Loluphi unyango olungenakuthathwa ngaphambi kotyando

Umxholo

• 1. Iiplatelet antiaggregants
• 2. Iintsholongwane
• 3. Amachiza a-non-steroidal anti-inflammatory
• 4. Unyango lwehomoni
• 5. Unyango lwesifo seswekile
• 6. Amayeza eecholesterol
• 7. Unyango lwezifo zamathambo
• 8. Iipytotherapics
• 9. womchamo
• Uncedo olunokugcinwa

Ukuze utyando luqhubeke ngemingcipheko embalwa kunye nokubuyela kwimeko yesiqhelo ngokukhawuleza, kubalulekile ukuba ulandele imiyalelo kagqirha malunga nokuqhubeka konyango oluthile, kuba kwezinye iimeko, kuyekisiwe ukusetyenziswa kwamayeza athile, ngakumbi lawo alungiselela umngcipheko wokopha okanye ukuzisa uhlobo oluthile lokubola, njengakwicala le-acetylsalicylic acid, clopidogrel, anticoagulants, non-steroidal anti-inflammatory drugs okanye amanye amayeza eswekile, umzekelo.

Amayeza amaninzi kufuneka ahlolwe kwimeko nganye, njengezicwangcisi kunye nezidambisi, ezinqunyanyisiweyo kubantu abasemngciphekweni omkhulu wokuphendula. Ezinye iziyobisi, ezinje ngamachiza oxinzelelo lwegazi, ii-antibiotics kunye ne-corticosteroids engapheliyo, kufuneka zigcinwe kwaye zithathwe nangomhla woqhaqho, kuba ukuphazamiseka kwabo kunokubangela iincopho zexinzelelo lwegazi okanye ukubola kwehomoni ngexesha lotyando.

Ke, kubalulekile ukuba, ngaphambi kotyando, kwenziwe uluhlu lonyango oluthathwa ngumntu, lisiwe kugqirha, kubandakanya i-homeopathic okanye ezinye ezingabonakali zibalulekile, ukuze kuthintelwe nawuphi na umngcipheko okwangoku. yenkqubo yotyando.

Ukongeza, kufuneka kuthathwe amanye amanyathelo okuthintela ukutshaya, njengokuyeka ukutshaya, ukunqanda iziselo ezinxilisayo kunye nokugcina ukutya okunezondlo, ngakumbi kwiintsuku eziphambi kotyando nakulo lonke ixesha lasemva kotyando. Bona ezinye iinkcukacha malunga nokhathalelo ekufuneka luthathwe ngaphambi nasemva kotyando.

1. Iiplatelet antiaggregants

Amachiza e-antiplatelet, anje nge-acetylsalicylic acid, i-clopidogrel, i-ticagrelor, i-cilostazol kunye ne-ticlopidine, eyaziwa njengeziyobisi "zokucheba igazi", akufuneki isetyenziswe ngaphambi kotyando, kwaye kufuneka iyekwe kwiintsuku ezisi-7 ukuya kwezi-10 ngaphambili, okanye njengoko kuchaziwe ngugqirha. IiPlatelet antiaggregants ezinesenzo esiguqukayo, zinokuxhonywa ngokwexesha labo lobomi, elithetha ukumisa iyeza malunga neeyure ezingama-72 ngaphambi kotyando.

2. Iintsholongwane

Abantu abasebenzisa i-coumarinic anticoagulants, ezinje ngeMarevan okanye iCoumadin, banokuhlinzwa kuphela emva kokumiswa kwabo, befuna amanqanaba e-coagulation, avavanywa kuvavanyo lwe-INR, ukuba babe ngaphakathi kwemida eqhelekileyo.

Abantu abasebenzisa ii-anticoagulants ezintsha, ezinje nge-rivaroxaban powder, i-apixaban kunye ne-dabigatran, abanokufuna ukumisa iyeza lonyango lotyando oluncinci, olufana nolwe-dermatological, amazinyo, i-endoscopy kunye ne-cataract. Nangona kunjalo, ukuba lukhona utyando oluntsonkothileyo, la mayeza anokumiswa ixesha elinokwahluka phakathi kweeyure ezingama-36 kunye neentsuku ezi-4, ngokobungakanani botyando kunye neemeko zempilo yomntu.

