Kugwiritsira Ntchito Magazi Kwa Nthawi Yaitali: Zomwe Muyenera Kudziwa
Zamkati
- Momwe oonda magazi amagwirira ntchito
- Zotsatira zoyipa za owonda magazi
- Kuwunika magazi anu ochepera
- Warfarin
- Ma NOAC
- Kuyanjana
- Warfarin
- Ma NOAC
- Nthawi yoti muwone dokotala wanu
- Kutenga
AFib ndi owonda magazi
Matenda a Atrial fibrillation (AFib) ndi vuto la mtima lomwe lingapangitse chiopsezo cha sitiroko. Ndi AFib, zipinda ziwiri zapamwamba zam'mtima mwanu zimamenya mosasinthasintha. Magazi amatha kuphatikizika ndikusonkhanitsa, ndikupanga maundana omwe amatha kuyenda kupita ku ziwalo zanu komanso ubongo wanu.
Madokotala nthawi zambiri amapatsa antiticoagulants kuti achepetse magazi komanso kuti magazi asapangike.
Izi ndi zomwe muyenera kudziwa pakugwiritsa ntchito magazi kwa nthawi yayitali, zovuta zilizonse zomwe mungakumane nazo, komanso zomwe mungakambirane ndi dokotala wanu.
Momwe oonda magazi amagwirira ntchito
Maanticoagulants amachepetsa chiwopsezo cha sitiroko mpaka. Chifukwa AFib ilibe zizindikilo zambiri, anthu ena amamva kuti sakufuna kapena amafunikira kumwa magazi, makamaka ngati zikutanthauza kumwa mankhwala kwa moyo wawo wonse.
Ngakhale owonda magazi samasintha momwe mumamvera tsiku ndi tsiku, ndikofunikira kwambiri kuti mudziteteze ku stroke.
Mutha kukumana ndi mitundu ingapo yamagazi ochepetsa magazi ngati gawo la chithandizo cha AFib. Warfarin (Coumadin) ndiwofotokozedwera mwachikhalidwe kuti azikhala wocheperako magazi. Zimagwira pochepetsa kuchepa kwa thupi lanu kupanga vitamini K. Popanda vitamini K, chiwindi chanu chimakhala ndi vuto lopanga zomanga magazi.
Komabe, owonda magazi atsopano, ofupikitsa omwe amadziwika kuti non-vitamin K oral anticoagulants (NOACs) tsopano akulimbikitsidwa kuposa warfarin kwa anthu omwe ali ndi AFib, pokhapokha ngati munthuyo ali ndi mitral stenosis yozama kapena valavu yamtima yopangira. Mankhwalawa ndi monga dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis), ndi edoxaban (Savaysa).
Zotsatira zoyipa za owonda magazi
Anthu ena sayenera kumwa zoonda magazi. Onetsetsani kuti muuze dokotala ngati muli ndi izi:
- kuthamanga kwa magazi kosalamulirika
- Zilonda zam'mimba kapena zina zomwe zimayika pachiwopsezo chachikulu chotuluka magazi mkati
- hemophilia kapena matenda ena otuluka magazi
Chimodzi mwazotsatira zoyipa kwambiri zamankhwala ochepetsa magazi ndi chiopsezo chowonjezeka chakutuluka magazi. Mutha kukhala pachiwopsezo chotaya magazi kwambiri chifukwa chodulidwa pang'ono.
Onetsetsani kuti muuze dokotala ngati mukumva kutuluka magazi m'kamwa kapena kutuluka magazi, kapena mukawona magazi m'masanzi kapena ndowe zanu.Kuvulala kwakukulu ndi chinthu china chomwe mungaone chomwe chimafunikira chidwi cha dokotala.
Pamodzi ndi kutuluka magazi, mutha kukhala ndi zotupa pakhungu ndikutha tsitsi ngati zovuta mukamamwa mankhwalawa.
Kuwunika magazi anu ochepera
Warfarin
Ngati mukugwiritsa ntchito warfarin kwa nthawi yayitali, mutha kuyang'aniridwa ndi gulu lanu lazachipatala.
Nthawi zonse mumapita kuchipatala kapena kuchipatala kukayezetsa magazi otchedwa prothrombin time. Izi zimayeza kutalika kwa nthawi yomwe magazi anu amatseka. Nthawi zambiri zimachitika mwezi uliwonse mpaka dokotala atapeza mlingo woyenera womwe umagwira thupi lanu.
Kuyesedwa magazi anu ndichinthu chomwe muyenera kuchita mukamamwa mankhwalawa. Anthu ena safunika kusintha mlingo wa mankhwala pafupipafupi. Ena amayenera kuyezetsa magazi pafupipafupi ndikusintha mulingo wawo kuti apewe zovuta zina ndi magazi ochulukirapo.
Muyeneranso kuyang'aniridwa musanakhale ndi njira zina zamankhwala zomwe zimakhudzana ndi kutuluka magazi, monga opaleshoni.
