Ntsiav tshuaj los ntawm cov ntshav txhaws hauv cov hlab ntsha: cov npe ntawm cov tshuaj siv tau zoo, piav qhia thiab tshuaj xyuas

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Cov ntshav nyias nyias thiab cov tshuaj tiv thaiv kab mob ntshav muaj ob lub luag haujlwm tseem ceeb: lawv yaj cov hlab ntsha uas twb tau tsim lawm, ua kom cov ntshav ntws zoo li qub, thiab txo cov ntshav platelet, yog li tiv thaiv kev tsim cov thrombosis tshiab.

thawj pab pawg tshuaj yog thrombolytics. Cov qeb thib ob suav nrog cov tshuaj tiv thaiv cov ntshav txhaws, uas yog ib feem ntawm cov tshuaj tiv thaiv coagulants thiab cov tshuaj tiv thaiv kab mob.

Thrombogenesis yog tsim los ntawm cov hlab ntsha hauv cov hlab ntsha uas tiv thaiv cov ntshav tsis pub dhau lub cev.

Kev phom sij ntawm thrombosis tuaj yeem yog:

1. Kev noj zaub mov tsis zoo ntawm cov ntaub so ntswg, trophic ulcers, gangrene (necrosis ntawm cov ntaub so ntswg ntawm cov kab mob uas muaj sia nyob ntawm cov xim dub lossis xim tsaus heev, tsim nyob rau hauv cov ntaub so ntswg ntawm lub cev, ncaj qha lossis los ntawm cov kab mob anatomical txuas nrog ib puag ncig sab nraud).
2. Thromboembolism ntawm cov ntshav capillaries ntawm lub plawv thiab lub ntsws, qhov tshwm sim ntawm qhov uas yuav ua rau muaj kev pheej hmoo tuag ntau ntxiv.

Vim tias muaj teeb meem ntawm tus kab mob, cov neeg mob feem ntau txhawj xeeb txog dab tsimuaj cov tshuaj rau ntshav txhaws hauv cov hlab ntsha ntawm ob txhais ceg, yuav siv li cas, daim ntawv teev cov kev txwv tsis pub siv, lawv tus nqi yog dab tsi.

Kev faib tshuaj

Kev kho mob thrombosis yog ua ke ntawm cov dej num hauv qab no:

1. ntshav thinning thiab kho cov microcirculation tas li.
2. Resorption ntawm cov ntshav txhaws uas twb tshwm sim hauv cov leeg.
3. Kev tiv thaiv kev tiv thaiv kom tsis txhob rov muaj dua thrombosis.
4. Rov ua dua tshiab ntawm ploj elasticity thiab capillary tone.

Xav txog cov saum toj no, cov tshuaj rau cov ntshav txhaws ntawm ob txhais ceg tuaj yeem muab faib ua ob peb pawg:

1. Anticoagulants yog cov tshuaj uas txo cov ntshav viscosity.
2. Cov tshuaj tiv thaiv kab mob yog cov tshuaj tiv thaiv kab mob uas ua kom cov ntshav muaj zog rheological.
3. Thrombolytics yog cov tshuaj uas ua kom cov ntshav txhaws.

Anticoagulants

Cov tshuaj tiv thaiv cotting tsim los ua kom cov ntshav txhaws thiab tiv thaiv cov ntshav txhaws. Raws li txoj cai, lawv raug sau tseg rau kev siv sijhawm ntev.

Cov tshuaj tiv thaiv kab mob zoo tshaj plaws tam sim no yog:

1. "Warfarin".
2. "Heparin".
3. "Aspirin".

Warfarin

Ib tshuaj tiv thaiv thrombotic uas inhibits cov teebmeem ntawm cov ntshav thiab ua kom cov ntshav txhaws. Cov haujlwm uas yuav tsum tau siv yog:

1. Thrombosis (kev tsim cov hlab ntsha hauv cov hlab ntsha uas cuam tshuam nrog kev txav ntawm cov ntshav los ntawm cov hlab ntsha)
2. Infarcts (hais txog necrosis ntawm ib ntu ntawm cov leeg plawv, tshwm sim los ntawm cov hlab ntshav tsis zoo).
3. Atrial fibrillation (ib yam kab mob uas ua rau ua txhaum ntawm lub siab zaus thiab kev cog lus ntawm lub plawv).
4. Kev phais plawv.

