Yuav ua li cas kom txhob hnyav los ntshav thaum cev xeeb tub yog ib lo lus nug ntau tus poj niam nug. Txhawm rau xaiv cov tshuaj hemostatic txoj cai rau kev coj khaub ncaws, koj yuav tsum nrhiav kom paub qhov laj thawj uas ua rau pathology. Nrog rau qhov no, koj yuav tsum hu rau tus kws tshaj lij, tsuas yog nws tuaj yeem txiav txim siab qhov chaw ntawm qhov teeb meem.
Yuav ua li cas tib neeg saib xyuas
Tab sis ua ntej koj yuav tsum paub seb yuav tshwm sim li cas - uterine los ntshav los yog coj khaub ncaws? Nws yog ib qho tsim nyog yuav tsum nco ntsoov thaum cev xeeb tub kawg tau pib, txawm tias 21 hnub lossis ntau dua tau dhau los txij li lub sijhawm no. Tab sis txawm hais tias lub sij hawm ntawm los ntshav yog qhov qub, nws yog ib qho tseem ceeb uas yuav tsum tau coj mus rau hauv tus account lawv lub sij hawm, ntxoov ntxoo thiab, ntawm chav kawm, tus nqi kwv yees.
Txawm li cas los xij, cov tshuaj hemostatic tsis yog siv ntau los txhim kho lub neej zoo, tab sis kom tsis txhob muaj kev mob ntshav qab zib hnyav (kuaj kho mob thiab hematological pathology, thaum lub sijhawm cov concentration ntawm hemoglobin txo qis los ntawm ib chav tsev.circulating ntshav). Thiab nws tuaj yeem pib nrog ntshav poob los ntawm 80 g.
Cov xim ntawm lub tsev menyuam los ntshav hauv qhov tso tawm yog ci liab liab, thiab tsis yog xim av-xim av, zoo li thaum cev xeeb tub. Ntshav tso rau hauv cov tee loj. Cov khoom siv tu cev yuav tsum tau hloov ntau zaus (ib zaug txhua ob teev). Tag nrho cov no tuaj yeem yog qhov laj thawj hnyav hu rau lub tsheb thauj neeg mob. Dab tsi yog cov tshuaj hemostatic rau kev coj khaub ncaws thiab tshuaj kho pej xeem?
Ua rau ntshav hnyav
Yog tias kev coj khaub ncaws nrog cov ntshav tsis txaus thiab lub sijhawm ntev, koj yuav tsum xav txog qhov ua rau muaj teeb meem. Cov no tuaj yeem yog:
- ib qho kev sib cuam tshuam ntawm platelets, fibrins thiab ntshav proteins;
- lub cev tiv thaiv kev xav muaj zog;
- malignant qog;
- uterine polyps;
- kab mob ntawm cov kab mob genitourinary;
- pathology ntawm thyroid caj pas;
- hnyav lub cev ua si.
Txhua yam tshuaj rau lub sijhawm hnyav yog tsom rau kev txo qis thiab tso tseg ntau dhau. Lub hauv paus ntawm qhov teeb meem no tsuas yog kuaj tau thiab tshem tawm los ntawm tus kws kho mob poj niam-gynecologist.
Yuav ua li cas nrog lub sijhawm hnyav
Ntau tus kws tshuaj tau raug tso tawm los tawm tsam cov kua qaub hnyav. Tab sis ua ntej koj pib noj nws, nws yog ib qho tseem ceeb kom muaj lub tswv yim hais txog cov yam ntxwv ntawm lawv cov teebmeem, kawm contraindications, muaj peev xwm tshwm sim.
Cov neeg ua haujlwm kho mob yaum komhais tias nrog nce los ntshav thaum cev xeeb tub, yuav tsum muaj kev sab laj tshwj xeeb. Tshwj xeeb tshaj yog tias qhov xwm txheej no rov ua rau ob peb lub hlis ua ke. Muaj ntau txoj hauv kev uas tuaj yeem pab kom tsis txhob los ntshav. Cov no suav nrog:
- pharmaceuticals;
- kev kho neeg.
tshuaj hemostatic rau kev coj khaub ncaws thiab los ntshav
Yog tias ib tug hluas nkauj los ntshav hnyav, ces kev kho mob yuav tsum tau noj cov tshuaj hemostatic tshwj xeeb. Tab sis lawv yuav tsum tau siv los ua kev pab thawj zaug, tom qab uas tau muab cov kev kho mob. Cov tshuaj hemostatic zoo tshaj plaws rau lub sijhawm hnyav, raws li cov kws tshaj lij, yog:
- "Dicinon".
