Anticoagulants Fraksiparin thiab Kleksan: dab tsi yog qhov sib txawv thiab qhov twg zoo dua thaum cev xeeb tub? Clexane - cov lus qhia rau kev siv thiab tshuaj xyuas

Nrog rau kev nce ntshav viscosity, tshuaj anticoagulants yog siv los tiv thaiv cov ntshav txhaws. Cov tshuaj no muaj ntau qhov sib xyaw thiab cov txheej txheem ntawm kev ua. Cov neeg mob feem ntau xav tias yuav xaiv dab tsi, Fraxiparin lossis Clexane. Kev tsom xam ntawm cov yam ntxwv ntawm ob qho tshuaj tiv thaiv yuav pab kom nkag siab tias hom tshuaj twg haum rau qhov xwm txheej tshwj xeeb.

Clexane yam ntxwv

Cov tshuaj muaj cov cwj pwm hauv qab no:

Tso tawm daim ntawv thiab muaj pes tsawg leeg. Clexane yog muaj raws li kev txhaj tshuaj, uas tsis muaj xim, tsis muaj kua ntshiab. Cov tshuaj ntim rau hauv 0.2 ml iav syringes. Txhua tus koob txhaj tshuaj muaj 20.40, 60, 80, lossis 100 mg ntawm enoxaparin sodium thiab dej rau txhaj. Ampoules muab xa hauv cov roj ntsha yas ntawm 2 pcs.
Pharmacological kev txiav txim. Enoxaparin sodium ua rau yam XA, txwv kev hloov pauv ntawm prothrombin rau thrombin. Lwm cov yeeb yam ntawm cov tshuaj yeeb dej caw tau txheeb xyuas - kev tsim txom ntawm kev tsim khoom ntawm cov neeg kho kom haum xeeb thiab txhim kho lub xeev ntawm vascular phab ntsa. Cov tshuaj ua kom lub cev tsim tawm ntawm cov nqaij mos ua rau lub cev tiv thaiv kab mob thiab txo tus nqi ntawm kev tso tawm ntawm von Willebrand qhov los ntawm cov leeg ntshav. Cov kev ua no muab cov kev ua tau zoo ntawm Clexane. Kev siv ntawm cov tshuaj yuav pab txo qis prothrombin lub sijhawm thiab platelet aggregation rate.
Xuas, faib thiab tshwj. Qhov ua tau anticoagulant ntawm cov tshuaj tshwm sim 3-5 teev tom qab kev tswj hwm. Hauv lub siab, enoxaparin sodium tau hloov pauv mus rau hauv lub cev qhov hnyav uas muaj qhov hnyav nrog kev siv tshuaj muaj tsawg. Ib nrab-lub neej ntawm cov khoom xyaw nquag siv 5 teev. Enoxaparin thiab nws cov metabolites tawm ntawm lub cev nrog zis.
Kev ntsuas rau siv. Clexane siv nyob rau hauv kev tiv thaiv thiab kev kho mob ntawm txoj hlab ntshav sib sib zog nqus hauv cov neeg mob uas muaj nruab nrab thiab muaj kev pheej hmoo siab. Kev taw qhia rau kev tswj hwm tshuaj yog: rov qab los ntawm orthopedic thiab kev phais mob dav dav, mob ntshav siab nyob hauv cov neeg mob pw saum txaj, thromboembolism ntawm cov hlab ntshav ntsws. Clexane tuaj yeem siv los tiv thaiv cov ntshav txhaws ntawm qhov hlab plawv hla lub plawv mob thaum lub caij mob hemodialysis. Cov tshuaj txo txoj kev pheej hmoo ntawm kev tuag nyob rau hauv myocardial infarction thiab tsis khov.
Cov Yuav Tsum Tau Ua Clexane tsis tuaj yeem siv rau thaum muaj kev tsis haum tshuaj rau enoxaparin, los ntshav sab hauv, mob ntshav tawm, ua rau lub plab zom mov, kev phais mob yav dhau los hauv tus txha nqaj qaum, cov leeg ntshav ntawm txoj hlab pas. Nrog kev ceev faj, cov tshuaj yog siv rau kev tsis tuaj yeem los ntshav, mob nqaij thiab mob txhab rau lub plab zom mov hauv kev tshem tawm, mob hlab ntsha tawg, rov qab los tom qab yug menyuam, hom 2 mob ntshav qab zib. Txoj kev nyab xeeb ntawm cov tshuaj rau cov menyuam yaus tsis tau lees paub, yog li nws tsis yog rau cov neeg mob hnub nyoog qis dua 18 xyoo.
Txoj kev ntawm daim ntawv thov. Cov tshuaj yog muab tshuaj subcutaneously. Kev noj tshuaj yog txiav txim siab los ntawm hom kab mob thiab qhov mob ntawm lub cev. Nrog rau thrombophilia, 20 mg ntawm enoxaparin yog txhaj rau ib hnub. Txhawm rau txhawm rau tiv thaiv kev mob nrawm tom qab, thawj qhov txhaj tshuaj ntawm Clexane tau muab 2 teev ua ntej kev cuam tshuam. Lub chav kawm ntawm kev kho mob kav 10 hnub, yog tias tsim nyog, txuas ntxiv kom txog thaum cov ntshav coagulation normalizes.
Yeeb tshuaj sib cuam tshuam. Clexane tsis tuaj yeem siv nrog kev siv tshuaj tsis-steroidal anti-inflammatory, thrombolytics, acetylsalicylic acid. Nrog kev ceev faj, cov tshuaj anticoagulant yog siv txuam nrog clopidogrel, ticlopidine, thiab dextran. Thaum siv Clexane ua ke nrog kev npaj tshuaj calcium, yuav tsum kuaj ntshav thiab tso zis tsis tu ncua.
Sab sij huam. Kev siv cov koob tshuaj ntawm lub siab tuaj yeem pab txhawb kev txhim kho ntawm ntshav los ntawm sab hauv, nrog los txo qis ntshav siab, pallor ntawm daim tawv nqaij, leeg tsis muaj zog. Thaum kho, kev tawm tsam tsis haum yuav ua rau daim tawv nqaij khaus, urticaria, o ntawm lub ntsej muag thiab lub suab nrov. Nrog kev tswj hwm subcutaneous ntawm Clexane, hematomas thiab infiltrates tuaj yeem tsim.

Cov yam ntxwv ntawm Fraxiparin

Cov cwj pwm hauv qab no yog cov yam ntxwv ntawm fraxiparin:

Tso tawm daim ntawv thiab muaj pes tsawg leeg. Cov tshuaj tiv thaiv tau muaj nyob rau hauv daim ntawv ntawm kev daws rau kev tswj hwm subcutaneous. Nws yog dej ntshiab, lub teeb daj, tsw ntxhiab tsw. Cov tshuaj muab rau hauv 0.4 ml pov tseg cov iav phwj. Txhua lub koob txhaj tshuaj muaj 3800, 5700 lossis 7600 IU ntawm kev tiv thaiv Xa-nadroparin calcium, calcium hydroxide, dilute hydrochloric acid.
Pharmacological kev txiav txim. Calcium nadroparin khi rau plasma tivthaiv antithrombin, pab txo qis yam kev ua haujlwm Xa. Qhov no piav qhia lub siab tshuaj antithrombotic ntawm cov tshuaj nquag. Piv nrog rau heparin, nadroparin muaj cov lus tsis tshua pom zoo rau platelet aggregation thiab thawj qhov mob hemostasis. Thaum siv hauv cov koob tshuaj nruab nrab, Fraxiparin tsis txo lub sijhawm prothrombin. Nrog txoj kev siv, cov tshuaj kis tau ib lub txiaj ntsig ntev.
Cov Tshuaj Pharmacokinetics Nrog kev tswj hwm ntawm subcutaneous, qhov siab tshaj plaws antithrombotic kev ua si tshwm sim tom qab 3-4 teev. Nadroparin yog yaim yuav luag txhua yam. Nrog kev tswj hwm intravenous, qhov kev txiav txim ntawm Fraxiparin tshwm sim tom qab 10 feeb. Hauv lub siab, tus nadroparin hloov pauv mus rau qhov tsis muaj zog metabolites uas raug tawm los ntawm lub raum. Qhov kev tshem tawm ib nrab-lub neej yuav siv sijhawm 3.5 teev.
Kev ntsuas rau siv. Cov tshuaj yog siv los tiv thaiv thromboembolism hauv kev phais mob, mob plawv thiab ua pa tsis ua haujlwm. Kev qhia ntawm Fraxiparin thaum lub sijhawm hemodialysis tiv thaiv cov ntshav coagulation. Cov tshuaj anticoagulant yog ib feem ntawm cov txheej txheem kho mob nyuaj rau myocardial infarction thiab tsis khov. Cov tshuaj yuav siv tau thaum npaj kev cev xeeb tub hauv cov poj niam uas muaj tus mob thrombophilia.
Cov Yuav Tsum Tau Ua Cov tshuaj tsis yog siv rau thrombocytopenia tshwm sim los ntawm kev siv ntawm heparin-based anticoagulants, los ntshav sab hauv, hemorrhagic syndrome, intracranial hemorrhage, mob raum tsis ua haujlwm, mob endocarditis. Cov tshuaj tsis tau sau tseg rau cov menyuam yaus thiab cov hluas hauv qab 18 xyoo. Nrog kev ceev faj, Fraxiparin muab rau noj rau cov kab mob siab, mob ntshav siab, mob plab zom mov, thiab qaug zog ntawm lub cev. Hauv kev kho mob ntshav qab zib, lub xeev ntawm cov hlab pas hlab yuav tsum tau saib xyuas.
Txoj kev ntawm daim ntawv thov. Cov tshuaj no tau muab nyob hauv txoj haujlwm supine hauv qhov nqaij subcutaneous ntawm phab ntsa hauv qab plab. Ua ntej siv Fraxiparin, koj tsis tas yuav tshem tawm cov cua npuas los ntawm cov koob txhaj tshuaj. Lub koob nkag ntawm cov ces kaum sab xis rau hauv cov tawv nqaij clamped. Qhov chaw txhaj tshuaj tsis tas yuav tsum tau txhuam.
Yeeb tshuaj sib cuam tshuam. Thaum siv nrog kev sib xyaw nrog ACE inhibitors, diuretics thiab ntsev ntsev, hyperkalemia yuav tshwm sim. Sib koom siv nrog tus neeg sawv cev antiplatelet ua rau kom ntshav nce tuaj txaus. Nrog kev ceev faj, Fraxiparin raug sam hwm rau cov neeg mob noj glucocorticosteroids.
Sab sij huam. Qhov tshwm sim feem ntau ntawm kev kho mob yog los ntshav ntawm ntau qhov chaw pib, txo qis hauv platelet suav thiab kev fab tshuaj tsis haum. Ib qho tsis tshua muaj kev cuam tshuam yog cov ntaub so ntswg necrosis ntawm qhov chaw txhaj tshuaj, uas yog ua ntej los ntawm kev tsim cov tshuaj infiltrate.