Mutha kuzindikira kuti mtundu wa mapiritsi anu a warfarin ndiwosiyana nthawi ndi nthawi. Mtunduwo umayimira mlingo wake, choncho muyenera kuyang'anitsitsa ndikufunsani dokotala ngati muli ndi mafunso okhudza kuwona mtundu wina mu botolo lanu.
Ma NOAC
Ochepetsa magazi omwe amakhala ochepera ngati ma anticoagulants (NOACs) amino nthawi zambiri samafuna kuwunika pafupipafupi. Dokotala wanu akhoza kukupatsani malangizo owonjezera amachiritso ndi kusintha kulikonse pamiyeso.
Kuyanjana
Warfarin
Warfarin itha kuyanjana ndi mankhwala osiyanasiyana omwe mumamwa. Zakudya zomwe mumadya zingasokonezenso zomwe zimakhudza thupi lanu. Ngati mukumwa mankhwalawa kwa nthawi yayitali, mufunika kufunsa dokotala zambiri za zakudya zanu - makamaka zakudya zomwe zili ndi vitamini K.
Zakudya izi ndizobiriwira, masamba obiriwira:
- kale
- masamba obiriwira
- Swiss chard
- masamba a mpiru
- masamba a turnip
- parsley
- sipinachi
- endive
Muyeneranso kukambirana ndi dokotala wanu za mankhwala aliwonse azitsamba kapena omega-3 omwe mumamwa kuti muwone momwe angalumikizirane ndi omwe amawonda magazi.
Ma NOAC
Ma NOAC alibe zochitika zilizonse zodziwika bwino pakudya kapena mankhwala. Lankhulani ndi dokotala wanu kuti muwone ngati ndinu woyenera kumwa mankhwalawa.
Nthawi yoti muwone dokotala wanu
Ngati muli ndi nkhawa zakutenga opopera magazi nthawi yayitali, lankhulani ndi dokotala wanu.
Ndikofunika kuti muzimwa mankhwala anu nthawi imodzi tsiku lililonse. Ngati mwaphonya mlingo, itanani dokotala wanu kuti awone momwe mungayambire bwino.
Ena omwe amakumbukira kuchuluka kwawo komwe adasowa pafupi pomwe amamwa nthawi zambiri amatha kumwa mochedwa maola ochepa. Ena angafunikire kudikirira mpaka tsiku lotsatira ndikuwonjezera mlingo wawo. Dokotala wanu akhoza kukulangizani za njira yabwino kwambiri pazochitika zanu.
Itanani 911 nthawi yomweyo ngati mungapeze zina mwazizindikiro izi mukamachepetsa magazi:
- mutu waukulu kapena wosazolowereka
- chisokonezo, kufooka, kapena dzanzi
- magazi omwe sasiya
- kusanza magazi kapena magazi mu mpando wanu
- kugwa kapena kuvulaza mutu wako
Izi zitha kukhala zizindikilo zakutuluka kwa magazi mkatikati kapena zitha kupangitsa kuti magazi atayika kwambiri. Kuchita mwachangu kungapulumutse moyo wanu.
Pali mankhwala omwe angathetsere mavuto a warfarin ndikupangitsa magazi anu kugwa mwadzidzidzi, koma muyenera kupita kuchipatala kukalandira chithandizo.
Kutenga
Kutaya magazi ndi chiopsezo chachikulu chifukwa chogwiritsa ntchito magazi kwa nthawi yayitali. Ngati muli pa mpanda wowatenga pazifukwa izi, lingalirani zosintha pang'ono pamachitidwe anu. Izi ndi zinthu zomwe mungachite kunyumba kuti muchepetse mwayi wokutaya magazi pazinthu za tsiku ndi tsiku:
- Ponyani mswachi uliwonse wolimba, ndipo musinthire kwa omwe ali ndi zipilala zofewa.
- Gwiritsani ntchito ntchentche m'malo mwa unwax, zomwe zingawononge nkhama zanu.
- Yesani lumo lamagetsi kuti mupewe kumenyedwa ndi mabala.
- Gwiritsani ntchito zinthu zakuthwa, monga lumo kapena mipeni, mosamala.
- Funsani dokotala wanu za kutenga nawo mbali pazinthu zilizonse zomwe zingakupangitseni mwayi woti mugwere kapena kuvulala, monga masewera olumikizirana. Izi zitha kuwonjezera chiopsezo chanu chotaya magazi mkati.
Ngati mukumwa warfarin, mungafunenso kuchepetsa zakudya zina pazakudya zanu zomwe zingagwirizane ndi mankhwala. M'malo mwake, yesani kudya zakudya zosiyanasiyana zomwe mulibe vitamini K, kuphatikiza:
- kaloti
- kolifulawa
- nkhaka
- tsabola
- mbatata
- sikwashi
- tomato
Kumbukirani kuti owonda magazi sangakupangitseni kuti muzimva bwino tsiku lililonse. Komabe, ndi imodzi mwazinthu zabwino kwambiri zomwe mungachite kuti mudziteteze ku sitiroko. Ngati muli ndi nkhawa zokhudzana ndi kupopera magazi komanso kugwiritsa ntchito nthawi yayitali, lankhulani ndi dokotala wanu za kuopsa kotere.