Ukuqonda Ukuncipha Kwegazi Nendlela Abasebenza Ngayo

-Delile

• Yini abahlanza igazi?
• Basebenza kanjani abanciphisa igazi?
• Ingabe kukhona ubungozi noma imiphumela emibi?
• Ingabe i-cholesterol ephezulu ikukhuphula kanjani ukuhlaselwa yinhliziyo nobungozi bokushaywa unhlangothi?
• Umbono

Yini abahlanza igazi?

Ama-thinner egazi yizidakamizwa ezivimbela igazi ekunqandeni. Babizwa nangokuthi ama-anticoagulants. "Coagulate" kusho "ukumboza."

Amahlule egazi angavimba ukugeleza kwegazi liye enhliziyweni noma ebuchosheni. Ukuntuleka kokugeleza kwegazi kulezi zitho kungadala isifo senhliziyo noma isifo sohlangothi.

Ukuba ne-cholesterol ephezulu kwandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi ngenxa yegazi. Ukuthatha igazi elincanyana kungasiza ukwehlisa leyo ngozi. Le mithi isetshenziselwa kakhulu ukuvimbela amahlule egazi kubantu abanesigqi senhliziyo esingajwayelekile, esibizwa nge-atrial fibrillation.

I-Warfarin (i-Coumadin) ne-heparin yizinciphisi zegazi ezindala. Kukhona nabanciphisa igazi abahlanu abasha:

• i-apixaban (Eliquis)
• i-Batteryxaban (Bevyxxa, Portola)
• i-dabigatran (Pradaxa)
• i-edoxaban (Savaysa)
• i-Rivaroxaban powder (i-Xarelto)

Basebenza kanjani abanciphisa igazi?

Ama-thinner egazi empeleni awalinciphisi igazi. Esikhundleni salokho, bayakuvimbela ekuvalekeni.

Udinga uvithamini K ukukhiqiza amaprotheni abizwa ngokuthi ama-clotting factor esibindini sakho. Izici zokuvala zenza igazi lakho livale. Abanciphisi begazi abadala njengeCoumadin bavimbela uvithamini K ekusebenzeni kahle, okunciphisa inani lezinto ezijiyisayo egazini lakho.

Abanciphisi begazi abasha njengo-Eliquis noXarelto basebenza ngokuhlukile - bavimba i-factor Xa. Umzimba wakho udinga i-factor Xa ukwenza i-thrombin, i-enzyme esiza igazi lakho ukuba livale.

Ingabe kukhona ubungozi noma imiphumela emibi?

Ngenxa yokuthi izinciphisi zegazi zivimbela igazi ekunqandeni, zingadala ukuthi wophe kakhulu kunokujwayelekile. Kwesinye isikhathi ukopha kungaba kakhulu. Izinciphisi zegazi ezindala zinamathuba amaningi okuthi zidale ukopha ngokweqile kunezintsha.

Shayela udokotela wakho uma ubona noma yiziphi zalezi zimpawu ngenkathi uthatha abagcini begazi:

• imihuzuko emisha ngaphandle kwesizathu esaziwayo
• izinsini ezophayo
• umchamo obomvu noma omnyama onsundu noma indle
• izinkathi ezisinda kakhulu kunokujwayelekile
• ukukhwehlela noma ukuphalaza igazi
• ubuthakathaka noma isiyezi
• ubuhlungu obukhulu bekhanda noma ubuhlungu besisu
• ukusika okungayeki ukopha

Abanciphisi begazi bangaphinde bahlanganyele nemithi ethile. Eminye imishanguzo yandisa imiphumela yokuncipha kwegazi futhi ikwenze ube sethubeni lokuphuma igazi. Eminye imithi yenza izinciphisi zegazi zingasebenzi kahle ekuvimbeleni isifo sohlangothi.

