Etu esi abanye - Fraxiparin?

Nzube: iwebata ọgwụ, ịgabiga eriri afọ.

Ihe egosi:

1. Iwebata obere oke ọgwụ.

2. Ntinye nke uzo esi enweta mmanu.

3. Mee ọgwụ mgbochi mgbochi.

4. Enyemaka mberede.

Contraindications:

1. lerlerụ ọgwụ riri ahụ.

2. Mmebi nke iguzosi ike n'ezi ihe nke akpụkpọ ahụ na saịtị ịgba ntụtụ.

Ebe ogwu ogbugba dị iche iche:

A na-eme irighiri irighirikụ na akụkụ ahụ ahụ ebe enweghị isi iyi na akwara isi. Nke a bụ ogwe aka dị n'ubu (etiti nke atọ), mpaghara a na-ekpu ekpu, akụkụ afọ nke afọ, oghere dị n'apata ụkwụ.

Ngwá:

1. Sirinti na-enweghị atụ, agịga na-anakọta ọgwụ.

2. Mpempe ara na-egbu oge 2-3 cm ogologo maka iruu subcutaneous na ndị ọrịa nwere akpịrị gbara abụba na 4-5 cm n'ogwe abụba gabigara ókè.

3. Egwuregwu bọọlụ atọ na-ete 70% mmanya ma ọ bụ AHD-2000.

4. Tree akpọrọ "Maka ihe na-enweghị ike."

5. Akwụkwọ iberibe ma ọ bụ akwa nhicha ahụ́.

6. Akara akpọrọ "Maka ngwaọrụ eji eme ihe," ma ọ bụrụ na a ga-emerịrị ọgwụ ya na ngalaba ahụ.

Ngwọta mmanya 0,5% nke chlorhexidine.

Heparin bu ihe anticoagulant.

Heparin - a banyere ya na parenterally, na 1 ml nke heparin nwere 5000 PIECES., n'ime karama nke 5 ml.

A na-ahazi Heparin n'okpuru nchịkwa nke VSC (oge ndagide ọbara) na oge ọnụnọ siri ike na akpụkpọ anụ ahụ ihu mgbidi ma ọ bụ na / m, in / in.

Na VSK site na nkeji 5. ruo nkeji 8 - puku iri,

site na nkeji 8 ruo nkeji iri na abụọ - 5 puku nkeji,

site na nkeji iri na abụọ ruo nkeji iri na ise - 2,5 puku puku abụọ,

ihe karịrị nkeji iri na ise Abanyekwala!

1) Kwadebe aka gi maka ogwu

2) Chịkọta sirinji nwere ike nke 1 ruo 5 ml, kwadebe agịga abụọ, otu maka setị ọgwụ (yana nhichapụ dị ukwuu), nke ọzọ maka ogologo 20-30 mm, maka ntụtụ. Debe agịga sara mbara na sirinji.

3) Jiri mmanya na-eme ihe n'olu nke ampoule, jiri faịlụ ntu kechie ya, ma jiri ya na akwa mmanya na-eme ka mmanya kwụsịrị ya.

4) Jiri mkpịsị aka gị wepụta ọgwụ ahụ site na ampoule ma ọ bụ vial, jiri mkpịsị aka gị jide ampoule ma ọ bụ vial na agịga. Receivenata site na 1 ruo 5 ml (dị ka dọkịta nyere iwu).

5) Gbanwee agịga na, na-ebuli sirinji ahụ na anya ihu, tọhapụ ya site na oke ọgwụ na afụ ikuku, na-enyocha ikike ya.

6) Kwadebe bọọlụ abụọ nke mmanya gbara ụka.

7) Kpọọ onye ọrịa ka ohapụ saịtị ntụtụ ahụ (akụkụ mpụta nke mgbidi oghere ihu, na-akwado 2 cm site na otube). Jiri mmanya na - eme ka ebe ntụtụ ahụ pụta, buru ụzọ jiri bọlbụ owu mee ka ọ dị elu, wee soro nke ọzọ - na saịtị ahụ ozugbo. K nottufu bọọlụ nke abụọ, mana jiri obere mkpịsị aka gị jide ya.

8) N'aka aka ekpe, kpoo akpụkpọ ahụ, ma jiri aka nri, na-ejide sirinji n'akụkụ oke (ihe dịka 45º), tinye agịga ahụ ruo omimi 2/3 nke ogologo ya, a ga-eduzi mkpanaka ahụ n’elu. Na-enweghị ịgbanye sirinji n'aka nke ọzọ, tinye ọgwụ. Debe ajị ajị nke abụọ na mmanya na-egbu egbu na ebe a na-agbanye ya, ma jiri mkpịsị aka gị jiri agịga, wepụ ya na anụ ahụ dị nro na -eme ije.

9) Jiri aka ekpe gị jiri bọọdụ owu, jiri nwayọ na-aageụ ebe ngbanye ya ka o kesaa nke ọma n’obere subcutaneous.

Site na injections subcutaneous, enwere ike nsogbu: infiltration, etuto, na-ahapụ iberibe agịga na anụ ahụ dị nro, nhụjuanya mmanụ, mmeghachi omume nfụkasị, nchịkwa na-ezighi ezi nke ọgwụ ọzọ n'okpuru akpụkpọ kama nke edepụtara.

O dighi ahu ihe ichoro? Jiri ọchụchọ:

Okwu kachasị mma:Maka inweta mmụta, ịnwere ike ịzụta ihe, mana ọbụghị karịa. 8724 - | 7134 - ma ọ bụ gụọ ihe niile.

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E nyere ndị ọrịa prorombosis ọgwụ ọgwụ Fraxiparin. Ọtụtụ nwere ajụjụ banyere otu esi eji ya. N'isiokwu a, anyị ga-agwa gị otu esi abanye fraxiparin. Fraksiparin ọgwụ anticoagulant bụ ọgbọ ọhụrụ nke ọgwụ. Ọ bụ heparin dị ala dị ala. Calcium nadroparin bụ ihe eji arụ ọrụ nke fraxiparin. Ọ batara na antithrombin III, si otú a bulie mmetụta na-egbochi ya na coagulation factor Xa, bụ ihe kpatara ntụgharị nke prothrobin ka ọ bụrụ thrombin. Ojiji calcium praporin anaghị anabata mgbanwe a.

N'ịlụ ọgụ megide thrombosis, fraxiparin kacha adaba. Akọwara etu esi eme ya na ntuziaka ogwu a. A na-enye Fraxiparin ndị ọrịa ịwa ahụ n'oge a na-awa ahụ iji gbochie thrombosis. Ndị ọrịa nwere usoro purulent-septic, na akụkụ iku ume ma ọ bụ nnukwu nkụda obi na-ewere ya iji gbochie thromboembolism. Maka otu ebumnuche ya, a na-enye ya ọgwụ maka ndị ọrịa ịba uru.

Usoro ojiji

Anyị ga-achọpụta ihe esi eji ọgwụ fraxiparin mee ihe. Ntụziaka nke ọgwụ ahụ na-atụ aro ka ahọpụta usoro ọgwụgwọ dabere na ịdị arọ nke onye ọrịa. Ọzọkwa, ihe mere eji họpụta mmadụ na-emetụta usoro onunu ogwu ya na oge nchịkwa ya. Ntụziaka ahụ na-ekwu na ọgwụ ahụ nwere ike ịbanye ya n'okpuru. Anabataghị ọgwụ mgbochi intramuscular na intraven.

Ọ ka mma ị theụ ọgwụ ahụ n'ọnọdụ onye ọrịa. Mee ọgwụ mgbochi na afọ. A na-ewebata Fraxiparin n'azụ mgbidi nke afọ ma ọ bụ nke oge nke afọ, site n'aka ekpe na n'akụkụ aka nri. A na-etinye agịga, na ntinye nke ọgwụ ahụ, na-emecha nke ọma, na-abanye n'oghere anụ ahụ, nke a ga-etinye ya n'etiti ntanye na isi mkpịsị aka ya. Ekwesịrị ijide ogige ahụ ọ bụghị naanị n'oge etinyere agịga, kama ruo mgbe njedebe nke ọgwụ zuru ezu.

A naghị atụ aro ka ikpokọta nchịkwa nke fraxiparin na ọgwụ ndị na-egbu potassium, NSAIDs, ndị na-egbochi ACE. Edeghị ya iwu n'otu oge ahụ dị ka vikasol.

Isiokwu nke ọdịnaya:

Ebe ọ bụ na nke a bụ ọgwụ siri ike, ọ ga-ekwe omume naanị ka dọkịta nyere ya aka.

Ọgwụ a na-ezo aka ọgwụ ọgwụ nwere ihe anticoagulant. Ngwá ọrụ a na-egbochi ọdịdị nke egbochi mkpụkọ ọbara, ya mere, a na-ejikarị ya maka ọgwụgwọ na mgbochi nke thrombosis nke veins elu na nke miri emi.

Ọzọkwa, a na-eji ọgwụ ahụ eme ihe maka ọgwụgwọ nke ọrịa vaskụla ndị ọzọ dị ize ndụ.

Ihe ngbanwe

A na-egbochi Fraxiparin n'ụba nke thrombocytopenia, ọbara ọgbụgba na-agbasa, ma gbasaa ọrịa intravascular coagulation syndrome. Ekwesighi inye ya ndi mmadu ndi nwere oria oburu ha agha, nke a na - eduga nbawanye na mpaghara mmebi. Ndị ọrịa nwere ọbara mgbali elu na orthostatic hypotension ekwesịghị ị shouldụ ọgwụ a.

