Yadda za a allurar Fraxiparin? Wannan tambayar sau da yawa ta taso a cikin marasa lafiya ga wanda aka wajabta shi. Tasirin magunguna na maganin yana maganin anticoagulant da antithrombotic.
Abubuwan da ke aiki a ciki shine nadroparin alli. Wani lokacin yakan faru da likita ya wajabta wa mace wannan magani.
Mafi yawan lokuta yayin daukar ciki, an wajabta wa Fraxiparin don hana karuwar zubar jini, wanda hakan na iya haifar da jini. Hakanan, ana iya amfani da maganin duka don hana cututtuka da kuma magance su.
Wasu marasa lafiya suna shan maganin har tsawon watanni tara. Don haka menene wannan magani, kuma yadda za a saka shi daidai?
Tsari
Ma'aikata na cibiyoyin kiwon lafiya suna da'awar cewa wannan magani gaba ɗaya mai lafiya ne, don haka ba za ku iya damu da cutar da lafiyar ba. Wasu marasa lafiya suna shan shi, lura cewa a cikin umarnin zuwa gare shi babu wani bayani game da amfani da miyagun ƙwayoyi a lokacin lokacin gestation.
Zuwa yanzu, ba a gudanar da wani bincike kan wannan batun ba. Yawancin masana sun ce dalilin shine kamar haka: jagorar ba ta da sabbin bayanai, tunda ba a rubuta su shekaru talatin ba.
Magani don subcutaneous management na Fraxiparin
An tsara wannan maganin kawai a cikin mafi mahimman lokuta, lokacin da akwai haɗarin haɗari na rikitarwa. Misali, idan baka shigar da magani akan lokaci ba tare da anticoagulant tare da haɓaka coagulation na jini. Ido ko mutuwar tayi ba a hana su.
A cikin jerin magungunan contraindications, maganganun cututtukan cututtukan ciki da duodenal, mummunar cuta wurare dabam dabam a cikin idanu, kuma za a iya haɗa wasu cututtuka. Dangane da hanyar gudanarwa, maganin da ake tambaya ana gudanar dashi ta hanyar jujjuyawa ne.
Yayin wannan aikin, mai haƙuri ya kamata ya kasance cikin matsayi mai sauƙi.
Dole ne a sanya maganin a cikin fata a cikin wurin bayan gida ko bayan raunin ciki na ciki.
An gabatar da shi a kowane bangare biyun: na farko zuwa dama, sannan daga hagu.
Idan ana so, zaku iya shiga yankin cinya. An saka allura a ƙarƙashin fata a wuri mai tsafta, a kowane yanayi a babban kusurwa. Kafin sanyawa, ya kamata a haɗa fata da ɗan ƙaramin cikin karamin shafawa.
An ƙirƙira shi a cikin yanki tsakanin yatsa da babban goshin hannu. Ya kamata a kiyaye yanki mai girman a duk tsarin kulawa da magunguna. Bayan allurar, yankin da aka gudanar da maganin ba lallai bane a shafa shi.
Fasali na amfanin Fraxiparin dangane da burin:
- yayin aiwatar da tasiri na rigakafi don maganin thromboembolism yayin ayyukan tiyata na orthopedic, allurar ana yin ta ta amfani da allurar subcutaneous a cikin kundin, bisa ga lissafin jimlar nauyin jikin. Ainihin, kilogram na nauyin haƙuri yana buƙatar kashi har zuwa 39 IU anti-Xa. Aƙalla a rana ta uku ko ta huɗu bayan tiyata, ana iya ƙara yawan kashi zuwa 45%. Maganin farko na miyagun ƙwayoyi ya kamata a yi sa'o'i goma sha biyu kafin a yi tiyata. Amma na biyu - bayan daidai wannan lokacin bayan tiyata. Bayan wannan, ana yin allurar miyagun ƙwayoyi koyaushe har sai lokacin yiwuwar thrombosis, wanda ke haifar da babbar haɗari ga rayuwar mai haƙuri. Tsawan lokacin jiyya ta amfani da wannan magani kwana goma ne;
- a lokacin jiyya na thromboembolism yayin da kuma nan da nan bayan tiyata, ana ba da shawara don gudanar da maganin a cikin sashi na 0.3 ml ko 2851 IU anti-Xa. Dole ne a saka shi tare da allurar subcutaneous. Ana gudanar da maganin kusan sa'o'i uku kafin tiyata ko kuma bayan hakan sau ɗaya a rana. Dole ne farjin ya kasance aƙalla kwanaki bakwai. Zai iya wanzuwa har sai ƙara haɗarin ɓarin jini ya ɓace;
- marasa lafiya da ke cikin haɗarin thrombosis, tare da raunin cututtukan cututtuka na tsarin na numfashi, kazalika da numfashi da kuma gazawar zuciya, ana yin maganin ne sau ɗaya a rana. Ana bada shawara don shiga ƙarƙashin fata. An saita sashi na miyagun ƙwayoyi dangane da nauyin haƙuri. Ana amfani da maganin a duk tsawon lokacin haɗarin cututtukan jini;
- a cikin maganin thromboembolism, ana tsara magunguna tare da aikin maganin anticoagulant nan da nan bayan alamun farko na cutar sun bayyana. Gudanar da miyagun ƙwayoyi ta allurar yana gudana har sai an sami mahimmancin alamun lokaci na prothrombin. Ana gudanar da maganin a ƙarƙashin ƙasa kamar sau biyu a rana. Ya kamata a yi allura kowace sa'a goma sha biyu. Yawan maganin yana dogara da nauyin mai haƙuri - kuna buƙatar allurar 87 IU anti-Xa a kowace kilogram.
Sashi
Yawan maganin yana dogara da nauyin jikin mutum. Tare da nauyin 50 kilogiram ko lessasa da yawa, maganin da aka ba da shawarar maganin shine 0.2 ml. Wannan shine girman da ake gudanar dashi awa goma sha biyu kafin aikin tiyata da kuma adadin lokacin bayan sa.
Amma kashi wanda yake buƙatar allura sau ɗaya a rana kwanaki huɗu bayan aikin shine 0.3 ml.
Idan nauyin jiki ya bambanta tsakanin kilogiram 50-70, to, kuna buƙatar shigar da 0.3 ml na miyagun ƙwayoyi sa'o'i goma sha biyu kafin tiyata da kuma bayan wancan lokacin.Daga rana ta huɗu bayan tiyata, ƙarar allurar guda ɗaya ta miyagun ƙwayoyi shine 0.4 ml.
Lokacin da nauyin ya wuce kilogiram 70, maganin da aka bada shawarar shine 0.4 ml na rabin rana kafin kuma bayan tiyata. Amma girman Fraxiparin, wanda ake sarrafawa sau ɗaya a rana a rana ta huɗu bayan tiyata, shine 0.6 ml.
Kayan fasaha don shigar da Fraxiparin cikin ciki: dokoki
Wajibi ne a saka magani a ciki. An ba da shawarar yin allura a cikin cibiya da kuma a cikin tsakiyar katako.
Hakanan, kar a shigar da wuraren da suka fashe, raunuka da raunuka. Yatsar hannu da yatsun kafa suna buƙatar samar da babban layi, wanda ke haifar da abin da ake kira alwatika. Samansa yakamata ya kasance tsakanin yatsunka.
A gindin wannan rufin, allurar maganin a kwana na dama. Babu buƙatar barin raguna yayin aikin maganin. Wannan ya kamata a yi shi nan da nan bayan cire sirinji. Ba da shawarar yin tausa wurin allurar ba.
Yi amfani yayin daukar ciki
Dangane da gwajin dabbobi, akwai bayanai masu yawa wadanda suka ce abubuwan da ke kunshe da magungunan sun wuce ta cikin mahaifa zuwa tayi.
Don haka, ba a ba da shawarar amfani da Fraxiparin yayin daukar ciki ba, amma a wasu yanayi ana amfani da shi. Akwai yanayi idan amfanin mahaifiya ya fi gaban hadarin ga jaririn da ba a haifa ba.
Yayin shayar da nono, haramun ne yin amfani da maganin, saboda abubuwanda ke samarwa na iya wucewa cikin madara.Ainihin, a farkon farkon lokacin daukar ciki, ba a ba da magani don ko dai don magani ko don magance kowace cuta.
Amma a cikin na biyu da na uku yin amfani da shi yana yiwuwa a cikin in babu contraindications. An bayyana bukatar yin amfani da Fraxiparin a lokacin haila ta hanyar cewa mahaifa yana girma koyaushe yayin daukar ciki, sabili da haka, ƙarin tasoshin jini suna bayyana a ciki.
Tare da babban coagulability na jini, plasma na iya tsayawa a cikin kananan capillaries.
Wannan yana ba da gudummawa ga bayyanar ƙwanƙwasa jini, wanda daga baya yakan haifar da ƙarancin oxygen.
A cikin kashi uku na uku, manyan jijiyoyin ƙashin ƙugu suna matsewa da ƙarfi ta hanyar yaɗuwa cikin mahaifa, sakamakon haifar da fashewar zubar jini daga cikin jijiyoyin kafafu. Sakamakon haka, jininsa ya fara yin kauri, sai kwayar jini ta bayyana.
Mafi girman rikicewar wannan yanayin shine cututtukan hanji, wanda zai iya yin muni. A sakamakon haka, yaron ba zai tsira ba.
Contraindications da abubuwan da ba a so na jikin mutum a kansa
Fraxiparin magani ne mai inganci, ana ɗaukar shi ta hanyar aiki mai ƙarfi. Abin da ya sa yana da jerin sakamako masu illa da contraindications don amfani.
Dole ne likita ya yi nazarin halin da hankali kuma ya bincika haɗarin haɗarin shiga.
Ba za a iya amfani da miyagun ƙwayoyi don rashin lafiyan ba, rashi na coagulation na jini, da kuma a cikin rashin sakamako daga magani tare da kwayoyi na ƙungiyar antiplatelet.
Amma game da tasirin sakamako, akan bangon amfani da magani, bayyanar fitsari, itching, urticaria, Quincke edema da tashin hankali anaphylactic. Tare da tsananin taka tsantsan, yakamata a yi amfani dashi a gaban aikin hanta mai rauni.
Wannan kuma ya shafi aiki mara kyau na kodan, rashi yaduwar jini a cikin gira, hawan jini, rikicewar tsarin narkewa.
Akwai nau'in kwamfutar hannu na maganin. Amma, yana da mahimmanci a lura cewa kafin canzawa zuwa gare ku, kuna buƙatar tuntuɓi likitanku.
Bidiyo mai amfani
Umarnin kan yadda za a saka allurar Fraxiparin da sauran kwayoyi a cikin ciki, a cikin bidiyon:
Ya kamata a lura cewa bayyanar ƙananan edema a wurin allurar ana ɗaukarsu al'ada ne. Tabbas, babu wani abin damuwa idan kawai hakan bai haifar wa mace wata damuwa ba. Muhimmi: an haramta yin allurar kanka da Fraxiparin ba tare da izinin likita ba, musamman yayin daukar ciki. Likita ne kawai ya cancanci nada shi.
