Hemostatic yomuchipatara. Hemostatic yomuchipatara mu Gynecology

Kazhinji yedu tsika yokurapa mudonzvo pakati mamaneja kugadzirisa hemorrhages dzakasiyana localization. Zvikurukuru, vana uye vakuru - uta, pashure kubviswa mazino - pamwe gingival uye nevamwe. Nhasi anoshanda zvakasiyana hemostatics: uterine ropa, rirambe richibvira maronda mhino nezvimwe nzvimbo. Tikafunga dzinoverengeka pathologies kuva zvinetso zvakadai generalized. Somuenzaniso, apo aplastic kupererwa neropa, thrombocytopenic purpura chirwere, uye nezvimwe kapillyarotoksikoz. Next, isu anofanira kunzwisisa, ndedzipi mishonga hemostatic nhasi.

tsananguro

Chii chinokonzera ropa? Ichi ndicho mugumisiro rwakavhunika yokuperera mumidziyo makuru kana capillaries. Damage anogona kukonzerwa kukura namamota, mupfungwa, kushayikwa kweropa. Kazhinji, kana munhu unopinza womukati aibuda hemostatic zvinodhaka raitongwa zvakananga nokukurumidza kana muitiro kutakura munhu akuvara kuchipatara.

coagulation zvinhu

Zvingaonekwa dzinoratidza kuti mune dzimwe pathologies kumashure ropa zvinetso kunokonzerwa kunyanya coagulation mugadziriro. The pezvakaitwa zvirimo zvikuru kunzwisisa kupindana zviitiko. Zvinotora 13 zvinobatanidzwa, ndiripo plasma, uye vanopfuura gumi nevaviri - huri maplatelet. Anokosha vavo: fibrinogen, prothrombin, prothrombin kutendeuka chinhu, kuti chinhu kunyorerana uye antihemophilic globulin,. Nokuda fibrinolytic (anticoagulant) ropa hurongwa anodzokororwa mvura ezvinhu.

The zvinokonzera kutyorwa

Ropa pamaitiro, kazhinji zvinokonzerwa kukanganisika kana coagulation chikonzero Somuenzaniso, muna nemavhairasi chiropa, jaundice zvokuimba mhando, hemophilia kana akaderedza platelet counts (ari chirwere Verlgofa, pamusoro aplastic kupererwa neropa uye dzimwe pathologies). Kazhinji duku vakawanda thrombosis mu capillaries ave chikungiso. Ivo ichishanduka chete zvimwe overruns mamwe pakugwamba zvinhu uye maplatelet. Izviwo, inotungamirira kuti Hemorrhagic syndrome. A zvakafanana iri musi pakanyorwa chakakomba yezvakaita kuvhunduka (cardiogenic, zvinorwadza), chepfu, sepsis (pashure mhosva pamuviri zvaisanganisira), kuvhiyiwa, kunyanya kana hombe ropa. Kare, yakadaro pathological mamiriro kurondedzerwa se "fibrinliticheskaya ropa." Parizvino, inonzi urwere pakati intravascular nevakawanda microcoagulation.

Treatment: Overview

A yakanyatsofungwa hemostatic mumiririri mu uterine ropa, dzemo kukuvara rirambe richibvira kupesvedzera anetseka chepuraimari hemostasis. Kazhinji, hwakakwana kurapa kunosanganisira kushandisa rimwe, mune zvisingawanzoitiki zviitiko zviviri zvinodhaka ari Zvakanyanya Kunaka Panguva Yepamuviri dosages. Somuenzaniso, apo hemophilic ropa akashandisa manyoro yeplasma aizomupa mumiririri "Kriopretsipiat". Uye mishonga akadai "Vikasol" kana karusiyamu chloride, mune zviitiko zvakadaro havana kushandisa. Njodzi chinhu ari hemostatic ino inogona kutsunga maererano kare anamnestic Data uye zviratidzo dzakaonekwa panguva pakuongorora murwere. Panyaya iyi, pamberi kurapa, unofanira kuziva Genesisi kuti kutyorwa. Asi hemostatic gadziriro kukamura uchishandisa vanobvumirwa kushandisa chero panze vascular maronda ari mucous membranes. Medicaments zvingava zvakawanda, kana huri shoma zvakawanda chiito. Kune Somuenzaniso, hemostatic zvinodhaka nokuda Mamota. Mhando mishonga ndeyakewo zvakasiyana. Kana localization kukuvara munzvimbo intestinal nzvimbo, semuenzaniso, zvakakodzera kushandisa hemostatic makenduru. Mune dzimwe nguva, hubudirire, zvingaitwa kana pamahwendefa. Somuenzaniso, hemostatics kumwedzi kakawanda kuwanikwa piritsi chimiro kana mune capsules.