A naghị akwado ya maka ndị nwere oke ọnya afọ nke afọ ma ọ bụ duodenum, ọbara ọgbụgba ga-ekwe omume. Ọ bụrụ n’ịlele etu esi were ọgwụ ahụ, ọ dị mma n’igbochi thrombosis. Ọ bụrụ na usoro a ga-eji gafere ya, ọbara ọgbụgba dị iche iche nwere ike ịmalite. N'ọnọdụ ụfọdụ, thrombocytopenia na-adịte aka.

Anyị kọwara mmetụta ọgwụ a nwere. Also ga-ahụkwa ozi ndị ọzọ dị iche iche gbasara Faraskapin bara uru, otu esi egbutu, ị kwesịrị ị na-ele vidiyo ahụ. Ebe ọ bụ na inje ọ bụla chọrọ nlekọta na usoro siri ike.

Mwepụta weputara na akụrụngwa

A na-emepụta ọgwụ ahụ n'ụdị edozi, usoro nke enweghị ya ma ọ bụ nwee odo na-acha odo odo dị mfe. A na-etinye ihe ngwọta ahụ na sirinji. Ezubere ọgwụ a ka ogwu n’ahụ n’ahụ.

A na-etinye akwa irighiri mmiri na blisters. Otu ọnya nwere ike inwe otu mpekere abụọ, abụọ ma ọ bụ ise, nke edobere na ngwugwu nke kaadiboodu.

Fraxiparin nwere ihe ndia:

1. Akụkụ bụ isi bụ calcium nadroparin. Ọgwụ ya nwere ike ịdị ka ndị a - 2850, 3800, 5700, 7600, 9500 IU anti-Xa.
2. Ihe ndi ozo - hydrochloric acid, calcium hydroxide, mmiri maka injection.

Ngwongwo ogwu

Fraxiparin so na anticoagulant otu nwere ọgwụ antithrombotic. Calcium nadroparin bụ ụdị heparin dị ala dị ala nke enwetara site na mbepụ ya na heparin mgbe niile. Ọ bụrụ na anyị na-atụle ihe a site n'akụkụ kemịkal, mgbe ahụ ọ bụ glycosaminoglycan, onye ịdị arọ ya bụ 4300 daltons.

Akụkụ a abawanye ụba tropism maka antithrombin protein protein ọbara, nke na-ebute ya na ibelata ihe Xa. Ọnọdụ a na-ekpebi ogo mmetụta antithrombotic nke nadroparin.

Kpụrụ ndị ọzọ maka ịba ụba ọrụ antithrombotic gụnyere mkpali ihe na-egbochi ahụ anụ ahụ, ịkwalite fibrinolysis n'ihi ntọhapụ nke mkpụrụ ndụ plasmogenic activates site na mkpụrụ ndụ endothelial, yana ịgbanwe data hemorheological - belata ọkwa nke viscosity nke usoro ọbara, na-amụba ọnụ ọgụgụ nke platelet, na-agbanwe membrane nke granulocytes.

Tụnyere heparin nke ụdị ejikọtara ya, ọ nwere mmetụta kachasị ala na ọrụ platelet, n'ụdị nchịkọta na steeti nke homeostasis bụ isi.

N'oge ọgwụgwọ na ọrụ dị elu, ịrị elu na APTT site na oge 1.4 karịa ka ọkọlọtọ ahụ nwere ike ịhụ. Ọ bụrụ na a na-eji ya na ọgwụ ogwu prophylactic, mgbe ahụ enweghi mbelata siri ike na APTT.

N'oge nlekọta ọgwụ ahụ site na ntụtụ subcutaneous, a na-enweta ntinye kachasị na ọbara n'ime awa 4-5. Mwepu ọgwụ a na-eme ihe ruru 88%. N'oge nchịkwa intraven, a na-achọpụta itinye uche kachasị elu mgbe nkeji iri gachara.

Iwepu ọkara ndụ bụ ihe dịka awa 2. Mettabolization nke ọgwụ a na-ahụkarị na imeju site na usoro nkụda mmụọ ma ọ bụ site n'ibipụ ya.

Kedu ihe ndị na-egosi ị forụ ọgwụ?

A na-ezube Fraxiparin maka ọrịa ndị na-esonụ:

• maka igbochi oria ọrịa thromboembolic, n'oge oge ịwa ahụ ọrịa orthopedic, na ọnụnọ nke ọbara ọgbụgba na ọnọdụ ICU, nke nnukwu ọrịa ma ọ bụ iku ume ma ọ bụ nkụda obi na-esonyere ya.
• n'ihe ize ndụ nke ịmalite ịrịa ọrịa mamịrị,
• iji kpochapu ihe mgbaàmà thromboembolic,
• na prophylactic ọgwụ maka ịmịnye ọbara ọbara n'oge usoro akwara ụkwụ,
• iji wepu angina na infarction na adighi agha.

Etu esi etinye Fraxiparin - iwu, atụmatụ, usoro onunu ogwu

A na-etinye ihe ngwọta dị n'okpuru anụahụ. Na iwebata onye ọrịa kwesịrị ịgha ụgha. Ekwesịrị itinye ọgwụ n'okpuru akpụkpọ ahụ banye na ebe ana - eme nwa ma ọ bụ posterolateral nke afọ. A na-enye ọgwụ ahụ n'akụkụ ọ bụla - n'aka nri gaa n'aka nri, emesia gaa n'aka ekpe. Can nwekwara ike ịbanye n’apata ụkwụ.

Na-etinye agịga n'okpuru anụ ahụ n'ọnọdụ kwesịrị arụ, mana ọ bụghị n'akuku. Tupu nchịkwa, a ga-akụ ahụ ya na obere ude. E guzobere ya na oghere dị n’apata ukwu na isi aka. Ekwesịrị itinye crease n'oge ntụtụ ọgwụ. Mgbe ogwu ogbugba ahụ, mpaghara ahụ a wasụrụ ọgwụ ahụ ekwesịghị ị ga-ete.

Njirimara nke iji Nadroparin, dabere na ihe mgbaru ọsọ:

1. N'oge ọgwụgwọ nke thromboembolism na ozugbo usoro ịwa ahụ, a na-atụ aro ka ịhazi ihe Fraxiparin na 0.3 ml ma ọ bụ 2850 IU anti-Xa, a na-eme ya site na ntụtụ subcutaneous. A na-agunye ọgwụ ahụ ruo awa 2-4 tupu a waa ya ahụ, yabụ otu ugboro kwa awa 24. Ọgwụgwọ ahụ kwesịrị ịkarị ihe na-erughị otu izu, enwere ike ịme ya ruo mgbe ọnụọgụ nke ọbara ọgbụgba na-agafe.
2. N'oge prophylactic therapy nke thromboembolism n'oge orthopedic ịwa ahụ, a na-eme ntụtụ site na ntụtụ subcutaneous na usoro onunu ogwu dabere na mkpokọta ahụ, kwa 1 kilogram nke ibu onye ọrịa, a ga-achọ ihe ruru 38 IU anti-Xa. N'ụbọchị nke anọ mgbe ịwachara ahụ, usoro ọgwụgwọ ahụ nwere ike ịbawanye elu ruru 50%. Ekwesịrị ịgba ọgwụ mbụ ahụ ruo awa iri na abụọ tupu a waa ya ahụ nke abụọ a ga-eme awa iri na abụọ mgbe a wasịrị ya. Mgbe nke a gasịrị, a na-enye inje nke ọgwụ ahụ maka oge sochirinụ, ruo mgbe ihe ize ndụ nke ịmịcha ọbara belatara, ma bufee onye ọrịa ahụ ka ọ gwọọ onye ọrịa. Oge opekata mpe ọ ga-abụ ụbọchị 10.
3. Ọrịa ndị nwere ihe ize ndụ nke mkpụkọ ọbara, tinyere ọnya na-efe efe nke akụkụ iku ume, yana akụkụ iku ume ma ọ bụ nkụda obi, a na-enye ọgwụ ahụ otu ugboro kwa awa 24, a ga-enyerịrị ya akpụkpọ ahụ. A na-edozi usoro onunu ogwu a dabere na oke ahụ. A na-ahụ ọgwụ ahụ n'oge oge niile nke ihe ize ndụ nke thrombosis.
4. Na ọgwụgwọ nke thromboembolism, ekwesịrị ịde ọgwụ anticoagulant ozugbo enwere mgbaàmà nke mmalite. A na-eme ntụtụ Fraxiparin ruo mgbe achọrọ prothrombin ruru. A na-enye ọgwụ ahụ subcutaneously 2 ugboro na 24 awa. A na-eme ogwu ogbugba kwa awa iri na abụọ. Usoro onunu ogwu g’eme ka aru di aru - 86 IU anti-Xa kwesiri inye gi otu kilogram.

Vidiyo a na-egosi otu esi abanye ntụtụ Clexane n’onwe ya, ntụtụ Fraxiparin na-emekwa otu aka ahụ:

Jiri n'oge ime na lactation

Dabere na nyocha anụmanụ, enwere ntakịrị ihe akaebe na akụkụ mejupụtara Fraxiparin gafere na nwa ahụ, yabụ akwadoghị ị ofụ ọgwụ ahụ n'oge ime, mana ejiri ya mee ihe na omume.

Mgbe ụfọdụ enwere ihe dị iche mgbe uru nne ya ga-akarịrị ihe nwute.

N'oge a na-enye nwa ara, anaghị atụ aro iji ọgwụ ahụ eme ihe, ebe ọ bụ na mmiri mejupụtara nwere ike ịbanye na mmiri ara ehi.

