Koj puas txhawj txog cov ntshav txhaws? Tej zaum koj yuav txhawj txog kev mob plawv lossis mob hlwb. Rau cov neeg uas muaj feem yuav mob, cov kws kho mob sau ib hom tshuaj hu ua "blood thinner." Yog li hnub no peb yuav tham txog ib hom tshuaj tshiab, tab sis tseem ceeb heev. Ntawd yog Direct Thrombin Inhibitors.
Hais yooj yim xwb, cov tshuaj Direct Thrombin Inhibitors no yog dab tsi?
Cov no yog cov tshuaj uas peb hu ua cov tshuaj uas ua rau cov ntshav nyias, lossis cov tshuaj anticoagulants hauv kev kho mob. Lawv txoj haujlwm yog kom tiv thaiv cov ntshav txhaws tsis tsim nyog hauv lub cev. Xav txog seb, feem ntau cov neeg hauv ntiaj teb tuag los ntawm kab mob plawv. Yog li cov tshuaj no pab tau zoo heev rau kev tiv thaiv cov ntshav txhaws kom tsis txhob txhaws cov hlab ntsha uas muab cov kabmob tseem ceeb xws li lub plawv thiab lub hlwb.
Txawm hais tias yav dhau los, cov tshuaj no tau ua los ntawm kev siv cov tshuaj zoo ib yam li cov protein pom nyob rau hauv cov qaub ncaug ntawm cov leeches, cov tshuaj niaj hnub tsim tawm hauv chaw soj nstuam tam sim no siv.
Cov tshuaj no siv rau cov mob twg?
Cov kws kho mob pom zoo kom siv hom tshuaj no, hu ua cov tshuaj direct thrombin inhibitors, los tiv thaiv thiab tswj ntau yam mob. Cia peb saib daim ntawv teev lus zoo li no kom yooj yim to taub cov ntaub ntawv no.
| Mob | Piav qhia yooj yim |
|---|---|
| Mob plawv dhia ceev ceev | Kev ntshav ntws qeeb lossis nres tam sim ntawd vim yog kev txhaws ntawm cov hlab ntsha uas nqa ntshav mus rau lub plawv. |
| Kev mob ntshav qis (HIT) uas ua rau muaj Heparin | Ib qho mob nyuaj uas heparin ua rau cov ntshav nyias ua rau cov platelets txo qis, uas ua rau cov ntshav txhaws. |
| Kev mob ntshav txhaws hauv cov hlab ntsha (VTE) | Ib qho ntshav txhaws tsim thiab daig hauv cov leeg ntshav hauv lub cev. |
| Kev Tiv Thaiv Kab Mob Stroke hauv Atrial Fibrillation (Afib) | Tiv thaiv kom tsis txhob mob stroke rau cov neeg mob uas tsis muaj teeb meem ntawm lub plawv tab sis muaj lub plawv dhia tsis xwm yeem (Afib). |
| Tom qab phais hloov lub duav | Txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv ob txhais ceg tom qab phais. |
| Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT) | Ib qho ntshav txhaws, tshwj xeeb tshaj yog nyob rau hauv cov leeg ntshav tob hauv ob txhais ceg. |
| Kev Mob Ntsws Plawv | Cov ntshav txhaws hauv ceg tawg thiab nkag mus rau hauv cov leeg ntshav hauv lub ntsws. |
Tsis tas li ntawd xwb, cov tshuaj no kuj tseem muab ua kev txhaj tshuaj thaum lub sijhawm kho mob xws li angioplasty, uas qhib cov hlab ntsha hauv lub plawv.
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Qhov no yooj yim to taub heev. Muaj ntau yam uas cuam tshuam rau cov txheej txheem ntshav txhaws hauv peb lub cev. Ntawm lawv , "Thrombin" zoo li tus thawj coj ua haujlwm ntawm lub Hoobkas ntshav txhaws. Nws yog tus uas muab lus txib rau cov txheej txheem ntshav txhaws.
Yog li qhov uas Direct Thrombin Inhibitor no ua yog nws khi ncaj qha rau yam hu ua thrombin thiab tiv thaiv nws kom tsis txhob ua nws txoj haujlwm. Nws zoo li ib tug neeg dhia mus rau pem hauv ntej ntawm lub tshuab ua kom cov ntshav khov thiab cuam tshuam lawv txoj haujlwm. Thaum thrombin tsis ua haujlwm, tag nrho cov txheej txheem ntawm kev tsim cov ntshav khov nres.
Tiam sis qee zaum cov tshuaj no ua rau los ntshav ntau dhau. Hauv cov xwm txheej zoo li no, muaj kev txhaj tshuaj hu ua Idarucizumab los thim rov qab cov teebmeem ntawm cov tshuaj hu ua Dabigatran . Txawm li cas los xij, tsis muaj tshuaj tua kab mob tshwj xeeb rau cov tshuaj txhaj rau hauv cov hlab ntsha (IV). Txawm li cas los xij, thaum cov tshuaj raug tso tseg, nws cov teebmeem yuav ploj mus hauv lub cev raws sijhawm.
Cov tshuaj no muaj txiaj ntsig zoo li cas?
Piv rau cov tshuaj thinning ntshav qub lawm, hom tshuaj tshiab no muaj ntau yam zoo.