Kev Sib piv Cov Tshuaj

Cov tshuaj Anticoagulants muaj ob qho dav dav thiab cov yam ntxwv sib txawv.

Qhov sib xws ntawm Clexane thiab Fraxiparin lus dag hauv cov cwj pwm hauv qab no:

hom kev siv tshuaj nquag (ob leeg enoxaparin thiab nadroparin tsis tshua muaj qhov hnyav molecular heparins),
kev qhia dav dav rau kev siv,
tau siv nyob rau thaum npaj thiab tswj kev xeeb tub,
daim ntawv tso tawm (ob qho tshuaj muaj nyob hauv kev daws rau subcutaneous thawj coj),
dav dav contraindications thiab phiv.

Qhov sib txawv ntawm cov tshuaj muaj nyob rau hauv tus nqi thiab cov haujlwm ntawm cov tshuaj nquag.

Lub tswv yim ntawm cov kws kho mob

Sergey, hnub nyoog 44 xyoo, Moscow, Hematologist: "Clexane thiab Fraxiparin yog siv los txo cov ntshav sib xyaw ua ke. Qhov no pab tiv thaiv kev txhim kho ntawm cov leeg ntshav txhaws thiab ua kom mob ntshav ntawm cov ntshav hauv cov neeg mob uas tau ua raws li lub txaj pw. thaum cev xeeb tub thiab lactation. Clexane tuaj yeem ua rau ntau qhov kev tsis zoo, yog li nws yuav tsum tau siv nyob rau hauv kev saib xyuas tas li ntawm tus kws kho mob. "

Tatyana, 55 xyoo, Tolyatti, tus kws kho mob txog poj niam: "Clexane thiab Fraxiparin feem ntau tau sau tseg thaum tab tom muaj kev npaj xeeb tub. Cov tshuaj siv tau zoo heev thiab siv tau yooj yim. Kuv xav txog qhov tsis zoo ntawm ob qho tshuaj yuav tsum tau muab tso rau hauv lub plab phab ntsa, uas ua rau mob hnyav. T. "Fraxiparin zoo dua lub cev los ntawm lub cev thiab yog kev kho mob tom qab cev xeeb tub."

Ib qho tshuaj txhaj muaj nyob ntawm qhov ntau npaum li cas: 10,000 anti-Ha ME, 2,000 anti-Ha ME, 8,000 anti-Ha ME, 4,000 anti-Ha ME, lossis 6,000 anti-Ha ME enoxaparin sodium.

Pharmacodynamics thiab pharmacokinetics

Clexane INN (npe thoob ntiaj teb tsis yog npe) enoxaparinCov. Cov tshuaj yog tsawg molecular phaus nrog molecular hnyav ntawm txog 4,500 daltons. Tau los ntawm alkaline hydrolysis heparin benzyl ethermuab rho tawm los ntawm cov hnyuv quav.

Thaum siv nyob rau hauv cov koob tshuaj prophylactic, cov tshuaj hloov me ntsis APTTV, muaj yuav luag tsis ntxim rau platelet aggregation thiab cov fibrinogen khi. Hauv kev kho mob koob tshuaj enoxaparin nce APTTV 1.5-2.2 npaug.

Tom qab txoj kev txhaj tshuaj subcutaneous enoxaparin sodium 1.5 mg ib qhov hnyav ntawm lub cev hnyav ib hnub ib zaug, qhov kev ua kom sib luag tau tshwm sim tom qab 2 hnub. Lub bioavailability nrog subcutaneous thawj coj nce mus txog 100%.

Enoxaparin Sodium metabolized hauv lub siab los ntawm desulfation thiab depolymerizationCov. Cov khoom noj uas tau ua tiav muaj cov kev ua haujlwm tsawg heev.

Kev tshem tawm ib nrab-lub neej yog 4 teev (kev tswj hwm ib leeg) lossis 7 teev (ntau thawj coj). 40% tshuaj no tau tawm los ntawm lub raum. Chaw Sau Ntawv enoxaparin hauv cov neeg mob laus, ncua los ntawm kev ua haujlwm tsis zoo hauv lub raum.

Hauv cov neeg muaj lub raum puas, ua kom meej meej enoxaparin txo qis.

Kev ntsuas rau siv

Cov tshuaj no muaj cov nram qab no contraindications:

kev tiv thaiv thiab embolism leeg ntshav tom qab phais,
kev nyuaj lossis tsis yoojyim ntawm txoj kev kho,
kev tiv thaiv mob ntsws vwm thiab embolism ntawm leeg nyob rau hauv cov neeg uas tau pw saum txaj ntev vim yog muaj kev kho kab mob (mob ntev thiab mob lub plawv tsis ua hauj lwmhnyav kis tau tus mob, ua pa tsis ua hauj lwmntse rheumatic kab mob),
kev tiv thaiv mob ntsws vwm nyob rau hauv lub koom tes nrog cov ntshav ua kom ntau ntxiv,
kev kho thiab tsis muaj Q yoj,
muaj tshuaj kho plawv nres nrog rau kev nce hauv cov Seem hauv ST hauv cov tib neeg uas xav tau tshuaj kho.

Cov Yuav Tsum Tau Ua

rau cov tshuaj ntawm cov tshuaj, thiab lwm qhov tsis hnyav molecular phaus.
Cov kab mob uas muaj feem yuav los ntshav ntau, xws li hawv yuav rho menyuam tawm, ntshav tawm, hemorrhagic.
Kev siv Clexane thaum cev xeeb tub hauv cov poj niam nrog lub plawv dhia ua si yog txwv tsis pub.
Hnub nyoog qis dua 18 xyoo (kev nyab xeeb thiab kev ua tau zoo tsis tsim).

Siv nrog ceev faj nyob rau hauv cov nram no:

kab mob nrog los ntawm hemostatic cuam tshuam (hemophilia, hypocoagulation, thrombocytopenia, kab mob von Willebrand) hais tawm vasculitis,
mob rwj los yog mob plab duodenal, voos thiab ua kiav txhab tawm ntawm lub plab zom mov,
tsis ntev los no ischemic,
hnyav
hemorrhagic los yog ntshav qab zib retinopathy,
nyob rau hauv cov ntawv loj
nyuam qhuav yug los
cov kev cuam tshuam txog neurological lossis ophthalmic tsis ntev los no,
ua kom tiav epidural lossis txha caj qaum tshuaj loogcn mob hlwb ce,
cov kab mob
tshuaj tiv thaiv mob hauv plab,
mob pericarditis,
kev puas tsuaj rau lub raum lossis mob siab
kev raug mob hnyav, qhib dav txhab dav dav,
kev sib koom tes tswj hwm nrog cov tshuaj cuam tshuam rau cov kab mob hemostatic.

Sab sij huam

Ib yam li lwm cov tshuaj anticoagulants, muaj kev pheej hmoo los ntshav, tshwj xeeb nrog cov txheej txheem sib kis lossis siv cov tshuaj uas cuam tshuam rau hemostasis. Yog tias kuaj pom los ntshav, tsis txhob muab cov tshuaj, nrhiav qhov ua kom tshwm sim, thiab pib kho qhov tsim nyog.

Thaum siv tshuaj nyob rau tom qab epidural txawm yog txha caj qaum tshuaj loog cov teeb meem ntawm postoperative penetrating catheters neuroaxial hematomasua rau cov kab mob neurological ntawm qhov sib txawv, nrog rau kev tsis tuaj yeem.

Thrombocytopenia nrog vein prophylaxis hauv cov neeg mob uas muaj kev phais mob, kev kho mob, thiab nrog qhov nce ntawm ntu ntu ST, nws tau tshwm sim hauv 1-10% ntawm tus neeg mob thiab hauv 0.1-1% ntawm cov neeg mob nrog mob ntsws vwm leeg ntshav hauv tus neeg mob lub txaj pw thiab kev kho mob kho myocardial infarction thiab.

Tom qab kev qhia paub ntawm Clexane hauv qab ntawm daim tawv nqaij, ua kom pom ntsej muag hematomas ntawm qhov chaw txhaj tshuaj. Hauv 0.001% ntawm tus neeg mob, hauv zos necrosis tawv nqaij.

Tsis tshua muaj qhov ua kom tawv nqaij thiab muaj zog ntau, nrog rau.

Asymptomatic hloov zuj zus nyob rau hauv nplooj siab enzyme ntau kuj tau piav.

Cov lus qhia siv Clexane

Cov lus qhia rau kev siv Clexane qhia tias cov tshuaj no tau ua haujlwm tob tob hauv txoj haujlwm supine ntawm tus neeg mob.

Yuav ua li cas nkaug Clexane?

Cov tshuaj yuav tsum tau noj nyob rau hauv sab laug thiab sab xis cheeb tsam ntawm lub plab hloov ua lwm yam. Txhawm rau ua qhov kev txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum tau ua xws li kev tswj hwm xws li qhib cov koob txhaj tshuaj, ua rau lub ntsej muag thiab tso nws ntawm qhov ntev kom txog ntawm qhov ntev, mus rau hauv daim tawv nqaij dhau los sau los ntawm tus ntiv tes xoo thiab forefinger. Cov pob suav yog tso tawm tom qab txhaj tshuaj. Nws tsis pom zoo kom zaws qhov chaw txhaj tshuaj.

Yees duab yuav ua li cas thiaj nkaug Clexane:

Cov tshuaj tsis raug tso cai muab tshuaj intramuscularly.

Cov txheej txheem kev qhia. 2 hno ib hnub nrog rau qhov kis tau tus mob 12 teev. Qhov muab tshuaj rau ib qho kev tswj hwm yuav tsum yog 100 anti-XA IU ib kilogram ntawm lub cev hnyav.

Cov neeg mob uas muaj kev pheej hmoo siab tshwm sim yuav tsum tau txhaj 20 mg ib hnub ib zaug. Thawj txoj kev txhaj tshuaj yog 2 teev ua ntej kev phais mob.

Cov neeg mob muaj kev pheej hmoo siab tshwm sim mob ntsws vwm nws raug nquahu kom siv 40 mg ntawm Clexane ib zaug ib hnub (thawj zaug txhaj 12 teev ua ntej kev phais mob), lossis 30 mg ntawm cov tshuaj ob zaug ib hnub (thawj tswj 13-24 teev tom qab phais). Qhov nruab nrab ntawm kev kho yog ib lub lis piam lossis 10 hnub. Yog tias tsim nyog, kev kho mob tuaj yeem txuas ntxiv thaum muaj kev pheej hmoo mob ntsws vwm.

