Ma'aikatan jijiyoyi na jijiyoyi don hanci, gawar igiyar ciki, don yankewa da basur - bayyani game da kwayoyi

A cikin jiyya na miyagun ƙwayoyi da ke nufin dakatar da zub da jini, ana amfani da magungunan hemostatic - tranexam ko dicinone yayin daukar ciki.

A lokacin daukar ciki, mata na iya fuskantar irin wannan matsalar kamar zub da jini. Yana faruwa saboda dalilai daban-daban. A cikin watanni ukun farko na haihuwar, tare da bayyanar fitsarin zubar jini, akwai alamun barazanar zubar da ciki, da cikin ciki da mutuwar haihuwa. Kuma farkon zubar jini a rabin na biyu na ciki na iya zama wata alama ta zubar jini a mahaifa (tare da yuwuwar sake haihuwar hematoma), karamin wuri ko placenta previa, haka ma alama ce ta cututtukan cututtukan mahaifa ko jikin mahaifa.

A kowane hali, yakamata a tuntuɓi likitan ilimin mahaifa wanda zai gano takamaiman sanadin cutar da kuma ba da magani.

Yi amfani da dicinone a farkon matakan ciki, da kuma a cikin na biyu da na uku, yana halatta ta musamman kamar yadda likitan likitocin ya umurce su.

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Umarnin don yin ciki

Umarnin darinone ya ce “amfani da shi yayin daukar ciki zai yuwu ne kawai a yanayin da yuwuwar amfani da warkasuwa ga mahaifiya ya fi gaban hadarin da tayi. Idan ya cancanta, sanya maganin a lokacin shayarwa, ya kamata a daina shayar da jarirai nono. " Menene ma'anar wannan? A cikin ilimin magunguna, wani tsari mai kama da haka ya bayyana a cikin umarnin waɗancan magungunan, a cikin tsarin wanda ba a gudanar da binciken binciken cutar mahaifa da illolin teratogenic ba. Wannan shine, amincin irin waɗannan kwayoyi lokacin da ke shiga cikin matattarar ƙafar bai zama kafaffen kafa ba.

Dangane da umarnin, dicinone na miyagun ƙwayoyi (sunan kasuwanci - etamzilate) yana haɓaka aikin samar da platelets ta hanyar jan kashi, kuma yana haɓaka shigar su cikin jini. Bugu da ƙari, a ƙarƙashin rinjayar wannan wakili na hemostatic (hemostatic), ƙaruwa na tafiyar matakai na thromboplastin yana ƙaruwa, wanda ke tabbatar da haɗuwa da jini a cikin wuraren da aka lalace na rufin endothelium rufi na ciki na capillaries. A lokaci guda, matakin abun cikin platelet a cikin jini ya kasance a cikin iyakoki na al'ada, saboda haka, tare da karancin platelet, dicinone baya ma'ana.

Dicinon yayin daukar ciki, ko kuma hakane, yayin zub da jini da ya faru a lokacin daukar ciki, yana aiki ne a matsayin mai karfafa motsa jiki na tarawar farashi (watau "manne") ga sassan da suka lalace ta bangon jirgin jini da samuwar platelets). Ya zama saboda wannan (kuma ba saboda karuwar coagulation na jini ba) cewa zub da jini yakan tsaya.

Abubuwan da ke nuna amfanin dicinone sune zubar jinni na cikin gida na asali daban-daban, gami da lokutan aikin tiyata, a cikin ilimin mahaifa da kuma na mahaifa. Daga cikin lamurran gaggawa na amfani da wannan magani shine haɓaka zub da jini (amai da gudawa), huhun ciki da na jini.

Kuma daga cikin contraindications da aka lura: rashin jin daɗi ga abubuwan da aka haɗa a cikin abun da ke ciki, mummunan yanayin irin wannan cutar hereditary kamar porfria, lalacewar kwararar jini a cikin hanyar jijiya thrombosis, haka kuma toshewar wani jini a cikin thrombus (thromboembolism).

Tranexam ko dicinone yayin daukar ciki: Wanne ya fi?

Kamar dicinone, a lokacin daukar ciki, likitoci zasu iya ba da wani magani mafi girma - tranexam (synonyms - urugol, tranex). Wannan magani yana ƙetara shingewar ƙwayar mahaifa don haka ana amfani dashi yayin daukar ciki ne kawai kamar yadda likita ya umarta a yanayin idan amfanin mace mai ciki ya wuce haɗarin haɗarin tayi.

Bugu da kari, lokacin da ake rubuta tranescam, to yakamata a sanya lamuransa a cikin lamuran: thrombosis ko barazanar ci gaban su, zurfin jijiya thrombophlebitis, cututtukan thromboembolic, rashin hangen nesa na launi, gazawar renal.

Ana amfani da Tranexam yayin daukar ciki a cikin maganganu iri ɗaya kamar dicinone. Amma magungunan ta suna daban. Tranexam yana aiki a matsayin wakili na hemostatic tare da haɓaka matakin fibrinolysin (plasmin), wani ɓangaren jini wanda ke hana coagulation. Wannan magani yana rage jinkirin kunna wani proenzyme na plasminogen da jujjuya shi zuwa fibrinolysin. Wato, yana rinjayar hemostasis, yana haɓaka coagulation na intravascular.

Allunan Tranexam (250 MG), likitoci suna ba da allunan guda sau 3-4 a rana. Tare da zub da jini a cikin farkon farkon haihuwa - don dakatar da zubar da ciki ba-da amfani da maganin yau da kullun bai wuce 1000 mg (4 Allunan) ba, a kwanan wata - 1000-2000 MG kowace rana. Hanyar allurar ta ƙunshi gudanarwar cikin ciki na transescam a cikin hanyar magance (a cikin ampoules of 5 ml). An ƙayyade sashi gwargwadon yawan zubar jini da nauyin jiki: 10-15 mg a kowace kilogram.