Nsonaazụ

N'oge ị drugụ ọgwụ, mmetụta ndị ọzọ na-esote nwere ike ime:

• ọbara nke ebe dị iche iche,
• sterombocytopenia na eosinophilia,
• mụbara enzymes imeju
• mmeghachi omume mmetụta uche nwere ike ime,
• hematomas nwere ike ịpụta na ntụtụ ahụ, usoro siri ike nke na-apụ n'anya n'ime ụbọchị ole na ole, mgbe ụfọdụ necrosis nwere ike ịmalite, nke ahụ ọgwụgwọ ahụ kwụsịrị,
• hyperkalemia na priapism adịkarịghị kwa apụta.

Ihe nfụkasị ahụ na Injin Fraxiparin

Ahụmahụ dị mkpa

Echiche nke ndị dọkịta ọkachamara na nyocha nke ndị nkịtị gbasara ọgwụ Fraxiparin.

Fraxiparin bụ ngwá ọrụ dị mma maka igbochi na ọgwụgwọ nke ọrịa dị iche iche nke thrombotic. Ọgwụ a na - enyere ihe fọrọ nke nta ka ọ bụrụ na mbụ ojiji, nke a bụ n'ihi njirimara ya. Akụkụ dị ike na-ejikọ protein protein plasma ngwa ngwa n'ihi nke a na-emepụta mmetụta antithrombotic.

N'oge ọgwụgwọ, mkpụkọ ọbara na ọbara ọgbụgba na-amalite ngwa ngwa ihe ọefụefụ. Ngwá ọrụ na-ebelata viscosity ọbara ma na-abawanye ike nke mpempe platelet. Mana n'oge iji ya, ọ dị mkpa iji nyochaa ọnọdụ ọbara ahụ, mgbe ụfọdụ ọbara ọgbụgba nwere ike ibute.

M na-edenyekarị ndị isi ọrịa Nadroparin maka mgbochi na ọgwụgwọ nke ọrịa thrombotic dị iche iche. Ọgwụ a na - enyere aka iwepụ thrombosis, na - agwọ thromboembolism siri ike.

Na mgbakwunye, n'eziokwu, enwere ike iji Fraxiparin n'oge afọ ime, ọgwụ ahụ enweghị mmetụta ọjọọ egosipụtara na nne na nwa ahụ, ọ bụ ezie na ntuziaka ahụ kwuru ihe dị iche.

N'oge nchịkwa, ọgwụ ahụ na-abanye ọbara ngwa ngwa, na-ebelata mbufụt, ihe mgbu ma kpochapụ nsonaazụ na-adịghị mma nke ọrịa ahụ. Mana echefula banyere nsonaazụ ndị ọzọ, yabụ n'oge ị na-eji ọgwụ ahụ, ị ​​ga-enyocha ọnọdụ nke ahụ gị mgbe niile.

Tupu m tụrụ ime, a gafere m nyocha nke gosipụtara na enwere m oke ọbara, dịka dọkịta mechara kọwaara m, oke ọbara nwere ike ibute ọria ọbara. Ọkpụkpụ ọbara na-adị n'oge ime ime na-etinye nne na nwa ya n'ihe ize ndụ.

O debere ọgwụ Fraxiparin. Na mbụ, o dịka ọ bụụrụ m ahụrịrị inye ọnya afọ, mana ka oge na-aga, amalitere m ya. Na mbu, hematomas guzobere na ebe injection, mana ha gabigara. Abụrụ m ọgwụ ahụ ruo izu abụọ, mgbe emesịrị ule ndị ahụ dị mma.

Ebe ọ bụ na m nwere ọrịa thromboembolism nke ịmụ nwa, ịmụ nwa bụchaara m ọnwụnwa. Ọrịa a kemgbe afọ 7 aghọọla ihe mgbochi nye m na mụ na di m na-atụ anya.Ka machara ime, agara m dọkịta ozugbo, o nyere m iwu ka m gwọọ mudia Fraxiparin oge niile. Ezubere ọgwụ a ka ọ dịrị ọbara ma gbochie egbochi na mkpụkọ ọbara. Ekwenyere m ozugbo. Emere m onwe m inje.

Ogwu a enweghi ihe ojoo n’aru nwata. Ejiri m nwayọ gboo afọ ime m niile mụọ nwa!

Chazụta ọgwụ ahụ na ọgwụ analogues ya

Ọnụahịa ọgwụ ahụ dị elu na nkezi maka ngwugwu nwere sirinji 10 0.3 sitere na 2200 wee rute 4020 rubles, maka otu ngwugwu Fraxiparin Nke 10 0.6 ml - site na 3400 ruo 5000 rubles, analogues ọgwụ na-esote dịkwa maka ịzụta:

Nyere aka na ọrịa vein.

Ighapu ihe ndi mmadu ka apiri iji ya gosiputa ihe sitere na ya.

Sonyere anyị ma soro akụkọ banyere netwọk mmekọrịta.

Nkwupụta

Di m tiri m ihe, i were mmanu mee m n’afọ ma n’akuku nke aka nri)) ike apughi m idi)) na mbu odighi nma, mgbe ahu i gha eme ya ooo! Echegbula)))

Enweghị mkpa iji aka. Ọ dị nfe na afọ m, agbanyeghị m na itinye ya na oge gị, naanị na mbụ, mgbe ọ nweghị afọ ọ bụla. Ma achịkọtara anụ ahụ n'ogwe ma tinye agịga n'ime ya (mgbe ụfọdụ ọ bụghị oge mbụ, aka m na-ama jijiji)). Isi ihe bụ ka egbuo ya oke .. Oge ụfọdụ o mere m, m ga-akụ afọ m niile, aka m na-ama jijiji, ma maa jijiji ((Mgbe ahụ, ewepu agịga ahụ, ewepụtara m mpịkọ.

Fọlọ m hapụrụ ọnya m rapaara m n'afọ, enwere ụfọdụ oke agịga. Di m butere ya insulin ma gbanye ya insulin n’ime ya ugbua, dika ogwu ndi ozo

M ga-ezitere gị njikọ na PM na nkuzi vidiyo m! Ihe niile dị mfe ebe ahụ!

M callola n'okpuru otube. na akuku. atula egwu. dị tacha ma jiri nwayọọ banye. ịbanye n’afọ, ọ bụghị n’okpuru anụ ahụ.

N'ụzọ dị ịtụnanya, dọkịta gwara m ọ bụghị naanị na mpaghara dị nso na otube, na-akwụ ụgwọ ..

Ezighi m n’okpuru otube mana n’okpuru ya.

Enweghị m ike ijide onwe m :( Agara m nọọsụ ahụ maka ụbọchị iri ruo ụbọchị iri

Hụ kwa

Mụ agbọghọ na-agwa m otu esi abanye fraksiparin? N’ime afọ? Site na hoarse, ebe injection na-afụ ụfụ na ụdị ọnya ahụ, ọ bụ ya mere kwa ụbọchị iji tinye ọnya dị otú ahụ? Afọ ga na-eji oji ọnwa. Ihe ị ga-eme N'ihi ya, ọ kwesịrị ịdị? Mama, onye ujo. A.

Ndewo ụmụ nwanyị niile! Kolya fraksiparin n'ụtụtụ 0.3, na mgbede 0.6. Ọkpụkpụ amalitelarị ịpụta. Agịga ahụ abụghị otu dị ka nke dị gịrịgịrị. Gwa m otu esi etinye irighiri fraksiparin, ikekwe m na-eme ihe na-ezighi ezi, ha kwuru na m gbara ya.

Ndewo ụmụ nwanyị! Ha depụtara fraksiparin 0.3 iji gbue, ntuziaka na YouTube na-ekwu na ịkwesịrị ịwepụ akpụkpọ ahụ, dọkịta dokwara m ụnyaahụ, na-enweghị dọpụta ya, naanị otu akụkụ, webatara agịga ma gbanye ọgwụ. Kedu ka i si akpọ ndi onwe gi? Jide anụ ahụ n'etiti mkpịsị aka gị ma ọ bụ.

Mụ nwanyị, enwere m amịrom thrombophilia ma bụrụkwa m onye e nyere n'iwu ka m gbaa fraxiparin! Nke mbụ, ha butere n’ime afọ 1 otu ugboro n’ụbọchị !! (nke a bụ mmalite nke afọ ime). Dọkịta ahụ lere ọnyá ahụ merụrụ m ahụ wee sị ka ọ dajụọ.

TW! Eveningbọchị mgbede a, ajụjụ nwere ụfọdụ m bịara. Ebe ọ bụ d-dimer, rfmk abawanye, a na-enye fibrinogen ka infee fraxiparin 0.4. Yabụ mgbede ahụ bịara, m nwara ịgba ọgwụ na mpaghara otu ahụ, agịga ahụ abụghị n'ụzọ ọ bụla.

Ndewo ụmụ nwanyị niile. Azụtara m ovrel naanị oge a, o nwere ụfọdụ nkwakọ ngwaahịa ndị ọzọ na ntuziaka na-ekwu na ịkwesịrị ịrapara ya n’afọ gị :( ma ọ bụ na aghọtaghị m na girls ụmụ agbọghọ ndị gbanyere nnu dị otú ahụ.

Umuigbo! SOS! Site taa, ịkwesịrị igba fraxiparin. Afọ atọ gara aga, ha nyere m inje atọ, m tinye ha na friji! Ndi anapuwo ha? Ntuziaka ahụ (na ntanetị) na-ekwu na ọnọdụ okpomọkụ ekwesịghị gafere ogo 30, ma ọ dịkarịa ala.

