Ho thibela le ho emisa ho tsoa mali: ho tsoa mali ka li-parenchymal le capillary (ho kenyelletsa le ho sithabela maikutlo, ts'ebetsong ea ho buoa nakong ea ts'ebetso ea litho le lisele tse ngata haholo, nakong ea ts'ebetso ea ts'ebetso ea methapo ea meno, urological, ophthalmic, otolaryngological, mala, renal, hemorrhage ea pulmonary, metro- le menorrhagia e nang le fibromyoma, jj.), ho tsoa madi ka lebaka la thrombocytopenia le thrombocytopathy, hypocoagulation, hematuria, intracranial hemorrhage (ho kenyeletsoa masea a sa tsoa tsoaloa le pele ho nako. bana), nosebleeds e nang le methapo ea methapo ea mali, ho tsoa mali ka lebaka la ho sebelisa lithethefatsi, hemorrhagic diathesis (ho kenyeletsa le lefu la Werlhof, lefu la Willebrand-Jurgens, thrombocytopathy), lefu la tsoekere la lefu la tsoekere (hemorrhagic diabetesic retinopathy, hemorrhage ea retinal.

Mokhoa oa ho sebelisa: litekanyetso le kalafo

Ka / ka, ka / m le ka hare. Ka ts'ebetso ea ophthalmic - ka mokhoa oa marotholi a mahlo le retrobulbar.

Kahare, tekanyetso e le 'ngoe bakeng sa batho ba baholo - 0,25-0,5 g, haeba ho hlokahala, e ka eketseha ho fihlela ho 0,75 g, ka botsoali - 0,125-0.25 g, haeba ho hlokahala hore keketseho ea 0,375 g.

Batho ba baholo: nakong ea ts'ebetso ea ts'ebetso ea ho buoa e prophylactically - ka / ka / m / hora ea 1 pele ho ts'ebetso ea opereishene - 0,25-0,5 g kapa kahare, ho sa tsotelehe ho ja lijo, lihora tse 3 pele ho ts'ebetso ea opereishene - 0,5-0,75 g. iv nakong ea ts'ebetso le prophylactically - 0.5-0.75 g iv, i / m kapa 1.5-2 g ka hare, ka ho lekana motšehare - kamora ts'ebetso.

Ka mala, hemorrhages ea ka mpeng, ka molomo, 0.5 g, ka 'ngoe bakeng sa matsatsi a 5-10, ka kalafo e tsoelang pele, lethalinyana le fokotsehile, ka metro le menorrhagia, litekanyetso tse tšoanang ha u tsoa mali le mekhahlelo e' meli e latelang.

Ka hemorrhagic diathesis, maloetse a tsamaiso ea mali, a tsoekere a lefu la tsoekere - kahare, ka 0,75-1 g / ka letsatsi, nako le nako, lithutong tsa matsatsi a 5-14.

Bana: ka liphekolo tsa ts'ebetso ea ho buoa prophylactically - ka molomo, 1-12 mg / kg ho litekanyetso tse 2 tse arohaneng bakeng sa matsatsi a 3-5. Haeba ho hlokahala, nakong ea ts'ebetso - ka / ka, 8-10 mg / kg.

Ho thibela ho tsoa mali kamora ho buuoa - kahare, ho 8 mg / kg.

Ka hemorrhagic syndrome - ka tekanyetso e le 'ngoe ea 8-10 mg / kg ka molomo, makhetlo a 3 ka letsatsi, lithutong tsa matsatsi a 5-14, thupelo e ka phetoa kamora matsatsi a 7.

Hemorrhages in diabetic microangiopathy - i / m, 0,25-0,5 g makhetlo a 3 ka letsatsi kapa 0,125 g makhetlo a 2 ka letsatsi bakeng sa likhoeli tse 2-3.

Ente e ka sebelisoa hofihlella (swabile e sa sebetseng e kenngoe le ho sebelisoa leqebeng).