Idan ka dauki tranexam ko dicinone yayin daukar ciki, to lahanin sakamako masu illa na iya bayyana. Don haka, shan dicinone zai iya haifar da ciwon kai, tsananin farin ciki, jan launi na fuska, tashin zuciya, ƙwannafi, jin zafi a ciki, rage karfin jini, ƙanƙancewa (paresthesia) na kafafu.

Kuma ana iya gano tasirin sakamako na tranexam a cikin tsananin zafin rai, rauni, gajiya, fatar fata da itching, amai, tashin zuciya, zawo, ƙwannafi, asarar ci, rashin launi mai kyau, haka kuma tachycardia da ciwon kirji.

Maganin kwantar da hankali yayin daukar ciki

Ana samun wannan magani a cikin nau'ikan allunan (250 mg kowane) da kuma maganin allura (a cikin 2 ml / 250 ampoules).

Thearfin warkewar ƙwayar cuta ta yau da kullun na dicinone yayin daukar ciki shine kashi 10-20 na miyagun ƙwayoyi a kowace kilogram na nauyi. A matsayinka na mai mulki, likita ya ba da umarnin ɗaukar allunan dicinone yayin daukar ciki, daya a lokaci daya (250 MG) - sau 3-4 a rana. Ana samun tasirin sakamako mai mahimmanci tare da gudanarwar baka a sa'o'i uku bayan kwamfutar hannu ta shiga ciki kuma ta wuce tsawon awanni biyar. Tsawon lokacin shan allunan an yanke shi ta likita dangane da tsananin tabin gani.

Paarfin parenteral na yin amfani da dicinone - a cikin nau'in inradermal ko inractions na ciki - yana haifar da tasirin hemostatic da sauri: bayan kwata na awa ɗaya, kuma ana lura da matsakaicin sakamako a kan matsakaici bayan awa daya da rabi (tare da gudanarwar intramuscular - a ɗan ɗan lokaci kaɗan). Don haka, allurar darinone a cikin ciki yayin da ake cikin ciki sun fi dacewa da isasshen wuri mai cike da isasshen gani.

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Farashin dicinone yayin daukar ciki

A yau - dangane da masana'anta da yankin Ukraine - farashin dicinone a lokacin daukar ciki ya bambanta: dicinone a cikin allunan (250 MG, kunshin 100 guda) - a cikin kewayon 95-135 UAH., Dicinone a cikin hanyar samar da mafita don allura (250 MG, ampoules na 2 ml, kwantena guda 50) - daga 90 zuwa 145 UAH. don shiryawa. Matsakaicin farashin ampoule guda ɗaya (idan a kantin magani ɗaya suke sayar da kwayoyi cikin ampoules daban) kusan 2 UAH.

Farashin tranex a cikin allunan (30 guda. Akwakoki 30) wanda aka samar a cikin Federationungiyar Rasha - a cikin kewayon 178-225 UAH., Kudin suturar tranex (30 capsules na 250 MG) ta Malesci - 132-168 UAH. Ugurol (tranexam) na kamfanin Rottafarm a cikin ampoules na 5 ml (a cikin kunshin 5 ampoules) farashin kimanin 220-240 UAH. Kuma farashin tranexam don amfani da parenteral shine 768-790 UAH. na ampoules 10 na 5 ml.

Ra'ayoyi game da dicinone yayin daukar ciki

Ana amfani da kwayoyi masu cutarwa, musamman tranexam ko dicinone yayin daukar ciki, a cikin yanayin buƙatar dakatar da zubar jini, ana amfani da su duk da tasirinsu. Amfani da wadannan kwayoyi, kamar yadda aka tabbatar ta misalai na aikin gwaje-gwaje na asibiti da kuma sake duba lafiyar likitanci game da dicinone yayin daukar ciki, ya halatta, tunda yana taimakawa dakatar da zubar jini kuma a yanayi dayawa na guje wa zubar da ciki a farkon matakan haihuwar yara. A lokaci guda, tasirin a kan sigogin tsarin hemostatic, wato, tsarin da ke tabbatar da daidaituwa tsakanin jini da coagulation yayin riƙe yanayin yanayin ruwa, ba ƙaranci ba.

Kuma sake dubawa game da dicinone a lokacin daukar ciki na wadanda suka kamu da cutar da kansu sun sha bamban. Ya taimaka wa wani don ci gaba da daukar ciki, amma wani, duk da ƙoƙarin likitoci, ba zai iya yin wannan ba ...

Ya kamata a tuna cewa darinone yayin daukar ciki - kamar kowane samfuran magani a cikin waɗannan yanayin - dole ne likita ya tsara shi! Kuma likita dole ne ya zama mai tabbacin 100% cewa yiwuwar maganin da aka wajabta wa mahaifiyar mai ɗaukar nauyi ya fi haɗari ga rayuwar da lafiyar ɗan da ba ta haifa ba.

Menene magungunan hemostatic

Tsarin coagulation na jini a jikin mutum yana wakiltar tsarin hadaddun tsarin hulɗar gungun wasu abubuwa (abubuwan coagulation). Yawancin waɗannan abubuwan sunadarai ne. Zuwa yau, kasancewar abubuwan dalilai na coagulation 35 an kafa su: plasma 13 da platelet 22. Rashin ɗayan waɗannan abubuwan zai haifar da bayyanar cututtukan jini da ke aukuwa.

Magungunan Hemostatic (daga Girkanci. - tsaida jini) an tsara su don magance abubuwan da ke haifar da rikice-rikice a cikin jiki da kuma toshe asarar jini. Ka'idar aiki na wakilai hemostatic yana dogara ne akan cike rashi na enzymes nasu, ƙarfafa haɓakar thrombosis a saman tasoshin da suka lalace da kuma dakatar da aikin fibrinolytic (rushewar ƙwanƙwasa jini).

