Ukusetshenziswa Kwe-Long Thinner Use: Okudingeka Ukwazi

-Delile

• Basebenza kanjani abanciphisi begazi
• Imiphumela emibi yabancipha begazi
• Ukuqapha igazi lakho elizacile
• I-Warfarin
• Ama-NOAC
• Ukusebenzisana
• I-Warfarin
• Ama-NOAC
• Lapho uzobona udokotela wakho
• Ukuthatha

I-AFib kanye ne-thinner yegazi

I-Atrial fibrillation (i-AFib) yisifo senhliziyo esingahle sinyuse ubungozi bokushaywa unhlangothi. Nge-AFib, amakamelo amabili aphezulu enhliziyo yakho ashaya ngokungajwayelekile. Igazi lingahlangana liqoqe, lenze amahlule angaya ezithweni zakho nakubuchopho bakho.

Odokotela bavame ukunikeza ama-anticoagulants ukuze anciphise igazi futhi avimbele amahlule ukuba akheke.

Nakhu okudingeka ukwazi ngokusetshenziswa okuncane kwegazi isikhathi eside, noma yimiphi imiphumela emibi ongayithola, nokuthi yini ongafuna ukuxoxa ngayo nodokotela wakho.

Basebenza kanjani abanciphisi begazi

Ama-anticoagulants anganciphisa ingozi yokushaywa unhlangothi ngokufika ku-. Ngenxa yokuthi i-AFib ayinazo izimpawu eziningi, abanye abantu banomuzwa wokuthi abafuni noma abadingi ukuthatha izinciphisi zegazi, ikakhulukazi uma kusho ukuthatha umuthi impilo yabo yonke.

Yize izinciphisi zegazi zingashintshi indlela ozizwa ngayo usuku nosuku, zibaluleke kakhulu ukuzivikela ekushayweni unhlangothi.

Ungahle uhlangane nezinhlobo eziningana zabanciphisi begazi njengengxenye yokwelashwa kwe-AFib. I-Warfarin (i-Coumadin) ibilokhu iyigazi elinconywe ngokwesiko ngokwesiko. Isebenza ngokunciphisa ikhono lomzimba wakho lokwenza uvithamini K. Ngaphandle kukavithamini K, isibindi sakho sinenkinga yokwenza amaprotheni aqinisa igazi.

Kodwa-ke, abasha, abasebenza ngokufushane abasebenza ngegazi abaziwa ngokuthi ama-anticoagulants (non-vitamin K oral anticoagulants (NOACs) manje sebenconyiwe ngaphezu kwe-warfarin kubantu abane-AFib, ngaphandle kwalapho umuntu ene-mitral stenosis noma i-valve yenhliziyo yokufakelwa. Le mithi ifaka i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis), ne-edoxaban (i-Savaysa).

Imiphumela emibi yabancipha begazi

Abanye abantu akufanele bathathe izinciphisi zegazi. Qinisekisa ukuthi utshela udokotela wakho uma unezimo ezilandelayo zezokwelapha ngaphezu kwe-AFib:

• umfutho wegazi ophakeme ongalawuleki
• izilonda zesisu noma ezinye izinto ezikubeka engcupheni enkulu yokopha ngaphakathi
• i-hemophilia noma ezinye izifo zokopha

Omunye wemiphumela emibi kakhulu yemithi yokuncipha kwegazi yingozi eyengeziwe yokopha. Ungaba sengozini yokopha kakhulu kusuka ekusikeni okuncane.

Qiniseka ukuthi utshela udokotela wakho uma uhlangabezana nezinkinobho ezinde ezikhala ngamakhala noma ukopha, noma ubona igazi emhlanzweni noma endleni yakho. Ukulimala okunzima okunye ongakubona okudinga ukunakwa ngudokotela.

Ngokuhambisana nokopha, ungahle uhlangane nokuqubuka kwesikhumba nokulahleka kwezinwele njengemiphumela emibi ngenkathi usemuthini.

Ukuqapha igazi lakho elizacile

I-Warfarin

Uma uthatha i-warfarin isikhathi eside, ungahle ubhekwe ngeso lokhozi yithimba lakho lezokwelapha.

Ungavakashela njalo esibhedlela noma emtholampilo uyohlolwa igazi okuthiwa yi-prothrombin time. Lokhu kukala ukuthi kuthatha isikhathi esingakanani ukuthi igazi lakho limile. Kuvame ukwenziwa njalo ngenyanga kuze kube yilapho udokotela wakho ethola umthamo ofanele osebenzela umzimba wakho.

Ukuhlolwa kwegazi lakho kuyinto okuzodingeka uyenze ngenkathi usebenzisa umuthi. Abanye abantu abadingi ukushintsha umthamo wabo wemithi kaningi. Abanye kumele babe nokuhlolwa kwegazi kaningi nezinguquko kumthamo wabo ukugwema imiphumela emibi nokopha ngokweqile.

Ungadinga futhi ukuhlolwa ngaphambi kokuba ube nezinqubo ezithile zezokwelapha ezibandakanya ukopha, njengokuhlinzwa.

