Ukuqonda ukuSebenza ngeGazi kunye nendlela abasebenza ngayo

Umxholo

• Yintoni egazini?
• Basebenza njani abacoci gazi?
• Ngaba bukhona ubungozi okanye iziphumo ebezingalindelekanga?
• Ngaba i-cholesterol ephezulu inyusa njani ukuhlaselwa yintliziyo kunye nomngcipheko wokubetha?
• Imbonakalo

Yintoni egazini?

Abacoci begazi ngamachiza athintela igazi ekunqandeni. Zikwabizwa ngokuba ziianticoagulants. "Ukujiya" kuthetha "ukujiya."

Amahlwili egazi anokuthintela ukuhamba kwegazi ukuya entliziyweni okanye kwingqondo. Ukungabikho kokuhamba kwegazi kula malungu kunokubangela isifo sentliziyo okanye ukubetha.

Ukuba ne-cholesterol ephezulu kwandisa umngcipheko wokuhlaselwa yintliziyo okanye ukubetha ngenxa yegazi. Ukuthatha igazi elincinci kunokunceda ukunciphisa umngcipheko. La machiza asetyenziselwa ikakhulu ukuthintela amahlwili egazi kubantu abanesingqisho sentliziyo esingaqhelekanga, esibizwa ngokuba yi-atrial fibrillation.

IWarfarin (i-Coumadin) kunye ne-heparin ngabantu abadala begazi. Abahlaziyi abatsha begazi abahlanu bafumaneka:

• apixaban (uEliquis)
• I-XIXAXAXXXXXXX
• dabigatran (iPradaxa)
• edoxaban (Savaysa)
• Rivaroxabanxabisa (Xarelto)

Basebenza njani abacoci gazi?

Abacoci begazi abalinciphisi igazi. Endaweni yokuba bayithintele ekunqandeni.

Udinga ivithamin K ukuvelisa iiproteni ezibizwa ngokuba zii-clotting factor kwisibindi sakho. Izinto zokuvala zenza igazi lakho lijiye. Abacoci begazi abadala njengeCoumadin bathintela ivithamin K ekusebenzeni kakuhle, nto leyo enciphisa inani lezinto ezijiyisayo egazini lakho.

Abacoci begazi abatsha abanjengoEliquis noXarelto basebenza ngokwahlukileyo-bayayithintela into Xa. Umzimba wakho ufuna i-Xa ukwenza i-thrombin, i-enzyme enceda igazi lakho lijiye.

Ngaba bukhona ubungozi okanye iziphumo ebezingalindelekanga?

Ngenxa yokuba abacoci begazi bathintela igazi ekunqandeni, banokubangela ukuba wophe ngaphezulu kunesiqhelo. Ngamanye amaxesha ukopha kunokuba nzima. Abacoci begazi abadala banokubangela ukopha kakhulu kunamatsha.

Biza ugqirha wakho ukuba ubona naziphi na kwezi mpawu ngelixa uthatha abacoci gazi:

• imivumbo emitsha ngaphandle kwesizathu esaziwayo
• iintsini ezophayo
• umchamo obomvu okanye mnyama mnyama okanye ilindle
• amaxesha anzima kunamaxesha aqhelekileyo
• ukukhohlela okanye ukugabha igazi
• ubuthathaka okanye isiyezi
• intloko ebuhlungu okanye isisu esibuhlungu
• ukusika okungayi kuyeka ukopha

Abacoci begazi banokunxibelelana namanye amayeza. Ezinye iziyobisi zonyusa iziphumo zokuncipha kwegazi kwaye zikwenze ukuba ube nokopha ngakumbi. Amanye amachiza enza ukuba abacoci begazi bangasebenzi kakuhle ekuthinteleni ukubetha.