Yadda ake dakatar da zubar jini yayin haila

Yawan zubar jini a cikin mata yayin haila (fiye da yadda aka saba a kullum na 80 ml) ana iya haifar dashi ta fuskoki daban-daban. Kafin siyan maganin hemostatic a cikin kantin magani akan shawarar mai harhaɗa magunguna, yakamata ku tuntuɓi likitan ku tare da wannan matsalar. Kawai kwararren likita ne zai iya tantance abin da ya haifar da karkacewa daga dabi'un, kuma bayar da shawarar ma'aikacin hemostatic na aikin da aka gabatar.

Magungunan hemostatic da aka yi amfani da su a cikin hanyar magani ba panacea ba ne ga cututtukan da ke haifar da zub da jini. Suna hana zubar jini zuwa ga dan wani lokaci domin taimakawa jiki ya samu damar haifar da karancin sakamako. An tsara hanyar magani ta likita kuma ya haɗa da magunguna waɗanda ke shafar cutar ta kai tsaye.

Kwayoyin Hemostatic magani ne mai inganci don zubar jinni yayin haila. Magungunan da aka zaɓa daidai da aka gano asali na zub da jini na iya dawo da abubuwan da ke tattare da yanayin coagulation. Kafin ka fara shan magungunan hemostatic, ya kamata ka gano cewa wasu daga cikinsu na iya samun sakamako masu illa da kuma maganin cutar ciki. Mafi kwatancen allunan hemostatic da yawa sun bayyana a cikin tebur da ke ƙasa:

Abubuwan da ake kira analog na roba na bitamin K. An tsara shi don haɓaka aikin prothrombin

Abun jini na coagulability na jini, thrombosis mai kumburi

Abubuwan da suka shafi fata a cikin nau'in rashes rasch

Na ganye vasoconstrictor magani tare da tasirin astringent

Hawan jini, ciki, lokacin lactation

Bayyanar cututtuka na rashin lafiyan jiki

Aikin Vasoconstrictor tare da rage karfin ikon mallaka

Cututtukan mahaifa, thrombosis

Imarfafa haɓakar thromboplastin, wanda ke ba da gudummawa ga haɓakar haɗarin babban thrombus

Ciwon kai, tashin zuciya, ciwon baya

Yana haɓaka samar da ƙwayar plasmin, wanda ke da alhakin ɗaukar ƙwayoyin jini

Kwakwalwar kwakwalwar zuciya, rauni na zuciya

Vomiting, matsalolin tsinkaye launi, farin ciki

Erythrostat na haila

Magungunan ƙwayar cuta na basur tare da taimakon Erythrostat ya ƙunshi yin amfani da allunan hemostatic biyu zuwa uku kowane 5 hours kafin abinci. A hanya kada ta wuce kwanaki 10, bayan wannan ya zama dole a dauki hutu na akalla watanni 3. Idan sake dawowa ya faru a wannan lokacin, ya kamata ka nemi likita don shawara. A cikin irin wannan yanayin, ana iya tsara magani tare da wata cutar hemostatic.

Ascorutin tare da igiyar ciki na jini

Ascorbic acid, wanda yake ɓangare ne na Ascorutin, ana ɗauka muhimmiyar abu don ƙirƙirar ƙwayoyin collagen. Godiya ga wannan ingancin, ana samun sakamako mai zurfi. Gudanar da magungunan na zamani Ascorutin don rigakafin ba ku damar ƙarfafa ganuwar tasoshin jini da rage ƙwayar su. Sha allunan sau hudu a rana don kwaya 1. Tasirin maganin yana tarawa, saboda haka ingantaccen sakamako tare da kowane amfani zai zama sananne. An tsara hanya don makonni 3.

Dicinon da Tranexam a lokaci guda

Wasu kwayoyin maganin zub da jini suna da tasiri sosai lokacin shan shi da baka. Dicinon da Tranexam ne kwararru suka tsara a lokuta da ke buƙatar kulawa ta gaggawa. Aikin Tranexam shine a hanzarta dakatar da zubar jini, kuma Dicinon shine a kare jiki daga yiwuwar thrombosis. Wajibi ne a ɗauki waɗannan wakilai masu haɗari bisa ga makirci: kashi na farko shine allunan 2 kowane, sannan kwamfutar hannu a kowane 6 hours.

Matsakaicin gaggawa don asarar jini da sauri shine injections hemostatic. Gudun cikin jijiya na ƙwayar cuta yana haɓaka mafi girman haɓaka clots (clots jini) wanda ke toshe jini. Ana samun tasirin maganin allura a cikin minti na 10-15. bayan gudanarwa. Hanyoyi mafi inganci don magance infusions a cikin nunin maganin gaggawa sune:

• Etamsylate
• Kalori na karafa
• Aminocaproic acid
• Yarjejeniyar
• Oxytocin
• Methylergometrine
• Vikasol.

Oxytocin don zubar jini na cikin igiyar ciki

Ayyukan maganin ƙwaƙwalwa na ƙwayar cuta shine don haɓaka aikin kwanciyar hankali na santsi na tsokoki na mahaifa. Sakamakon wannan aikin, yawan tattara alli a cikin sel yana ƙaruwa, kuma tsarin zubar jini zai tsaya. An bada shawarar yin allurar da maganin ta hanyar maye gurbi don cimma sakamako mafi kyau. Ana yin lissafin kashin daban-daban ga kowane mara lafiya dangane da bayanan da ke akwai game da hankalin mai maganin. Gudanarwa ɗaya ba zata iya wuce 3 IU ba.

Aminocaproic acid don haila

Strongarfin hemostatic mai ƙarfi na aminocaproic acid ya samo asali ne daga hanawar sauyawar profibrinolysin (wani nau'in plasmin mara aiki) zuwa fibrinolysin (tsari mai aiki). Yin amfani da wannan magani don haila mai nauyi ya ƙunshi gudanarwar jijiyoyin jini na kowane kashi biyar a kowace awa har sai an rage adadin tabo.

