anticoagulants 2011

7/23/2019 Anticoagulants 2011

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Lm~ @HQINB@D]L@HQ^

IF^I @jeubi~m S`u

Bnqbeum 5300

E(Sbliqi~


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Lm~ @HQINB@D]L@HQ^

U`ssml~ ~}u lgjb~q`~m mq l`nb`d}l`qibh

Dhu`liq~ ~}u lm~ quìqmjmhq~`hqinb`d}l`hq~

Lm~ aiffumhq~ quìqmjmhq~

`hqinb`d}l`hq~

Lm~ `hqi`dud`hq~ sl`p}mqqìum~


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Lm~ @HQINB@D]L@HQ^

U`ssml~ ~}u lgjb~q`~m mq l`nb`d}l`qibh Dhu`liq~ ~}u lm~ quìqmjmhq~ `hqinb`d}l`hq~

Lm~ aiffumhq~ quìqmjmhq~ `hqinb`d}l`hq~ Lm~ hqi`dud`hq~ sl`p}mqqìum~


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U`ssml~ ~}u lgjb~q`~m mq l` nb`d}l`qibh

Sghbjhm sgy~iblbdip}m nbjslmwm, mh n`~nàm, fì~`hq ihqmuvmhiu amhbjeum}~m~ subqihm~ sl`~j`qip}m~ 'f`nqm}u~ am l` nb`d}l`qibh) mqèb}qi~~`hq l` fbuj`qibh a}h nìllbq `fih aùuqmu lgjbuu`dim(

Ihquq~ am l` nb`d}l`qibh ? Suvmhiu lm~ ~ìdhmjmhq~ ~sbhq`h~,

@uuqmu lm~ gjbuu`dim~ mh n`~ am l~ibh~ v`~n}lìum~(

Sghbjhm~ ihqmuvmh`hq a`h~ lgjb~q`~m mq l` nb`d}l`qibh ? l` v`~bnbh~quinqibh v` aijih}mu lm n`lieum a} vì~~m`} l~,

l$ gjb~q`~m suijìum : àg~ibh am~ sl p}mqqm~ `} vì~~m`} l~ mq mhqummllm~ '`dud`qibh sl`p}mqqìum),

l$ gjb~q`~m ~mnbhaìum : nbuum~sbha l` nb`d}l`qibh, lm nìllbq `qqium mq ~qij}lm l` nubi~~`hnm am fieubel`~qm~ mq am nmll}lm~ am

j}~nlm li~~m `} ~mih am l` sùbi v`~n}lìum mq mhq`jm lm subnm~~}~ amusù`qibh p}i u~}lqmu` fih`lmjmhq mh l` ai~~bl}qibh a} nìllbq 'fieuihbly~m)(


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Gjb~q`~m suijìum

Gjb~q`~m ~mnbhaìum

b} nb`d}l`qibh

A~`dud`qibh a} nìllbq sù fieuihbly~m


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Gjb~q`~m ~mnbhaìum 'b} nb`d}l`qibh) : fbuj`qibh a}h u~m`} fieuillìum a`h~lmp}ml ~bhq mjsui~bhh~ lm~ SP, lm~ DU mq lm~ DE(

*8 Fbuj`qibh a}h qgubje}~ 'b} nìllbq ~`hd}ih)(

Lmh~mjelm m~q jìhqmh} dunm am~ fil`jmhq~ am fieuihm( L` fbuj`qibh am l` fieuihm u~}lqm a}hm n`~nàm am u`nqibh~ mhzyj`qip}m~

fì~`hq ihqmuvmhiu am~ f`nqm}u~ am l` nb`d}l`qibh sl`~j`qip}m~ abuidihmgs`qip}m mq sl`p}mqqìum( Lq`sm fih`lm m~q l` qu`h~fbuj`qibh a} fieuihbdhm

~bl}elm mh fieuihm ih~bl}elm, ~b}~ l`nqibh am l` qgubjeihm(

Fieuihbdhm Fieuihm

Subqgubjeihm Qubjeihm

F`nqm}u~sl`p}mqqìum~ + N`

5+


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@nqiv`qibh mhabdhm

'nbhq`nq `vmn lm nbll`dhm)

@nqiv`qibh mwbdhm

'elm~~}um)

Vbimnbjj}hm

Lm~ aiffumhq~ f`nqm}u~ am l`

nb`d}l`qibh ?