Kev Kho Mob. Cov tshuaj raug muab rau tus nqi ntawm 1.5 mg ib kilogram ntawm lub cev qhov hnyav ib hnub ib zaug. Lub chav kawm ntawm kev kho mob feem ntau kav 10 hnub.

Kev Tiv Thaiv mob ntsws vwm thiab embolism leeg ntshav hauv cov neeg mob pw saum txaj vim tshwm sim los ntawm cov kab mob kev kho mob. Qhov xav tau ntawm cov tshuaj yog 40 mg 1 zaug hauv ib hnub (ntev li 6-14 hnub).

Noj ntau dhau

Kev siv tshuaj ntau dhau heev tuaj yeem ua rau muaj mob hnyav hemorrhagic lwm yam nyuaj. Nrog rau qhov ncauj ua haujlwm, kev nqus ntawm cov tshuaj rau hauv cov kab mob rau hauv nruab nrab yog tsis zoo li.

Kev tswj hwm qeeb yog qhia raws li tus sawv cev nruab nrab. protamine sulfate tso leeg ntshav. Ib mg ntawm cov tshuaj tiv thaiv neutralizes ib mg ntawm enoxaparin. Yog tias ntau tshaj 12 teev tau dhau los ntawm kev pib noj ntau dhau, tom qab ntawv qhia protamine sulfate tsis tas yuav.

Cov lus qhia tshwj xeeb

Thaum siv cov tshuaj txhawm rau txhawm rau tiv thaiv qhov sib nyiam txhawm rau txhawm rau txhawm los ntshav tsis pom. Thaum siv Clexane rau cov hom phiaj kho, nws muaj kev pheej hmoo los ntshav hauv cov neeg laus. Hauv cov rooj plaub no, kev saib xyuas ntawm tus neeg mob yog qhov tsim nyog.

Clexane tsis cuam tshuam rau lub peev xwm ntawm kev tsav tsheb.

Kleksan cov lus piv txwv

Cov kev sib tw rau ATX Qib 4 code:

Kleksan cov qauv sib piv nrog cov tshuaj muaj zog: Clexane 300, Novoparin, Enoxarin.

Qhov twg yog qhov zoo dua: Clexane lossis Fraxiparin?

Nquag nug tus neeg mob ib lo lus nug txog kev sib piv ntawm cov tshuaj. thiab Clexane zwm rau tib pab pawg thiab yog cov duab analogues. Tsis muaj kev tshawb fawb tau lees paub qhov zoo ntawm ib qho tshuaj dua lwm qhov. Yog li, kev xaiv ntawm cov tshuaj yuav tsum tau nqa los ntawm cov kws kho mob koom nrog kev soj ntsuam cov duab ntawm tus kab mob, qhov xwm txheej ntawm tus neeg mob thiab lawv tus kheej kev paub.

Contraindicated rau cov neeg tsis tau muaj 18 xyoo.

Kev taw qhia thiab contraindications

Feem ntau, cov kws kho mob tau sau ntawv Flexan lossis Fraxiparin. Cov tshuaj yog qhov sib luag ib zaug, qhov sib txawv ntawm Fraxiparin thiab Clexane nyob hauv tus nqi ntawm cov tshuaj yeeb dej caw hauv ib koob. Clexane yog ib nrab li Fraxiparin.

Tom qab txhua yam, raws li koj paub, cov ntshav ntawm tus poj niam cev xeeb tub yog tuab heev, ceeb toom rau lub cev tiv thaiv tsis tau ntshav tawm thaum yug menyuam. Tab sis nrog IVF, cov ntsuas qhov ntsuas siab dua qhov tsis suav feem ntau yog qhov tsis tuaj yeem, vim qhov no, kev hloov pauv ntawm tes yog qhov ua tau.

Clexane thiab Fraxiparin raug xaj rau ntau tus poj niam cev xeeb tub, tab sis tsis yog txhua tus paub vim li cas lawv tau txhaj tshuaj. Ob yam tshuaj no puav leej pab tiv thaiv ntshav txhaws.

Vim li cas Kleksanpri IVF tshuaj:

rau ntshav thinning,
thrombosis prophylaxis,
txhawm rau kom tsis txhob muaj kev sib cuam tshuam ntawm tes vim tas mus li kev phais mob hauv lub cev,
pauj cov ntshav ntws rov qab rau tus menyuam.

Clexane nyob rau hauv IVF yuav pab tshem cov ntshav. Nws yog ib qho tseem ceeb, ua ntej pib siv cov tshuaj, nws yog qhov zoo dua rau sab laj nrog hematologist, vim tias tus poj niam lub cev tsis tuaj yeem tsis tuaj yeem rov zoo xwb, tab sis kuj cuam tshuam los ntawm cov tshuaj.

ua xua rau heparin thiab derivatives,
muaj qhov pheej hmoo ntawm kev raug rho tawm yam tsis muaj nuj nqis,
muaj keeb kwm kab mob nrog rau los ntshav.

Nws tsim nyog sau cia tias cov tshuaj tsis tuaj yeem siv ua ke nrog acetylsalicylic acid thiab cov tshuaj nyob hauv uas nws muaj.

Yuav kom ua tiav qhov tshwm sim zoo tshaj plaws los ntawm kev txhaj tshuaj, koj yuav tsum ua raws li cov lus pom zoo rau lawv siv.

Dab tsi zoo dua li hemapaxan lossis fraxiparin? Txawm hais tias lawv ua rau anticoagulants, cov tshuaj ua kom sib txawv yog txawv rau lawv, thiab lawv tsis tas yuav muab piv.

Yuav kom ua tiav cov txiaj ntsig siab, koj yuav tsum ua qhov txhaj tshuaj kom yog.

dag nej nraub qaum
tsis tso cua ntawm lawv koob txhaj tshuaj,
mus ntxuav qhov chaw ntawm qhov iab liam txhaj tshuaj,
mus rau daim tawv nqaij ntawm lub plab,
tshuaj yuav tsum tau muab tshuaj subcutaneously,
pom zoo kom tso tawm cov tawv nqaij tom qab kev txhaj tshuaj,
tsis txhob knead qhov chaw txhaj tshuaj,
nkag mus rau hauv ntau qhov chaw ntawm lub plab ua pa theej.

Cov tshuaj yog nyob rau hauv cov phwj uas pov tseg uas twb tau ua tiav, lawv tsis muaj menyuam.

Elena Volkova, Txiv neej, hnub nyoog 42 xyoos

Kuv twb muaj tus kab mob ntawm thrombophlebitis ntawm qhov qis qis rau 14 xyoos, nrog kev puas tsuaj rau cov leeg ntshav ntau. Teeb meem nyob rau hauv daim ntawv ntawm trophic mob rau ntawm sab ceg thiab plab hlaub. Kuv noj tshuaj warfarin 2 ntsiav tshuaj 2 zaug ib hnub. kwv yees li ib lis piam, ua ntej ntawd, tau li 2 lub lis piam ntxiv, Kuv noj 1 ntsiav tshuaj 2 zaug nyob rau ib hnub. Cov tshuaj ntsuam tsis ntev los no ntawm MNO1.14, IPT 84. Yav dhau los, tsis tshua muaj lub cev hnyav molecular heparin raug tshuaj hauv lwm lub nroog, tab sis cov kws kho mob hauv lawv lub nroog tsis tau hnov tias siv cov tshuaj no. Kuv xav paub yuav xam lub koob tshuaj thiab tshuaj twg zoo dua. Kuv lub cev hnyav yog 105-110 kg. Kev npaj Clexane los yog fraxiparin. Tej zaum lwm yam yog ua tau. Kuv tsuas pom cov no. Theej, koj tuaj yeem xaj hauv lub tsev muag tshuaj zoo li tsuas yog. KLEKSAN TXHAJ TSHUAJ TSHUAJ 8000 ANTI-HA ME / 0.8 ML. SYRINGES Zauv 10 FRAXIPARINE KEV CAI ПК ПК 9500 ANTI-HA ME / ML 0.8 ML. HLOOV NPE 10

Nyob zoo Tav Koj tau coj nws mus pov tseg, vim tias koj yuav tsum muaj INR ntsuas ntawm 2-3, txwv tsis pub nws tsis ua haujlwm thiab tsis muaj qab hau. Koj tuaj yeem hloov nws nrog Pradax lossis (! Lawv raug coj hauv cov qauv tshuaj thiab tsis tas yuav kuaj kev kuaj) Raws li rau clexane thiab fraxiparin, lawv tsis yooj yim rau txoj kev ntawm cov thawj coj. Tsis txhob hnov qab txog qhov zoo siab lub tsho khi rau koj cov teeb meem. Txheeb cais, tus kws kho mob Vascular Evgeny A. Goncharov

Qhov kev sab laj ntawm tus kws kho mob phlebologist ntawm lub ncauj lus "Kuv muaj thrombophlebitis Kuv xav txhaj clexane los yog fraxiparin" yog muab rau kev siv hom phiaj nkaus xwb. Tom qab kev sab laj, thov sab laj nrog tus kws kho mob, suav nrog txhawm rau paub cov teeb meem muaj feem cuam tshuam.

Tus kws kho mob, plawv plawv sab nrauv (phlebologist), tus kws phais neeg feem ntau, tus kws kho mob kuaj mob ultrasound.

Tus Tswv Cuab ntawm Lavxias Society of Angiologist thiab Vascular Surgeons, tus tswv cuab ntawm European Society of Vascular Surgeons, tus tswv cuab ntawm International Society of Lymphologist (ISL)

VGMA lawv. N.N. Burdenko ua tshwj xeeb hauv kev lag luam kho mob
Cov chaw soj ntsuam nyob MMA muaj npe tom qab I.M.Sechenov, tshwj xeeb "phais"
Soj ntsuam chaw nyob ntawm NMHTS lawv. N.I. Pirogov, kev kho mob ua rau mob plawv phais,
Kev rov qhia txoj haujlwm tshwj xeeb "Ultrasound Diagnostics"

Thaj chaw ntawm cov kws tshaj lij: txhua hom kev phais mob thiab kev kho kom zoo ntawm cov kab mob ntawm cov hlab ntsha thiab cov hlab ntsha: atherosclerosis obliterans ntawm cov ceg qis ntawm cov hlab ntsha nrog tseem ceeb ischemia thiab ntshav qab zib mellitus, vascular malformations thiab congenital angiodysplasias, stenosing atherosclerosis ntawm lub caj qaum ntawm cov hlab ntsha nrog anchemia thiab cov hlab ntsha , Tus kab mob Raynaud thiab mob ntsws, mob ntshav tawm ntawm cov leeg qis, mob ntshav khov thiab mob ntshav ntawm sab sauv thiab nqaj nqaj qis, lymphedema (ntxhw), mob rwj, mob pob txha ntawm cov leeg me (pelvic venous congestion syndrome), thiab lwm yam, endolymphatic txoj kev kho mob.