Ma'aikatan Hemostatic don yankewa

Don hana asarar jini saboda lalacewar injin ƙarancin ƙwaya, ana amfani da wakilan magungunan hemostatic na gida. Cutsananan raguwa da raunuka akan fata za a iya magance su tare da hydro peroxide don kamuwa da cuta. Tasirin kumfa na peroxide yana da ikon dakatar da fitar farin jini. Wani lamarin da ya fi tsanani yana buƙatar yin amfani da kwayoyi tare da ingantaccen sakamako na hemostatic.

Hemostatic foda tare da maganin hana motsa jiki ya dace don amfani. Babban sinadari mai aiki shine adrenaline, wanda yake da tasirin vasoconstrictor, ta haka ne zai iya haifar da tasirin dakatar da zubar da jini tare da lalacewa ta waje.Shirye-shirye don kula da raunuka na waje an sanya su ne daga jinin mutum ko dabba na musamman.

Hemostatic kwayoyi don hanci

Don dakatar da ƙoshin hanci na daban-daban etiologies, ya kamata a aiwatar da toshe abubuwa. Don waɗannan dalilai, za'a iya amfani da geuze, foam ko pneumatic tushe. Effectarfafa sakamako zai taimaka magungunan hemostatic a baya amfani da swab. Wadannan kwayoyi sune:

• Etamsylate
• Dicinon
• Acsilon-aminocaproic acid,
• Kalori na karafa
• Vikasol.

Babban dalilin sanadin hanci shine hauhawar jini, saboda haka yana da muhimmanci a samar da sakamako mai hauhawa. Ya ƙunshi rage darajar karfin jini a hanyar magani. Magunguna waɗanda aka tsara aikin don amfani na dogon lokaci, basu dace da kulawa ta gaggawa don maganin hanci ba.

Tare da basur

Za a iya tsayar da zub da jini kwatsam sakamakon fashewar basur tare da taimakon hemostatic da ake amfani da shi don sauran nau'in asarar jini (Dicinon, Vikasol, Etamsylate, da sauransu). Bugu da kari, Relief magani ne mai inganci, wanda ake samu ta hanyar kayan abinci da maganin shafawa. Man shafawa, glycerin da hadaddun bitamin, wadanda sune tushen isasshen abinci, suna da warkarwa mai rauni da kaddarorin hemostatic. Amfani da kyandirori don toshe hanyoyin yaduwar jini a kan tsari mai gudana ya saba.

Don maganin hana haifuwa na gida kuma dakatar da zubar da jini na gida daga fashe a cikin dubura, zaku iya amfani da soso mai narkewa mai narkewa a cikin maganin maganin kwayoyi. Gabatarwar abubuwan fatawa da spons yana taimakawa da sauri don kawar da zub da jini, amma bai kamata ku dogara da sakamako mai ɗorewa ba.

Contraindications

Abubuwa masu aiki waɗanda suke ɓangare na shirye-shiryen hemostatic na iya tayar da faruwar halayen halayen. Don kaucewa mummunan sakamako, ya zama dole a gargaɗi likita game da kasancewar halayen halayen ƙwayar cuta. Rashin hankali ga ɗayan kayan aikin miyagun ƙwayoyi shine contraindication kai tsaye ga amfani dashi, don haka yana da mahimmanci a bincika umarnin da kuma abubuwan da aka tsara a hankali. Yin watsi da shawarwarin da ke kunshe cikin umarnin magungunan, cikin sharuddan sashi da mitar rikice-rikice, na iya haifar da ci gaba da cututtukan thrombohemorrhagic.

Bayan karɓar shawarwarin likita game da amfani da magungunan ƙwayar cuta, zaku iya juya zuwa sabis na ƙirar magunguna don fahimtar kanku da zaɓin kuɗin da ake samu. Don siyan matsayin sha'awa a farashi mai araha a cikin kantin sayar da kan layi, ya kamata ku fahimci kanku da matsakaicin farashin magunguna ta yankin zama. Kuna iya yin oda kayan aikin da aka zaɓa, kuna mai da hankali kan kimanin bayanan da aka gabatar a cikin teburin:

Janar halaye na Dicinon

Magungunan an yi niyya ne don yin rigakafi da magani ga zubin jini wanda ya samo asali daga asali. Ana amfani dashi a fannoni da dama na magani: otolaryngology, likitan mata, yi na mahaifa, lura da cututtukan ido, urology, da sauransu.

An wajabta maganin don dakatar da zub da jini yayin aiki da kuma bayan aiki, menorrhagia, tare da lokaci mai nauyi, zubar jini daga hanci, gumis, cikin retina, da sauransu. Bugu da kari, ana amfani da Dicinon a cikin ilimin likitan yara: tare da taimakonsa, an kawar da zubar jini a cikin yara nan da nan bayan haihuwa.

An bayyana irin wannan buƙataccen ƙwayar magungunan ta hanyar kaddarorin abubuwan da ke aiki - ethamzilate, wanda ke fara aiki da sauri: bayan allura - bayan mintina 5-15, bayan shan allunan, sakamakon ya bayyana bayan sa'o'i 1-2. Ethamsylate yana haɓaka samuwar mucopolysaccharides a cikin bangon mulkin, wanda sakamakon hakan yana inganta ƙarfin su da rashin ƙarfi, kuma yana ba da gudummawa ga ƙirƙirar ƙwayoyin thromboplastin mai yawa a cikin wuraren rauni. A lokaci guda, samuwar abubuwa wanda ke tabbatar da haɓaka jini yana haɓaka, kuma a lokaci guda, Dicinon bashi da wani tasiri akan samuwar ƙwaƙwalwar jini.