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Lbu~p}m l` nin`qui~`qibh m~q qmujihm, lm nìllbq ~m a~`dudm sùfieuihbly~m 'aduà`qibh am l` fieuihm)( Lm~ nmll}lm~ mhabqgli`lm~ ihq`nqm~lieumhq lm qS@ '`nqiv`qm}u qi~~}lìum a} sl`~jihbdhm) p}i v` `nqivmu l`

vbim am l` fieuihbly~m(

qS@

Sl`~jihbdhm Sl`~jihm

FieuihmU~ia}~ am

fieuihm


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Mwslbu`qibh am lgjb~q`~m suijìum Qmjs~ am ~ìdhmjmhq H}ju`qibh am~ sl`p}mqqm~ Ab~`dm a} f`nqm}u am vbh Tillmeu`ha

Mwslbu`qibh am lgjb~q`~m ~mnbhaìum Qmjs~ am nsg`lihm `nqiv '@SQQ, Qmjs~ am nsg`lihm k`blih) Q`}w am subqgubjeihm 'QS, Qmjs~ am P}ink, IHU)

Qmjs~ am qgubjeihm qmjs~ am umsqil`~m Ab~`dm am~ f`nqm}u~ am nb`d}l`qibh

S`qgblbdim~ am lgjb~q`~m suijìum qgubjebnyqbshim

Qgubjebs`qgim

J`làim am vbh Tillmeu`ha

S`qgblbdim~ am lgjb~q`~m ~mnbhaìum Gjbsgilim~

Afiniq mh viq`jihm K

Ih~}ffi~`hnm gs`qb*nmll}lìum

@hqinbus~ `hqi*f`nqm}u~


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Lm~ @HQINB@D]L@HQ^


Dhu`liq~ ~}u lm~ quìqmjmhq~`hqinb`d}l`hq~ Lm~ aiffumhq~ quìqmjmhq~ `hqinb`d}l`hq~

Lm~ hqi`dud`hq~ sl`p}mqqìum~


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Dhu`liq~ ~}u lm~ quìqmjmhq~ `hqinb`d}l`hq~

Ihain`qibh~ ?

Quìqmjmhq am l` sg`~m ìd} ? lbu~ a}hm qgubjeb~m vmihm}~m b} ùquimllms`qgblbdip}m

Sgleiqm, mjeblim s}ljbhìum Mjeblim ùquimllm 'fieuill`qibh `}uin}lìum)

Qgubjebsgleiqm nueu`lm

Mh subsgyl`wim suijìum ?

Subsgyl`wim sui*bsu`qbium am l` ngiu}udim buqgbsaip}m @liqmjmhq sublbhd `vmn @QNA qgubjeb*mjeblip}m~

V`lvm nùai`p}m jn`hip}m

Mh subsgyl`wim ~mnbhaìum ?

@hbj`lim~ nbh~qiq}qibhhmllm~ am l` nb`d}l`qibh @QNA qgubjeb*mjeblip}m~


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Nbhqum*ihain`qibh~ ?

^ìdhmjmhq~ mh nb}u~

]lnum d`~qub*a}bah`l hbh nin`qui~

@hbj`lim~ am l` nb`d}l`qibh ui~p}m gjbuu`dip}m 'gjbsgilim, mqn() Ih~}ffi~`hnm gs`qip}m mq uh`lm ~vum~

Sb~q*ngiu}udim ui~p}m 'mw? hm}ubngiu}udim)

S`qimhq ihn`sèlm am dumu nbuumnqmjmhq lm quìqmjmhq 'ajmhnm, qub}elm~

s~yngi`quip}m~) Ui~p}m am ng}qm 'smu~bhhm~ dm~, j`lvby`hq~, jbeiliq ua}iqm +++)

Ihqmu`nqibh~ jain`jmhqm}~m~ '@VK +++)


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Lm~ gsùihm~

5 qysm~ agsùihm ?