Ndewo onye ọ bụla! Edere m iwu na m ga-abanye FRAXIPARINE. Na otu esi edozi ya nke ọma, enweghị m ike ịghọta. N'ime otube ma ọ bụ ebe ọ bụla na afọ, ọbụlagodi n'akụkụ? Naanị akpụkpọ ahụ nwere ike "ijide" naanị site n'akụkụ, yana mpaghara etiti.

Ruo ọnwa atọ dị iche iche, ana m agbanye na injections Fraxiparin, kwa ụbọchị, afọ m na-acha ọbara ọbara yana na hematomas. Ihe nyocha tupu nke ahụ dị mma. Mụ na di m kpebiri ịnwa igbu ụbọchị ọ bụla, ụbọchị ọzọ agafere m ule. na-echere nsonaazụ ya.

Usoro maka ochichi nke Fraxiparin - otu esi abanye ogwu ahụ n'ụzọ ziri ezi?

Etu esi etinye Fraxiparin? Ajụjụ a na-ebilitekarị n’etiti ndị ọrịa o nyekwuru ya. Mmetụta ọgwụ nke ọgwụ ahụ bụ ọgwụ anticoagulant na antithrombotic.

Ihe dị n'ime ya bụ calcium nadroparin. Mgbe ụfọdụ, ọ na - eme na dọkịta depụtara nwanyị ọgwụ a.

Otutu mgbe enwere ime ime, anaenye Fraxiparin iji gbochie mminyekwu ọbara, nke nwere ike ibute ọbara. Ọzọkwa, enwere ike iji ọgwụ ahụ mee ihe iji gbochie ọrịa na ịgwọ ha.

Fọdụ ndị ọrịa na-a theụ ọgwụ ahụ ọnwa itoolu. Yabụ gịnị bụ ọgwụ a, kedu ka ị ga-esi tinye ya nke ọma?

Ndị ọrụ nke ụlọ ọrụ ọgwụ na-ekwu na ọgwụ a enweghị nchebe, yabụ na ị nweghị ike ichegbu onwe gị gbasara mmerụ ahụ ike. Patientsfọdụ ndị ọrịa na-ewere ya rịba ama na ntuziaka maka ya enweghị ozi ọ bụla gbasara iji ọgwụ ahụ n'oge oge iko.

Ruo ugbu a, enwebeghị ọmụmụ ọ bụla emere n'isiokwu a. Imirikiti ndị ọkachamara na-ekwu na ihe kpatara ya bụ ihe a: akwụkwọ ntuziaka enweghị data ọhụụ, ebe ọ bụ na edeghị ha akwụkwọ afọ iri atọ.

Ngwọta maka nchịkwa subcutaneous nke Fraxiparin

Edere ọgwụ a naanị n'ọnọdụ ndị kachasị njọ, mgbe enwere nnukwu ihe ọghọm. Iji maa atụ, ọ bụrụ n’ịnyeghị ọgwụ n’oge n’oge enweghi anticoagulant nwere ịba ụba ọbara. A machibidoro ime ihe nwa ma ọ bụ ọnwụ nke nwa ebu n'afọ.

N'ime listi contraindications, a na-etinye ihe dị njọ nke ọnya afọ ma ọ bụ duodenal, nsogbu mgbasa ọbara na anya, yana ọrịa ndị ọzọ nwere ike itinye. Banyere ụzọ nchịkwa, a na-achịkwa azịza ajụjụ a dị n'okpuru ala.

N'oge usoro a, onye ọrịa ahụ kwesịrị ịnọ n'ọnọdụ kachasị.

Ọgwụ a ga-akwụ ụgwọ n'okpuru anụ ahụ tupu ebe afọ ma ọ bụ mgbe akwara dị nke afọ.

A na-ewebata ya na uzo nke ọ bụla: nke mbụ n'aka nri, emesia gaa n'aka ekpe.

Ọ bụrụ na achọrọ, ị nwere ike banye mpaghara apata ụkwụ. Na-etinye agịga n'okpuru anụ ahụ n'ọnọdụ dị mma, n'ọnọdụ ọ bụla na akụkụ adịghị njọ. Tupu ịtinye ya, ekwesịrị ịkpụkọta anụ ahụ obere obere ude.

E guzobere ya n’agbata isi ukwu na mkpịsị ụkwụ. Ekwesịrị idowe mpaghara atụrụ ahụ n'oge usoro nchịkwa ọgwụ niile. Mgbe ogwu ogbugba ahụ gasịrị, mpaghara ebe a na-enye ọgwụ ahụ ekwesịghị ka ọ bụrụ n'ụzọ ọ bụla.

Akụkụ nke iji Fraxiparin dabere na ebumnuche:

Ole ọgwụ dabere n’arụ ahụ. N'iburu ibu nke kilogram 50 ma ọ bụ obere, ọgwụ a tụrụ aro ya bụ 0.2 ml. Nke a bụ olu a na-enye awa iri na abụọ tupu a waa ya ahụ na otu oge ọ gachara.

Mana dose ahụ kwesịrị ịgbanye ya otu ugboro n’ụbọchị anọ mgbe ọwachara ahụ bụ 0.3 ml.

Ọ bụrụ na ịdị arọ nke anụ ahụ dịgasị n'etiti kilogram, mgbe ahụ ịkwesịrị ịbanye 0.3 ml nke ọgwụ ahụ awa iri na abụọ tupu awaa ya na n'oge dị otú ahụ mgbe ọ gbasịrị. Site n’ụbọchị nke anọ mgbe a wasịrị ya ahụ, olu nke otu ọgwụ ọgwụ bụ 0.4 ml.

Mgbe ịdị arọ ya karịrị kilogram 70, ọgwụ a tụrụ aro bụ 0.4 ml maka ọkara otu ụbọchị tupu ịwa ahụ. Ma olu nke Fraxiparin, nke a na-ahụ maka otu ugboro n'ụbọchị nke anọ mgbe a wasịrị ya ahụ, bụ 0.6 ml.

Usoro eji ewebata Fraxiparin n’ime afọ: iwu

Ọ dị mkpa ịnye ọgwụ ogwu na afọ. A naghị atụ aro ka ọ gbaa ntụtụ na otube na etiti etiti ogwe osisi ahụ.

Ọzọkwa, abanyekwala na ebe ọnya ọnya, ọnya na ọnya. Mkpịsị aka ukwu na isi aka ya kwesịrị inwe mpempe akwụkwọ, na-ebute ihe akpọrọ triangle. Isi ya kwesịrị ịdị n’agbata mkpịsị aka gị.

Ntọala mpịachi a, gbanye ọgwụ na akụkụ aka nri. Ọ dịghị mkpa ịhapụ ibe ya n'oge a na-a ofụ ọgwụ ahụ. Ekwesịrị ime nke a ozugbo ewepụsịrị sirinji. A naghị akwado ya ka ịhịa aka na saịtị ahụ.

Egwuregwu vidiyo bara uru

Ntuziaka banyere otu esi etinye Fraxiparin na ọgwụ ndị ọzọ n'ime afọ, n'ime vidiyo:

Ekwesịrị ịmara na ọdịdị nke obere obere edema na ebe a na-agba agba ka ewere dị ka ihe dị mma. N'ezie, ọ nweghị ihe kpatara nchegbu naanị ma ọ bụrụ na nke a anaghị ewetara nwanyị ahụ mgbakasị ahụ. Ihe dị mkpa: a machibidoro ya itinye onwe gị na Fraxiparin na-enweghị ikikere dọkịta, karịsịa n'oge ime. Naanị dọkịta dọkịta nwere ikike ịhọpụta ya.

• Ọ na - ewepụ ihe ndị na - akpata nsogbu mgbali
• Normalizes nrụgide n'ime nkeji iri mgbe nchịkwa

Etu esi etinye fraxiparin?

Na mkpokọta, ha họpụtara m dịka nke a: site na ise dts ruo mmalite nke ụbọchị M.

Ikwesiri idobe ụbọchị niile n'otu oge, site na ụbọchị mbụ na-agbapụ ya na mmalite nke nsọ ọzọ

Aga m atụkwasị na ịchọrọ ịnakọta n'ogige atụrụ ahụ, tụọ ya, wepụchaa agịga, ma naanị ịtọhapụ n'ogige atụrụ a.

atụla egwu ịbanye agịga ahụ ụzọ niile - ọ dị obere, ọbụlagodi ụmụ agbọghọ dị gịrịgịrị na ebe a nwere akwa abụba na-adịghị ala ala

Ahapụkwa mmụọ gị, nke ahụ dị mma! Naanị mgbe ewepụsịrị agịga ahụ ka enwere ike ịhapụ ya.

Ndenye Blog ama ama

Ọ bụ ihe ịtụnanya etu obere ụmụ nwanyị dị otu a ga - esi kee oke ụzụ dị oke elu.

Anọghị m ebe a ogologo oge. N'ihe banyere umuaka - ihe adighi agbanwe agbanwe. Ha abụghị, ọ nweghị afọ ime. Mana.

Oge mbu m bịarutere ụgbọelu nwatakịrị maka ndụmọdụ banyere usoro BT. Usoro a na-agba ọsọ, ugbu a enwere m ihe ọmụma.

Foto ndị na-adọrọ mmasị na gallery

Dị ka ọtụtụ ndị nọ ebe a, m na-achọkarị chere X, mana m na-eme nnwale ndị ahụ na mbụ: (DPO, Evie. Oge.)