Yazisa udokotela wakho ngaphambi kokuthatha i-anticoagulant uma uthatha noma iyiphi yale mithi:

• ama-antibiotic afana ne-cephalosporins, i-ciprofloxacin (Cipro), i-erythromycin (i-Erygel, i-Ery-tab), ne-rifampin (i-Rifadin)
• imishanguzo yokulwa nobungozi efana ne-fluconazole (i-Diflucan) ne-griseofulvin (i-gris-PEG)
• i-carbamazepine (anti-seizure drug carbamazepine) (Carbatrol, Tegretol)
• umuthi we-antithyroid
• amaphilisi okuvimbela inzalo
• izidakamizwa ze-chemotherapy njenge-capecitabine
• izidakamizwa ezinciphisa i-cholesterol
• i-gout drug allopurinol (Aloprim, Zyloprim)
• i-cimetidine (i-Tagamet HB) yesidakamizwa sokuphumula
• i-amiodarone yesigqi senhliziyo (Nexterone, Pacerone)
• umuthi ocindezela amasosha omzimba azathioprine (Azasan)
• ukudambisa izinhlungu njenge-aspirin, i-diclofenac (i-Voltaren), i-ibuprofen (i-Advil, i-Motrin), ne-naproxen (i-Aleve)

Futhi yazisa udokotela wakho uma uthatha noma yimiphi imishanguzo e-over-the-counter (OTC), amavithamini, noma ama-herbal supplements. Eminye yale mikhiqizo nayo ingaxhumana nabanciphisi begazi.

Ungase futhi uthande ukucabangela ukuqapha ukuthi uthola i-vitamin K engakanani ekudleni kwakho. Buza udokotela wakho ukuthi kungakanani ukudla okuqukethe i-vitamin K okufanele udle usuku ngalunye. Ukudla okuphezulu ku-vitamin K kufaka:

• i-broccoli
• Amahlumela eBrussels
• iklabishi
• imifino ye-collard
• itiye eliluhlaza
• i-kale
• udali
• ulethisi
• isipinashi
• imifino yetheniphu

Ingabe i-cholesterol ephezulu ikukhuphula kanjani ukuhlaselwa yinhliziyo nobungozi bokushaywa unhlangothi?

I-cholesterol yinto enamafutha egazini lakho. Umzimba wakho wenza i-cholesterol ethile. Okunye kuvela ekudleni okudlayo. Inyama ebomvu, ukudla okunobisi okunamafutha agcwele, nezimpahla ezibhakiwe kuvame ukuba ne-cholesterol ephezulu.

Uma une-cholesterol eningi egazini lakho, ingakha ezindongeni zakho zomthambo futhi yakhe amabhlokhi anamathelayo abizwa ngokuthi amapuleti. Amapuleti anciphisa imithambo yegazi, avumela igazi elincane ukuba ligeleze ngayo.

Uma uqweqwe luqhekeka luvuleka, ihlule legazi lingakha. Lelo hlwili lingaya enhliziyweni noma ebuchosheni futhi lidale isifo senhliziyo noma isifo sohlangothi.

Umbono

Ukuba ne-cholesterol ephezulu kwandisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi. Ama-thinner egazi ayindlela eyodwa yokuvimbela amahlule ukuba akheke. Udokotela wakho angakunika omunye wale mithi uma une-fibrillation ye-atrial.

Izinga elijwayelekile le-cholesterol lingaphansi kwama-200 mg / dL. Izinga elifanele le-LDL cholesterol lingaphansi kuka-100 mg / dL. I-cholesterol ye-LDL uhlobo olungenampilo olwakha izingcwephe emithanjeni yegazi.

Uma izinombolo zakho ziphakeme, ungenza lezi zinguquko zendlela yokuphila ukusiza ukwehlisa:

• Nciphisa inani lamafutha agcwele, amafutha adluliswayo, ne-cholesterol ekudleni kwakho.
• Yidla izithelo nemifino eyengeziwe, inhlanzi nezinhlamvu ezigcwele.
• Yehlisa isisindo uma ukhuluphele ngokweqile. Ukususa amakhilogremu amahlanu kuya kwayi-10 kungasiza ukwehlisa amazinga akho e-cholesterol.
• Yenza izivivinyo ze-aerobic njengokugibela ibhayisikili noma ukuhamba imizuzu engama-30 kuye kwangama-60 usuku ngalunye.
• Yeka ukubhema.

Uma uke wazama ukwenza lezi zinguquko futhi ne-cholesterol yakho isesiphezulu, udokotela wakho angahle akunikeze ama-statins noma omunye umuthi ukuze wehlise. Landela uhlelo lwakho lokwelashwa eduze ukuvikela imithambo yegazi yakho futhi unciphise ubungozi bokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.