Anticoagulants: ziyintoni, ziyintoni kwaye ziphambili
Umxholo
- Ngubani omele ukusebenzisa
- Ezona ntlobo ziphambili ze-anticoagulants
- 1. Ii-anticoagulants ezinesitofu
- 2. Ii-anticoagulants zomlomo
- Unyango lwendalo lwe-anticoagulant
- Ukunyamekela ngexesha lonyango
- Unyango lwasekhaya olungasetyenziswanga nge-anticoagulants
I-Anticoagulants sisiyobisi esithintela amahlwili egazi ekubeni abumbe kuba athintela isenzo sezinto ezikhuthaza ukujiya. Amahlwili kubalulekile ekunyangeni amanxeba kunye nokuyeka ukopha, kodwa kukho iimeko apho zinokuthi zithintele ukujikeleza kwegazi, zibangele izifo ezinobuzaza, ezinje nge-stroke, i-thrombosis kunye ne-pulmonary embolism, umzekelo.
Ke, ii-anticoagulants zivumela igazi ukuba lihlale lilulwelo ngaphakathi kwimithambo kwaye linokuhamba ngokukhululekileyo, kucetyiswa abantu abahlaselwe zizifo ezibangelwa kukuqina kwamahlwili okanye abasemngciphekweni omkhulu wokuziphuhlisa.
Ezona zisetyenziswa ngokuxhaphakileyo zii-heparin, i-warfarin kunye ne-rivaroxaban powder, ekufuneka isetyenziswe ngononophelo kwaye ihlala ibeka iliso kwezonyango, kuba ukusetyenziswa kwazo ngokuchanekileyo kunokukhokelela kwimeko yokopha kakhulu.
Ngubani omele ukusebenzisa
I-Anticoagulants kufuneka isetyenziswe ngabantu abasemngciphekweni omkhulu wokukhula kwe-thrombus, njengaleyo ine-arrhythmias yentliziyo okanye abo basebenzisa ii-prostheses zentliziyo. Zikwasetyenziselwa ukuphelisa i-thrombus esele yenziwe, njengakwimeko yabantu abane-thrombosis, embolism pulmonary or infarction.
Ezona ntlobo ziphambili ze-anticoagulants
I-Anticoagulants inokwahlulwa ngokwendlela yolawulo kunye nendlela yokusebenza:
1. Ii-anticoagulants ezinesitofu
Ii-anticoagulants ezinokufakwa inaliti, ezinje nge-heparin okanye i-fondaparinux, zilawulwa ngemithambo okanye ngokungxama.
La machiza asetyenziselwa ukuthintela isifo se-venous thromboembolic kubantu abaye benziwa utyando, abaye banciphisa ukuhamba, ukunqanda ukwakheka kwe-thrombus ngexesha le-hemodialysis, okanye ukunyanga i-infyoction ye-myocardial.
IHeparin inokusetyenziswa nakwabasetyhini abakhulelweyo ukukhusela i-thrombosis, kuba ayiphazamisi ukubunjwa komntwana
2. Ii-anticoagulants zomlomo
Kukho iintlobo ezahlukeneyo ze-anticoagulants zomlomo, kwaye ukhetho lwakho luya kuxhomekeka kuvavanyo lukagqirha lwezinto ezilungileyo kunye nezinto ezingalunganga kumntu ngamnye:
| Iindidi | Amagama | Izibonelelo | Ukungancedi |
| Vitamin K inhibitors | IWarfarin (Marevan, iCoumadin); Iacenocoumarol (iSintrom). | - Isetyenziswe kakhulu; - Ixabiso eliphantsi; -Vumela ulawulo olukhulu lokuxinana ngokweemviwo. | -Ufuna ukwenza ulawulo oluqhelekileyo lokujiya; Iidosi kufuneka zitshintshwe rhoqo, -Ifuthe layo linokutshintshwa ngamanye amayeza okanye ukutya okutyebileyo ku-vitamin K. |
| Ii-anticoagulants ezintsha | I-Rivaroxaban powder (iXarelto); IDabigatrana (iPradaxa); Apixabana (uEliquis). | -Ayimfuneko ukwenza ulawulo lwe-coagulation rhoqo; -Idosi enye yemihla ngemihla; -Zinokuba neziphumo ebezingalindelekanga ezimbalwa. | - Ebiza kakhulu; - Contraindicated kwizifo ezininzi; - Abanawo amachiza. |
Kwimeko yeivithamin K inhibitors, ulawulo lwecoagulation kufuneka lwenziwe kube kanye ngenyanga okanye ngokweengcebiso zonyango.