Biko lee anya, o 28 dts na 30 dts. Ọ nwere ọnọdụ ọ bụla? Ihe mere bu na hcg adigh nma.

Kedu ihe kpatara m ji abanye na DC, n'ihi Amaghị m ihe m mere Oh, ma mgbe ihe, ọ dịkwa. nhazi oge.

Edemede kachasị mma na ọba akwụkwọ

N'etiti narị afọ gara aga, ọkà mmụta mmekọrịta nwoke na nwanyị America na prọfesọ ọkachamara n'ọrịa ụmụ nwanyị Arnold Kegel zụlitere.

Ihe nrịba nke ovaries na-akpalite amụghị amụ? Kedụ ka ime si amalite na usoro ọmụmụ a? O.

Gbaso usoro iwu nha okpomọkụ dị mkpa maka iwulite usoro amamịghe. Kama iwu gra.

Mmegharị nke ihe saịtị ahụ ga-ekwe omume naanị site na njikọ nwere njikọ gaa na www.babyplan.ru

Ojiji nke anticoagulants n'oge ime: Fraxiparin

N'oge ime, enwere ọnọdụ mgbe dọkịta, mgbe nyocha ọbara ọzọ gasịrị, depụtara nwanyị ọgwụ ọzọ - anticoagulant. Omume nke imeju ọbara ọgbụgba bụ ihe dị ize ndụ nye nne na nwa, ya mere, ọ nwere ike ị drugsụ ọgwụ eji eme ihe n'oge a. A na-enye Fraxiparin n'oge afọ ime, n'agbanyeghị mmachibido iwu nke iwu gọọmentị, enyere iwu ka ọ gbochie hypercoagulation. Ọtụtụ ndị ọkà mmụta banyere ọrịa na-ekwenye na ọgwụ, ma ọ bụrụ na ejiri ya nke ọma, anaghị emerụ nwa ebu n'afọ.

Usoro nke Fraxiparin

Fraxiparin bụ heparin dị obere irighiri ihe nke nwere mmetụta anticoagulant. N'ikwu ya n'ụzọ ọzọ, ọ na - egbochi ịgbalite mmeghachi nke mmeghachi omume na - eduga n'ọbara ọbara. Site na ijikwa ọgwụ a mgbe niile, a na-egbochi egbochi ọbara.

Ngwakọta ọrụ Fraxiparin bụ calcium nadroparin. Ude a nwere ike ngwa ngwa ma nwee ntụkwasị obi ịkekọta njikọta ụmụ irighiri protein na plasma. Ọ bụ usoro a na - egbochi egbochi ọbara ịpụta. Mmeghe nke Fraxiparin, ma ọ bụ calcium nadroparin, nwere mmetụta akpọrọ na akụrụngwa nke ọbara ma n'otu oge ahụ ihe anaghị akpata mmeghachi omume ojoo. Dị ka heparins niile, ọ dịghị eme ka enwere ọbara ọgbụgba belata.

Thrombophilia bụ nkwarụ nke na-agba ọbara nke nwere ihe mgbochi ọbara. Ọnọdụ a nwere ike ibute ọnwụ nke nwa n’afọ. Fraxiparin n'oge afọ ime na-ejide nwa amụrụ nwa dị ọcha, ọ dịghị emerụ ahụike nke nne. Ihe ọzọ ọgwụ a bụ na ọ naghị agafe ihe mgbochi placental ma ghara imetụta nwa ebu n’afọ.

Jiri n’oge ime

N'oge afọ ime, a na-enye Fraxiparin maka ịgwọ ọnọdụ ndị metụtara ịmịnye ọbara ọbara, yana maka mgbochi ha. A họọrọ oge nke usoro ọgwụgwọ n'otu n'otu: n'ụfọdụ oge, ọ bụ ọnwa iteghete. Enwere ike ịchọ ọgwụgwọ ogologo oge ma ọ bụrụ na nwanyị ebuola ime ọ bụla n'ihi ọrịa ọbara. N'ọnọdụ ndị dị otú a, ọbụlagodi na-otu izu iji nlekọta nke ị drugụ ọgwụ nwere ike ịkpalite ọnwụ nwa ebu n'afọ.

Ọ gaghị ekwe omume ikwu kpọmkwem etu Fraxiparin dị nchebe n'oge dị ime. Ntụziaka ahụ nwere ozi na ọhụhụ ya ga-ekwe omume na oge nke abụọ na nke atọ. Ndị ọkà mmụta banyere ọrịa ahụ ji n'aka na ọgwụ ahụ adịghị emerụ nwanyị ahụ na nwa ebu n’afọ ahụ, mana enweghị ọmụmụ nyocha ahụike nke ụdị mmadụ a emebere. Nke ahụ bụ, ajụjụ banyere teratogenicity nke Fraxiparin ka ghe oghe. Agbanyeghị, ejirila ọgwụ ahụ were ogologo oge iji gwọ ma gbochie mmụba ọbara n'ime ụmụ nwanyị dị ime, na mmeghari ọgwụ ahụ emebeghị ka ọ dị ọtụtụ iri afọ.

Edebere Prexiparin ime n'oge ụfọdụ. Mgbe o nwetasịrị data nyocha nke ụlọ nyocha, dọkịta ahụ kpebiri ihe dị ka ọmụmụ nwa na ọnwụ nwa, na-ekpebi ma ị ga-eji ọgwụ ahụ. Nlekọta ya mgbe nile na - enyere aka weghachite coagulation nkịtị ma zere ụdị nsogbu ndị a.

Oge ato bụ ihe kachasị dị ize ndụ maka ị anyụ ọgwụ ọ bụla, gụnyere ọgwụ anticoagulants. Ha na-agbali ibugharị ihe ha ga-eji ruo izu iri na isii, mgbe etolite Platin. N'ime oge nke abụọ na nke atọ, enwere ike iji ya mee ihe ma ọ bụrụ na nwanyị dị ime enweghị ọgwụ ọzọ.

Ogologo oge okwu a, ihe puru ime ihe ojoo nwere nsogbu n'ihi inyeju obara. Plasenta na-eto n'ime ọnwa iteghete; ọnụọgụ nke arịa dị obere na-abawanye na ya. Thrombi na-etolite ngwa ngwa na capillaries, nke na-eduga hypoxia nwa ala na oge na-egbu oge na mmepe nwa ebu n'afọ.

N'ime ọnwa nke atọ, akpanwa na nwa ebu n’afọ ruru ogo ha kachasị. Ka ha na-abawanye, ka ha na-agbakasị obere ahụ vena cava, nke ọbara na-esite site n'ụkwụ ya ruo n'obi. N'ihi ya, ọ na -agbalị, nke na-eduga n'ọzụ nke mkpụkọ ọbara. Nhọrọ kachasị dị ize ndụ bụ mgbochi nke akwara ọbara, ọnọdụ a nwere ike ibute ọnwụ nke nwanyị dị ime.

Ọ bịara doo anya na enwere ihe ngosipụta dị mkpa maka nhọpụta Fraxiparin. N’ihe atụ niile a dị n’elu, ihe ọghọm dị n’eji ya eme ihe na-erughị ihe nsonaazụ ọbara na-akpata.

Mgbe ị na-eme atụmatụ ịtụrụ ime, a na-edenyekwa fraxiparin maka ịba ụba n'ọbara.Thrombosis bụ otu n’ime ihe ndị na-egbochi idozi akwa akpatila akwara na mgbidi uterine. Nke ahụ bụ, iwebata ọgwụ a na-enye aka ịtụrụ ime.

Ofzọ nke ngwa

Mgbe ị na-ede akwụkwọ Fraxiparin n'oge ịtụrụ ime, ọ dị mkpa ịmata etu esi agba ya. Emeputa ahụ nwere nchegbu banyere ịdị mfe ojiji: ọgwụ ahụ dị n'ụdị edozi a wụsara ya na sirinji ndị nwere ike iji ntinye aka n'okpuru anụahụ. Olu nke otu uzo nwere ike di iche, na ndi ogwu ebe inwere ike ichota: 0.3 ml, 0.4 ml, 0.6 ml, 0.8 ml, 1 ml.

N’ime afọ ime, a na-egokarị usoro nke kacha nta - 0.3 ml, 1 oge kwa ụbọchị. A họrọ oge oge ịgba ntụtụ ahụ n'otu n'otu, mana ọ gaghị enwe ike erughị ụbọchị iri. Usoro ọgwụgwọ a na-abawanye ma ọ bụrụ na nwanyị nwere nnukwu ahụ.

Nhọrọ kachasị mma mgbe a ga-emeghe mmeghe nke Fraxiparin site n'aka ndị ọrụ ahụ ike. Ma ebe ọ bụ na ọtụtụ na-edenye ọgwụ ahụ ogologo oge, na mgbe ụfọdụ maka ọnwa niile 9, ọ ga-adị mkpa ka ị mata usoro ahụ n'onwe gị. Ma, tupu ịgbanwee ọgwụgwọ ụlọ, ọ dị mkpa ka ọkachamara ahụ rụọ ọtụtụ ịgba ọgwụ. Yabụ ọ ga-amịpụta ịhụ usoro ziri ezi ma ghọta ihe sensations nwere ike ịbụ na iwebata usoro a.