Ana samun maganin a cikin allunan, wanda aka yi amfani da shi a cikin darussan, kuma a cikin maganin allura wanda aka yi nufin hanyar hanyar ciki da jijiyar ciki. A wasu halaye, ana kuma amfani da maganin allura a waje ta hanyar sanya suttura ko tampons: suttura an sanyaya cikin shiri kuma ana amfani da shi wurin lalata.

Siffofin yin amfani da nau'i ɗaya ko wata magungunan sun dogara da yanayin zubar jini da kuma dalilin jiyya. Idan kana buƙatar taimakon gaggawa, to, ana ba mai haƙuri allurar, don gudanarwar prophylactic, allunan ana ba su mafi yawancin lokuta ana tsara su, amma hanya na injections shima zai yiwu.

• Allunan: sashi na yau da kullun don manya - 10-20 mg / kg a allurai masu yawa, idan ya cancanta, adadin guda zai iya kaiwa 750 MG. A cikin bayan aikin, allunan suna bugu tare da hutun 6-hour na 250-500 mg. Ga yara, an ƙaddara matsayin daga rabo na 10-15 mg a 1 kg, an rarraba adadin sakamakon a matakai da yawa.
• Ana ba da allura a / m ko / a. Maganin yau da kullun don manya shine daga 10 zuwa 20 mg / kg. A cikin ayyukan da aka shirya, ana allurar kwayoyi sa'a daya kafin kuma bayan kammala shi - kowane awanni shida, 250-500 mg, har sai zub da jini ya tsaya. Idan ya cancanta, ana sarrafa magani a lokacin tiyata. An sanya allurar rigakafi don yara a cikin allurai, wanda aka ƙididdige bisa gwargwadon nauyin 10-15 a kowace 1 kg, ya kasu kashi injections da yawa.

Dicinone an yarda da shi gaba ɗaya, amma yana iya haifar da ciwon kai, ƙoshin ƙafa, damuwa, tashin zuciya, matsanancin ciki, ƙwannafi, raguwar matsin lamba, kumburi na fuska da rashin lafiyar mutum.

Kada a yi amfani da miyagun ƙwayoyi a cikin marasa lafiya tare da thrombosis, babban coagulability, hemoblastosis a cikin yara, babban hankali ga abubuwan da aka gyara.

Aikace-aikacen a cikin ilimin likita na ilimin mahaifa

Kamar kowane magani, yakamata a yi amfani da Dicinon ta wurin shawarar likita. Idan an wajabta maganin a idan akwai matsala, to ana bada shawarar fara shan shi kwanaki 3-5 kafin ranar da ake tsammanin kuma a cikin kwanaki 5 na MC, shan allunan 2 sau uku a rana. Hanyar da aka bada shawarar shine kwana 10. A wata mai zuwa, yana da kyau a sake maimaita liyafar don karfafa sakamakon da aka samu.

Ba'a ba da shawarar shan kwayoyin don jinkirin haila ba, saboda wannan zai cutar da yanayin yanayin haila.

Fasali na Tranexam

Magunguna tare da sakamako mai cutarwa, amma yin aiki kaɗan daban-daban fiye da Dicinon. Ana samun sakamako mai cutarwa saboda ƙimar tranexamic acid. Tasirinsa yana bayyana idan zub da jini ya haifar da karuwar abun cikin fibrinolysis a cikin jini - ɗayan abubuwan da ke cikin jini wanda ke toshe coagulation. Acid yana hana kunna jini na plasminogen, wanda ya zama dole don samuwar fibinolysis kuma don haka yana da tasiri ga tsarin jijiyoyin jini, yana haɓaka canjinsa a cikin tasoshin.

Magungunan, kamar Dicinon, ana samun su da yawa (allunan da injections), wanda ke ba da damar amfani da shi don kowane nau'in zubar jini wanda ya haifar da ƙayyadadden ƙwaƙwalwar ƙwayar cuta: hanci, gingival, uterine, gastrointestinal, bayan ayyuka daban-daban (cututtukan mahaifa, hakora, urological). An wajabta maganin don maganin cututtukan angioedema na gado, rashin lafiyan cuta da cututtukan ƙwayar cuta.

Yana yiwuwa a yi amfani da shi yayin daukar ciki, amma a lokuta ne kawai inda aka tabbatar da amfaninsa ta hanyar babbar fa'idodi ga mahaifiyar. Iyakar abin ya faru ne sanadiyyar cewa tranexamic acid ya ketare mahaifa kuma yana iya yin illa ga ci gaban tayin / tayi.

Sabili da haka, idan ya zo ga alƙawarin ɗayan magunguna biyu: Dicinon ko Tranexam, kuma wanne ne mafi kyawu daga gare su, kuna buƙatar ci gaba daga dalilai da yawa: ingantaccen bincike, yanayin mai haƙuri, dalilan da suka tsokani cutar, contraindications, da dai sauransu.

Menene Vikasol?

Magungunan antihemorrhagic wanda ya dogara da menadione - wani abu na roba, wanda zai maye gurbin sinadarin Vitamin K. Yana da ikon shafan aikin prothrombin da sauran abubuwanda ke tabbatar da haɗuwar jini da daidaituwar yanayinsa.

Ana amfani dashi a cikin lokuta inda ake haifar da zub da jini ta ƙarancin jini da hypovitaminosis K: tare da cututtukan ƙwayar narkewa, cutar basur a cikin jarirai, raunin da ya faru tare da asarar jini, bayan tiyata. Ana amfani dashi da ƙarfi a cikin ilimin mahaifa don kawar da zubar jinin mahaifa, yawan haila, sannan kuma an wajabta shi na zub da jini wanda wasu magunguna ke haifar dashi. An wajabta wa mata masu juna biyu matakan karshe don hana zub da jini a cikin yara bayan haihuwa.

Ana yin magungunan a cikin allunan da kuma bayani don allura na ciki da ciki.