Unyango lwendalo lwe-anticoagulant
Kukho ezinye izinto zemifuno, ezaziwa njengezinako "ukunciphisa" igazi kunye nokunciphisa umngcipheko wamahlwili, afana neGinkgo biloba okanye iDong quai, umzekelo.
Ezi zityalo zingasetyenziselwa iti okanye zifakwe ngohlobo lwee-capsules, ezithengiswa kwiivenkile zokutya zezempilo. Nangona kunjalo, ukusetyenziswa kwayo akufuneki kuthathe indawo yamachiza amiselwe ngugqirha, kwaye akufuneki isetyenziswe ngokudibeneyo nezinye i-anticoagulants.
Ukongeza, kufuneka zithathwe kuphela emva kolwazi lukagqirha, njengoko zinokuphazamisa isenzo samanye amayeza, kwaye, njengamanye amayeza, la mayeza esintu kufuneka amiswe kwixesha laphambi kotyando.
Ukunyamekela ngexesha lonyango
Ngexesha unyango kunye anticoagulants, kubalulekile ukuba:
- Xela kugqirha nanini na kukho utshintsho kwindlela otya ngayo okanye ekusetyenzisweni kwamayeza ukuze ungabeki mva isenzo se-anticoagulant;
- Kulumkele ukuxuba iintlobo ezimbini ze-anticoagulants, ngaphandle kwaxa imeko yezonyango ibonisa;
- Nika ingqalelo kwiimpawu zokopha, ezinjengamabala agqithisileyo eluswini, iintsini ezophayo, igazi kumchamo okanye ilindle kwaye, ukuba kukho nabaphi na kubo, funa unyango.
Okunye ukutya okunotye ivithamin K kunciphisa isenzo se-anticoagulants, ezinjenge-warfarin, kunye nokhathalelo kufuneka luthathwe xa lusetyenziswa. Nangona kunjalo, njengoko ithamo le-anticoagulant lihlengahlengiswa kwiimfuno zomntu ngamnye, akukho mfuneko yokumisa ukusetyenziswa kwako konke oku kutya, kodwa endaweni yokuphepha utshintsho olukhawulezileyo kwindlela otya ngayo, ukugcina isixa esiqhelekileyo kukutya.
Umzekelo woku kutya kukuhlaza okuluhlaza kunye nemifuno enamagqabi, enje ngesipinatshi, i-kale, iletisi, ukongeza kwikhaphetshu, i-broccoli kunye nekholifulawa, umzekelo. Jonga uluhlu olupheleleyo lokutya okunotye vithamin K.
Unyango lwasekhaya olungasetyenziswanga nge-anticoagulants
Kuqhelekile ukuba abanye abantu basebenzise amayeza esintu okanye amayeza asekhaya, ngaphandle kwengcebiso yezonyango, yonke imihla, kuba becinga ukuba yeyendalo kwaye ayinabungozi. Nangona kunjalo, ezinye zazo zinokunxibelelana, zihlala ziqinisa, isiphumo se-anticoagulants, esibangela umngcipheko wokopha, ukubeka ubomi bomntu emngciphekweni.
Ke, abantu abasebenzisa i-anticoagulant okanye anti-aggregating drug, kufuneka bathathe unonophelo olukhethekileyo xa bethatha amayeza ekhaya okanye izongezo zokutya ezilungiselelwe ngokusekwe:
- Igalikhi;
- UGinkgo Biloba;
- IGinseng;
- Isilumko esibomvu;
- EGuaco;
- UDong Quai okanye i-Angelica yaseTshayina;
- Ihashe chestnut;
- IBilberry;
- Guarana;
- UArnica.
Ngenxa yolu hlobo lokunxibelelana phakathi kwamayeza kunye neyeza zendalo, kubalulekile ukuba uthathe amayeza kuphela emva kokubonisa okanye ukuvunywa ngugqirha.
Iinkcukacha Ezithe Kratya
Ungakuphepha njani ukugqithisa ngexesha lokuzilolonga
