Kodi dokotala wakupatsani mankhwala oletsa magazi kuundana kwa inu kapena munthu wina m'banja mwanu? Akhoza kukhala chinthu chodziwika bwino monga Aspirin. Kapena chingakhale china chonga Clopidogrel. Mankhwalawa nthawi zambiri timawatcha kuti mankhwala oletsa magazi kuundana. Masiku ano, tikambirana mwachidule komanso mwaulemu za zomwe kwenikweni ndi izi, momwe zimagwirira ntchito m'thupi lathu, komanso njira zodzitetezera zomwe tiyenera kutsatira tikamawagwiritsa ntchito.
Kodi mankhwala oletsa magazi kuundana m'magazi ndi chiyani? Kodi amagwira ntchito bwanji?
Kuti timvetse izi, choyamba tiyenera kudziwa pang'ono za magazi athu. Magazi athu makamaka amakhala ndi maselo ofiira a magazi (omwe amanyamula mpweya), maselo oyera a magazi (omwe amalimbana ndi majeremusi), ndi mtundu wina wa selo laling'ono, lomwe timalitcha ma platelets .
Tangoganizani kuti mwadula dzanja lanu ndi mpeni. Magazi amayenda kwakanthawi, kenako amangoima, sichoncho? Izi zili choncho chifukwa cha ma platelet amenewa. Malo akavulala, ma platelet amenewa amathamangira kumalo ovulalawo, n’kumamatirana pamodzi, n’kupanga ulusi, n’kupanga magazi oundana. Ulusi umenewu umagwira ntchito ngati 'pulagi' yomwe imaletsa kutuluka kwa magazi. Iyi ndi njira yabwino kwambiri yodzitetezera m’thupi lathu.
Koma, nayi vuto. Nanga chimachitika ndi chiyani ngati magazi oundana ngati awa apanga mkati mwa mitsempha yathu yamagazi popanda kuvulala kulikonse? Zimenezo n’zoopsa kwambiri. Ngati magazi oundana otere apanga mumtsempha womwe umapatsa magazi kumtima, angayambitse matenda a mtima . Ngati apanga mumtsempha womwe umapita ku ubongo, angayambitse sitiroko .
Mankhwala oletsa ma platelet amagwira ntchito poletsa ma platelet kuti asamamatire pamodzi m'mitsempha, zomwe zimaletsa magazi kuundana. Mwachidule, mankhwalawa amachepetsa 'kumamatira' kwa ma platelet.
Kodi pali kusiyana kotani pakati pa ma antiplatelet ndi ma anticoagulants?
Anthu ambiri amasokoneza mitundu iwiriyi ya mankhwala. Ngakhale kuti onse amatchedwa "mankhwala ochepetsa magazi," momwe amagwirira ntchito ndi osiyana pang'ono. Ngakhale kuti zotsatira zake zonse ziwiri ndi kuchepetsa magazi kuundana, malo ogwirira ntchito ndi osiyana. Tiyeni timvetse bwino izi.
| Mtundu wa mankhwala | Momwe imagwirira ntchito |
|---|---|
| Ma antiplatelet (monga Aspirin, Clopidogrel) | Kodi n’chiyani chimayamba kupanga magazi kuundana?Zimaletsa ma platelet kuti asamamatire pamodzi. |
| Mankhwala Oletsa Kutsekeka kwa Magazi (monga Warfarin, Apixaban) | Ma platelet akangogwirizana, amasokoneza ntchito ya mapuloteni apadera m'magazi (zinthu zoundana) zomwe zimathandiza kulimbitsa magazi kuundana. |
Ndani akufunikira mankhwala awa?
Munthu wathanzi nthawi zambiri safuna mankhwala awa. Koma anthu omwe ali ndi matenda enaake ali pachiwopsezo chachikulu chokhala ndi magazi oundana m'mitsempha yawo. Nazi zina mwazifukwa zazikulu zomwe dokotala wanu angakulembereni mankhwalawa:
- Ngati munadwalapo matenda a mtima kapena sitiroko kale, pewani kubwereranso.
- Ngati muli ndi matenda a mitsempha ya mtima , zomwe zikutanthauza kuti mitsempha ya mtima wanu yachepa.
- Angina , ndiko kuti, ngati muli ndi ululu pachifuwa.
- Matenda a Mitsempha ya M'mitsempha ya Peripheral , zomwe zikutanthauza kuti mitsempha yopita ku miyendo yatsekedwa.
- Ngati muli ndi vuto la kugunda kwa mtima monga atrial fibrillation .
- Ngati mwachitidwa opaleshoni ya bypass (Coronary Artery Bypass) .
- Ngati mwachitidwapo angioplasty , kutanthauza kuti, mwaikidwa stent m'mitsempha yanu.
- Ngati mudachitidwa opaleshoni ya mtima.
