Kupewa ndi kuyimitsidwa kwa magazi: magazi a parenchymal ndi capillary (kuphatikiza zowopsa, pochita opaleshoni pochita opaleshoni yam'mimba kwambiri, komanso munthawi ya opaleshoni yam'mano, zam'mimba, aimpso, zamitsempha zam'mimba, metro- ndi menorrhagia yokhala ndi fibromyoma, etc.), kuchepa kwa magazi kwachiwiri chifukwa cha thrombocytopenia ndi thrombocytopathy, hypocoagulation, hematuria, intracranial hemorrhage (kuphatikiza mwa akhanda osabereka ana), nosebleeds ndi ochepa matenda oopsa, magazi chifukwa cha mankhwala osokoneza bongo, hemorrhagic diathesis (kuphatikizapo matenda a Werlhof, matenda a Willebrand-Jurgens, thrombocytopathy), matenda ashuga microangiopathy (hemorrhagic diabetesic retinopathy, hemorrhage retinal.

Momwe mungagwiritsire ntchito: Mlingo ndi njira ya chithandizo

Mu / mu, m / m ndi mkati. Mu ophthalmic machitidwe - mu mawonekedwe a madontho amaso ndi retrobulbar.

Mkati, mlingo umodzi wa akulu - 0,25-0,5 g, ngati ndi kotheka, utha kuwonjezereka mpaka 0,75 g, muyezo wa makolo - 0,125-0.25 g, ngati pangafunikire kuwonjezeka mpaka 0,375 g.

Akuluakulu: panthawi ya opaleshoni yothandizira opaleshoni prophylactically - mu / mu kapena / m 1 ora musanachitidwe opareshoni - 0,25-0,5 g kapena mkati, ngakhale mutadya, maola atatu musanayambe opareshoni - 0.5-0.75 g Ngati ndi kotheka - 0,25-0,5 g iv pa opaleshoni ndi prophylactically - 0.5-0.75 g iv, i / m kapena 1.5-2 g mkati, wogawana masana - atagwira ntchito.

Ndi matumbo, m'matumbo a m'mapapo, m'milomo, 0,5 ga aliyense kwa masiku 5 mpaka 10, ndimankhwala omwe akupitiliza, mlingo umachepetsedwa, ndi metro ndi menorrhagia, Mlingo womwewo pakukha magazi komanso maulendo awiri azotsatira.

Ndi hemorrhagic diathesis, matenda amitsempha yamagazi, matenda a shuga - mkati, pa 0.75-1 g / tsiku, mosalekeza, m'masiku a 5-14.

Ana: ndi ma opaleshoni othandizira prophylactically - pakamwa, 1-12 mg / kg mu 2-mgawo waukulu wa masiku 3-5. Ngati ndi kotheka, nthawi ya opareshoni - mkati /, 8-10 mg / kg.

Pofuna kupewa kutaya magazi pambuyo pakuchita opaleshoni - mkati, pa 8 mg / kg.

Ndi hemorrhagic syndrome - mu gawo limodzi la 6-8 mg / kg pamlomo, katatu patsiku, m'masiku 5 mpaka 14, maphunzirowa atha kubwereza pambuyo masiku 7.

Kuchepa kwa diabetesicangiangiopathy - i / m, 0,25-0,5 g katatu pa tsiku kapena 0,125 g katatu patsiku kwa miyezi iwiri.

Jakisoni amatha kuthira timatumba topaka (swala wosabala amamuika pathandala).

Zotsatira za pharmacological

Hemostatic wothandizila alinso ndi angioprotective komanso proaggregant. Imayendetsa mapangidwe a mapulateleti ndi kutuluka kwawo kuchokera kumongo. Mphamvu ya hemostatic, chifukwa cha kutseguka kwa mapangidwe a thromboplastin pamalo owonongeka ndi ziwiya zazing'ono komanso kuchepa kwa mapangidwe a prostacyclin PgI2 mu endothelium ya mtima, kumathandizira kuwonjezeka kwa zomatira komanso kuphatikizira kwa mapulosi.