Daim ntawv teev cov contraindications rau kev siv:

1. Kab mob siab thiab raum.
2. Varicosis ntawm cov leeg ntawm lub plab thiab cov hnyuv.
3. Hemorrhagic strokes (qhov tshwm sim ntawm kev puas tsuaj rau sab xis thiab sab laug ntawm lub hlwb).
4. Zaj lus qhia ntawm cov kab mob ntawm lub plab zom mov.
5. Thrombocytopenia.
6. Thawj peb lub hlis thiab peb caug hnub kawg ntawm cev xeeb tub.

Tus nqi ntawm cov tshuaj txawv ntawm 60 txog 200 rubles. Kuv tseem noj tshuaj dab tsi rau ntshav txhaws?

Aspirin

Cov tshuaj tiv thaiv kab mob feem ntau siv uas tuaj yeem txo cov ntshav txhaws ntau dhau thiab tseem tiv thaiv platelets los ntawm clumping.

Cov tshuaj yuav tsum tau noj los ntawm cov neeg mob uas muaj kab mob hauv qab no:

1. Atherosclerosis (cov kab mob hlab ntsha uas tshwm sim los ntawm kev ua tsis tiav ntawm lipid thiab protein metabolism thiab nrog rau cov cholesterol tsub zuj zuj).
2. Angina (ib qho chaw kho mob uas tshwm sim los ntawm kev hnov mob lossis tsis xis nyob hauv siab).
3. Infarction (ib qho ntawm cov ntaub ntawv kho mob ntawm lub plawv ischemia, tshwm sim nrog kev txhim khoischemic necrosis ntawm ib feem ntawm myocardium vim qhov tsis txaus lossis txheeb ze ntawm nws cov ntshav txaus).
4. Stroke (mob cuam tshuam ntawm cov ntshav microcirculation hauv lub hlwb, uas provokes puas thiab tuag ntawm paj hlwb).
5. Venous thrombosis ntawm ntau yam etiologies (kev tsim cov ntshav txhaws hauv lub lumen ntawm lub hlab ntsha, uas ua rau cov ntshav ncig tsis zoo hauv cheeb tsam no).

Rau lub hom phiaj tiv thaiv, cov tshuaj tau noj nyob rau hauv qhov koob tshuaj no - plaub ntsiav tshuaj ib hnub.

Daim ntawv teev npe txwv tsis pub suav nrog:

1. Cov menyuam yaus thiab cov tub ntxhais hluas mus txog kaum ob xyoos.
2. Predisposition rau kev tsis haum rau acetylsalicylic acid.
3. Hemophilia (ib yam kab mob tsis tshua muaj tshwm sim).
4. mob hawb pob (mob inflammatory kab mob ntawm cov hlab ntsws uas muaj ntau yam cellular ntsiab).
5. Kab mob ntawm cov mucous ntawm lub plab thiab cov hnyuv.
6. Thawj thiab peb lub hlis dhau los ntawm cev xeeb tub.
7. mob siab thiab raum mob hnyav.

Tus nqi ntawm cov tshuaj txawv nyob ntawm lub pob ntawm 50 txog 500 rubles.

Heparin

Tshuaj uas txhawb kom ceev cov ntshav ntws los ntawm cov hlab ntsha. "Heparin" yog tsim nyog rau prophylactic lub hom phiaj los tiv thaiv thrombosis. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, thiab tseem muaj nyob rau hauv cov qauv ntawm ntau cov tshuaj rau kev siv sab nraud tiv thaiv cov ntshav txhaws.

Cov tshuaj tuaj yeem siv tau los ntawm kev tso dej thiab txhaj tshuaj. Kev teem caij kho mob:

1. Lub nkoj tob tob ntawm ntau yam etiologies.
2. mob thrombophlebitis (thrombosis nrog o ntawm phab ntsa ntawm cov hlab ntsha thiab tsim cov ntshav txhaws uas kaw nws cov lumen).
3. Mastitis (mob ntawm lub mis).
4. Extensive hematomas (sau ntawm cov ntshav nyob rau hauv kaw los yog qhib raug mob ntawm lub cev nrog rupture ntawm cov hlab ntsha).

