Tej zaum ib tug neeg hauv koj tsev neeg, lossis koj tus kheej, yuav noj cov tshuaj 'ntshav nyias nyias'. Tej zaum koj yuav ntshai me ntsis thaum koj tus kws kho mob sau cov tshuaj no rau koj. Nws yog ib qho ib txwm muaj rau cov lus nug xws li "Qhov no puas yuav ua rau ntshav ntau ntxiv?", "Yuav ua li cas yog tias kuv ua tsis raug?" los rau hauv siab. Yog li, tsis txhob ntshai. Hnub no, cia peb tham txog cov tshuaj no uas ua rau ntshav nyias nyias, lossis raws li lawv hu ua, '(Anticoagulants)', kom txhua yam meej.
Hauv lus yooj yim, cov tshuaj anticoagulants no yog dab tsi?
Cov tshuaj Anticoagulants yog ib hom tshuaj uas txo koj cov ntshav kom tsis txhob txhaws. Ib txhia neeg hu lawv ua 'cov tshuaj ua kom cov ntshav nyias'. Tab sis qhov lawv ua tiag tiag tsis yog 'ua kom cov ntshav nyias' zoo li dej, tab sis ua kom cov ntshav txhaws qeeb qeeb . Cov tshuaj no ua ob yam tseem ceeb. Ib qho yog pab koj lub cev yaj cov ntshav txhaws uas twb muaj lawm. Qhov thib ob yog tiv thaiv cov ntshav txhaws tshiab, tsis xav tau.
Cov tshuaj no muaj nyob rau hauv daim ntawv txhaj tshuaj, cov kua dej hauv cov hlab ntsha (IV), thiab cov ntsiav tshuaj noj.
Vim li cas peb thiaj xav tau hom tshuaj no?
Feem ntau, thaum peb lub cev raug mob, nws zoo rau cov ntshav kom khov. Qhov no ua rau cov ntshav tsis txhob los thiab qhov txhab kho. Tab sis xav txog, yog tias cov ntshav khov tsim nyob rau hauv peb cov leeg tsis muaj laj thawj?
Zoo li lub tsheb loj loj tam sim ntawd daig ntawm txoj kev uas tsis muaj neeg tsav. Tom qab ntawd, lwm lub tsheb ntawm txoj kev tsis tuaj yeem hla dhau, vim tias cov ntshav txhaws no thaiv cov ntshav ntws.
Yog tias cov ntshav txhaws uas tsim los ntawm txoj kev no mus ncig los ntawm cov hlab ntsha thiab daig hauv cov hlab ntsha me me hauv ib lub cev tseem ceeb xws li lub hlwb, lub ntsws, lossis lub plawv, nws tuaj yeem ua rau muaj cov mob txaus ntshai heev.
- Mob Stroke: Ua los ntawm cov ntshav txhaws uas mus rau lub hlwb thiab thaiv nws.
- Kab mob ntsws txhaws (PE): Ib qho ntshav txhaws uas thaiv cov hlab ntsha loj hauv lub ntsws . Qhov no yog ib qho mob txaus ntshai uas tuaj yeem ua rau tuag tam sim ntawd.
- Mob Plawv Nres: Ua los ntawm cov ntshav txhaws thaiv cov hlab ntsha uas muab ntshav mus rau lub plawv.
Yog li, cov kws kho mob tau sau cov tshuaj "Anticoagulants" no rau cov neeg uas muaj feem yuav muaj cov mob txaus ntshai no.
| Cov kev siv tshuaj anticoagulants feem ntau | |
|---|---|
| Lub plawv dhia tsis xwm yeem (Atrial Fibrillation) | Vim tias cov chav sab saud ntawm lub plawv tsis twj zoo, cov ntshav tuaj yeem sib sau ua ke thiab txhaws. Yog tias cov ntshav txhaws no mus rau lub hlwb, lawv tuaj yeem ua rau tuag tes tuag taw. |
| Kev Phais Mob Plawv | Tom qab muab qee cov qhov plawv cuav tso rau hauv lawm, yuav muaj kev pheej hmoo ntawm cov ntshav txhaws rau ntawm qhov plawv. |
| Kev Hloov Paug/Lub Pob Qij Txha | Tom qab cov kev phais no, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntshav tob ntawm ob txhais ceg. Qhov mob no hu ua Deep Vein Thrombosis (DVT). Cov ntshav txhaws uas tawg tawm ntawm DVT no tuaj yeem mus rau lub ntsws. |
| Kev Mob Ntshav Txhaws | Muaj ib txhia neeg muaj cov kab mob caj ces uas ua rau lawv cov ntshav khov tau yooj yim. Lawv kuj xav tau cov tshuaj no thiab. |
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Peb lub cev ib txwm tswj qhov sib npaug ntawm cov ntshav txhaws thiab kev tiv thaiv cov ntshav txhaws. Cov tshuaj Anticoagulants cuam tshuam rau qhov sib npaug no me ntsis thiab ua rau sab ntshav txhaws tsis muaj zog. Qhov no tiv thaiv cov ntshav txhaws tsis xav tau los ntawm kev tsim. Cov tshuaj no ua haujlwm txawv.
Kev txhaj tshuaj thiab cov tshuaj IV
Feem ntau cov no siv rau hauv tsev kho mob, thaum xav tau cov txiaj ntsig sai.
