Puas muaj ib tug kws kho mob tau sau tshuaj los tiv thaiv cov ntshav txhaws rau koj lossis ib tug neeg hauv koj tsev neeg? Tej zaum nws yuav yog ib yam dab tsi uas peb paub zoo li Aspirin. Los yog nws yuav yog ib yam dab tsi zoo li Clopidogrel. Peb feem ntau hu cov tshuaj no ua Antiplatelet drugs. Niaj hnub no, peb yuav tham yooj yim thiab ua siab zoo txog cov no yog dab tsi tiag tiag, lawv ua haujlwm li cas hauv peb lub cev, thiab peb yuav tsum ceev faj li cas thaum siv lawv.
Cov tshuaj antiplatelet yog dab tsi? Lawv ua haujlwm li cas?
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog peb cov ntshav ua ntej. Peb cov ntshav feem ntau muaj cov qe ntshav liab (uas nqa oxygen), cov qe ntshav dawb (uas tawm tsam cov kab mob), thiab lwm hom qe ntshav me me, uas peb hu ua platelets .
Xav txog tias koj siv riam txiav koj txhais tes. Cov ntshav ntws ib pliag, thiab tom qab ntawd nws tsuas nres xwb, puas yog? Qhov ntawd yog vim cov platelets no. Thaum ib qho chaw raug mob, cov platelets no maj mam mus rau qhov chaw raug mob, lo ua ke, thiab tsim ib daim ntaub mesh, tsim ib qho ntshav txhaws. Cov ntshav txhaws no ua haujlwm zoo li 'plug' uas nres cov ntshav. Qhov no yog ib qho kev tiv thaiv ntuj tsim zoo kawg nkaus hauv peb lub cev.
Tiam sis, ntawm no yog qhov teeb meem. Yuav ua li cas yog tias cov ntshav txhaws zoo li no tsim nyob rau hauv peb cov hlab ntsha yam tsis muaj kev raug mob? Qhov ntawd txaus ntshai heev. Yog tias cov ntshav txhaws zoo li no tsim nyob rau hauv cov hlab ntsha uas xa cov ntshav mus rau lub plawv, nws tuaj yeem ua rau mob plawv nres . Yog tias nws tsim nyob rau hauv cov hlab ntsha uas mus rau lub hlwb, nws tuaj yeem ua rau mob stroke .
Cov tshuaj tiv thaiv cov ntshav txhaws ua haujlwm los ntawm kev tiv thaiv cov ntshav txhaws kom tsis txhob lo rau hauv cov leeg ntshav, uas yog qhov uas tiv thaiv cov ntshav txhaws kom tsis txhob tsim. Hais yooj yim xwb, cov tshuaj no txo qhov 'nplaum' ntawm cov ntshav txhaws.
Qhov txawv ntawm Antiplatelets thiab Anticoagulants yog dab tsi?
Muaj coob tus neeg tsis nkag siab txog ob hom tshuaj no. Txawm hais tias ob hom tshuaj no hu ua "tshuaj ua kom ntshav nyias," txoj kev ua haujlwm ntawm lawv txawv me ntsis. Txawm hais tias qhov kawg ntawm ob hom tshuaj yog kom txo cov ntshav txhaws, qhov chaw ua haujlwm txawv. Cia peb nkag siab qhov no kom meej.
| Hom tshuaj | Nws ua haujlwm li cas |
|---|---|
| Cov tshuaj tua kab mob (piv txwv li Aspirin, Clopidogrel) | Dab tsi los ua ke ua ntej ua ib qho ntshav txhaws?Tiv thaiv cov platelets kom tsis txhob lo ua ke. |
| Cov tshuaj tiv thaiv kev coagulant (piv txwv li Warfarin, Apixaban) | Thaum cov platelets tau sib sau ua ke, lawv cuam tshuam rau kev ua haujlwm ntawm cov protein tshwj xeeb hauv cov ntshav (cov yam tseem ceeb ntawm kev txhaws) uas pab txhawb cov ntshav txhaws. |
Leej twg xav tau cov tshuaj no?
Feem ntau ib tug neeg noj qab nyob zoo tsis tas yuav siv cov tshuaj no. Tab sis cov neeg uas muaj tej yam mob nkeeg muaj feem yuav ntshav txhaws hauv lawv cov leeg ntshav ntau dua. Nov yog qee qhov laj thawj tseem ceeb uas koj tus kws kho mob yuav sau cov tshuaj no:
- Yog tias koj tau muaj mob plawv nres lossis mob hlwb ua ntej lawm, tiv thaiv kom tsis txhob rov qab muaj mob dua.
- Yog tias koj muaj kab mob plawv (coronary artery disease ), uas txhais tau tias cov hlab ntsha hauv koj lub plawv tau nqaim lawm.
- Angina , uas yog, yog tias koj mob hauv siab.
- Kab mob ntawm cov hlab ntsha peripheral , uas txhais tau tias cov hlab ntsha uas mus rau ceg raug thaiv.
- Yog tias koj muaj lub plawv dhia tsis zoo xws li atrial fibrillation .
- Yog tias koj tau phais plawv los ntawm kev phais plawv (Coronary Artery Bypass) .
- Yog tias koj tau muaj angioplasty , uas yog, yog tias koj tau muaj stent tso rau hauv koj cov leeg.
- Yog koj tau phais lub plawv.
