RATONGA KUPU WHAKAKŪTURU TAUTOKOTANGA WHAKAPUTAPUTA
TE TONO MŌ NGĀ RŌPŪ KAIĀWHINA
He pūtaiao, he toi anō hoki te aroturuki tika i ngā rongoā heparin, ā, e pā tika ana ki te angitu, ki te kore rānei o te rongoā ārai toto.
Ko ngā rongoā Heparin he rongoā anticoagulants e whakamahia whānuitia ana hei ārai me te rongoā i ngā mate thromboembolic, ā, e whakamahia whānuitia ana i roto i ngā mara haumanu maha.
Heoi, ko te arotahi a ngā tākuta hauora ko te whakamahi tika me te aroturuki tika i ēnei rongoā hei whakarite i te haumaru me te whai huatanga o te maimoatanga.
Ko te "i tukuna tata nei"Te Whakaaetanga a ngā Tohunga mō te Aroturukitanga Hauora o ngā Rongoā Heparin" i matapakihia katoatia ngā tohu, te inenga, te aroturukitanga me ētahi atu āhuatanga o ngā rongoā heparin, ā, i whakamāramahia rawatia ngā tikanga tono haumanu o ngā tohu taiwhanga pēnei i te mahi anti-Xa.
Ka whakarāpopototia e tēnei tuhinga ngā kōrero matua o tēnei whakaaetanga hei āwhina i ngā kaimahi haumanu ki te whakamahi pai ake i tēnei i roto i ngā mahi.
1-Te kōwhiringa o ngā tohu aroturuki taiwhanga
E whakanui ana te whakaaro whānui ko ngā mea whānui me aro turuki i mua atu, me te wā hoki e whakamahia ana ngā rongoā heparin ko: te hemodynamics, te mahi a te whatukuhu, te hemoglobin, te tatau pereti toto me te toto huna i roto i te tūtae, engari kāore i te herea ki ēnei:
2-Ngā kōrero matua mō te aroturuki i ngā rongoā heparin rerekē
(1) Heparin kore-wāhanga (UFH)
Me aroturukitia te horopeta whakaora o te UFH, ā, me whakarerekē te horopeta i runga i te mahi a te rongoā ārai toto.
Ka whakamahia te aroturukitanga ACT mō te whakamahinga i ngā horopeta nui (pērā i te wā PCI me te tohanga toto i waho o te tinana [CPB]).
I ētahi atu āhuatanga (pēnei i te maimoatanga o te ACS, te VTE rānei), ka taea te tīpako i te APTT i whakatikatikaina mō te mahi anti-Xa, te mahi anti-Xa rānei.
(2) Heparin taumaha ngota iti (LMWH)
E ai ki ngā āhuatanga pharmacokinetic o te LMWH, kāore e hiahiatia te aro turuki i te mahi anti-Xa i ia wā.
Heoi, me arotake te haumaru, me whakarerekē rānei te horopeta o ngā tūroro he nui, he iti rānei te taumaha tinana, he hapu, he ngoikore rānei ō rātou whatukuhu i runga i te kaha anti-Xa.
(3) Te aroturuki i te konutai Fondaparinux
Kāore e hiahiatia te aroturukitanga auau o te mahi anti-Xa mō ngā tūroro e whakamahi ana i ngā horopeta ārai, rongoā rānei o te fondaparinux sodium, engari me aroturuki te mahi anti-Xa mō ngā tūroro momona me te ngoikore o te whatukuhu.
3- Te ātete ki te Heparin me te maimoatanga HIT
Mēnā e whakapaetia ana he ngoikore o te antithrombin (AT), he ātete rānei ki te heparin, ka tūtohutia kia whakamātauria ngā taumata ngohe AT hei tirotiro i te ngoikore o te AT, me te ārahi i te rongoā whakakapinga e tika ana.
E taunakihia ana kia whakamahia he whakamātautau matū chromogenic i runga i te IIa (kei roto ko te bovine thrombin) Xa rānei mō te mahi AT.