- Cov txiaj ntsig tau meej dua:Vim tias cov tshuaj no tsuas khi rau thrombin xwb, cov txiaj ntsig feem ntau yog sib xws. Qhov no txhais tau tias koj tuaj yeem cia siab tias yuav tau txais cov txiaj ntsig zoo ib yam txhua zaus koj noj tib koob tshuaj. Koj tsis tas yuav hloov cov koob tshuaj ntau npaum li koj xav tau nrog warfarin.
- Tsis txo cov ntshav platelets: Cov no tsis txo cov ntshav platelets zoo li qee cov tshuaj.
- Tsis tas yuav kuaj ntshav ntau zaus: Thaum noj Warfarin, koj yuav tsum kuaj ntshav tas li kom paub tseeb tias koj cov ntshav khov npaum li cas (INR test). Tab sis cov tshuaj no tsis tas yuav tsum tau kuaj li ntawd.
- Kev pheej hmoo tsawg thiab yooj yim siv: Dabigatran, uas noj ua tshuaj ntsiav, muaj kev pheej hmoo tsawg dua los ntshav piv rau Warfarin. Nws kuj muaj kev cuam tshuam tsawg dua nrog lwm cov tshuaj. Nws kuj yooj yim heev rau siv vim tias nws tuaj yeem noj ib lossis ob zaug hauv ib hnub.
- Lwm txoj kev xaiv zoo: Qhov no yog lwm txoj kev xaiv zoo rau cov neeg uas tsis tuaj yeem noj tshuaj Heparin.
Cov tshuaj no zoo npaum li cas? Puas muaj kev pheej hmoo?
Kev tshawb fawb tau qhia tias cov tshuaj no muaj kev nyab xeeb thiab zoo ib yam li Warfarin lossis Heparin. Txawm li cas los xij, muaj ib qho tseem ceeb uas yuav tsum nco ntsoov. Cov tshuaj no tsis haum rau cov neeg uas muaj cov hlab ntsha plawv. Koj tus kws kho mob yuav qhia koj txog qhov no.
Qhov txawv loj tshaj plaws ntawm cov tshuaj no yog tias lawv nyob hauv lub cev rau lub sijhawm luv dua.
Xav txog seb, thaum koj noj ib koob tshuaj Warfarin, yuav luag ib nrab ntawm nws yuav nyob hauv koj lub cev tau li 20-60 teev. Tab sis thaum koj noj tshuaj zoo li Dabigatran, ib nrab ntawm nws yuav tawm hauv koj lub cev li ntawm 12-14 teev.
Qhov tseem ceeb tshaj plaws uas peb yuav tsum nkag siab los ntawm qhov no yog tias nws tsis yog lub tswv yim zoo kom hla dhau ib koob tshuaj rau txhua qhov laj thawj . Yog tias koj tsis nco qab noj ib koob tshuaj, cov nyhuv ntawm cov tshuaj yuav ploj mus sai sai, thiab qhov kev pheej hmoo ntawm kev tsim cov ntshav txhaws tuaj yeem nce ntxiv sai sai.
Tej yam tshwm sim thiab teeb meem uas yuav tshwm sim yog dab tsi?
Ib yam li lwm yam tshuaj, cov no tuaj yeem muaj cov kev mob tshwm sim. Txawm hais tias qee yam yog qhov ib txwm muaj, lwm yam yuav tsum tau peb ceev faj heev.
Qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws yog los ntshav ntau dhau (Cov teeb meem los ntshav). Tsis tas li ntawd, cov hauv qab no tuaj yeem tshwm sim:
- Mob plab, o (Dyspepsia)
- Mob plab
- Cov zis xim av los yog xim liab
- Mob taub hau
- Ntshav siab qis (Hypotension)
- Mob hauv siab
- kiv taub hau
- Ua pa nyuaj
- Ua npaws
- Sepsis (kev teb hnyav ntawm lub cev rau kev kis kab mob)
- Kev nres plawv
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog tias koj muaj tej yam kev mob tshwm sim thaum siv cov tshuaj no, qhia rau koj tus kws kho mob tam sim ntawd.
Tshwj xeeb tshaj yog tias muaj cov cim qhia tias los ntshav ntau, nws yog qhov xwm txheej ceev.Piv txwv li, yog tias qhov txhab tsis tso ntshav, yog tias koj cov quav dub, yog tias koj ntuav ntshav, lossis yog tias koj mob taub hau hnyav, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd. Tsis txhob ncua sijhawm.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov Tshuaj Tiv Thaiv Kab Mob Thrombin Ncaj Qha yog ib hom tshuaj muaj zog heev uas tiv thaiv cov ntshav txhaws. Ib txwm noj cov tshuaj uas koj tus kws kho mob tau sau tseg, rau lub sijhawm zoo.
- Tsis txhob hla ib koob tshuaj rau txhua yam laj thawj. Ua li ntawd yuav ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. Yog tias koj tsis nco qab noj ib koob tshuaj, nug koj tus kws kho mob tam sim ntawd txog yam yuav ua tom ntej.
- Nco ntsoov xyuas cov cim qhia tias koj los ntshav ntau (xws li quav dub, ntuav ntshav, los ntshav tas li). Yog tias qhov no tshwm sim, mus rau ETU tam sim ntawd.
- Cov tshuaj no tsis haum rau txhua tus (tshwj xeeb tshaj yog cov neeg uas muaj lub plawv dhia ceev), yog li nco ntsoov qhia koj tus kws kho mob txog koj keeb kwm kho mob tag nrho.
- Thaum koj mus kho lwm yam mob (txawm tias rho hniav tawm los xij), qhia rau tus kws kho mob tias koj tab tom noj cov tshuaj no.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus