Hemostatic wothandizira. wothandizila Hemostatic ku matenda achikazi

Nthawi zambiri kuchita madokotala Mabwana athu pakati kuthana ndi kukha magazi a kutanthauzira osiyana. Makamaka, ana ndi akulu - ndi uta, pambuyo kuchotsa mano - ndi gingival ndi ena. Today ntchito hemostatics osiyana: uterine magazi, capillary zotupa za mphuno ndi malo ena. Against maziko a angapo pathologies kukhala matenda monga zowombetsa mkota. Mwachitsanzo, pamene aplastic magazi m'thupi, thrombocytopenic matenda purpura, ndi kapillyarotoksikoz ena. Kenako, ife adzamvetsa, kodi mankhwala hemostatic lero.

mwachidule

N'chiyani chimachititsa magazi? chikhalidwe ichi ndi chifukwa cha kuswa umphumphu ziwiya lalikulu kapena capillaries. Kuwononga ingayambe ndi kukula kwa zotupa, zoopsa, kuperewera kwa clotting magazi. Nthawi zambiri, pamene mkati otaya mankhwala lakuthwa hemostatic ndi kutumikiridwa mwachindunji pa banga kapena m'kati yonyamula wovulalayo kuchipatala.

zinthu coagulation

Kuzipenya amasonyeza kuti mu pathologies mkati maziko magazi matenda amayamba makamaka dongosolo coagulation. njira momwemo zovuta kwambiri kugwa zochitika. Pamafunika zinthu 13 nawo, kupezeka plasma, ndipo woposa khumi ndi awiri - ali othandiza magazi kuundana ndi. Ofunika kwambiri a iwo: fibrinogen, prothrombin, prothrombin kutembenuka chinthu, chinthu kucheza ndi antihemophilic globulin. Chifukwa fibrinolytic (anticoagulant) dongosolo la mwazi anakhalabe mu chikhalidwe madzi.

Zimayambitsa kuyan'anila

Magazi kuchita, nthawi zambiri amayamba ndi akusowa kapena chinthu chilichonse coagulation Mwachitsanzo, mu chiwindi tizilombo, matenda a chikasu ndiyo makina mtundu, amapatsira mwana wake kapena yafupika kupatsidwa zinthu za m'mwazi udindo (vuto Verlgofa, ndi magazi m'thupi aplastic ndi pathologies zina). Nthawi zambiri zing'onozing'ono angapo thrombosis mu capillaries zinthu monga choyambitsa a. Iwo kusintha ndi overruns ndi zina mwa zinthu zina clotting ndi maselo othandiza magazi kuundana. Izi, mu zingathandize kuti syndrome hemorrhagic. A chimodzimodzi zimawonedwa pa maziko a chikhalidwe choopsa cha mantha ndi (cardiogenic, zoopsa), poizoni, sepsis (pambuyo mimba chigawenga m'gulu), opaleshoni yaikulu, makamaka pamene chachikulu magazi. Poyamba, chikhalidwe chotere pathological kumatanthauza "magazi fibrinliticheskaya." Pakali pano, umatchedwa vuto la intravascular microcoagulation wamba.

Chithandizo: mwachidule

A loyenera hemostatic wothandizila mu magazi uterine m'dera capillary kuwonongeka zimakhudza kutanganidwa hemostasis chachikulu. Ambiri mankhwala woyenera zimaphatikizapo kugwiritsa ntchito imodzi, mu nthawi zina, mankhwala awiri Mlingo mulingo woyenera. Mwachitsanzo, pamene hemophilic magazi ntchito kapena mwatsopano madzi kulowetsedwa wothandizila "Kriopretsipiat". Ndipo mankhwala monga "Vikasol" kapena kashiamu mankhwala enaake, mu Zikatero sizikhudza. Akhudzidwa amafotokozera mu dongosolo hemostatic zingadziŵike mogwirizana ndi deta kale anamnestic ndi zizindikiro wapezeka pa mosamala mtima. Pa nkhani imeneyi, pamaso mankhwala, muyenera kudziwa chiyambi cha kuyan'anila. Komabe hemostatic apakhungu kukonzekera saloledwa ntchito iliyonse panja zotupa mtima wa nembanemba wa mucous. Medicaments kungakhale yaikulu, kapena osiyanasiyana ndi zochepa kanthu. Pali Mwachitsanzo, mankhwala hemostatic kwa zotupa. Mitundu ya mankhwala komanso ndife osiyana. Pamene kutanthauzira kuwonongeka m'dera matumbo, mwachitsanzo, yoyenera kugwiritsa ntchito makandulo hemostatic. Nthawi zina ena, aluso, njira kapena miyala. Mwachitsanzo, hemostatics kusamba kawirikawiri alembedwe piritsi kapena makapisozi.

