Ukunquma ukuthi yisiphi isidakamizwa esisebenza kangcono: i-Tranexam noma i-Dicinon, kunconyelwa ukutadisha umgomo wezenzo zabo, izakhiwo, ukwakheka kwabo. Womabili amakhambi enzelwe ukumisa ukopha. Lapho ukhetha, lalela izinkomba zokusebenzisa, ama-contraindication kanye nemiphumela emibi.
Tranexam Isimilo
Abenzi Ifomu lokukhishwa komkhiqizo: amaphilisi ahlanganisiwe, isixazululo somjovo (olawulwa ngaphakathi). Into esebenzayo yi-tranexamic acid. Umthamo wale ngxenye kuthebhulethi eyi-1: 250, 500 mg. Inani le-tranexamic acid ku-1 ml yesisombululo ngu-50 mg. Ungawuthenga lo muthi emaphaketheni aqukethe amaphilisi ayi-10 no-30 noma ama-ampoule ayi-10 we-5 ml.
Umuthi unempahla yokulwa nokuvuvukala, anti-allergic, antitumor.
Izici eziphambili zeTranexam:
- heestatic;
- anti-ukuvuvukala;
- antitumor;
- antiallergic.
Isakhi esiyinhloko ekwakhekeni kwalo muthi sivimbela umsebenzi we-plasminogen activator. Uma umthamo wento ukhuphuka, ukubopha kwe-plasmin kwenzeka. Ngaphezu kwalokho, isikhathi se-prothrombin elongation siyaphawulwa. Ngenxa yalokhu, umphumela we-heestatic ubonakaliswa, ngenxa yalokho ukuphuma kwegazi kunciphisa, okubangelwa ukwanda kwe-fibrinolysis.
Umuthi usiza ukwehlisa inani lokukhiqizwa kwe-kinin, kanye namanye ama-peptide. Ngenxa yalokhu, kuboniswa impahla elwa nokuvuvukala, anti-allergic, anti-tumor. I-Tranexamic acid yiqembu lama-analgesics, kodwa isebenza ngokulinganisela.
Lapho ihanjiswa ngomlomo, hhayi ngaphezu kwe-50% yento etholwayo. Umkhawulo wokusebenza okuphezulu ufinyelelwa ngemuva kwamahora ama-3. Ingxenye esebenzayo ibopha amaprotheni e-plasma kancane (3%). Iyakhishwa ngesikhathi sokuchama. Ngaphezu kwalokho, iningi lezinto ezisebenzayo (95%) lisuswa emzimbeni lingashintshiwe. Izinkomba zokusetshenziswa kwamacwecwe e-heestatic nekhambi lomjovo:
- ukopha okuqhamuke ngemuva kwesizinda sokwanda kwe-fibrinolysis (umuthi unqunyelwe kokubili ekwelashweni nasekuvimbeleni izimo ezinjalo ze-pathological);
- ukusongela ukukhipha isisu;
- Isifo sikaWerlhof;
- isifo sesibindi
- umlando wokuphendula komzimba: i-angioedema, i-eczema, i-dermatitis, i-urticaria;
- izinqubo zokuvuvukala ezithweni zepheshana lokuphefumula elingaphezulu;
- ukumisa nokuvimbela ukopha kwesibeletho ngemuva kwezinqubo zokwelashwa;
- ukungenelela kokuhlinzwa.
I-Tranexam akufanele isetshenziselwe ukungabekezelelani komuntu ngamunye kwezakhi ezisesakhiweni, i-subarachnoid hemorrhage. Umuthi ungasetshenziswa ngokuqapha ezimeni ezinjalo ze-pathological:
- i-thrombosis yama-etiologies ahlukahlukene;
- ukopha;
- ukwehluleka kwezinso;
- i-hematuria evela emgungwini ongaphezulu wokuchama.
Imiphumela emibi yesidakamizwa ibonakaliswa ukwephulwa komgudu wokugaya ukudla:
- isicanucanu
- ukushisa kwenhliziyo;
- izihlalo ezikhululekile;
- ukulahleka kwesifiso sokudla;
- ukuqunjelwa.
Ngaphezu kwalokho, ukungaboni kahle, ukozela, i-thrombosis, ukulunywa kwesikhumba nokuqhaqha ngezinsimbi zangaphandle kuyaphawulwa. Ukuhambisana kwe-Tranexam: umuthi awukwazi ukunqunywa ngasikhathi sinye namanye ama-hentatic agents ngenxa yengozi eyandayo yokuqhekeka kwegazi.
Ukwelapha ngomuthi kungahle kuhambisane nokudinwa.
