Th\u00e0nh ph\u1ea7n<\/span><\/h3>\nThu\u1ed1c Gemapaxane 4000IU\/0.4ml<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/span><\/p>\n\n- Enoxaparin natri 4000iu<\/span><\/li>\n
- T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7 0.4ml<\/span><\/li>\n<\/ul>\n
D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam<\/span><\/p>\nTr\u00ecnh b\u00e0y<\/span><\/h3>\nS\u0110K: VN-16312-13<\/span><\/p>\nQuy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 6 b\u01a1m\u00a0<\/span><\/p>\nXu\u1ea5t x\u1ee9: Italia<\/span><\/p>\nT\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gemapaxane 4000IU\/0.4ml<\/span><\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/span><\/h3>\nEnoxaparin natri<\/strong> c\u00f3 ho\u1ea1t t\u00ednh ch\u1ed1ng \u0111\u00f4ng v\u00e0 ch\u1ed1ng huy\u1ebft kh\u1ed1i t\u01b0\u01a1ng t\u1ef1 nh\u01b0 heparin, nh\u01b0ng c\u00f3 tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p h\u01a1n.<\/span><\/p>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng:<\/span><\/p>\n\n- Li\u00ean k\u1ebft v\u1edbi anti-thrombin III (ATIII): Trung h\u00f2a c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u Xa v\u00e0 IIa, \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u.<\/span><\/li>\n
- T\u00e1c d\u1ee5ng ph\u1ee5 thu\u1ed9c ATIII kh\u00e1c:<\/span>\n
\n- G\u00e2y b\u1ea5t ho\u1ea1t y\u1ebfu t\u1ed1 Vlla.<\/span><\/li>\n
- T\u0103ng c\u01b0\u1eddng gi\u1ea3i ph\u00f3ng TFPI.<\/span><\/li>\n
- Gi\u1ea3m thi\u1ec3u gi\u1ea3i ph\u00f3ng vWF.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc\u00a0<\/span><\/h3>\nH\u1ea5p thu:<\/span><\/p>\n\n- Sinh kh\u1ea3 d\u1ee5ng tuy\u1ec7t \u0111\u1ed1i g\u1ea7n 100% sau khi ti\u00eam d\u01b0\u1edbi da.<\/span><\/li>\n
- Ho\u1ea1t t\u00ednh anti-Xa \u0111\u1ea1t gi\u00e1 tr\u1ecb t\u1ed1i \u0111a sau 3-5 gi\u1edd.<\/span><\/li>\n
- C\u1ea7n 2 ng\u00e0y \u0111\u1ec3 Enoxaparin natri \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh trong m\u00e1u<\/span><\/li>\n<\/ul>\n
Ph\u00e2n b\u1ed1:<\/span><\/p>\n\n- M\u1ee9c \u0111\u1ed9 ph\u00e2n b\u1ed1 c\u1ee7a thu\u1ed1c trong m\u00e1u l\u00e0 4,3L<\/span><\/li>\n
- Gan \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e2n h\u1ee7y thu\u1ed1c, th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch kh\u1eed polymer v\u00e0\/ho\u1eb7c kh\u1eed sulfat\u00a0<\/span><\/li>\n<\/ul>\n
Th\u1ea3i tr\u1eeb:<\/span><\/p>\n\n- \u0110\u1ed9 thanh th\u1ea3i th\u1ea5p, kho\u1ea3ng 0,74L\/h.<\/span><\/li>\n
- T\u00bd:\u00a0<\/span>\n
\n- Li\u1ec1u ti\u00eam d\u01b0\u1edbi da: 5 gi\u1edd\u00a0<\/span><\/li>\n
- Li\u1ec1u nh\u1eafc l\u1ea1i: 7h\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n
- Th\u1ea3i tr\u1eeb qua th\u1eadn 10% li\u1ec1u \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<\/ul>\n
Thu\u1ed1c Gemapaxane 4000IU\/0.4ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nPh\u00f2ng ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh trong c\u00e1c t\u0129nh m\u1ea1ch:<\/span><\/p>\n\n- Ph\u1eabu thu\u1eadt: Nguy c\u01a1 trung b\u00ecnh v\u00e0 cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh v\u00e0 t\u1ed5ng h\u1ee3p (bao g\u1ed3m ung th\u01b0).<\/span><\/li>\n