Medicine "Vikasol"

medicament Izi ndi madzi sungunuka kupanga analogi wa K-vitamini. Izi mankhwala kumathandiza kuti asiye ngati magazi kokha, kumene chifukwa wotsikirapo zili prothrombin. Zimenezi, chikwiyire ndi akusowa wa K-vitamini. Medicament "Vikasol" kumapangitsa kaphatikizidwe wa prothrombin ndi maselo chiwindi. Ndi zizindikiro ntchito chida ichi monga matenda hemostatic mu matenda enaake, matenda a chiwindi, kwa chiwindi matenda aimpso, obstructive matenda a chikasu ndiyo. mankhwala akulimbikitsidwa magazi pa maziko a munthu ambiri osokoneza wa anticoagulants wa mozungulira kanthu (mankhwala "pelentan", "neodikumarina" ndi ena). Mankhwala si musonyeze matenda thrombocytopenic purpura ndi amapatsira mwana wake. Mankhwala ali kugwira ntchito mu climacteric ndi zaumbanda uterine, magazi chilonda. The kanthu mankhwala zimawonedwa osati kale kuposa maola 12-18 pambuyo utsogoleli. Ngati ambiri hemostatic wothandizila kwa magazi uterine, medicament "Vikasol" ndi alembedwe chathabwa ndipo ngati yankho. mankhwala Oral analimbikitsa ndi 0,015 g / 2-3 tsa / tsiku. Hemostatic jakisoni "Vikasol" kutumikiridwa intramuscularly 1 ml ya gawo limodzi njira ndi 1-2 tsa / tsiku, mu mzere kwa masiku anayi (chifukwa thrombosis ayenera). Contraindications ntchito medicament komanso m'mnyewa wamtima infarction thrombosis (pachimake), kuchulukitsidwa coagulability.

vitamini P

Chida ichi ndi ya catechins tiyi. Vitamini P kubweza hyaluronidase ntchito (amasungunula connective m'munsi mwa khoma capillary), kuchepetsa penapake Chimaona ndi zazing'ono likungosonyeza mtima permeability. Pamodzi ndi vitamini imeneyi E chindiletsa makutidwe ndi okosijeni asidi ascorbic. Ndi zotsatira firming pa khoma capillary. Ambiri mankhwala mankhwala vitamini P akuti ndi "Rutin". Ndi madzi insoluble ufa enaake achikasu mtundu. Medicine "Rutin" kumlingo amachepetsa kukula kwa hemorrhagic zidzolo pa maziko a matenda ndi thrombocytopenic purpura kapillyarotoksikoz. mankhwala akusonyeza kuti retinal kukha mwazi chikuku, endocarditis bakiteriya, fever. Mu ntchito vitamini P nkomwe amapezeka thrombosis, palibe contraindications. Yopangidwa medicament mu mawonekedwe piritsi mawonekedwe koona 0,02 ga, ndi osakaniza ndi ascorbic asidi (kutanthauza "Ascorutin") (0.5 ga aliyense chigawo). Akuluakulu medicament analimbikitsa mlingo wa 0.02-0.05 GR / 3 r Mukhoza / d.