Tsis yog txhua tus poj niam thaum cev xeeb tub yuav tsum tau noj tshuaj uas txo cov ntshav coagulation. Yog tias muaj qhov xav tau no tshwm sim, cov kws kho mob feem ntau nyiam Clexane. Txawm li cas los xij, cov tshuaj muaj qee qhov tsis sib haum thiab tej zaum yuav ua rau muaj kev phiv.

Kev Ntsuam Xyuas Rau Neeg Mob rau Fraxiparin thiab Clexane

Natalya, hnub nyoog 56 xyoo, Kursk: “Fraxiparin tau raug tshuaj ua ntej kev ua haujlwm rau kev ua haujlwm ntawm lub hauv caug ntawm lub hauv caug. Raws li tus kws kho mob tau piav qhia, qhov no pab kom tsis txhob txhaws ntawm cov leeg ntshav tob tom qab kev ua haujlwm. "Cov lus qhia txog tshuaj tiv thaiv tsis ua rau muaj kev cuam tshuam txog kev phais mob. Cov tshuaj tsis ua rau muaj kev phiv."

Fraxiparin lossis Clexane: uas yog qhov zoo dua los xaiv thaum cev xeeb tub

Fraxiparin hais txog cov tshuaj uas yog ib feem ntawm kev ua yeeb yam ncaj qha pawg neeg thiab muaj kev ua yeeb yam antithrombotic. Cov tshuaj txhim kho cov ntshav ncig, cov roj cholesterol ib txwm ua. Cov tshuaj nquag ntawm cov tshuaj yog nadroparin Ca, nws yog lub cev nyhav molecular heparin, tau txais vim depolymerization ntawm heparin.

Qhov ua tiav antithrombotic yog pom tshwm sim vim qhov ua kom fibrinolysis los ntawm kev tshem plasminogen activator ncaj qha los ntawm cov hlwb endothelial thiab kev txhawb tshwj xeeb ntawm cov nqaij mos tau ua kom zoo rau lub zog. PM yog pom los ntawm cov nyhuv antithrombotic ntev.

Ntau tus neeg nyiam nrog dab tsi yog qhov txawv ntawm Clexane thiab Fraxiparin, vim hais tias cov tshuaj muaj cov nyhuv zoo sib xws. Fraxiparin, tsis zoo li Clexane, muaj enoxaparin Na. Ntxiv rau qhov kev txiav txim siab antithrombotic ntawm cov tshuaj, tsis muaj kev cuam tshuam ntawm kev sib txuas ntawm fibrinogen ncaj qha nrog platelet receptors, nrog rau cov txheej txheem ntawm kev sib sau ua ke ntawm platelet hlwb.

Thaum raug tsa

Nws yog qhov tsim nyog los txhawm rau Fraksiparin thiab Kleksan nyob rau hauv cov teeb meem no thaum tus poj niam muaj qhov sib thooj rau thrombosis lossis tus niam yav tom ntej muaj lub siab. Nws kuj tseem pom zoo tias kev kho mob nrog cov tshuaj no rau thrombophilia, nrog kev tsim cov ntshav txhaws hauv cov hlab ntsha sib sib zog nqus, nrog ischemia, thiab nyob rau hauv rooj plaub thaum qhov mob plawv lossis ua pa tsis ua haujlwm.

Feem ntau, cov kws kho mob pom zoo kom Clexane siv rau kev tiv thaiv, nws yog qhia rau kev siv hauv lub sijhawm thib 2 ntawm cev xeeb tub. Yog tias cov tshuaj no tsis haum rau tus poj niam, yuav siv cov tshuaj Fraxiparin.

Tsis tas li, cov tshuaj no tuaj yeem tsim nrog thawj IVF raws tu qauv, kev siv cov tshuaj yuav tsum tau ua nyob rau hauv kev saib xyuas nruj ntawm cov kws tshaj lij.

Daim ntawv thov nta

Ob qho tshuaj no yog npaj rau kev tswj hwm sc;

Yuav txhaj tshuaj li cas

Nws raug nquahu kom tswj hwm kev hno tom qab tus poj niam tau coj txoj hauv kev dag. Qhov chaw txhaj tshuaj yuav tsum tau hloov chaw (sab laug thiab sab xis ntawm thaj chaw anterolateral lossis posterolateral ntawm lub plab). Tom qab ntes cov tawv nqaij ntsaws ntawm ntiv tes taw thiab ntiv tes xoo, rab koob tau ntxig ntsug. Massaging thaj chaw ntawm kev tswj hwm tshuaj yuav tsum tsis pub. Lub sijhawm kho yog feem ntau 7-10 hnub. Tom qab qhov no, nws raug nquahu kom muab ntshav rau kev soj ntsuam kom paub tseeb tias txhua qhov platelet zoo li qub. Nws yog ib qho tseem ceeb kom khaws ib daim ntawv teev sijhawm ntawm cov ntaub ntawv khaws cia tshuaj los ntawm lub lim tiam ntawm cev xeeb tub.

Qhov ntau npaum li cas ntawm Clexane lossis Fraxiparin yog txiav txim siab ib tus zuj zus. Txhawm rau tiv thaiv kom tsis txhob mob thrombosis, 40 mg ntawm Clexane tau raug hais qhia ib hnub ib zaug rau 1-2 lub lis piam. Nrog txoj hlab ntshav sib sib zog nqus, 1.5 mg ntawm cov tshuaj rau 1 kg ntawm qhov hnyav ntawm 1 p. thoob plaws hauv ib hnub lossis 1 mg ob zaug ib hnub. Yog tias ampoules nrog cov tshuaj tseem nyob tom qab cev xeeb tub, tuaj yeem siv tau yog tsim nyog yav tom ntej.

Feem ntau, Fraxiparin pob khoom yog qhov txaus rau chav kawm ntawm kev kho mob, koob tshuaj tsawg kawg nkaus yog 0.3 ml, kev qhia ntawm cov tshuaj yog nqa tawm ib hnub ib zaug. Yog tias hematologist tau sau tseg rau kev siv cov tshuaj raws li ib txoj kev qhia, tus neeg mob lub cev qhov hnyav thiab hnub nyoog cev xeeb tub yuav raug txiav txim siab.

Fraxiparin lossis: uas yog qhov zoo dua rau xaiv thaum cev xeeb tub

Qhov sib xws ntawm cov khoom sib xyaw ntawm Fraxiparin thiab Clexane

Fraxiparin yog ib qho tshuaj anticoagulant muaj cov khoom antithrombotic. Nws tsim cov microcirculation thiab normalizes cov ntshav roj hauv lub cev. Nquag tshuaj ntawm cov tshuaj yog nadroparin calcium.

Lub antithrombotic ua haujlwm ntawm cov tshuaj nquag muaj kev cuam tshuam los ntawm hemostasis. Sai sai tau siv ntev kawg.

Clexane yog qhov tsis tshua muaj molecular hnyav heparin, nrog rau kev ua yeeb yam ncaj qha anticoagulant. Cov tshuaj phiv yog enoxaparin sodium, cuam tshuam rau heparins. Cov nyhuv ntawm cov tshuaj yog qhia los ntawm qhov kev ua kom paub ntawm antithrombin III, vim tias qhov kev txwv tsis pub ua ntawm IIa thiab Xa yog kev tiv thaiv.

Cov tshuaj muaj qhov ua kom ntev ntawm antithrombotic, uas tsis muaj qhov cuam tshuam zoo rau kev cuam tshuam ntawm fibrinogen nrog platelets.

rau kev tiv thaiv ntawm thromboembolism tom qab kev phais mob,
nyob rau hauv kev kho mob ntawm thromboembolism, angina pectoris, varicose leeg, plawv nres.

txhawm rau txhawm rau txhawm rau txhawm rau txhaus ntswg,
nyob rau hauv kev kho mob ntawm angina pectoris, thrombosis, mob plawv.

Fraxiparin raug txhaj rau hauv txoj hlab ntshav thiab subcutaneously. Cov kev kho mob kav ib lub lim tiam, qhov tshuaj rau txhua hnub yog 0.3 ml. Thawj qhov tshuaj yog muab 2-4 teev ua ntej phais. Hauv kev phais orthopedic, kev muab tshuaj thawj zaug yog siv 12 teev ua ntej kev ua haujlwm thiab 12 teev tom qab ua haujlwm. Lub chav kawm ntawm kev kho mob yog 10 hnub.

Clexane siv los ua kev txhaj tshuaj subcutaneous. Cov tshuaj tsis tuaj yeem siv tshuaj intramuscularly. Hauv kev ua haujlwm ntawm lub plab, cov tshuaj yog sau tseg hauv ib koob tshuaj 20-40 ml ib hnub. Kev txhaj thawj zaug tau ua tiav 2 teev ua ntej txheej txheem. Rau cov kev cuam tshuam orthopedic, kev siv tshuaj ntau 40 mg ib hnub yog siv. Thawj koob tau txhaj tshuaj 12 teev ua ntej kev phais mob. Lub chav kawm ntawm kev kho mob kav 7-10 hnub.

Fraxiparin tsis tuaj yeem sib xyaw nrog txhua txoj kev. Cov Txheej Txheem Siv Rau Fraxiparin:

hypersensitivity rau cov tshuaj,
los ntshav
mob rwj los yog mob plab duodenal,
endocarditis.

Cov tshuaj ua rau thrombocytopenia.

Cov Txheej Txheem Siv rau Clexane:

hypersensitivity rau cov tshuaj,
los ntshav
cev xeeb tub
lub xub ntiag ntawm cov khoom cua lub plawv valve,
tsis tau muaj 18 xyoo
ib qho kiav txhab
ischemic mob stroke
nyuam qhuav yug los
endocarditis
mob ntshav qab zib mellitus
mob pericarditis
lub siab thiab lub raum khiav tsis zoo.

Fraxiparin tuaj yeem ua rau cov kev mob tshwm sim:

kev fab tshuaj tsis haum
los ntshav
lub siab ua tsis taus haujlwm,
hematomas ntawm qhov chaw txhaj tshuaj,
thrombocytopenia
hyperkalemia

Thaum kho nrog Clexane, cov kev mob tshwm sim tsis zoo yuav tshwm sim:

los ntshav
mob plab zom mov,
tu leeg ntshav zais,
hematomas ntawm tus txha caj qaum,
cov leeg mob hlwb
tuag tes tuag taw
paresis
thrombocytopenia
kev fab tshuaj tsis haum ntawm thaj chaw txhaj tshuaj.