- N\u1ed9i khoa c\u1ea5p t\u00ednh: Suy tim c\u1ea5p, v\u1ea5n \u0111\u1ec1 v\u1ec1 kh\u1edbp, kh\u00f3 th\u1edf, v\u1eadn \u0111\u1ed9ng gi\u1ea3m, nhi\u1ec5m tr\u00f9ng n\u1eb7ng<\/span><\/li>\n<\/ul>\n
H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p:<\/span><\/p>\n\n- T\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ST ch\u00eanh l\u00ean \u1edf ng\u01b0\u1eddi b\u1ecb tan huy\u1ebft ho\u1eb7c sau can thi\u1ec7p m\u1ea1ch v\u00e0nh<\/span><\/li>\n
- Ph\u1ed1i h\u1ee3p c\u00f9ng vi\u00ean u\u1ed1ng Aspirin trong \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean<\/span><\/li>\n<\/ul>\n
Ph\u00f2ng ng\u1eeba huy\u1ebft kh\u1ed1i do l\u1ecdc m\u00e1u<\/span><\/p>\n\u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u li\u00ean quan \u0111\u1ebfn DVT\/PE<\/span><\/p>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Gemapaxane 4000IU\/0.4ml<\/span><\/h2>\nC\u00e1ch ti\u00eam:<\/span><\/p>\n\n- Ti\u00eam s\u00e2u d\u01b0\u1edbi da v\u00e0o v\u00f9ng th\u1eaft l\u01b0ng, lu\u00e2n phi\u00ean tr\u00e1i ph\u1ea3i.<\/span><\/li>\n
- V\u00e9o v\u00e0 gi\u1eef da, \u0111\u00e2m kim vu\u00f4ng g\u00f3c, ti\u00eam h\u1ebft chi\u1ec1u d\u00e0i kim.<\/span><\/li>\n
- Kh\u00f4ng xoa ch\u1ed7 ti\u00eam sau khi ti\u00eam.<\/span><\/li>\n<\/ul>\n
Li\u1ec1u d\u00f9ng:<\/span><\/p>\n\n- Ph\u00f2ng ng\u1eeba h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng h\u1eadu ph\u1eabu: 2000-4000 IU (20-40 mg) m\u1ed7i ng\u00e0y, ti\u00eam 1 l\u1ea7n.<\/span><\/li>\n
- Ph\u00f2ng ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh \u1edf ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i khoa: 4000 IU (40mg) m\u1ed7i ng\u00e0y, ti\u00eam 1 l\u1ea7n.<\/span><\/li>\n
- \u0110i\u1ec1u tr\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng trong t\u0129nh m\u1ea1ch s\u00e2u: 150 IU\/kg (1,5 mg\/kg) ho\u1eb7c 100 IU\/kg (1 mg\/kg) x 2 l\u1ea7n\/ng\u00e0y, ti\u00eam d\u01b0\u1edbi da.<\/span><\/li>\n
- D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i ngo\u00e0i c\u01a1 th\u1ec3: 100 IU\/kg (1 mg\/kg) ti\u00eam v\u00e0o \u1ed1ng d\u00e2y.<\/span><\/li>\n
- B\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh c\u1ea5p: 100 IU\/kg (1 mg\/kg) m\u1ed7i 12 gi\u1edd, ti\u00eam d\u01b0\u1edbi da.<\/span><\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gemapaxane 4000IU\/0.4ml trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n\n- Nh\u1ea1y c\u1ea3m v\u1edbi Heparin, Enoxaparin natri v\u00e0 c\u00e1c heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p kh\u00e1c.<\/span><\/li>\n
- T\u1eebng b\u1ecb ch\u1ea3y m\u00e1u gi\u1ea3m ti\u1ec3u c\u1ea7u do heparin ho\u1eb7c c\u00f3 kh\u00e1ng th\u1ec3 trong m\u00e1u trong v\u00f2ng 100 ng\u00e0y tr\u01b0\u1edbc.<\/span><\/li>\n
- Trong 1 ng\u00e0y sau ti\u00eam Enoxaparin natri kh\u00f4ng g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng ho\u1eb7c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7-v\u00f9ng k\u00edn<\/span><\/li>\n