Epsilon-aminocaproic asidi

wothandizila Izi mawonekedwe a woyera crystalline ufa. thunthu ndi zoipa ndi odorless, sungunuka kwambiri madzi. Epsilon asidi aminocaproic ali amphamvu haemostatic zotsatira (wamba ndi mfundo general), fibrinolytic ntchito liwiro nyumba. Pamodzi ndi medicament imeneyi kumachepetsa ntchito tryptic kuti aonetse timadziti m'mimba. Epsilon asidi aminocaproic akusonyeza kuti gingival, m'mphuno, matumbo, chapamimba, wa kumulowetsa, aimpso kukha mwazi wa chikhalidwe chosiyana uka, pamene Verlgofa syndrome, amapatsira mwana wake, magazi m'thupi ndi aplastic pambuyo curettage uterine kuphatikizapo. M'mikhalidwe azilandira boma, mankhwala ntchito pambuyo opaleshoni ku malo a m'mapapo, prostate, mu msanga detachment bwinobwino Chilwa latuluka. Yoikidwa mwa mkati mwa 3-5 g / 3-4 tsa / tsiku. Kusamba pansi ufa analimbikitsa madzi okoma. Komanso, epsilon-aminocaproic asidi umayamba ndi bolus ndi kulowetsedwa mu mtsempha ndi 100 ml. Mankhwala bwinobwino ntchito hemostasis m'dera pa magazi kuchokera amphuno mucosa kapena zitsime pambuyo kuchotsa dzino. Pankhaniyi ufa owazidwa zochuluka malo akhudzidwa. Against maziko a medicament m'kamwa si akutivutitsa kwa mundawo m'mimba. Nthawi zina kwambiri, odwala angadandaule wa nseru. Pambuyo makonzedwe mtsempha, zotsatira pazipita zimawonedwa pambuyo maola 1-4. Epsilon asidi aminocaproic ali contraindications. Zikuphatikizapo, makamaka, monga kulephera aimpso (pachimake ndithudi), thromboses.

Medical gelatin

Kolajeni hydrolyzate ndi colorless, gelatinous misa kapena masamba chikasu. Against maziko a mankhwala mtsempha bwino magazi kukhuthala, kupatsidwa zinthu za m'mwazi stickiness. Izi zipangitsa mokwanira mofulumira ndi kutchulidwa haemostatic zotsatira milandu magazi mkati. Zikuphatikizapo, mwa ena, monga intrapleural, ndi m'mimba. Zotsatira ang'onoang'ono zimawonedwa mu vasculature ya zotupa za mucous. Monga mbali anachita amachita monga ziwengo ndi. Mankhwala makamaka anatumizidwa kukapanda kuleka m'nsinga pa mlingo wa 50-100 ml ya Pre-analimbikitsa kuti 37 madigiri njira. Yopangidwa medicament mu ampoules wa 10 ml peresenti khumi gelatin sodium mankhwala enaake peresenti asanu.

Fibrinogen K3 kapena m2

Izi mankhwala magazi, Ine clotting china. Ndi ntchito magazi afibrinogemicheskih. Kukapanda kuleka kutumikiridwa m'nsinga (tsiku 1.8-2 GR. Thunthu kuuma). Asanalankhule ntchito ufa uli kusungunuka mu saline njira (wosabala), amene kutentha ndi madigiri 25-30. Kulowetsedwa imagwiridwa ndi kukhalapo kuvomerezedwa dongosolo fyuluta monga mu njira akhoza wapezeka ndi miyambo ya mapuloteni insoluble. Sanagaŵiridwe kulowetsedwa mu m'mnyewa wamtima infarction (pachimake), thrombophlebitis.

Medicine "Trasylol"

kukonzekera Izi zichokera kwa ng'ombe zopangitsa parotid. The medicament amatha liwiro kupitirira wa microcoagulation intravascular ndi trypsin Mamatirani. Tapatsidwa magazi m'munsili minofu yaikulu choipa, pambuyo septic mimba, ndi mtundu pachimake khansa (promyelocytic, mwachitsanzo) ndi limati zina. Mlingo 10-20 zikwi. ED mtsempha kulowetsedwa patsiku kwa nthawi 1-2 faifi peresenti shuga njira (kapena saline). Childs, utsogoleli wa medicament imachitidwa zinthu n'kupuma. Mankhwala amagwiritsidwa ntchito pa mitundu aakulu ndi wokonda kapamba, mumps. Mwa mavuto ambiri mbali ndi: ziwengo kuti mantha anaphylactic, komanso phlebitis pa malo utsogoleli.

