Hemostatic mahlahana. mahlahana Hemostatic ka mafu a basali

hangata ha ho ikatisetsa badirimmogong ba lefapha la bongaka le batsamaisi rona bohareng ba le ho sebetsana le hemorrhages ya selegae le fapaneng. Ka ho khetheha, bana ba le batho ba baholo - ka seqha e, ka mor'a hore ho tlosoa ha meno - le gingival le ba bang. Kajeno sebetsa hemostatics fapaneng: uterine mali, capillary diso tsa nko le libaka tse ling. Khahlanong le semelo sa 'maloa a pathologies hlahisa mafu a kang generalized. Ka mohlala, ha aplastic khaello ea mali, thrombocytopenic lefu purpura, le kapillyarotoksikoz tse ling. Ka mor'a moo, re tla utloisisa, ke seo lithethefatsi hemostatic kajeno.

Overview

Ke'ng se etsang hore ho tsoa mali? boemo Sena ke ka lebaka la ka boemo boo botšepehi ba ka lijaneng kgolo kapa methapong. Tšenyo e ka bakoang ke kgolo ya lihlahala, ho sithabela, khaello ea hoama ea mali. Hangata, ha e le ka hare phallo lithethefatsi bohale hemostatic li tsamaisoa ka ho toba ka letheba kapa ka tshebetso ya ho tsamaisa lehlatsipa sepetlele.

lintlha coagulation

Hlokometse'ng bontša hore ka pathologies hare semelo sa tsoa mali mafu a ho bakoa haholo-holo ka tsamaiso coagulation. dithulaganyo le ho eona e rarahane haholo phorosela la liketsahalo. Ho nka lintlha 13 amehang, le teng ka lero la mali, 'me ho feta dozen e - tse platelet le. Bohlokoa ka ho fetisisa ba bona ba ke: fibrinogen prothrombin, prothrombin ho sokoloha le palokatiso, ntlha ea ho kopana le antihemophilic globulin. Ka lebaka fibrinolytic (anticoagulant) Tsamaiso ea mali e ile a lula ka boemo mokelikeli.

Lisosa tsa ditlolo

Tsoa mali ka liketso, hangata li bakoa ke ho haella kapa ntlha e leha e le efe coagulation, ho etsa mohlala, ka lefu la sebete bongata ba kokwanahloko, nyooko phetha molao mofuta, hemophilia kapa fokotswa platelet bokelletse (sa lefu Verlgofa, khahlanong le khaello ea mali aplastic le pathologies tse ling). Atisa ho ba tse nyenyane tse ngata thrombosis ka methapong sebetsa jwalo ka e thunye ka. Ba iphetolele le overruns e 'ngoe ea lintlha tse itseng hoama le liplatelete. Sena, le eena, isang syndrome, hemorrhagic. A mohlala oo o hlokometse ka semelo sa lintho tsa tlhaho e mpe ea makala le (cardiogenic, sithabetsang), chefo, sepsis (ka mor'a ho ntša mpa senokoane kenyelleditswe), ho buuoa ka sehloohong, haholo-holo ha a maholohali a tšeloa. Nakong e fetileng, jwalo boemo pathological hlalosoa e le "mali fibrinliticheskaya." Hona joale, e bitsoa lefu la intravascular microcoagulation tloaelehileng.

Phekolo: Overview

A khethiloeng hantle hemostatic moemeli ka mali uterine, ba sebakeng seo capillary tshenyo susumetsa khathatseha hemostasis mathomo. Ka kakaretso, phekolo tšoaneleha ho akarelletsa le tšebeliso ea 'ngoe, maemong a sa tloaelehang, lithethefatsi tse peli ka dosages homolog. Ka mohlala, ha hemophilic mali sebelisoa ka foreshe lero la mali Infusion moemeli "Kriopretsipiat". Le ho sebelisa lithethefatsi tse kang "Vikasol" kapa k'halsiamo chloride, maemong a joalo ha e sebetse. Ba anngoeng le elements tsamaisong ea hemostatic ka ho ikemisetsa ho latela ka ya data se anamnestic le matšoao a lemoha nakong hlahloba mokuli. Tabeng ena, pele phekolo e, o lokela ho tseba hore na Genese ea ditlolo. Leha ho le joalo hemostatic ea lihlooho tsa puisano ka litokisetso tse lumelloa ho sebelisa leha e le efe ka ntle diso vascular tsa lera la ka mucous. Medicaments ka 'na ba e pharaletseng, kapa mefuta e fapaneng batlang e le e fokolang ea nkang khato. Ho na le, ka mohlala, lithethefatsi hemostatic bakeng hemorrhoids. Mefuta e meng ea meriana boetse ho na le e fapaneng. Ha diriswa tsa tsenyo e sebaka mala, mohlala, ho loketse ho sebelisa likerese hemostatic. Maemong a mang a mang, atlehang haholoanyane, ditharollo kapa matlapa. Mohlala, hemostatics khoeling hangata fumaneha ka foromo Letlapa kapa capsules.

