Parancin heparins mai ƙarancin ƙwayoyi (LMWH) rukuni ne na magungunan anticoagulant waɗanda ake amfani dasu don hanawa da magance rikicewar thromboembolic.
Kewayon aikace-aikacen yana da faɗi sosai, yana haɗaka bayanin aikin tiyata da warkewa, haka kuma magani na gaggawa.
Sabanin wanda ya riga shi, Heparin, LMWH sun ba da sanarwar aikin magunguna, suna da aminci kuma sun fi ƙarfin sarrafawa, ana iya gudanar da su ko dai ƙarƙashin abu ko kuma cikin jijiya.
A yau, an gabatar da ƙarni da yawa na waɗannan magunguna a kasuwa, waɗanda kullun suna haɓaka su da sababbin magunguna. Wannan labarin zai mayar da hankali kan Fraxiparin, farashin da ingancinsa wanda ya cika bukatun likitoci da masu haƙuri.
Alamu
Abubuwan da ke aiki da Fraxiparin shine nadroparin calcium, wanda aka nuna a cikin yanayin asibiti masu zuwa:
- rigakafin thrombosis a cikin marasa lafiya tare da bayanin martaba na tiyata;
- lura da cututtukan huhu na zuciya;
- lura da thrombophlebitis na asali daban-daban;
- rigakafin coagulation na jini a lokacin hemodialysis;
- a cikin lura da ciwo na jijiyoyin zuciya (bugun zuciya).
Yana da mahimmanci a fahimci cewa ana amfani da Fraxiparin da farko a asibiti a ƙarƙashin kulawar likita. Kafin alƙawarin, za a gudanar da jerin lafuzza da ɗakunan bincike, musamman na coagulogram.
Contraindications
Babu wani magani wanda ya dace da duk marasa lafiya.
Kafin amfani, yakamata ku karanta umarnin a hankali kuma ku ƙayyade idan kuna da ƙananan abubuwan da ke ciki:
- halayen rashin lafiyan ƙwaƙwalwa zuwa ƙwayar calropino nadrop ko abubuwan taimako waɗanda suke ɓangare na mafita;
- thrombocytopenia;
- zub da jini ko hadarin ci gabanta;
- raunin kwakwalwa;
- ciki da lactation;
- mai rauni na koda.
- yara 'yan ƙasa da shekara 18 (contraindication na dangi).
Ba kamar Heparin ba, wanda ke da maganin rigakafin halitta - Protamine sulfate, LMWH ba su da shi.
Fom ɗin saki
Fraxiparin yana samuwa azaman mafita don gudanarwar subcutaneous ko gudanarwa na ciki. Akwai shi a cikin sirinji mai rufewa tare da igiyar kariya, waɗanda amintaccen ɗaukar cakuda guda 10 cikin kayan.
Magani don subcutaneous management na Fraxiparin
Yawancin lokaci allurar cikin ƙasa, don wannan an cire sirinji daga membrane kuma an cire hula. Wurin allurar (yankin na umbilical) ana bi da shi sau uku tare da maganin maganin cututtukan fata.
An kafa fatar fata tare da yatsun hannun hagu, an saka allura tsananin ƙaƙƙarfan ƙyallen fata a duk tsawon. An cire sirinji, bai dace don sake amfani da shi ba.
Mai masana'anta
Fraxiparin kwayar magani ce ta kamfanin Aspen ta Amurka.Wannan kamfani ya kasance yana kan kasuwa sama da shekaru 160, a cewar 2017, yana cikin shugabannin duniya goma da ke samar da magunguna, kayan aikin likita da kayan aikin gwaje-gwaje.
Kamfanonin Faransa Sanofi-aventis da Glaxosmithkline sun gabatar da fannoni daban-daban na adadin kuzarin nadroparin, shima a karkashin sunan kasuwanci Fraxiparin.
A wannan yanayin, ƙwayar cuta ce ta asali (an sayi haƙƙin kera daga Aspen). A cikin Ukraine, ana samun Nadroparin-Farmeks na siyarwa, kamfanin kamfanin Pharmex ne ya samar da shi.
Kamawa
Akwai shi a cikin sirinji da za'a iya kashewa na 0.3, 0.4, 0.6 da 0.8 ml, guda 10 cikin kunshin ɗaya.
Magungunan ƙwayoyi
0.3 ml
Yawan yana dogara da maida hankali ne akan abu mai aiki - nadroparin alli, wanda aka auna a cikin sassan duniya.
1 ml na Fraxiparin ya ƙunshi 9500 IU na kayan aiki mai aiki.
Don haka, a cikin 0.3 ml zai zama 2850ME. A cikin wannan adadin, ana nuna magungunan ga marasa lafiya waɗanda nauyinsu bai wuce kilogram 45 ba.
0.4 ml
Ya ƙunshi 3800 IU na alli na nadroparin, an nuna shi ga marasa lafiya da ke awo daga kilo 50 zuwa 55.
0.6 ml
Ya ƙunshi siginar 5700ME mai aiki, wanda ya dace da marasa lafiya daga kilo 60 zuwa 69.
Kudinsa
Farashin Fraxiparin ya dogara da kashi da kuma masana'anta. Ba sai an fada ba tare da cewa wani samfurin magani ya fi tsada nesa da na halitta.
Farashin Fraxiparin, gwargwadon sashi:
| Kashi a cikin ml | Matsakaicin matsakaici a Rasha a cikin rubles don sirinji 10 |
| 0,3 | 2016 ― 2742 |
| 0,4 | 2670 ― 3290 |
| 0,6 | 3321 ― 3950 |
| 0,8 | 4910 ― 5036 |
Farashin matsakaici ne, an gabatar da shi don 2017. Zai iya bambanta ta yanki da kuma kantin magani.
Bidiyo masu alaƙa
Game da hanyar thrombophlebitis a cikin ciwon sukari a cikin bidiyo:
Don haka, Fraxiparin magani ne wanda ba dole ba ne don magani da rigakafin thrombosis. Daga cikin fa'idodin akwai ire-iren wadatattun magunguna, aminci da tsada mai ma'ana.
