Ndi mankhwala ati omwe sangagwiritsidwe ntchito asanachitidwe opaleshoni

Zamkati

• 1. Mapiritsi oletsa kupatsirana pogonana
• 2. Maantibayotiki
• 3. Mankhwala osagwiritsa ntchito mankhwala opatsirana pogonana
• 4. Mankhwala ochiritsira mahomoni
• 5. Njira zochizira matenda ashuga
• 6. Mankhwala a cholesterol
• 7. Zithandizo zamatenda aminyewa
• 8. Phytotherapics
• 9. Odzetsa
• Zithandizo zomwe zitha kusungidwa

Kuti opaleshoniyi ipitirire ndi zoopsa zochepa komanso kuti achire mwachangu, ndikofunikira kutsatira malangizo a dokotala okhudzana ndi kupitiriza kwa mankhwala ena, chifukwa nthawi zina, pamafunika kuyimitsa kugwiritsa ntchito mankhwala ena, makamaka omwe amathandizira chiopsezo chakutaya magazi kapena kubweretsa mtundu wina wamadzimadzi, monga momwe zimakhalira ndi acetylsalicylic acid, clopidogrel, anticoagulants, non-steroidal anti-yotupa mankhwala kapena mankhwala ena ashuga, mwachitsanzo.

Mankhwala ambiri amayeneranso kuwunikiridwa mwanjira iliyonse, monga njira zakulera ndi zodetsa nkhawa, zomwe zimayimitsidwa mwa anthu omwe ali pachiwopsezo chowonjezerapo. Mankhwala ena, monga antihypertensive mankhwala, maantibayotiki ndi ma steroids osatha, amafunika kusamalidwa ndikumwa ngakhale patsiku la opareshoni, chifukwa kusokonekera kwawo kumatha kuyambitsa nsonga za hypertensive kapena kuwonongeka kwa mahomoni panthawi yochita opareshoni.

Chifukwa chake, ndikofunikira kuti, asanachite opareshoni, mndandanda wa mankhwala omwe munthuyo akumwa amapangidwa, kuti aperekedwe kwa adotolo, kuphatikiza homeopathic kapena ena omwe samawoneka ofunikira, kuti ngozi iliyonse pakadali pano ipewedwe. za opaleshoni.

Kuphatikiza apo, njira zina zodzitetezera ziyenera kutengedwa, monga kusiya kusuta, kupewa zakumwa zoledzeretsa komanso kudya zakudya zopatsa thanzi, makamaka m'masiku asanachitike opareshoni komanso nthawi yonse itatha. Onani zambiri zokhudza chisamaliro chomwe chiyenera kutengedwa musanachite opaleshoni kapena pambuyo pake.

1. Mapiritsi oletsa kupatsirana pogonana

Mankhwala osokoneza bongo, monga acetylsalicylic acid, clopidogrel, ticagrelor, cilostazol ndi ticlopidine, omwe amadziwika kuti "kupopera magazi", sayenera kugwiritsidwa ntchito asanamuchite opaleshoni, ndipo ayenera kusiya masiku 7 mpaka 10 m'mbuyomu, kapena monga momwe dokotala amafunira. Ma anti -ggregants omwe amatha kusintha, atha kuyimitsidwa malinga ndi theka la moyo wawo, zomwe zikutanthauza kuimitsa mankhwalawa kutatsala maola 72 kuti achite opaleshoni.

2. Maantibayotiki

Anthu omwe amagwiritsa ntchito ma coumarinic anticoagulants, monga Marevan kapena Coumadin, amatha kuchitidwa opaleshoni akasiya ntchito, ndipo ndikofunikira kuti milingo ya coagulation, yoyesedwa ndi mayeso a INR, ili m'malire.