Ketso ea pharmacological

Hemostatic agent hape e na le phello ea angioprotective le proaggregant. E susumetsa sebopeho sa liplatelete le ho tsoa ha tsona ho tloha mokokotlong oa masapo. Phello e matla ka lebaka la ts'ebetso ea ts'ebetso ea sebopeho sa thromboplastin sebakeng sa ts'ebetso ea tšenyo ea likepe tse nyane le ho fokotseha ha sebopeho sa prostacyclin PgI2 ho vasotionum ea vascular, e tlatsetsa keketseho ea khokahano le kopane ea liplatelete, tse qetellang li lebisa ho emeng kapa ho fokotseheng ha mali.

E eketsa sekhahla sa sebopeho sa "thrombus" ea mantlha mme e ntlafatsa ho khutla ha eona, ha e ame ts'ebetso ea fibrinogen le nako ea prothrombin. Melemo ea lipalo tse fetang 2-10 mg / kg ha e lebise litlamorao tse kholo. Ka liente tse phetoang khafetsa, thrombosis ea eketseha.

E na le ts'ebetso ea antihyaluronidase le ho tsitsisa ascorbic acid, e thibela ts'enyeho mme e khothaletsa sebopeho sa mucopolysaccharides ka boima bo phahameng ba molar ka leboteng la capillary, e eketsa ho hanyetsa ha li-capillaries, e fokotsa ho fokola ha bona, mme e bebofatsa ho kenella nakong ea ts'ebetso ea methapo ea methapo.

E fokotsa tlhahiso ea mokelikeli le li-diapedesis tsa lisele tsa mali ho tloha betheng ea vascular, e ntlafatsa microcirculation.

Ha e na phello ea vasoconstrictor.

E khutlisetsa nako ea mali e fetotsoeng. Ha e ame likarolo tse tloaelehileng tsa sistimi ea heestatic.

Tšusumetso e matla le tsamaiso ea iv ea etamsylate e etsahala kamora metsotso e 5 - 15, phello e phahameng e hlaha kamora lihora tse 1-2. Phello e nka lihora tse 4-6, ebe butle-butle ea fokola kamora lihora tse 24, ka tlhahiso / m, phello e etsahala butle butle. . Ha e fanoa, phello e phahameng e bonoa kamora lihora tse 2 000. Kamora mokhoa oa phekolo, phello e phehella matsatsi a 5-8, butle-butle ea fokola.

Sebopeho sa pharmacological:

Pharadodynamics
Hemostatic agent hape e na le phello ea angioprotective le proaggregant. E susumetsa sebopeho sa liplatelete le ho tsoa ha tsona ho tloha mokokotlong oa masapo. Phello e matla ka lebaka la ts'ebetso ea ts'ebetso ea sebopeho sa thromboplastin sebakeng sa ts'ebetso ea tšenyo ea likepe tse nyane le ho fokotseha ha sebopeho sa prostacyclin (PgI2) ho vasotionum ea vascular, ho etsa hore ho be le keketseho le khokahano ea liplatelete, tseo qetellong li lebisang ho emeng kapa ho fokotseheng ha mali. E eketsa sekhahla sa sebopeho sa "thrombus" ea mantlha mme e ntlafatsa ho khutla ha eona, ha e ame ts'ebetso ea fibrinogen le nako ea prothrombin. Melemo ea lipalo tse fetang 2-10 mg / kg ha e lebise litlamorao tse kholo. Ka liente tse phetoang khafetsa, thrombosis ea eketseha.

E na le ts'ebetso ea antihyaluronidase le ho tsitsisa ascorbic acid, e thibela ts'enyeho mme e khothaletsa sebopeho sa li-mucopolysaccharides ka boima bo phahameng ba limolek'hule leboteng la capillary, e eketsa ho hanyetsa ha li-capillaries, e fokotsa ho fokola ha tsona, mme e boetse e tiisa boteng ba methati ea methapo ea methapo.

E fokotsa tlhahiso ea mokelikeli le li-diapedesis tsa lisele tsa mali ho tloha betheng ea vascular, e ntlafatsa microcirculation.
Ha e na thepa ea hypercoagulation. Ha e na phello ea vasoconstrictor.

E khutlisetsa nako ea mali e fetotsoeng. Ha e ame likarolo tse tloaelehileng tsa sistimi ea heestatic.
Phello e matla ea ho phahama ha methapo ea kutlo ea (intravenous (iv) ea etamsylate e etsahala ka metsotso e 5-15, phello e phahameng e hlaha lihoreng tse 1-2. Phello e nka lihora tse 4-6, ebe butle-butle ea fokola kamora lihora tse 24, ka intramuscular (IM) ) kenyelletso ea phello e lieha ho tsamaea butle.
Kamora tsela ea kalafo, phello e phehella matsatsi a 5-8, butle-butle ea fokola.