Kwayar cuta mai cutarwa tana cikin kwanciyar hankali a cikin mutane masu karuwar coagulability na jini, thrombosis, thromboembolism, da kuma rashin yarda mutum na abubuwanda ke ciki. An yarda da shi gaba ɗaya a kullun, amma a wasu marasa lafiya bayyanar cututtuka mara kyau daga fata suna yiwuwa (itching, fitsari, urticaria), a cikin musamman majiyyacin marasa lafiya, bronchospasm na iya faruwa. A cikin jarirai, yana iya tsokani cutar haemolytic.

Zubda jini a cikin gabobin da kyallen takarda na faruwa ne saboda dalilai daban-daban, sabili da haka, lokacin zabar magani don kawar da su, dole ne mutum ya ci gaba daga dalilin cutar. Sabili da haka, abin da zai zama mafi kyau - Dicinon, Vikasol ko Tranexam - ya dogara da takamaiman ganewar asali da kuma halayen yanayin mai haƙuri.

Mene ne bambanci tsakanin Tranexam da Dicinon?

Da farko dai, abubuwa daban-daban masu aiki. A cikin Slovenian Dicinon yake etamzilatmotsawar samar da platelet a jiki da abubuwan coagulation a wuraren lalacewar bangon jijiyoyin jiki. Wakili ne na hakora wanda yake da matukar tasiri ga zubar jinni.

Gwajin asibiti da ake sarrafawa a fili yana nuna ingancin warkewar etamsylate a cikin zubar jini na cikin mara amfani tare da bambance-bambancen yanayin tsananin cutar maleria. Yana aiki sosai a hankali kuma ana haƙuri da kyau, musamman tare da DMK - zubar jini na mahaifa (lalacewa ta hanyar rushewar jijiyoyi ko rashin aiki na ƙwayar ciki) lokacin da ba a buƙatar rigakafin hana haihuwa.

Dicinon yana samuwa a cikin nau'ikan allunan ko injections, mita da tsawon lokacin amfani dashi wanda ya danganta da tsananin zubar jini da ƙarfin cigaba. Yawancin lokaci wannan shine 250-500 MG (daidai yake da Allunan 1-2) sau 3 a rana, kodayake wannan likitan yana zaɓin mafi yawan lokuta likita bisa ga nauyin mai haƙuri kuma ana iya ƙaruwa sosai gwargwadon tsananin shari'ar.

Tranexam na gida sabon magani ne wanda yake dauke da kayan aiki masu aiki tranexamic acid. Kamar Dicinon, ana amfani da Tranexam a cikin tiyata, amma ya fi tasiri don zubar da jini na gynecological (meta-analysis for 2018). Misali, tare da yawan haila mai nauyi, an tabbatar da rage rage jini da kashi 34-58%. Yana ba da sakamako mai kyau a cikin ƙwayar ƙwayar cuta ta ciki da bayan jini, bayan haɗuwa da cervix ko wasu hanyoyin tiyata.

Hakanan ana samun shi a cikin allunan ko ampoules, amma sigogin sun fi yawa (ban da ciki) kuma an saita su dangane da takamaiman cuta ko ilimin halayyar cuta. Misali, a cikin mata, 1 g na tranexamic acid kowane awa 6-8 yana rage zubar jinin haila sama da rabin. Don haka, matsakaicin matsakaici shine 3000-5000 MG kowace rana, ya kasu kashi 3-4, wanda ke ba da babban adadin dangane da allunan. Sabili da haka, ana tsara shi sau da yawa a cikin hanyar injections tare da sauyawa zuwa nau'in kwamfutar hannu bayan an samu ci gaba. Tsawon lokacin daidaituwa ya bambanta daga kwanaki 3 zuwa 10.

Halin Tranexam

Wannan magani ne na hemostatic, nau'i na saki wanda shine Allunan kuma mafita a cikin ampoules don gudanarwar cikin jijiya. Waɗannan abubuwan haɗin suna da tasirin rigakafi na gida, dakatar da jini da rage haɗarin halayen. Abubuwan da ke aiki da miyagun ƙwayoyi shine tranexamic acid, wanda ke kawar da edema kuma yana rage zubar jini.

Hanyar aiwatar da maganin shine cewa bangaren mai aiki yana shafan kunna plasminogen da kunna shi, yana hana jujjuya shi zuwa plasmin. Yana dakatar da zub da jini wanda ya haifar da hauhawar matakin fibrinolysis. Saboda ƙuntatawar samar da sunadarai masu aiki da kuma kusanci da ke tattare da halayen rashin lafiyan, yana da tasirin ƙone-ƙone da cutarwa.

Babban taro na miyagun ƙwayoyi yana faruwa awanni 3 bayan gudanarwarsa. Abubuwan da ke cikin magungunan sun sami damar ɗaure wa garkuwar plasma, shiga cikin mahaifa da keɓe a cikin madara. Tasirin warkewa har zuwa awanni 17. Idan mutum ya gajiya da aikin koda, to akwai damar tara tarin kayan aiki. Sakamakon tsarin gudanarwa na ciki, miyagun ƙwayoyi suna da sakamako na narkewa.

Alamu don amfani da allunan hemostatic da injections:

• na ciki, hanci, postpartum, zubar cikin mahaifa, gami da kan cutar sankara ta Willebrand,
• hematuria, zubar jini bayan hakar hakori a cikin marassa lafiya da basur, basir mahaifa don carcinoma, prostatectomy,
• zub da jini akan asalin cutar sankara da ta hanji da ta hanji, amai da gudawa, cututtukan hanta, bayan tiyata akan gabobin kirji da rabuwa a cikin mahaifa,
• zub da jini yayin daukar ciki
• cututtuka masu rashin lafiyan - ƙwayoyi da guba mai guba, cututtukan ciki, rashin lafiyar mahaifa, eczema,
• masu ciwon sukari,
• cutarwa angioedema,
• cututtuka masu kumburi - stomatitis, laryngitis, pharyngitis, tonsillitis, aphthae na mucosa na baka.