Anthu omwe amagwiritsa ntchito ma anticoagulants atsopano, monga rivaroxaban powder, apixaban ndi dabigatran, sangafunikire kuyimitsa mankhwalawa kuchitira opaleshoni yaying'ono, monga dermatological, mano, endoscopy ndi opareshoni ya cataract. Komabe, ngati maopaleshoni ovuta kwambiri, mankhwalawa amatha kuyimitsidwa kwakanthawi komwe kumatha kusiyanasiyana pakati pa maola 36 ndi masiku 4, kutengera kukula kwa opaleshoniyi komanso thanzi la munthu.

Pambuyo pa kuyimitsidwa kwa maanticoagulants, adokotala amatha kuwonetsa kugwiritsa ntchito jakisoni wa heparin, kotero kuti munthawi yomwe munthuyo alibe mankhwala, sipangakhale chiwopsezo chowonjezeka cha zovuta, monga thrombosis ndi stroke, mwachitsanzo. Mvetsetsani zomwe ma heparin akuwonetsa komanso momwe mungagwiritsire ntchito.

3. Mankhwala osagwiritsa ntchito mankhwala opatsirana pogonana

Mankhwala osagwiritsa ntchito zotupa osagwiritsa ntchito mankhwala sayenera kugwiritsidwa ntchito asanachite opareshoni, chifukwa amasokonezanso magazi kuti agwire magazi ndipo amatha kugwiritsidwa ntchito mpaka masiku atatu asanakwane.

4. Mankhwala ochiritsira mahomoni

Njira zakulera siziyenera kuyimitsidwa asanafike opaleshoni yaying'ono komanso azimayi omwe ali pachiwopsezo chokhala ndi mtundu wina wa thrombosis. Komabe, azimayi omwe ali pachiwopsezo chachikulu, monga omwe ali ndi mbiri yakale kapena yabanja ya thrombosis, mwachitsanzo, ayenera kusiya kugwiritsa ntchito mankhwalawa pafupifupi milungu isanu ndi umodzi isanachitike, ndipo munthawi imeneyi, njira ina yolerera iyenera kugwiritsidwa ntchito.

Thandizo la mahomoni ndi tamoxifen kapena raloxifene, liyenera kuchotsedwa mwa azimayi onse, milungu 4 isanakwane opaleshoni, popeza kuchuluka kwa mahomoni kumakhala kochuluka, motero kumayambitsa chiopsezo chachikulu cha thrombosis.

5. Njira zochizira matenda ashuga

Mankhwala piritsi la matenda ashuga amitundu yosiyanasiyana, monga glimepiride, gliclazide, liraglutide ndi acarbose, mwachitsanzo, ayenera kutha dzulo lisanachitike opaleshoni. Metformin, kumbali inayo, iyenera kuthetsedwa maola 48 asanachite opareshoni, chifukwa imabweretsa chiopsezo choyambitsa acidosis m'magazi nthawi ya opaleshoni. Pakutha pakutha kwa mankhwala osokoneza bongo, ndikofunikira kuti shuga wamagazi ayang'anitsidwe ndipo, pakakhala kuchuluka kwa magazi m'magazi, insulin iyenera kugwiritsidwa ntchito.

Nthawi yomwe munthu amagwiritsa ntchito insulini, iyenera kupitilizidwa, kupatula ma insulins a nthawi yayitali, monga glargine ndi NPH, momwe adotolo amatha kuchepetsa mlingo wa theka kapena 1/3, kuti chiopsezo chichepetse hypoglycemia panthawi yochita opaleshoni .

6. Mankhwala a cholesterol

Mankhwala a cholesterol ayenera kuthetsedwa tsiku limodzi asanachite opareshoni, ndipo mankhwala okhawo amtundu wa statin, monga simvastatin, pravastatin kapena atorvastatin, mwachitsanzo, amatha kusungidwa, chifukwa samayambitsa zoopsa panthawiyi.

7. Zithandizo zamatenda aminyewa

Mankhwala monga allopurinol kapena colchicine, omwe akuwonetsa matenda monga gout, mwachitsanzo, ayenera kuyimitsidwa m'mawa wa opaleshoni.