Iwebata ihe ngwọta dị ka ndị a:

1. Wepu ikuku si nro site na iji agịga were ihu ya.

2. Jikere akwa a soara na mmanya.

3. Dina gị na azụ ma jiri mmanya na-a aụ obere mpaghara ahụ, na-esi na otube laghachi centimita.

4. N'ebe a gwọrịrị, jiri mkpịsị aka abụọ jide aka anụ ahụ.

5. N'elu mpịachi ahụ, tinye agịga na akụkụ 90 Celsius ruo na mkpo ahụ.

6. Jiri nwayọ pịa piston ahụ ruo mgbe ewebatawara usoro ahụ dum.

7. Wepu agịga ahụ, pịa ajị owu na saịtị ahụ ụrọ.

Ka usoro a gachara, agaghị anabata ịhapụ ebe ntụtụ. Kwa ụbọchị ịchọrọ ịgbanwe ya, akụkụ ọzọ (n'aka ekpe, aka nri). Ozugbo ewepụsịrị agịga, ntakịrị ọbara nwere ike ịpụta na ebe a na-ahụ maka ya, na mgbe oge ụfọdụ gasịrị - ntakịrị ọzịza. Nke a bụ ihe dị mma ma ekwesịghị ịdị egwu.

Enwere ike inweta Fraxiparin n'oge afọ ime n’efu. Nchụpụ nke ọgwụ a na-arụ n’ụlọ ọgwụ antenatal n’ebe obibi. Enyere ya na nnata ya site na asambodo omumu n’usoro nke mba “Health” (Iwu nke Ministri Ahụike na Ọha na Ọha nke Russia na Jenụwarị 16, 2008 N 11Н).

Nsonaazụ na mmetụta

Nsonaazụ sitere na nchịkwa nke Fraxiparin mgbe ụfọdụ na-egosipụta dịka mmeghachi omume anụ ahụ: ọnya na saịtị ọnya wee jupụta na ọnya. Ihe nfụkasị nwere ike igosipụta onwe ya na urticaria, ede ede Quincke. Anaphylactic ujo di obere. Ọ bụrụ na ị doụbiga mmanya ókè, ọbara nwere ike ibilite.

A na-enye Fraxiparin n'oge afọ ime na ndabere nke ihe ngosipụta dị njọ, amụtaghị nsonaazụ nke nwa ebu n’afọ. Mana imirikiti ndị dọkịta kwenyere na ọ bụrụ na achọtara usoro ọgwụ ha, mgbe ahụ ihe egwu ha nwere ịdị ntakịrị.

Pharmacodynamics na pharmacokinetics

Heparin dị ala dị ala, nke nrụpụta sitere na heparin dị ala, bụ kemistrị glycosaminoglycan nke nwere molikula dị ala 4300 daltons.

Ọ nwere tropism dị elu maka antithrombin protein protein 3, nke na-eduga na mkpochapụ nke ihe Xa - nke a bụ isi n'ihi mmetụta antithrombotic akpọpụtara nke nadroparin.

Ihe nmalite: ihe na - eme ka ahuhu mmadu puta ihe, ihe akwara nke putara ihe nke plasminogen na - eme ka mmadu megharia ahu, mgbanwe mgbanwe obara nke ọbara (iwetula visko na obara na mmeru nke platelet na sel granulocyte).

E jiri ya tụnyere heparin na-enweghị mgbochi, ọ nwere mmetụta na-esighi ike na ọrụ platelet, nchịkọta, na isi hemostasis.

N'ime oge ọgwụgwọ ọgwụgwọ yana ọrụ kachasị, APTT elongation nke oge 1.4 nke ọkọlọtọ ahụ ga-ekwe omume. N'ime ọgwụ prophylactic, ọ naghị ebute mbelata nke ọma na APTT.

Mgbe ogwu ogbugba gachara, ọrụ mgbochi kachasị elu, nke ahụ bụ, a na-abanye n'ọbara kachasị na ọbara mgbe awa 4-5 gachara, na-abanye kpamkpam (ihe ruru 88%). Site na ịgba ntụtụ, ọrụ mgbochi kachasị elu na-apụta mgbe nkeji iri gachara. Iwepu ọkara ndụ na-abịa awa 2. Agbanyeghị, akụrụngwa anti-Xa na-apụta ma ọ dịkarịa ala awa 18.

Ọ bụ metabolized n'ime imeju site desulsion na depolymerization.

Ntuziaka maka iji Fraxiparin (Usoro na usoro onunu ogwu)

Ntụziaka maka ojiji na-egosi na a ga-eji ọgwụ ahụ eme ihe subcutaneously na ọnọdụ nwere ike dị na afọ, na-agbanye n'etiti aka nri na n'akụkụ aka ekpe nke afo. You nwere ike igba ọgwụ ahụ n’apata ụkwụ.

Iji zere ọgwụ ị ofụ ọgwụ, anwala iwepu ntụ nke ikuku n'ime sirinji tupu igba ntụtụ.

Mgbe mgbe, ajụjụ a na-ebilite n’etiti ndị ọrịa: “kedu etu ị ga-esi rụọ Fraxiparin?” Ọ dị mkpa itinye agịga n'otu akụkụ n'ogwe aka nke etinyere mkpịsị aka nke aka. A ga-emerịrị ogige ahụ n’oge oge ịgba ọgwụ ọgwụ niile. Ekwesighi ite.

Vidio esi abanye Fraxiparin

Iji gbochie thromboembolism n'ịwa ahụ, a na-atụ aro obere subcutaneous 0.3 ml nke Fraxiparin (2850 anti-Xa ME). A na-enye ọgwụ ahụ awa 4 tupu arụ ọrụ ahụ, na-esote - otu ugboro n'ụbọchị. Ọ ga-aga n'ihu n'ọgwụgwọ ọ dịkarịa ala otu izu ma ọ bụ oge dum nke ihe egwu ọbara buru ibu tupu onye ọrịa abanye ebe a na-elele ya.

Iji gbochie thromboembolism n'oge ihe omimi orthopedic, a na-achịkwa Fraxiparin na subcutaneously na 38 anti-XA IU kwa kilogram nke ịdị arọ, enwere ike ịbawanye dose a otu oge na ọkara n'ụbọchị nke anọ mgbe a wasịrị ya ahụ. A na-elekọta ọgwụ nke mbụ ruo awa iri na abụọ tupu awaa ya, nke na-esote - n'otu oge ahụ mgbe a wasịrị ya ahụ. Ọzọkwa, a na-eji Fraxiparin mee ihe otu ugboro n'ụbọchị maka oge ọ bụla nke nsogbu nke ọbara buru ibu tupu onye ọrịa ahụ abanye n'ụlọ nyocha. Ogologo oge ọgwụgwọ bụ opekata mpe 10.

Ndị ọrịa nwere nnukwu mkpụrụ ọgwụ thrombosis (dịka ọmụmaatụ, na ngalaba nlekọta ahụike ma ọ bụ akụrụngwa nlekọta kpụ ọkụ n'ọnụ, yana akụkụ iku ume ma ọ bụ nkụda obi), a na-achịkwa Fraxiparin subcutaneously otu ugboro kwa ụbọchị na ọnụọgụ nke agụrụ dabere na ịdị arọ onye ọrịa: 3800 anti-XA ME na-ebu ibu dịkarịa ala karịa 70 n'arọ kwa ụbọchị, yana imirikiti ihe karịrị 70 n'arọ, a na-achịkwa 5700 anti-Ha ME kwa ụbọchị. A na-eji ngwa ahụ eme ihe maka oge niile nke ihe ize ndụ nke ọbara buru ibu.

Mgbe ị na-emeso nkụchi obi na-enweghị ọnụnọ Q ma ọ bụ angina na-akwụghị ike, a na-enye ọgwụ ọgwụ subcutaneously kwa awa 12. Ogologo oge ọgwụgwọ bụ 6 ụbọchị. A na-edozi ọgwụ nke mbụ n'ime intravenly otu ugboro site na usoro bolus, a na-edozi usoro ndị a n'okpuru subcutaneously. Emebere ha dabere na ahụ aru nke onye ọrịa - 86 anti-XA ME kwa kilogram nke ịdị arọ.

N'ime ọgwụgwọ nke thromboembolism, ekwesịrị ịdebe ọgwụ anticoagulants na mbadamba ozugbo o kwere omume. Ọgwụgwọ na Fraxiparin anaghị akwụsị ruo mgbe ebumnuche ebumnuche nke prothrombin. Edere ọgwụ a na subcutaneously kwa awa 12, the standard duration of the course is 10 days. A na-achịkwa dose ahụ na ọnụego 86 anti-Ha IU kwa kilogram nke ịdị arọ.

Dodoụbiga ya ókè

Ọgwụ: ọbara ọgbụgba dị nro anaghị achọ ọgwụgwọ (naanị belata ọgwụ ma ọ bụ gbochie ntụtụ na-esote). Protamine sulfate na-egbochi mmetụta anticoagulant nke heparin. Ojiji ya dị mkpa naanị n'ọnọdụ siri ike. I kwesiri ịmara na 0.6 ml nke sulfate protinine na-egbochi ihe dị ka 950 anti-Xa ME nadroparin.

Mmekorita

Ihe isi ike hyperkalemia mụbara ma jikọtara ya na salts potassium, ndị na-egbochi ACE, ọgwụ na-enye mkpụrụ ọgwụ, heparins, ọgwụ mgbochi na-abụghị steroidal, tacrolimus, cyclosporin, trimethoprim.

Ejikọtara ya na acetylsalicylic acid, anticoagulants na-apụtaghị ìhè, NSAIDs, fibrinolytics ma ọ bụ dextran na-eme ka mmetụta nke ọgwụ ahụ pụta ìhè.

Ntụziaka pụrụ iche

Anabataghị ịhapụ Fraxiparin ka intramuscularly.

