Ukujova kweHeparin

-Delile

• Ngaphambi kokusebenzisa i-heparin,
• IHeparin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

IHeparin isetshenziselwa ukuvimbela amahlule egazi ukuthi angakheki kubantu abanezimo ezithile zezempilo noma abenza izinqubo ezithile zokwelashwa ezandisa amathuba okuthi amahlule avele. IHeparin nayo isetshenziselwa ukumisa ukukhula kwamahlule asevele akha emithanjeni yegazi, kepha ayikwazi ukusetshenziswa ukunciphisa ubukhulu bamahlule asevele akha. I-Heparin nayo isetshenziswa ngamanani amancane ukuvimbela amahlule egazi ukuthi akhe ama-catheters (amashubhu amancane epulasitiki lapho kungasetshenziswa khona imithi noma kudonswe igazi) asele emithanjeni isikhathi esithile. UHeparin usesigabeni semithi ebizwa ngama-anticoagulants ('blood thinner'). Isebenza ngokunciphisa ikhono lokuvala igazi.

I-Heparin iza njengesisombululo (uketshezi) sokujova ngomjovo (emthanjeni) noma ngokujulile ngaphansi kwesikhumba futhi njengesisombululo esihlanjululwe (esingagxili kakhulu) sokujojelwa emathanjeni afakwa emithanjeni. I-heparin akufanele ijojowe emsipheni. I-Heparin kwesinye isikhathi ijovwa amahlandla ayisithupha noma ayisithupha ngosuku futhi kwesinye isikhathi inikezwa njengomjovo ohamba kancane, oqhubekayo emthanjeni. Lapho i-heparin isetshenziselwa ukuvimbela amahlule egazi ukuthi akheke emithanjeni efakwa emithanjeni, ivame ukusetshenziswa lapho i-catheter ifakwa okokuqala, futhi ngaso sonke isikhathi lapho kukhishwa igazi emgodini we-catheter noma kunikezwa umuthi nge-catheter.

I-Heparin inganikezwa ngumhlengikazi noma omunye umhlinzeki wezokunakekelwa kwempilo, noma ungatshelwa ukuthi ujove umuthi wedwa ekhaya. Uma uzobe ujova i-heparin ngokwakho, umhlinzeki wezokunakekelwa kwezempilo uzokukhombisa ukuthi ungawujova kanjani umuthi. Buza udokotela wakho, umhlengikazi noma usokhemisi uma ungaziqondi lezi zinkombandlela noma unemibuzo mayelana nokuthi kufanele ufake kuphi i-heparin emzimbeni wakho, ukuthi ungawufaka kanjani umjovo, noma ukuthi ungazilahla kanjani izinaliti nemijovo esetshenzisiwe ngemuva kokujova umuthi.

Uma uzobe ujova i-heparin ngokwakho, landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ucela udokotela wakho noma usokhemisi ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-heparin njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Isixazululo seHeparin siza ngamandla ahlukene, futhi ukusebenzisa amandla angalungile kungadala izinkinga ezinkulu. Ngaphambi kokunikeza umjovo we-heparin, hlola ilebula lephakeji ukuze uqiniseke ukuthi ngamandla ekhambi le-heparin udokotela wakho akubekele lona. Uma amandla e-heparin engalungile ungasebenzisi i-heparin bese ufonela udokotela noma usokhemisi ngokushesha.

Udokotela wakho angakhuphula noma anciphise umthamo wakho ngesikhathi sokwelashwa kwe-heparin. Uma uzobe ujova i-heparin ngokwakho, qiniseka ukuthi uyazi ukuthi ungakanani umuthi okufanele uwusebenzise.

I-Heparin nayo kwesinye isikhathi isetshenziswa yodwa noma ihlanganiswe ne-aspirin ukuvimbela ukulahleka kokukhulelwa nezinye izinkinga kwabesifazane abakhulelwe abanezimo ezithile zezokwelapha futhi abaye babhekana nalezi zinkinga ekukhulelweni kwabo kwangaphambili. Khuluma nodokotela wakho noma usokhemisi ngezingozi zokusebenzisa lo muthi ukwelapha isimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-heparin,