Mō ngā tūroro e whakapaetia ana he thrombocytopenia i puta mai i te heparin (HIT), kāore i te tūtohutia te whakamātautau paturopi HIT mō ngā tūroro kua pāngia e te UFH me te iti o te tūponotanga haumanu o te HIT (≤3 ngā tohu) i runga i te kaute 4T.
Mō ngā tūroro he tūponotanga haumanu waenga ki te teitei o te HIT (4-8 ngā piro), e taunakihia ana kia whakamātauria he paturopi HIT.
E taunakihia ana he paepae teitei ake mō te whakamātautau paturopi whakauru, engari e taunakihia ana he paepae iti ake mō te whakamātautau paturopi IgG-motuhake.
4- Te Whakahaere i te Mōrearea o te Toto me te Whakaora Whakamuri
Mēnā ka puta he toto nui e pā ana ki te heparin, me whakamutu tonu te tango i ngā rongoā ārai toto toto, ā, me pupuri tonu te pumau o te hemostasis me te hemodynamic i te wā e taea ai.
E taunakihia ana te protamine hei rongoā tuatahi mō te heparin whakakore.
Me tatau te horopeta o te protamine i runga i te roanga o te whakamahinga o te heparin.
Ahakoa kāore he tikanga aroturuki motuhake mō te protamine, ka taea te aromatawai haumanu i te pānga whakahuri o te protamine mā te tirotiro i te āhua toto o te tūroro me ngā huringa o te APTT.
Kāore he rongoā motuhake mō te fondaparinux sodium; ka taea te whakakore i ōna pānga ārai toto mā te whakamahi i te FFP, PCC, rFVIIa, tae atu ki te whakawhiti plasma.
Mā tēnei whakaaetanga ka whakaratohia he kawa aroturuki taipitopito me ngā uara ūnga, hei āwhina i a tātou ki te whakatau tika ake i roto i te mahi haumanu.
He hoari mata rua te rongoā ārai toto: mā te whakamahinga tika ka ārai me te rongoā i ngā mate toto totoka, engari mā te whakamahinga hē ka piki ake te mōrearea o te toto.
Ko te tumanako mā te whakamārama i tēnei whakaaetanga ka āwhina i a koe kia whai hua ake i roto i te mahi haumanu, kia haumaru ake ai, kia whai hua ake ai hoki te rongoā ārai toto mō ō tūroro.
Kua roa a Beijing Succeeder Technology Inc. (waehere hea: 688338) e whai wāhi nui ana ki te mara o te tātaritanga toto toto mai i tōna whakatūnga i te tau 2003, ā, e whakapau kaha ana ki te noho hei kaiārahi i tēnei mara. Kei Beijing te tari matua, ā, he kaha te tīma R&D, whakaputa me te hoko a te kamupene, e arotahi ana ki te auahatanga me te whakamahi i te hangarau tātaritanga toto toto me te hemostasis.
Nā tōna kaha hangarau tino pai, kua riro i a Succeeder e 45 ngā mana pateni whai mana, tae atu ki te 14 ngā mana pateni hanga hou, 16 ngā mana pateni tauira whaipainga me te 15 ngā mana pateni hoahoa.
E 32 ngā tiwhikete rēhita hua taputapu hauora Akomanga II a te kamupene, e 3 ngā tiwhikete tuku Akomanga I, me te tiwhikete EU CE mō ngā hua e 14, ā, kua paahitia e ia te tiwhikete pūnaha whakahaere kounga ISO 13485 hei whakarite i te hiranga me te pumau o te kounga hua.
Ehara i te mea he hinonga matua a Succeeder nō te Beijing Biomedicine Industry Leapfrog Development Project (G20), engari i angitu hoki tōna whakaurunga ki te Science and Technology Innovation Board i te tau 2020, ā, i eke ki te whanaketanga tere o te kamupene.
I tēnei wā, kua hangaia e te kamupene tētahi whatunga hokohoko puta noa i te motu e kapi ana i ngā rau o ngā kaihoko me ngā tari.
He nui te hoko o ana hua i te nuinga o ngā wāhi o te motu.
Kei te kaha hoki te whakawhānui ake i ngā mākete o tāwāhi, me te whakapai tonu i tōna whakataetae o te ao.
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