Tangoganizirani kuti winawake m'banja mwanu, mwina abambo anu, amayi anu, kapena munthu amene mumamudziwa, akumwa mankhwala ochepetsa magazi monga Warfarin chifukwa cha matenda a mtima kapena pazifukwa zina. Mankhwalawa ndi ofunikira kwambiri. Koma bwanji ngati ngozi yadzidzidzi yachitika ndipo magazi ambiri atuluka, kapena ngati muyenera kuchitidwa opaleshoni mwachangu? N'zovuta kuletsa magazi chifukwa magazi ndi ochepa, sichoncho? Pazifukwa zoopsa ngati zimenezi, tikulankhula za mankhwala ofunikira kwambiri, opulumutsa moyo omwe amakulolani kuwongolera magazi mwachangu.
Mwachidule, kodi Prothrombin Complex Concentrate (PCC) ndi chiyani?
Iyi si piritsi kapena kapisozi yomwe nthawi zambiri mumatenga. Prothrombin Complex Concentrate, kapena PCC, ndi kuphatikiza kwa mapuloteni angapo omwe amathandiza magazi athu kuundana. Timatcha zinthu zoundana magazi .
Mankhwala ochepetsa magazi monga Warfarin (mankhwala omwe timawatcha kuti Vitamin K antagonists) amagwira ntchito poletsa chiwindi chathu kupanga zinthu zolimbitsa magazi. Ndicho chifukwa chake magazi amachepa. Koma ngati magazi atuluka mwadzidzidzi, tiyenera kubwezeretsa zinthu zolimbitsa magazi m'thupi mwachangu. Apa ndi pamene mankhwala otchedwa PCC amagwiritsidwa ntchito. Amasintha mwachangu mphamvu ya Warfarin ndipo amathandiza kuletsa kutuluka magazi. Kcentra ndi dzina lodziwika bwino la mankhwala awa.
Kodi mankhwalawa amagwiritsidwa ntchito liti?
Iyi si mankhwala ochizira kutuluka magazi mwachibadwa. Amangogwiritsidwa ntchito pazochitika zazikulu komanso zadzidzidzi .
- Munthu akamamwa mankhwala ochepetsa magazi monga Warfarin amatuluka magazi ambiri chifukwa cha ngozi kapena chifukwa china.
- Ngati munthu akumwa warfarin akufunika kuchitidwa opaleshoni yadzidzidzi , mankhwalawa amaperekedwa opaleshoni isanayambe kuti achepetse chiopsezo chotuluka magazi.
Chofunika kwambiri ndi chakuti dokotala yekha amene akukuthandizani ndi amene angasankhe ngati angapereke mankhwala awa kapena ayi, nthawi yoti apereke, komanso kuchuluka kwa mankhwalawo.
Zinthu zomwe muyenera kuuza dokotala wanu musanalandire chithandizochi
Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kuti mudziwitse dokotala wanu za matenda ena aliwonse omwe muli nawo m'thupi lanu. Chifukwa muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa ndi matenda enaake. Ngati muli ndi vuto lililonse mwa zotsatirazi, uzani dokotala wanu popanda kubisa chilichonse .
| Matenda omwe muyenera kunena | Kufotokozera kosavuta |
|---|---|
| Matenda a mtima kapena matenda a mtima aposachedwa | Popeza PCC imawonjezera magazi kuundana, ndikofunikira kwambiri kudziwitsa aliyense amene ali ndi mbiri ya matenda a mtima. |
| Mbiri ya sitiroko kapena TIA (Transient Ischemic Attack) | Ngati mudadwalapo sitiroko kapena mini-stroke (TIA) m'mbuyomu, muli pachiwopsezo chopanga magazi kuundana. |
| Mbiri ya DIC (Disseminated Intravascular Coagulation) | Imeneyi ndi vuto lalikulu lomwe magazi amaundana ndi kutuluka magazi zimachitika nthawi imodzi m'thupi lonse. |
| Mbiri ya heparin-induced thrombocytopenia (HIT) | Matenda omwe kuchuluka kwa ma platelet m'magazi kumakhala kochepa chifukwa cha ziwengo ku heparin ina yochepetsa magazi. |
| Matenda a mitsempha ya m'miyendo (Peripheral vascular disease) | Muzochitika zotere, chiopsezo cha magazi kuundana chimakhala chachikulu. |
| Ziwengo zina | Ngati muli ndi vuto la mankhwala awa, heparin, mankhwala ena, zakudya, kapena utoto. |
| Mimba kapena kuyembekezera mwana | Dokotalayo akuganizira makamaka kupereka izi kwa amayi apakati ndi oyamwitsa. |
Kodi mankhwalawa amaperekedwa bwanji m'thupi?