Imawonjezera kuchuluka kwa mapangidwe oyamba a thrombus ndikuwonjezera mphamvu yake, sikukhudza nthawi ya fibrinogen ndi prothrombin nthawi. Mlingo wa zopitilira 2-10 mg / kg sizikuwadzetsa kuwonongeka kwakukulu. Ndi jakisoni wobwereza, thrombosis imachuluka.

Kuyika ntchito ya antihyaluronidase ndikukhazikitsa ascorbic acid, imalepheretsa kuwonongeka ndikupititsa patsogolo mapangidwe a mucopolysaccharides okhala ndi molar misa yayikulu khoma la capillary, imawonjezera kukana kwa capillaries, imachepetsa kusayenda kwawo, ndipo imachepetsa kuvundikira nthawi.

Imachepetsa kutulutsa kwamadzimadzi ndi ma diapedesis am'magazi kuchokera pakama lamitsempha, kusintha kwa ma cell.

Ilibe vasoconstrictor kwenikweni.

Amabwezeretsa nthawi yosintha magazi. Sichikhudza magawo enieni a heentatic system.

Mphamvu ya hemostatic ndi iv yoyendetsedwa ndi etamsylate imachitika pambuyo pa mphindi 5 mpaka 15, mphamvuyo imawonekera pambuyo pa maola 1-2. Zotsatira zimatha kwa maola 4-6, kenako zimafooka mkati mwa maola 24, ndikulowetsa / m, zotsatira zimachitika pang'onopang'ono. . Mukapatsidwa mankhwala, mphamvu yake yochulukirapo imawonekera pambuyo pa maola 2-4. Pambuyo pa chithandizo, zotsatira zake zimapitilira masiku 5-8, pang'onopang'ono zikuchepa.

Katundu

Mankhwala
Hemostatic wothandizila alinso ndi angioprotective komanso proaggregant. Imayendetsa mapangidwe a mapulateleti ndi kutuluka kwawo kuchokera kumongo. Kuchulukitsa kwa hentaticatic, chifukwa cha kutsegulira kwa mapangidwe a thromboplastin pamalo owonongeka ndi ziwiya zazing'ono komanso kuchepa kwa mapangidwe a prostacyclin (PgI2) mu endothelium ya mtima, kumathandizira kuwonjezeka kwa zomatira komanso kuphatikizira kwa mapulosi. Imawonjezera kuchuluka kwa mapangidwe oyamba a thrombus ndikuwonjezera mphamvu yake, sikukhudza nthawi ya fibrinogen ndi prothrombin nthawi. Mlingo wa zopitilira 2-10 mg / kg sizikuwadzetsa kuwonongeka kwakukulu. Ndi jakisoni wobwereza, thrombosis imachuluka.

Kuyika zochita za antihyaluronidase ndikukhazikitsa ascorbic acid, imalepheretsa kuwonongeka ndikupititsa patsogolo mapangidwe a mucopolysaccharides okhala ndi kulemera kwakukulu mozungulira khoma la capillary, imawonjezera kukana kwa capillaries, imachepetsa kusokonekera kwawo, ndipo imachepetsa kufalikira kwa njira.

Imachepetsa kutulutsa kwamadzimadzi ndi ma diapedesis am'magazi kuchokera pakama lamitsempha, kusintha kwa ma cell.
Ilibe katundu wogwirizanitsa. Ilibe vasoconstrictor kwenikweni.

Amabwezeretsa nthawi yosintha magazi. Sichikhudza magawo enieni a heentatic system.
Mphamvu ya heestatic yokhala ndi intravenous (iv) kayendetsedwe ka etamsylate imachitika pakadutsa mphindi 5 mpaka 15, zotsatira zake zambiri zimawonekera mu maola 1-2. Zotsatira zimatha kwa maola 4-6, kenako zimafooka pang'onopang'ono mkati mwa maola 24, ndi intramuscular (IM ) kuyambitsa kwa zotsatira kumayamba pang'onopang'ono.
Pambuyo pa chithandizo, zotsatira zake zimapitilira kwa masiku 5-8, pang'onopang'ono zikuchepa.

