Yimaphi amakhambi angenakuthathwa ngaphambi kokuhlinzwa

-Delile

• 1. Ama-Platelet antiaggregants
• 2. Ama-Anticoagulants
• 3. Izidakamizwa ezingezona ukuvuvukala
• 4. Izindlela zokwelapha zeHormonal
• 5. Amakhambi esifo sikashukela
• 6. Imithi ye-cholesterol
• 7. Amakhambi ezifo zamathambo
• 8. I-Phytotherapics
• 9. Izidakamizwa
• Amakhambi angagcinwa

Ukuze ukuhlinza kusebenze ngaphandle kwengozi encane futhi ukululama kusheshe, kubalulekile ukulandela imiyalo kadokotela maqondana nokuqhubeka kwemithi ethile, ngoba kwezinye izimo, kuyadingeka ukumisa ukusetshenziswa kwemithi ethile, ikakhulukazi leyo eyenza lula ingozi yokuphuma kwegazi noma ukuletha uhlobo oluthile lokuncipha kwamahomoni, njengoba kunjalo nge-acetylsalicylic acid, i-clopidogrel, i-anticoagulants, izidakamizwa ezingezona ukuvuvukala ezingezona i-steroidal noma eminye imithi yesifo sikashukela, isibonelo.

Imithi eminingi kufanele futhi ihlolwe ngesimo ngamacala, njengezindlela zokuvimbela inzalo nezidambisi, ezimisiwe kubantu abasengozini enkulu yokuphendula. Eminye imishanguzo, njenge-antihypertensive drugs, ama-antibiotics kanye nama-corticosteroids angapheli, adinga ukugcinwa futhi athathwe nangosuku lokuhlinzwa, ngoba ukuphazanyiswa kwabo kungadala izintaba eziphakeme kakhulu noma ukuncipha kwehomoni ngesikhathi sokuhlinzwa.

Ngakho-ke, kubalulekile ukuthi, ngaphambi kokuhlinzwa, kwenziwe uhlu lwemithi umuntu aluthathayo, aludlulisele kudokotela, kufaka phakathi i-homeopathic noma eminye engabonakali ibalulekile, ukuze kugwenywe noma iyiphi ingozi okwamanje. yenqubo yokuhlinzwa.

Ngaphezu kwalokho, kufanele kuthathwe ezinye izindlela zokuphepha, njengokuyeka ukubhema, ukugwema iziphuzo ezidakayo nokugcina ukudla okunomsoco, ikakhulukazi ezinsukwini ezandulela ukuhlinzwa kanye nesikhathi sonke sokuhlinzwa. Bona imininingwane eminingi ngokunakekelwa okufanele kuthathwe ngaphambi nangemva kokuhlinzwa.

1. Ama-Platelet antiaggregants

Izidakamizwa ze-antiplatelet, njenge-acetylsalicylic acid, i-clopidogrel, i-ticagrelor, i-cilostazol ne-ticlopidine, edume kakhulu ngokuthi izidakamizwa "zokuncipha kwegazi", akufanele zisetshenziswe ngaphambi kokuhlinzwa, futhi kufanele ziyekwe izinsuku eziyi-7 kuya kwezingu-10 ngaphambili, noma njengoba kuchazwa ngudokotela. Ama-platelet antiaggregants anesenzo esibuyela emuva, angahle amiswe ngokwesilinganiso sempilo yawo, okusho ukumisa umuthi cishe emahoreni angama-72 ngaphambi kokuhlinzwa.

2. Ama-Anticoagulants

Abantu abasebenzisa ama-coumarinic anticoagulants, afana noMarevan noma uCoumadin, bangahlinzwa kuphela ngemuva kokumiswa kwabo, okudinga amazinga we-coagulation, ahlolwe ukuhlolwa kwe-INR, ukuthi abe semikhawulweni ejwayelekile.