Mankhwala awa si mankhwala omwe angatengedwe kunyumba. Mankhwalawa, otchedwa PCC, amaperekedwa kuchipatala kapena ku chipatala kokha . Amaperekedwa m'thupi ngati njira yothira m'mitsempha, monga saline , ndi dokotala kapena namwino wophunzitsidwa bwino.
Ngati mukupereka mankhwalawa kwa ana, muyenera kufunsa dokotala wa ana.
Ngati mwamwa mankhwala ochulukirapo mwangozi, ogwira ntchito zachipatala adzachitapo kanthu nthawi yomweyo chifukwa ichi ndi vuto ladzidzidzi la kuchipatala. Komabe, ngati mukukayikira ngati izi, ndikofunikira kudziwitsa nthawi yomweyo Chipatala cha Emergency Treatment Unit (ETU). Ngati pakufunika kutero, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti akupatseni upangiri.
Ndi zotsatirapo ziti zomwe zingayembekezeredwe?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina. Zina ndi zazikulu, zina ndi zofatsa. Chofunika kwambiri ndichakuti dokotala wanu azikuyang'anirani mosamala mukamamwa mankhwalawa komanso pambuyo pake. Ngati mukukumana ndi zizindikiro zachilendo, muyenera kuzinena nthawi yomweyo.
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za magazi kuundana | Kuvuta kupuma, kupweteka pachifuwa, kutupa mwendo (Deep Vein Thrombosis - DVT), dzanzi mwadzidzidzi kapena kufooka pankhope, mkono kapena mwendo (zizindikiro za sitiroko), kuvutika kulankhula, mutu waukulu, kuvutika kuyenda, chizungulire. |
| Zizindikiro zina zazikulu | Zizindikiro za matenda monga kusintha kwa masomphenya, chisokonezo, malungo kapena kuzizira, komanso chifuwa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu waukulu ukhoza kuchitika. |
| Kusanza ndi kusanza | Kusanza kapena kutsekula m'mimba kungachitike. |
| Kusowa tulo | Tulo tingasokonezeke. |
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, PCC imatha kusokonezana ndi mankhwala ena. Izi zingayambitse mavuto ikagwiritsidwa ntchito ndi mankhwala ena, makamaka Factor VIIa, yomwe imathandiza kuti magazi aziundana.
Choncho, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa. Izi sizikutanthauza mankhwala omwe dokotala wanu wakupatsani okha, komanso omwe mumamwa kuchokera ku pharmacy, mavitamini, zakudya zowonjezera, mankhwala a ku Sinhala, mankhwala a Ayurvedic , ndi zina zotero. Komanso, mudziwitseni ngati mukusuta kapena kumwa mowa.
Uthenga Wopita Nawo Kunyumba
- Prothrombin Complex Concentrate (PCC) ndi mankhwala apadera, opulumutsa moyo omwe amaperekedwa kuti aletse kutuluka magazi mwadzidzidzi komanso kwakukulu kwa odwala omwe akumwa mankhwala ochepetsa magazi monga Warfarin.
- Iyi si piritsi, ndi mankhwala omwe amaperekedwa m'mitsempha kuchipatala kokha. Sagwiritsidwa ntchito kunyumba.
- Onetsetsani kuti mwadziwitsa dokotala wanu mbiri yonse ya matenda anu, makamaka matenda a mtima, sitiroko, ndi ziwengo.
- Mukamamwa mankhwalawo, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo ngati mukukumana ndi zotsatirapo zoyipa monga kupuma movutikira, kupweteka pachifuwa, kutupa kwa miyendo, kapena zizindikiro za sitiroko.
- Ngati muli ndi nkhawa iliyonse yokhudza mankhwalawa, kambiranani ndi dokotala wanu. Ndikofunikira kwambiri kupeza chidziwitso cholondola kuchokera kwa dokotala wanu kuposa kusaka chidziwitso pa intaneti.
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