Nrog txoj kev loj hlob ntawm los ntshav, nws yog qhov yuav tsum tau nres txoj kev kho mob nrog tus neeg muag tshuaj.

Dab tsi yog qhov txawv ntawm Fraxiparin thiab Clexane

Cov tshuaj yuav luag zoo li qub, qhov sib txawv ntawm Fraxiparin thiab Clexane tsuas yog nyob rau hauv cov nyiaj ntawm cov tshuaj yeeb dej caw hauv ib koob tshuaj. Clexane yog ib nrab li Fraxiparin.

Clexane yog siv rau kev ntxias tsim:

rau ntshav thinning,
thrombosis prophylaxis,
txhawm rau kom tsis txhob muaj kev sib faib ntawm tes,
pauj cov ntshav ntws rov qab rau tus menyuam.

Tus nqi ntawm cov tshuaj Clexane hauv khw muag tshuaj:

Cov koob txhaj tshuaj 40 mg, 0.4 ml, 10 pcs. (Fabkis), nqe - 2760 rubles.
Koob txhaj 60 mg, 0.6 ml, 2 pcs. (Fabkis), nqe - 713 rubles.
Cov koob txhaj tshuaj 20 mg, 0.2 ml, 10 pcs. (Fabkis), nqe - 1785 rubles.

Tus nqi ntawm cov tshuaj Fraxiparin hauv cov chaw muag tshuaj:

Cov koob txhaj tshuaj 2850 IU 0.3 ml 10 pcs. (Ireland), nqe - 1950 rubles.
Koob txhaj 5700 IU 0.6 ml 10 pcs. (Ireland), nqe - 3409 rubles.
Cov koob txhaj tshuaj 7600 IU 0.8 ml 10 pcs. (Ireland), nqe - 4640 rubles.
Koob txhaj 3800 IU 0.4 ml 10 pcs. (Ireland), nqe - 2934 rubles.

Cov kws kho mob ntseeg tias kev teb cov lus nug uas zoo dua yog qhov nyuaj. Rau txhua tus neeg, tus kws kho mob xaiv cov tshuaj ntawm tus kheej. Fraxiparin muaj ob peb qhov kev tiv thaiv thiab ua rau muaj kev cov nyom ntau ntxiv. Clexane tuaj yeem ua rau muaj kev cuam tshuam loj heev nrog lub txim loj.

Ntawm tus nqi ntawm Fraxiparin yog qhov pheej yig dua. Los ntawm qhov ua tau zoo, ob qho tshuaj muaj cov nqi siab.

Thaum tus kws kho mob tau sau ntawv rau ib qho ntawm cov tshuaj no, nws yuav tsum xub kuaj tus neeg mob thiab nrhiav seb tus neeg mob puas muaj kab mob pathologies uas cov tshuaj no yog contraindicated.

Niam Hlob. Cov app rau Niam Niaj Hnub

Download rau iOS lossis Android

Cov ntxhais xav tau cov lus qhia, uas yog qhov zoo dua Kleksan lossis Fraksiparin?
Tus kws kho mob tau hais kom Fraxiparin rau kuv, tab sis kuv hnov tias muaj ntau cov kev mob tshwm sim los ntawm nws ntau dua los ntawm Clexane.

Qhib hauv lub

Koj yuav muaj peev xwm kom pom tag nrho cov duab, tawm tswv yim thiab nyeem lwm cov ntawv hauv Mom.life app

Qhib cov ncej no
nyob rau hauv lub Mom.life app

Kleksan Och painfully prick! Thiab Fraxiparin tsis yog

Thiab yog li ob qho tag nrho yog qhov zoo

Tus kws kho mob Kleksan tau sau tseg rau kuv. Stitching yog tsis mob kiag li (txawm hais tias kuv muaj tus mob ntau ntxiv thiab kuv ntshai qhov mob). Tsis xav tias txhua

Yog tias kuv noj tshuaj heparin ua rau cov ntshav nyias

Kuv raug kho mob Clexane

- @ marika7051 heparin thaum cev xeeb tub? nws tsis tuaj yeem yog clexane lossis frax xwb

Kuv nyav Kleksan tam sim no, nws mob heev!

Ob leeg cev xeeb tub pricked fraks

Tsis muaj sab sab, nws puas pab koj? @ 1978koty

Kuv tsis paub yuav nkaug nws txoj cai е о Cov menyuam ntxhais qhia kuv thov

Kuv tau raug tshuaj heparin analogue ntawm fraseparin hauv moniage

Thiab cov platelets yog li qub

- @ marika7051 Kuv nqa ua ntej. nyob hauv thawj lub nroog, hauv flibology, nyob ntawd lawv tau hais rau kuv tias heparin muaj kev phom sij txaus ntshai, nws tsis tau txhaj tshuaj. thiab yuav ua li cas muaj ntau yam tsis pw hauv tsev kho mob tsuas yog fraks los yog clexane pricked

- @ elena51577 ttt, tsis tau, ob tus ntxhais ua tau zoo. Kuv saib hauv YouTube yuav ua li cas thiaj nkaug kom raug. thaum xub thawj nws tau txaus ntshai, thiab tom qab ntawd raws li xav paub yam tsis muaj kev ntshai

Tus kws kho mob hais rau peb Kleksan qhov kev nyab xeeb tshaj plaws

Caws nyob rau hauv lub cheeb tsam umbilical subcutaneously. Kuv nyiam lub lawj ntawm cov neeg mob: ntawm lub plab, lub tsev rau khoom noj taw tes thiab willow. lawv tau hais tias nws tsis raug mob, nws tsuas yog tsis kaj siab xwb. thiab tej zaum muaj doog ib ncig ntawm txoj hlab ntaws.

Tus kws kho mob tau hais tias koj tuaj yeem thiab Kleksan.

Kuv thawj zaug fraxiparin 0.3 siv sijhawm ntev heev, tom qab ntawd muaj kev fab tshuaj tawm hauv qhov kev txheeb xyuas, Kuv tsis paub txog nws lossis lwm yam, tab sis lawv pauv kuv mus rau clexane 0.4, tab sis kuv tsis muaj dab tsi hlo li, tam sim no kuv tau nce mus rau 0.6 , peb yuav saib. Kuv txhais tau tias, koj yuav tsum sim thiab xaiv dab tsi ua haujlwm. Thiab kuv tsis muaj kev phiv los sis tsis zoo rau lwm tus)

Kolya fraksiparin txhua cev xeeb tub, tsis muaj kev mob tshwm sim! Tus kws kho mob hais tias lawv zoo ib yam! Tab sis clexane tsis muaj qhov ntau npaum ntawm 0.3, thiab kuv xav tau xws li a qhov ntawd yog vim li cas lawv tau sau tseg nws!

Hauv 1b, fraxeparin raug hno. tsis muaj kev mob tshwm sim. Hais txog Kleksan ces tsis hnov.

Lawv muaj cov qauv sib txawv. Clexane, piv txwv, tsis pab kuv, d-dimer tsuas yog loj hlob. tsis muaj kev cuam tshuam tshwm sim ntawm fraxiparin

- @polimishik, zoo ib yam rau qee qhov, d-dimer tsuas yog loj hlob. Qhov twb tau txhaj lawm ob npaug. 0.6 + 0.6 ib hnub

Hloov mus rau fraxiparin, tej zaum clexane tsis haum rau koj ib yam nkaus. 0.6 + 0.6 ntau heev!

Sau cov tshev nyiaj los ntawm Kleksan, tom qab ntawd koj tuaj yeem xa 13% ntawm tus nqi them. Kuv pricked tag nrho kuv cev xeeb tub thiab xa rov qab 8,000 rubles. Koj tuaj yeem nyeem ntxiv hauv PM lossis hauv kuv pawg https://m.vk.com/vernindfl2015

- @ persefona-85, tab sis koj hloov pauv ntawm ib cov yeeb tshuaj mus rau lwm qhov li cas? Hnub tom qab lawv pricked lwm? Lossis lawv puas tau so ib hnub lossis ob hnub?

- @marmelade tam sim ntawd hnub tom qab stabbed lwm.

- @ persefona-85, ua tsaug ntau ntau! ☺️ Kuv yuav tsum mus tag kis) thiab tsis muaj leej twg teb kuv cov lus hauv dej ntws. txhawj xeeb

- @marmelade, zoo siab los pab))

Txoj kev ntawm daim ntawv thov

Cov tshuaj yog tshwj xeeb subcutaneous thiab leeg:

kev phais dav dav Cov. Nws raug nquahu kom siv cov tshuaj no tsawg kawg xya hnub hauv ib koob tshuaj 0.3 millilitents. Thawj koob tau muab rau tus neeg mob li ob txog plaub teev ua ntej,
Kev phais mob pob qij txha Cov. Thawj koob tshuaj Fraxiparin raug siv rau cov neeg mob kaum ob teev ua ntej kev phais mob, thiab tseem tom qab tib lub sijhawm ntawm lub sijhawm tom qab nws. Cov tshuaj no raug nquahu kom siv nyob hauv kaum hnub.

Cov tshuaj Clexane tsuas yog siv rau kev tswj hwm subcutaneous, thaum nws tsim nyog paub tias cov tshuaj no txwv tsis pub ua cov tshuaj intramuscularly:

hauv plab ua haujlwm Cov. Nws siv nyob rau hauv qhov ntau npaum ntawm 20-40 milliliters ib zaug ib hnub ib zaug. Thawj koob tshuaj ua ntej kev phais mob raug siv hauv ob teev,
lub sijhawm ua haujlwm orthopedic Cov. Ib koob tshuaj 40 milligrams yog siv ib zaug ib hnub ib zaug. Thaum pib, cov tshuaj raug tswj kaum ob teev ua ntej kev phais mob. Txawm li cas los xij, tseem muaj lwm txoj kev tswj hwm rau kev tswj hwm, thiab nws yog 30 millilitres ob zaug ib hnub, thiab thawj koob tshuaj yog muab rau 12-24 teev tom qab kev phais.

Lub chav kawm ntawm kev kho mob nrog cov cuab yeej no yog los ntawm ib lub lis piam txog 10 hnub, thaum nws tuaj yeem txuas ntxiv kom txog thaum qee lub sijhawm, thaum tseem muaj kev pheej hmoo ntawm thrombosis. Feem ntau ncua tsis pub ntau tshaj tsib lub lis piam.

Nws tsim nyog paub tias Fraxiparin tsis siv tshuaj intramuscularly, thiab tsis muaj xwm txheej dabtsi nws yuav tsum tov nrog lwm cov tshuaj.

