Dalteparin, Solution Yothetsera

Zamkati

• Mfundo zazikulu za dalteparin
• Machenjezo ofunikira
• Chenjezo la FDA: Kutupa kwamatenda kapena msana
  
• Machenjezo ena
• Kodi dalteparin ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Dalteparin
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Dalteparin imatha kulumikizana ndi mankhwala ena
• Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo
• Machenjezo a Dalteparin
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Momwe mungatenge dalteparin
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wopewa zovuta zokhudzana ndi angina wosakhazikika kapena matenda amtima
• Mlingo wopewa kwambiri mtsempha thrombosis m'mimba kapena m'chiuno m'malo operekera opaleshoni
• Mlingo wopewa kwambiri mitsempha ya thrombosis mwa anthu omwe samayenda pang'ono chifukwa chodwala kwambiri
• Mlingo wothandizira venous thrombosis mwa anthu omwe ali ndi khansa
• Tengani monga mwalamulidwa
• Zofunikira pakumwa dalteparin
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Kupezeka
• Ndalama zobisika
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo zazikulu za dalteparin

1. Njira yothetsera jakisoni wa Dalteparin imapezeka ngati mankhwala odziwika okha. Sipezeka ngati mankhwala achibadwa. Dzinalo: Fragmin.
2. Dalteparin imangobwera ngati mawonekedwe a jakisoni. Amaperekedwa ndi jakisoni wocheperako. Dalteparin ndi mankhwala omwe amadzipiritsa okha. Izi zikutanthauza kuti inu kapena wosamalira mutha kubaya mankhwalawo.
3. Dalteparin ndi wochepetsetsa magazi. Zimakonda:
   • pewani zovuta zokhudzana ndi angina wosakhazikika kapena matenda amtima
   • pewani thrombosis yakuya panthawi yochita opaleshoni yam'mimba kapena opaleshoni ya m'chiuno
   • pewani magazi kuundana m'mitsempha yakuya ya mikono ndi miyendo yanu pomwe simutha kuyenda kwambiri chifukwa chodwala kwambiri
   • mankhwala venous thrombosis ngati muli ndi khansa

Machenjezo ofunikira

Chenjezo la FDA: Kutupa kwamatenda kapena msana

• Mankhwalawa ali ndi chenjezo lakuda lakuda. Ili ndiye chenjezo lalikulu kwambiri kuchokera ku Food and Drug Administration (FDA). Chenjezo la bokosi lakuda limachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Kumwa mankhwalawa mukalandira mankhwala ojambulidwa mu danga (mumsana), kapena mutakhala ndi njira yomwe imakhudza kupindika kwa msana wanu, zimatha kubweretsa zovuta zina. Izi zikuphatikiza kutupa komwe kumachitika chifukwa chamagazi omwe amatuluka kulowa m'matenda. Kutupa uku kungakhudze mayendedwe anu ndipo kumatha. Anthu ena ali pachiwopsezo chachikulu chotupa ichi. Izi zimaphatikizapo anthu omwe ali ndi catheter ya epidural (chubu cholowetsedwa mu malo am'magulu omwe amagwiritsidwa ntchito popereka mankhwala) ndi anthu omwe amagwiritsa ntchito mankhwala omwe amakhudza magazi, monga nonsteroidal anti-inflammatory drugs (NSAIDs) kapena owonda magazi ena. Amaphatikizaponso anthu omwe ali ndi mbiri yakuchita opareshoni ya msana, vuto la msana, kapena obwereza kapena owopsa m'matenda kapena msana. Mukamamwa mankhwalawa, dokotala wanu amayang'anira kupweteka kulikonse, kufooka kwa minofu kapena kufooka, kapena kuchepa kwa kayendedwe.

Machenjezo ena

• Kuchenjeza kwamagulu ochepa: Mankhwalawa amatha kuchepetsa kuwerengera kwa maselo am'magazi (maselo amwazi omwe amathandiza magazi kuundana). Izi zimakulitsa chiopsezo chanu chotaya magazi.
• Chenjezo lokhetsa magazi: Mankhwalawa amachititsa kuti mukhale magazi. Izi zitha kuchitika ngati kutuluka magazi m'mphuno, kukwapula kwambiri, kutuluka magazi kuchokera pakucheka, kapena kutuluka magazi kuchokera m'kamwa mukamatsuka kapena kuphulika. Zitha kukhalanso ngati magazi mumkodzo wanu, kapena magazi mu chopondapo chanu (chitha kuwoneka chofiira, chofiira, kapena chakuda ndikuchedwa). Mukawona izi, pitani kuchipatala.
• Chenjezo laposachedwa la opaleshoni: Ngati mwachitidwa opaleshoni yaposachedwa (mkati mwa miyezi isanu ndi umodzi yapitayi) muubongo wanu, msana, kapena maso, chiopsezo chanu chodzaza magazi chikuwonjezeka mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Kodi dalteparin ndi chiyani?

