Ama-Anticoagulants: ayini, ayini nezinhlobo eziyinhloko
-Delile
- Ngubani okufanele asebenzise
- Izinhlobo eziyinhloko zama-anticoagulants
- 1. Ama-anticoagulants anomjovo
- 2. Ama-anticoagulants omlomo
- Amakhambi wemvelo we-anticoagulant
- Ukunakekelwa ngesikhathi sokwelashwa
- Amakhambi asekhaya okungafanele asetshenziswe ngama-anticoagulants
Ama-Anticoagulants yizidakamizwa ezivimbela amahlule egazi ukuthi akheke ngoba avimba isenzo sezinto ezikhuthaza ukujiya. Amahlule abalulekile ukupholisa amanxeba nokuyeka ukopha, kepha kunezimo lapho zingavimba khona ukujikeleza kwegazi, okudala izifo ezinzima, njenge-stroke, i-thrombosis kanye ne-pulmonary embolism, ngokwesibonelo.
Ngakho-ke, ama-anticoagulants avumela igazi ukuthi lihlale liwuketshezi ngaphakathi kwemithambo futhi lingazungeza ngokukhululeka, kunconyelwe abantu abahlaselwe yizifo ezibangelwa amahlule noma abasengozini enkulu yokuzikhulisa.
Okusetshenziswa kakhulu yi-heparin, i-warfarin ne-rivaroxaban powder, okufanele isetshenziswe ngokunakekela futhi njalo nokuqondiswa kwezokwelapha, ngoba ukusetshenziswa kwayo okungalungile kungaholela ekwakhiweni kokopha okukhulu.
Ngubani okufanele asebenzise
Ama-anticoagulants kufanele asetshenziswe ngabantu abasengozini enkulu yokuthola i-thrombus, njengaleyo ene-arrhythmias yenhliziyo noma abasebenzisa ama-prostheses enhliziyo. Zisetshenziswa futhi ukuqeda i-thrombus esivele yakha, njengasezimeni zabantu abane-thrombosis, embolism pulmonary or infarction.
Izinhlobo eziyinhloko zama-anticoagulants
Ama-anticoagulants angahlukaniswa ngokwendlela yokuphatha nangendlela yokwenza kwawo:
1. Ama-anticoagulants anomjovo
Ama-anticoagulants anomjovo, njenge-heparin noma i-fondaparinux, afakwa ngemithambo yegazi noma ngaphansi kwesikhumba.
Le mithi ijwayele ukusetshenziselwa ukuvimbela isifo se-venous thromboembolic kubantu abahlinzwa, abanciphise ukuhamba, ukuvimbela ukwakheka kwe-thrombus ngesikhathi se-hemodialysis, noma ukwelapha i-infarction ye-myocardial acute.
I-Heparin nayo ingasetshenziswa kwabesifazane abakhulelwe ukuvimbela i-thrombosis, ngoba ayiphazamisi ukwakheka kwengane
2. Ama-anticoagulants omlomo
Kunezinhlobo ezahlukahlukene zama-anticoagulants omlomo, futhi ukukhetha kwakho kuzoncika ekuhlolweni kukadokotela ngobuhle nobubi bawo kumuntu ngamunye:
Izinhlobo | Amagama | Izinzuzo | Okubi |
Vitamin K inhibitors | IWarfarin (Marevan, Coumadin); I-Acenocoumarol (Sintrom). | - Kusetshenziswe kakhulu; - Kushibhile; - Vumela ukulawula okukhulu kwe-coagulation ngokusebenzisa izivivinyo. | - Udinga ukwenza ukulawula okujwayelekile kwe-coagulation; - Imithamo idinga ukuguqulwa njalo, - Umphumela wawo ungashintshwa ngeminye imithi noma ukudla okunothe ku-vitamin K. |
Ama-anticoagulants amasha | I-Rivaroxaban powder (i-Xarelto); IDabigatrana (Pradaxa); I-Apixabana (Eliquis). | - Akudingekile ukwenza ukulawula okujwayelekile kwe-coagulation; - Ukweqiwa Single nsuku zonke; - Kungaba nemiphumela engemihle embalwa. | - Ibiza kakhulu; - Contraindicated ngezifo eziningana; - Azinawo amakhambi. |
Endabeni yama-vitamin K inhibitors, ukulawulwa kwe-coagulation kufanele kuvame ukwenziwa kanye ngenyanga noma ngokweseluleko sezokwelapha.
Amakhambi wemvelo we-anticoagulant
Kunezinto ezithile ezingamakhambi, ezaziwa kakhulu ngokuthi ziyakwazi "ukunciphisa" igazi nokunciphisa ubungozi bamahlule, njengeGinkgo biloba noma iDong quai, ngokwesibonelo.
Lezi zitshalo zingasetshenziswa kumathi noma zifakwe ngendlela yamaphilisi, zithengiswa ezitolo zokudla ezempilo. Kodwa-ke, ukusetshenziswa kwayo akufanele kuthathe indawo yezidakamizwa ezinikezwe udokotela, futhi akufanele kusetshenziswe ngokuhlangana namanye ama-anticoagulants.
Ngaphezu kwalokho, kufanele zithathwe kuphela ngemuva kolwazi lukadokotela, ngoba zingaphazamisa ukwenziwa kweminye imithi, futhi, njengeminye imithi, le mithi yamakhambi kufanele imiswe esikhathini sokuhlinzwa sanoma yikuphi ukuhlinzwa.
Ukunakekelwa ngesikhathi sokwelashwa
Ngesikhathi sokwelashwa ngama-anticoagulants, kubalulekile uku:
- Bika udokotela noma kunini lapho kuba nezinguquko ekudleni noma ekusetshenzisweni kwemithi ukuze kungabi nokwehla kwesenzo se-anticoagulant;
- Gwema ukuxuba izinhlobo ezimbili zama-anticoagulants, ngaphandle kwalapho kunenkomba yezokwelapha;
- Bhekisisa izimpawu zokopha, njengezindawo ezeqile esikhunjeni, izinsini ezophayo, igazi emchameni noma endle futhi, uma kukhona abakhona, funa usizo lwezempilo.
Okunye ukudla okunothe ku-vitamin K kunciphisa ukusebenza kwama-anticoagulants athile, njenge-warfarin, futhi ukunakekelwa kufanele kuthathwe ekudleni kwawo. Kodwa-ke, njengoba umthamo we-anticoagulant uguquguquka nezidingo zomuntu ngamunye, akudingekile ukumisa ukusetshenziswa kwakho konke lokhu kudla, kepha kunalokho ukugwema ushintsho olungazelelwe ekudleni, ukugcina inani elikhona njalo ekudleni.
Izibonelo zalokhu kudla imifino eluhlaza okotshani namakhasi amnyama, njengesipinashi, i-kale, ulethisi, ngaphezu kweklabishi, i-broccoli ne-cauliflower, isibonelo. Bheka uhlu olugcwele lokudla okunothe ku-vitamin K.
Amakhambi asekhaya okungafanele asetshenziswe ngama-anticoagulants
Kuvamile ukuthi abanye abantu basebenzise imishanguzo noma amakhambi asekhaya, ngaphandle kokuthola usizo lwezempilo, usuku nosuku, ngoba bacabanga ukuthi kungokwemvelo nokuthi akunangozi. Kodwa-ke, ezinye zazo zingasebenzisana, zivame ukuqinisa, umthelela wama-anticoagulants, abangela ingozi yokopha, okubeka impilo yomuntu engcupheni.
Ngakho-ke, abantu abasebenzisa i-anticoagulant noma i-anti-aggregating drug, kufanele banakekele ngokukhethekile lapho bethatha amakhambi asekhaya noma izithako zokudla ezilungiselelwe ngokususelwa ku:
- Ugaliki;
- UGinkgo Biloba;
- IGinseng;
- Isazi esibomvu;
- IGuaco;
- UDong Quai noma i-Angelica yaseChina;
- I-chestnut yamahhashi;
- I-Bilberry;
- IGuarana;
- U-Arnica.
Ngenxa yalolu hlobo lokuxhumana phakathi kwemithi namakhambi emvelo, kubalulekile ukuthatha imishanguzo kuphela ngemuva kokukhonjiswa nodokotela.