Heparin jekeseni
Zamkati
- Musanagwiritse ntchito heparin,
- Heparin ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo:
Heparin imagwiritsidwa ntchito kuteteza magazi kuundana kuti asapangidwe mwa anthu omwe ali ndi zovuta zina zamankhwala kapena omwe akutsata njira zina zamankhwala zomwe zimawonjezera mwayi woti magazi agundike. Heparin imagwiritsidwanso ntchito poletsa kukula kwa minyewa yomwe idapangidwa kale m'mitsempha yamagazi, koma siyingagwiritsidwe ntchito kuchepetsa kukula kwa minyewa yomwe yapanga kale. Heparin imagwiritsidwanso ntchito pochepera kuti magazi a magazi asapangidwe mu catheters (timachubu tating'ono ta pulasitiki momwe mankhwala amatha kuperekedwera kapena kukoka magazi) omwe amatsalira m'mitsempha kwakanthawi. Heparin ali mgulu la mankhwala otchedwa anticoagulants ('magazi opopera magazi'). Zimagwira ntchito pochepetsa kutseka kwa magazi.
Heparin imabwera ngati yankho (madzi) yolowetsedwa kudzera m'mitsempha (mumtsempha) kapena pansi pakhungu komanso ngati njira yochepetsera (yocheperako) yolowetsedwa mu catheters. Heparin sayenera kulowetsedwa mu minofu. Heparin nthawi zina amabayidwa kamodzi kapena kasanu ndi kamodzi patsiku ndipo nthawi zina amapatsidwa jakisoni wopepuka, wopitilira mtsempha. Heparin akagwiritsa ntchito kuteteza magazi kuundana kuti asapangidwe m'matumbo amkati, nthawi zambiri amagwiritsidwa ntchito catheter ikayikidwa koyamba, ndipo nthawi iliyonse magazi amatuluka mu catheter kapena mankhwala amaperekedwa kudzera mu catheter.
Heparin itha kupatsidwa kwa inu ndi namwino kapena wothandizira ena, kapena mungauzidwe kuti mulowe mankhwala nokha kunyumba. Ngati mukubaya jekeseni wa heparin, wothandizira zaumoyo adzakuwonetsani momwe mungabayire mankhwalawa. Funsani dokotala wanu, namwino, kapena wamankhwala ngati simukumvetsa izi kapena ngati muli ndi mafunso okhudza komwe muyenera kuthira mankhwala a heparin, momwe mungaperekere jakisoni, kapena momwe mungatayire singano ndi majekeseni mutagwiritsa ntchito mankhwala.
Ngati mukufuna kudzipatsa jekeseni wa heparin, tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lomwe simukumvetsa. Gwiritsani ntchito heparin chimodzimodzi monga momwe mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.
Yankho la heparin limabwera mosiyanasiyana, ndipo kugwiritsa ntchito mphamvu yolakwika kumatha kubweretsa mavuto akulu. Musanapereke jakisoni wa heparin, yang'anani phukusi kuti muwonetsetse kuti ndi mphamvu ya mankhwala a heparin omwe dokotala wanu wakupatsani. Ngati mphamvu ya heparin siyolondola musagwiritse ntchito heparin ndikuyimbira dokotala kapena wamankhwala nthawi yomweyo.
Dokotala wanu akhoza kukulitsa kapena kuchepa mlingo wanu mukamamwa mankhwala a heparin. Ngati mudzakhala mukubaya jekeseni wa heparin, onetsetsani kuti mukudziwa kuchuluka kwa mankhwala omwe muyenera kugwiritsa ntchito.
Heparin imagwiritsidwanso ntchito payokha kapena kuphatikiza ndi aspirin popewa kutaya mimba ndi mavuto ena kwa amayi apakati omwe ali ndi zovuta zina zamankhwala ndipo adakumana ndi mavutowa m'mimba zawo zoyambirira. Lankhulani ndi dokotala kapena wamankhwala za kuopsa kogwiritsa ntchito mankhwalawa kuchiza matenda anu.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito heparin,
- Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la heparin, mankhwala ena aliwonse, zopangidwa ndi ng'ombe, zopangidwa ndi nyama ya nkhumba, kapena chilichonse chomwe chingaphatikizidwe mu jakisoni wa heparin. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: ma anticoagulants ena monga warfarin (Coumadin); antihistamines (m'mafupa ambiri ndi mankhwala ozizira); antithrombin III (Thrombate III); ma aspirin kapena mankhwala a aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); dextran; digoxin (Digitek, Lanoxin); dipyridamole (Persantine, mu Aggrenox); hydroxychloroquine (Plaquenil); mankhwala osokoneza bongo (Indocin); phenylbutazone (Azolid) (sakupezeka ku US); quinine; ndi ma tetracycline antibiotics monga demeclocycline (Declomycin), doxycycline (Monodox, Vibramycin), minocycline (Dynacin, Minocin) ndi tetracycline (Bristacycline, Sumycin). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani adotolo ngati muli ndi magawo ochepa am'magazi (mtundu wama cell amwazi ofunikira kuti magazi azigundana bwino) komanso ngati muli ndi magazi ochulukirapo omwe sangathe kuyimitsidwa kulikonse m'thupi lanu. Dokotala wanu angakuuzeni kuti musagwiritse ntchito heparin.
