ImpiloAmalungiselelo

Ngo kokukhulelwa, "Clexane": izici isicelo, imiyalelo kanye impendulo

Ngezikhathi ezithile lapho owesifazane okhulelwe kungaba sigweme izinkinga zempilo esikhathini esibucayi kangaka. Ukuze silondoloze esimweni esejwayelekile bejwayele ukuthatha ezihlukahlukene imithi. Enye yezindlela ukuthi kumele kusetshenziswe ekukhulelweni - "Clexane". Yabela ke uma kunesidingo yokwelapha antiplatelet kuphela ngaphansi kweso esiqinile of onguchwepheshe.

incazelo imithi

Ukuze ukwelashwa kanye nokuvimbela thrombus kumiswa kusho osebenza "Clexane", ebhekise iqembu anticoagulants. izidakamizwa ezisetshenzisiwe e ukuhlukumezeka, ukuhlinzwa, amathambo. Active izidakamizwa ingxenye - sodium enoxaparin - kuyalithinta antithrombotic dilutes igazi kanye esuselwe ka heparin ka ongaphakeme isisindo yamangqamuzana ezinto eziphilayo. Ngo kokukhulelwa, "Clexane" kusetshenziswe ngokuqapha futhi ngemithamo emincane ukuthi musa kuthinte isikhathi ebangela ukopha.

Ukulungiswa uketshezi (kungenambala noma ogodweni ophuzi) ngoba umjovo, okuyinto ikhiqizwa imijovo ekhethekile. imithamo abahlukahlukene isithako esisebenzayo: 2000, 4000, 6000, 8000 no-10,000 anti-Xa IU e isipetu olulodwa. Iphakheji iza ezimbili Ukweqiwa izidakamizwa.

Izinkomba ukusetshenziswa

Umjovo izidakamizwa elibekelwe aphathe lokhu okulandelayo isifo uthi:

  • Deep vein thrombosis.
  • emithanjeni embolism ngemva kokuhlinzwa.
  • Ukuvimbela thrombosis kanye embolism kubantu osekuyisikhathi eside kulesi sikhundla lisalele.
  • Iziguli isebenzisa umshini wezinso ekuvimbeleni ukwakheka izigaxa (uma inqubo sithatha amahora kungekho kuka 4).
  • Angina futhi isilethikusebenza.

Ukusetshenziswa "Clexane" ngesikhathi sokukhulelwa

Ngokusho imiyalelo nomkhiqizi olusemthethweni ukuze isetshenziswe anticoagulant ngesikhathi sokukhulelwa ingane kungaba yinto yokugcina okungaphendukelwa kuyo uma inzuzo unina bulingana ingozi yezinkinga ezingenzeka embungwini. Eqinisweni, umkhuba wokusebenzisa enquma kwezidakamizwa abesifazane kule sikhundla ukhona, futhi kuphumelela ngempela. Naphezu kwakho konke lokhu, izazi enesibopho sokuxwayisa iziguli mayelana nocwaningo esanele umthelela we ketshezi esebenzayo on ukuthuthukisa i-fetus.

Imijovo "Clexane" ngesikhathi sokukhulelwa, odokotela abaningi linqume kuphela senyanga 2nd. Ukuze avimbele izidakamizwa isetshenziswa ngolunye usuku. Ngaphandle izeluleko kongoti akufanele isetshenziswe anticoagulant igazi thinners ukugwema nemiphumela emibi ngendlela efanayo.

Injongo eyinhloko izidakamizwa ngesikhathi sokukhulelwa - nokuvinjelwa deep vein thrombosis elise ukhalo, imbilapho nasemilenzeni. Ngenxa isimo esithile kulezi emithanjeni iyathinteka avame.

Ingabe kukhona Izimo?

Phakathi Izimo ezinkulu ukuze ukusetshenziswa kwezidakamizwa - usongo ukopha ehambisana ne-kokuphazamiseka yokukhulelwa, oluhambisana unhlangothi-cerebral palsy, useshonile, isilonda emathunjini phakathi exacerbation. Iphinde Izimo zihlanganisa zokugula kanye izici:

  • Ukungabekezelelani kuya izingxenye izidakamizwa.
  • Nge umlando unhlangothi-cerebral palsy, uhlobo ischemic.
  • Umfutho ophakeme wegazi.
  • Ubudala kuze kube iminyaka engu-18.
  • Ngifundise ngesifo sikashukela.
  • izizukulwane zakamuva.
  • pathologies abahlukahlukene elihlobene ne hemostasis kahle.
  • Vula amanxeba.
  • Isifo sofuba ngendlela esebenzayo.
  • izifo ezinzima zokuphefumula.
  • Pericarditis.
  • Ukuba khona izimila abulalayo emzimbeni.
  • Ukhuluphele.
  • Kwezinso (isibindi) ukwehluleka.
  • Ukuba khona inzalo intrauterine.