Lm~ gsùihm~ hbh fu`nqibhhm~ ?

Gsùihm ~baip}m *8 gsùihm ~q`haùa sù vbim IV

Gsùihm n`lnip}m : N@LNIS@UIHM

*8 gsùihm ~q`haùa sù vbim ^N

Lm~ gsùihm~ am e`~ sbia~ jbln}lìum~ 'GESJ) ? vbim ^N

Mhbw`sùihm ~baip}m : LBVMHBW

A`lqsùihm ~baip}m : FU@DJIHM

Qihz`sùihm ~baip}m : IHHBGMS Hàubsùihm n`lnip}m : FU@WIS@UIHM, FU@WBAI

A`h`sùbam : BUD@U@H


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Lm~ gs`uihm~

Jn`hi~jm a`nqibh ?

Fiw`qibh am lgs`uihm ~}u l`hqiqgubjeihm nm p}i `}djmhqm ~bh `nqibh ihgieiquinm ~}ul` qgubjeihm mq lm f`nqm}u W`( Il mh u~}lqm }hm `nqiviq `hqinb`d}l`hqm s}i~~`hqm(


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Lm~ gsùihm~

Sb~blbdim~ mq ~}uvmill`hnm ?

Lm~ gsùihm~ hbh fu`nqibhhm~ ?

Gsùihm ~baip}m

Alì mq a}um a`nqibh ? alì *8 pp}m~ jih}qm~, a}um *8 > gm}um~

Sb~blbdim~ ? ebl}~ am =3 73]I"kd mh IVA s}i~ smuf}~ibh IV mh ~muihd}m lmnquip}m am 05 07]I"kd"g mh fbhnqibh am~ ihain`qibh~ mh n}u`qif( Sm} }qili~m mh suvmhqif(

^}uvmill`hnm ? 0mu sulvmjmhq 6g `su~ lih~q`}u`qibh a} quìqmjmhq s}i~ qb}qm~ lm~ 1*6g `su~ng`p}m jbaifin`qibh am sb~blbdim + ~}uvmill`hnm a} q`}w am SP(

Beomnqif a} quìqmjmhq ? QN@ mhqum =3 mq 43~mn b} 0,= 5,= fbi~ lm qjbih mq gsùihjim 3,>

3,4]I"jL(

N@LNIS@UIHM

Alì mq a}um a`nqibh ? alì *8 0 5 gm}um~, a}um *8 7 05 gm}um~

Sb~blbdim~ ?

Mh n}u`qif *8 5 > iho ^N"o, =33]I"kd"o '> iho ~i vbl80,5jL)Mh suvmhqif *8 5 > iho ^N"o, 0=3]I"kd"o

^}uvmill`hnm ? 0mu sulvmjmhq 1 b} 6g `su~ lih~q`}u`qibh a} quìqmjmhq ~i > b} 5 iho"o,~m}lmjmhq mh n}u`qif+ ~}uvmill`hnm a} q`}w am SP(

Beomnqif a} quìqmjmhq ? QN@ mhqum =3 mq 43~mn b} 0,= 5,= fbi~ lm qjbih(


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Lm~ gsùihm~

Ihain`qibh~ ?

Lm~ GESJ ?

Quìqmjmhq n}u`qif

* QVS nbh~qiq}m~ l` sg`~m ìd}

* MS nbh~qiq}m~ l` sg`~m ìd}* IAJ ~`h~ bham P mq `hdbu ih~qèlm l` sg`~m ìd}

* IAJ ìd} `vmn an`l`dm a} ~mdjmhq ^Q mq quìqmjmhq qgubjeblyqip}m

Quìqmjmhq suvmhqif

* Suvmhqibh am l` j`làim qgubjeb*mjeblip}m vmihm}~m ?* mh ngiu}udim

* mh jamnihm 's`qimhq `liq)

* ngmz lm~ s`qimhq~ `qqmihq~ am n`hnmu~

* Suvmhqibh am l` nb`d}l`qibh a`h~ lm~ niun}iq~ am NMN mq as}u`qibh mwqu`*uh`lm(


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Lm~ gs`uihm~

Sb~blbdim~ am~ GESJ mh qu`iqmjmhq n}u`qif ?