Medicine "Vikasol"

medicament uyu mvura soluble chakaita zvokugadzirwa analoginen kuti K-vhitamini. mushonga uyu unobatsira kurega zvakadaro ropa chete, izvo zviri kukonzerwa kwakaderedza zviri prothrombin. Izviwo, kushatiriswa kushayiwa K-vhitamini. Medicament "Vikasol" zvinoita kwetunhu prothrombin pedyo chiropa masero. Pakazosvika zvairatidza kuti kushandiswa chokushandisa ichi zvinosanganisira hemostatic zvinetso zviri cirrhosis, hepatitis, hepatic renal urwere, obstructive jaundice. The mushonga pachii nekudeura ropa pakanyorwa ane ovhadhozi pamusoro anticoagulants ose kunanga chiito (zvinodhaka "pelentan", "neodikumarina" uye vamwe). Mishonga haaratidzi efficacy paurwere thrombocytopenic purpura uye hemophilia. The mushonga une zvimwe kushanda muna climacteric uye yokupara uterine, ropa urikanwi. Zvakaitwa zvinodhaka riri vakachengeta kwete yapfuura pane maawa 12-18 mushure kutarisira. Kufanana zhinji hemostatic mumiririri kuti uterine ropa, medicament "Vikasol" inowanika hwendefa chimiro uye sezvo kugadzirisa. mishonga Oral ndakarumbidzwa 0,015 g / 2-3 p / zuva. Hemostatic majekiseni "Vikasol" raitongwa intramuscularly 1 ml rimwe muzana anogadzirisa 1-2 p / zuva, mumutsetse kwemazuva anosvika mana (nokuda thrombosis zvichida). Contraindications kuti kushandiswa medicament zvinosanganisira myocardial infarction (chakasimba) thrombosis, vakawedzera coagulability.

vhitamini P

chokushandisa uyu seti yetii catechins. Vhitamini P DZEMUNHU DZINODZORA hyaluronidase basa (nayo urwa connective chawo ari rirambe richibvira pamadziro), achidzikisa zvishoma pfava uye duku caliber vascular permeability. Pamwe chete vhitamini ichi E chinonditadzisa oxidation kuti ascorbic acid. Zviri zvakare firming zvainoita rirambe richibvira pamadziro. The inonyanya zvinodhaka-zvinodhaka vhitamini P anoonekwa kuti "Rutin". Zviri mvura-insoluble upfu greenish-yellow ruvara. Medicine "Rutin" kusvika pamwero akazoita kwokuomerwa Hemorrhagic mapundu pamusoro pakanyorwa chirwere uye thrombocytopenic purpura kapillyarotoksikoz. The mushonga zvinoratidzwa nekuda retinal ropa, gwirikwiti, kwemabhakitiriya endocarditis, nezvitsvuku fivha. In kushanda vhitamini P kashoma kunoitika thrombosis, hapana contraindications. Yakabudiswa medicament mu piritsi muchimiro wakachena chimiro ne 0.02 g, uye akabatana ascorbic asidhi (rinoreva "Ascorutin") (0.5 g nechimwe chikamu). Adults medicament yakarumbidza chipimo chemushonga pamusoro 0.02-0.05 Gr / 3 R / d.