A cikin ilimin ilimin mahaifa, ana amfani da Tranexam don dakatar da zubar jini na cikin mahaifa. Adana magungunan tare da barazanar zubar da ciki, zubar mai nauyi a farkon matakai, tare da tsawan tsawan jini (sama da mako 1). Ana amfani da magani don asarar jini mai yawa yayin haila.

• rashin hankali ga abubuwan da ke cikin miyagun ƙwayoyi,
• yana tasowa lokaci-lokaci subarachnoid basur.

Karkashin kulawar likita, ana ɗaukar Tranexam a cikin waɗannan abubuwan:

• infarction na zuciya
• cututtukan thromboembolic
• zurfin jijiya thrombophlebitis,
• haila,
• na gazawar
• urinary fili hematuria,
• launi rashin gani,
• maganin rikitar jini,
• barazanar thrombosis.

Wani lokacin shan magani yana haifar da sakamako masu illa:

• tashin zuciya, amai, rage ci, zawo, ƙwannafi,
• take hakkin fahimtar launi, nutsuwa, farin ciki,
• thromboembolism, thrombosis,

• rashin hankali ga abubuwan da ke cikin miyagun ƙwayoyi,
• yana tasowa lokaci-lokaci subarachnoid basur.

Karkashin kulawar likita, ana ɗaukar Tranexam a cikin waɗannan abubuwan:

• infarction na zuciya
• cututtukan thromboembolic
• zurfin jijiya thrombophlebitis,
• haila,
• na gazawar
• urinary fili hematuria,
• launi rashin gani,
• maganin rikitar jini,
• barazanar thrombosis.

Wani lokacin shan magani yana haifar da sakamako masu illa:

• tashin zuciya, amai, rage ci, zawo, ƙwannafi,
• take hakkin fahimtar launi, nutsuwa, farin ciki,
• thromboembolism, thrombosis,
• urticaria, itching, fatar fata.

An wajabta Tranexam don barazanar dakatar da juna biyu, fitowar fitowar a farkon matakai, tare da tsawan jini.

Masu kera maganin: Moscow Endocrine Shuka (Moscow), Nizhpharm OJSC (Nizhny Novgorod), Kamfanin Obninsk Chemical and Pharmaceutical Company CJSC (Obninsk).

Halin garin Dicinon

Magunguna ne mai zafi wanda ke taimakawa da dakatar jini. Abubuwan da ke aiki na miyagun ƙwayoyi shine ethamylate. Sigogi na allurai - allunan da allura. Dicinon yana halin ba kawai ta hanyar kaddarorin hemostatic ba. Magungunan yana taimakawa ƙarfafa ganuwar jijiyoyin jini, rage tasirinsu, yana kuma inganta haɓakar jini.

Dicinon yana da halaye na vasoconstrictive, saboda yana ƙarfafa sakin prostacyclin Pgl2.

Hakanan yana taimakawa dakatar da zub da jini. Duk da kaddarorin hemostatic, ƙwayar ba ta haifar da kirkirar ƙwayar jini kuma baya ƙaruwa da karfin jini.

Bayan gudanarwa, ana lura da tasirin warkewa bayan sa'o'i 2.5-3, bayan gudanarwar cikin ciki - bayan mintuna 20, bayan allura ta ciki - bayan awanni 1-1.5. Magungunan na tsawon awa 4-6. Zai iya shiga cikin mahaifa.

Alamu don amfani:

• tsayawa da rigakafin cutar kansa da zub da jini a cikin otolaryngology,
• a cikin ilimin hakora yayin tiyata,
• hauhawar jini sakamakon hanci
• a cikin aikin ophthalmology na lura da cututtukan glaucoma, cirewar cataract da keratoplasty,
• mai ciwon sukari microangiopathy,
• basur na basur (ta haɗu da cutar Werlhof),
• a cikin neurology - tare da bugun jini na ischemic, a cikin tiyata na gaggawa - don dakatar da huhu da zubar jini na hanji,
• toshewar jini a cikin haihuwa da jarirai.

Ana amfani da Dicinon don dakatar da haila, saboda kayan aiki ne mai ƙarfi. Amma ana bada shawara don amfani dashi azaman makoma ta ƙarshe, idan akwai alamun kai tsaye ga wannan.

• m porphyria
• thromboembolism
• thrombosis
• haemoblastosis a cikin yara,
• rashin hankali ga abubuwan da aka gyara na kayan.

Tare da taka tsantsan, ana bada shawara don shan magani don zub da jini sakamakon yawan ƙwayoyin cuta na jini. A lokacin daukar ciki, an sanya magani a cikin matsanancin yanayi.

Dicinon yana taimakawa karfafa bangon jijiyoyin jini, rage tasirinta, sannan kuma yana inganta coagulation na jini.

Wani lokaci, tare da yin amfani da Dicinon, waɗannan sakamako masu illa na iya haɓaka:

• farji, ciwon kai, kumburin ƙananan rassa,
• tashin zuciya, nauyi a cikin babba na ciki, ƙwannafi,
• raguwa a cikin karfin jini, hyperemia na fata na fuskar, halayen rashin lafiyan mutum.

Wanda ya kirkiro maganin shine Lek D.D., Slovenia.

Kwatanta Tranexam da Dicinon

Don gano wane irin ƙwayoyi ne mafi inganci, ya zama dole a gano kamanceceniyarsu da bambancinsu.

Dukansu magunguna suna da yawa a hade:

• iri daya sigar siffofin
• a daina jini,
• guda contraindications
• kai ga ci gaban sakamako masu illa.