Siv rau hemodialysis, nrog rau tso dej tso catheters. Cov xeev hauv qab no raug suav hais tias txwv tsis pub nkag mus:

1. Nyob los ntshav.
2. Hemorrhagic strokes (qhov tshwm sim ntawm kev puas tsuaj rau sab xis thiab sab laug ntawm lub hlwb).
3. Nyob ua poj niam.
4. "Txoj haujlwm txaus nyiam" ntawm tus poj niam.
5. lub sijhawm pub mis niam.
6. Yug (tus txheej txheem ntuj uas xaus lub cev xeeb tub thiab muaj nyob rau hauv kev tshem tawm ntawm tus menyuam hauv plab thiab cov placenta ntawm lub tsev menyuam).
7. Kev mob plab plab.

Tus nqi ntawm cov tshuaj yog 400 rubles.

Cov tshuaj tiv thaiv kab mob

Cov tshuaj no zoo kawg nkaus tiv thaiv kev tsim cov thrombus. Qhov ua tau zoo ntawm cov tshuaj antiplatelet yog raws li lawv lub peev xwm los normalize cov ntshav rheological, txo cov haujlwm ntawm cov kab mob uas ua rau kev tsim cov thrombins.

Trombo Ass

Cov tshuaj nplaum nplaum yog siv los tiv thaiv cov kab mob hauv qab no:

1. Strokes.
2. Heart attacks.
3. Angina (mob hauv siab,vim ntshav tsis txaus rau lub plawv).
4. Rau qhov tob tob tob tob.
5. Nyob rau lub sijhawm postoperative tiv thaiv thrombosis.

Txwv tsis pub siv raws li hauv qab no:

1. Nyob rau hnub nyoog kaum yim.
2. Hemorrhagic diathesis.
3. Kev ntshav (tawm ntawm cov ntshav tawm sab nraud ntawm lub txaj lossis lub plawv mus rau hauv ib puag ncig (los ntshav sab nraud), mus rau hauv lub cev kab noj hniav lossis lumen ntawm lub plab khoob).
4. Thawj thiab peb lub hlis dhau los ntawm cev xeeb tub.
5. Lactation (tus txheej txheem ntawm tsub zuj zuj thiab excretion ntawm mis nyuj nyob rau hauv tib neeg thiab tsiaj txhu).
6. Kab mob ntawm cov mucous ntawm lub plab thiab cov hnyuv.

Tus nqi ntawm cov tshuaj txawv ntawm 40 txog 150 rubles.

Y"Clopidogrel"

Txo tus nqi ntawm platelet aggregation, txo platelet aggregation thiab ntshav txhaws. Siv los tiv thaiv thrombus tsim thaum lub sij hawm ischemia, nrog rau lub plawv nres thiab atrial fibrillation.

Tshuaj Tiv Thaiv:

1. kev tsis haum tshuaj.
2. cev xeeb tub thiab pub niam mis.
3. Nyob los ntshav.
4. Nyob rau kaum ob xyoos.

Tus nqi ntawm cov tshuaj txawv ntawm 400 txog 700 rubles.

Eliquis

Inhibits platelet kev ua haujlwm, ncua lub sijhawm prothrombin, tiv thaiv kev tsim cov ntshav txhaws.

Cov tshuaj kho mob yog:

1. Pulmonary artery thromboembolism (kev thaiv ntawm cov hlab ntsha pulmonary los yog nws cov ceg los ntawm cov ntshav txhaws uas tshwm sim ntau dua nyob rau hauv cov hlab ntsha loj ntawm cov leeg qis lossis lub plab mog).
2. Tiv thaiv vascular occlusion hauv atrial fibrillation.
3. Arterial hypertension (tsis tu ncua ntawm cov ntshav siab los ntawm ib puas thiab plaub caug txog cuaj caum millimeters mercury thiab siab dua).
4. mob plawv.