Mofumahali
E ananeloa hantle le tsamaiso ea i / m. Phekolo ea kalafo maling e ke 0,05-0.02 mg / ml. E abeloe ka mokhoa o lekanang liphoofolong le liseleng tse fapaneng (ho ipapisitse le phallo ea mali a bona). Ba tlameletsoe ho protheine ea plasma le lisele tsa mali. E tsoa ka potlako 'meleng, haholoholo ke liphio (tse sa fetoheng), hammoho le bile. Bophelo ba halofo (T1 / 2) kamora ho tsamaisoa ha i / m ke lihora tse 2.1, kamora hore ke / v - lihora tse 1.9 Kamora metsotso e 5 kamora taolo ea i / v, 20-30% ea lithethefatsi tse laetsoeng e hlakotsoe ke liphio, e hlakotsoe ka botlalo kamora lihora tse 4 .

Tekanyetso le tsamaiso:

Kahare le kahare. Ka ts'ebetso ea ophthalmic - retrobulbar. Tharollo ea ente e ka sebelisoa kantle ho naha - swab e sa hlapang e kolobisitsoeng ka har'a moriana e sebelisoa leqebeng.

Batho ba baholo: nakong ea ts'ebetso ea ts'ebetso ea ho buoa, etamzilate e fanoa ka methapo kapa intramuscularly hora e le 1 pele ho ts'ebetso ea opereishene - 0,25-0,5 g. Haeba ho hlokahala - 0,25-0,5 g, kahare nakong ea ts'ebetso ea bongaka le ea prophylactically - 0.5-0, 75 g, ka makhetlo a 3-4 ka letsatsi - ka mor'a ho buuoa.

Bana: haeba ho hlokahala, nakong ea ho buuoa - ka methati 8-10 mg / kg.
Diabetesic microangiopathy (hemorrhagic diabetesic retinopathy, hemorrhage ea retinal, hemophthalmus) - intramuscularly 0.25-0.35 g makhetlo a 3 ka letsatsi kapa 0,125 g makhetlo a 2 ka letsatsi bakeng sa likhoeli tse 2-3.

Lintlha tsa kopo:

Bakeng sa mathata a hemorrhagic a amanang le overdose ea anticoagulants, ho kgothaletswa ho sebelisa litlhare tse khethehileng.

Ts'ebeliso ea etamzilate ho bakuli ba nang le matšoao a ts'ebetso ea mali a kopanetsoeng e ka etsahala, empa e lokela ho tlatselletsoa ka ho hlahisoa ha litlhare tse felisang bofokoli bo khethiloeng kapa bofokoli ba lintlha tsa tsamaiso ea methapo.

Ho sebelisana le lithethefatsi tse ling:

Ha ho lumellanoe ka meriana (ka har'a siling e tšoanang) le lithethefatsi tse ling.
Tsamaiso ka tekanyetso ea 10 mg / kg hora e le 1 pele li-dextrans (karolelano ea boima ba limolek'hule tse 30-40 kDa) e thibela ts'ebetso ea bona ea antiplatelet; tsamaiso ka mor'a hore e se na phello e matla.
Ho kopantsoe le aminocaproic acid le menadione ea sodium e nang le bisulfite hoa amoheleha.

Contraindication:

Hypersensitivity, thrombosis, thromboembolism, a hlobaetsang le porphyria, boimana, ho lactation.

Ka tlhokomelo:
Ka ho tsoa mali mokokotlong oa litekanyetso tse ngata tsa li-anticoagulants. Ho hlokahala tlhokomeliso (ho sa tsotellehe ho haelloa ke ho kenella ha thrombosis) ha ho tsamaisa etamzilate ho bakuli ba nang le thrombosis kapa thromboembolism nalaneng.

Lokolla liforomo le sebopeho

Thekisoa ke lithethefatsi ka mokhoa oa tharollo ea ente. Ntho ea mokelikeli e etselitsoe liente ka ente ka methapo le kahare. Karolo e sebetsang ke karolo ea lebitso le le leng.