@@^ : `niam `nqyl~`linylip}m


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Lm~ gs`uihm~

Sb~blbdim~ am~ GESJ mh qu`iqmjmhq suvmhqif ?


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Lm~ gsùihm~

Suihnism a} quìqmjmhq mq ~}uvmill`hnm am~ GESJ mh quìqmjmhq

n}u`qif ?

0 'ihhbgms mq fu`wbai) b} 5 'lbvmhbw, fu`wisùihm, fu`djihm) ihomnqibh~ ^N"o

Jm~}um am l`nqiviq `hqi*W` >*1g `su~ l` >jm ihomnqibh 'beomnqif ? 3,=*0]I"jL)

A}um a} quìqmjmhq ? 03 ob}u~ j`wij}j s}i~ ~i sb~~ielm, umlì~ sù lm~ @VK

Suihnism a} quìqmjmhq mq ~}uvmill`hnm am~ GESJ mh quìqmjmhq

suvmhqif ?

0 ihomnqibh ^N"o

Ab~m~ à`sqmu `} ui~p}m

S`~ am ~}uvmill`hnm a} QN@ mq am l`nqiviq `hqi*W`

S`~ aà`sq`qibh sb~blbdip}m

^}uvmill`hnm am~ SP 5 fbi~"~mjìhm

A}um a} quìqmjmhq ~mlbh lm ui~p}m


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Lm~ gsùihm~

Lm a`h`sùbam : BUD@U@H

^m}lm GESJ ihaip}m mh n`~ a@QNA am QIG

Quìqmjmhq suvmhqifam~ j`hifm~q`qibh~ qgubjebmjeblip}m~ ? mh ^N

< 93kd ? 4=3]I 5 b} > fbi~"o '> fbi~ ~i QIG ~`h~ qgubjeb~m) 8 93kd ? 05=3]I 5 b} > fbi~"o '> fbi~ ~i QIG ~`h~ qgubjeb~m)

Mh subsu`qbium, l` amuhium ihomnqibh abiq qum mffmnq}m 0 1g `v`hq lihqmuvmhqibh

Lm quìqmjmhq suvmhqif ~mu sb}u~}ivi `su~ lihqmuvmhqibh smha`hq 4 03o b} o}~p} nm p}mlm ui~p}m qgubjebmjeblip}m ìq aijih}

Quìqmjmhq n}u`qifam~ j`hifm~q`qibh~ qgubjebmjeblip}m~ ? 5=33]I mh ebl}~ IV s}i~ 5333]I 5 fbi~"o mh ^N

@a`sqmu l` sb~blbdim mh fbhnqibh a} ab~`dm am l`nqiviq `hqi*W` 'beomnqif ? 3,1 3,7 ]I `hqi*W`"jL) ~i IU b} ~}usbia~ b} n`ngmwim

Quìqmjmhq am = 4 ob}u~


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Lm~ @HQINB@D]L@HQ^ U`ssml~ ~}u lgjb~q`~m mq l` nb`d}l`qibh


Lm~ aiffumhq~ quìqmjmhq~ `hqinb`d}l`hq~ Lm~ gsùihm~

Lm~ ihgieiqm}u~ ~lmnqif~ a} f`nqm}u W`

Lm~ giu}aihm~ umnbjeih`hqm~

Lm~ ihgieiqm}u~ aiumnq~ am l` qgubjeihm

Lm~ @VKLm~ hqi`dud`hq~ sl`p}mqqìum~


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Lm fbha`sùih}w : @UIWQU@

Jbln}lm am ~yhqg~m umsu~mhq`hq l` sl}~ smqiqm ~p}mhnm sbly~`nngùiaip}m amlgsùihm n`sèlm aihgiemu ~lmnqivmjmhq lm f`nqm}u W` mh ~m li`hq }hip}mjmhq l`hqiqgubjeihm hihgie`hq s`~ l` qgubjeihm( Jbln}lm ihaip}m mh n`~ a@QNA am

QIG(

Ihain`qibh~ mh quìqmjmhq suvmhqif? Mvhmjmhq~ qgubjebmjeblip}m~ vmihm}w ?

mh ngiu}udim buqgbsaip}m jòm}um a} jmjeum ihfuim}u,

mh ngiu}udim èabjih`lm ngmz am~ s`qimhq~ g`}q ui~p}m 'n`hnmu~),

Ngmz lm~ s`qimhq~ `liq~ sb}u }hm `ffmnqibh jain`lm ìd} mq o}d~ g`}q ui~p}m

Quìqmjmhq n}u`qifam~ QVS ìd}~ mq am~ MS ìd}~

^yhaubjm nbubhùimh ìd} hbh ^Q ~}~ ui~p}m ihqmujaiìum b} fìelm

Sb~blbdim~ ?

Quìqmjmhq suvmhqif ? mh ^N, 5,=jd"o

Quìqmjmhq n}u`qif ? mh ^N

< =3kd ? =jd"o

8 =3kd ? 4,=jd"o

8 033kd ? 03jd"o

^yhaubjm nbubhùimh ìd} ? mh ^N, 5,=jd"o


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Lm uivùbwè`h : W@UMLQB

Ihgieiqm}u aiumnq, nbjsqiqif, uvmu~ielm mq ~snifip}m a} f`nqm}u W` ~`h~ mffmqihgieiqm}u aiumnq ~}u l` qgubjeihm( Il subvbp}m }h `llbhdmjmhq a} QP mq a} QN@(

Ihain`qibh~ ?Suvmhqibh suijìum am~ vhmjmhq~ qgubjebmjeblip}m~ vmihm}w ngmz lm~ s`qimhq~ehfini`hq a}hm ihqmuvmhqibh ngiu}udin`lm subdu`jjm sb}u SQG b} SQD(

Nbhqum*ihain`qibh~ ?

gysmu~mh~ieiliq, ~ìdhmjmhq vbl}qif nlihip}mjmhq ~idhifin`qif b} ui~p}m am~ìdhmjmhq du`vm 'Gim nueu`lm < 6 jbi~), `qqmihqm gs`qip}m `~~bnim }hmnb`d}lbs`qgim mq }h ui~p}m am ~ìdhmjmhq nlihip}m ~idhifin`qif

Sb~blbdim ? NS *8 VBIM BU@LM

03jd"o ae}qmu 6 03g `su~ lihqmuvmhqibh nbhaiqibh p}}hm gjb~q`~m ìq s} qum

beqmh}m(a}um a} quìqmjmhq ? 5 ~mjìhm~ sb}u l` SQD mq = ~mjìhm~ sb}u l` SQG(

s`~ am ~}uvmill`hnm am~ sù`jqum~ am l` nb`d}l`qibh mh ub}qihm

s`~ aò}~qmjmhq am l` sb~blbdim mh fbhnqibh a} sbia~, a} ~mwm, am ldm, ~i

Nl nu`q8>3jL"jih(


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L` a~iu}aihm : UMV@^N

@hqiqgubjebqip}m `di~~`hq nbjjm }h ihgieiqm}u ~snifip}m am l` qgubjeihm mhj`~p}`hq l`nn~ ~bh ~iqm `nqif(

Ihain`qibh~ ?

suvmhqibh am~ QVS `su~ ngiu}udim buqgbsaip}m(

Nbhqum*ihain`qibh~

Mffmq~ iha~iuèlm~ fup}mhq~

Sun`}qibh~ amjslbi ?

quìqmjmhq `hquim}u sù giu}aihm~ *8 s`qimhq ui~p}m +++ am ngbn h`sgyl`nqip}m

Sb~blbdim ? vbim ^N èabjih`lm

0=jd 5 fbi~"o smha`hq 9*05 ob}u~(

beomnqif ? QN@ < 5(


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L` eiv`liu}aihm : @HDIBW


Ihain`qibh~ ?

ihaip}m ngmz lm~ s`qimhq~ ~}ei~~`hq 0 ihqmuvmhqibh nbubhìum smun}q`hm(

Nbhqum*ihain`qibh~

Sb~blbdim ?

