Despite the fact that heparin ointment - a drug for external use, it has a number of contraindications to be followed. This is necessary to avoid the potential complications that arise when applying the ointment to the surface of the skin or mucous membranes.

Features and application of heparin ointment

Heparin ointment is applied to the surface of the skin, it has an active anti, antithrombotic, anti-inflammatory and analgesic effects. But when using this drug should be considered contraindications for use. Otherwise, do not avoid complications, because the heparin active influence on blood clotting.

Manufacturers of drugs develop instructions for use, which clearly specified indications and contraindications for their use - a manual for physicians in which patients may not always understand why they must use medication prescribed by a doctor.

Contra First heparin ointment should not be used in violation of the integrity of the skin

Indications for use of heparin ointment are varicose veins Varicose veins - the operation is inevitable?   and thrombophlebitis, superficial soft tissue trauma, hemorrhoids Hemorrhoids - a shameful disease . All of these diseases and conditions may be accompanied by a violation of the integrity of the skin to form a wound (including septic), venous ulcers, erosive and ulcerative lesions in the area of ​​necrosis of hemorrhoids with the subsequent addition of the infection, and so on.

In all these processes can not be used heparin ointment as penetrating into the tissue, it is quickly absorbed into the bloodstream and to the general (systemic) effects on the body. Furthermore, heparin ointment causes a reduction of immunity Immunity - types and characteristics in children in adults And in violation of the integrity of the skin is almost always a danger of joining the infection.

Another reason contraindications for use in such cases geparinooy ointments it is that heparin has an anti-proliferative effect, i.e. inhibits cell proliferation of tissues, including connective tissues, by means of which the body "mending" all wounds, ulcers and so on. This means that the heparin ointment will prevent the healing of wounds and ulcers. Especially dangerous is the application of heparin ointment to infected wounds and festering sores.

If the use of heparin ointment is still necessary, then it is applied only to intact skin around the wound or trophic ulcers.

Contraindications Second heparin ointment should not be used during blood clotting and bleeding

The use of heparin ointment in violation of blood clotting can lead to bleeding, bleeding on the surface of the skin. Including such disorders are possible while reducing the number of blood platelets - thrombocytopenia. For example, if we use heparin ointment after injury with bruising, it will lead to an increase in hematoma due to further reduction of blood clotting.

The more the hematoma, the less the chance for complete resolution - a very large hematoma germinate connective tissue and will not dissolve.

Nor do intramuscular injection (any drug) in the area of ​​application of heparin ointment. The use of heparin is contraindicated in bleeding ointment as heparin can lead to amplification.

Contra three: hypersensitivity to heparin or other ingredients

Very often develops hypersensitivity to heparin, which is a high molecular structure and has the ability to cause such reactions. Therefore, if the patient has had any manifestations of hypersensitivity to some drugs, heparin ointment should be used with caution. To do this, the skin is first applied a small amount of heparin ointment Heparin ointment - applied with caution   and only in the absence of any negative reactions continue treatment in full.

If there were any signs of hypersensitivity to the drug, treatment should continue with the help of other anticoagulants.

The mirror effects

Since heparin ointment is used topically, it may rarely cause any systemic effect on the body, including the promotion of increased bleeding.

The main side effects of heparin ointment are the local allergic reactions such as hives and itchy allergic rash. This requires discontinuation of treatment.

Heparin ointment when applied correctly almost no side effects and is well tolerated by patients.

Galina Romanenko

One hundred years ago, hemophiliacs Hemophilia - a rare, but the disease sign   rarely live up to thirty years. Today, these people have the opportunity to live an almost normal life. Currently, however, acute and hemophiliacs another problem - the possibility of obtaining timely treatment. According to statistics, only thirty percent of patients have access to modern methods of treatment.

Blood that stops

Imagine that you accidentally cut yourself. Blood is a few minutes and then stops, the clot is formed - a stopper which closes the flow of blood, sealing the wound. After some time of her no trace remains. If you get hit, you have produced a bruise that resolves within a week.

For people with hemophilia, all this is happening in a different way. If a man hits, he formed a large hematoma, sometimes up to several tens of centimeters in diameter. Open wound bleeds for a long time.

Despite the widespread belief that people with hemophilia hypersensitivity of blood vessels, it does not. It's all here in violation of screwing the blood due to its chemical composition. In order to form a clot and stop the bleeding, the body must have thrombokinase in the blood, which in hemophiliacs insufficient. Therefore, their blood does not clot long.

Once the cause of the disease was a mystery to doctors, but they are now known. The whole point of the gene defect, because of which in the body and there is not enough for normal clotting thrombokinase.

There are two types of hemophilia, but the consequences of the same. Disease type A (85% of patients) means that the body is broken protein production "Factor VIII». Hemophilia Type B (15% of cases) - violation of the protein production "Factor XI». In the world of about half of patients with hemophilia have a severe form of the disease, for others it takes a more or less moderate. Severe hemophilia can quickly lead to death if the patient in the short term will not be helped. It may occur spontaneous excessive bleeding, even without receiving a pin or open wound. Fortunately, in most cases the problem is amenable to therapy.

Women - carriers of hemophilia

To understand the origins of hemophilia is necessary to make a small excursion into genetics. We each have twenty-three pairs of chromosomes. Each gene is represented by two versions of them - received from father and mother. Exception - sex chromosomes because women have two chromosomes X, while men - XY.

Hemophilia is a recessive gene. If one gene is sick, the other healthy, then the person will not get the disease. But this gene prikleplen to the X chromosome, and in men it is only one, so that if the gene ill, the man, the owner of this gene will be sick with hemophilia. In women, the situation is different: two X chromosomes, and if there is one gene of the patient, the other chromosome, which in most cases is healthy, will override the negative impact of this gene, and would develop the disease. The woman may also be hemophiliacs, but these cases are extremely rare.

The test for hemophilia during fetal development

Moms are the carriers of the hemophilia gene, and they often pass it on to his sons. If a girl is born, she also has a chance to become the carrier of the hemophilia gene. If the father is sick, it passes the hemophilia gene to their daughters and not sons. Being aware of the dangers of hemophilia, parents can do a test to identify the gene in more nascent child.

Joints - victims of hemophilia

A person who is sick with hemophilia invariably suffer the joints, and spontaneous bleeding occurs mostly in the knees, ankles, which will eventually become very painful. The presence of these blood damages the tissue of the joints, bones become porous, its structure is broken, they become brittle, broken their mobility.

Also affected muscle, because they also often have spontaneous bleeding, which leads to the formation of extensive hematomas. Muscles in time also become painful, weak, lose their tone.

Some bleeding may be fatal, depending on the affected organ. For example, if it is started in the brain, it is necessary to take measures, or e to avoid irreparable consequences. The same can be said of the heart or of the area close to it. Fortunately, with modern achievements of medicine withstand even serious manifestation of hemophilia is becoming easier. However, any type of surgery surgery become extremely problematic.