- C\u00f3 d\u1ea5u hi\u1ec7u xu\u1ea5t huy\u1ebft ho\u1eb7c trong c\u00e1c t\u00ecnh tr\u1ea1ng nguy c\u01a1 ch\u1ea3y m\u00e1u cao:<\/span>\n
\n- Xu\u1ea5t huy\u1ebft d\u1ea1 d\u00e0y<\/span><\/li>\n
- Xu\u1ea5t huy\u1ebft n\u00e3o g\u1ea7n \u0111\u00e2y<\/span><\/li>\n
- U \u00e1c t\u00ednh d\u1ec5 ch\u1ea3y m\u00e1u<\/span><\/li>\n
- V\u1eeba tr\u1ea3i qua ph\u1eabu thu\u1eadt m\u1eaft\/c\u1ed9t s\u1ed1ng\/n\u00e3o b\u1ed9<\/span><\/li>\n
- Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, d\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch t\u1ee7y s\u1ed1ng ho\u1eb7c n\u1ed9i s\u1ecd (\u0111\u00e3 c\u00f3 ho\u1eb7c nghi ng\u1edd)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Gemapaxane 4000IU\/0.4ml<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/span><\/h3>\n\n- \u0110\u1ebfm ti\u1ec3u c\u1ea7u: Gi\u00e1m s\u00e1t s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u tr\u01b0\u1edbc v\u00e0 trong khi \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n
- Xu\u1ea5t huy\u1ebft: Nguy c\u01a1 ch\u1ea3y m\u00e1u cao h\u01a1n \u1edf b\u1ec7nh nh\u00e2n:<\/span>\n
\n- M\u1eafc \u0111\u1ed9t qu\u1ef5 g\u1ea7n \u0111\u00e2y<\/span><\/li>\n
- C\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1ea7m m\u00e1u<\/span><\/li>\n
- T\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c do ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/li>\n
- Ti\u1ec1n s\u1eed lo\u00e9t d\u1ea1 d\u00e0y<\/span><\/li>\n
- Ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/li>\n
- Suy th\u1eadn<\/span><\/li>\n
- Nh\u1eb9 c\u00e2n<\/span><\/li>\n
- C\u00f3 ti\u1ec1n s\u1eed gi\u1ea3i ph\u1eabu th\u1ea7n kinh\/m\u1eb7t<\/span><\/li>\n<\/ul>\n<\/li>\n
- Ho\u1ea1i t\u1eed da\/vi\u00eam mao m\u1ea1ch: Ng\u1eebng \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c n\u1ebfu x\u1ea3y ra.<\/span><\/li>\n
- Gi\u1eef \u0111\u00fang kho\u1ea3ng c\u00e1ch th\u1eddi gian theo ch\u1ec9 \u0111\u1ecbnh gi\u1eefa c\u00e1c li\u1ec1u Enoxaparin natri trong can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng n\u1ed9i t\u00e2m m\u1ea1c c\u1ea5p kh\u00f4ng n\u00ean d\u00f9ng Enoxaparin natri.<\/span><\/li>\n
- Suy gan: Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng, kh\u00f4ng khuy\u1ebfn c\u00e1o \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u d\u1ef1a tr\u00ean n\u1ed3ng \u0111\u1ed9 anti-Xa.<\/span><\/li>\n
- B\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec: Ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7, c\u1ea7n gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd.<\/span><\/li>\n
- Kali m\u00e1u cao: Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 Kali m\u00e1u th\u01b0\u1eddng xuy\u00ean..<\/span><\/li>\n<\/ul>\n