Setlhare ha se fumanehe ka mokhoa ona. Ka matlapeng, o ka reka analogue ea moetsi e mong - Ethamsilate (North China Pharmaceutical Corporation Ltd.).

Tekanyetso ea ntho e sebetsang ho 1 ml ke 125 mg. Likarolo tse ling:

• sodium edetate dihydrate,
• sodium disulfite,
• sodium sulfite e nang le metsi,
• metsi d / le.

Lithethefatsi tse ka sebopeho sena lia fumaneha ka har'a mekotla ea likarete tse nang le ampoules (2 ml) ea li-5, 10 le 20 likhomphutha. Kakaretso ea etamsylate ho ampoule e le 'ngoe ke 250 mg.

Etamsilat Eskom

Ethamsylate Eskom 125mg / ml 2ml 10pcs tharollo ea entetso le tšebeliso ea kantle

Tokisetso ea Eskom NPK (Russia): Etamsilat Eskom

Li-analog bakeng sa ntho e sebetsang

Dicinon 250mg li-100 likhomphutha. lipilisi

Litokisetso tsa Sandoz (Slovenia): Dicinon

Ethamsylate-ferein 250mg 20 likhomphutha. lipilisi

Litokisetso tsa Bryntsalov-A (Russia): Etamsylate-ferein

Ethamzilate 125mg / ml 2ml 10 likhomphutha. tharollo bakeng sa tsamaiso ea methapo le methapo

ALVILS (China) Ho itokisetsa: Ethamsylate

Li-Analog ho tsoa ho mokhahlelo oa lithethefatsi tsa Hemostatic

Dicinon 125mg / ml 2ml 50 likhomphutha. tharollo bakeng sa tsamaiso ea methapo le methapo

Lek dd (Slovenia) Ho itokisetsa: Dicinon

Aminocaproic acid 5% 100ml tharollo ea infusion

Pepere ea metsi 25ml e ntšang metsi bakeng sa tsamaiso ea molomo

Ethamzilate 12,5% 2ml 10 likhomphutha. tharollo ea ente

Tranexam 250mg 10 likhomphutha. matlapa a koahetsoeng ka filimi

Litokisetso tsa Stada (Russia): Tranexam

Li-analoggs tse tsoang mokhatlong oa Mafu a pelo

Dicinon 125mg / ml 2ml 50 likhomphutha. tharollo bakeng sa tsamaiso ea methapo le methapo

Lek dd (Slovenia) Ho itokisetsa: Dicinon

Tranexam 250mg 30 li-pcs. matlapa a koahetsoeng ka filimi

Litokisetso tsa Stada (Russia): Tranexam

Prothromplex 600 1 pc. lyophilisate bakeng sa tharollo bakeng sa tsamaiso ea methapo + r-l 20ml

Baxter Helske Corporation (USA) Sehlahisoa: Prothromplex 600

Dinaton 10mg / ml 1ml 5 likhomphutha. tharollo ea ente

Thupelo ea PROFIT (Russia) Boitokisetso: Dinaton

Dicinon 250mg 2ml 10pcs li-ampoules (tlhahlobo)

Sebopeho le mofuta oa tokollo

Lintho tse sebetsang: ethamylate.

Tharollo ea 2 ml ka ampoules, ka pakete ea likarete tse 10.

Mokelikeli o pepenene, o se nang 'mala kapa o bosesane bo bosehla.

Hoo e ka bang 72% ea lethal dose e laetsoeng e tšeloa moroto nakong ea lihora tse 24 tse sa fetoheng. T1 / 2 kamora ho tsamaisoa ha iv ka nako e ka bang lihora tse 2. E kenella ka sehikeng sa placental, e kentsoeng lebeseng la matsoele.

Moemeli oa antihemorrhagic. E tloaetse ho hlohlona ha lerako la methapo, e ntlafatsa microcirculation. Ketso e bonahala e amana le ts'ebetso e susumetsang molemong oa ho etsoa ha thromboplastin. Ha e ame nako ea prothrombin, ha e na thepa ea hypercoagulation ebile ha e kenye letsoho ho thehoeng ha methapo ea mali. Ho qala ketso ke metsotso e 5-15 kamora ho ente ea iv, phello e phahameng ke lihora tse 1-2 kamora ho tsamaisoa. Nako ea ts'ebetso ke lihora tse 4-6.