Abantu abasebenzisa ama-anticoagulants amasha, njenge-rivaroxaban powder, i-apixaban ne-dabigatran, kungenzeka bangadingi ukumisa umuthi wokuhlinzwa okuncane, njengokuhlinzwa kwesikhumba, amazinyo, i-endoscopy kanye ne-cataract. Kodwa-ke, uma kungukuhlinzwa okuyinkimbinkimbi ngokwengeziwe, le mithi ingamiswa isikhathi esingahluka phakathi kwamahora angaba ngu-36 nezinsuku ezi-4, ngokuya ngosayizi wokuhlinzwa nezimo zempilo yomuntu.

Ngemuva kokumiswa kwama-anticoagulants, udokotela angakhombisa ukusetshenziswa kwe-heparin ejojoweyo, ukuze esikhathini lapho umuntu engenayo imishanguzo, kungabikho bungozi obengeziwe bezinkinga, njenge-thrombosis ne-stroke, ngokwesibonelo. Qonda ukuthi ziyini izinkomba ze-heparin nokuthi uzisebenzisa kanjani.

3. Izidakamizwa ezingezona ukuvuvukala

Izidakamizwa ezingezona-steroidal ezilwa nokuvuvukala akufanele zisetshenziswe ngaphambi kokuhlinzwa, ngoba ziphazamisa nekhono legazi lokujiya futhi zingasetshenziswa kuze kufike ezinsukwini ezintathu ngaphambi kwenqubo.

4. Izindlela zokwelapha zeHormonal

Izinto zokuvimbela inzalo azidingi ukumiswa ngaphambi kokuhlinzwa okuncane nakwabesifazane abasengozini ephansi yokuba nohlobo oluthile lwe-thrombosis. Kodwa-ke, abesifazane abasengozini enkulu, njengalabo abanomlando wangaphambilini noma womndeni we-thrombosis, ngokwesibonelo, kufanele bayeke ukusebenzisa umuthi cishe amasonto ayisithupha ngaphambi kwalokhu futhi, phakathi nalesi sikhathi, olunye uhlobo lwendlela yokuvimbela inzalo kufanele lusetshenziswe.

Ukwelashwa esikhundleni seHormone nge-tamoxifen noma i-raloxifene, kufanele kuhoxiswe kubo bonke abesifazane, emavikini ama-4 ngaphambi kwenqubo yokuhlinzwa, njengoba amazinga abo ama-hormone ephezulu, ngakho-ke kubangela ingozi enkulu ye-thrombosis.

5. Amakhambi esifo sikashukela

Imithi yethebhulethi yesifo sikashukela yezinhlobo ezahlukahlukene, njenge-glimepiride, i-gliclazide, i-liraglutide ne-acarbose, ngokwesibonelo, kufanele iyekwe ngosuku olwandulela ukuhlinzwa. Ngakolunye uhlangothi, iMetformin, kufanele iyekwe amahora angama-48 ngaphambi kokuhlinzwa, ngoba ibeka ubungozi bokubangela i-acidosis egazini ngesikhathi sokuhlinzwa. Esikhathini ngemuva kokuhoxiswa kwezidakamizwa, kubalulekile ukuthi i-glucose yegazi ibhekwe futhi, ezimweni zokwanda kweglucose yegazi, i-insulin kufanele isetshenziswe.

Ezimweni lapho umuntu esebenzisa i-insulin, kufanele iqhubeke, ngaphandle kwama-insulins wesikhathi eside, njenge-glargine ne-NPH, lapho udokotela anganciphisa khona umthamo ngesigamu noma nge-1/3, ukuze ingozi inciphiswe i-hypoglycemia ngesikhathi sokuhlinzwa .

6. Imithi ye-cholesterol

Izidakamizwa ze-cholesterol kufanele ziyekwe usuku olungu-1 ngaphambi kokuhlinzwa, futhi kuphela izidakamizwa zohlobo lwe-statin, njenge-simvastatin, i-pravastatin noma i-atorvastatin, ngokwesibonelo, engagcinwa, ngoba ayibangeli ubungozi ngesikhathi senqubo.

7. Amakhambi ezifo zamathambo

Imithi efana ne-allopurinol noma i-colchicine, ekhonjiswe ezifweni ezinjenge-gout, ngokwesibonelo, kufanele imiswe ekuseni ngokuhlinzwa.