Dalteparin ndi mankhwala akuchipatala. Imabwera ngati njira yothetsera jakisoni. Amaperekedwa ndi jakisoni wocheperako (jakisoni pansi pa khungu). Mankhwalawa amadzipiritsa okha. Izi zikutanthauza kuti inu kapena wosamalira mutha kubaya mankhwalawo.

Dalteparin imapezeka ngati dzina la mankhwala Fragmin. Sipezeka ngati mankhwala achibadwa.

Mankhwalawa atha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Dalteparin ndi wochepetsetsa magazi. Zimathandiza ku:

• pewani zovuta zokhudzana ndi angina wosakhazikika (kupweteka pachifuwa) kapena matenda amtima
• pewani thrombosis yakuya (magazi otsekemera m'mitsempha yakuya yamiyendo yanu kapena mikono) panthawi yochita opaleshoni yam'mimba kapena opaleshoni ya m'chiuno
• pewani thrombosis yakuya (magazi amaundika mitsempha yakuya yamiyendo yanu kapena mikono) panthawi yochita opaleshoni yam'mimba kapena opaleshoni ya m'chiuno
• pewani magazi kuundana m'mitsempha yakuya ya mikono ndi miyendo yanu pomwe simutha kuyenda kwambiri chifukwa chodwala kwambiri
• chitani venous thrombosis (magazi m'mitsempha mwanu) ngati muli ndi khansa

Momwe imagwirira ntchito

Dalteparin ndi gulu la mankhwala otchedwa low molecular weight heparin (LMWH). Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Dalteparin imagwira ntchito poletsa puloteni inayake mthupi lanu yomwe imayambitsa kutseka. Izi zimathandiza kuti magazi a magazi asapangike. Ngati muli ndi chotsekemera chamagazi, mankhwalawa amaletsa kuti achiwonjezeke pomwe thupi lanu limadzigwetsera lokha.

Zotsatira zoyipa za Dalteparin

Yankho la jekeseni la Dalteparin silimayambitsa kugona, koma limatha kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi dalteparin ndizo:

• kutupa kodzaza ndi magazi pamalo obayira
• kuwonjezeka kwa mabala kapena kutuluka magazi
• Kutaya magazi nthawi yayitali chifukwa chodulidwa kapena kutuluka

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Magazi. Chiwopsezo chanu ndichokwera kwambiri ngati mungakhale ndi kuchuluka kwama platelet. Zizindikiro zimatha kuphatikiza:
  • Kutupa kodzaza ndi magazi msana, ndi zizindikiro za:
    • kumva kulira
    • dzanzi miyendo
    • kufooka kwa minofu
  • kuchuluka kwa magazi m'mphuno
  • Kuchuluka kwa chingamu mukamasamba kapena kutsuka
  • kutsokomola magazi
  • kusanza magazi
  • magazi mkodzo wanu
  • magazi m'malo anu (atha kukhala ofiira owoneka ofiira, ofiira amdima, kapena akuda ndikuchedwa)
  • kuchulukitsa
  • mawanga ofiira amdima pansi pa khungu lako
• Matenda a Gasping akhanda asanakwane. Zizindikiro zimatha kuphatikiza:
  • kuvuta kupuma
• Kuchulukitsa michere ya chiwindi (monga akuwonetsera poyesa ndi dokotala). Zizindikiro zimatha kuphatikiza:
  • kupweteka pamimba (m'mimba)
  • nseru kapena kusanza
  • chikasu cha khungu lako kapena kuyera kwa maso ako
• Thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:
  • kuyabwa
  • zidzolo
  • malungo
  • ming'oma (kuyabwa kovuta)
  • Zomwe zimachitika pamalo obayira jekeseni, kuphatikizapo kufiira, kutupa, kapena kuyabwa
  • kuvuta kupuma

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Dalteparin imatha kulumikizana ndi mankhwala ena

Yankho la jekeseni la Dalteparin limatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi dalteparin alembedwa pansipa.

Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo

Kutenga dalteparin ndi mankhwala ena kumawonjezera chiopsezo chanu ku dalteparin. Zitsanzo za mankhwalawa ndi monga:

• Ma Platelet inhibitors, monga prasugrel, ticagrelor, dipyridamole, kapena clopidogrel.
  • Mukamagwiritsa ntchito dalteparin, mankhwalawa amakupangitsani kuti mukhale ndi magazi owopsa.
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga aspirin, ibuprofen, kapena naproxen.
  • Mukamagwiritsa ntchito dalteparin, mankhwalawa amakupangitsani kuti mukhale ndi magazi owopsa.
• Ma anticoagulants apakamwa, monga warfarin kapena dabigatran.
  • Mukamagwiritsa ntchito dalteparin, mankhwalawa amakupangitsani kuti mukhale ndi magazi owopsa.

* Dokotala wanu akhoza kukupatsani mankhwala a dalteparin ndi aspirin ngati mukuchiritsidwa kupweteka pachifuwa kapena matenda amtima.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Dalteparin

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Mankhwalawa amatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuvuta kupuma
• kutupa pakhosi kapena lilime
• kuyabwa
• zidzolo
• malungo
• Zomwe zimachitika pamalo obayira, monga kufiira, kutupa, kapena kuyabwa
• ming'oma (kuyabwa kovuta)

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Dalteparin imakweza chiopsezo chanu chotaya magazi. Kumwa zakumwa zomwe zili ndi mowa mukamamwa mankhwalawa kumawonjezera ngozi. Mukamwa mowa, lankhulani ndi dokotala wanu. Mungafunike kuyang'aniridwa ngati muli ndi zizindikiro zakukha magazi.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi mbiri yakuchita opaleshoni yamtsempha kapena chilema: Ngati muli ndi mankhwala obayidwa m'dera lanu lam'mimba (mumsana), kapena muli ndi njira yothandizira kupindika msana wanu, mankhwalawa amakupangitsani kuti muzitha kutuluka magazi m'derali. Ngati muli ndi vuto la msana kapena mwachitidwa opaleshoni yaposachedwa, ngozi yanu ndiyokwera. Kuchulukana kwa magazi kumatha kubweretsa zovuta zoyenda, kuphatikiza ziwalo zina kapena thupi lanu lonse. Mavutowa amatha.

Kwa anthu omwe akutuluka kwambiri: Ngati mukudwala magazi kwambiri, musagwiritse ntchito mankhwalawa.

Kwa anthu omwe ali ndi mbiri yokhudzana ndi mankhwala osokoneza bongo: Ngati mwakhala ndi kuchuluka kwamagulu ochepa omwe amayamba chifukwa chogwiritsa ntchito mankhwala a heparin, musagwiritse ntchito mankhwalawa.

Kwa anthu omwe ali ndi vuto la heparin kapena nkhumba: Musagwiritse ntchito mankhwalawa ngati mwakhala mukuyankha mankhwala a heparin kapena nkhumba.

Kwa anthu omwe ali ndi mavuto amtima wapano kapena apakale: Ngati muli ndi mbiri yamatenda amtima, chiopsezo chanu chodzitaya magazi chikuwonjezeka mukamamwa mankhwalawa. Mavutowa akuphatikizapo:

• kuthamanga kwa magazi kosalamulirika
• matenda mumtima mwanu

Kwa anthu omwe ali ndi mbiri yokhudza kupwetekedwa: Kuopsa kwanu kotaya magazi kumawonjezeka mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi vuto lalikulu la impso kapena chiwindi: Kuopsa kwanu kotaya magazi kumawonjezeka mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Kwa anthu omwe ali ndi mavuto amaso: Ngati muli ndi mavuto amaso chifukwa cha kuthamanga kwa diso kapena matenda ashuga, chiopsezo chanu chodzitaya magazi chikuwonjezeka mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Kwa anthu omwe ali ndi vuto lotaya magazi: Ngati muli ndi mavuto ena otaya magazi, chiopsezo chanu chodzitaya magazi chikuwonjezeka mukamamwa mankhwalawa. Matendawa amaphatikizapo kuwerengera kwamagazi (maselo amwazi omwe amathandizira magazi anu kuundana), kapena ma platelet omwe sagwira ntchito bwino. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Kwa anthu omwe ali ndi zilonda zam'mimba kapena kutuluka magazi kwaposachedwa: Kuopsa kwanu kotaya magazi kumawonjezeka mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Machenjezo kwa magulu ena

Kwa amayi apakati: Kafukufuku akuwonetsa kuti kulibe mgwirizano pakati pa kugwiritsira ntchito dalteparin ndi zovuta pamwana wosabadwayo. Komabe, kuthekera kwakusokoneza mwana wosabadwa sikungafanizidwe.