Emva kokumiswa kwee-anticoagulants, ugqirha usenokubonisa ukusetyenziswa kwe-heparin enesitofu, ukuze kwixesha apho umntu engenawo amayeza, akukho mngcipheko ukwanda kobunzima, njenge-thrombosis kunye ne-stroke, umzekelo. Qonda ukuba zeziphi izikhombisi ze-heparin kunye nendlela yokuzisebenzisa.

3. Amachiza a-non-steroidal anti-inflammatory

Amachiza-non-steroidal anti-inflammatory ayifanele ukuba asetyenziswe ngaphambi kotyando, njengoko nawo ephazamisa amandla egazi okugubungela kwaye anokusetyenziswa kuphela ukuya kuthi ga kwiintsuku ezintathu ngaphambi kwenkqubo.

4. Unyango lwehomoni

Izicwangcisi azidingi ukumiswa ngaphambi kotyando oluncinci nakwabasetyhini abasemngciphekweni ophantsi wokuba nohlobo oluthile lwe-thrombosis. Nangona kunjalo, abasetyhini abasemngciphekweni owandayo, njengaleyo inembali yangaphambili okanye yosapho ye-thrombosis, umzekelo, kufuneka bayeke ukusebenzisa iziyobisi malunga neeveki ezi-6 ngaphambili kwaye, ngeli xesha, olunye uhlobo lwendlela yokuthintela ukukhulelwa kufuneka isetyenziswe.

Unyango olubuyisela iHormone kunye ne-tamoxifen okanye i-raloxifene, kufuneka irhoxiswe kubo bonke abantu basetyhini, kwiiveki ezi-4 ngaphambi koqhaqho, njengoko amanqanaba ehomoni ephezulu, oko ke kubangela umngcipheko omkhulu we-thrombosis.

5. Unyango lwesifo seswekile

Amayeza eethebhulethi yesifo seswekile yeentlobo ezahlukeneyo, ezinjenge-glimepiride, i-gliclazide, i-liraglutide kunye ne-acarbose, umzekelo, kufuneka ziyekwe kusuku olungaphambi kotyando. I-Metformin, kwelinye icala, kufuneka iyekwe iiyure ezingama-48 ngaphambi kotyando, njengoko ibeka umngcipheko wokubangela i-acidosis egazini ngexesha lotyando. Kwithuba emva kokurhoxa kweziyobisi, kubalulekile ukuba kubekwe iliso kwiswekile yegazi kwaye, kwimeko yokonyuka kweglucose yegazi, kufuneka kusetyenziswe i-insulin.

Kwiimeko apho umntu esebenzisa i-insulin, kufuneka iqhubeke, ngaphandle kwe-insulins yexesha elide, njenge-glargine kunye ne-NPH, apho ugqirha unokunciphisa idosi kwisiqingatha okanye i-1/3, ukuze umngcipheko unciphiswe i-hypoglycemia ngexesha lotyando .

6. Amayeza eecholesterol

Amachiza e-cholesterol kufuneka ayekiswe usuku olu-1 ngaphambi kotyando, kwaye kuphela iziyobisi zohlobo lwe-statin, ezinje nge-simvastatin, pravastatin okanye i-atorvastatin, umzekelo, inokugcinwa, njengoko ingabangeli mngcipheko ngexesha lenkqubo.

7. Unyango lwezifo zamathambo

Amayeza afana ne-allopurinol okanye i-colchicine, eboniswe kwizifo ezinjenge-gout, umzekelo, kufuneka anqunyanyiswe ngentsasa yotyando.