Pharmacokinetics
Imayamwa bwino ndi kayendetsedwe ka i / m. Mtsempha wozizira m'magazi ndi 0.05-0.02 mg / ml. Zogawidwanso wogawika ziwalo zosiyanasiyana ndi minyewa (zimatengera kuchuluka kwa magazi awo). Osagwira m'mapuloteni a m'madzi a m'magazi komanso m'magazi. Imathiridwa mwachangu mthupi, makamaka ndi impso (zosasinthika), komanso ndi bile. Theka-moyo (T1 / 2) pambuyo pa i / m kayendetsedwe ka maola a 2 / maola a I / v - 1.9 Pambuyo mphindi 5 pambuyo pa u / v kasitomala, 20-30% ya mankhwala omwe atumizidwa amatsitsidwa ndi impso, atachotsedwa kwathunthu pambuyo maola 4 .

Mlingo ndi makonzedwe:

Mothandizidwa ndi mitsempha komanso m'mitsempha. Muzochita za ophthalmic - retrobulbar. Njira yothetsera jakisoni ingagwiritsidwe ntchito kunja - swala yosalala yovilitsidwa ndi mankhwalawa.

Akuluakulu: pakuchitika kwa maopaleshoni, etamzilate amathandizira pakulimbitsa thupi ola limodzi kapena mu mnofu 1 ora isanachitike opaleshoni - 0,25-0,5 g .. Ngati ndi kotheka - 0.25-0.5 g kudzera mu opaleshoni ndi prophylactically - 0.5-0, 75 g kudzera m'mitsempha kapena mu mnofu mwamphamvu katatu pa tsiku - atachitidwa opaleshoni.

Ana: ngati kuli kotheka, nthawi ya opareshoni - kudzera m'mitsempha 8-10 mg / kg.
Diabetesic microangiopathy (hemorrhagic diabetesic retinopathy, hemorrhage, hemophthalmus) - mu mnofu 0.25-0.35 g katatu pa tsiku kapena 0,125 g 2 kawiri pa tsiku kwa miyezi iwiri.

Zomwe Mungagwiritse Ntchito:

Kwa hemorrhagic mavuto omwe amakhudzana ndi bongo wambiri wa anticoagulants, tikulimbikitsidwa kugwiritsa ntchito mitundu yeniyeni.

Kugwiritsidwa ntchito kwa etamzilate kwa odwala omwe ali ndi vuto la magazi pakupezeka kotheka, koma kuyenera kuthandizidwa ndi kuyambitsidwa kwa mankhwala omwe amachotsa kufooka kapena chilema cha zinthu zoyipa.

Mogwirizana ndi mankhwala ena:

Mankhwala osagwirizana (mu syringe yomweyo) ndi mankhwala ena.
Mankhwala pa 10 mg / kg 1 ora pamaso dextrans (pafupifupi maselo kulemera 30 40,000 kDa) amalepheretsa antiplatelet zotsatira; makonzedwe atakhala osagwirizana.
Kuphatikizika ndi aminocaproic acid ndi sodium menadione ndi bisulfite ndizovomerezeka.

Zoyipa:

Hypersensitivity, thrombosis, thromboembolism, pachimake porphyria, mimba, mkaka wa m`mawere.

Ndi chisamaliro:
Ndi magazi pa maziko a bongo wa anticoagulants. Kusamala ndikofunikira (ngakhale kuperewera kwa thrombosis) popereka etamzilate kwa odwala omwe ali ndi thrombosis kapena thromboembolism m'mbiri.

Kutulutsa mafomu ndi kapangidwe kake

Kugulitsa ndi mankhwala osokoneza bongo. Thupi lamadzimadzi limapangidwira majekiseni a intramuscularly komanso kudzera m'mitsempha. Gawo logwira ntchito ndilo panganolo la dzina lomweli.

Mankhwala sakupezeka mwanjira iyi. M'mapiritsi, mutha kugula analogue ya wopanga wina - Ethamsilate (North China Pharmaceutical Corporation Ltd.).