Anaghị emetụta ike ịnya ụgbọ ala.

Analogs nke Fraxiparin: Atenative, Wessel Douay F, Heparin, Heparin-Biolek, Heparin-Darnitsa, Heparin-Indar, Heparin-Novofarm, Heparin-Farmeks, Kleksan, Novoparin, Flenoks, Fragmin, Zibor, Enoksarin.

Afọ ruru afọ 18 bụ contraindication maka nhọpụta ọgwụ.

Fraxiparin n’oge di ime (na ebe a na-enye ya ara)

Calcium nadroparin na-agafe Plasenta n’oge ime ma wepu ya n’ime mmiri ara. Ya mere, inje inyocha Fraxiparin n'oge di ime na n’oge a na-enye ara ara ka ekwesighi idebe ya, ewezuga na onodu ojoo.

Edere ya iwu imeziwanye akwara nke ọbara, ebe ọ bụ na iji homonụ na-ebute ihe na-emegide ya, ma kwalite itinye ya n'ọrụ.

Nyocha na Fraxiparin

Nyocha ndị ọrịa gbasara ọgwụ ahụ dịtụ iche, mana ịkwesighi ịdabere na ha ma ọ bụrụ na enyere gị ọgwụ na Fraxiparin. Ikwupụta ebumnuche ọgwụ a, arụmọrụ ya yana ihe egwu niile metụtara nke a bụ naanị onye ọkachamara na-enyocha.

Enweghị nyocha na-adịghị mma banyere Fraxiparin n'oge afọ ime site n'aka ndị e meworo ọgwụgwọ. Omume na-egosi na ọgwụ anaghị emetụta ahụike ụmụaka. Na ntanetị nri nke Latin, aha ngwaahịa ahụ na-ada ka Fraxiparini.

Ọnụahịa Fraxiparin, ebe ịzụta

Na Russia, ọnụahịa Fraxiparin Nke 10 0.3 ml bụ rubles (ịzụta na Moscow ga-eri ihe dị ka otu). Na Ukraine, ọnụahịa ọgwụ n'ụdị ntọhapụ a bụ 510 hryvnia. Ofgwọ nke analogues nke etinyere n'oge ime dị obere na-ahụkarị ala.

• Pharlọ ọgwụ n'ịntanetị na Russia Russia
• Pharlọ ahịa ọgwụ dị n'ịntanetị Ukraine

IFlọ ọgwụ IFC

Agụmakwụkwọ: Gụsịrị akwụkwọ na Mahadum Vitebsk State Medical University nwere akara mmụta na Surwa Ahụ. Na mahadum ahụ, ọ bụ onye isi nke Council of Student Scientific Society. Ọzụzụ ọzọ na 2010 - na ọpụrụiche "Oncology" na 2011 - na ọpụrụiche "Mammology, ụdị oncology visual."

Ahụmịhe ọrụ: Ọrụ na ngalaba ahụike izugbe maka afọ 3 dị ka dọkịta na-awa (Vitebsk mberede ụlọ ọgwụ, Liozno CRH) na mpaghara oncologist na traumatologist. Na-arụ ọrụ dị ka onye nnọchi anya ugbo n'oge afọ na Rubicon.

Egosiputara ndumodu 3 nke isiokwu ya bụ “Nchọpụta nke ọgwụ mgbochi na-adabere n'ụdị agbụrụ microflora”, ọrụ abụọ meriri na ntuli aka n'asọmpị Republic-nyocha nke akwụkwọ nyocha ụmụ akwụkwọ (edemede 1 na 3).

Tatiana: M na-arụ ọrụ na akụnụba. Ọtụtụ ikpe dị egwu bụ n'ihi postinor, ruo.

Leonid: Nnukwu edemede. Ana m eji ahịhịa Ayurvedic Brami Bati, Kapikachu maka.

Victoria: Enwere m comedones, anya ahụ adịghị mma ma jọrọ njọ. Masks, ihe nhicha naanị mere ka ọ ka njọ.

Victoria: Nzọpụta maka m! N'ime NSAID niile m nwaleworo, ọ na-adịkarị mfe ịnagide ya ma ee.

Ihe niile ewepụtara na webụsaịtị a bụ maka ebumnuche gbasara ihe omuma na agụmakwụkwọ naanị nke enweghị ike ịtụle dịka usoro ọgwụgwọ ma ọ bụ ndụmọdụ zuru ezu nke dọkịta nyere.

Nlekọta saịtị ahụ na ndị edemede isiokwu adịghị maka ọghọm na nsonaazụ ọ bụla ọ bụla nwere ike ibilite mgbe ị na-eji ihe saịtị ahụ.

Ime

Fraxiparin bụ heparin dị ala nke nwere mmetụta anticoagulant. A na - akpọ ọgwụ anticoagulants na - egbochi nsogbu nke sistemụ na - akpata ọbara na - egbochi ma ọlị. Ọ bụrụ na n'oge afọ ime enwere ezigbo ihe, mgbe ahụ dọkịta depụtara Fraxiparin.

Akụkụ ahụ na-arụ ọrụ nke ọgwụ ahụ bụ calcium nadroparin, nke nwere ike ngwa ngwa ma kegide ya na protein protein, nke na-enyere aka igbochi ọdịdị nke mkpụkọ ọbara.

N'oge afọ ime, a pụrụ inye ọgwụ Fraxiparin maka ọgwụgwọ maka ọnọdụ ọbara mgbakasị ọbara kpatara na mgbochi ha. N'ọnọdụ ụfọdụ, a manyere nwanyị ịga ọgwụgwọ a ọnwa niile nke ịmụ nwa. Nke a na - abụkarị n'ọnọdụ nke nwa nwanyị nwụnahụrụ ya n'ihi ọrịa ọbara. Ndị ọkà mmụta banyere ọrịa na-ekwu na ọbụna iji ọgwụ eme ihe ruo ogologo oge agaghị emetụta nwa ebu n'afọ n'ụzọ ọ bụla, na ịkwụsị ntụtụ ahụ otu ụbọchị nwere ike ibute ọnwụ nke nwa ahụ.

Doctorsfọdụ ndị dọkịta na-ekwu na ọgwụ a bụ nke ọgbara ọhụrụ na-adịghị emerụ ahụ maka mmepe nwa ebu n’afọ. Ndị ọzọ kwenyere na enweghị nkọwa maka iji mee n'oge afọ ime bụ n'ihi na enweghị nnyocha emere na nsonaazụ teratogenic n'ahụ ụmụ nwanyị dị ime na ụmụ ha. Ndị ọzọkwa na-eche na e jirila Fraxiparin mee ihe nwa oge, a naghịzikwa nkuzi ahụ kemgbe afọ iri atọ ma nwee data mgbe ochie.

A na-enyekarị Fraxiparin n'oge afọ ime mgbe ọnọdụ siri ike bilitere nke na-eyi ihe egwu dị ka ime ọpụpụ, ịmụ nwa amụ ma ọ bụ ọnwụ nke nwa ebu n'afọ. Iribiga ókè n’inwe obara nwere ike ikpata ihe ndi a.

N’oge mbụ, ha na-anwa ịghara ịkọwa ọgwụ maka ọgwụgwọ ma ọ bụ mgbochi. Na nke abụọ na nke atọ, iji ya ga - ekwe omume na enweghị contraindications.

Mkpa a ga-ahọpụtara n’oge Fraxiparin n’oge ịmụ nwa bụ n’ihi na Plasenta na-abawanye n’iru mgbe ihe karịrị ọnwa itoolu, arịa ọbara na okpu ndị ọzọ na-apụta n’ime ya. Site na ịmịnye ọbara ọbara n'ụba, ọ nwere ike ịbelata n'ihe obere obere, na - eso akpata mkpọchi ọbara, nke ga - eduga na agụụ oxygen na - egbu nwa nwa ebu n'afọ.

N’oge nke atọ, akwara na - agbadata akwara nke obere pelvis, nke na - eme ka ọbara na - agbapụta site na akwara dị n’akụkụ nke ala. N'ihi ya, ọbara na-asọ n’ime ha, ọbara na - akpụkwa. Nsogbu kachasị njọ nke ọnọdụ a nwere ike ịmị ọnya ụbụrụ, nke nwere ike ibute ọnwụ nke nwanyị na nwa ebu n’afọ n’otu n’otu.

Applicationzọ ntinye

Ọ bụ dọkịta depụtara ọgwụ ahụ naanị mgbe nwanyị dị ime gafere nyocha iji chọpụta coagulation na anticoagulation ọbara. Usoro ọgwụgwọ agbaso ga-enwerịrị ike ileba anya na nlekọta ahụ ike. Edere usoro na oge ọgwụgwọ ya na Fraxiparin n'otu n'otu.

Fraxiparin dị n'ụdị irighiri irighiri mmiri nke nwere agịga hypodermic dị nro, nke nwere ezigbo 0.3 mg na-enweghị ụcha mmiri n'ime. A na-agbanye ọgwụ ahụ n'ime mpaghara dị n'elu otube. N'oge ntinye nke usoro a, ọ dị mkpa ijide okpukpu nke subcutaneous, na agịga kwesịrị ka ọ dịrị n'akụkụ akpụkpọ ahụ.

