Umbuzo wokusebenza kahle kokumisa i-heparin ephansi ngesikhathi sokukhulelwa usavulekile. Kukhona iphesenti elithile labesifazane abanesidingo sokwelashwa kwe-anticoagulant, kodwa kufanelekile ukuwaphatha kakhulu? Ukwandiswa kwegazi kuhlanganiswa kwezifo ezithathelwanayo nezivuthayo, usongo lokuqeda ukukhulelwa kanye nobungozi bokufa kwe-intrauterine fetal. Sizozama ukuqonda ukuthi kuyasiza kanjani ukusebenzisa i-Fraksiparin ngesikhathi sokukhulelwa, isibonakaliso senhloso yaso, ukuphikisana nemiphumela emibi.
Ukusetshenziswa kwe-Frakssiparin ekukhulelwe
Ukuze uqonde, ngaphansi kweziphi izimo kubalulekile ukuqoka noma ukhethe izinkampani Fraksiparina ekukhulelwe, sizoqonda ngezici zento noma isenzo sakhe kumzimba. Isenzo esiyinhloko sikaFraksiparin yisithiyo sokuvimbela igazi (isenzo se-anticoagulant) nokuvinjelwa kwezindwangu zegazi.
Ngenxa yokuthi i-placenta iyanda ngobukhulu ngokunyuka kwesikhathi sokubeletha, futhi imithwalo yegazi engeziwe nama-capillari avela kuyo, futhi ukwandiswa kwegazi okuhlanganiswayo kungadlulela kuma-capillari amancane nokubunjwa okulandelayo kwe-thrombi. Leli chungechunge lezinkinga liholela ku- hypoxia engapheli yesisu .
Ngaphezu kwalokho, kule-trimester yesithathu yokukhulelwa, umvuthwandaba we-pelvic unqunywa yisibindi esikhulu, ngenxa yalokho ukuphuma kwezimvini ezisezingeni eliphansi kunzima kakhulu, ngenxa yalokho igazi elikuzo lingadlulela ekubunjweni kwe-thrombi. I-Frakssiparin noma i-Clexan ngesikhathi sokukhulelwa kuvimbela i-blood clotting emithanjeni yemilenze engaphansi, okuyinto yokuvimbela ngokuphumelelayo kwe-thrombosis. Ukuhlukumezeka kakhulu kwe-thrombosis yemithanjeni yemilenze engezansi yi-embolism ye-pulmonary, okuyinto kwezinye izimo ezingagcwaliswa ezibulalayo. I-Frakssiparin ekukhulelweni, ngokwemiyalelo, ayinqatshiwe, kodwa icala ngalinye kumele lilashwe ngokwabo.
I-Fraksiparin ekukhulelwe - imiphumela emibi, ukuphikisana nemiphumela engenzeka
Ngaphambi kokuba ubeke uFraksiparin kumfazi okhulelwe, udokotela kufanele ahlole ukuthi inzuzo kumama olindeleke kuyoba mkhulu kunokulimaza komntwana.
Ukuqhathaniswa kokuqokwa kukaFraksiparin ngesikhathi sokukhulelwa yilokhu:
- ukungezwani komunye umuntu we-nadroparin (into esebenzayo yomuthi);
- I-coagulopathy (ukuntuleka kwezinto zokugqoka), okulukhuni ngokuphuma kwegazi;
- ukungabi namthelela ekuphuzeni izidakamizwa ezivela eqenjini lama-antiplatelet agents (Aspirin Cardio, Cardiomagnolo, Aspecard).
Imiphumela emibi ingase ibonakale njenge-rash futhi ihlaselwa endaweni yokujova, ezindaweni ezingavamile, i-hives, i -edema ka-Quincke, noma ukushuswa kwe-anaphylactic kungase kuthuthuke. Uma kwenzeka ukudlula ngokweqile, ingozi yokuphuma kwegazi iyanda kakhulu.
Indlela yokubamba ama-Frakssiparin ngesikhathi sokukhulelwa?
Manje cabanga ukuthi u-Fraksiparin unqunyelwe yini
Ngemva kokucabangela zonke izinzuzo nezingozi zokusebenzisa u-Fraksiparin ngesikhathi sokukhulelwa, omunye angasho ukuthi ukuqokwa kwakhe kumele kube nokufanelekile, ngoba unama-contraindications amaningi kanye nemiphumela emibi. Futhi uma kukhona kungenzeka, kufanele senze ngezinhlobo ezibhekwe izidakamizwa zokulwa nezidakamizwa.