Yazisa ugqirha wakho ngaphambi kokuba uthathe i-anticoagulant ukuba uthatha naliphi na kula mayeza:

• antibiotics ezifana cephalosporins, ciprofloxacin (Cipro), erythromycin (Erygel, Ery-tab), kunye rifampin (Rifadin)
• iziyobisi ezichasayo ezifana ne-fluconazole (Diflucan) kunye ne-griseofulvin (gris-PEG)
• ichiza elibizwa ngokuba yi-carbamazepine (Carbatrol, Tegretol)
• amayeza antithyroid
• iipilisi zokulawula inzala
• amayeza e-chemotherapy njenge capecitabine
• i-cholesterol yokunciphisa i-clofibrate yeziyobisi
• i-gout drug allopurinol (Aloprim, Zyloprim)
• iyeza lokulungisa umothuko i-cimetidine (Tagamet HB)
• intliziyo isingqisho iziyobisi amiodarone (Nexterone, Pacerone)
• iyeza lokucinezela mzimba azathioprine (Azasan)
• Ukunciphisa iintlungu ezifana ne-aspirin, i-diclofenac (i-Voltaren), i-ibuprofen (i-Advil, i-Motrin) kunye ne-naproxen (i-Aleve)

Yazisa ugqirha wakho ukuba ngaba uthatha nawaphi na amayeza e-over-the-counter (OTC), iivithamini, okanye izongezo zemifuno. Ezinye zezi mveliso zinokunxibelelana nabacoci begazi.

Unokufuna ukuqaphela ukubeka esweni ukuba ingakanani ivithamin K oyifumana kwisidlo sakho. Buza ugqirha wakho ukuba ungakanani ukutya okune-vitamin K ekufuneka uyitya suku ngalunye. Ukutya okuphezulu kwi-vitamin K kubandakanya:

• ibrokholi
• ibrussels sprouts
• ikhaphetshu
• imifuno yekhola
• iti eluhlaza
• kudala
• iilentile
• ilethasi
• ispinatshi
• imifuno yetheniphu

Ngaba i-cholesterol ephezulu inyusa njani ukuhlaselwa yintliziyo kunye nomngcipheko wokubetha?

Ikholesterol yinto enamanqatha egazini lakho. Umzimba wakho wenza icholesterol ethile. Eminye ivela kukutya okutyayo. Inyama ebomvu, ukutya okunamafutha apheleleyo, kunye nezinto ezibhakiweyo zihlala ziphezulu kwi-cholesterol.

Xa une-cholesterol eninzi egazini lakho, inokwakha kwiindonga zakho zomthambo kwaye yenze iibhlokhi ezinamathelayo ezibizwa ngokuba ngamacwecwe. Amacwecwe anciphisa imithambo, evumela ukuba kuphume igazi elincinci kuwo.

Ukuba ipleyiti iyakrazuka, i-clot yegazi inokubakho. Elo qokobhe linokuya entliziyweni okanye kwingqondo kwaye libangele isifo sentliziyo okanye ukubetha.

Imbonakalo

Ukuba ne-cholesterol ephezulu kwandisa umngcipheko wokuhlaselwa yintliziyo okanye ukubetha. Ukucocwa kwegazi yenye yeendlela zokuthintela amahlwili ekubunzeni. Ugqirha wakho unokukunika elinye lala machiza ukuba unayo i-atrial fibrillation.

Inqanaba eliqhelekileyo le-cholesterol lingaphantsi kwama-200 mg / dL. Inqanaba elifanelekileyo le-LDL ye-cholesterol ingaphantsi kwe-100 mg / dL. I-cholesterol ye-LDL luhlobo olungenampilo olwenza iiplathi kwimithambo.

Ukuba amanani akho aphezulu, ungenza olu tshintsho kwindlela ophila ngayo ukunceda ukubazisa:

• Nciphisa inani lamafutha agcweleyo, amafutha athambileyo, kunye necholesterol ekudleni kwakho.
• Yitya iziqhamo kunye nemifuno, iintlanzi, kunye neenkozo.
• Ukunciphisa umzimba ukuba utyebe kakhulu. Ukuthabatha iiponti ezintlanu ukuya kwezili-10 kunokunceda ukuthoba amanqanaba akho e-cholesterol.
• Yenza umthambo we-aerobic njengokukhwela ibhayisekile okanye ukuhamba imizuzu engama-30 ukuya kwengama-60 yonke imihla.
• Yeka ukutshaya.

Ukuba ukhe wazama ukwenza olu tshintsho kwaye i-cholesterol yakho isephezulu, ugqirha wakho unokumisela i-statins okanye elinye iyeza lokuyihlisa. Landela isicwangciso sakho sonyango ngokukhawuleza ukukhusela imithana yegazi kunye nokunciphisa umngcipheko wesifo sentliziyo okanye ukubetha.