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati pakufunika kutero.

Komanso, mankhwalawa akhoza kukhala ndi benzyl mowa. Kusunga izi kumatha kuyambitsa matenda obanika m'makanda asanakwane. Matenda a Gasping amachititsa kupuma movutikira ndipo amatha kupha. Ngati muli ndi pakati ndipo mukufunika kumwa mankhwalawa, dokotala wanu ayenera kukupatsani mtundu wa mankhwalawa omwe mulibe mowa wa benzyl.

Kwa amayi omwe akuyamwitsa: Mankhwalawa amatha kulowa mkaka wa m'mawere ndipo zimayambitsa mavuto mwa mwana yemwe akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.

Kwa okalamba: Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimakulitsa chiopsezo chanu chazovuta monga kutuluka magazi.

Ngati muli ndi zaka zopitilira 65 ndipo mwina mukulemera makilogalamu ochepera 99 (45 kg) kapena muli ndi mavuto a impso, mumakhala pachiwopsezo chambiri chotaya magazi mukamamwa mankhwalawa.

Kwa ana: Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18.

Momwe mungatenge dalteparin

Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Mitundu ya mankhwala ndi mphamvu

Mtundu: Fragmin

• Mawonekedwe: Mlingo umodzi wokhala ndi syringe
• Mphamvu: 2,500 IU / 0.2 mL, 5,000 IU / 0.2 mL, 7,500 IU / 0.3 mL, 12,500 IU / 0.5 mL, 15,000 IU / 0.6 mL, 18,000 IU / 0.72 mL

• Mawonekedwe: Mlingo umodzi wokhala ndi syringe
• Mphamvu: 10,000 IU / mL

• Mawonekedwe: Mbale zingapo
• Mphamvu: 95,000 IU / 3.8 mL

Mlingo wopewa zovuta zokhudzana ndi angina wosakhazikika kapena matenda amtima

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

Mlingo wanu utengera kulemera kwanu.

• Mlingo wodziwika: 120 IU / kg pa maola 12 aliwonse pamodzi ndi aspirin (75-165 mg pa tsiku).
• Kutalika kwakanthawi kwamankhwala: Masiku 5 mpaka 8.
• Zolemba malire mlingo: 10,000 IU pa jakisoni.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimakulitsa chiopsezo chanu chazovuta monga kutuluka magazi.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa kapena pulogalamu ina ya dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Mlingo wopewa kwambiri mtsempha thrombosis m'mimba kapena m'chiuno m'malo operekera opaleshoni

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Mlingo wodziwika: Mulingo wamtundu wa dalteparin umasiyana kutengera nthawi yomwe dokotala angafune kuyamba mankhwala komanso pachiwopsezo cha kuundana. Dokotala wanu adzakupatsani mlingo wabwino kwambiri.
• Kutalika kwakanthawi kwamankhwala: Masiku 5 mpaka 10.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimakulitsa chiopsezo chanu chazovuta monga kutuluka magazi.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa kapena pulogalamu ina ya dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Mlingo wopewa kwambiri mitsempha ya thrombosis mwa anthu omwe samayenda pang'ono chifukwa chodwala kwambiri

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Mlingo wodziwika: 5,000 IU kamodzi tsiku lililonse.
• Kutalika kwakanthawi kwamankhwala: Masiku 12 mpaka 14.
• Zolemba malire mlingo: 10,000 IU pa jakisoni.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimakulitsa chiopsezo chanu chazovuta monga kutuluka magazi.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa kapena pulogalamu ina ya dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Mlingo wothandizira venous thrombosis mwa anthu omwe ali ndi khansa

Mlingo wanu utengera kulemera kwanu.