Medicine "Vikasol"

moriana o ena ke metsi qhibilihang ka har'a maiketsetso analoge ya K-vithamine. lithethefatsi sena se ba thusa hore ba khaotse ho joalo tsoa mali feela, e leng ka lebaka la ho matla a fokotsehileng dikahare tsa prothrombin. Sena, le eena, halefisoa ke khaello ea K-vithamine. Moriana o "Vikasol" di hlohleletsago le tswakana tsa prothrombin ke lisele tsa sebete. Ke matšoao a ho sebedisa oa sesebelisoa sena kenyeletsa mafu hemostatic ka ho thatafala ha sebete, lefu la sebete, e amanang le sebete lefu renal, obstructive nyooko. moriana khothalletsoang hore tsoa mali ka semelo sa e overdose ea anticoagulants ba sa tobang bohato (lithethefatsi "pelentan", "neodikumarina" le ba bang). Meriana ha e bontša bohlokwa ba tsamaiso ka lefu thrombocytopenic purpura le hemophilia. Lithethefatsi na ba bang ba sebetsa ka climacteric le mike mike uterine, tsoa mali seso. Ketso ea lithethefatsi e hlokomela se pejana ho lihora tse 12-18 ka mor'a tsamaiso. Joaloka ba bangata ba hemostatic moemeli bakeng sa mali uterine, moriana o "Vikasol" e fumaneha ka foromo Letlapa le ka tharollo e. meriana molomo kgothaletswa ke 0,015 g, / 2-3 leq / ka letsatsi a. Hemostatic liente "Vikasol" laolwa intramuscularly 1 di ml ea liphesente tse le leng tharollo e 1-2 leq / ka letsatsi a, ka ho latellana bakeng sa matsatsi a ho fihlela ho tse 'nè (ka lebaka la ho thrombosis ka etsahala). Contraindications ho tshebediso ya moriana o le e kenyeletsa myocardial infarction thrombosis (a hlobaetsang le), e ile ea eketseha coagulability.

vithamine P

sesebelisoa sena ke sete ya catechins tee. Vithamine P, ae fokotsang lebelo hyaluronidase mosebetsi (ho qhalana connective botlaaseng leboteng capillary), fokotsa batla brittle le tse nyenyane caliber vascular e lumellang metsi ho kena. Hammoho le vithamine ena E thibela ho kena moea oa asiti ascorbic. Ho boetse ho na le le phello e firming leboteng capillary. The atileng ka ho fetisisa lithethefatsi lithethefatsi vithamine P e nkoa e le "Rutin". Ke metsi-insoluble phofo bosehla bo botala-mebala. Medicine "Rutin" ho isa bohōleng bo itseng ho fokotsa ho tiea tsa hemorrhagic lekhopho ka semelo sa lefu lena le thrombocytopenic purpura kapillyarotoksikoz. moriana o ile a bontša ho retina hemorrhage, maselese, endocarditis baktheria, feberu sekareleta. Ka tshebediso ya vithamine P hang le hlaha thrombosis, ha ho contraindications. Hatisa moriana o foromo Letlapa foromo e hloekileng ke 0,02 g,, 'me hammoho le asiti ascorbic (le bolelang "Ascorutin") (0.5 g, ka mong motsoako). Batho ba baholo moriana o kgothaletswa litekanyetso li behoa ea 0.02-0.05 gr / 3 dagelever /: d.