Isimo se-Dicinon
Umkhiqizi - uSandoz (Switzerland). Ungathenga umuthi emathebulethini kanye nesisombululo somjovo (olungiselelwe ngokubandakanyeka futhi ungaphakathi). Isakhi esisebenzayo yi-ethamzilate. Ukuhlushwa kwayo kuyahlukahluka ngokuya ngohlobo lokukhululwa:
- kuthebhulethi engu-1 - 250 mg;
- ku-1 ml yesisombululo - 125 noma 250 mg ku-1 ampoule (2 ml).
Ingxenye esebenzayo isho abenzeli be-heestatic. Izici eziyinhloko:
- i-angioprotective;
- -hlanganisa
Ngaphansi kwethonya lomuthi, inqubo yokukhiqizwa kwe-platelet iyasebenza, ngenxa yokuthi ukuphuma kwegazi kusheshe kwehle, ngoba ukuvela kwegazi kuba umphumela. Ukunciphisa ukuqina kokugeleza kwegazi endaweni lapho kulimale khona imithambo emincane, kusiza ukusheshisa ukwakheka kwe-thromboplastin. Ngasikhathi sinye, umsebenzi wokukhiqizwa kwe-prostacyclins uyancipha ezindongeni zemithambo yegazi. Ngenxa yalokhu, ubukhulu bokunamathela kwe-platelet nokuhlangana kuyanda.
Ngaphansi kwethonya lomuthi, inqubo yokukhiqiza ama-platelet iyasebenza, ngenxa yokuthi ukuphuma kwegazi kuyeka ngokushesha okukhulu.
Lesi sidakamizwa sihlukaniswa kuma-analogues ngenxa yokuthi asithinti isikhathi se-prothrombin. Inqubo ye-thrombosis ayixhomekile kumthamo we-Dicinon. Ukuqiniswa komphumela walesi sidakamizwa kuyabonakala ngemuva kokuwusebenzisa kaningi.
Ngasikhathi sinye, umphumela omuhle kuma-capillaries uyabonakala: ukumelana kwabo nezinto ezingezinhle kuyakhuphuka, futhi imvume iyancipha.
Izinzuzo zomuthi zifaka ukungabikho komphumela ekwakhekeni kwezinqe zegazi. I-Dicinon ayinikele ekunciphiseni i-lumen yemithambo yegazi. Izinkomba ezisetshenziswayo:
- imisebenzi;
- ukopha kwezinsini;
- i-nosebleeds ejwayelekile;
- ukwephulwa komjikelezo wokuya esikhathini, kulokhu, ukubonakala kokuphuma kokuchichima okuthe xaxa;
- i-pathology yezitho zombono: isifo sikashukela retinopathy, hemophthalmus, njll;
- ukuphefumula kwe-intracranial ezinganeni lapho zizalwa.
I-Dicinone ifakwe emacaleni amaningi:
- i-porphyria eyingozi;
- izimo ezahlukahlukene ze-pathological ezihambisana nokwanda komsebenzi we-platelet;
- hemoblastosis ezigulini ebuntwaneni;
- ukungabekezelelani komuntu ngamunye kwengxenye esebenzayo noma enye into ekwakhiweni komuthi.
Imiphumela emibi: ukuphazamiseka kokugaya ukudla, ukusabela komzimba, ikhanda, isiyezi, ukulahleka kokuzwa emilenzeni.
Ukuqhathanisa kukaTranexam noDicinon
Ukufana
Ungathenga lezi zimali ngamafomu okukhulula afanayo. I-Tranexam ne-Dicinon bahlinzeka ngemiphumela efanayo yokwelashwa. Womabili ama-ejenti aboniswa izakhiwo ezifanayo.
Bafaka isandla ekuthuthukiseni imiphumela emibi efanayo, ebekelwe i-pathologies efanayo.
Uyini umehluko?
I-Tranexam ne-Dicinon aqukethe izithako ezahlukahlukene ezisebenzayo. Eyokugcina imali esezingeni lesisombululo ingasetjenziswa ngaphakathi nangaphakathi. I-Tranexam ngesimo sezinto eziwuketshezi ihanjiswa kuphela ngaphakathi. Ngaphezu kwalokho, lesi sidakamizwa singathengwa kumathebulethi efakwe kumafilimu, anciphisa kakhulu ingozi yokuphazamiseka kohlelo lokugaya ukudla. Le mishanguzo isebenza ngesisekelo sezindlela ezahlukahlukene, kepha inikezela ngomphumela ofanayo wokwelashwa.
I-Tranexam ingathengwa ezibhebheni, ezinciphisa kakhulu ubungozi bokuphazamiseka kwesistimu yokugaya ukudla.
Yikuphi okushibhile?
Intengo yeTranexam iyahlukahluka: ama-ruble angama-385-1550. Amacwecwe (500 mg, ama-pcs ayi-10. Iphakethe ngalinye) angathengwa ama-ruble angama-385. Isixazululo sibiza kaningana. Intengo ye-Dicinon: 415-650 rub. Leli thuluzi lishibhile kakhulu nganoma iyiphi indlela yokukhululwa. Ukuqhathanisa, ngama-ruble angama-415. Ungathenga iphakheji equkethe amaphilisi ayi-100 e-Dicinon.
Yini engcono: Tranexam noma Dicinon?
Ukopha
Ukukhethwa kwezindlela eziphumelela kakhudlwana kwenziwa kucatshangelwa idatha yokuqala: ukuba khona kwama-pathologies, ahambisana nokwakheka kakhulu kweziqeshana zegazi; ukwakheka kwezakhiwo nezindawo zegazi ngesikhathi sokwelashwa (ngokwesibonelo, ukwanda noma ukwehla kokubona), njll. Ngalesi sizathu, kunzima ukunikeza impendulo engenakuphikiswa ukuthi yisiphi isidakamizwa esizoba namandla kakhulu ekopha. Ijubane lokusebenza kufanele licatshangelwe. Isibonelo, ngokuphuma kwe-uterine, iTranexam isiza ngokushesha, ngoba inomphumela oqondile ku-plasminogen ebandakanyeka kwinqubo yokuqunjelwa kwegazi.
Izikhathi ezinzima
Kuvunyelwe ukusebenzisa zombili izindlela. Kodwa-ke, ngokuya esikhathini esindayo, ingozi yokwanda kwe-uterine iyenyuka, okusho ukuthi kunconyelwa ukuqala ukwelashwa ngeTranexam.
Ngesikhathi sokukhulelwa
Uma ezigabeni zokuqala zokukhulelwa kunezimpawu zokusongela kokuphazamiseka (isisu sesilukhuni, ukubonwa okuncane kwesikhumba sekuvele), zombili lezi zindlela zokwelapha zingasetshenziswa. Bobabili uDicinon noTranexam bangena ngamanani amancane nge-placenta. Udokotela we-gynecologist kufanele akhethe isidakamizwa futhi anikeze uhlobo lokulashwa.
Ukubuyekezwa kweziguli
UVladimir, oneminyaka engama-39, idolobha laseKerch.
I-Tranexam isebenza ngokuqina, kepha inomphumela emsebenzini wenhliziyo. Ngalesi sizathu, uDicinon wathatha. Umuthi wanconywa ngudokotela, ngoba nginezinkinga ezithile zenhliziyo.
U-Ana, oneminyaka engama-35, uKaluga.
Ngisebenzise amaphilisi e-hemostatic ngemuva kokuhlinzwa njenge-prophylactic. I-Tranexam isebenza ngokuqina, kepha abaningi badumisa uDicinon. Kamuva ngathola ukuthi kukhona ama-analogues ashibhile, ngaleso sikhathi ngase ngiqeda izifundo zokwelapha. Kepha manje ngigcina uDicinon elungele ikhabethe lomuthi, uma ngabe kudingeka. Akunazikhalazo ngeTranexam, ngaphandle kokuthi intengo iphakeme kakhulu.
Ukubuyekezwa kodokotela mayelana neTranexam neDitsinon
Iskorostinskaya O.A., udokotela wezifo zamazinyo, oneminyaka engama-44 ubudala, uNizhny Novgorod.
Ngokuya ngokusebenza kahle, ngihlukanisa i-Tranexam kusuka ezinhlwini ezithile. Ihanjiswa kalula, isebenza ngokushesha futhi inamandla. Ukubonakaliswa okungalungile akwenzeki uma irejimeni yokwelashwa ingephulwa. Ngincoma umuthi ngesikhathi sokukhulelwa (nange-IVF, kufaka phakathi), ukopha kwesibeletho.
I-Zemlyansky A.V., i-hematologist, eneminyaka engama-54, uVladivostok.
I-Dicinon inconywa iziguli zami kaningi. Isebenza ngempumelelo, imisa ngokushesha i-nosebleeds. Umuthi ubiza kakhulu kunama-analogue, obalulekile ekwelashweni kwezifo okuhambisana noshintsho ekwakhekeni kwegazi nokufuna ukwelashwa okuqhubeka isikhathi eside.