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Mlingo wodziwika: 200 IU / kg kamodzi patsiku kwa masiku 30 oyamba. Pambuyo pake, 150 IU / kg kamodzi patsiku kwa miyezi 2 mpaka 6.
• Kutalika kwakanthawi kwamankhwala: Mpaka miyezi isanu ndi umodzi.
• Zolemba malire mlingo: 18,000 IU tsiku lililonse.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanaphunzirepo mwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimakulitsa chiopsezo chanu chazovuta monga kutuluka magazi.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa kapena pulogalamu ina ya dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Yankho la jekeseni la Dalteparin limagwiritsidwa ntchito pochiza kwakanthawi. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Mutha kukhala ndi zotseka zamagazi kapena zovuta zina zazikulu.

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa ziphatikizanso kutuluka magazi kwambiri.

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Mwina simungamve ngati mankhwalawa akugwira ntchito. Komabe, onetsetsani kuti mukupitiliza kumwa izi monga adalangizira dokotala.

Zofunikira pakumwa dalteparin

Kumbukirani izi ngati dokotala akukulemberani dalteparin.

Zonse

• Tengani mankhwalawa panthawi yomwe dokotala akukulangizani.

Yosungirako

• Sungani mankhwalawa kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° C ndi 25 ° C).
• Sungani mankhwalawa kutali ndi kuwala.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.
• Mutagwiritsa ntchito botolo la mankhwala angapo koyamba, mutha kulisunga mpaka milungu iwiri. Pambuyo pa nthawi imeneyo, muyenera kuitaya.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

Dokotala wanu kapena wamankhwala angakuuzeni momwe mungapangire mankhwalawa moyenera. Nawa maupangiri angapo:

• Jekeseni mankhwalawa mutakhala pansi kapena mutagona.
• Osabaya mankhwalawa muminyewa. Mutha kubaya jekeseni m'malo awa:
  • dera lozungulira batani lanu lamimba
  • gawo lakunja lakumtunda kwa ntchafu zanu
  • kumtunda kwa matako anu
• Sinthani tsamba lanu la jakisoni tsiku lililonse.
• Osasakaniza mankhwalawa ndi jakisoni wina.

Kuwunika kuchipatala

Inu ndi dokotala muyenera kuyang'anira zovuta zina zaumoyo. Izi zitha kuthandizira kuti mukhale otetezeka mukamamwa mankhwalawa. Izi zikuphatikiza:

• Chiwerengero cha ma Platelet: Kuyezetsa magazi kumatha kuwona kuchuluka kwamagazi m'magazi mwanu. Ngati kuchuluka kwamagulu anu ndikotsika, dokotala wanu akhoza kuchepetsa kuchuluka kwa mankhwalawa kuti muchepetse magazi. Akhozanso kusiya kugwiritsa ntchito mankhwalawa.
• Mavuto a impso: Ngati muli ndi vuto la impso, dokotala wanu amayang'anira momwe impso yanu imagwirira ntchito kuti awone ngati mukufuna mlingo wochepa wa mankhwalawa. Ngati muli ndi khansa, dokotala wanu amathanso kuyang'anira kuchuluka kwanu kwa mapuloteni otchedwa anti-Xa. Kudziwa magawo anu a anti-Xa kumatha kuthandiza dokotala wanu kusankha kuchuluka kwa mankhwalawa. Mapuloteni anu amayang'aniridwa pogwiritsa ntchito magazi. Mayesowa nthawi zambiri amachitika maola anayi kapena asanu mutagwiritsa ntchito mankhwala achitatu kapena achinayi.
• Zovuta za epidural anesthesia: Ngati mutamwa mankhwalawa ndikukhala ndi epidural anesthesia (mankhwala opweteka omwe amaperekedwa ndi singano mumsana wanu), dokotala wanu akhoza kukuyang'anirani pazizindikiro zina. Zizindikiro izi zitha kukhala chizindikiro cha mavuto amitsempha. Zikuphatikizapo:
  • kupweteka kwa msana
  • dzanzi kapena kufooka m'miyendo
  • kutaya mphamvu ya chikhodzodzo kapena matumbo

Kupezeka

Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa patsogolo kuti mutsimikizire kuti mankhwala omwe muli nawo ali nawo.

Ndalama zobisika

Muyenera kuyesa magazi mukamamwa mankhwalawa. Mtengo wa mayeserowa udalira kutengera kwanu inshuwaransi.

Chilolezo chisanachitike

Makampani ambiri a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala angafunike kupeza chilolezo kuchokera ku kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.