Kanjani ukubala umthamo?

Ngokuzimela ukunquma inani elifanele imithi ukwelapha noma zokuvimbela nzima. Isikali ibala kuphela udokotela ngamunye ngamunye Icala. Ukuze abesifazane e yokuma umthamo wansuku zonke angaba 20-40 mg. Isikhathi yokwelapha kuncike kobukhulu isimo lesiguli. ngokujwayelekile phakathi kwezinsuku 7-10 avele ngcono lubonakale. Ngezinye izikhathi ukwelashwa sandisiwe kufikela kuzinsuku ezingu-14.

Uma zokuvimbela ledzingekako thrombus ukwakheka ngaphambi kokuhlinzwa, isiguli kuboniswa ukungena yesikhathi esisodwa 20 mg umthamo noma 40 (kuye ngokuthi isimo). Umjovo lokuqala ngesikhathi esifanayo senze amahora 2 ngaphambi kokuba uhlinzwe. Ekwelapheni Isikali esivimba amanzi zomuthi ibalwa maqondana isisindo lesiguli.

"Clexane" ngesikhathi sokukhulelwa: indlela ukwambula?

A nomuthi senziwa kuphela ngesimo isixazululo kwezokuphatha ongama. Ngakho-ke, ngenxa yokuntuleka kwezinhlelo ezibanzi isipiliyoni lomjovo lokuqala kufanele kwenziwe ngendlela isikhungo sezokwelapha. Ngokusho imiyalelo ukwenza shot ku ohlangothini esiswini. Ukuze uthole okuhle yi yokwelapha kumele zithobele imithetho nokuphatha izidakamizwa "Clexane" ngesikhathi sokukhulelwa. Izibuyekezo abesifazane ukuqinisekisa ukuphumelela izidakamizwa kuhambisana zonke izincomo.

Okokuqala, kudingeka alungiselele indawo umjovo. Kufanele uthathe isikhundla ezithandwa, sibamba emphethweni isikhumba phezu lateral esiswini bese ufaka inaliti ngokuphelele (thwi). Decompress crease kungenzeka kuphela emva izidakamizwa sifakwe ngokuphelele.

Abesifazane abaningi abakhulelwe ukwesaba zokukhwabanisa enjalo, kodwa eqinisweni isizathu imizwa akufanele kube. Ngo ukuphathwa Igumbi umtholampilo kufanele ifundise umama esizayo nokubonisa indlela efanele ukukhetha isayithi umjovo futhi wenze shot. Ngemva manipulation indawo umjovo akuvunyelwe ukuba uwuhlikihle, massage.

side effects

Anticoagulant ngesikhathi sokukhulelwa "Clexane" zisebenza kuphela ubufakazi futhi ngaphansi kokuqondisa udokotela ukuba khona, ngoba kusho kakhulu kwandisa ingozi nesenzakalo ebangela ukopha. Ngesikhathi izinsolo kancane imithi kumele kunqanyulwe ngokushesha ukuthuthukisa isimo sokugembula futhi athintane isikhungo sokwelapha.

Kwezinye izimo, ukuthuthukiswa thrombocytopenia ezilotshwe ezinsukwini zokuqala zokwelashwa anticoagulants. Ezimweni eziningi, kuba nokwaziswa ubuhlungu endaweni yomkhuleko umjovo akhiwa hematoma, uphawu ukuvuvukala. komzimba ngezinye izikhathi kubonakala ngesimo ukuqubuka, ububomvu. Uma uhlangabezana nanoma iziphi ukusabela ezingezinhle ukuba nokuphathwa enoxaparin sodium Kufanele uxhumane onguchwepheshe.

Izibuyekezo

Abesifazane abaningi kufanele uqale ukwelashwa antiplatelet ngaphambi kokukhulelwa uqhubeke nokwelashwa isikhathi sokukhulelwa ingane. "Clexane" ngesikhathi sokukhulelwa linqume kaningi, futhi omama abakhulelwe kakhulu ushiye okubuyayo mayelana ithuluzi. I yokuntula yokwelapha ihlanganisa ukulinyazwa kuphela, ukuvuvukala kusayithi umjovo.

Udokotela wakho angase futhi batusa analog eshibhile zomuthi. Ngo kokukhulelwa, "Clexane" Kunconywa ukuba iphathwe ngemithamo ezincane futhi esikhathi esifushane ukwelashwa, njalo ikhefu hhayi ngaphansi kuka-7 ezedlule phakathi kwazo. Esimeni ukusabela okukhulu iguliswa noma nezinye izinkinga ezinkulu ukusetshenziswa anti-coagulant kufanele uyekwe.

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