Hemostatic lithethefatsi. Sesebelisoa sa Thromboplastin.

Bakeng sa tšebeliso ea kantle, swab e sa tsitsang e kolobisitsoeng ho etamsylate (ka tsela ea tharollo ea ente) e sebelisoa leqebeng.

Koetliso ea bongaka

Tlohela maikutlo a hau

Lenaneo la Hona Joale la Litaba tsa Tlhokahalo, ‰

Lithethefatsi tse Ngotsoeng tsa Bohlokoa le Tse Hlokahalang

Likarete tsa Ngoliso tsa Ethamsilat Eskom

• LSR-008602/09

Webosaete ea semmuso ea k'hamphani RLS ®. Encyclopedia ea mantlha ea lithethefatsi le thepa ea bongaka ea semmuso ea Marang-rang ea Russia. Lenane la lithethefatsi Rlsnet.ru le fa basebelisi monyetla oa ho fumana litaelo, litheko le litlhaloso tsa lithethefatsi, tlatsetso ea lijo, lisebelisoa tsa bongaka, lisebelisoa tsa bongaka le lihlahisoa tse ling. Tataiso ea meriana e kenyelletsa tlhahisoleseling mabapi le sebopeho le mofuta oa tokollo, ts'ebetso ea pharmacological, matšoao a ts'ebeliso, contraindication, litla-morao, tšebelisano ea lithethefatsi, mokhoa oa ts'ebeliso ea lithethefatsi, lik'hamphani tsa meriana. Sesebelisoa sa lithethefatsi se na le litheko tsa meriana le lihlahisoa tsa meriana ho la Moscow le metseng e meng ea Russia.

Ho thibetsoe ho fetisa, ho kopitsa, ho tsamaisa tlhahisoleseling ntle le tumello ea RLS-Patent LLC.
Ha u qotsa lisebelisoa tsa tlhahisoleseling tse phatlalalitsoeng maqepheng a sebaka sa marang-rang sa www.rlsnet.ru, ho hokela mohloli oa tlhahisoleseling.

Lintho tse ling tse ngata tse khahlang

Litokelo tsohle li sirelelitsoe.

Ts'ebeliso ea thepa ea khoebo ha e lumelloe.

Tlhahisoleseling ena e etselitsoe litsebi tsa bongaka.

Litaelo tse khethehileng

Ho hlokahala tlhokomeliso (ntle le ho ba sieo ha thrombosis induction) ha ho tsamaisa etamzilate ho bakuli ba nang le nalane ea thrombosis kapa thromboembolism.

Bakeng sa mathata a hemorrhagic a amanang le overdose ea anticoagulants, ho kgothaletswa ho sebelisa litlhare tse khethehileng. Ts'ebeliso ea etamzilate ho bakuli ba nang le matšoao a ts'ebetso ea mali a kopanetsoeng e ka etsahala, empa e lokela ho tlatselletsoa ka ho hlahisoa ha litlhare tse felisang bofokoli bo khethiloeng kapa bofokoli ba lintlha tsa tsamaiso ea methapo.

Lipotso, likarabo, litlhahlobo ho lithethefatsi Etamsylat-ESCOM

Tlhahisoleseling e fanoeng e reretsoe litsebi tsa bongaka le tsa meriana. Tlhahisoleseling e nepahetseng ka ho fetelletseng ka lithethefatsi e fumaneha litaelong tse tlamelletsoeng ke moqapi. Ha ho na tlhahisoleseling e thathamisitsoeng leqepheng lena kapa leha e le efe ea sebaka sa rona sa marang-rang e ka sebeletsang e le sebaka sa boipiletso ba motho ho setsebi.

Maemo a phomolo:

2 ml ho li-ampoules tsa khalase ea khalase ea chate ea brand ea С-1 kapa НС-3.
Li-ampoule tse 10 hammoho le litaelo tsa tšebeliso ea bongaka le sekhahla se kenyellelitsoeng li kenngoa ka lebokoseng la karete e nang le likarolo tsa karata, kapa li-ampoules tse 5 kapa 10 li kenngoa ka har'a sephutheloana sa blute se entsoeng ka filimi ea polyvinyl chloride.