Sab sij huam

Thaum kho nrog Fraxiparin, cov kev mob tshwm sim hauv qab no tuaj yeem tshwm sim:

kev fab tshuaj tsis haum
los ntshav
nce qib ntawm daim siab enzymes,
me me hematomas ntawm qhov chaw txhaj tshuaj,
hnoos qeev hno ntawm qhov chaw txhaj tshuaj,
thrombocytopenia
eosinophilia
hyperkalemia

Thaum kho nrog Clexane, cov kev mob tshwm sim hauv qab no:

los ntshav
hemorrhagic mob
kev tsim kho cov hemorrhage hauv thaj chaw retroperitoneal,
kev txhim kho hemorrhage nyob rau hauv lub cranial kab noj hniav,
tuag taus tshwm sim
kev loj hlob ntawm hematoma ntawm tus txha caj qaum,
kev txhim kho cov leeg hlwb tsis sib haum,
tuag tes tuag taw
paresis
thrombocytopenia
kev tsis haum tshuaj ntawm qhov chaw txhaj tshuaj,
nce qib ntawm kev hloov tsheb.

Nrog kev los ntshav, nws yog ib qho tsim nyog los nres kev siv Clexane.

Thaum muaj kev nrawm nrawm thiab tawv nqaij liab tau tsim nyob rau hauv qhov chaw txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum tso tseg qhov kev siv tam sim ntawd thiab sab laj nrog koj tus kws kho mob.

Tus kws kho mob yuav sau ntawv Clexane ntev npaum li cas?

Kev txiav txim siab txog kev tuaj yeem suav nrog hauv kev kho tus mob ntawm Clexane tsuas yog txiav txim los ntawm tus kws kho mob nkaus xwb. Hauv thawj peb lub hlis thaum cev xeeb tub, cov kws kho mob tsis xav kom muab cov tshuaj txhaj rau leej niam uas tseem yuav muaj me nyuam. Qhov no yog vim qhov tseeb tias tsis muaj cov ntaub ntawv hais txog qhov cuam tshuam ntawm cov khoom ua kom nquag plias ntawm lub cev. Hauv cov theem thaum ntxov, nws yog ib qho tseem ceeb heev los txo cov kev pheej hmoo ntawm kev loj hlob ntawm cov kab mob pathologies ntawm tus menyuam, vim nws yog nyob rau lub sijhawm no tias txhua yam kabmob thiab cov kab ke ntawm tus menyuam raug tsim.

Raws li cov lus qhia, cov tshuaj tsis tsim nyog rau cov poj niam cev xeeb tub. Txawm li cas los xij, hauv kev coj ua, cov kws kho mob feem ntau kho nws pib txij lub hlis thib ob. Tab sis cov kev kho mob yog nyob rau hauv kev saib xyuas ntawm tus kws kho mob uas ua tib zoo saib xyuas lub xeev ntawm kev noj qab haus huv ntawm niam, kawm txog kev hloov pauv hauv ntshav suav.

Ib lub tsev menyuam loj hlob tsis yog tsuas ua kom qhov plab hnyuv sab hauv ntawm tus poj niam xwb, tab sis kuj nce ntxiv rau cov leeg leeg. Raws li qhov tshwm sim, muaj mob ntawm cov hlab ntsha ntawm cov hlab ntshav thiab qhov tsim los ntawm cov ntshav txhaws. Clexane yog tsim los tiv thaiv kom mob plab nyob hauv plab thiab pob txha qis.

Yuav muab tshuaj li cas

Cov txheej txheem ntawm kev tswj hwm ntawm Clexane yog qhov txawv ntawm qhov ib txwm. Qhov tseeb yog tias cov tshuaj txwv tsis pub mus txhaj tshuaj intramuscularly lossis leeg ntshav. Raws li cov lus qhia, ib txoj kev txhaj tshuaj yog ua rau qhov tob hauv daim tawv nqaij ntawm sab laug thiab sab plab sab hauv. Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob nkaus xwb, nyob ntawm kev kuaj mob ntawm tus niam cev xeeb tub thiab cov yam ntxwv ntawm tus kheej hauv hom kev xeeb tub. Feem ntau, cov poj niam tos menyuam yuav tsum tau muab rau noj txhua hnub, uas yog 0.2-0.4 ml ntawm cov tshuaj.

Cov lus qhia rau kev qhia hauv qab ntawm daim tawv nqaij hauv plab

Yuav kom raug tshuaj rau hauv cov tshuaj rau hauv lub cev, koj yuav tsum ua raws li cov lus pom zoo hauv qab no.

Txhawm rau kom yooj yim, cov kws kho mob qhia koj ua cov txheej txheem hauv qhov chaw nquag. Lub chav kawm ntawm kev kho mob kuj tau txiav txim los ntawm tus kws kho mob koom nrog. Qhov nruab nrab, nws yog 7-14 hnub.

Yuav ua li cas kom tsis txhob haus cov tshuaj: txiav tawm ntau lossis maj mam

Kev tshem ntawm Clexane ua ntej yug menyuam muaj nws tus yam ntxwv. Hauv qee qhov xwm txheej, lawv tau thawb nws (piv txwv li, nrog kev hem thawj ntawm kev nchuav menyuam thiab los ntshav). Tab sis feem ntau, qhov no yuav tsum tau ua maj mam thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob, maj mam txo cov koob tshuaj thiab ua cov kev kuaj ntshav tsis tu ncua. Ua ntej txoj kev phais mob plab phais, kev siv cov tshuaj feem ntau yuav tsum nres ib hnub ua ntej kev ua haujlwm, thiab tom qab ntawd ntau qhov kev txhaj tshuaj ntxiv tiv thaiv kom tsis txhob tuaj ntshav.

Txog txhua lub intricacies ntawm kev tshem tawm ntawm Kleksan yuav qhia tus kws tshaj lij.

Clexane thaum cev xeeb tub thiab lactation

Nws yog txwv tsis pub (tshwj tsis yog thaum muaj txiaj ntsig rau leej niam muaj ntau dua qhov phom sij rau tus menyuam hauv plab) siv Clexane thaum cev xeeb tub. Qhov tshwm sim tuaj yeem tsis tuaj yeem tsim nyog, vim tsis muaj cov ntaub ntawv qhia meej txog kev cuam tshuam ntawm kev siv Clexane thaum cev xeeb tub hauv nws cov chav kawm.

Yog tias koj yuav tsum tau siv Clexane, koj yuav tsum cuam tshuam lub sijhawm pub mis niam thaum kho.

Niam Hlob. Cov app rau Niam Niaj Hnub

Download rau iOS lossis Android

Qhib hauv lub

Koj yuav muaj peev xwm kom pom tag nrho cov duab, tawm tswv yim thiab nyeem lwm cov ntawv hauv Mom.life app

Qhib cov ncej no
nyob rau hauv lub Mom.life app

Kleksan Och painfully prick! Thiab Fraxiparin tsis yog

Thiab yog li ob qho tag nrho yog qhov zoo

Tus kws kho mob Kleksan tau sau tseg rau kuv. Stitching yog tsis mob kiag li (txawm hais tias kuv muaj tus mob ntau ntxiv thiab kuv ntshai qhov mob). Tsis xav tias txhua

Yog tias kuv noj tshuaj heparin ua rau cov ntshav nyias

Kuv raug kho mob Clexane

- @ marika7051 heparin thaum cev xeeb tub? nws tsis tuaj yeem yog clexane lossis frax xwb

Kuv nyav Kleksan tam sim no, nws mob heev!

Ob leeg cev xeeb tub pricked fraks

Tsis muaj sab sab, nws puas pab koj? @ 1978koty

Kuv tsis paub yuav nkaug nws txoj cai е о Cov menyuam ntxhais qhia kuv thov

Kuv tau raug tshuaj heparin analogue ntawm fraseparin hauv moniage

Thiab cov platelets yog li qub

Tus kws kho mob hais rau peb Kleksan qhov kev nyab xeeb tshaj plaws

Tus kws kho mob tau hais tias koj tuaj yeem thiab Kleksan.

Hauv 1b, fraxeparin raug hno. tsis muaj kev mob tshwm sim. Hais txog Kleksan ces tsis hnov.

Lawv muaj cov qauv sib txawv. Clexane, piv txwv, tsis pab kuv, d-dimer tsuas yog loj hlob. tsis muaj kev cuam tshuam tshwm sim ntawm fraxiparin

- @polimishik, zoo ib yam rau qee qhov, d-dimer tsuas yog loj hlob. Qhov twb tau txhaj lawm ob npaug. 0.6 + 0.6 ib hnub

Hloov mus rau fraxiparin, tej zaum clexane tsis haum rau koj ib yam nkaus. 0.6 + 0.6 ntau heev!

- @ persefona-85, tab sis koj hloov pauv ntawm ib cov yeeb tshuaj mus rau lwm qhov li cas? Hnub tom qab lawv pricked lwm? Lossis lawv puas tau so ib hnub lossis ob hnub?

- @marmelade tam sim ntawd hnub tom qab stabbed lwm.

- @ persefona-85, ua tsaug ntau ntau! ☺️ Kuv yuav tsum mus tag kis) thiab tsis muaj leej twg teb kuv cov lus hauv dej ntws. txhawj xeeb

- @marmelade, zoo siab los pab))

Nws qee zaum tshwm sim nws yog qhov nyuaj heev rau ib khub niam txiv uas muaj menyuam. Vim li no, lawv raug yuam siv lwm txoj kev xav ntawm kev xeeb menyuam. Tab sis qhov no, nws yuav tsim nyog los pab txhawb nqa leej niam lub cev nrog kev noj tshuaj, vim hais tias ua ntej IVF nws siv tshuaj tua kabmob. Txij li thaum tus poj niam cev xeeb tub cov ntshav tuab, qhov no yog qhov tsis zoo rau nws vim tsis yog rau nws, tab sis kuj rau kev mob ntshav ntawm tus menyuam hauv plab. Yog li ntawd, nws tau raug muab tshuaj anticoagulants. Tab sis dab tsi yog qhov zoo dua Kleksan lossis Fraksiparin - cov ntaub ntawv hauv qab no yuav pab kom nkag siab.

Cov nyhuv thiab kev nyab xeeb ntawm cov tshuaj Clexane

Clexane belongs rau cov pab pawg ntawm kev coj ncaj qha anticoagulants; nws yog siv los txhim kho lub rheological tsis tau (hloov hauv viscosity) ntawm cov ntshav. Kev lag luam kws tshuaj tau tsim cov tshuaj tua kab mob hauv daim ntawv ntawm cov iav phwj siv uas muaj lub ntsej muag daj daj los yog cov kua xim ua kua ntawm ntau yam tshuaj.

