Thaum peb raug txiav lossis raug mob qhov twg ntawm peb lub cev, qhov ntshav tsuas nres tom qab ib pliag, puas yog? Nws yog ib qho kev tiv thaiv zoo kawg nkaus hauv peb lub cev. Qhov ntshav nres vim tias cov ntshav txhaws. Tab sis xav txog seb yuav muaj dab tsi tshwm sim yog tias cov ntshav txhaws no tsim nyob rau hauv cov hlab ntsha hauv peb lub cev yam tsis muaj laj thawj? Qhov ntawd yog qhov xwm txheej txaus ntshai me ntsis. Vim tias cov ntshav txhaws tsis tsim nyog no tuaj yeem ua rau muaj kab mob txaus ntshai xws li mob plawv thiab mob hlwb . Yog li, hnub no peb yuav tham txog ib hom tshuaj tshwj xeeb uas cov kws kho mob siv los tiv thaiv kev tsim cov ntshav txhaws tsis tsim nyog.
Hauv lwm lo lus, cov tshuaj antiplatelet no yog dab tsi?
Cov tshuaj tiv thaiv cov ntshav txhaws yog ib hom tshuaj uas tiv thaiv cov ntshav txhaws kom tsis txhob loj hlob. Lawv ua haujlwm los ntawm kev tiv thaiv cov ntshav txhaws , cov qe ntshav me me, kom tsis txhob lo ua ke thiab sib sau ua ke.
Tam sim no tej zaum koj yuav xav paub tias cov platelets no yog dab tsi. Cia peb piav qhia kom yooj yim dua me ntsis. Peb cov ntshav feem ntau yog ua los ntawm ntau qhov:
- Cov qe ntshav liab : Cov no yog cov uas nqa cov pa oxygen thoob plaws lub cev.
- Cov qe ntshav dawb : Cov no tawm tsam cov kab mob hauv peb lub cev.
- Platelets: Cov no yog cov hlwb uas pab tsim cov ntshav txhaws kom tsis txhob los ntshav hauv peb lub cev.
Xav txog tias koj muaj ib qho qhov txhab me me ntawm koj txhais caj npab lossis ceg. Lub sijhawm ntawd, cov ntshav platelets no sai sai sib sau ua ke ib puag ncig qhov txhab, lo ua ke, thiab tsim ib lub qhov, ua rau cov ntshav tsis txhob los. Qhov no yog ib qho txheej txheem ntuj tsim hauv peb lub cev. Tab sis qhov teeb meem yog, vim muaj qee yam mob , cov ntshav platelets no pib lo ua ke hauv cov hlab ntsha . Thaum ntawd cov tshuaj antiplatelet pab peb. Cov tshuaj no ua yog txo cov peev xwm ntawm cov ntshav platelets kom lo ua ke. Tom qab ntawd cov ntshav txhaws tsis tsim nyog.
Qhov txawv ntawm Antiplatelets thiab Anticoagulants (Blood Thinners) yog dab tsi?
Qhov no yog qhov uas ntau tus neeg tsis meej pem. Ob hom tshuaj no ua haujlwm los txo cov ntshav txhaws. Tab sis lawv ua haujlwm ua ob txoj kev sib txawv. Nws yog ib qho tseem ceeb kom nkag siab qhov no.
Hais yooj yim xwb, cov tshuaj antiplatelets tiv thaiv cov platelets kom tsis txhob lo ua ke. Cov tshuaj Anticoagulants (tseem hu ua "cov tshuaj ua kom cov ntshav nyias") tiv thaiv cov protein uas koom nrog cov txheej txheem ntshav txhaws.
Cia peb saib cov ntsiab lus no kom paub meej ntxiv txog qhov sib txawv no.
| Hom tshuaj | Nws ua haujlwm li cas | Piv txwv |
|---|---|---|
| Cov tshuaj tua kab mob | Cov platelets hauv cov ntshav lo ua ke, sib sau ua ke, thiab tiv thaiv kom tsis txhob muaj ntshav txhaws. | Aspirin, Clopidogrel, Ticagrelor |
| Cov Tshuaj Anticoagulants (Cov Tshuaj Ua Rau Cov Ntshav Tsis Txhob Qhuav) | Nws cuam tshuam rau ntau yam protein (cov yam tseem ceeb ntawm kev txhaws) uas koom nrog hauv cov ntshav txhaws. | Cov tshuaj Warfarin, Heparin, Apixaban, Rivaroxaban |
Leej twg xav tau cov tshuaj no?