- Heparin: Qhov no ua haujlwm los ntawm kev ua kom cov protein hu ua '(Antithrombin)' uas tiv thaiv cov ntshav txhaws hauv lub cev. Muaj ob hom ntawm qhov no. Ib hom yog ceev heev, tab sis koj yuav tsum kuaj xyuas koj cov ntshav tsis tu ncua kom paub tseeb tias cov koob tshuaj yog qhov raug. Lwm hom '(Low-Molecular-Weight Heparin - LMWH)' ua haujlwm qeeb me ntsis, tab sis nws yooj yim xav txog nws qhov ua tau zoo. Yog li ntawd, koj tsis tas yuav kuaj xyuas koj cov ntshav tsis tu ncua.
- Cov Tshuaj Tiv Thaiv Thrombin Ncaj Qha: Cov no ncaj qha ua rau cov protein hu ua '(Thrombin)' uas pab kom cov ntshav khov tsis ua haujlwm.
Hom tshuaj noj
Cov no yog cov uas cov kws kho mob tau sau ntawv kom siv tau ntev.
- Warfarin: Qhov no yog ib hom tshuaj qub uas ntau tus neeg hauv peb lub tebchaws siv. Nws ua haujlwm los ntawm kev thaiv kev siv vitamin K, uas yog qhov tseem ceeb rau kev txhaws ntshav. Qhov ntau npaum li cas tseem ceeb heev thaum noj Warfarin. Yog tias koj siv ntau dhau me ntsis, qhov kev pheej hmoo ntawm kev los ntshav tuaj yeem nce ntxiv. Yog vim li ntawd koj tus kws kho mob yuav ua koj qhov kev kuaj ntshav tas li (INR test) thiab kho qhov ntau npaum li cas.
- Cov Tshuaj Tiv Thaiv Kev Ntshav Hauv Qhov Ncauj (DOACs): Cov no yog cov tshuaj tshiab dua. Piv txwv li `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)`. Cov no tsis tas yuav kuaj ntshav ntau zaus zoo li Warfarin.
Qhov txaus ntshai tshaj plaws! Cov kev mob tshwm sim thiab teeb meem yog dab tsi?
Qhov kev pheej hmoo tseem ceeb thiab feem ntau ntawm cov tshuaj anticoagulant yog los ntshav. Qhov no txhais tau tias txawm tias qhov txiav me me kuj yuav siv sijhawm ntev dua los tiv thaiv kev los ntshav, thiab koj yuav yooj yim raug mob. Tsis tas li ntawd xwb, txhua yam tshuaj muaj nws cov kev mob tshwm sim.
| Hom tshuaj | Tej zaum yuav muaj tej yam tshwm sim/tej yam teeb meem tshwj xeeb |
|---|---|
| Warfarin |
|
| Heparin | |
| Cov Tshuaj Anticoagulants Ncaj Qha (DOACs) |
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Ua ib tug neeg uas noj cov tshuaj no, koj yuav tsum ceev faj heev txog qhov no, vim tias txawm tias yog qhov xwm txheej me me los kuj tuaj yeem ua rau muaj kev phom sij.
Tham nrog koj tus kws kho mob yog tias koj muaj cov tsos mob no:
- Yog tias los ntshav ntawm cov pos hniav, qhov ntswg, lossis qhov txhab me me tsis tso tseg .
- Yog tias koj qhov mob nqaij yooj yim dua li niaj zaus lossis pom qhov mob nqaij tsis muaj laj thawj.
- Yog koj xav tias kiv taub hau, tsis muaj zog, lossis nkees .
Yog koj muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd:
Qhov no tseem ceeb heev! Yog tias ib tug neeg noj cov tshuaj no ntog, tshwj xeeb tshaj yog tias lawv ntaus lawv lub taub hau, txawm tias tsis muaj ntshav sab nraud los xij, lawv tuaj yeem ntshav sab hauv lub hlwb. Qhov no muaj kev phom sij rau lub neej!
- Txhua yam kev poob, tshwj xeeb tshaj yog tias koj tsoo koj lub taub hau, yuav tsum tau qhia rau ETU tam sim ntawd, txawm tias tsis muaj kev raug mob pom los xij.
- Yog koj muaj xwm txheej tsheb sib tsoo los yog raug ib yam dab tsi hnyav tsoo thiab ua rau koj mob heev .
- Mob taub hau lossis mob plab tam sim ntawd.
- Ntshe ntshav (tshwj xeeb yog tias nws zoo li cov kas fes av) lossis hnoos ntshav.
- Ntshav nyob rau hauv cov zis (cov zis hloov ua txiv kab ntxwv, liab, lossis xim av) lossis ntshav nyob rau hauv cov quav (cov quav hloov ua liab lossis dub tsaus, zoo li tar).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj tiv thaiv kev ntshav khov yog cov tshuaj tseem ceeb heev uas tuaj yeem pab cawm txoj sia. Koj tus kws kho mob sau ntawv rau koj vim muaj laj thawj zoo.
- Qhov kev pheej hmoo loj tshaj plaws ntawm cov tshuaj no yog los ntshav. Nco ntsoov paub txog cov cim ceeb toom ntawm kev los ntshav.
- Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau sab laj nrog koj tus kws kho mob.
- Thaum koj mus ntsib kws kho mob, kws kho hniav rau lwm yam mob, lossis phais mob, nco ntsoov qhia rau lawv tias koj tab tom noj cov tshuaj no.
- Yog koj ntog lossis raug koj lub taub hau, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd, txawm tias koj tsis hnov mob dab tsi los xij.
- Yog koj noj Warfarin, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj ntshav INR rau hnub teem tseg raws li koj tus kws kho mob tau hais.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus