Kodi Heparin ndi chiyani? Tiyeni tiphunzire za mankhwala awa omwe amaletsa magazi kuundana! (Heparin)

Kodi mudamvapo za 'magazi oundana'? Nthawi zina, magazi amatha kupanga magazi oundana osafunikira mkati mwa mitsempha yamagazi ya thupi lathu. Izi zitha kubweretsa matenda oopsa monga matenda a mtima ndi sitiroko. Lero, tikulankhula za mankhwala ofunikira kwambiri omwe madokotala amagwiritsa ntchito poletsa mapangidwe a magazi oundana oopsa. Amenewo ndi Heparin.

Mwachidule, kodi Heparin ndi chiyani?

Heparin ndi mankhwala omwe amaletsa magazi kuundana. M'chilankhulo chathu, ndi 'wochepetsa magazi', kutanthauza kuti amachepetsa mphamvu ya magazi kuundana ndipo amapangitsa magazi kukhala 'ochepa' pang'ono.

Izi zili ndi ntchito ziwiri zazikulu:

1. Zimaletsa magazi kuundana atsopano.

2. Zimaletsa magazi kuundana omwe adapangidwa kale kuti asakule.

Matumbo athu sangathe kuyamwa heparin. Chifukwa chake, mankhwalawa sangamwedwe ngati piritsi. M'malo mwake, amaperekedwa ku thupi m'njira ziwiri: kudzera mu saline solution yomwe imaperekedwa mumtsempha (IV), kapena ngati jakisoni pansi pa khungu.

Kodi heparin imagwira ntchito bwanji m'thupi lathu?

Kuti timvetse izi, tiyeni titenge chitsanzo chaching'ono. Tangoganizani kuti njira yothira magazi m'thupi lathu ili ngati mzere wolumikizirana komwe magalimoto amamangidwa. Ndi ntchito ya ogwira ntchito osiyanasiyana mu mzere wolumikizirana uwu yomwe pamapeto pake imapanga magazi oundana.

Chomwe Heparin imachita ndikuletsa ntchito ya antchito awiri ofunikira kwambiri pantchito iyi.

• Thrombin: Ichi ndi chinthu chachikulu chomwe chimayambitsa magazi kuundana. Heparin imaletsa Thrombin iyi.
• Factor Xa: Ichi ndi chinthu china chofunikira chomwe chimathandiza kuti magazi aziundana. Heparin imaletsa magazi kuuma.

Mwachidule, chimene heparin imachita n’chakuti imasiya zida za anthu awiri ofunikira kwambiri pa ntchito yotseka magazi ndipo imawaletsa kugwira ntchito yawo. Kenako magazi otsekawo amasiya kupanga.

Kodi kugwiritsa ntchito Heparin ndi kotani?

Madokotala amagwiritsa ntchito heparin pochiza kapena kupewa magazi kuundana omwe angawononge thupi. Gome ili pansipa likuwonetsa zina mwa izi.

Kuphatikiza apo, nthawi zina Heparin imaperekedwa panthawi ya mimba pamene pali chiopsezo chokayikiridwa kwa mwana wosabadwayo, chifukwa mankhwalawa sadutsa placenta kupita kwa mwana.

Kodi chimachitika ndi chiyani mukapatsidwa Heparin?

Ngati dokotala asankha kukupatsani heparin kudzera m'mitsempha (IV), chinthu choyamba chomwe angachite ndikutenga chitsanzo cha magazi anu ndikuchiyesa. Lipotilo lidzatsimikizira kuchuluka kwenikweni kwa heparin yomwe muyenera kupatsidwa.

Nthawi zambiri aPTT (nthawi yogwira ntchito ya thromboplastin)Iyi ndi mayeso a magazi otchedwa coagulation test. Mayesowa amayesa nthawi yomwe magazi anu amaundana. Ngakhale mutayamba kumwa heparin, mayesowa amachitidwa nthawi zonse kuti muwonetsetse kuti mankhwalawo akugwira ntchito bwino komanso kusintha mlingo ngati pakufunika kutero.

Kodi ndiyenera kumwa Heparin nthawi yayitali bwanji?

Zimadalira chifukwa chomwe mukupatsidwa Heparin. Mwachitsanzo, mutachitidwa opaleshoni, ingaperekedwe kwa masiku pafupifupi asanu ndi awiri kapena mpaka mutayamba kudzuka ndikuyenda.

Heparin nthawi zambiri imaperekedwa kuchipatala. Musanachoke kuchipatala, dokotala wanu adzakusinthirani ku mapiritsi omwe mungamwe kunyumba.

Kodi ubwino wogwiritsa ntchito Heparin ndi wotani?

• Imagwira ntchito mwachangu: Imayamba kugwira ntchito nthawi yomweyo ikaperekedwa kudzera m'mitsempha.
• Kutha msanga: Zotsatira za mankhwalawa zimatha msanga mukasiya kumwa.
• Kusinthika kwa zotsatira: Ngati chinachake monga kutuluka magazi chikuchitika, zotsatira zake zitha kusinthidwa popereka mankhwala oletsa Protamine .
• Chidziwitso: Kukhala mankhwala odziwika bwino komanso odalirika omwe akhala akugwiritsidwa ntchito ndi madokotala kwa zaka zambiri.

Tidziwenso za zotsatirapo zake ndi zoopsa zake.

Chiwopsezo chachikulu chotenga heparin ndi kutuluka magazi ambiri . Ngakhale mutavulala pang'ono, mutha kutuluka magazi ambiri kuposa momwe mumafunira. Chifukwa chake muyenera kusamala kwambiri mukamamwa heparin. Ngati muli kuchipatala, pemphani thandizo musanadzuke pabedi. Izi zingathandize kupewa kugwa.

Zotsatira zoyipa zomwe zimawonedwa kawirikawiri:

• Ululu kapena kufiira kwa khungu komwe kunabayidwa jakisoni.
• Kutaya tsitsi (kwakanthawi).
• Kuchuluka kwa ma platelet m'magazi (Thrombocytopenia).

Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo!

• Kuvuta kupuma, kupuma mofulumira.
• Kutuluka magazi komwe sikungathe kuimitsidwa (monga kutuluka m'mphuno, m'kamwa).
• Mawanga abuluu ndi mabala amwadzidzidzi pathupi.
• Kufooka mwadzidzidzi kapena dzanzi mbali imodzi ya thupi.
• Kukhumudwa ndi kusokonezeka pamene mukuyenda.
• Kusintha kwadzidzidzi kwa masomphenya kapena kumva.
• Mutu waukulu.
• Kupweteka pachifuwa kapena kumva kugunda kwa mtima mofulumira.
• Kusanza ngati khofi.
• Zakuda, ndowe zokhazikika kapena magazi mu ndowe.
• Mkodzo wa bulauni kapena wofiira.

Heparin ndi mankhwala ofunikira kwambiri omwe angathandize kupulumutsa miyoyo. Madokotala amasankha kukupatsani mankhwalawa ataganizira bwino ubwino ndi zoopsa zake. Choncho ngati muli ndi mafunso okhudza izi, musaope kulankhula ndi dokotala wanu.