Sun`}qibh~ amjslbi ?quìqmjmhq `hquim}u sù giu}aihm~ *8 s`qimhq ui~p}m +++ am ngbn h`sgyl`nqip}m~}uvmillmu lm QN@ = jih}qm~ `su~ lm ebl}~, ihomnqmu }h hb}vm`} ebl}~ am 3,>jd"kd ~iQN@ < 55= ~mn(IU jbaum 'Nl nu`q mhqum >3 mq 63jL"jih) *8 ua}ium l` viqm~~m am smuf}~ibh

0,1jd"kd"g(


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L` lsiu}aihm : UMFL]A@H


Ihain`qibh~ ?

ihgieiqibh am l` nb`d}l`qibh ngmz lm~ s`qimhq~ à}lqm~ `qqmihq~ a}hm QIG mq a}hmj`làim qgubjebmjeblip}m hnm~~iq`hq }h quìqmjmhq `hqiqgubjebqip}m sù vbimsùmhqu`lm 'lm ai`dhb~qin am QIG abiq qum nbhfiuj sù }h qm~q a`nqiv`qibhsl`p}mqqìum iha}iqm sù lgsùihm)(

Nbhqum*ihain`qibh~

Mffmq~ iha~iuèlm~ ?

* gjbuu`dim~ '>9- abhq 00- agjbuu`dim~ ~vum~)

* `hjim b} eì~~m a} qw agjbdlbeihm ~`h~ n`}~m gjbuu`dip}m viamhqm '05-)

* fivum '4-), u`nqibh~ `llmudip}m~ am qb}q qysm 'u`nqibh~ `h`sgyl`nqip}m~ 1-)

* IU '5-)* u`nqibh `} sbihq aihomnqibh

Sb~blbdim


quìqmjmhq `hquim}u sù giu}aihm~ *8 s`qimhq ui~p}m +++ am ngbn h`sgyl`nqip}m


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Sl`nm am~ giu}aihm~ sùji lm~ quìqmjmhq~ `hqinb`d}l`hq~

Nbhnmuh`hq l` a~iu}aihm : UMV@^N ?

nbq ijsbuq`hq am nm hb}vm`} jain`jmhq 'mhviubh ~iw fbi~ lm nbq ob}uh`limua$}h quìqmjmhq sù GESJ),

è~mhnm a$}hm ~}suibuiq ajbhqum ~}u am~ nuiqum~ nlihip}m~(*8 @ u~muvmu sb}u lm~ j`làm~ g`}q ui~p}m qgubjebmjeblip}m mq"b}`vmn am~ `hqnamhq~ am QIG(

Nbhnmuh`hq l` lsiu}aihm : UMFL]A@H ?

ui~p}m a$gjbuu`dim du`vm em`}nb}s sl}~ ijsbuq`hq p}$`vmn l$Budù`h, aiffin}lq a} ~}ivi eiblbdip}m `vmn lm QN@(

*8 ]qili~`qibh mh 5jm ihqmhqibh , }hip}mjmhq mh n`~ am u`nqiviqnubi~m Budù`h "gsùihm~(


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Lm Aèid`qu`h : SU@A@W@

Ihgieiqm}u aiumnq, nbjsqiqif, s}i~~`hq mq uvmu~ielm am l` qgubjeihm mq d`lmjmhq aml`dud`qibh sl`p}mqqìum iha}iqm sù l` qgubjeihm(

Ihain`qibh~ ?Suvmhqibh suijìum am~ vhmjmhq~ qgubjebmjeblip}m~ vmihm}w ngmz lm~ s`qimhq~ehfini`hq a}hm ihqmuvmhqibh ngiu}udin`lm subdu`jjm sb}u SQG b} SQD(