Ngokuqondene nemithi esetshenziselwa ukwelapha izifo ezifana ne-osteoporosis noma i-rheumatoid arthritis, iningi lazo kumele limiswe ngosuku olungaphambi kokuhlinzwa, kodwa-ke, kwezinye izimo, kungadingeka ukumisa ukwelashwa cishe isonto ngaphambi kokuhlinzwa, emakhambi njenge-sulfasalazine ne-penicillamine.

8. I-Phytotherapics

Imithi yamakhambi ibhekwa, ngabantu bebonke, iphephe maqondana namakhambi e-allopathic, ukusetshenziswa kwayo kaningi, kanye nokushiywa kokusetshenziswa kwayo ngaphambi kukadokotela. Kodwa-ke, yizidakamizwa ezingadala nemiphumela emibi, futhi eziningi zazo azinabo ubufakazi besayensi bokusebenza, futhi zingaphazamisa kakhulu ukuhlinzwa, ngakho-ke kufanele zimiswe njalo.

Imithi yamakhambi efana neGinkgo biloba, Ginseng, Arnica, Valeriana, Kava-kava noma iSt John's wort noma itiye likagalikhi, ngokwesibonelo, ingadala imiphumela emibi ngesikhathi sokuhlinzwa, njengokukhulisa ubungozi bokuphuma kwegazi, okuholela ezinkingeni zenhliziyo nemithambo yegazi noma ngisho nokwandisa umphumela wokuthomalalisa izinzwa, ngakho-ke, kuya ngomuthi wamakhambi okukhulunywa ngawo, kufanele umiswe phakathi kwamahora angama-24 kuye ezinsukwini eziyi-7 ngaphambi kwenqubo.

9. Izidakamizwa

Ama-diuretics kufanele anqanyulwe noma nini lapho ukuhlinzwa kubandakanya ingozi noma lapho kubikezelwa ukulahleka kwegazi, ngoba le mithi ingashintsha amandla ezinso okugxilisa umchamo, ongaphazamisa izimpendulo ku-hypovolemia.

Ngaphezu kwalokho, iziphuzo neziphuzo ezinothe nge-caffeine, njengekhofi, itiye eliluhlaza kanye netiye elimnyama, kufanele futhi kugwenywe esontweni ngaphambi kokuhlinzwa.

Ngemuva kwenqubo yokuhlinzwa, ukwelashwa kungaphinde kuqalwe, ngokuya ngesibonakaliso sezokwelapha, ngokuya ngokululama nokwehliswa kwezingozi zemiphumela emibi. Futhi wazi ukuthi yiziphi izinyathelo zokuqapha ezisemqoka okumele uzithathe ukuze ululame ngokushesha ekuhlinzweni.

Amakhambi angagcinwa

Imithi okufanele igcinwe, noma ngosuku lokuhlinzwa nangesikhathi sokuzila, yile:

• Izidakamizwa eziphikisana nomfutho we-antihypertensive ne-antiarrhythmic, njenge-carvedilol, losartan, enalapril noma i-amiodarone, isibonelo;
• I-steroids engapheli, njenge-prednisone noma i-prednisolone, isibonelo;
• Amakhambi Esifuba Somoya, njenge-salbutamol, i-salmeterol noma i-fluticasone, isibonelo;
• Ukwelashwa kwesifo se-thyroid, nge-levothyroxine, propylthiouracil noma i-methimazole, isibonelo;
• Izixazululo ze-gastritis ne-reflux, njenge-omeprazole, i-pantoprazole, i-ranitidine ne-domperidone, isibonelo;
• Ukwelashwa kwezifo, ngemithi elwa namagciwane, ayikwazi ukumiswa;

Ngaphezu kwalokho, eminye imithi ingagcinwa ngokuqapha, njenge-anxiolytics, i-antidepressants kanye ne-anticonvulsants, ngoba yize kungaphikiswa ngaphambi kokuhlinzwa, ukusetshenziswa kwayo kufanele kuxoxwe ngakho nodokotela ohlinzayo kanye ne-anesthetist, njengoba kungaphazamisa ezinye izinhlobo zokubulala izinzwa futhi, ku kwezinye izimo, kwandisa ingozi yezinkinga.