Mitundu iwiri ya mankhwala oletsa magazi kuundana? Tiyeni tikambirane za Dual Antiplatelet Therapy (DAPT)

Kodi mwakhala ndi vuto la mtima, kapena mwaikidwa stent, kapena mwina opaleshoni ya bypass, ndipo dokotala wanu wakuuzani kuti mumwe mankhwala awiri nthawi imodzi? Anthu ambiri akuda nkhawa pang'ono ndi izi. Ndizachilendo kufunsa mafunso monga "Chifukwa chiyani ndapatsidwa mankhwala awiri?" ndi "Kodi izi zingayambitse mavuto?". Chifukwa chake, lero tikambirana za njira yochizira mankhwalawa, yomwe ndi Dual Antiplatelet Therapy (DAPT).

Mwachidule, kodi DAPT ndi chiyani?

DAPT ndi mankhwala ophatikizana omwe amagwiritsa ntchito mitundu iwiri ya mankhwala ochepetsa magazi. Makamaka, mumapatsidwa aspirin pamodzi ndi mankhwala ena otchedwa P2Y12 inhibitor .

Tsopano taonani, tikavulala kwinakwake m'thupi lathu, magazi amasiya kutuluka chifukwa magazi amaundana ndipo bala limatseka. Zimenezo ndi zabwino. Koma, chimachitika n'chiyani ngati magazi amaundana m'mitsempha yathu yamagazi popanda chifukwa? Tangoganizirani kuchuluka kwa magalimoto pamsewu, monga magalimoto ogwirizana, magazi amenewa amatha kumangika m'mitsempha yathu yamagazi. Ngati magazi otere amaundana m'mitsempha yamagazi yopita kumtima, matenda amtima amabuka. Ngati amangika m'mitsempha yamagazi yopita ku ubongo, sitiroko imachitika.

Kotero chomwe chithandizo cha DAPT ichi chimachita ndikuletsa ma platelet, maselo ang'onoang'ono m'magazi athu, kuti asamamatire pamodzi ndikutseka magazi. Mwanjira imeneyi, chithandizochi chingalepheretse kupanga magazi oundana oopsa (thrombosis).

Ndani amene amafunikira chithandizo cha DAPT kwambiri?

Madokotala nthawi zambiri amapereka chithandizochi pambuyo pa chochitika chaumoyo komanso kwa anthu omwe ali pachiwopsezo choti chichitikenso. Onani tebulo ili m'munsimu.

Kodi ubwino ndi zoopsa za chithandizo cha DAPT ndi ziti?

Monga chithandizo chilichonse, izi zili ndi ubwino komanso zoopsa zina.

• Phindu lalikulu: Popewa magazi kuundana, chiopsezo chokhala ndi matenda ena a mtima kapena sitiroko chimachepa kwambiri . Mankhwalawa ndi opulumutsa moyo, makamaka kwa munthu amene anaikidwapo stent.

• Chiwopsezo chachikulu: Chifukwa chakuti mankhwalawa amaletsa magazi kuundana, pali chiopsezo cha kutuluka magazi.
• Chizindikiro chofala kwambiri ndi kutuluka magazi m'mimba .
• Ngakhale bala laling'ono kapena kudulidwa kungayambitse kutuluka magazi ambiri kuposa masiku onse.
• Nthawi zambiri, matenda aakulu monga kutuluka magazi muubongo amatha kuchitika.

Zotsatirapo ndi mavuto ndi mankhwala ena

Zotsatira zoyipa zomwe zimawonedwa kawirikawiri

Anthu ena angakumane ndi zotsatirazi akamamwa mankhwalawa:

• Kuvuta kupuma
• Magazi mu mkodzo (Hematuria)
• Kuvulala kosamveka bwino pathupi
• Kutuluka magazi m'mphuno (Epistaxis)
• Kuchepa kwa kuchuluka kwa ma platelet m'magazi (Thrombocytopenia)
• Ma polyps a m'mphuno

Ngati izi zipitirira, lankhulani ndi dokotala wanu.

Mankhwala ena omwe angagwirizane ndi mankhwalawa

Ngati mukugwiritsa ntchito DAPT, muyenera kusamala kwambiri mukamamwa mankhwala ena, makamaka awa:

• Mankhwala Oletsa Kugaya Magazi (mankhwala ena ochepetsa magazi):Mankhwala monga Warfarin ndi Apixaban. Ngati awa atengedwa pamodzi, chiopsezo chotuluka magazi chimakhala chachikulu kwambiri.
• Mankhwala oletsa ululu (NSAIDs): Mankhwala monga Ibuprofen, Diclofenac, ndi Mefenamic Acid omwe nthawi zambiri timamwa chifukwa cha mutu ndi kupweteka kwa thupi. Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi m'mimba akaphatikizidwa ndi DAPT.
• Mankhwala Oletsa Kuvutika Maganizo: Mankhwala ena amatengedwa chifukwa cha kuvutika maganizo.
• Ma Proton Pump Inhibitors (PPIs): Mankhwala monga Omeprazole omwe nthawi zambiri timagwiritsa ntchito pa matenda a gastritis.

Kodi DAPT iyenera kutengedwa nthawi yayitali bwanji?

Izi sizili choncho kwa aliyense. Dokotala wanu ndiye adzasankha nthawi yomwe mukufuna kugwiritsa ntchito DAPT. Pali zinthu zingapo zomwe zimakhudza izi:

• Zaka zanu ndi thanzi lanu lonse.
• Kodi chiopsezo chanu chotaya magazi ndi chiyani?
• Chiwopsezo chodwala matenda ena a mtima kapena sitiroko.
• Chifukwa choyamba choyambitsa DAPT (chifukwa cha stent? chifukwa cha matenda a mtima?).

Ngakhale anthu ena angafunike chithandizochi kwa mwezi umodzi kapena iwiri, ena ambiri angafunike kwa chaka chimodzi kapena kuposerapo . Dokotala wanu angakulangizeni kuti mumwe aspirin kwa moyo wanu wonse, ngakhale mutasiya kumwa DAPT.

Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo

Popeza munthu amene akumwa DAPT ali pachiwopsezo chotaya magazi, muyenera kusamala kwambiri ndi zizindikiro zotsatirazi. Ngati muli ndi chimodzi mwa izi, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.