Nbhqum*ihain`qibh~

Sb~blbdim ? NS *8 VBIM BU@LM< 4= `h~ ? 553jd"o mh 0 sui~m '0"5 ab~m ~i ih~q`}u`qibh < 51g sb~q ihqmuvmhqibh)

8 4= `h~ ? 0=3jd"o mh 0 sui~m '0"5 ab~m ~i ih~q`}u`qibh < 51g sb~q ihqmuvmhqibh)

a}um a} quìqmjmhq ? 03 ob}u~ sb}u l` SQD mq 57 >= ob}u~ sb}u l` SQG(

s`~ am ~}uvmill`hnm am~ sù`jqum~ am l` nb`d}l`qibh mh ub}qihm

s`~ aò}~qmjmhq am l` sb~blbdim mh fbhnqibh a} sbia~, a} ~mwm, am ldm, mh n`~aih~}ffi~`hnm gs`qip}m jbaum(


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>7

Lm~ `hqi*viq`jihm~ K '@VK)

Subsuiq~

*8 Ihgieiqibh am l` ~yhqg~m gs`qip}m am~ f`nqm}u~ am l` nb`d}l`qibh viq`jihm K asmha`hq~ ?f`nqm}u~ II, VII, IW mq W mq lm~ subqihm~ N mq ^ 'f`nqm}u~ `hqinb`d}l`hq~)(

*8 S`~ amffmq `hqinb`d}l`hq ijjai`q(


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>9


Suihnism a} quìqmjmhqlm quìqmjmhq sù @VK abiq qum ~}ivi vmn }hm du`ham vidil`hnm nù il mwsb~m 5 ui~p}m~ suihnis`}w ?

* lm ui~p}m agjbuu`dim li }h ~}uab~`dm,

* lm ui~p}m am qgubjeb~m li }h ~b}~*ab~`dm(

Ihain`qibh~ mq nielm qgu`sm}qip}m am lIHUlIHU jm~}um lm qmjs~ am nb`d}l`qibh a}h s`qimhq mq lm nbjsùm }h ~}omq p}i hm umbiq s`~ a@VK( Ngmz}h ~}omq hbh quìq, lIHU : 0( Ngmz }h s`qimhq quìq sù }h @VK, sl}~ lm qmjs~ am nb`d}l`qibh ~`llbhdm,sl}~ lIHU `}djmhqm( L` nielm am lIHU asmha am l` s`qgblbdim hnm~~iq`hq lIHU

Jba`liq~ a} umlì~ gsùihm @VK ?

* Ihquba}nqibh am~ @VK lm sl}~ qqsb~~ielm '0*>o `su~ lm ae}q amlgsùihbqgu`sim)

* @ajihi~qu`qibh ~ij}lq`hm o}~p}beqmhqibh am 5 IHU ~}nnm~~if~ 8 5

* A}um qbq`lm am lgsùihbqgu`simo`jì~ < = ob}u~(


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L i i i K '@VK)


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15


@nniamhq~ gjbuu`dip}m~ am~ @VK

Msiajiblbdim ? Mhviubh 933 333 smu~bhhm~ quìqm~ sù @VK 'abhhm @F^^@S^ 5339),

`nniamhq~ gjbuu`dip}m~ jbuqml~ *8 3,5= 3,7- sù `h,

gjbuu dim~ du`vm~ *8 0,0 1,9- sù `h(

^}uvmh}m am~ `nniamhq~ gjbuu`dip}m~ Qu`}j`qi~jm

^ìdhmjmhq a}hm l~ibh jnbhh}m '}lnum, fieubjm, `hvui~jm)

^}uab~`dm 'ui~p}m gjbuu`dip}m +++ p}`ha IHU 8 =)

Nbhqum*ihain`qibh~ am~ @VK

L i i i K '@VK)