Epsilon-aminocaproic asidhi

muiti ichi chiri muchimiro chena crystalline upfu. The fuma iri shata uye odorless, zvikuru soluble mumvura. Epsilon aminocaproic asidhi ane simba haemostatic kushanda (omunharaunda uye zvayo tsika), fibrinolytic basa tava kuderera zvivako. Pamwe chete medicament ichi kunoderedza tryptic basa kuti aratidze zvomudumbu facial. Epsilon aminocaproic asidhi kunoratidzwa nokuda gingival, nasal, intestinal, gastric, kuti ichitenderera, renal ropa akasiyana hunhu simuka, apo Verlgofa urwere, hemophilia, kupererwa neropa uye aplastic pashure uterine curettage kusanganisira. Under wakadzikama-mamiriro ezvinhu, mishonga inoshandiswa pashure pokuvhiyiwa munzvimbo yacho zvemapapu, prostate, mune kukurumidza yokuzviparadzanisa anowanzoitwa rakamiswa placenta. Kugadzwa pachishandiswa mukati 3-5 g / 3-4 p / zuva. Kusuka pasi madota yakarumbidza mvura inotapira. Uyezve, epsilon-aminocaproic asidhi kutaurwa uye bolus uye aizomupa kupinda tsinga pamwe 100 ml. The mushonga zvinobudirira kushandiswa vemo hemostasis pa ropa kubva nasal mucosa kana matsime pashure kubviswa zino. Panyaya iyi upfu rikatsatikira zvizhinji njodzi panzvimbo. Tikafunga dzaiita zvokutaurwa medicament hakusi kunovhiringidza kune zvomudumbu turakiti. Mune zvisingawanzoitiki chaizvo zvinoitika, varwere vanogona chokunyunyuta pamusoro svoto. Mushure intravenous kutarisira kufadza mugumisiro wacho akacherechedza pashure pemaawa 1-4. Epsilon aminocaproic asidhi ane contraindications. Izvi zvinosanganisira, kunyanya zvinosanganisira renal kukundikana (rikwanise kosi), thromboses.

Medical gelatin

Collagen hydrolyzate chinhu Hauoneki, gelatinous guru kana yellowish mashizha. Tikafunga intravenous zvinodhaka kunonatsiridza viscosity ropa, platelet stickiness. Izvi zvinoita munhu zvakakwana nokukurumidza uye raidudzwa haemostatic mugumisiro vanenge munyika kubuda ropa. Izvi zvinosanganisira, pakati vamwe, zvinosanganisira intrapleural, uye gastrointestinal. The maduku kushanda ari kuchengetwa mune vasculature pamusoro mucous maronda. Somunhu divi maitiro anoita somunhu chisimbwa. The mushonga ainyanya basa donhwe nomutsinga panguva dose pamusoro 50-100 Rine mamiririta kwerubwinyo rwakagara rwuripo kujairana madhigirii 37 mhinduro. Yakabudiswa medicament mu ampoules 10 ml gumi muzana gelatin muna shanu muzana yavaibvisa chloride.

Fibrinogen K3 kana M2

mushonga uyu ropa revanhu, I pakugwamba chinhu. Rinoshandiswa afibrinogemicheskih kubuda ropa. Donhwe raitongwa nomutsinga (zuva 1.8-2 Gr. Dry fuma). Pakarepo asati kushandiswa madota yakanyauka mu sesaline (chena) mhinduro, ane tembiricha iri 25-30 inegumi. Aizomupa rinoitwa pamwe fanira kuvapo Sefa gadziriro sezvakunoitwa mhinduro inogona kuonekwa ne zvinhu insoluble mapuroteni. Not basa aizomupa mu myocardial infarction (chenjera), thrombophlebitis.

Medicine "Trasylol"

gadziriro iyi rinobva mombe parotid mumasero. The medicament anokwanisa tava kuderera kuchiita intravascular microcoagulation uye trypsin nokumunamatira. Basa nokuti ropa kufamba zvakawanda zvinyama kukuvara, post-septic pamuviri, pamusoro rikwanise neleukemia mhando (promyelocytic, somuenzaniso) uye dzimwe anoti. Chipimo chemushonga 10-20 zviuru. ED intravenous aizomupa pazuva nokuda 1-2 nguva shanu muzana shuga mhinduro (kana sesaline). Kazhinji, kwokubatsira ari medicament riri kuitwa mira ezvinhu. Mishonga iri kushandiswa chisingaperi uye rikwanise siyana pfungwa nomuviri zvemwana asati, mumps. Pakati inonyanya divi Marwadzo: chisimbwa kusvika anaphylactic kuvhunduka, uyewo phlebitis panguva nzvimbo chourongwa.