Mlingo wa chinthu chomwe chikugwira ntchito mu 1 ml ndi 125 mg. Zinthu zina:

• sodium edetate dihydrate,
• sodium disulfite,
• sodium sulfite yamadzi,
• madzi d / ndi.

Mankhwala omwe amapezeka mwanjira iyi amapezeka m'matupa okhala ndi ma ampoules (2 ml) a 5, 10 ndi 20 ma PC. Kuchuluka kwa etamsylate mu ampoule 1 ndi 250 mg.

Etamsilat Eskom

Ethamsylate Eskom 125mg / ml 2ml 10pcs yankho la jakisoni ndi kugwiritsa ntchito kunja

Kukonzekera kwa Eskom NPK (Russia): Etamsilat Eskom

Ma Analogi pazogwira ntchito

Dicinon 250mg 100 ma PC. mapiritsi

Kukonzekera kwa Sandoz (Slovenia): Dicinon

Ethamsylate-ferein 250mg 20 ma PC. mapiritsi

Kukonzekera kwa Bryntsalov-A (Russia): Etamsylate-ferein

Ethamzilate 125mg / ml 2ml 10 ma PC. yankho la mtsempha wa magazi ndi mu mnofu makonzedwe

ALVILS (China) Kukonzekera: Ethamsylate

Analogs ochokera m'gulu la mankhwala a Hemostatic

Dicinon 125mg / ml 2ml 50 ma PC. yankho la mtsempha wa magazi ndi mu mnofu makonzedwe

Lek dd (Slovenia) Kukonzekera: Dicinon

Aminocaproic acid 5% 100ml yankho la kulowetsedwa

Tsabola wamadzi 25ml amadzimadzi amadzimadzi a pakamwa

Ethamzilate 12.5% ​​2ml 10 ma PC. jakisoni yankho

Tranexam 250mg 10 ma PC. mapiritsi okhala ndi filimu

Kukonzekera kwa Stada (Russia): Tranexam

Analogs ochokera m'gulu la Matenda a Mtima

Dicinon 125mg / ml 2ml 50 ma PC. yankho la mtsempha wa magazi ndi mu mnofu makonzedwe

Lek dd (Slovenia) Kukonzekera: Dicinon

Tranexam 250mg 30 ma PC. mapiritsi okhala ndi filimu

Kukonzekera kwa Stada (Russia): Tranexam

Prothromplex 600 1 pc. lyophilisate yankho la mtsempha wa magazi makonzedwe + r-l 20ml

Baxter Helske Corporation (USA) Katundu: Prothromplex 600

Dinaton 10mg / ml 1ml 5 ma PC. jakisoni yankho

Kukonzekera kwa PROFIT (Russia) Kukonzekera: Dinaton

Dicinon 250mg 2ml 10pcs ampoules (kusanthula)

Kupanga ndi mawonekedwe a kumasulidwa

Zogwira ntchito: ethamylate.

Yankho la 2 ml mu ampoules, phukusi la makatoni 10 zidutswa.

Transparent, colorless kapena pang'ono chikasu madzi.

Pafupifupi 72% ya mlingo womwe umayamwa umatulutsidwa mkodzo patatha maola 24 osasinthika. T1 / 2 pambuyo povomerezeka ndi iv kwa maola pafupifupi awiri. Amalowa kudzera pazotchingira, zomwe zimapukusidwa mkaka wa m'mawere.

Antihemorrhagic wothandizira. Imasinthasintha kukula kwa khoma lamitsempha, kumapangitsa kukoka kwam'mimba. Zochitazo zikuwoneka kuti zimakhudzana ndi kuyambitsa mphamvu pakapangidwe ka thromboplastin. Sichikukhudzana ndi nthawi ya prothrombin, ilibe malo okhala ndi ziwonetsero ndipo samathandizira pakupanga magazi. Kukhazikika kwa mphindi 5-15 pambuyo pa kubayidwa kwa iv, kuchuluka kwake ndikofunikira pambuyo pa maola 1-2. Kutalika kwa kuchitapo kanthu ndi maola 4-6.

Hemostatic mankhwala. Woyambitsa wa thromboplastin.

Kuti mugwiritse ntchito kunja, swaberi yosalala yomwe imanyowa mu etamsylate (mwanjira yothetsera jakisoni) imayikidwa pa bala.

Malangizo azachipatala

Siyani ndemanga yanu

Chidziwitso Chaposachedwa Chidziwitso Chaposachedwa, ‰

Amalembetsa Mankhwala Ovuta Komanso Ofunika

Makhadi Olembetsa a Ethamsilat Eskom

• LSR-008602/09

Webusayiti yovomerezeka ya kampani RLS ®. Ensaikulopediya yayikulu ya mankhwala osokoneza bongo ndi katundu wa mankhwala omwe amapezeka ku Russia Internet. Ndondomeko yamankhwala Rlsnet.ru imapatsa ogwiritsa ntchito malangizo, mitengo ndi mafotokozedwe a mankhwala, zowonjezera pazakudya, zida zamankhwala, zida zamankhwala ndi zina. Maupangiri a pharmacological akuphatikiza chidziwitso cha kapangidwe ndi mawonekedwe amamasulidwe, zochitika zamankhwala, zisonyezo zogwiritsidwa ntchito, contraindication, zotsatira zoyipa, kugwiritsa ntchito mankhwala, njira yogwiritsira ntchito mankhwala, makampani opanga mankhwala. Ndondomeko ya mankhwala ili ndi mitengo yamankhwala ndi mankhwala ku Moscow ndi mizinda ina ya Russia.

Sizoletsedwa kufalitsa, kukopera, kufalitsa zambiri popanda chilolezo cha RLS-Patent LLC.
Mukamagwiritsa ntchito zidziwitso zofalitsidwa pamasamba a webusayiti ya www.rlsnet.ru, kulumikizana ndi gwero lachidziwitso ndikofunikira.

Zinthu zina zambiri zosangalatsa

Maumwini onse ndi otetezedwa.

Kugwiritsa ntchito malonda pazinthu sikuloledwa.

Chidziwitsochi cholinga chake ndi akatswiri azachipatala.

Malangizo apadera

Chenjezo limafunikira (ngakhale kuti palibe thrombosis induction) popereka etamzilate kwa odwala omwe ali ndi mbiri ya thrombosis kapena thromboembolism.

Kwa hemorrhagic mavuto omwe amakhudzana ndi bongo wambiri wa anticoagulants, tikulimbikitsidwa kugwiritsa ntchito mitundu yeniyeni. Kugwiritsidwa ntchito kwa etamzilate mwa odwala omwe ali ndi vuto la magazi pakupezeka kotheka, koma kuyenera kuthandizidwa ndi kuyambitsidwa kwa mankhwala omwe amachotsa kufooka kapena chilema cha zinthu zoyipa.

Mafunso, mayankho, ndemanga pa Etamsylat-ESCOM

Zomwe zimaperekedwa zimakonzekera akatswiri azamankhwala komanso zamankhwala. Chidziwitso chokwanira chokhudza mankhwalawa chili m'malangizo omwe amaphatikizidwa ndi zomwe amapanga ndi wopanga. Palibe chidziwitso chomwe chatumizidwa patsamba lino kapena tsamba lililonse la tsamba lathu chomwe chingagwire ntchito ngati cholowa m'malo mwapadera kwa katswiri.

Malo opumulira:

2 ml mu ampoules osalowerera galasi mtundu Ні-1 kapena Ні-3.
Ma ampoules 10 komanso malangizo ogwiritsira ntchito mankhwalawa komanso chovutirapo chambiri amayikidwa m'thumba la makatoni okhala ndi makatoni, kapena ma ampoules 5 kapena 10 amawaika pachipala chaching'ono chopangidwa ndi filimu ya polyvinyl chloride.