Ngokuphathelele iziyobisi ezisetyenziselwa ukunyanga izifo ezinje nge-osteoporosis okanye i-rheumatoid arthritis, uninzi lwazo kufuneka lunqunyanyiswe kusuku olungaphambi kotyando, nangona kunjalo, kwezinye iimeko, kunokuba yimfuneko ukumisa unyango malunga neveki ngaphambi kotyando, kumayeza anje sulfasalazine kunye penicillamine.

8. Iipytotherapics

Amayeza esintu athathelwa ingqalelo, ngabemi ngokubanzi, akhuselekile ngokunxulumene namayeza e-allopathic, ukuba aqhele ukusetyenziswa kakhulu, kunye nokushiywa kokusetyenziswa kwawo phambi koogqirha. Nangona kunjalo, ngamachiza anokubangela iziphumo ebezingalindelekanga, kwaye uninzi lwazo alunabungqina besayensi bokusebenza, kwaye lunokuphazamisa kakhulu utyando, ke kufuneka luhlale lunqunyanyisiwe.

Amayeza esintu afana neGinkgo biloba, Ginseng, Arnica, Valeriana, Kava-kava okanye iSt.John's wort okanye iti yegalikhi, umzekelo, inokubangela iziphumo ebezingalindelekanga ngexesha lotyando, njengokunyusa umngcipheko wokopha, okukhokelela kwiingxaki zentliziyo okanye ukunyusa Iziphumo zokuthomalalisa iintlungu, ke ngoko, kuxhomekeke kumayeza esintu ekubhekiswa kuwo, kufuneka anqunyanyiswe phakathi kweeyure ezingama-24 ukuya kwiintsuku ezisi-7 ngaphambi kwenkqubo.

9. womchamo

I-diuretics kufuneka iyekwe nanini na xa utyando lubandakanya umngcipheko okanye xa kuqikelelwa ukulahleka kwegazi, njengoko la machiza enokutshintsha amandla wezintso ukugxila kumchamo, onokuthi uthintele iimpendulo kwi-hypovolemia.

Ukongeza, iziselo ezinobutyebi be-caffeine kunye nezongezo, ezinje ngekofu, iti eluhlaza kunye neti emnyama, nazo mazithintelwe kwiveki engaphambi kotyando.

Emva kwenkqubo yotyando, unyango lunokuphinda luqale, ngokokuyalelwa ngonyango, kuxhomekeke ekubuyiselweni nasekunciphiseni umngcipheko weziphumo ebezingalindelekanga. Yazi nokuba zeziphi ezona zinto kufuneka uzithabathe ukuze uphinde uchache ngokukhawuleza.

Uncedo olunokugcinwa

Amayeza ekufuneka egcinwe, nokuba kungomhla woqhaqho kunye nokuzila ukutya, zezi:

• Iziyobisi antihypertensive kunye antiarrhythmic, ezinje nge-carvedilol, losartan, enalapril okanye i-amiodarone, umzekelo;
• I-steroids engapheliyo, ezinje nge-prednisone okanye i-prednisolone, umzekelo;
• Unyango lwe-Asthma, ezifana ne-salbutamol, i-salmeterol okanye i-fluticasone, umzekelo;
• Unyango lwezifo ze-thyroid, I-levothyroxine, propylthiouracil okanye i-methimazole, umzekelo;
• Unyango lwe-gastritis kunye ne-reflux, ezifana ne-omeprazole, i-pantoprazole, i-ranitidine kunye ne-domperidone, umzekelo;
• Unyango lwezifo, ngamayeza okubulala iintsholongwane, awunakunqandwa;

Ukongeza, amanye amayeza anokugcinwa ngononophelo, njenge-anxiolytics, i-anti-depressants kunye ne-anticonvulsants, kuba nangona zingaphikiswa ngaphambi kotyando, ukusetyenziswa kwazo kufuneka kuxoxwe nodokotela ogqirha kunye ne-anesthetist, njengoko zinokuphazamisa ezinye iintlobo ze-anesthesia kwaye, Kwezinye iimeko, ukwandisa umngcipheko weengxaki.