Txawm hais tias cov ntshav txhaws yog qhov tseem ceeb rau peb lub cev, qee tus neeg muaj feem yuav muaj cov ntshav txhaws hauv lawv cov leeg. Yog vim li ntawd cov kws kho mob thiaj li sau cov tshuaj antiplatelet rau lawv. Lawv tuaj yeem tseem ceeb rau cov neeg uas muaj cov mob hauv qab no:
- Angina: Mob hauv siab vim yog ntshav tsis txaus mus rau lub plawv.
- Atrial Fibrillation: Ib qho mob uas lub plawv dhia tsis sib xws.
- Kab Mob Ntshav Qab Zib (Coronary Artery Disease): Kev nqaim lossis thaiv cov hlab ntsha uas xa ntshav mus rau lub plawv.
- Rau cov neeg uas tau muaj mob plawv nres lossis mob hlwb yav dhau los: Txhawm rau tiv thaiv kom tsis txhob muaj mob dua.
- Kab Mob Ntawm Cov Ntshav Peripheral: Kev txhaws ntawm cov leeg ntshav sab nraum lub plawv, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg.
- Tom qab qee qhov kev phais mob: Piv txwv li, cov neeg uas tau phais mob plawv los ntawm kev siv txoj hlab ntshav hla lub plawv (coronary artery bypass surgery), angioplasty nrog stent placement, thiab phais mob plawv.
Muaj cov tshuaj antiplatelet hom twg?
Muaj ntau hom tshuaj antiplatelet. Cov tshuaj uas peb txhua tus paub thiab siv ntau tshaj plaws yog aspirin . Kuj muaj ntau hom tshuaj ntxiv thiab. Txhua hom ua haujlwm txawv me ntsis.
| Pawg tshuaj | Yuav ua li cas yooj yim | Piv txwv |
|---|---|---|
| Cov tshuaj inhibitors ntawm Adenosine diphosphate (ADP) receptors | Txo qhov nplaum ntawm cov platelets. | Clopidogrel, Ticagrelor, Prasugrel |
| Cov tshuaj inhibitors ntawm adenosine reuptake | Thaiv cov enzymes uas koom nrog kev ntshav txhaws. | Dipyridamole |
| Cov tshuaj glycoprotein platelet inhibitors | Thaiv cov tshuaj uas ua rau cov ntshav txhaws ua ke. | Abciximab, Eptifibatide |
| Cov tshuaj phosphodiesterase inhibitors | Nws ua rau cov hlab ntsha nthuav dav thiab tiv thaiv cov platelets kom tsis txhob lo ua ke. | Cilostazol |
Yuav siv cov tshuaj no li cas?
Feem ntau cov tshuaj tiv thaiv cov ntshav txhaws muaj nyob rau hauv daim ntawv tshuaj. Qhov ntawd txhais tau tias lawv noj los ntawm qhov ncauj. Hauv qee kis tshwj xeeb, lawv kuj tseem muab rau hauv cov hlab ntsha.
- Koj noj tau cov tshuaj no ua ntej lossis tom qab noj mov. Txawm li cas los xij, qee tus neeg yuav mob plab lossis mob siab tom qab noj cov tshuaj no. Yog tias qhov no tshwm sim, nws yog qhov zoo tshaj plaws los noj cov tshuaj nrog zaub mov .
- Yog koj tsis nco qab noj ib koob tshuaj, noj sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias yuav luag txog lub sijhawm rau koj cov tshuaj tom ntej, hla cov tshuaj uas koj tsis nco qab thiab noj koj cov tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob koob tshuaj ib zaug rau txhua qhov laj thawj.
- Qhov tseem ceeb tshaj plaws yog noj tshuaj raws nraim li tus kws kho mob tau hais.Txawm tias koj xav tias zoo dua los xij, tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas rau txhua qhov laj thawj yam tsis tau nug koj tus kws kho mob.
Cov tshuaj no muaj cov txiaj ntsig thiab kev pheej hmoo li cas?
Ib yam li lwm yam tshuaj, cov tshuaj antiplatelet no tuaj yeem muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo.
Cov txiaj ntsig tseem ceeb
Qhov txiaj ntsig tseem ceeb ntawm cov tshuaj no yog tias lawv tiv thaiv cov mob txaus ntshai xws li mob plawv nres thiab mob hlwb. Lawv pab tau tshwj xeeb hauv kev tiv thaiv kom tsis txhob rov tshwm sim ntawm cov mob no rau ib tus neeg uas tau muaj mob ua ntej. Lawv kuj pab txo cov tsos mob xws li mob hauv siab, tsis xis nyob los ntawm kev txo cov ntshav ntws mus rau lub cev, thiab ua pa nyuaj.
Kev pheej hmoo tseem ceeb
Qhov kev pheej hmoo loj tshaj plaws ntawm cov tshuaj no yog los ntshav ntau dhau . Qhov no yog vim tias cov tshuaj no tiv thaiv cov ntshav txhaws kom tsis txhob loj hlob. Yog li, nws tiv thaiv cov ntshav txhaws tsis tsim nyog thiab cov ntshav txhaws uas peb lub cev xav tau.