Mukamagwiritsa ntchito ma ampoules okhala ndi cholembera kapena mphete yolakwika, cholumikizira sichinaikidwe.
Pa 1 kapena 2 chida cholumikizira kuchokera mufilimu ya PVC, pamodzi ndi malangizo ogwiritsira ntchito kuchipatala aikidwa phukusi la makatoni.

Mankhwala Etamsylat-Eskom: malangizo ogwiritsira ntchito

Ethamsylate-Eskom amathandiza kuchepetsa kuchuluka kwa magazi. Ubwino wa mankhwalawa ndi chiwerengero chochepa cha contraindication. Mankhwalawa ndiokwera mtengo, koma amadziwika chifukwa chogwira ntchito kwambiri.

Pharmacokinetics

Kuthamanga kwa zochita za woganiziridwa kuti ndi heentaticator kumadziwika. Ndi kukhazikitsa yankho mu mtsempha wa magazi, kusintha kwadongosolo kwamapangidwe a heentatic system kumachitika mkati mwa mphindi 15. Ndi makonzedwe a mu mnofu, mankhwalawa amayamba kuchita pakapita nthawi yayitali.

Ethamsylate imalowa mwachangu. Komanso, antihemorrhagic wothandizila alibe mphamvu yogwira kumapuloteni a plasma. Chidacho chopopera chimapukusidwa mwachangu. Mphindi 5 atabaya jekeseni wamkati, njira yotuluka kwa etamsylate kuchokera mthupi imayamba.Hafu ya moyo wa zigawo zikuluzikulu imatenga maola 4.

Chifukwa chiyani a Tamsilat-Eskom adaikidwa?

Mankhwala omwe amafunsidwawo amagwiritsidwa ntchito pamagawo osiyanasiyana amankhwala: mano, mano, urology, ophthalmology, ndi zina. Nthawi zambiri zamankhwala zomwe mankhwalawa amalembera:

• intracranial kumachitika ndi kuwonongeka m'mitsempha yamagazi,
• magazi chifukwa cha kuvulala,
• intracranial nontraumatic hemorrhage,
• nosebleeds, ngati wodwala wapezeka hypotension,
• magazi pa maziko a matenda ashuga a shuga,
• magazi ndi kutulutsa kwa zotupa m'mapapo, matumbo, impso,
• hemorrhagic diathesis, kuphatikizapo matenda a m'magazi oyambitsidwa ndi matenda a Werlhof, Willebrand-Jurgens.

Kodi kutenga Etamsilat Eskom?

Njira yothetsera vutoli imayendetsedwa kudzera m'mitsempha kapena intramuscularly. Mlingo wa kupezeka kwa kusintha kwabwino mthupi la thupi kutengera njira yoperekera mankhwala. Malangizo ogwiritsira ntchito ndi mtundu wa mankhwalawa nthawi zambiri:

• yankho limaperekedwa muyezo wa 120-250 ml,
• pafupipafupi jakisoni: katatu patsiku.

Kuchuluka kwa tsiku lililonse kwa mankhwalawa ndi 375 mg. Mlingo wa ana amawerengedwa mogwirizana ndi kuchuluka kwake: 10-15 mg / kg pa kulemera kwa thupi. Zotsatira zake ndi kuchuluka kwa mankhwalawa tsiku lililonse. Iyenera kugawidwa m'magulu atatu ofanana. Mankhwalawa muyezo wotchulidwa amagwiritsidwa ntchito molingana.

Njira yothetsera vutoli imagwiritsidwa ntchito kunja, mwachitsanzo, kuwonongeka kwa khungu la miyendo pakukagwa, magazi atatuluka. Poterepa, swab wosabala amasungunuka ndimadzi amadzimadzi ndikuyika pachilonda.

Mankhwalawa angagwiritsidwe ntchito pochiza matenda ambiri a m'mitsempha omwe akuphatikizana ndi magazi. Ethamsylate imalembedwa kupewa ndi kuchiza mavuto pamavuto ndi pambuyo pa ntchito. Mu ophthalmology, mankhwalawa amagwiritsidwa ntchito ngati madontho amaso pazifo zosiyanasiyana, mwachitsanzo, pochizira matenda am'mimba.