Epsilon-aminocaproic acid e

moemeli Sena ke ka mokgwa wa e tsoeu e bonaletsang phofo. ntho e tasteless le odorless, qhibilihang ka har'a haholo ka metsing. Epsilon acid e aminocaproic na matla haemostatic le phello (ea moo le makgabane general), fibrinolytic mosebetsi slowing dibopeho. Hammoho le moriana o ena ho fokotsa mosebetsi tryptic hore bontša dijusi tshilong ya dijo. Epsilon acid e aminocaproic e bontšoa ho gingival, nasal, mala, gastric, ea matsoelintsoeke, renal hemorrhage ea tlhaho e fapaneng a hlaha, ha Verlgofa lefu, hemophilia, khaello ea mali le aplastic mora curettage uterine ho akarelletsa. Tlas'a maemo a tsitsitseng-mmuso, meriana e sebediswa ka mor'a ho buuoa ka sebaka sa matšoafo, ea tšoelesa ea senya, ka pele ho nako detachment tloaelo leng placenta. E behiloeng ka ho ka hare ho 3-5 g, / 3-4 leq / ka letsatsi a. Ho hlatsoa ho theosa le phofo kgothaletswa metsi monate. Ho feta moo, epsilon-aminocaproic asiti e hlahiswa le bolus le Infusion ka mothapo le 100 di ml. Lithethefatsi ka katleho sebediswa bakeng sa hemostasis ea moo ho tsoa mali ho tswa ho nasal mucosa kapa liliba mora tlosa leino le. Tabeng ena phofo e fafatsa haholo hang-hang ba ameha. Khahlanong le semelo sa moriana o molomo ha halefisa ho pampitšana tshilong ya dijo. Maemong a sa tloaelehang haholo, bakuli ba ka 'na ba tletleba ba ho nyekeloa ke pelo. Ka mor'a tsamaiso intravenous, phello lebetsoeng le e hlokometse ka mor'a lihora tse 1-4. Epsilon acid e aminocaproic na contraindications. Tsena li akarelletsa, ka ho khetheha, e kenyeletsa ho hloleha renal (a hlobaetsang le 'nete hore), thromboses.

Medical edible gelatin

Collagen hydrolyzate ke colorless, gelatinous boima kapa makhasi yellowish. Khahlanong le semelo sa lithethefatsi intravenous ntlafatsa mali e tiileng e qamathelang, platelet stickiness. Sena se etsa bonnete ba e lekaneng ka potlako 'me ho phatlalatsoa haemostatic sebetsa ka maemo a ho tsoa mali ka hare. Tsena li akarelletsa, har'a ba bang, a akarelletsa intrapleural, le gastrointestinal. Phello nyenyane e hlokometse ka vasculature ya diso ka mucous. Ka lehlakoreng itsoara joang ka sebetsa joaloka allergy e. Lithethefatsi haholo abeloa rothele entoe ka lethal dose ea la 50-100 di ml pele ho thabisa ho 37 likhato tharollo. Hatisa moriana o ka ampoules la 10 di ml ea liphesente tse leshome edible gelatin ka sodium chloride etsang liphesente tse hlano.

Fibrinogen K3 kapa M2

lithethefatsi ena e mali a batho, ke hoama lebaka. E e sebelisoa ka mali afibrinogemicheskih. Rothele laolwa entoe (letsatsi le 1.8-2 Gr. Ntho Dry). Hang-hang pele ho ho sebedisa phofo e qhalwa ho ya ka letsoai tharollo (nyopa), eo mocheso ke likhato 25-30. Infusion o etsoa ka ho ba teng e tlamang ea tsamaiso filthara ka ka tharollo ka 'na ba lemoha ke thepa ea motheo ea protheine insoluble. Ha abeloa Infusion ka myocardial infarction (a hlobaetsang le), thrombophlebitis.

Medicine "Trasylol"

ba lokisetsa ho ena le tsoa likhomo litsoelesa parotid. The moriana o khonang ho slowing letotong la microcoagulation intravascular le trypsin khomarelana. Abeloa ho tsoa mali ho tsamaea le dinama tse nyenyane tse e pharaletseng kotsi, poso-maswe ntša mpa, khahlanong le mofuta hlobaetsang kankere ea mali (promyelocytic, ho etsa mohlala) le re tse ling. Litekanyetso li behoa 10-20 sekete. ED intravenous Infusion ka letsatsi bakeng sa makhetlo a 1-2 ka tse hlano a etsang liphesente tsoekere tharollo (kapa letsoai). Ka tloaelo ho, tsamaiso ya moriana o ka o etsoang ho tsoa e maemo a ema. Meriana le boetse le sebelisoa bakeng sa ho liforomo sa foleng le a hlobaetsang le ea pancreatitis, mumps. Har'a liphello atileng ka ho fetisisa-morao tse: allergy ho fihlela ho makala anaphylactic, hammoho le phlebitis ka sebaka sa tsamaiso.