Piv txwv li, yog tias koj raug mob me me, nws yuav siv sijhawm ntev dua rau qhov ntshav kom nres dua li qub. Tsis tas li ntawd, kev ntshav sab hauv tuaj yeem ua rau muaj kev phom sij. Yog li ua ntej koj pib noj cov tshuaj no, tham nrog koj tus kws kho mob txog cov kev pheej hmoo no. Nws tseem ceeb heev uas yuav tsum tham txog cov hau kev los tiv thaiv koj tus kheej ntawm kev ntog thiab kev raug mob hauv tsev.
Cov kev mob tshwm sim thiab tej yam uas yuav tsum tau ceev faj
Tej zaum yuav muaj tej yam tshwm sim tsis zoo thaum noj cov tshuaj no. Qee yam yog ib txwm muaj, thaum lwm yam yog tej yam qhia tias muaj mob hnyav. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog tej no.
| Cov kev mob tshwm sim thiab cov yam ntxwv uas ua rau muaj kev pheej hmoo | |
|---|---|
| Cov kev mob tshwm sim uas pom tau | |
| |
| Cov tsos mob loj uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd | |
|
Qhov tseem ceeb tshaj plaws yog tias yog koj noj ntau tshaj li qhov pom zoo ntawm cov tshuaj no, uas yog, yog tias koj noj ntau dhau, nws tuaj yeem ua rau tuag taus. Yog li ntawd , tsis txhob noj ntau tshaj li qhov koj tus kws kho mob tau sau tseg. Yog tias qhov no tshwm sim, tam sim ntawd mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Cia peb kawm txog kev sib cuam tshuam nrog lwm cov tshuaj.
Cov tshuaj antiplatelet tuaj yeem cuam tshuam nrog lwm cov tshuaj, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj. Cov no suav nrog:
- Lwm yam tshuaj uas kws kho mob tau sau ntawv kom noj.
- Cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj.
- Cov vitamins, cov zaub mov, cov tshuaj ntsuab thiab lwm yam tshuaj ntxiv.
- Ayurvedic los yog lwm yam tshuaj ib txwm muaj.
Qhia rau koj tus kws kho mob txog txhua yam no kom nws thiaj li muab tau kev kho mob zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws rau koj.
Leej twg yuav tsum tsis txhob noj cov tshuaj no?
Cov tshuaj antiplatelet tsis haum rau cov neeg uas muaj qee yam mob, thiab qee zaum, yuav tsum tsis txhob siv lawv.
- Cov neeg uas yuav phais lossis rho hniav tawm hauv ob peb hnub tom ntej no (koj tus kws kho mob lossis kws kho hniav yuav qhia koj txog qhov no).
- Cev xeeb tub, sim cev xeeb tub, lossis niam pub niam mis.
- Cov neeg uas tau muaj mob ntshav hauv lub hlwb ua ntej lawm.
- Cov neeg uas tau muaj kev tsis haum tshuaj rau cov tshuaj no ua ntej.
- Cov neeg uas muaj teeb meem ntshav txhaws xws li hemophilia.
- Cov neeg uas muaj kab mob raum lossis siab.
- Cov neeg uas muaj lossis tau muaj mob plab.
Yog koj muaj teeb meem zoo li no, nco ntsoov qhia rau koj tus kws kho mob txog qhov ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj antiplatelet yog ib hom tshuaj tseem ceeb heev uas tiv thaiv kev tsim cov ntshav txhaws uas tsis xav tau uas tuaj yeem ua rau muaj cov mob hnyav xws li mob plawv thiab mob hlwb.
- Cov tshuaj no feem ntau yuav tsum tau noj ntev. Tsis txhob tsum noj lossis hloov qhov ntau npaum li cas yam tsis tau koj tus kws kho mob qhia.
- Qhov kev pheej hmoo tseem ceeb ntawm cov tshuaj no yog los ntshav ntau dhau. Saib xyuas seb puas muaj qhov mob txawv txawv, ntshav ntswg, thiab quav dub. Yog tias koj pom ib qho ntawm cov no, qhia rau koj tus kws kho mob tam sim ntawd.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj Ayurvedic).
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob lossis kws kho hniav tias koj tab tom noj cov tshuaj no ua ntej phais lossis kho hniav.
Cov tshuaj tiv thaiv cov ntshav txhaws, cov ntshav txhaws, mob plawv nres, mob hlwb, Aspirin, Clopidogrel, cov tshuaj ua kom cov ntshav nyias, cov ntshav txhaws, kab mob plawv
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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