Ha o sebelisa li-ampoules tse nang le notch kapa reng e nang le phoso, sekoli ha sea kenngoa.
Bakeng sa sephutheloana sa "blouse" se le seng kapa tse peli tse tsoang filiming ea PVC, hammoho le litaelo tsa tšebeliso ea bongaka li kenngoa ka har'a karete ea karete.

Drug Etamsylat-Eskom: litaelo tsa tšebeliso

Ethamsylate-Eskom e thusa ho fokotsa matla a phallo ea mali. Monyetla oa sethethefatsi sena ke palo e fokolang ea li-contraindication. Moriana ona ha o theko e tlaase, empa o tšoauoa ka ts'ebetso e phahameng.

Mofumahali

Ho bonoa lebelo le leholo la ts'ebetso ea moemeli ea nahanang haholo. Ka kenyelletso ea tharollo kahare, liphetoho tse ntle maemong a sistimi ea heestatic li etsahala nakong ea metsotso e 15. Ka tsamaiso ea methapo ea methapo, lithethefatsi li qala ho sebetsa kamora nako e teletsana.

Ethamsylate e kenella ka potlako. Ho feta moo, moemeli oa antihemorrhagic ha a na bokhoni ba ho tlama liprotheine tsa plasma ka mafolofolo. Ntho e sebetsang e pepesetsoa kapele. Metsotso e 5 kamora ho kenella ka har'a ente ea methapo, ts'ebetso ea ho phalla ha esamsylate 'meleng e qala.Bophelo ba halofo ea likarolo bo nka lihora tse 4.

Hobaneng Tamsilat-Eskom a khethoa?

Setlhare seo ho buuoang ka sona se sebelisoa libakeng tse fapaneng tsa bongaka: meno, bongaka, urology, ophthalmology, joalo-joalo. Maemo a tloaelehileng a kalafo moo moriana ona o laetsoeng:

• ho hlohlona kahare le ho senya methapo ea mali,
• ho tsoa mali ka lebaka la ho lemala,
• intracranial nontraumatic hemorrhage,
• nosebleeds, haeba mokuli a fumanoa a e-na le hypotension,
• ho tsoa mali ka mokokotlo oa lefu la tsoekere la lefu la tsoekere,
• Ho tsoa mali ka lesapo la tlhaho matšoafong, mala, liphio,
• hemorrhagic diathesis, ho kenyelletsa maemo a pathological a bakoang ke mafu a Werlhof, Willebrand-Jurgens.

U ka nka Etamsilat Eskom joang?

Tharollo e fanoa ka methapo kapa kahare. Tekanyo ea ho ba teng ha liphetoho tse ntle maemong a 'mele e ipapisitse le mokhoa oa ho tsamaisa lithethefatsi. Litaelo tsa ho sebelisoa le kalafo ea litekanyetso bakeng sa maemo a mangata:

• tharollo e fanoa ka tekanyetso ea 120-250 ml,
• khafetsa ea liente: makhetlo a 3-4 ka letsatsi.

Palo ea lithethefatsi ea letsatsi le letsatsi ke 375 mg. Tekanyo ea bana e baloa ho latela karolelano: 10-15 mg / kg ea boima ba 'mele. Sephetho ke palo ea lithethefatsi tsa letsatsi le letsatsi. E tlameha ho aroloa ka tekanyetso e 3 e lekanang. Moriana ka bongata bo boletsoeng o sebelisoa ka linako tse lekanang.

Tharollo e ka sebelisoa kantle ho naha, ka mohlala, haeba ho ka senyeha bots'epehi ba letlalo la maoto le matsoho nakong ea ho oa, haeba ho tsoa mali. Tabeng ena, swab e sa hlapolloang e kolobisoa ka ntho e metsi ebe e sebelisoa leqebeng.

Setlhare se ka sebelisoa ho phekola maemo a mangata a amanang le ts'oaetso ea mali. Ethamsylate e laeloa bakeng sa thibelo le kalafo ea mathata nakong ea ts'ebetso le ka mora ts'ebetso. Ka ophthalmology, moriana o sebelisoa e le marotholi a mahlo bakeng sa mafu a fapaneng, mohlala, bakeng sa kalafo ea hemorrhage ea retinal.