Lub hauv paus ua haujlwm tseem ceeb ntawm Clexane yog enoxaparin sodium, thiab dej ua raws li cov khoom tiv thaiv kab mob. Lub bioavailability ntawm cov tshuaj nrog subcutaneous thawj coj yog 100%. Qhov no txhais tau tias cov tshuaj yog xau nkag rau tag nrho.

Clexane yog ib qho tshuaj tiv thaiv ncaj nraim uas cuam tshuam rau cov ntshav coagulation

Cov cuab yeej ua kom muaj antithrombin III (cov protein tshwj xeeb hauv lub cev), thiaj li ua kom cov ntshav txhaws. Vim lub antithrombotic kev txiav txim ntawm cov tshuaj, coagulation ntshav txo, nws viscosity normalizes.

Cov lus qhia tsis muaj cov ntaub ntawv uas Kleksan txwv tsis pub siv thaum cev xeeb tub. Txawm li cas los xij, nws tau qhia tias cov tshuaj tau sau tseg tsuas yog thaum muaj kev qhia tsim nyog rau qhov no tsim los ntawm hematologist lossis gynecologist.

Clexane tau zoo tsim hauv kev soj ntsuam, kws kho mob lub tswvyim txog cov tshuaj muaj qhov tshwm sim zoo heev. Txawm li cas los xij, muaj lwm qhov kev pom. Qhov tseeb yog tias thaum cev xeeb tub, txheej txheem hypercogulation (ntshav tuab, uas cuam tshuam nrog kev npaj yug menyuam) yog qhov tsis suav. Yog li ntawd, feem ntau, cov niam cev xeeb tub tsis tas yuav siv cov tshuaj thrombolytic.

Rau cov poj niam uas muaj lub siab zoo li mob pob txha, Clexane tau pom zoo ua ib qho kev tiv thaiv nrog rau lwm txoj hauv kev, vim tias lawv muaj 50% txoj kev mob ntshav txhaws (ntxiv, nyob rau 90% ntawm tus neeg mob, cov teeb meem thromboembolic tuaj tom qab yug menyuam). Thaum siv cov tshuaj rau cov hom phiaj prophylactic, tsis muaj tus cwj pwm ntawm kev nce ntxiv hauv cov tsos ntawm los ntshav.

Cov cim tseem ceeb rau kev teem caij Clexane thaum cev xeeb tub yog:

cov leeg mob ntshav qab zib,
kev txhim kho ntawm hypercoagulable syndrome (nce ntshav coagulation),
lub siab tsis ruaj ntseg,
lub plawv tsis ua hauj lwm
predisposition rau thrombosis.

Txhawm rau tus poj niam cev xeeb tub, cov tshuaj no tsuas yog kho hauv II thiab III trimesters nkaus xwb. Nws tseem tsis tau kawm txog tias cov tshuaj muaj feem cuam tshuam rau kev txhim kho ntawm tus menyuam licas, yog li ntawd, hauv thawj 12 lub lis piam, thaum cov kabmob thiab cov kabmob ntawm menyuam tau tso pw, nws tsis yog yam tshuaj.

Tsoom Fwv Tebchaws Asmeskas Khoom Noj thiab Tshuaj Yeeb tau txwv Clexane li qeb B. Qhov no txhais tau tias kev sim tsiaj txhu tsis tau qhia qhov cuam tshuam tsis zoo rau tus me nyuam hauv plab. Txawm li cas los xij, kev tshawb fawb txaus thiab ua tiav ntawm cov poj niam cev xeeb tub tsis tau ua. Yog li, tus kws kho mob tuaj yeem sau tshuaj rau yog tias muaj qhov xav tau tiag tiag rau nws siv.

Cov kev cai rau kev siv tshuaj

Qhov ntau npaum li cas thiab kev kho mob ntev npaum li cas yog txiav txim siab nyob ntawm qhov mob yooj yim, hnub nyoog ntawm tus poj niam cev xeeb tub thiab nws qhov hnyav. Cov tshuaj no tsuas yog noj raws li kws kho mob tau hais thiab raws li nws kev saib xyuas nruj. Lub chav kawm ntawm kev kho mob tuaj yeem yog 2-10 hnub, yog tias tsim nyog, txuas ntxiv.

Cov tshuaj Kleksan tau tso tawm tiav nrog cov tshuaj ampoules-koob txhaj tshuaj

Taw qhia cov txheej txheem

Kev txhaj tshuaj yog muab rau tsuas yog subcutaneously hauv plab.

Ua ntej kev ua tus txheej txheem, tus poj niam pw ntawm lub couch.
Kev txhaj tshuaj yog tsim rau sab laug lossis sab xis ntawm txoj hlab ntaws.
Hauv qhov chaw xaiv, daim tawv nqaij sau nyob rau hauv ib daim quav thiab koob txhaj tshuaj yog tso rau hauv nws ncaj qha txiav mus rau txhua qhov tob.
Tom qab tus neeg sawv cev nkag siab tag nrho, daim tawv nqaij tso tawm.

Nws yuav tsum tau yug los hauv lub siab tias nws yog txwv tsis pub zaws thiab khawb qhov chaw txhaj tshuaj.

Cov poj niam cev xeeb tub tau txhaj tshuaj Clexane los ntawm cov kws tu neeg mob hauv tsev kho mob

Kev txhaj tshuaj yog nruj me ntsis txwv tsis pub nkag rau hauv intramuscularly. Ua ke nrog cov tshuaj Kleksan, tus kws kho mob, raws li txoj cai, sau ntawv rau dragees Curantil lossis Dipyridamole (txhawm rau txhim kho placental ntshav txaus, ua kom cov leeg ntshav tawm, thiab tseem yuav tshem tawm cov me nyuam hauv plab hypoxia).

Nws tsis pom zoo kom sai nres nres kev siv. Cov kws kho mob qhia maj mam txo qhov ntau npaum li cas ntawm cov tshuaj thiab kom tsis txhob txhaj tshuaj 2-3 hnub ua ntej yug (ua ntej phais plab ntu - ib hnub). Qhov no ua tiav thiaj tsis muaj teeb meem los ntshav. Tom qab xa menyuam tas, rov qab txhaj tshuaj dua yuav rov pib siv dua li tsawg kawg los tiv thaiv cov ntshav txhaws.

Analogues ntawm cov tshuaj

Clexane belongs rau cov pab pawg ntawm qis molecular hnyav heparins, yog li tsis muaj ib qho tshuaj tiav ua kom tiav cov tshuaj. Txhua yam tshuaj sib txawv ntawm cov cev nyhav, muaj pes tsawg leeg thiab muaj kev cuam tshuam rau lub cev ntawm tus poj niam cev xeeb tub.

Hloov Clexane nrog lwm cov tshuaj yog ua tau nyob rau thaum muaj kev phiv lossis lwm yam kev xav tsis xav tau.

Cov lus - Cov tshuaj rau kev tiv thaiv tus mob thrombosis tso cai los ntawm poj niam cev xeeb tub

Npe	Yam khoom muaj sia	Daim ntawv tso tawm	Cov Khoom Qhia	Cov Yuav Tsum Tau Ua	Cev xeeb tub
Fraxiparin	Nadroparin calcium	Txhaj tshuaj tov	Kev tiv thaiv thiab kho mob thrombosis, lub siab tsis ruaj ntseg, Myocardial infarction tsis muaj Q yoj.	Kev tsis haum tshuaj rau cov feem ntawm cov tshuaj, los ntshav thiab txoj kev pheej hmoo ntawm lawv tshwm sim, mob rwj mob raum tsis ua haujlwm endocarditis nyob rau theem mob huam tuaj.	Cov kev tshawb nrhiav tsiaj tsis pom muaj qhov tsis zoo ntawm calcium nadroparin ntawm tus me nyuam hauv plab, txawm li cas los xij, tam sim no tsuas muaj cov ntaub ntawv tsuas yog hais txog kev nkag mus ntawm ib yam khoom los ntawm cov placenta hauv tib neeg. Yog li, kev teem caij mus thov cov tshuaj Fraxiparin thaum cev xeeb tub tsis pom zoo, tshwj tsis yog muaj txiaj ntsig rau leej niam muaj txiaj ntsig zoo rau tus menyuam.
Heparin sodium	Heparin sodium	Kev daws rau subcutaneous thiab intravenous thawj coj	Kev tiv thaiv thiab kho mob thrombosis, myocardial infarction, angina pectoris, arrhythmia, ua txhaum ntawm microcirculation ntawm cov ntshav.	Hypersensitivity rau Cheebtsam, los ntshav kab mob ntawm lub plawv, mob siab, mob plab zom mov, hawv hem luag tua neeg.	Siv thaum cev xeeb tub yog ua tau tsuas yog nyob rau hauv kev ntsuas nruj thiab kev saib xyuas mob nkeeg.
Novoparin	Enoxoparin sodium	Txhaj tshuaj tov	Mob Siab thromboembolism (txhaws ntawm cov hlab ntshav los ntawm thrombus), myocardial infarction tsis ruaj khov angina pectoris.	Kev pheej hmoo los ntshav ntau yam kev los ntshav, nrog rau mob plab thiab mob duodenal, hypersensitivity rau lub Cheebtsam.	Tsis muaj pov thawj dab tsi tias enoxaparin sodium hla lub cev placental. Txawm li cas los xij, nws yuav tsum tau siv thaum yug menyuam tsuas yog thaum muaj xwm txheej ceev, thaum lub txiaj ntsig kev cia siab rau leej niam muaj txiaj ntsig zoo dua qhov muaj feem yuav ua rau muaj menyuam hauv plab. Cov yeeb tshuaj tsis pom zoo rau siv rau hauv cov poj niam cev xeeb tub nrog lub plawv nres.
Gemapaxan
Fragmin	Cov Sodium Dalteparin	Kev daws rau kev txhaj tshuaj	Kev nrawm ntawm phab ntsa ntawm cov hlab ntsha txhaws ntawm cov hlab ntsws, kev tiv thaiv kev nce ntshav coagulation.	Los ntshav, los ntshav tu, thrombocytopenia mob hlab ntsha hlwb kev phais mob tam sim no ntawm lub hauv nruab nrab hauv lub paj hlwb, hnov lus lossis pom kev zoo, ua kom lub cev tsis haum rau cov tshuaj ntawm cov tshuaj.	Thaum siv nyob rau hauv cov poj niam hauv txoj hauj lwm, tsis muaj qhov tsis zoo rau lub sijhawm ntawm cev xeeb tub, nrog rau kev noj qab haus huv ntawm tus menyuam, yog li qhov kev pheej hmoo ntawm kev tsis zoo rau tus me nyuam hauv plab tau ntsuas yog tsawg. Tab sis vim tias qhov phom sij tsis tuaj yeem raug cais tawm tag nrho, Fragmin yog tsuas yog ua raws li cov lus qhia nruj me ntsis, thaum lub hom phiaj tau txais txiaj ntsig rau leej niam outweighs qhov kev pheej hmoo.
Heparin tshuaj pleev	Heparin sodium, benzocaine benzyl nicotinate.	Tshuaj pleev	Thrombophlebitis ntawm cov nqua hemorrhoids leeg mob thrombosis, hematomas phlebitis (liab ntawm phab ntsa venous) tom qab kev txhaj tshuaj.	Kev ua haujlwm tsis zoo mob rau thaj tsam muaj mob, ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij.	Kev siv tshuaj heparin tshuaj pleev rau lub cev thaum xeeb tub yog ua tau tsuas yog ua raws li cov cim nruj me ntsis. Tsis txhob siv nrog Clexane.

