Heparin chungchanga hriat tur thilte

Damdawi inah doctor-in nangmah emaw, i chhungte zinga mi emaw ‘thisen tithianghlimtu’ a pe tih i hre ngai em? Damdawi pek che chu heparin a ni thei. Mi tam tak chuan ‘thisen tithianghlimtu’ an ti bawk. Mahse he hming hian a hruai sual deuh thei. A takah chuan thisen chu tui angin a ‘thin’ lo. Chuti a nih chuan eng nge ni? Kan taksa chhunga thisen zam hlauhawm tak tak lo awm tur chu a titawp a, a nih loh leh thisen zam awm tawh chu a lian lehzual loh nan a veng bawk. Chuvangin vawiinah hian mi tam tak tana pawimawh tak heparin chungchang hi awlsam leh hriatthiam awlsam takin i sawi dawn nia.

Heparin hi eng nge ni tak tak?

A awlsam zawngin, heparin hi thisen zam dotu a ni . Chu chu thisen zam tur venna damdawi a ni. Thisen zam lo siam tawh chu a chhe vek lo va, a tithianghlim lo va, mahse a lian lehzual loh nan taksain a tithianghlim thei a ni.

Engvangin nge hei hi pill atan an pek loh tih i ngaihtuah mai thei. A chhan chu kan intestines hian he damdawi heparin an tih hi a absorb thei lo a ni. Chuvangin pill anga kan ei chuan a thatna a awm lovang. Chuvangin heparin an tih damdawi hi kawng hnih in pek a ni fo thin:

1. Vein-a saline solution pek (IV Infusion): Hei hian hna a thawk rang hle a, a chhan chu damdawi chu thisenah direct-in a lut a ni.

2. Vun hnuaia injection angin (Subcutaneous Injection): Hetianga pek a nih chuan damdawi hi taksaah a luh theih nan darkar khat emaw darkar hnih vel a ngai a ni.

Engtin nge heparin hian kan taksa chhungah hna a thawh?

Hei hi hrethiam tur chuan entirnan tlem han la ila. Kan taksaa thisen zam (blood clot) lo awm hi thil buaithlak tak a ni a, factory-a thil siam ang maiin han ngaihtuah teh. Hei hian thawktu chi hrang hrang (kan taksaa chemical leh protein hrang hrang) tam tak, lungrual taka thawk ho tur a mamawh a ni.

He factory-a thawktu ber pahnih chu ‘Thrombin’ leh ‘Factor Xa’ te an ni. Heng pahnih hian thisen zam siamna kawnga thil hnuhnung ber leh pawimawh ber ber thenkhat an thawk a ni.

Heparin hian supervisor fing tak angin a che a, a rawn lut a, heng key worker pahnih hian ralthuam an neihte chu a dah bo ta a ni. Chu chu heparin chu a lut a, ‘thrombin’ leh ‘factor Xa’ te chu a deactivate vek tihna a ni. Tichuan an hna chu an thawk thei tawh lo. A tâwpah chuan factory pumpui chu a thawk tawh lo va, thisen zam thar a lo awm tawh lo. I hrethiam em? A awlsam hle mai, a dik em?

Doctor-te hian eng dinhmunah nge heparin hi an hman?

Heparin hi damdawi pawimawh tak a ni a, nunna chhanhim thei a ni. Chuvangin damdawi lam harsatna chi hrang hrang enkawl leh ven nan hman a ni. Case lian ber berte han thlir ila.

Tin, heparin hi naupai laiin thisen zam a awm theihna sang tak a nih chuan heparin hman a nih pawhin nausen a tichhe lo a ni.

Heparin pek a nih chuan eng nge thleng? Engtin nge enkawl a nih?

Doctor ten heparin chauh an pe lo. Hei hi damdawi, uluk taka pek leh enkawl reng reng a ni.

He test hi aPTT (activated partial thromboplastin time) tih a ni. I thisen a inzawm theih nan a tlangpuiin eng chen nge a hman tih a teh thin. Chu result chu heparin dose pek tur i hriat nan hman a ni.