Mokhoa oa phekolo o kanna oa fapana ho latela boemo ba methapo:

• pele o etsa opereishene, ho sebelisoa litekanyetso tsa lithethefatsi (250-500 mg), mme ha kotsi ea mathata e eketseha, mme ho hlahisoa tekanyo e lekanang nakong ea ts'ebetso,
• e le mohato oa thibelo ho thibela ho hlaha hoa litlamorao tse mpe kamora ho buuoa, ho laetsoe 500-750 mg,
• ho tsoa mali liseleng tsa matšoafo: 500 mg ea moriana ka matsatsi a 5-10,
• tlolo ea kemiso ea ho ea matsatsing, e tsamaellana le keketseho ea ho tebelo: 500 mg ka letsatsi, ho khothalletsoa ho sebelisa lithethefatsi ho potoloha li-2,
• bana nakong ea ts'ebetso ea opereishene, ha ho na le kotsi ea ho ba le mathata a kenang, kenella palo ea lithethefatsi, tse ikemiselitsoeng motheong oa boima ba 'mele u sebelisa karolelano: 8-10 mg / kg boima,
• diabetesic microangiopathy: 250-500 mg makhetlo a mararo ka letsatsi, morero o mong o thehiloe ts'ebelisong ea lithethefatsi tsa 125-250 mg makhetlo a 2 ka letsatsi, nako ea thupelo ha e sa feta likhoeli tse 3.

Matsatsi a makae?

Nako ea kalafo e fapana haholo, hobane mofuta oa kalafo o khethoa ka bonngoe. Nako ea thupelo e fapana ho tloha matsatsi a 5 ho isa ho likhoeli tse 3.

Nako ea thupelo e fapana ho tloha matsatsi a 5 ho isa ho likhoeli tse 3.

Sebelisa nakong ea bokhachane le pelehi

Ha ho na khanyetsano e matla ea ts'ebeliso ea lithethefatsi nakong ea ho beleha le ho anyesa ngoana. Leha ho le joalo, tlhokomeliso e lokela ho sebelisoa ho trimester ea pele, ho hlokomela liphetoho maemong a mmele. Ethamsylate e lokela ho sebelisoa haeba litlamorao e le tse kholo ho feta kotsi e ka bang teng ho tsoa ho ngoana.

Ho sebelisana le lithethefatsi tse ling

Ha moriana o botsoang o sebelisoa le pele ho kenngoa dextrans, ho na le phokotso ea katleho ea lona. Haeba ethamylate e kena 'meleng ka mor'a ho sebelisa li-dextrans, matla a phello ea he hentleite ea ntho ena a fokotseha.

Tharollo ea moriana o hlahang ha o fuoe thiamine (vithamine B1).

Haeba ho na le tlhoko e potlakileng ea tšebeliso ea nako e le 'ngoe le dextrans, etamzilate e qala ho hlahisoa.

Pele o qala thupelo ea bongaka, ho khothaletsoa ho etsa tlhahlobo ea mali ea laboratori, hobane setlhare se ka kenya letsoho phetoho phetohong ea likarolo tse fapaneng tsa sebopeho.

Litsela tse sebetsang hantle tse boletsoeng sebakeng sa lithethefatsi tseo ho buuoang ka tsona:

Tlhahlobo ea Ethamsilat Eskim

Anna, ea lilemo li 33, Bryansk

Ke sebelisa tharollo khafetsa, maemong a mangata - ka likotsi, ha ho tsoa mali ho hlaha, ka mohlala, mangoleng a ka. Joalo ka theko ea eona. Mabapi le ts'ebetso, sesebelisoa le sona se khotsofetse ka botlalo.

Veronika, ea lilemo li 29, Vladimir

Ngaka e buelletse moriana ona bakeng sa ho ilela khoeli. Ho 'na, nako e tloaelehileng ke khoeli e le' ngoe. Empa haufinyane ke hlokometse hore letsatsi la 8 le se le fihlile, mme ts'oarelo ha e fela. O ile a fumana kalafo, mme hanyane ka hanyane maemo a ile a fetoha.