Zinthu zofunika kuziganizira mukamagwiritsa ntchito mankhwala oletsa magazi kuundana
Momwe mungamwere mankhwalawo
Mankhwala ambiri oletsa magazi kutuluka m'magazi amatengedwa ngati mapiritsi. Mankhwala ochepetsa magazi m'thupi amagwiritsidwa ntchito pokhapokha ngati pali milandu yapadera. Ngati mukumva kupweteka m'mimba kapena kutentha pamtima mukumwa mapiritsi, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya.
Chofunika kwambiri: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati uli pafupi kwambiri ndi mlingo wanu wotsatira (monga, uli pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi pazifukwa zilizonse. Komanso, musasiye kumwa mankhwala aliwonse awa (kuphatikizapo aspirin) mwadzidzidzi popanda upangiri wa dokotala. Kuchita izi kungayambitse magazi kuundana mwadzidzidzi ndipo kungakhale ndi zotsatirapo zoopsa.
Zoopsa ndi zotsatira zake
Chiwopsezo chachikulu cha mankhwalawa ndi kutuluka magazi ambiri. Izi zili choncho chifukwa mankhwalawa amaletsa magazi kuundana osafunikira mkati mwa mitsempha, komanso amachedwetsa kupangika kwa magazi kuundana komwe kumafunika kuti magazi asiye kutuluka pakachitika ngozi.
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatira zoyipa zomwe zimawonedwa kawirikawiri | |
| Kusanduka buluu ngakhale ndi bala laling'ono | Mabala amapezeka mosavuta m'mbali zosiyanasiyana za thupi. |
| Kutuluka magazi m'mphuno | Kutuluka magazi pang'ono popanda chifukwa. |
| Kutuluka magazi kuchokera pachilonda | Kutuluka magazi komwe kumatenga nthawi yayitali kuti kuthe, ngakhale kuchokera pachilonda chaching'ono. |
| Kusamba kwa akazi | Kutuluka magazi kwambiri kuposa mwachizolowezi. |
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Magazi mu mkodzo | Mkodzo wofiira, wa pinki, kapena wofiirira. |
| Magazi mu chopondapo | Chimbudzi chofiira kapena chokhazikika. |
| Kusanza magazi | Kutsokomola magazi kapena kusanza magazi omwe amaoneka ngati khofi. |
| Kupweteka kwambiri m'mimba | Kupweteka kwa m'mimba mwadzidzidzi, koopsa, kosalekeza. |
| Magazi ambiri oundana | Kupangidwa kwa magazi ambiri ozungulira (hematoma) pansi pa khungu. |
Ngati muwona zizindikiro zilizonse zoopsa ngati izi, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nthawi yomweyo.
Kuyanjana ndi mankhwala ena
Mukamamwa mankhwalawa, ndikofunikira kuuza dokotala wanu za mankhwala ena onse omwe mukumwa. Mankhwala ena amatha kuyanjana ndi mankhwala oletsa magazi m'magazi awa ndikuwonjezera chiopsezo cha kutuluka magazi. Choncho onetsetsani kuti mwauza dokotala wanu za izi:
- Mankhwala a matenda ena.
- Mankhwala monga mankhwala ochepetsa ululu omwe mungagule ku pharmacy popanda mankhwala.
- Mavitamini, mchere kapena zowonjezera zina.
- Makamaka, onetsetsani kuti mwadziwitsa dokotala wanu za mankhwala aliwonse a Ayurvedic kapena Sinhala omwe mukumwa.
Ndani amene sali woyenera kumwa mankhwalawa?
Anthu ena sangakhale oyenera kugwiritsa ntchito mankhwalawa. Dokotala wanu ndiye adzasankha izi.
- Anthu omwe akukonzekera kuchitidwa opaleshoni kapena kuchotsedwa dzino m'masiku angapo otsatira.
- Azimayi oyembekezera, akuyesera kutenga pakati, kapena amayi oyamwitsa.
- Anthu omwe kale anali ndi vuto la kutuluka magazi muubongo.
- Anthu omwe ali ndi vuto la magazi kuundana monga hemophilia.
- Anthu omwe ali ndi matenda aakulu a impso kapena chiwindi.
- Anthu omwe ali ndi zilonda zam'mimba kapena omwe adadwalapo.
Mankhwalawa ndi mtundu wofunikira kwambiri wa mankhwala omwe angathandize kupulumutsa miyoyo ku matenda aakulu monga matenda a mtima ndi sitiroko. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikuzindikira zoopsa zomwe zingachitike.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa magazi kuundana ndi mankhwala ofunikira kwambiri omwe amaperekedwa kuti apewe matenda oopsa monga matenda a mtima ndi sitiroko.
- Musasiye kumwa mankhwalawa kapena kusintha mlingo popanda upangiri wa dokotala.
- Choopsa chachikulu cha mankhwalawa ndi kutuluka magazi ambiri. Samalani kuti musavulale mukamachita zinthu za tsiku ndi tsiku.
- Ngati muwona zizindikiro za kutuluka magazi kwambiri, monga magazi mu mkodzo kapena ndowe zanu, kusanza magazi, kapena kupweteka kwambiri m'mimba, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU).
- Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala a Ayurvedic omwe mukumwa.
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