T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/h3>\n\n\n\n| T\u1ea7n su\u1ea5t<\/span><\/td>\n | C\u01a1 quan<\/span><\/td>\n | T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/span><\/td>\n<\/tr>\n\n| R\u1ea5t ph\u1ed5 bi\u1ebfn<\/span><\/td>\n | Gan m\u1eadt<\/span><\/td>\n | T\u0103ng men gan (h\u01a1n 3 l\u1ea7n m\u1ee9c gi\u1edbi h\u1ea1n tr\u00ean)<\/span><\/td>\n<\/tr>\n\n| Ph\u1ed5 bi\u1ebfn<\/span><\/td>\n | M\u00e1u v\u00e0 h\u1ec7 lympho b\u1ea1ch huy\u1ebft<\/span><\/td>\n | Ch\u1ea3y m\u00e1u, ch\u1ea3y m\u00e1u g\u00e2y thi\u1ebfu m\u00e1u, t\u0103ng\/gi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/td>\n<\/tr>\n\n| Mi\u1ec5n d\u1ecbch<\/span><\/td>\n | Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn<\/span><\/td>\n<\/tr>\n\n| Th\u1ea7n kinh<\/span><\/td>\n | Nh\u1ee9c \u0111\u1ea7u<\/span><\/td>\n<\/tr>\n\n| H\u1ec7 m\u1ea1ch<\/span><\/td>\n | M\u00e1u t\u1ee5 \u1edf t\u1ee7y s\u1ed1ng\/khu v\u1ef1c th\u1ea7n kinh<\/span><\/td>\n<\/tr>\n\n| Da v\u00e0 c\u00e1c m\u00f4 d\u01b0\u1edbi da<\/span><\/td>\n | Ph\u00e1t ban, ng\u1ee9a, ch\u00e0m<\/span><\/td>\n<\/tr>\n\n| To\u00e0n th\u00e2n v\u00e0 t\u1ea1i v\u1ecb tr\u00ed ti\u00eam<\/span><\/td>\n | T\u1ee5 m\u00e1u \u1edf v\u1ecb tr\u00ed ti\u00eam, \u0111\u1ecf, s\u01b0ng, \u0111au, ph\u00f9, ch\u1ea3y m\u00e1u<\/span><\/td>\n<\/tr>\n\n| Kh\u00f4ng ph\u1ed5 bi\u1ebfn\u00a0<\/span><\/td>\n | Gan m\u1eadt<\/span><\/td>\n | T\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ebf b\u00e0o gan<\/span><\/td>\n<\/tr>\n\n| Da v\u00e0 c\u00e1c m\u00f4 d\u01b0\u1edbi da<\/span><\/td>\n | Vi\u00eam da c\u00f3 b\u1ecdng n\u01b0\u1edbc<\/span><\/td>\n<\/tr>\n\n| To\u00e0n th\u00e2n v\u00e0 t\u1ea1i v\u1ecb tr\u00ed ti\u00eam<\/span><\/td>\n | Ho\u1ea1i t\u1eed da, k\u00edch \u1ee9ng<\/span><\/td>\n<\/tr>\n\n| Hi\u1ebfm g\u1eb7p<\/span><\/td>\n | M\u00e1u v\u00e0 h\u1ec7 lympho b\u1ea1ch huy\u1ebft<\/span><\/td>\n | T\u0103ng b\u1ea1ch c\u1ea7u \u0111a eosin<\/span><\/p>\n Gi\u1ea3m ti\u1ec3u c\u1ea7u do heparin<\/span><\/td>\n<\/tr>\n\n| Mi\u1ec5n d\u1ecbch<\/span><\/td>\n | S\u1ed1c ph\u1ea3n v\u1ec7<\/span><\/p>\n Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng<\/span><\/td>\n<\/tr>\n\n| Gan m\u1eadt<\/span><\/td>\n | T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt<\/span><\/td>\n<\/tr>\n\n| Da v\u00e0 c\u00e1c m\u00f4 d\u01b0\u1edbi da<\/span><\/td>\n | Da bong tr\u00f3c t\u1eebng m\u1ea3ng\u00a0<\/span><\/p>\n Ho\u1ea1i t\u1eed da, vi\u00eam m\u1ea1ch m\u00e1u th\u01b0\u1eddng g\u1eb7p t\u1ea1i v\u1ecb tr\u00ed ti\u00eam<\/span><\/p>\nU b\u01b0\u1edbu vi\u00eam<\/span><\/td>\n<\/tr>\n\n| C\u01a1 x\u01b0\u01a1ng v\u00e0 c\u00e1c m\u00f4 li\u00ean k\u1ebft<\/span><\/td>\n | Gi\u1ea3m m\u1eadt \u0111\u1ed9 kho\u00e1ng x\u01b0\u01a1ng (t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean)<\/span><\/td>\n<\/tr>\n\n| Kh\u00e1c<\/span><\/td>\n | C\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng: T\u0103ng kali m\u00e1u<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nT\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/h3>\n\n\n\n| Thu\u1ed1c<\/span><\/td>\n | Lo\u1ea1i t\u01b0\u01a1ng t\u00e1c<\/span><\/td>\n | L\u01b0u \u00fd<\/span><\/td>\n<\/tr>\n\n| Thu\u1ed1c \u1ee9c ch\u1ebf k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u<\/span><\/td>\n | Th\u1eadn tr\u1ecdng<\/span><\/td>\n | Theo d\u00f5i ch\u1eb7t ch\u1ebd nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/span><\/td>\n<\/tr>\n | | | | | | | | | | | | | | | | | | |