protamine sulphate

Izi otumphukira mapuloteni chimene chingathe kupanga ndi heparin ndi thromboplastin maofesi insoluble. Prescribers haemorrhage chikwiyire hyperheparinemia. Iye nayenso, chifukwa cha ambiri osokoneza kapena kuchuluka kupanga amkati heparin. Mankhwala amapereka mokwanira mofulumira (pasanathe maola 1-2), kuletsa magazi. Childs, gawo limodzi njira jekeseni mu buku la 5 ml intramuscularly kapena kudzera m'mitsempha. Ngati ndi kotheka, jekeseni imagwiridwa pambuyo Mphindi 15. Pa mankhwala ntchito protamine sulphate ayenera kupereka ulamuliro nthawi clotting. The medicament kupanga ampoules Botolo asanu peresenti imodzi yothetsera.

Anakonza "Gemofobin"

Izi ndi styptic ndi ofooka chifukwa zotupa. Amanena intramuscularly, kuwauza kapena timitu. Mlingo pamene kutumikiridwa pakamwa 1 tebulo. supuni 2-3 tsa / tsiku. Intramuscularly anatumizidwa 5 ml 1.5% njira. The medicament "Gemofobin", monga mankhwala ena ambiri hemostatic, kupezeka mu 5 ml ampoules ndi mbale 150 Botolo.

Medicine "Adrokson"

medicament Ichi ndi ufa lalanje opanda kukoma ndi kununkhiza. The efficacy zinaonetsedwa pa chionetserocho mankhwala magazi capillary chifukwa kuvulala yaing'ono pambuyo dzino m'zigawo, tonsillectomy. Ntchito 0,025% njira ya wetting tampons ndi jekeseni mu mnofu mobwerezabwereza isanayambe ndi pambuyo zikunena za. Mankhwala othandiza ndi LCD magazi. Yopangidwa medicament mu ampoules a 1 ml ya 0,025%.

Medicine "Etamsylate"

Izi mankhwala amathandiza kusintha kupatsidwa zinthu za m'mwazi ntchito, kuchepetsa capillary permeability. Analimbikitsa medicament zochizira ndi kupewa matenda a mtima pambuyo dzino m'zigawo, tonsillectomy. Kuti monga kuwerenga ndi matumbo ndi m'mapapo mwanga kukha magazi. Kutalika pazipita zotsatira za maola 1-2 pamene jekeseni mtsempha, ndipo maola 3 - ingestion. Mu mankhwala prophylactic kutumikiridwa intramuscularly kapena pakamwa. Kuthetsa magazi mu mtsempha kapena minofu kutumikiridwa 2-4 ml, ndiye mawola 4-6 mu 2 ml. Mukhozanso mankhwala mu mawonekedwe piritsi ndi magalamu 0,25. mu 2 ml ampoules mu njira 12,5%.

zitsamba

Kuchiritsa katundu wa zomera akhala kuyambira nthawi zakale. zitsamba mankhwala mu mawonekedwe a akupanga azipereka mankhwala ambiri hemostatic. Ikani wothandizila ngati hemostatic pa matenda katundu msambo, isanafalikire m'madera ena. Zilipo zosiyanasiyana tinctures, madzi ndi mowa, mankhwala, akutsikira. Akatswiri zambiri ntchito atumiki hemostatic mu matenda achikazi. Makamaka pa mimba ndi pa mkaka wa m'mawere. Komabe, kutsatira hemostatic pa mimba ndi pa kudyetsa ayenera kukhala osamala kuvulaza mwana wosabadwa.

tincture lagohilusa

chida ichi lili tannins ndi latohilin. Tincture ali ndi zolimbikitsa (zolimbitsa) zotsatira pa dongosolo coagulation ndi kuwala sedation. Agwiritsidwa ngati hemostatic m'nthawi kusamba, nosebleeds. Ndi bwino kuti ingest supuni ya tiyi ya peresenti khumi njira ya madzi (0,25 makapu) tsiku nthawi 3-4. Monga zotsatira mbali akuwonekera mankhwala ofewetsa tuvi tolimba mwapang'ono. Chonyowa njira tampons akhoza kugwiritsidwa ntchito mu kaya epistaxis hemorrhoidal.