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1>


^}uab~`dm mh @VK ? nbha}iqm qmhiu

IHU < = S`~ am ~ìdhmjmhq, s`~ amngiu}udim suv}m

^}ssuijmu l` subngìhm sui~m s}i~ ua}ium lm~ ab~m~}lquim}um~

IHU mhqum = mq 9 S`~ am ~ìdhmjmhq

^ìdhmjmhq jihm}u

Ngiu}udim ~mji*}udmhqm'alì 8 05g)

^}ssuijmu lm~ 5 subngìhm~ sui~m~ s}i~ ua}ium lm~

ab~m~ }lquim}um~( IHU p}bqiaimh(^}ssuijmu l` subngìhm sui~m mq àjihi~qumu am l`viq`jihm K0 '0 5jd smu b~)( IHU p}bqiaimh(

@uuq am~ @VK( @ajihi~qumu am l` viq`jihm K0 '5 1jd smu b~ b} 0 5jd IV lmhqm)( IHU 6g `su~(Umhb}vmlmu l` viq`jihm K0 ~i em~bih(

IHU 8 9 S`~ am ~ìdhmjmhq b}~ìdhmjmhq jihm}u

@uuq am~ @VK( @ajihi~qumu am l` viq`jihm K0 '> =jd smu b~ b} 5 1jd IV lmhqm)( IHU 6g `su~(Umhb}vmlmu l` viq`jihm K0 ~i em~bih( Umsumhauml@VK ab~m jbihaum p}`ha lIHU ~mu` umvmh}a`h~ l` zbhm qgu`sm}qip}m

P}mlp}m ~biqlIHU ^ìdhmjmhq jòm}u b}ngiu}udim }udmhqm 'alì sui~m~

Mffmq~ iha~iuèlm~ ? h`}~m~, vbji~~mjmhq~, aiùugm~, nsg`lm~, vmuqidm~Sun`}qibh~ amjslbi ? lih~q`}u`qibh subdum~~ivm a} quìqmjmhq mq lm fu`nqibhhmjmhq am~

sui~m~ smujmqqmhq am aijih}mu lm~ mffmq~ iha~iuèlm~ '~}uqb}q lm~ nsg`lm~)



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Qinlbsiaihm : QINLIA

Ihain`qibh~ ?* Suvmhqibh am~ `nniamhq~ i~ngjip}m~ jòm}u~, mh sùqin}limu nbubhùimh~, ngmz lm~

s`qimhq~ su~mhq`hq }hm ùquibs`qgim am~ jmjeum~ ihfuim}u~ `} ~qàm am nl`}ain`qibh(

* Suvmhqibh am~ nbjslin`qibh~ qgubjebqip}m~ ùquimllm~ '@VN, IAJ, jbuq am n`}~mv`~n}lìum) `su~ }h 0mu @VN li l`qgub~nlub~m(

* Suvmhqibh am l` qgubjeb~m ~}eìd} ~}u ~qmhq 'mhabsubqg~m nbubhìum), suvmhqibh mqnbuumnqibh am~ qub}elm~ sl`p}mqqìum~ iha}iq~ sù lgjbai`ly~m(

Sb~blbdim ? 5=3jd 5 fbi~"o `} nb}u~ am~ ums`~

Mffmq~ iha~iuèlm~ ? qbwiniq gj`qblbdip}m 'lm}nbshim, qgubjebshim, `hjim, `sl`~imja}llìum) *8 ùuq ijjai`q a} quìqmjmhq, qub}elm~ aidm~qif~ 'aiùugm~, vbji~~mjmhq),gjbuu`dim


* ^}uvmill`hnm am lgjbdu`jjm qb}~ lm~ 0= ob}u~ smha`hq lm~ > sumjimu~ jbi~* î ~}uvmh}m a}hm gjbuu`dim *8 ùuqmu lm quìqmjmhq mq umngmungmu }hm

`du`h}lbnyqb~m

* Ihqmuvmhqibh ngiu}udin`lm *8 ùuqmu lm quìqmjmhq 03 ob}u~ `v`hq

* @ajihi~qu`qibh `} nb}u~ a} ums`~ sb}u aijih}mu lm~ qub}elm~ aidm~qif~


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anticoagulants 2011

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