Ungaqaphela ukuthi umbala wepilisi yakho ye-warfarin uhlukile ngezikhathi ezithile. Umbala umele isilinganiso, ngakho-ke kufanele usibheke bese ubuza udokotela wakho uma unemibuzo ngokubona umbala ohlukile ebhodleleni lakho.

Ama-NOAC

Ama-thinner asebenza ngamafushane njenge-anticoagulants yenoveli (i-NOACs) ngokuvamile ayidingi ukuqashwa kaningi. Udokotela wakho angakunika imihlahlandlela eyengeziwe yokwelashwa nanoma yiziphi izinguquko kumthamo.

Ukusebenzisana

I-Warfarin

I-Warfarin ingahle ihlanganyele nemithi ehlukile oyiphuzayo. Ukudla okudlayo kungaphazamisa nomphumela wakho emzimbeni wakho. Uma uthatha lo muthi isikhathi eside, uzofuna ukubuza udokotela wakho kabanzi mayelana nokudla kwakho - ikakhulukazi ngokudla okunevithamini K.

Lokhu kudla kufaka phakathi imifino eluhlaza, enamaqabunga:

• i-kale
• imifino ye-collard
• I-Swiss chard
• imifino yesinaphi
• imifino yetheniphu
• iparsley
• isipinashi
• i-endive

Kufanele futhi ukhulume nodokotela wakho nganoma yisiphi isithako semithi noma i-omega-3 oyithathayo ukubona ukuthi bangasebenzisana kanjani nabanciphisi begazi.

Ama-NOAC

Ama-NOAC awanakho ukuxhumana okwaziwayo kokudla noma kwezidakamizwa. Khuluma nodokotela wakho ukuze ubone ukuthi ngabe uyilungele yini ukuthatha le mithi.

Lapho uzobona udokotela wakho

Uma unenkinga ngokuthatha izinciphisi zegazi isikhathi eside, khuluma nodokotela wakho.

Kubalulekile ukuthi uphuze imithi yakho ngasikhathi sinye usuku ngalunye. Uma uphuthelwa umthamo, shayela udokotela wakho ukuze abone ukuthi kufanele ubuyele kanjani kuthrekhi.

Abanye abakhumbula umthamo wabo ophuthelwe eduze lapho bevame ukuwuthatha bangakwazi ukuwuthatha amahora ambalwa sekwephuzile. Abanye kungadingeka balinde kuze kube usuku olulandelayo bese baphinda kabili umthamo wabo. Udokotela wakho angakweluleka ngendlela engcono kakhulu yesimo sakho.

Shayela u-911 ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo ngenkathi usebenzisa izinciphisi zegazi:

• ikhanda elibi noma elingajwayelekile
• ukudideka, ubuthakathaka, noma ukuba ndikindiki
• ukopha okungayeki
• ukuhlanza igazi noma igazi esitokisini sakho
• ukuwa noma ukulimala ekhanda lakho

Lezi zimo zingaba yizimpawu zokopha kwangaphakathi noma zingaholela ekulahlekelweni igazi ngokweqile. Ukwenza ngokushesha kungasindisa impilo yakho.

Kunemithi elwa nezidakamizwa engamisa imiphumela ye-warfarin futhi yenze igazi lakho livale lapho kunesimo esiphuthumayo, kodwa kuzodingeka uye esibhedlela ukuze uthole ukwelashwa.

Ukuthatha

Ukopha kuyingozi enkulu ngokusetshenziswa okuncane kwegazi isikhathi eside. Uma uthango ngokubathatha ngalesi sizathu, cabanga ngokwenza izinguquko ezimbalwa zendlela yokuphila.Lokhu okulandelayo yizinto ongazenza ekhaya ukunciphisa amathuba akho wokopha emisebenzini yansuku zonke:

• Phonsa noma imaphi amabhulashi wamazinyo aqinile, bese ushintshela kulawo anama-bristles athambile.
• Sebenzisa i-wax floss esikhundleni se-unwax, engalimaza izinsini zakho.
• Zama insingo kagesi ukuze ugweme ukusikeka nokusikeka.
• Sebenzisa izinto ezibukhali, njengezikele noma imimese, ngokunakekela.
• Buza udokotela wakho ngokuhlanganyela kunoma iyiphi imisebenzi engakhuphula amathuba okuwa noma okulimala, njengemidlalo yokuxhumana. Lokhu kungakhuphula nobungozi bokuphuma ngaphakathi.

Uma uthatha i-warfarin, ungahle uthande ukukhawulela ukudla okuthile ekudleni kwakho okungahle kuhlanganyele nomuthi. Esikhundleni salokho, zama ukudla ukudla okuhlukahlukene okunovithamini K omncane, kufaka phakathi:

• izaqathe
• ukholifulawa
• ukhukhamba
• upelepele
• amazambane
• Ugalonci
• utamatisi

Khumbula ukuthi izinciphisi zegazi kungenzeka zingakwenzi uzizwe ungcono nsuku zonke. Noma kunjalo, zingenye zezinyathelo ezinhle kakhulu ongazithatha ukuzivikela ekushayweni unhlangothi. Uma unokukhathazeka mayelana nabanciphisi begazi nokusetshenziswa kwesikhathi eside, khuluma nodokotela wakho ngezingozi ezihambisana nezinzuzo.