Njira zochizira zingakhale zosiyana kutengera ndi momwe zimakhalira matenda:

• musanachite opareshoni, kuchuluka kwa mankhwalawa (250-500 mg) kumagwiritsidwa ntchito, ndipo chiopsezo chovuta chikuwonjezeka, ndiye kuti yankho lomweli limaperekedwanso panthawi ya opareshoni.
• ngati njira yodzitetezera popewa kuyambika kwa zovuta pambuyo pakuchita opaleshoni, 500-750 mg ndi mankhwala,
• magazi m'matumbo am'mapapo: 500 mg ya mankhwala patsiku kwa masiku 5 mpaka 10,
• kuphwanya msambo, ndipo limodzi ndi kuchuluka kwa zotupa: 500 mg patsiku, tikulimbikitsidwa kugwiritsa ntchito mankhwalawa m'zinthu ziwiri zotsatira,
• ana akachitidwa opaleshoni, pakakhala vuto lodzala ndi mavuto, lembani kuchuluka kwa mankhwalawa, omwe amatsimikiza pamaziko a kulemera kwa thupi pogwiritsa ntchito chiyezo: 8-10 mg / kg,
• diabetesic microangiopathy: 250-500 mg katatu patsiku, njira ina imadalira kugwiritsa ntchito mankhwala a 125-250 mg kawiri pa tsiku, nthawi yonseyi maphunzirowa salinso miyezi itatu.

Masiku angati?

Kutalika kwa chithandizo kumasiyanasiyana, chifukwa njira zochizira zimasankhidwa payekha. Kutalika kwa maphunzirowa kumasiyana kuchokera masiku 5 mpaka miyezi 3.

Kutalika kwa maphunzirowa kumasiyana kuchokera masiku 5 mpaka miyezi 3.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Palibe cholakwika chilichonse chogwiritsa ntchito mankhwalawa panthawi yoyamwitsa ndi yoyamwitsa. Komabe, kusamala kuyenera kugwiritsidwa ntchito mu trimester yoyamba, kuwonetsetsa kusintha kwamthupi. Ethamsylate iyenera kugwiritsidwa ntchito ngati zotsatirapo zake zabwino zitha kuchuluka mphamvu zomwe mwana wosabadwayo angayambitse.

Kuchita ndi mankhwala ena

Mankhwala omwe mukufunsidwa amagwiritsidwa ntchito asanayambitse dextrans, pali kuchepa kwa magwiridwe antchito. Ngati ethamylate ilowa m'thupi mutatha kugwiritsa ntchito dextrans, kulimba kwa mphamvu ya hemostatic yamtunduwu kumachepa.

Yankho la mankhwalawa lomwe limafunsidwa silikuperekedwa ndi thiamine (vitamini B1).

Ngati pakufunika kugwiritsa ntchito nthawi yomweyo ndi ma dextrans, etamzilate imayambitsidwa.

Musanayambe maphunziro, ndikulimbikitsidwa kuyeserera magazi a mankhwalawa, chifukwa mankhwalawo amatha kuthandizira kusintha kwa kuchuluka kwa mawonekedwe osiyanasiyana.

Zoyimira m'malo zomwe zidapangidwira m'malo mwa mankhwala omwe mukufunsidwa:

Ndemanga ya Ethamsilat Eskim

Anna, wazaka 33, Bryansk

Ndimagwiritsa ntchito yankho pafupipafupi, nthawi zambiri - ndimavulala, ndikamatuluka magazi, mwachitsanzo, pamaondo anga. Monga mtengo wake. Ndipo pankhani yothandiza, chidachi chimakhutiritsidwanso.

Veronika, wazaka 29, Vladimir

Dotolo adalimbikitsa mankhwalawa kuti azitha kusamba. Kwa ine, nthawi yokhazikika ndi mwezi umodzi. Koma posachedwa ndidazindikira kuti tsiku la 8 lafika kale, ndipo zotulutsa sizikutha. Anayamba kulandira chithandizo, ndipo pang'onopang'ono zinthu zinayamba bwino.