protamine sulfate

Sena sehlahisoa protheine e nang le bokhoni ba eaba ba etsa le heparin le thromboplastin mehahong insoluble. Prescribers haemorrhage halefile hyperheparinemia. O ile a, le eena, ke phello ea ho overdose, kapa tse eketsehileng tlhahiso ea e se nang sesosa heparin. Meriana e fana ka ho lekaneng ka potlako (ka hare ho lihora tse 1-2), emisa phallo ea mali. Ka tloaelo ho, ka etsang liphesente tse 'ngoe tharollo e tshelwa ka bophahamo ba modumo ea 5 di ml intramuscularly kapa a entoe. Haeba ho hlokahala, ea ente e etsoa hape ka mor'a metsotso e 15. Nakong ea phekolo sebedisa protamine sulfate lokela ho fana ka taolo nako hoama. The moriana o etsoa ampoules dimililitha hlano ea liphesente tse le leng tharollo.

Tharollo "Gemofobin"

Ena ke styptic batlang e fokolang bakeng sa hemorrhoids. E sebelisoa intramuscularly, ka molomo kapa ka lihlooho. The litekanyetso li behoa ha tsamaisoa ka molomo 1 tafole. khaba 2-3 leq / ka letsatsi a. Intramuscularly abeloa ho ea 5 di ml tse 1,5% tharollo. The moriana o "Gemofobin", joaloka lithethefatsi tse ling tse ngata hemostatic, fumaneha ka 5 di ml ampoules le vials ea 150 dimililitha.

Medicine "Adrokson"

moriana o ena ke phofo lamunu ba se nang tatso le monko. The bohlokwa ba tsamaiso lipontsuoa lithethefatsi mali capillary ka lebaka la ho tsoa likotsi tse nyenyane mor'a leino tse qotsitsoeng, tonsillectomy. Used 0,025% tharollo ea wetting tampons le liente intramuscular ka makhetlo-khetlo pele, nakong ea 'me ka mor'a tsereletsi ena. Lithethefatsi ke atlehang le LCD mali. Hatisa moriana o ka ampoules of 1 di ml 0,025%.

Medicine "Etamsylate"

lithethefatsi sena se ba thusa ho ntlafatsa platelet mosebetsi, fokotsa capillary e lumellang metsi ho kena. Recommended moriana o bakeng sa kalafo le thibelo ea mafu a vascular mora leino tse qotsitsoeng, tonsillectomy. Ho kenyeletsa ho bala le mala le methapo hemorrhage. Ka nako palo e kahodimodimo ea phello ea lihora tse 1-2 ha tshelwa ka mothapo, 'me lihora tse 3 --ja. Ka meriana prophylactic laolwa intramuscularly kapa ka molomo. Ho felisa tsoa mali ka mothapo kapa mesifa laolwa 2-4 di ml, ka nako eo mong le e mong lihora tse 4-6 ka 2 di ml. Fumaneha meriana foromo Letlapa ke dikgerama 0,25. ka 2 di ml ampoules ka tharollo 12,5%.

litlama

The folisa thepa ea limela ba 'nile ba tsebileng ho tloha mehleng ea khale. meriana ea litlama ka sebōpeho sa sefa nehelana ka meriana tse ngata hemostatic. Sebetsa mahlahana joalo hemostatic nakong mafu a boima ho ilela khoeli, localized libakeng tse ling. Fumaneha ka mefuta e fapaneng ya tinctures, metsi le joala, lipilisi, marotholi. Litsebi hangata e sebelisa mahlahana hemostatic ka mafu a basali. Haholo-holo nakong ea bokhachane 'me nakong diabolololo. Leha ho le joalo, ho sebelisa hemostatic nakong ea bokhachane 'me nakong fepa lokela ho ba hlokolosi haholo ha ho lematsa ngoana e-s'o hlahe.

tincture lagohilusa

sesebelisoa sena e na le tannins le latohilin. Tincture na le Stimulating (itekanetseng) ama tsamaiso ea coagulation le khanya robatseng. E sebetsa e le hemostatic nakong ilela khoeli, mokola. E kgothaletswa ho ingest e teaspoon a etsang liphesente tse leshome tharollo ea metsi (0.25 linoelo) letsatsi makhetlo 3-4. E le phello e lehlakoreng e bontšoa laxative tekano. The metsi tharollo tampons 'na ha sebelisoa ka ka ho epistaxis hemorrhoidal.