Cov tshuaj muaj txiaj ntsig los tiv thaiv thrombosis tom qab cov pob qij txha prosthetic. Contraindications rau kev nkag yog:

1. Kev tsis haum tshuaj (pathological mob tshwm sim los ntawm qhov ua rau lub cev tsis haum rau cov tshuaj tsis haum nkag los ntawm sab nraud thiab pom los ntawm kev loj hlob sai ntawm cov tshuaj tiv thaiv hauv zos lossis kev ua xua).
2. Bleeding.
3. Kev mob siab rau lub raum.
4. cev xeeb tub thiab pub niam mis.
5. Nyob rau hauv kaum yim xyoo.

Tus nqi ntawm cov tshuaj yog los ntawm 800-2500 rubles.

Thrombolytics

Cov no yog cov tshuaj uas tshem tawm cov hlab ntsha uas twb muaj lawm. Ua nyob rau hauv daim ntawv ntawm cov kev daws teeb meem rau kev txhaj tshuaj, uas yuav tsum tau muab ncaj qha mus rau lub cheeb tsam ntawm localization ntawm lub clot.

Thaum siv tshuaj los tshem tawm cov ntshav txhaws, muaj kev pheej hmoo los ntshav, yog li lawv yuav tsum siv tsuas yog nyob rau hauv qhov chaw nyob ruaj khov raws li kev saib xyuas ntawm kws kho mob tshwj xeeb.

Zoo kawg

Tsuas yog cov saum toj noCov ntsiav tshuaj rau cov ntshav txhaws, cov neeg mob uas muaj kev pheej hmoo yuav tsum tau siv cov venotonics tas li - cov tshuaj kom stabilize cov qauv ntawm cov phab ntsa capillary, muab cov suab nrov thiab elasticity, thiab nce vascular kuj.

Qhov zoo tshaj plaws phlebotonics yog:

1. "Phlebodia 600".
2. "Detralex".
3. "Antistax".
4. "Phlebopha".

Koj yuav tsum xyuam xim rau khoom noj khoom haus, tsis suav nrog cov khoom noj khoom haus uas ua rau kom ntshav viscosity, txiav luam yeeb thiab cawv.

Ib yam tseem ceeb rau kev tswj cov ntshav kom noj qab haus huv yog haus dej kom ntau. Cov neeg mob uas muaj kev pheej hmoo ntawm thrombosis yuav tsum haus tsawg kawg yog ob litres dej ib hnub.

Nws yuav tsum nco ntsoov tias txhua yam tsos mob ntawm thrombosis yuav tsum tau mus pw hauv tsev kho mob xwm txheej ceev ntawm tus neeg mob. Raws li txoj cai, cov ntshav txhaws tsis tuaj yeem yaj ntawm lawv tus kheej, thiab kev kho sai sai yog qhov tseem ceeb los kho cov leeg ntshav.

Reviews

Kev kho tshuaj rau thrombosis yog suav tias yog lub ntsiab lus tseem ceeb thiab yuav tsum tau ua ntawm kev kho ua ke. Cov tshuaj rau thrombosis nyob rau hauv capillaries muaj peev xwm rov qab tau cov ntshav khiav zoo nyob rau hauv lub cev thiab cov ntaub so ntswg, thiab tiv thaiv cov rov tsim ntawm txhaws.

Cov tshuaj los ntawm cov ntshav txhaws hauv cov hlab ntsha yog xav tau los ntxuav lawv thiab ua kom cov ntshav microcirculation ruaj khov. Kev tsim cov thrombus yog suav tias yog cov txheej txheem ntuj tsim hauv tib neeg lub cev, uas yog qhov tsim nyog los tiv thaiv cov ntshav poob thaum muaj kev puas tsuaj rau lub nkoj.

Tab sis nws tshwm sim tias cov ntshav txhaws thaum tsis muajxav tau. Lawv cuam tshuam nrog cov ntshav ntws, uas ua rau muaj kev phom sij rau tus neeg mob. Cov tshuaj niaj hnub tuaj yeem rhuav tshem cov hlab ntsha uas twb muaj lawm thiab tiv thaiv cov hlab ntsha tshiab los ntawm kev tsim. Cov ntshav txhaws yuav tsum tau noj raws sijhawm txhawm rau tiv thaiv qhov tshwm sim tsis zoo.