- uzani dokotala ngati mukukumana ndi msambo; ngati muli ndi malungo kapena matenda; ndipo ngati mwangokhala ndi kachizindikiro ka msana (kuchotsa pang'ono madzi omwe amasamba msana kuti ayesere matenda kapena mavuto ena), spinal anesthesia (kutumizira mankhwala opweteka kudera lozungulira msana), opaleshoni, makamaka yokhudza ubongo, msana wam'mimba kapena diso, kapena matenda amtima. Muuzeni dokotala wanu ngati mwakhalapo ndi matenda otuluka magazi monga hemophilia (matenda omwe magazi samatseka mwachizolowezi), kusowa kwa antithrombin III (zomwe zimapangitsa magazi kuundana), kuundana kwamagazi m'miyendo, m'mapapu, kapena paliponse m'thupi, mikwingwirima yachilendo kapena mawanga ofiira pansi pa khungu, khansa, zilonda m'mimba kapena m'matumbo, chubu chomwe chimatulutsa m'mimba kapena m'matumbo, kuthamanga kwa magazi, kapena matenda a chiwindi.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito heparin, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito heparin.
- uzani dokotala wanu ngati mumasuta kapena mumagwiritsa ntchito fodya komanso ngati mumasiya kusuta nthawi iliyonse mukamachiritsidwa ndi heparin. Kusuta kumatha kuchepetsa mphamvu ya mankhwalawa.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Ngati mukubaya jekeseni wa heparin kunyumba, lankhulani ndi dokotala wanu zomwe muyenera kuchita mukaiwala kubaya jakisoni.
Heparin ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kufiira, kupweteka, mabala, kapena zilonda pamalo pomwe heparin adayikidwa
- kutayika tsitsi
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kuvulaza kapena kutuluka mwachilendo
- masanzi omwe ali magazi kapena amaoneka ngati malo a khofi
- chopondapo chomwe chili ndi magazi ofiira owoneka bwino kapena chakuda ndikuchedwa
- magazi mkodzo
- kutopa kwambiri
- nseru
- kusanza
- kupweteka pachifuwa, kupanikizika, kapena kufinya
- kusapeza m'manja, phewa, nsagwada, khosi, kapena kumbuyo
- kutsokomola magazi
- thukuta kwambiri
- mutu wopweteka mwadzidzidzi
- kupusa kapena kukomoka
- kutayika mwadzidzidzi kapena kulumikizana
- kuyenda mwadzidzidzi
- kufooka mwadzidzidzi kapena kufooka kwa nkhope, mkono kapena mwendo, makamaka mbali imodzi ya thupi
- kusokonezeka mwadzidzidzi, kapena kuvutika kuyankhula kapena kumvetsetsa mawu
- zovuta kuwona m'maso amodzi kapena onse awiri
- khungu lofiirira kapena lakuda
- kupweteka ndi kutuluka kwa buluu kapena mdima m'manja kapena miyendo
- kuyabwa ndi kuyaka, makamaka pamunsi pa mapazi
- kuzizira
- malungo
- ming'oma
- zidzolo
- kupuma
- kupuma movutikira
- kuvuta kupuma kapena kumeza
- ukali
- erection yowawa yomwe imatenga maola ambiri
Heparin imatha kuyambitsa kufooka kwa mafupa (momwe mafupa amafowoka ndipo amatha kuthyoka mosavuta), makamaka kwa anthu omwe amagwiritsa ntchito mankhwalawa kwanthawi yayitali. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.
Heparin ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.
Ngati mukubaya jekeseni wa heparin kunyumba, wothandizira zaumoyo wanu adzakuuzani momwe mungasungire mankhwalawa. Tsatirani malangizowa mosamala. Onetsetsani kuti mukusunga mankhwalawa m'chidebe chomwe munabwera, chatsekedwa mwamphamvu, komanso kuti ana asafikire. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Osazizira heparin.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Zizindikiro za bongo zingaphatikizepo:
- m'mphuno
- magazi mkodzo
- wakuda, malo odikira
- kuvulaza kosavuta
- magazi osazolowereka
- magazi ofiira m'mipando
- masanzi omwe ali magazi kapena amaoneka ngati malo a khofi
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira heparin. Dokotala wanu akhoza kukupemphani kuti muyang'ane chopondapo chanu magazi pogwiritsa ntchito mayeso apanyumba.
Musanapite kukayezetsa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukugwiritsa ntchito heparin.
Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
- Lipo-Hepin®¶
- Zamadzimadzi®¶
- Panheparin®¶
¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.
Idasinthidwa Komaliza - 09/15/2017