Nazarin likitoci game da Tranexam da Ditsinon

Oksana, mai shekaru 51, likitan ilimin mahaifa, Vladivostok: “A al'adata, galibi ina sanya magani Tranexam. Wannan magani ne mai karfi wanda ke dakatar da zubar jini cikin hanzari. Rashin halayen bazai faruwa tare da ingantaccen tsarin kulawa da aka zaɓa ba. Yana da fa'ida yayin daukar ciki idan har akwai barazanar ashara a farkon matakan. ”

Vladimir, mai shekara 53, likitan jini, Nizhny Novgorod: “Sau da yawa nakan yiwa Dicinon magani ga marassa lafiya. Yana da tasiri kuma yana hanzarta dakatar da jini daga hanci. Darajarta ta ƙasa da sauran analogues. Ba kamar Tranexam ba, ba ya tasiri da aiki da zuciya kuma ana haƙuri da kyau. ”

Neman Masu haƙuri

Svetlana, ɗan shekara 29, Barnaul: “Na sami mafitsara a kan tushen haƙori. Bayan an cireta, sai aka yi mummunan zubar jini. Likita ya jike karamar swabs a cikin Tranexamine kuma ya saka shi cikin hakori. Jini ya tsaya da sauri, cikin mintina 2-3. "

Victoria, 31, Moscow: “A koyaushe ina fama da matsananciyar zubar jini yayin haila. Koyaya, cikin shekara da ta gabata na rasa jini mai yawa wanda cutar haɓaka ta haɓaka. Likita ya ba da magani daga maganin Dicinon. Wannan magani da gaske ya cece ni, saboda an warware matsalar gaba daya. "

Menene bambanci?

Tranexam da Dicinon suna da sinadaran aiki daban-daban. Lastarshe na kuɗi a cikin hanyar magancewa za'a iya amfani dashi cikin nutsuwa da intramuscularly. Ana sarrafa Tranexam a cikin nau'i na abu mai ruwa ne kawai a cikin jijiya. Bugu da kari, ana iya siyan wannan magani a cikin allunan da aka sanya a fim, wanda hakan ke matukar rage hadarin rushewar tsarin narkewa. Magungunan suna aiki bisa ga hanyoyin daban-daban, amma suna ba da sakamako iri ɗaya.

Ana iya siyan Tranexam a cikin allunan, wanda ke rage haɗarin rushewar tsarin narkewa.

Wanne ne mafi arha?

Farashin Tranexam ya bambanta: 385-1550 rubles. Allunan (500 MG, pcs 10. Kowace fakitin) za'a iya siyan su akan ruble 385. Iya warware matsalar koda yaushe. Farashin Dicinon: 415-650 rub. Wannan kayan aikin yana da araha sosai a kowane fanni. Don kwatantawa, don 415 rubles. Kuna iya siyan fakitin da ke ɗauke da allunan 100 na Dicinon.

Tare da zub da jini

Zaɓin ƙarin ingantaccen magani shine yin la'akari da bayanan farko: kasancewar pathologies tare da ƙwanƙwasa jini mai ƙarfi, abun da ke ciki da kaddarorin jini a lokacin jiyya (alal misali, ƙara ko raguwar danko), da dai sauransu Don wannan dalili, yana da wuya a bayar da amsa mara tushe wanda magani zai fi tasiri ga zub da jini. Ya kamata a yi la'akari da saurin aiwatarwa. Misali, tare da zubar jini na igiyar ciki, Tranexam yana taimakawa cikin sauri, saboda yana da tasiri kai tsaye akan plasminogen da ke aiki a cikin aikin coagulation na jini.

A lokacin daukar ciki

Idan a farkon matakan ciki akwai alamun barazanar katsewa (ciki ya yi wuya, ƙananan tabo ya bayyana), ana iya amfani da magunguna biyu. Dicinon da Tranexam suna shiga cikin adadi kaɗan ta cikin mahaifa. Kwararren likitan ilimin likita ya kamata ya zabi magani kuma ya ba da izinin tsarin kulawa.

Bayanin likitan game da magani na Dicinon: alamomi, amfani, tasirin sakamako, umarnin analoguesTranexam umarninDicinon

Menene yafi tasiri?

Zuwa yau, binciken ingantaccen asibiti ne kawai daga shekarar 2012 aka sani. Ya samu halartar mata 50 da ke fama da ciwon ciki (na haila mai nauyi), sun kasu kashi biyu, wanda ya gwada ingancin etamsylate (Dicinone) da tranexamic acid. An kimanta shi ba kawai mai ƙarfi ba, har ma da ingancin rayuwa da ke da alaƙa da lafiyar mata kafin da kuma bayan jiyya (aikin jiki da zamantakewa, yanayin ilimin halin mutum). Sakamakon binciken ya nuna cewa matsakaiciyar raguwar zubar jini ya kusan iri ɗaya ne a duka ɓangarorin biyu, tare da ƙaramar fa'ida a cikin Tranexam dangane da inganta rayuwar rayuwa.

Zan iya amfani da Dicinon da Tranexam tare?

Wata hanyar aiwatarwa daban ta sa ya yuwu a haɗu da magunguna biyu a cikin hadaddun jiyya na manyan lokuta. Haɗa kai yana ba da hanya biyu don magance zub da jini:

• antifibrinolytic mataki na tranexamic acid,
• cimma nasarar hemostasis (coagulation) ta hanyar inganta adhesion (stickiness) na platelet da kuma sake dawo da bangon ƙwarin gwiwa a ƙarƙashin ƙarfin etamzilate.

Likitocin da ke halartar ne kawai za su iya rubuta Tranexam da Dicinon a lokaci guda, tunda wannan ba ya haɗu da haɗarin haɗarin sakamako masu illa daga gabobin jini, amma kuma yana buƙatar kulawa akai. Ana yin wannan yawanci a yanayin asibiti. Yana da mahimmanci a tuna cewa sauye sauyen cigaba ana shafar shi ba kawai ta hanyar abubuwan motsa jiki ba ko kuma abubuwan da suka shafi jiki, amma kuma ta hanyar tunanin mutum, matakin damuwa, tsananin biyayya ga shawarwarin likita yayin magani.