protamine sulfate

Izvi puroteni rinobva iyo inokwanisa rokuumba pamwe heparin uye thromboplastin insoluble zvivako. Prescribers chokubuda wakatsamwisa hyperheparinemia. Iyewo, mugumisiro ane ovhadhozi kana wakawedzera kugadzirwa endogenous heparin. Mishonga inopa zvakakwana nokukurumidza (mumaawa 1-2), kumisa ropa kubuda. Kazhinji, munhu mumwe muzana inotoda jekiseni iri bhuku 5 Rine mamiririta intramuscularly kana nomutsinga. Kana zvakakodzera, jekiseni rinoitwa zvakare pashure maminitsi 15. Panguva mushonga kushandisa protamine sulfate vanofanira kupa kuzvidzora pakugwamba nguva. The medicament kugadzirwa ampoules milliliters mashanu rimwe muzana mhinduro.

Solution "Gemofobin"

Uyu hwakanaka simba styptic nokuda Mamota. It rinoshandiswa intramuscularly, nomuromo kana topically. The chipimo chemushonga kana raitongwa nomuromo 1 tafura. chipunu 2-3 p / zuva. Intramuscularly basa 5 Rine mamiririta 1.5% mhinduro. The medicament "Gemofobin", kufanana nezvimwe zvinodhaka zvakawanda hemostatic, rinowanikwa muna 5 Rine mamiririta ampoules uye ndiro rimwe 150 milliliters.

Medicine "Adrokson"

medicament Uyu orenji upfu asina kunaka uye kunhuwidza. The mushonga Exhibits efficacy mu rirambe richibvira ropa nokuda mukukuvara duku pashure zino dzokubudisa, tonsillectomy. Used 0,025% mhinduro kuti wetting akaramba pamberi tampons uye intramuscular majekiseni, panguva uye mushure kupindira. The mushonga unoshanda uye LCD ropa. Yakabudiswa medicament mu ampoules 1 ml 0,025%.

Medicine "Etamsylate"

mushonga uyu zvinobatsira kuvandudza platelet basa, nokuderedza rirambe richibvira permeability. Recommended medicament nokuti mishonga uye kudzivirira vascular zvirwere pashure zino dzokubudisa, tonsillectomy. Kubatanidza kuverengwa uye intestinal uye pulmonary ropa. The kunonyanyisa ya kushanda maawa 1-2 apo jekiseni kuva tsinga, uye maawa 3 - ingestion. In mishonga prophylactic raitongwa intramuscularly kana nomuromo. Kubvisa ropa kupinda tsinga kana tsandanyama raitongwa 2-4 Rine mamiririta, ipapo ose maawa 4-6 muna 2 Rine mamiririta. mishonga Available mu piritsi muchimiro kubudikidza 0.25 magiramu. muna 2 Rine mamiririta ampoules ari 12,5% mhinduro.

nemiriwo

Rinoporesa ehupfumi zvinomera dzave kubvira munguva dzekare. yemakwati muchimiro atakatora kupa mu mishonga yakawanda hemostatic. Shandisa hemostatic yomuchipatara yakadaro munguva rinorema kumwedzi zvinetso, vemunyika mune dzimwe nzvimbo. Available zvakasiyana-siyana neiya inoiswa muzvinwiwa zvinodhaka, mvura uye doro, mapiritsi, anosiya. Nyanzvi vanowanzoshandisa hemostatic nevamiririri mu Gynecology. Kunyanya panguva pamuviri uye panguva lactation. Zvisinei, kushandisa hemostatic panguva yepamuviri uye panguva kudyisa vanofanira kungwarira chaizvo kwete kukuvadza mwana asati aberekwa.

tincture lagohilusa

chokushandisa ichi rine tannins uye latohilin. Tincture kunobatsira (mwero) zvainoita coagulation maitiro uye chiedza nyaradzo. Pachirehwa rive hemostatic panguva yekutevera, nosebleeds. Zvinokurudzirwa kuti ingest imwe yetea ane gumi muzana mhinduro mvura (0.25 makapu) pazuva 3-4 nguva. Somunhu divi kushanda kunoratidzwa laxative zvine mwero. The akanyorova mhinduro tampons aitwe kana ari hemorrhoidal epistaxis.

Wabvisa pamusoro yorukato mashizha

Izvi zvinoreva unotora munhu vhitamini K, ascorbic acid, tannins. Recommended mushoma intestinal, renal dzenzvimbo ari urwere pakati thrombocytopenic purpura. Rukato ane hemostatic vamiririri zhinji, pamwe rinorema varikutsika uye dzimwe vascular maronda kushandiswa.

The miriwo milfoil (mvura mushoma)

Izvi mhinduro ine Inogadzirwa nemasiridzi anobuda mumiti uye tannins, ascorbic acid, alkaloids. Kugonesa mugumisiro, mune zvimwe zviitiko zvabatanidzwa hemostatic zvinodhaka. Kana rinorema kumwedzi kunonyanya kukosha. Mumamiriro ezvinhu akadaro, munhu anobudirira zvikuru miriwo yarrow uye yorukato mushoma.

The mvura mushoma kuti mhiripiri

Rine rutin, quercetin. Kufanana nedzimwe hemostatic yomuchipatara panguva rinorema kumwedzi, mhiripiri mushoma rine tannins. Zvinokurudzirwa kuti 30-40 anosiya katatu pazuva. Pepper mushoma iri huri medicament "Anestezol" (makenduru).

omunharaunda mishonga

Kazhinji, kushandisa hemostatic vamiririri kwakadaro maronda. Vanobvumira kuti nokukurumidza uye zvinobudirira kubvisa kutyorwa. Vanogona kushandiswa panjodzi. Pane vaeni hemostatic nevamiririri mukukuvara. Next, funga zvimwe mushonga yemo.

hemostatic chipanji

gadziriro iyi yeplasma kwevanhu. The hemostatic chipanji aripo thromboplastin uye calcium yakawanda chloride. Last rinobatsira pane omunzvimbo gingival, nasal, hemorrhoidal ropa. Kubva chena chipanji chidimbu navamwe uye rinoshandisirwa njodzi pre-kuomeswa mugove. The mushonga ari zvakasimba chakatsindirwa munhu gauze ikanyanya. Zuva rakatevera vakasara vakaumba fibrin firimu pamwe micheto nokungwarira kubviswa. Marangwanda chipanji kugadzirisa vakazvimiririra kwemazuva 20-30. Tsva residues kubva akazarura mugaba pamwe chipanji rinogona kushandiswa chete pashure resterilization. Contraindications zvinodhaka iripo.

thrombin

gadziriro iyi yeplasma yevanhu chena-blue guru Loose. Pakusuma kuchinja tiwedzere maitiro fibrinogen kuti fibrin, kuti medicament rine zvakananga hemostatic kushanda. Thrombin rinoshandiswa chete omunharaunda kukuvara rirambe richibvira akasiyana hunhu simuka, pashure kubviswa nezino pamwe. Chena chinu inovhurwa asati kushandisa kuti akaiswa sesaline (10-15 Rine mamiririta) pa nzvimbo tembiricha. Pakangotanga thrombin mhinduro, mumwe tampon akaiswa mushonga wokuuraya muvhenganiswa ichi uye zvakasimba ukama nzvimbo. Mushure zvokurega ropa rayo nokungwarira kubviswa nokuda soaking pamwe sesaline kudzivisa apiwa kukuvara.

Fibrin firimu

Kugadzirira yevanhu kana mhuka (mombe) plasma. Rine thromboplastin. The mushonga ine mwero hemostatic kushanda. Fibrin firimu rinoshandiswa munharaunda maronda ari mucous membrane. Asati kushandisa chena bvunzo chubhu kuzarurwa, firimu chinobviswa. Next, zvakanamirwa kusukwa sesaline kana motokari "Penicillin" kana "rivanol". Zvadaro, mukuru medicament rinoshandiswa ukama pamusoro. Kana kushandisa fibrin firimu anogona kuva chisimbwa.