Tingafinye masamba nettle

izi zikutanthauza zizindikiro vitamini K, ascorbic asidi, tannins. Analimbikitsa Tingafinye matumbo, mafunde aimpso mu syndrome wa purpura thrombocytopenic. Lunguzi ali wothandizira ambiri hemostatic, ndi menses katundu ndi matenda ena mtima ntchito.

Therere milfoil (madzi Tingafinye)

njira lili resins ndi tannins, ascorbic asidi, alkaloids. Kuti tizikonda zotsatira, nthawi zina ophatikizana hemostatic mankhwala. Pamene lolemera kusamba nthawi n'kofunika kwambiri. Zikatero, ndi othandiza kwambiri therere yarrow ndi nettle Tingafinye.

The madzi Tingafinye wa tsabola

Lili rutin, quercetin. Monga ena atumiki hemostatic pa msambo lolemera, tsabola Tingafinye lili tannins. Ndi bwino kuti 30-40 akutsikira katatu patsiku. Pepper Tingafinye ali mu medicament "Anestezol" (makandulo).

mankhwala wamba

Childs, ntchito wothandizila ngati hemostatic kuti mabala. Iwo amakulolani msanga ndi bwino kuthetsa kuyan'anila za. Iwo akhoza kugwiritsidwa ntchito mwadzidzidzi. Pali alendo hemostatic wothandizira kwa kuvulala. Tsopano tiyeni tikambirane zina mwa mankhwala m'deralo.

hemostatic chinkhupule

Izi yokonza plasma anthu. The chinkhupule hemostatic alipo thromboplastin ndi calcium mankhwala enaake. Last umapangitsa mu gingival m'deralo, m'mphuno, hemorrhoidal magazi. Kuyambira wosabala chinkhupule chidutswa ndi wosiyana ndi ntchito kwa akhudzidwa chisanadze zouma gawo. The mankhwala ndi mwamphamvu mbamuikha ndi gauze PAD. tsiku A kenako zotsala anapanga Ulimbo filimu m'mbali mosamala kuchotsedwa. Zotsalira chinkhupule kuthetsa paokha chifukwa masiku 20-30. zatsalira makuponi ku chidebe anatsegula ndi chinkhupule angagwiritsidwe ntchito pokhapokha resterilization. Contraindications mankhwala alipo.

thrombin

Zinthu zimenezi wa madzi munthu lotayirira zoyera pinki misa. Chiyambi cha kusinthika chothandizira zimene fibrinogen kuti Ulimbo, ndi medicament ochitachita lachindunji hemostatic kwenikweni. Thrombin ntchito okha m'dera capillary kuwonongeka kwa zachilengedwe osiyana uka, pambuyo kuchotsa dzino komanso. Wosabala vial lidzatsegulidwa asanayambe ntchito, ndi anaikapo mu saline (10-15 ml) firiji. Pamene njira thrombin, ndi tampon impregnated ndi kusakaniza izi ndi zolimba malo owonongeka. Pambuyo kukatseka magazi a mosamala anachotsa akuwukha ndi saline kupewa kukonzanso choipa.

Ulimbo filimu

The yokonza munthu kapena nyama (ng'ombe) plasma. Lili thromboplastin. Mankhwala ali zolimbitsa hemostatic kwenikweni. Ulimbo filimu ntchito zotupa m nembanemba mucous. Isanafike ntchito wosabala mayeso chubu tidutse filimu atachotsedwa. Yotsatira, kusamba ndi saline kapena galimoto "Penicillin" kapena "rivanol". Kenako, medicament umagwiritsidwa pamwamba kuonongeka. Pamene ntchito Ulimbo filimu angathe ndi ziwengo.