Tlhotla makhasi bobatsi

mokhoa kenyelletsa ditokiseletso le vithamine ea K, ascorbic acid e, tannins. Recommended tlhotla mala, maqhubu renal ka lefu la purpura thrombocytopenic. Bobatsi na le mahlahana a tse ngata hemostatic, ka menses litloebelele le diso tse ling vascular sebediswa.

The setlama milfoil (mokelikeli ntsa)

tharollo ena e na le halogenated le tannins, ascorbic acid e, alkaloids. Ho ntlafatsa phello ea, maemong a mang ho kopantswe hemostatic lithethefatsi. Ha le boima matsatsing nako ke ntho ea bohlokoa haholo-holo. Ka maemo a joalo, e le e atlehang haholo setlama Yarrow le bobatsi bo tlhotla.

The mokelikeli ntsa ea pepere

E na le rutin, quercetin. Joaloka ba bang ba baemeli ba tse ling tse hemostatic nakong khoeling boima, pepere tlhotla na tannins. E kgothaletswa ho 30-40 marotholi makhetlo a mararo ka letsatsi. Pepere tlhotla e leng ka moriana o "Anestezol" (likerese).

meriana ea moo

Ka tloaelo ho, ho sebelisa mahlahana a joalo hemostatic tsa fokotsa ho. Ba dumella ho ka potlako le ka tsela e atlehang felisa ditlolo ka. Ba ka sebelisoa boemong ba tšohanyetso. Ho na le ho amohela baeti hemostatic mahlahana bakeng sa tsoa likotsi. Ka mor'a moo, nahana ka tse ling tsa moriana sebaka seo.

hemostatic seponche

Sena se ba lokisetsa ho ea lero la mali a batho. The seponche hemostatic se teng thromboplastin le k'halsiamo chloride. Ho qetela e na le phello e ntle ka gingival moo, nasal, hemorrhoidal mali. From nyopa seponche sengoathoana e arohane le sebelisoa ho amehang pele ho omisitsoeng karolo. Lithethefatsi e ka thata-thata petelitsoe ka gauze sebaka. letsatsi hamorao bakiloeng thehoa fibrin filimi ka metshetshe ka hloko tlosoa. O hlola ka ho seponche rarolla nosi matsatsi a 20-30. litlhaka kahare sa sebelisoeng tswa setshelo bula le seponche ka sebelisoa feela ka mor'a resterilization. Contraindications ya moriana fumaneha.

thrombin

ho lokisetsa ena ea lero la mali batho ke bo hlephileng tšoeu-pinki boima. Kenyelletsa le phetoho sethothetsi itsoara joang ka tsa fibrinogen ho fibrin, le moriana o fana ka ho toba hemostatic sebediswa. Thrombin e sebediswa feela bakeng sa ea moo capillary tshenyo ya mofuta fapaneng a hlaha, ka mor'a ho tlosoa ha leino le hammoho. Nyopa vial e bula pele ho sebelisa, ho e kenngoa ka letsoai le (10-15 di ml) ka mocheso kamore. Hang ha tharollo thrombin, e tampon tse tsetsoeng moriana ka motsoako ona le ka thata-thata ho ea sebakeng senyehile. Ka mor'a ho emisa ho tsoa mali ba lona ka hloko tlosoa ke eng kapa le letsoai le ho qoba botjha kotsi.

Fibrin filimi

Oa ho lokisetsa batho kapa sa phoofolo (likhomo) lero la mali. E na le thromboplastin. Lithethefatsi o na le ka tsela e itekanetseng hemostatic sebediswa. Fibrin filimi le sebelisitsoe ka diso ea moo ka lera mucous. Pele ho sebelisa nyopa teko tube, e buloa, filimi e tlosoa. Ka mor'a moo, ho e hlatsoa ka letsoai kapa koloi "penicillin e" kapa "rivanol". Ka mor'a moo, moriana o sebelisoa ho holim senyehile. Ha u sebelisa fibrin filimi e ka hlahisa e allergy.