- YVikasol.
- Etamziat.
- Diferelin.
- Tranexam.
- Y dej kua txob tincture.
Ascorutin Ascorutin
Peb yuav tham txog qee yam ntawm lawv tom qab hauv kab lus.
Kev tshuaj xyuas ntawm cov tshuaj hemostatic rau lub sijhawm hnyav nrog cov uterine fibroids kuj lees paub lawv cov txiaj ntsig hauv kev tawm tsam los ntshav ntau ntxiv. Nyob rau hauv tus kab mob no, kev kho hormonal yog nqa tawm rau ib tug dav dav ntawm cov qog thiab Askorutin thiab Traneksam yog tshuaj.
Vikasol
Qhov no hauv khw muag khoom hemostatic rau lub sijhawm hnyav muaj menadione sodium bisulfite, uas yog koom nrog hauv cov txheej txheem kev khi cov protein.prothrombin thiab ntshav coagulation yam (2, 7, 9, 10) uas pab kom tsis txhob los ntshav. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm ib koob ntawm 15 mg thiab txhaj tshuaj ntawm ib tug concentration ntawm 10 mg ib milliliter.
Rau qhov ncauj siv, cov neeg laus raug tshuaj 1-2 ntsiav tshuaj ib hnub, cov neeg mob hnub nyoog kaum mus rau kaum plaub xyoos - ib ntsiav tshuaj ib hnub. Lub sijhawm kho tsis pub dhau 4 hnub.
Cov kws kho mob tshwj xeeb sau tseg tias cov tshuaj no tsis zoo hauv kev kho mob Wergolf's kab mob lossis idiopathic thrombocytopenic purpura (ib kab mob undulating uas yog thawj hemorrhagic diathesis), nrog rau hemophilia (ib yam kab mob tsis tshua muaj tshwm sim cuam tshuam nrog kev coagulation tsis zoo).
"Vikasol" tsis raug tshuaj raws li hauv qab no:
- Thromboembolism (mob txhaws ntawm cov hlab ntsha los ntawm cov ntshav txhaws).
- Ntshav ntshav khov.
- Kab mob Hemolytic hauv cov menyuam mos (ib yam kab mob uas muaj los ntawm kev tawg ntawm cov qe ntshav liab thiab suav tias yog ib qho ntawm cov ua rau mob daj ntseg hauv cov menyuam mos).
- Ib tus neeg intolerance rau ob qho tib si cov khoom xyaw tseem ceeb thiab rau ib qho ntxiv.
Raws li kev tshuaj xyuas, cov tshuaj siv tau zoo yog tias cov ntshav tsis txaus yog tshwm sim los ntawm qhov tsis muaj vitamin K. Yog tias tsis muaj kev kho mob, yuav tsum tau muab lwm yam tshuaj.
Yog tias ntshav poob ntau, ces kev kho nrog Vikasol ib leeg yuav tsis muab qhov xav tau. Hauv qhov nomuaj qhov xav tau kev hloov ntshav ntawm cov ntsiab lus. Tus nqi ntawm cov tshuaj txawv ntawm 80 mus rau 150 rubles.
Dicinon
Cov tshuaj belongs rau cov pab pawg ntawm cov tshuaj hemostatic, nws yog suav tias yog ib qho activator ntawm kev tsim ntawm thromboplastin. Nws raug tso tawm nyob rau hauv daim ntawv ntawm cov tshuaj ntsiav rau kev tswj qhov ncauj ntawm ib koob ntawm 250 mg thiab txhaj tshuaj (12.5%). Cov khoom xyaw nquag ntawm no yog etamsylate.
