Tangoganizirani, ngati wina mwadzidzidzi akumva kupweteka kwambiri pachifuwa ndipo akukayikira kuti ali ndi vuto la mtima ... Pali mankhwala ambiri ofunikira omwe madokotala amagwiritsa ntchito kuchipatala kuti apulumutse miyoyo pakagwa mwadzidzidzi. Limodzi mwa mankhwala otere ndi Tirofiban. Uwu ndi jakisoni womwe umalowetsedwa mumtsempha. Tiyeni tikambirane za mankhwala ofunikira awa m'njira yosavuta lero.
Kodi Tirofiban ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, magazi athu ali ndi mtundu wa selo laling'ono lotchedwa ma platelet . Ntchito yawo yayikulu ndikulumikizana tikavulala, kumamatira pamalopo, ndikuletsa kutuluka magazi . Ndi chinthu chabwino kwambiri kwa thupi.
Komabe, nthawi zina ma platelet amenewa amatha kusonkhana pamodzi mosayenera ndikupanga magazi kuundana m'mitsempha ya mtima, yomwe imapereka magazi kumtima. Ngati magazi kuundana atseka mtsempha wamagazi kwathunthu, zingayambitse matenda a mtima.
Tirofiban imagwira ntchito poletsa kwakanthawi ma platelet kuti asamamatire pamodzi ndikupanga magazi kuundana. Izi zimathandiza kupewa vutoli kuti lisakule kwambiri mwa anthu omwe adadwala matenda a mtima kapena kupweteka kwambiri pachifuwa ( angina yosakhazikika). Imagwiritsidwanso ntchito popewa mavuto omwe angachitike panthawi ya chithandizo china chotsegula mitsempha yamagazi yotsekedwa (monga angioplasty).
Zinthu zomwe dokotala wanu ayenera kudziwa asanakupatseni mankhwala awa
Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kuti mudziwitse dokotala wanu za mbiri yanu yonse ya thanzi musanakupatseni katemerayu. Muyenera kutchula makamaka chilichonse mwa matenda awa omwe muli nawo:
| Matenda kapena vuto | Kufotokozera kosavuta |
|---|---|
| Aneurysm (kutupa kwa khoma la mtsempha wamagazi) | Ngati khoma la mtsempha wamagazi m'thupi lafooka ndi kutumphuka ngati baluni. |
| Mavuto a magazi kapena magazi kuundana | Ngati mukumva kuvulala mosavuta, mukuvutika kusiya kutuluka magazi, kapena muli ndi matenda ena a magazi. |
| Kuwonongeka kwa maso chifukwa cha matenda a shuga (Diabetic Retinopathy) | Ngati retina ya maso yawonongeka chifukwa cha matenda a shuga. |
| Kuvulala mutu kapena chotupa | Ngati mwavulala mutu kwambiri posachedwapa kapena kale kapena ngati muli ndi chotupa muubongo. |
| Kuthamanga kwa Magazi Kwambiri | Ngati muli ndi kuthamanga kwa magazi kosalamulirika. |
| Stroke | Ngati munakhalapo ndi vuto la ziwalo zopuwala kale. |
| Kuchepa kwa chiwerengero cha ma platelet | Ngati mwapezeka ndi kuchuluka kochepa kwa ma platelet m'magazi. |
| Ngozi yaikulu kapena opaleshoni yaposachedwa | Ngati mwachita ngozi yaikulu kapena opaleshoni yaikulu m'masabata angapo apitawa. |
| Mimba kapena kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la ziwengo ndi tirofiban kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi mankhwalawa angagwiritsidwe ntchito bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Tirofiban amaperekedwa kuchipatala kapena kuchipatala chokha. Amaperekedwa kudzera mu jakisoni m'mitsempha ( jakisoni m'mitsempha) ndi dokotala kapena namwino wophunzitsidwa bwino.
Pamene mukumwa mankhwalawa, kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayang'aniridwa nthawi zonse.
Nanga bwanji ngati mlingo ukuwonjezeka?
Popeza mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala kuchipatala, mwayi woti munthu asaphonye mlingo ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti china chake chachitika mwanjira ina iliyonse, muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Ngati kuli kofunikira, mutha kulumikizana ndi National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Zinthu zina zomwe zingagwirizane ndi tirofiban
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, komanso mavitamini ndi mankhwala azitsamba, chifukwa mankhwala ena amatha kuyanjana ndi tirofiban ndikuwonjezera chiopsezo cha kutuluka magazi.
- Aspirin ndi mankhwala ena okhala ndi aspirin.
- Mankhwala ena omwe amaletsa magazi kuundana, monga Warfarin ndi Enoxaparin .
- Mankhwala ochepetsa ululu (NSAIDs) monga ibuprofen .
- Zinthu zochokera ku zitsamba monga Ginkgo .
- Mankhwala monga dipyridamole .
Perekani dokotala wanu mndandanda wa mankhwala onse , mavitamini, ndi zitsamba zomwe mumamwa. Onetsetsani kuti mwawauza ngati mumasuta kapena kumwa mowa.
Zizindikiro zoti muzisamala nazo mukamamwa mankhwala
Pamene mukupatsidwa mankhwalawa, mungakumane ndi zizindikiro zina mwadzidzidzi zomwe zikusonyeza kuti vuto lanu likuipiraipira. Ngati izi zitachitika , muyenera kuuza dokotala kapena namwino wanu nthawi yomweyo.
- Kuvuta kupuma
- Kusintha kwa masomphenya (monga kuwona modzidzimutsa)
- Mutu waukulu, mwadzidzidzi
- Kuvuta kulankhula, chibwibwi
- Kufooka mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo
- Ululu, kutupa, ndi kumva kutentha mwendo
Izi zitha kukhala zizindikiro za matenda oopsa omwe amayamba chifukwa cha magazi kuundana.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, tirofiban ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, zina sizowopsa kwenikweni.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za Kutuluka Magazi | Chimbudzi chakuda kapena chamagazi, mkodzo wofiira kapena wakuda, kusanza khofi wothira, kutuluka magazi m'mphuno kapena m'kamwa modabwitsa, mawanga ofiira pakhungu, ndi mabala osavuta. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kugunda kwa mtima mofulumira kapena kosasinthasintha, malungo, kuzizira, kutupa kwa akakolo, mapazi, kapena manja. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira) | |
| Zotsatirapo zazing'ono | Mutu, nseru kapena kusanza, thukuta, kukomoka. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde dziwitsani dokotala kapena namwino wanu.
Uthenga Wopita Nawo Kunyumba
- Tirofiban ndi jakisoni wamphamvu womwe umaperekedwa kuchipatala kokha kuti magazi aziundana pakagwa mwadzidzidzi monga matenda a mtima ndi kupweteka kwambiri pachifuwa.
- Musanamwe mankhwalawa, ndikofunikira kuti muuze dokotala wanu za matenda anu onse (makamaka mavuto otuluka magazi, kuthamanga kwa magazi, sitiroko) ndi mankhwala ena onse omwe mukumwa.
- Mukamamwa mankhwala, samalani kwambiri ndi zizindikiro za kutuluka magazi (ndowe zakuda, mkodzo wofiira, mabala osazolowereka). Ngati muwona chilichonse chonga ichi, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo.
- Iyi si mankhwala operekedwa kuchipatala, ndipo chithandizo chonse chimachitika moyang'aniridwa ndi dokotala.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, musaope kulankhula momasuka ndi dokotala wanu kapena ogwira ntchito ya anamwino.
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