Umbuzo wobuchule bokumisela i-heparins ephantsi ngexesha lokukhulelwa livulekile. Kukho iphesenti ethile yabasetyhini abanesidingo sokwelashwa kwe-anticoagulant, kodwa ngaba kufanelekile ukuwaphatha ngokugqithiseleyo? Ukwandisa kwi-coagulability yegazi kubonakala kwizifo ezithathelwanayo nezivuzayo, isongelo sokupheliswa kokukhulelwa kunye nomngcipheko wokufa kwesisu somntwana. Siza kuzama ukuqonda ukuba luncedo kangakanani ukusebenzisa i-Fraksiparin ngexesha lokukhulelwa, umqondiso ngenjongo yayo, ukuchasana kunye nemiphumo emibi.
Ukusetyenziswa kweFraksiparin ekukhulelweni
Ukuqonda, phantsi kweyiphi imimiselo kuyimfuneko ukonyula okanye ukhethe i-nyxes Fraksiparina ekukhulelweni, siya kuqonda ngeempawu zalo okanye isenzo sakhe kumzimba. Isenzo esona sikhulu sikaFraksiparin ngumqobo wokuthinteka kwegazi (isenzo se-anticoagulant) kunye nokuthintela ama-clots egazi.
Ngenxa yokuba i-placenta yanda ngobukhulu kunye nokwanda kwithuba lokugaya, kunye nemithambo yegazi kunye nama-capillari avela kuyo, kunye nokunyuka kwegazi ku-coagulability kungakwazi ukunyuka kuma-capillary amancinci kunye nokwakhiwa kwe-thrombi. Le kholeji ye-pathological ishukumisela kwi- hypoxia engumntwana ongapheliyo .
Ukongezelela, kwi-trimester yesithathu yokukhulelwa, i-vevic ye-pelvic iyayivumelana nesibeletho esandisiweyo, ngenxa yoko ukuphuma kweemvini zecala elingaphantsi kunobungozi, ngenxa yoko igazi elikuyo lingakwazi ukuxhamla nokubunjwa kwe-thrombi. I-Frakssiparin okanye i-Clexan ngexesha lokukhulelwa kukuthintela i-blood clotting emithanjeni yamalungu angaphantsi, okuyimpembelelo efanelekileyo ye-thrombosis. Ingxaki enzima kakhulu ye-thrombosis yeemvini zeengalo ezisezantsi yi-pulmonary embolism, ekuye kwezinye iimeko kunokugqitywa. I-Frakssiparin ekukhulelweni, ngokwemiyalelo, ayiphikisiwe, kodwa ityala ngalinye kufuneka liphathwe ngokwabo.
I-Fraksiparin ekukhulelweni-nemiphumo emibi, ukuchasene kunye nemiphumo engenzeka
Ngaphambi kokuba ukhethe uFraksiparin kumfazi okhulelwe, ugqirha kufuneka ahlole ukuba inzuzo kumama olindelekileyo uya kuba mkhulu kuneyona nto inokulimaza kumntwana.
Ukungqinelana kokuqeshwa kukaFraksiparin ngexesha lokukhulelwa kukuba:
- ukunyanzelwana komntu ngamnye we-nadroparin (into esebenzayo yeziyobisi);
- I-Coagulopathy (ukungabikho kwimiba ye-coagulation), eyinkimbinkimbi ngegazi;
- ukungabikho kwiphumo lokusebenzisa iziyobisi kwiqela le-antiplatelet agents (Aspirin Cardio, Cardiomagnolo, Aspecard).
Imiphumo emibi ingabonakala njengento yokugqithisa kunye nokubetha kwi-site injection, kwiimeko ezinqabileyo, i-hives, i -edema ye-Quincke, okanye ukunyanyiswa kwe-anaphylactic. Kwimeko yokudlula ngaphezulu, umngcipheko wokuphuma kwegazi ukhula kakhulu.
Ungayithatha njani iFraksiparin ngexesha lokukhulelwa?
Ngoku qwalasela ukuba i-Fraksiparin imiselwe
Emva kokuqwalasela zonke iingxaki kunye nokuxhamla kokusebenzisa i-Fraksiparin ngexesha lokukhulelwa, umntu unokuthi ukutyunjwa kwakhe kufuneka kulungelelaniswe, kuba unobungqina benkcazo kunye nemiphumo emibi. Kwaye ukuba kunokwenzeka, ngoko simele siyenze ngeefomethi ze-antiaggregant.