"Dicinone" nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj belongs rau pab pawg neeg ntawm hemostatics. Cov khoom tseem ceeb uas yog ib feem ntawm nws, raws li cov kws tshaj lij, txhim khu kev ruaj ntseg ntawm capillaries, normalizes lawv permeability, thiab txhim kho cov txheej txheem ntawm cov ntshav ncig hauv cov hlab ntsha. Thaum noj qhov ncauj, nws muaj cov nyhuv hemostatic tsis tu ncua, uas yog vim qhov kev txhawb nqa ntawm thromboplastin hauv cov hlab ntsha cuam tshuam. Cov nyhuv kho tau tshwm sim 15 feeb tom qab noj Dicinon, thiab nws lub sijhawm yog kwv yees li 6 teev.
Cov tshuaj tuaj yeem noj tau raws li kws kho mob tau sau tseg. Cov tshuaj muaj qee yam kev txwv. Piv txwv li:
- Me Nyuam mob leukemia lossis leukemia (ib hom mob qog noj ntshav uas cov qe ntshav dawb hauv lub cev nce ntxiv mus tas li).
- Thrombosis (ib hom vascular pathology uas tsim cov ntshav txhaws hauv lub nkoj tshwm sim).
- Mob porphyria (ib kab mob tshwm sim los ntawm kev puas tsuaj rau peripheral thiab hauv nruab nrab paj hlwb).
- Thromboembolism.
- Ib tug neeg intolerance rau Cheebtsam.
- Lactase deficiency(ib yam mob tshwm sim los ntawm lub cev tsis muaj peev xwm zom cov kua mis qab zib vim qhov tsis txaus ntawm cov enzyme lactase hauv cov hnyuv).
Qhov siab tshaj plaws txhua hnub yog txiav txim siab nyob ntawm qhov hnyav, hnub nyoog thiab los ntshav hnyav. Rau lub hom phiaj tiv thaiv, 1-2 ntsiav tshuaj tau muab tshuaj txhua txhua 6 teev kom txog thaum tus neeg mob kho tau zoo. Tus nqi ntawm cov tshuaj txawv ntawm 300 txog 600 rubles.
Diferelin
Qhov no yog ib yam tshuaj nrog antigonadotropic ua, uas yog, nws ua raws li ib tug antihormone, raws li nws txo qhov tsim ntawm follicle-stimulating thiab luteinizing cov tshuaj hormones. Raws li kev txheeb xyuas, qhov ua tau zoo tshaj plaws "Diferelin" yog nyob rau hauv cov xwm txheej hauv qab no:
- Nrog endometriosis (ib yam kab mob uas cov hlwb ntawm sab hauv ntawm lub cev ntawm lub tsev menyuam loj hlob dhau ntawm cov npoo ntawm txheej no).
- YUterine fibroids (ib qho benign neoplasm uas tsim nyob rau hauv cov leeg nqaij ntawm lub tsev menyuam).
- thaum ntxov nyob rau hauv cov tub thiab ntxhais.
- Malignant tsim ntawm prostate.
- In the in vitro fertilization program.
Tshuaj nyob rau hauv ib daim ntawv - tshuaj rau kev txhaj tshuaj. Lub ntsiab active ingredient yog triptorelin pamoate. Cov ntsiab lus ntxiv yog:
- mannitol;
- lactic acid polymer;
- glycolic acid polymer;
- carmelose sodium;
- polysorbate.
Cov tshuaj yog muab tshuaj subcutaneously ntawm ib koob ntawm 0.1 mg, thiab ntawm ib koob.3.75 thiab 11.25 mg yog muab tshuaj intramuscularly.
Yuav ua li cas mortar
Txhawm rau npaj cov tshuaj koj xav tau:
- Tau koob txhaj tshuaj (2-5 ml).
- Txhob tawm qhov kawg ntawm cov kuab tshuaj ampoule.
- Muab rab koob rau hauv lub ampoule nrog kua thiab sau cov koob txhaj kom tiav.
- Tshem lub hau ntawm lub vial.
- Maj mam faib cov kuab tshuaj rau hauv cov tshuaj vial.
- Sib tov cov tshuaj maj mam yam tsis tig lub vial upside down.
- Thaum cov kua dej ntshiab, txo lub koob rau hauv nws thiab kos cov koob txhaj tshuaj kom tiav.
- Txhob rab koob thiab txhaj tshuaj.
