Anticoagulants: zomwe ali, zomwe ali ndi mitundu yayikulu
Zamkati
- Ndani ayenera kugwiritsa ntchito
- Mitundu yayikulu yama anticoagulants
- 1. Mankhwala oletsa jekeseni wa jekeseni
- 2. Ma anticoagulants apakamwa
- Mankhwala achilengedwe a anticoagulant
- Kusamalira panthawi ya chithandizo
- Zithandizo zapakhomo zomwe siziyenera kugwiritsidwa ntchito ndi ma anticoagulants
Maanticoagulants ndi mankhwala omwe amalepheretsa magazi kuundana chifukwa amalepheretsa zinthu zomwe zimalimbikitsa kuundana. Mitsempha ndiyofunika kuchiritsa mabala ndikusiya kutuluka magazi, koma pali zochitika zina zomwe zimalepheretsa kuyenderera kwa magazi, kumayambitsa matenda akulu, monga stroke, thrombosis ndi pulmonary embolism, mwachitsanzo.
Chifukwa chake, maanticoagulants amalola magazi kuti akhalebe amadzimadzi mkati mwa zotengera ndipo amatha kuyenda momasuka, kulimbikitsidwa kwa anthu omwe adwala matenda obwera chifukwa cha kuundana kapena omwe ali pachiwopsezo chachikulu chotenga matendawa.
Omwe amagwiritsidwa ntchito kwambiri ndi heparin, warfarin ndi rivaroxaban, omwe amayenera kugwiritsidwa ntchito mosamala komanso nthawi zonse ndi kuwayang'anira azachipatala, chifukwa kugwiritsa ntchito kwawo molakwika kumatha kubweretsa magazi.
Ndani ayenera kugwiritsa ntchito
Maanticoagulants ayenera kugwiritsidwa ntchito ndi anthu omwe ali pachiwopsezo chachikulu chotenga thrombus, monga omwe ali ndi arrhythmias yamtima kapena omwe amagwiritsa ntchito ma prostheshes a mtima. Amagwiritsidwanso ntchito kuthana ndi thrombus yomwe idapangidwa kale, monganso anthu omwe ali ndi thrombosis, embolism pulmonary embolism kapena infarction.
Mitundu yayikulu yama anticoagulants
Maanticoagulants amatha kugawidwa molingana ndi njira yoyendetsera komanso momwe amagwirira ntchito:
1. Mankhwala oletsa jekeseni wa jekeseni
Ma anticoagulants ojambulidwa, monga heparin kapena fondaparinux, amaperekedwa kudzera m'mitsempha kapena subcutaneous.
Mankhwalawa amagwiritsidwa ntchito popewera matenda a venous thromboembolic mwa anthu omwe achita opaleshoni, omwe achepetsa kuyenda, kupewa mapangidwe a thrombus nthawi ya hemodialysis, kapena kuchiza infarction ya myocardial infarction.
Heparin itha kugwiritsidwanso ntchito kwa amayi apakati popewa thrombosis, chifukwa siyimasokoneza mapangidwe a mwana
2. Ma anticoagulants apakamwa
Pali mitundu yosiyanasiyana ya ma anticoagulants am'kamwa, ndipo kusankha kwanu kudalira kuwunika kwa dokotala za zabwino ndi zoyipa zake kwa munthu aliyense:
Mitundu | Mayina | Ubwino | Zoyipa |
Vitamini K zoletsa | Warfarin (Marevan, Coumadin); Acenocoumarol (Sintrom). | - Kugwiritsa ntchito kwambiri; - Kutsika mtengo; - Lolani kuwongolera kwambiri kugunda kwam'magazi kudzera mayeso. | - Muyenera kuwongolera kuwundana nthawi zonse; - Mlingo umafunika kusinthidwa pafupipafupi, - Mphamvu yake imatha kusinthidwa ndi mankhwala ena kapena zakudya zomwe zili ndi vitamini K. |
Maanticoagulants atsopano | Mafuta a Rivaroxaban (Xarelto); Dabigatrana (Pradaxa); Apixabana (Eliquis). | - Sikoyenera kupanga kuwongolera pafupipafupi kugundana; - Mlingo wosakwatiwa tsiku lililonse; - Atha kukhala ndi zovuta zochepa. | - Zodula kwambiri; - Contraindicated angapo matenda; - Alibe mankhwala. |
Pankhani ya zoletsa mavitamini K, kuwundana kumayenera kuchitika kamodzi pamwezi kapena malinga ndi upangiri wa zamankhwala.