Cov lus qhia rau kev siv cov tshuaj antiplatelet
Yuav noj tshuaj li cas
Feem ntau cov tshuaj tiv thaiv cov ntshav txhaws yog noj ua cov tshuaj ntsiav. Tsuas yog qee zaum tshwj xeeb xwb thiaj siv cov tshuaj txhaj rau hauv cov hlab ntsha. Yog tias koj mob plab lossis mob siab thaum noj cov tshuaj, nws yog qhov zoo tshaj plaws kom noj cov tshuaj nrog pluas noj.
Qhov tseem ceeb tshaj plaws: Yog tias koj tsis nco qab noj ib koob tshuaj, noj sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias nws ze heev rau koj cov koob tshuaj tom ntej (piv txwv li, tsuas yog ob peb teev xwb), hla cov koob tshuaj uas tsis nco qab thiab noj koj cov koob tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob koob tshuaj ib zaug rau txhua qhov laj thawj. Tsis tas li ntawd, tsis txhob tsum noj cov tshuaj no (xws li aspirin) tam sim ntawd yam tsis tau koj tus kws kho mob qhia. Ua li ntawd tuaj yeem ua rau cov ntshav txhaws sai sai thiab muaj cov txiaj ntsig txaus ntshai.
Kev pheej hmoo thiab cov kev mob tshwm sim
Qhov kev pheej hmoo tseem ceeb ntawm cov tshuaj no yog los ntshav ntau dhau. Qhov no yog vim tias cov tshuaj no tiv thaiv cov ntshav txhaws tsis xav tau kom tsis txhob tsim hauv cov leeg ntshav, thiab lawv kuj ncua qhov kev tsim cov ntshav txhaws uas xav tau los tiv thaiv kev los ntshav thaum muaj kev raug mob tiag tiag.
| Qhov xwm txheej ntawm cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim uas pom ntau zaus | |
| Tig xiav txawm tias muaj qhov mob me me | Cov qhov txhab yooj yim tshwm sim hauv ntau qhov ntawm lub cev. |
| Los ntshav ntswg | Los ntshav me ntsis tsis muaj laj thawj. |
| Los ntshav ntawm qhov txhab | Kev los ntshav uas siv sijhawm ntev heev kom tsis txhob los, txawm tias yog los ntawm qhov txhab me me los xij. |
| Cov poj niam lub caij muaj hli | Los ntshav ntau dua li qub. |
| Cov tsos mob loj uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd | |
| Ntshav nyob rau hauv cov zis | Cov zis liab, liab dawb, lossis xim av. |
| Ntshav hauv cov quav | Cov quav liab los yog muaj kua nplaum. |
| Ntsws ntshav | Hnoos ntshav los yog ntuav ntshav uas zoo li cov hmoov kas fes. |
| Mob plab heev | Mob plab tam sim ntawd, mob hnyav, thiab mob tas li. |
| Ib qho ntshav txhaws loj, xoob | Qhov tsim ntawm cov ntshav txhaws loj, zoo li lub qe (hematoma) hauv qab daim tawv nqaij. |
Yog koj pom muaj cov tsos mob loj zoo li no, tam sim ntawd mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Kev sib cuam tshuam nrog lwm cov tshuaj
Thaum noj cov tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog lwm cov tshuaj uas koj noj. Qee cov tshuaj tuaj yeem cuam tshuam nrog cov tshuaj antiplatelet no thiab ua rau muaj kev pheej hmoo ntawm kev los ntshav. Yog li nco ntsoov qhia rau koj tus kws kho mob txog cov no:
- Cov tshuaj rau lwm yam kab mob.
- Cov tshuaj xws li tshuaj tua kab mob uas koj tuaj yeem yuav tau ntawm lub tsev muag tshuaj yam tsis tas yuav muaj daim ntawv yuav tshuaj.
- Cov vitamins, minerals los yog lwm yam tshuaj ntxiv.
- Tshwj xeeb, nco ntsoov qhia koj tus kws kho mob txog cov tshuaj Ayurvedic lossis Sinhala uas koj noj.
Leej twg tsis tsim nyog noj cov tshuaj no?
Tej zaum yuav muaj ib txhia neeg tsis haum rau cov tshuaj no. Koj tus kws kho mob yuav txiav txim siab qhov no.
- Cov neeg uas tau teem sijhawm yuav phais lossis rho hniav tawm hauv ob peb hnub tom ntej 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 muaj teeb meem ntshav txhaws xws li hemophilia.
- Cov neeg uas muaj kab mob raum lossis siab hnyav.
- Cov neeg uas muaj lossis tau muaj mob plab.
Cov tshuaj no yog ib hom tshuaj tseem ceeb heev uas tuaj yeem pab cawm txoj sia ntawm cov mob hnyav xws li mob plawv nres thiab mob hlwb. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej thiab paub txog cov kev pheej hmoo uas yuav tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj antiplatelet yog ib yam tshuaj tseem ceeb heev uas tau muab los tiv thaiv cov kab mob uas hem txoj sia xws li mob plawv thiab mob hlwb.
- Tsis txhob tsum noj cov tshuaj no 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. Ceev faj kom tsis txhob raug mob thaum ua ub ua no txhua hnub.
- Yog koj pom cov cim qhia tias koj los ntshav hnyav, xws li ntshav hauv koj cov zis lossis quav, ntuav ntshav, lossis mob plab hnyav, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws.
- Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj, cov vitamins, thiab cov tshuaj Ayurvedic uas koj noj.
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