Tus nqi ntawm cov tshuaj txawv ntawm 2500 txog 7500 rubles.
Tranexam
Siv cov tshuaj hemostatic rau kev coj khaub ncaws thiab los ntshav hnyav. Nws belongs rau cov pab pawg neeg ntawm hemostatic thiab ncua lub sij hawm ntawm lub physiological txheej txheem ntawm kev hloov ntawm plasminogen rau plasmin. Raws li ib feem ntawm cov ntsiav tshuaj - 250 thiab 500 mg ntawm cov khoom xyaw tseem ceeb (tranexamic acid). Cov tshuaj tau ntim rau hauv 10 daim hauv hlwv.
Kev txhaj tshuaj yog pom zoo rau kev txhaj tshuaj hauv cov hlab ntsha, muag hauv khw muag tshuaj hauv iav ampoules, 5 ml. Ib qho ampoule muaj 250 milligrams ntawm cov khoom tseem ceeb.
Cov tshuaj tsis pom zoo rau txhaj tshuaj yam tsis muaj kev tshawb fawb ua ntej. Tus nqi ntawm cov tshuaj txawv ntawm 250 txog 1800 rubles.
kev kho neeg zoo
Tshuaj ua hemostatic rau lub sijhawm hnyav thiab tshuaj ntsuab, thiabtinctures raws li lawv. Lawv tuaj yeem tsis tsuas yog tso tseg los ntshav, tab sis kuj muaj cov nyhuv analgesic.
Muaj ntau yam tshuaj noj zaub mov uas siv rau kev tso tawm hnyav, uas, txiav txim los ntawm kev tshuaj xyuas ntawm cov kws tshaj lij, yuav txo tau qhov mob thiab o, thiab nres los ntshav. Txhawm rau kom cov tshuaj ntsuab npaj kom tau txais txiaj ntsig zoo, lawv yuav tsum tau noj tsawg kawg 5 hnub ua ntej pib kev coj khaub ncaws.
Kev kho cov kua qaub uas muaj zog los ntawm cov txheej txheem pej xeem yuav tsum tau ua hauv cov kev kawm ntev txog 60 hnub, thaum so rau kev coj khaub ncaws.
Yuav siv tshuaj dab tsi rau kev mob ntshav qab zib?
Ua ntej, cia peb sau cov tshuaj hemostatic rau lub sijhawm hnyav nrog rau kev ua poj niam:
- "Oxytocin".
- "Tranexam".
- "Dicinone".
- "Fibrinogen".
Tam sim no xav txog lub sijhawm sim tshuaj pej xeem.
thawj txoj kev:
- Rau kev coj khaub ncaws zoo, noj cov khoom xyaw hauv qab no hauv qhov sib npaug sib npaug: mistletoe dawb, knotweed, tus tswv yug yaj lub hnab, valerian cag.
- Npaj dej npau rau lawv.
- Infuse rau 15 feeb, ces ntxiv ib liter dej huv thiab coj mus rau boil.
- Kho cov kua mis yuav tsum tau lim nrog cov ntaub qhwv thiab txias.
- Noj ib nrab khob tshuaj ntsuab ob zaug ib hnub.
Cov tshuaj pab tshem tawm cov kab mob premenstrual thiab muaj txiaj ntsig zoo raukev ua haujlwm ntawm lub tsev menyuam.
Thib ob:
- Nws yog ib qho tsim nyog yuav tau noj 25 g ntawm yarrow, erect cinquefoil cag, 10 g ntawm ntoo qhib tawv. Ncuav dej npau npau thiab do, ces coj mus rau boil.
- Noj cov tshuaj decoction, ib tablespoon ntawm lub plab khoob, ob zaug ib hnub.
Koj tuaj yeem ua cawv cawv los ntawm cov tshuaj ntsuab no, uas yuav tsum tau noj 20 ml mus txog plaub zaug ib hnub.
Third way:
- Noj ib tablespoon ntawm peppercorn, ncuav 250 mg ntawm boiling dej thiab coj mus rau boil.
- Siv cov tshuaj ua ntej noj mov peb zaug hauv ib hnub. Cov tshuaj ntsuab sib xyaw muaj cov txiaj ntsig kho tau zoo.