Dị ka ọ na-adịkarị, ndị ọrịa na-anabatakarị ọgwụ mgbochi Fraxiparin ma ghara inye mgbakasị ahụ, dị ka ọgbụgbọ na mgbu. Ọtụtụ mgbe enwere mmetụta na-enwu ọkụ na saịtị ịgba ahụ, mana maka ịchekwa ndụ nwa ahụ, enwere ike ịnagide nke a. Ọ bụrụ na a manyere nwanyị ịgwọ ọrịa ogologo oge, mgbe ahụ ọ nwere ike ghara ịga ụlọ ọgwụ ahụ kwa ụbọchị, kama nke ahụ, nye ya ọgwụ onwe ya ma ọ bụ site na enyemaka nke ndị ọ hụrụ n'anya.

Ngwurugwu Fraxiparin na Abdomen nke ndị ime ime

Ntinye nke uzo ihe eji emeghe Fraxiparin na nwanyi di ime bu ihe achoputara n’aru nsogbu nke coagulation system. Mgbe ị na-ebu nwata, ihe ọghọm nke ọbara ọgbụgba na nne na-amụ nwa bụ n'ihi uto nke Plasenta, akwa nke nwere akwara ọbara. Na ọnụnọ nke ihe ndị na - eme ka enwee ike ibute thrombosis, na - eduga n'ọrịa ọbara, erighị ihe na-edozi ahụ nwa ebu n'afọ.

Enweghị oxygen na ihe ndị ọzọ dị na nri bụ ihe kpatara emebi emebi akụkụ ahụ nke nwa n’afọ n’ime sel, yabụ, iji wepu iyi egwu ahụike nke nwanyị dị ime, yana maka mmepe dị n’etiti nwa ebu n’afọ, a na-atụ aro iji mmiri heparin glycosaminoglycan.

Ofzọ usoro nke ọgwụ ahụ

Ngwọta nke Fraxiparin maka nchịkwa subcutaneous bụ heparin dị ala dị ala (nke depolymerized ihe nke glycosaminoglycan heparin), nke nwere mmetụta antithrombotic akpọpụtara. Ọgwụ ahụ na-eme ka ihe ndị na-akpata coagulation rụọ ọrụ, nwee mmetụta antiplatelet, ma belata ume ọkụ ọkụ na -akpata oge akụkụ thromboplastin.

Ndepụta nke ihe ngosi na contraindications

A na-eji ọgwụ irigbu Fraxiparin banye na afọ ime ka ọbara dị nro iji gbochie ma gwọọ mkpịsị ọbara karịa ma ọ bụ ọrịa thromboembolic guzobere. Na mgbakwunye na iji n'oge afọ ime, a na-eji ọgwụ ahụ agwọ ọrịa vein thrombosis miri emi, yana imepụta hemophilia artificial n'oge mmezu nke cardiopulmonary bypass.

Ihe ndị a na - egbochi contraindications maka nchịkwa Fraxiparin bụ:

• onye anabataghi ya maka ihe mejuputara,
• nnukwu nje na-efe efe nke eriri afọ nke obi,
• mbufụt nke akpụ akpụ obi (pericarditis),
• ọrịa sitere na thrombocytopenia nwere nyocha dị mma na vitro na mgbakwunye nke ọgwụ,
• oria obara,
• immunopathological vaskụla mbufụt,
• Central serous chorioretinopathy,
• ọbara mgbali na ọbara ọgbụgba.

N'iji nlezianya mee, Fraxiparin ka edepụtara maka ndị ọrịa nwere ọbara ọgbụgba, mmerụ ahụ sistemụ akwara, nnukwu ịba ọcha n'anya ma ọ bụ akụrụ, ọrịa shuga mellitus, na-enwe oke ọnya afọ.

Usoro onunu ogwu na usoro akwadoro maka usoro ochichi

Fraxiparin dị na sirinji juputara na nkwuputa nke nchịkwa subcutaneous, iberibe 10 kwa ngwugwu. Otu ụzọ dịgasị si 0.3 ruo 1 ml. Tupu ọgwụgwọ, chọpụta ọnụọgụ platelet n'ime ọbara, mgbe ahụ ugboro 2 n'izu n'oge ọgwụgwọ, nyochaa ọkwa ha.

Maka mgbochi nke thromboembolism n'oge ịtụrụ ime, a na-atụkwa ọgwụ pere mpe nke 0.3 ml otu ugboro n'ụbọchị.

Tupu ịwa ahụ, a na-enye ọgwụ ahụ otu awa ole na ole tupu ịwa ahụ. Ọga n’ihu ka ga - agagide n’izu otu mgbe agachara onye ọrịa ahụ.

Fraxiparin nọchi anya usoro ọgwụgwọ heromarin thrombosis ọdịnala. Ejiri ọgwụ dị ka awa iri na abụọ ruo ụbọchị iri. Ọgwụ nke ọgwụ ahụ dabere na ịdị arọ nke onye ọrịa.

Iwu Okwu Mmalite

Iji nweta nsonaazụ ndị achọrọ, ọ dị mkpa iji ụzọ Fraxiparin tinye n'afọ mgbe ime dị ime. Mgbe ị na-ekpebi ebe ịgba ntụtụ, a na-ezere mpaghara otube, yana etiti nke anụ ahụ, mpaghara kachasị mma bụ akụkụ akụkụ nke akụkụ oghere nke afọ. Iji zere guzobe akàrà ma ọ bụ ihe mgbochi, a naghị atụ aro ya ka ịnye ọgwụ ahụ ma ọ bụrụ na enwere edema, scars, ọnya na ọnya, mebiri nke iguzosi ike n'ezi ihe nke anụ ahụ, ọrịa anụ ma ọ bụ ọrịa nfụkasị.

A na-eme irugharị n'ime akwara dị n'okpuru ala ruo ihe dị ka mm dị 15 mm, ebe ọ na-ebu ụzọ jiri ọgwụ nje gwọọ akpụkpọ ahụ. Aka ukwu na mkpịsị aka nke aka ekpe jidere akụkụ nke akpụkpọ ahụ nke afọ ime iji mee ka ude. Were aka-nri gi were ogwu g’ewere ogwu gi, tinye ogwu ahu na ebe ogo 45 di na isi ya, ma were nway oo were ogwu gi. A na-agbanye tampon nwere ihe na-enye ọgwụ na ebe a na-agba ya, ọ na-ewepụ agịga.

Ohere inweta nsonaazụ

Ojiji calcium nadroparin nwere ike ime ka etolite hemorrhages, mmepe nke mmeghachi ahụ nfụkasị. Mgbe ụfọdụ ọnụ ọgụgụ platelet dị n’ọbara. Na mpaghara nchịkwa ọgwụ, hematomas, necrosis nke anụ ahụ na ebe injection nwere ike ime. Isdoụbiga ọgwụ ike ókè na-egosipụta site na ịba ụba ọbara ọgbụgba.

Ọ bụrụ na ị na-enweta mgbaàmà na-achọghị, ị ga-akwụsị ị takingụ ọgwụ ahụ ozugbo. Iji wepu ihe oru mmanu nke Fraxiparin, eweputara ogwu ogwu - protamine sulfate ma obu hydrochloride.

Ihe ngosi maka ojiji

Ojiji nke ogwu a sitere na ihe omuma ya. Ebumnuche ya bụ mbenata ọbara ọgbụgba, yabụ ejiri ya mee ihe n'ọtụtụ mgbochi nke thromboembolism yana n'ịgwọ nsogbu ndị dị adị na mgbasa ọbara.

Ihe ngosi maka iji Fraxiparin:

• izugbe ịwa ahụ na orthopedic,
• mgbochi na ọgwụgwọ nke thrombosis,
• ịba ọcha n'anya
• angina na enweghi ike,
• ọgwụgwọ na ngalaba nlekọta ahụike.

Njirimara ngwa

Ekwesiri itinye uche na nlebara anya na ntuziaka maka ojiji nke ọgwụ na-emetụta heparins dị mkpụkị dị ala, ebe ọ bụ na ha dị na nkeji usoro (UNITS ma ọ bụ mg). Anaghị anabata ojiji nke Fraxiparin yana ọgwụ nke otu ụdị mmetụta ahụ n'oge ọgwụgwọ ogologo oge.

Ọmụmụ ihe omumu egosighi nsogbu dị iche iche n’ịgwọ ndị ọrịa agadi. Agbanyeghị, otu ndị ọrịa a kwesịrị ịchọpụta ọnọdụ akụrụ tupu ọgwụgwọ ya na mbelata ọrụ gbasara akụrụ ya na afọ.

Anyị na-enye ndị na-agụ saịtị anyị, na-ewepu ego!

Longụ ọgwụ ogologo oge na-eyi mwepụta nke hyperkalemia. Ndị ọrịa nwere potassium buru ibu ma ọ bụ n'ihe iyi egwu nke mmụba na ya kwesịrị ịlele ọkwa nke potassium kwa oge:

• na-arịa ọrịa shuga
• ya na umu anumanu,
• ya na metabolic acidosis,
• na-eji ọgwụ ndị na-agbanwe ọkwa nke potassium.

Ọgwụ ndị na-emetụta hemostasis nwere ihe ize ndụ nke hematomas na ndị ọrịa nwere catheters epidural. Ọ na-ewe awa 12 n'etiti ntụtụ Fraxiparin na lumbar puncture ma ọ bụ analgesia iji zere nsogbu.

Ihe omuma di n’otutu ogwu ogwu di n’ime nwanyi n’eriri ndi nwanyi di ime amaghi oke, ya mere ana akwado ya ka odi ya. Ewezuga nwere ike ịbụ ikpe mgbe uru nwanyị nwere ike dị elu karịa ihe iyi egwu nwatakịrị ahụ.

Ọ contraindicated na ọgwụgwọ nke ụmụaka n'okpuru afọ 18.