• Tshela udokotela wakho kanye nosokhemisi uma une-heparin, noma imiphi eminye imithi, imikhiqizo yenkomo, imikhiqizo yengulube, noma esinye sezithako zomjovo we-heparin. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: amanye ama-anticoagulants afana ne-warfarin (Coumadin); ama-antihistamine (kokukhwehlela okuningi nemikhiqizo ebandayo); i-antithrombin III (iTrombate III); i-aspirin noma imikhiqizo equkethe i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-dextran; i-digoxin (i-Digitek, i-Lanoxin); i-dipyridamole (i-Persantine, ku-Aggrenox); i-hydroxychloroquine (i-Plaquenil); indomethacin (Indocin); i-phenylbutazone (i-Azolid) (ayitholakali e-US); i-quinine; nama-antibiotic e-tetracycline njenge-demeclocycline (i-Declomycin), i-doxycycline (i-Monodox, i-Vibramycin), i-minocycline (i-Dynacin, i-Minocin) ne-tetracycline (i-Bristacycline, i-Sumycin). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unezinga eliphansi lama-platelets (uhlobo lwamaseli egazi adingekayo ekunqandeni okuvamile) egazini lakho futhi uma unegazi elibi elingenakumiswa noma kuphi emzimbeni wakho. Udokotela wakho angakutshela ukuthi ungasebenzisi i-heparin.
• utshele udokotela wakho uma ngabe ubhekene nesikhathi sakho sokuya esikhathini; uma unomkhuhlane noma ukutheleleka; futhi uma usanda kuthola umpompi womgogodla (ukukhipha inani elincane loketshezi olugeza umgogodla ukuhlola ukutheleleka noma ezinye izinkinga), i-spinal anesthesia (ukuphathwa kwemithi yezinhlungu endaweni ezungeze umgogodla), ukuhlinzwa, ikakhulukazi okubandakanya ubuchopho, umgogodla noma iso, noma isifo senhliziyo. Phinda utshele udokotela wakho uma uke waba nesifo sokopha noma esifana ne-hemophilia (isimo lapho igazi lingagcwali ngokwejwayelekile), ukuntuleka kwe-antithrombin III (isimo esidala ukuthi amahlule egazi akhe), amahlule egazi emilenzeni, emaphashini, noma kuphi emzimbeni, ukulinyazwa okungajwayelekile noma amabala ansomi ngaphansi kwesikhumba, umdlavuza, izilonda esiswini noma emathunjini, ithubhu elikhipha isisu noma ithumbu, umfutho wegazi ophakeme noma isifo sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-heparin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-heparin.
• utshele udokotela wakho uma ubhema noma usebenzisa imikhiqizo kagwayi nokuthi uma uyeka ukubhema noma kunini ngesikhathi sokwelashwa kwakho nge-heparin. Ukubhema kunganciphisa ukusebenza kwalo muthi.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uzobe ujova i-heparin ngokwakho ekhaya, khuluma nodokotela wakho ngalokho okufanele ukwenze uma ukhohlwa ukujova umthamo.

IHeparin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ububomvu, ubuhlungu, ukulinyazwa, noma izilonda lapho kwajova khona i-heparin
• ukulahleka kwezinwele

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ukulimaza noma ukopha okungavamile
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• indle equkethe igazi elibomvu elikhanyayo noma elimnyama futhi elilindile
• igazi emchameni
• ukukhathala ngokweqile
• isicanucanu
• ukuhlanza
• ubuhlungu besifuba, ingcindezi, noma ukucindezela ukungakhululeki
• ukungakhululeki ezingalweni, ehlombe, emhlathini, entanyeni, noma emuva
• ekhwehlela igazi
• ukujuluka okweqile
• ikhanda elibuhlungu ngokuzumayo
• ikhanda elikhanyayo noma ukuquleka
• ukulahlekelwa okungazelelwe kokulinganisela noma ukuxhumanisa
• ukuhamba ngokuzumayo
• ukuba ndikindiki okungazelelwe noma ukuba buthakathaka kobuso, ingalo noma umlenze, ikakhulukazi ohlangothini olulodwa lomzimba
• ukudideka okungazelelwe, noma ubunzima bokukhuluma noma ukuqonda inkulumo
• kunzima ukubona kwelinye noma womabili amehlo
• umbala onsomi noma omnyama wesikhumba
• ubuhlungu nokuqhamuka kwesibhakabhaka noma okumnyama ezingalweni noma emilenzeni
• ukulunywa nokushisa, ikakhulukazi ezinyaweni zezinyawo
• Ukugodola
• imfiva
• isifuba
• ukuqubuka
• isifuba
• ukuphelelwa umoya
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• ukwakhiwa okubuhlungu okuhlala amahora

IHeparin ingadala i-osteoporosis (isimo lapho amathambo eba buthakathaka futhi angaphuka kalula), ikakhulukazi kubantu abasebenzisa umuthi isikhathi eside. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

IHeparin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uzofaka i-heparin ekhaya, umhlinzeki wakho wezokunakekelwa kwezempilo uzokutshela ukuthi ungawugcina kanjani umuthi. Landela lezi zinkomba ngokucophelela. Qiniseka ukuthi ugcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafaki i-heparin.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ekhaleni
• igazi emchameni
• emnyama, izitulo zokubambezeleka
• ukulinyazwa okulula
• ukopha okungavamile
• igazi elibomvu endle
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-heparin. Udokotela wakho angakucela ukuthi uhlole isitokisi sakho segazi usebenzisa ukuhlolwa kwasekhaya.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi usebenzisa i-heparin.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• ULipo-Hepin^®¶
• Liquaemin^®¶
• IPanheparin^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.