Heparin enkawlna i tan hnuah pawh i thisen chu a hun takah (entir nan darkar 6 danah) lak chhuah a ni ang a, he aPTT test hi tih nawn leh a ni ang. Heparin dose pek i nih chu a tling em, a sang lutuk em, a tawk lo em tih a enfiah thin. Chutiang chuan i doctor chuan i tan a level dik takah a awm theih nan dose chu a siamrem fo ang. Emergency thenkhatah chuan result rang tak a ngai a nih chuan test dang ACT (activated clotting time) tih an hmang thin.

Heparin hi eng chen nge ka ei tur?

Hei hi heparin pek i nih chhanah a innghat vek a ni. Entirnan, major surgery hnuah ni 7 vel pek theih a ni a, i tho thei a, i kal thei bawk. Heart attack ang chi condition tan chuan ni engemaw zat chu condition control theih a nih hma chuan pek theih a ni.

Heparin hi damdawi in a pek thin a ni tlangpui. Damdawi in atanga i haw hmain i doctor chuan IV hmanga heparin pek kha a la chhuak ang che a, thisen tithianghlimtu damdawi dang, pill anga i ei theih tur ah a thlak ang che.

Heparin hian a thatna, a hlauhawmna leh a side effect te

Damdawi dang ang bawkin heparin hian hlawkna leh hlauhawmna a nei vek a ni.

Heparin thatna ber berte

• Fast acting: A thawk nghal a, a bik takin thisen kal tlanga pek a nih chuan.
• Rapid elimination: Damdawi hi tihtawp a nih chuan a nghawng chu taksa atangin a bo nghal vat thin. Hei hi operation hma ang chi dinhmunah chuan a pawimawh hle.
• Reversibility of the effect: Engtin emaw tak heparin dose tihpun a, thisen chhuah a nih chuan antidote protamine an tih a awm a, chu chuan a effect chu a tidanglam nghal thei a ni.
• Kum tam tak chhung rinna:Kum sawm tam tak chhung khawvel hmun hrang hranga doctor-te’n him taka an lo hman tawh damdawi zirchian tha tak a ni.

Risk leh side effect a awm thei

A hlauhawm ber leh pawi ber chu thisen chhuah tam lutuk hi a ni . Heparin taksaa a awm lai hian hliam tenau tak pawhin thisen a chhuah tam thei hle.

Damdawi ina i awm laiin khum atanga i tho dawn a nih chuan tlu hlauhawmna tihziaawmna turin mi pakhat hnenah tanpui turin ngen ang che. I tlu a nih chuan thisen chhuah theihna a sang zawk.

Dose sang tak dawng a nih chuan chhungril lam taksa peng hrang hrang thluak, lung leh pum te chu a takin thisen a chhuah theihna chance tlemte a awm. Mahse, he hlauhawmna hi a tlem hle a, a chhan chu damdawi inah thisen test pangngai hmanga a dose control a nih vang a ni.

Thil pawimawh dang! Damdawi dang i ei lai hian heparin nen an inzawm thei bawk. Damdawi dang, vitamin leh herbal remedies i ei lai te chu doctor hnenah hrilh hmasak a pawimawh hle.

Side effect dangte chu:

• Injection na hmuna natna emaw, hliam emaw a awm.
• Sam tlakchham (hei hi hun eng emaw chen atan a ni).
• Thrombocytopenia (platelet count hniam) a awm thin. Hei pawh hi doctor-te’n thisen test hmanga an enfiah fo thin thil a ni.

Damdawi lam pan vat ngai vaukhânna chhinchhiahna

Heparin i ei laiin a hnuaia symptoms te hi i neih chuan thisen chhuahna nasa tak a ni thei. Chuvangin , tihkhawtlai suh la, damdawi lam thurawn la nghal la , damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

Damdawi in a Doctor in heparin pek che a rel a nih chuan hlau suh. I dinhmun a zirin thisen zam ven a pawimawh hle tihna a ni. Doctor ten an enkawl reng ang che a, a tul leh him ber dose an pe ang che. Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.