis,
  • thrombocytopenia me ka hoʻohana mua o nadroparin,
  • hana ʻino me ka pilikia o ke koko,
  • pilikia kaumaha ʻole
  • ʻōpū kikipopa,
  • nā pōʻino a i ʻole ka hana ʻana ma ka spinal cord a me nā ʻōpū a i ʻole nā ​​eha maka,
  • endocarditis hopohopo,
  • hypersensitivity i nā ʻāpana o ka lāʻau.
ʻAʻole i hōʻike i nā hoʻokolohua holoholona me kahi maikaʻi maikaʻi o ka calcium nadroparin ma ka ʻōpio, akā naʻe, i nā wiki 12 mua o ka hānau ʻana, ʻoi aku ka maikaʻi o ka haʻalele ʻana i ka hoʻokele ʻana o Fraxiparin i loko o ka pale ʻana i ka hopena o ke ʻano o ka mālama ʻana.
I ka wā o ka trimesters II a me III, hiki ke hoʻohana wale ʻia e like me nā ʻōlelo aʻo a ke kauka no ka pale ʻana i ka thrombosis venous (i ka hoʻohālikelike ʻana i nā pōmaikaʻi o ka makuahine me ka loaʻa ʻana o ka pūpū). ʻAʻole hoʻohana ka mālama ʻia o ka papa hana i kēia manawa.

Māmona - noi no nā makuahine ʻokoʻa

Hoʻoiho no ka iPhone, Android

Pono nā kaikamahine i ʻōlelo aʻo, ʻoi aku ka maikaʻi o Kleksan a i ʻole Fraksiparin?
Ua ʻōlelo aku ke kauka iā Fraxiparin iaʻu, akā ua lohe wau aia ʻoi aku ka hopena o ke ʻano mai iā Clexane.

Wehe i ka noi

Ma ke noi hiki iā ʻoe ke nānā i nā kiʻi āpau o kēia pou, me ka hoʻopuka a heluhelu i nā pou ʻē aʻe o ka mea kākau

I ka noi Mumlife -
wikiwiki a maʻalahi

Hoike

ʻEha ʻo Kleksan Och! A ʻaʻole ʻo Fraxiparin

A ua maikaʻi nā mea ʻelua

Ua ʻōlelo mai ʻo Kauka Kleksan iaʻu. ʻAʻole hōʻeha maoli ka make ʻo Stitching (ʻoiai ua loaʻa ka paepae hōʻeha nui a makaʻu wau i ka ʻeha). ʻAʻole maikaʻi loa

Inā lawe wau i ka heparin e lahilahi i ke koko

Ua kauoha ʻia au iā Clexane

- @ marika7051 heparin i ka wā hāpai? ʻAʻole hiki iā ia ke clexane a frax wale nō

Ua ʻehi wau iā Kleksan i kēia manawa, ʻeha!

ʻO nā lua hāpai i hoʻoulu ʻia

ʻAʻohe ona hopena, kōkua paha ʻo ia iā ʻoe? @ 1978koty

ʻAʻole maopopo iaʻu i ka hakakā ʻana ʻo pololei ke haʻi mai nā kaikamahine iaʻu

Ua kauoha ʻia au i ka heparin analogue o fraseparin i ka moena

A he mea maʻamau nā platelets

- @ marika7051 I lawe mua. waiho i ka pa mua, i ka flibology, ma laila lākou i haʻi mai ai he hopena weliweli ko heparin, ʻaʻole ʻo ia i kū ʻia loa. a pehea ka nui i moe ʻole ai i loko o nā hale hoʻomaha a i ʻoki wale ʻia ka clexane

- @ elena51577 ttt, ʻaʻohe, he maikaʻi nā kaikamahine ʻelua. Ua nānā wau ma ka YouTube pehea e hakaka pono ai. i ka manawa mua he mea makaʻu ʻole ia, a laila e like me ka manaʻo ʻole me ka makaʻu

Ua haʻi iā ke kauka iā Kleksan ka mea palekana loa

Kukulu i ka umbilical region subcutaneously. Makemake wau i kahi papa o nā mea maʻi: ma ka ʻōpū, ua lawe kahi hale kūʻai a me kahi wowai. Ua ʻōlelo lākou ʻaʻole hōʻeha ʻia, maikaʻi wale nō. a inā loaʻa paha nā pōpoki ma nā pihi.

Ua ʻōlelo ke kauka hiki iā ʻoe a ʻo Kleksan.

Ma ka manawa mua aku wau i fraksiparin 0.3 no ka manawa iki, a laila hele i kahi allergy i loko o ka helu ʻana, ʻaʻole wau e ʻike i kēlā me kēia mea ʻē aʻe, akā ua hoʻoneʻe ʻia wau i clexane 0.4, akā no kekahi mau kumu ʻaʻole i hana kēia hana iaʻu, no laila ua hoʻonui wau i ka 0.6 , e nānā mākou. ʻO wau ʻo ia, pono ʻoe e hoʻāʻo a koho i nā mea e hana ai. ʻAʻole hoʻi iaʻu kahi hopena koʻikoʻi ma nā fraks)

ʻO Kolya fraksiparin āpau āpau, ʻaʻohe hopena ʻaoʻao! Wahi a ke kauka hoʻokahi like lākou! Akā ʻaʻole iki a clexane he 0.3, a pono au e like me kahi 😊 ʻo ia ke kumu i kuhikuhi ai lākou!

I ka lā 1b, hoʻopiʻi ka fraxeparin. ʻaʻole loaʻa nā hopena pili. E pili ana iā Kleksan, ʻaʻole i lohe.

He ʻano ʻokoʻa lākou. ʻAʻole kōkua ʻo Clexane, no ke kōkua ʻana mai iaʻu, ua ulu wale ke d-dimer. aole no i pili i ka fraxiparin

- @polimishik, ʻo ia nō no kekahi kumu, ulu ka d-dimer. Ua pāpālua ʻia nā ʻōmole. 0.6 + 0.6 i kēlā me kēia lā

Hoʻopili i fraxiparin, hiki ʻole i clexane kūpono no ʻoe. 0.6 + 0.6 nui!

E hōʻiliʻili i nā loiloi mai Kleksan, a laila hiki iā ʻoe ke hoʻi i 13% o ka nui i uku ʻia. Puhi wau i koʻu wā hānau a hoʻi hou i 8,000 rubles. Hiki iā ʻoe ke heluhelu hou ma PM a i kaʻu hui https://m.vk.com/vernindfl2015

- @ persefona-85, akā pehea ka mea i hoʻololi ai ʻoe mai kekahi lāʻau i kekahi? I ka lā aʻe e paʻi hou lākou i kekahi? A hoʻomaha paha i kahi lā a ʻelua paha?

- @marmelade koke lā e kālai i kahi ʻē aʻe.

- @ persefona-85, mahalo nui! ☺️ pono wau e hele i ka lā ʻapōpō) ʻaʻohe mea nāna e pane i kaʻu nīnau i ka kahawai. hopohopo

Hoʻokahi ka syringe, e pili ana i ka dosage: 10000 anti-Ha ME, 2000 anti-Ha ME, 8000 anti-Ha ME, 4000 anti-Ha ME a 6000 anti-Ha ME sodium enoxaparin.

Waiho I Kou ManaʻO HoʻOpuka