Mankhwala achilengedwe a anticoagulant
Pali mankhwala ena azitsamba, omwe amadziwika kuti amatha "kupatulira" magazi ndikuchepetsa chiwopsezo cha kuundana, monga Ginkgo biloba kapena Dong quai, mwachitsanzo.
Mitengoyi itha kugwiritsidwa ntchito mu tiyi kapena kuyamwa mwa mawonekedwe a makapisozi, ogulitsidwa m'malo ogulitsa zakudya. Komabe, kugwiritsa ntchito sikuyenera kulowa m'malo mwa mankhwala omwe dokotala adakupatsani, komanso sayenera kugwiritsidwa ntchito limodzi ndi ma antiticoagulants.
Kuphatikiza apo, amayenera kumwedwa kokha dokotala atadziwa, chifukwa amatha kusokoneza zochita za mankhwala ena, ndipo, monga mankhwala ena, mankhwala azitsamba akuyenera kuyimitsidwa panthawi yopanga opaleshoni iliyonse.
Kusamalira panthawi ya chithandizo
Mukamalandira mankhwala a anticoagulants, ndikofunikira kuti:
- Nenani kwa dokotala pakafika kusintha kwa zakudya kapena kagwiritsidwe ntchito ka mankhwala kuti asathetsere zochita za anticoagulant;
- Pewani kusakaniza mitundu iwiri ya maanticoagulants, kupatula ngati akuwonetsa zamankhwala;
- Samalani ndi zizindikiro zakutuluka kwa magazi, monga mawanga pakhungu, kutuluka magazi m'kamwa, magazi mkodzo kapena ndowe ndipo, ngati alipo, pitani kuchipatala.
Zakudya zina zokhala ndi vitamini K zimachepetsa mphamvu yama anticoagulants, monga warfarin, ndipo ayenera kusamalidwa akamamwa. Komabe, popeza kuti mankhwala a anticoagulant amatha kusintha zosowa za munthu aliyense, sikofunikira kuyimitsa kumwa zakudya zonsezi, koma kupewa kupewa kusintha kwadzidzidzi kwa zakudya, kukhala osasinthasintha.
Zitsanzo za zakudya izi ndi masamba obiriwira komanso masamba obiriwira, monga sipinachi, kale, letesi, kuphatikiza kabichi, broccoli ndi kolifulawa, mwachitsanzo. Onani mndandanda wonse wa zakudya zokhala ndi vitamini K.
Zithandizo zapakhomo zomwe siziyenera kugwiritsidwa ntchito ndi ma anticoagulants
Zimakhala zachilendo kuti anthu ena azigwiritsa ntchito mankhwala azitsamba kapena mankhwala apakhomo, popanda malangizo azachipatala, tsiku ndi tsiku, chifukwa amaganiza kuti ndi achilengedwe ndipo alibe vuto lililonse. Komabe, ena mwa iwo amatha kulumikizana, nthawi zambiri kukulitsa, mphamvu ya maanticoagulants, omwe amayambitsa chiwopsezo chakutuluka magazi, ndikuyika moyo wa munthu pachiwopsezo.
Chifukwa chake, anthu omwe amagwiritsa ntchito anticoagulant kapena anti-aggregating mankhwala, ayenera kusamala kwambiri akamamwa mankhwala kunyumba kapena zowonjezera zakudya zomwe zakonzedwa kutengera:
- Adyo;
- Ginkgo Biloba;
- Ginseng;
- Wanzeru wofiira;
- Guaco;
- Dong Quai kapena Angelica waku China;
- Mgoza wamahatchi;
- Bilberry;
- Guarana;
- Arnica.
Chifukwa cha kulumikizana kwamtunduwu pakati pa mankhwala ndi mankhwala achilengedwe, ndikofunikira kumwa mankhwala pambuyo poti dokotala akuvomerezani.