Ib qho tshuaj txhaj muaj nyob ntawm qhov ntau npaum li cas: 10,000 anti-Ha ME, 2,000 anti-Ha ME, 8,000 anti-Ha ME, 4,000 anti-Ha ME, lossis 6,000 anti-Ha ME enoxaparin sodium.

Concomitant siv nrog lwm yam tshuaj

Nws yog txwv tsis pub siv Clexane ua ke nrog lwm cov tshuaj uas cuam tshuam rau cov txheej txheem ntshav coagulation, piv txwv li, nrog Curantil lossis Dipyridamole. Nrog qee pab pawg ntawm cov tshuaj, piv txwv li, tsis siv tshuaj tiv thaiv tsis haum tshuaj, tshuaj anticoagulants (inhibit ntshav coagulation) thiab thrombolytics (yaj ntshav txhaws), Clexane tsis siv rau hauv kev txiav txim tsis ua rau los ntshav.

Dab tsi yog cov analogues thiab lwm txoj kev xaiv rau kev hloov Clexane

Muaj lwm cov tshuaj ntxiv raws li enoxaparin sodium ntawm lub khw muag tshuaj, yog li cov kws muag tshuaj tuaj yeem hloov tshuaj. Tag nrho cov analogues ntawm Xexan yog:

Yog tias, qhov tshwm sim ntawm kev kho mob nrog Clexane, tus poj niam muaj kev mob tsis zoo lossis muaj qhov tsis sib haum rau txoj kev siv, tus kws kho mob koom yuav xaiv lwm yam tshuaj. Zoo ib yam li cov kev kho muaj:

Fraxiparin yog ib yam tshuaj lom neeg muaj txiaj ntsig hauv kev kho thiab tiv thaiv ntshav txhaws,
Warfarin - muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj xiav thiab tau siv thaum lub sijhawm cia siab ntawm ib tus menyuam tsuas yog nyob hauv kab thib ob thiab thib peb,
Fragmin - kev daws rau kev txhaj tshuaj muaj cov nyhuv antithrombotic.

Gallery: Fraxiparin, Warfarin, Gemapaxan thiab lwm yam tshuaj siv los kho thrombosis

Fragmin yog tshuaj rau cov poj niam cev xeeb tub los kho tus mob thrombosis
Warfarin raug txwv nyob rau thawj peb lub hlis thaum cev xeeb tub, Fraxiparin muaj ua ib koob tshuaj.

Anfibra muaj nyob rau hauv ntau qhov kev siv tshuaj. Gemapaxan yog siv los ua kom cov ntshav nyias thiab tawm tsam cov ntshav txhaws.

Cov lus: cov yam ntxwv ntawm cov tshuaj uas tuaj yeem raug teem tseg rau cov poj niam cev xeeb tub los hloov Clexane

Npe	Daim ntawv tso tawm	Yam khoom muaj sia	Cov Yuav Tsum Tau Ua	Siv thaum cev xeeb tub
ampoule tov	dalteparin sodium	tiv thaiv kab mob thrombocytopenia kev raug mob lossis phais mus rau lub hauv nruab nrab cov hlab hlwb, qhov muag lossis pob ntseg, los ntshav hnyav ua xua rau kev sib xyaw ntawm cov tshuaj, leeg ntshav siab mob raum thiab mob siab.	Cov tshuaj tuaj yeem siv thaum cev xeeb tub, qhov pheej hmoo ntawm cov teeb meem rau tus me nyuam hauv qab yog qhov tsawg heev. Txawm li cas los xij, nws tseem mob siab, yog li cov tshuaj yuav tsum raug txhaj tshuaj nkaus xwb ntawm kev pom zoo los ntawm kws kho mob.
ntsiav tshuaj	warfarin sodium	thawj peb hlis cev xeeb tub thiab 4 lub lis piam dhau los ntawm cev xeeb tub, kev ua siab zoo ntawm siab siab rau cov feem ntawm kev siv tshuaj lossis kev ua xyem xyav ntawm qhov ua rau siab zoo, mob ntshav khov mob siab thiab mob raum, mob siab rau DIC thrombocytopenia tsis muaj protein C thiab S, varicose leeg ntawm cov hnyuv, txoj leeg ntshav liab, nce kev pheej hmoo ntawm los ntshav, suav nrog hemorrhagic mob, mob duodenal, cov mob hnyav, suav nrog kev kho mob tom qab, lumbar puncture cov kab mob endocarditis, kub siab malignant, txoj hlab ntshav mob intracranial, hemorrhagic mob stroke.	Qhov khoom ntawd cuam tshuam sai rau cov txiaj ntsig thiab ua rau muaj teeb meem thaum yug ntawm 6-12 lub lim tiam ntawm kev xeeb tub. Thaum lub sijhawm yug menyuam thiab thaum menyuam yug menyuam, nws tuaj yeem ua kom ntshav los ntshav. Warfarin tsis tau raug tshuaj nyob rau thawj lub hlis thib plaub, ib yam li hauv 4 lub asthiv uantej hnub yug tus menyuam. Lwm lub sijhawm, siv tsuas yog thaum tsim nyog xav tau.
koob txhaj tshuaj	nadroparin calcium	los ntshav los yog nws muaj feem yuav nrog mob hemostasis ntau zuj zus, thrombocytopenia nrog kev siv nadroparin yav dhau los, hloov khoom nruab nrog nrog kev pheej hmoo los ntshav, mob raum tsis ua haujlwm txoj hlab ntshav mob intracranial, raug mob los yog kev khiav hauj lwm rau tus txha nraub qaum thiab lub hlwb los yog ntawm lub qhov muag, Tus mob endocarditis, ua kom lub cev tsis haum rau cov tshuaj ntawm cov tshuaj.	Cov kev sim tsiaj tsis tau qhia qhov tsis zoo ntawm calcium nadroparin ntawm tus me nyuam hauv plab, txawm li cas los xij, hauv thawj 12 lub lim tiam ntawm cev xeeb tub, nws yog qhov zoo dua kom tsis txhob muaj cov thawj coj ntawm Fraxiparin ob qho tib si hauv cov tshuaj prophylactic thiab hauv hom kev kho mob. Thaum lub caij II thiab III txiav tawm, nws tuaj yeem siv tsuas yog ua raws li tus kws kho mob tau pom zoo rau kev tiv thaiv kev mob ntawm cov leeg ntshav (thaum piv cov txiaj ntsig rau leej niam nrog qhov kev pheej hmoo rau tus me nyuam). Kev kho mob chav kawm nyob rau lub sijhawm no tsis siv.

Mumlife - thov rau niam niaj hnub

Download tau rau iPhone, Hauv

Qhib hauv daim ntawv thov

Hauv daim ntawv thov koj tuaj yeem saib tag nrho cov duab ntawm tus ncej no, nrog rau kev tawm tswv yim thiab nyeem lwm cov ntawv ntawm tus sau

Nyob rau hauv daim ntawv thov Mumlife -
sai dua thiab yooj yim dua

Cov lus

Kleksan Och painfully prick! Thiab Fraxiparin tsis yog

Thiab yog li ob qho tag nrho yog qhov zoo

Tus kws kho mob Kleksan tau sau tseg rau kuv. Stitching yog tsis mob kiag li (txawm hais tias kuv muaj tus mob ntau ntxiv thiab kuv ntshai qhov mob). Tsis xav tias txhua

Yog tias kuv noj tshuaj heparin ua rau cov ntshav nyias

Kuv raug kho mob Clexane

- @ marika7051 heparin thaum cev xeeb tub? nws tsis tuaj yeem yog clexane lossis frax xwb

Kuv nyav Kleksan tam sim no, nws mob heev!

Ob leeg cev xeeb tub pricked fraks

Tsis muaj sab sab, nws puas pab koj? @ 1978koty

Kuv tsis paub yuav nkaug nws txoj cai е о Cov menyuam ntxhais qhia kuv thov

Kuv tau raug tshuaj heparin analogue ntawm fraseparin hauv moniage

Thiab cov platelets yog li qub

Tus kws kho mob hais rau peb Kleksan qhov kev nyab xeeb tshaj plaws

Tus kws kho mob tau hais tias koj tuaj yeem thiab Kleksan.

Hauv 1b, fraxeparin raug hno. tsis muaj kev mob tshwm sim. Hais txog Kleksan ces tsis hnov.

Lawv muaj cov qauv sib txawv. Clexane, piv txwv, tsis pab kuv, d-dimer tsuas yog loj hlob. tsis muaj kev cuam tshuam tshwm sim ntawm fraxiparin

- @polimishik, zoo ib yam rau qee qhov, d-dimer tsuas yog loj hlob. Qhov twb tau txhaj lawm ob npaug. 0.6 + 0.6 ib hnub

Hloov mus rau fraxiparin, tej zaum clexane tsis haum rau koj ib yam nkaus. 0.6 + 0.6 ntau heev!

- @ persefona-85, tab sis koj hloov pauv ntawm ib cov yeeb tshuaj mus rau lwm qhov li cas? Hnub tom qab lawv pricked lwm? Lossis lawv puas tau so ib hnub lossis ob hnub?

- @marmelade tam sim ntawd hnub tom qab stabbed lwm.

- @ persefona-85, ua tsaug ntau ntau! ☺️ Kuv yuav tsum mus tag kis) thiab tsis muaj leej twg teb kuv cov lus hauv dej ntws. txhawj xeeb

Ib qho tshuaj txhaj muaj nyob ntawm qhov ntau npaum li cas: 10,000 anti-Ha ME, 2,000 anti-Ha ME, 8,000 anti-Ha ME, 4,000 anti-Ha ME, lossis 6,000 anti-Ha ME enoxaparin sodium.