Ponena za mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kufooka kwa mafupa kapena nyamakazi, ambiri mwa iwo ayenera kuyimitsidwa kutatsala tsiku loti achite opaleshoni, komabe, nthawi zina, pangafunike kuyimitsa mankhwalawa patatsala sabata imodzi kuti achite opaleshoni, ngati mankhwala monga sulfasalazine ndi penicillamine.

8. Phytotherapics

Mankhwala azitsamba amawerengedwa, ndi anthu wamba, otetezeka poyerekeza ndi mankhwala a allopathic, omwe amagwiritsidwa ntchito pafupipafupi, komanso kusiya kugwiritsa ntchito kwa dokotala. Komabe, ndi mankhwala omwe amathanso kuyambitsa mavuto, ndipo ambiri a iwo alibe umboni wasayansi wogwira ntchito, ndipo amatha kusokoneza opaleshoni, chifukwa amayenera kuyimitsidwa nthawi zonse.

Mankhwala azitsamba monga Ginkgo biloba, Ginseng, Arnica, Valeriana, Kava-kava kapena St. John's wort kapena tiyi wa adyo, mwachitsanzo, amatha kuyambitsa mavuto nthawi ya opaleshoni, monga kuwonjezera chiopsezo chakutuluka magazi, kumabweretsa mavuto amtima kapena kuwonjezeranso sedative zotsatira za mankhwala opha ululu, chifukwa chake, kutengera mankhwala azitsamba omwe akukambidwa, ayenera kuyimitsidwa pakati pa maola 24 mpaka masiku 7 isanachitike.

9. Odzetsa

Ma diuretics ayenera kutayidwa nthawi iliyonse yomwe opaleshoniyi ili pachiwopsezo kapena kuwonongedwa kwa magazi, chifukwa mankhwalawa amatha kusintha impso kutulutsa mkodzo, zomwe zitha kusokoneza mayankho ku hypovolemia.

Kuphatikiza apo, zakumwa ndi zakumwa zopangira caffeine, monga khofi, tiyi wobiriwira ndi tiyi wakuda, ziyenera kupewedwanso sabata isanakwane.

Pambuyo pochitidwa opaleshoni, chithandizocho chitha kuyambiranso, malinga ndi zomwe akuchipatala akuwonetsa, kutengera kuchira ndikuchepetsa kuopsa kwa zotsatirapo zake. Komanso dziwani kuti ndi ziti zomwe mungachite kuti mupeze msanga opaleshoni.

Zithandizo zomwe zitha kusungidwa

Mankhwala omwe amayenera kusungidwa, ngakhale patsiku la opareshoni komanso pakusala kudya, ndi awa:

• Mankhwala osokoneza bongo komanso antiarrhythmic, monga carvedilol, losartan, enalapril kapena amiodarone, mwachitsanzo;
• Matenda a steroids, monga prednisone kapena prednisolone, mwachitsanzo;
• Zithandizo za Phumu, monga salbutamol, salmeterol kapena fluticasone, mwachitsanzo;
• Chithandizo cha matenda a chithokomiro, ndi levothyroxine, propylthiouracil kapena methimazole, mwachitsanzo;
• Zithandizo za gastritis ndi reflux, monga omeprazole, pantoprazole, ranitidine ndi domperidone, mwachitsanzo;
• Chithandizo cha matenda, ndi mankhwala opha tizilombo, sangathe kuimitsidwa;

Kuphatikiza apo, mankhwala ena amatha kusamalidwa mosamala, monga ma anxiolytics, antidepressants ndi ma anticonvulsants, chifukwa ngakhale samatsutsana asanachite opareshoni, kugwiritsa ntchito kwawo kuyenera kukambidwa ndi dotolo wochita opaleshoni ndi wamankhwala opha ululu, chifukwa amatha kusokoneza mitundu ina ya dzanzi ndipo, mu zina, zimawonjezera chiopsezo cha zovuta.