Wakambonzwa nezve 'kugwamba kweropa' here? Dzimwe nguva, ropa rinogona kuumba magwamba asingadiwe mukati metsinga dzeropa dzemuviri wedu. Izvi zvinogona kutungamira kuzvirwere zvine njodzi senge kurwara kwemoyo uye sitiroko. Nhasi, tiri kutaura nezvemushonga unokosha kwazvo unoshandiswa navanachiremba kudzivirira kuumbwa kwegwamba reropa rine njodzi. Ndiwo Heparin.
Zvichitaurwa zviri nyore, chii chinonzi Heparin?
Heparin mushonga unodzivirira kugwinha kweropa. Mumutauro wedu, mushonga 'unodzikisa ropa', zvichireva kuti unoderedza kugona kweropa kugwinha uye unoita kuti ropa rive 'rakatetepa' zvishoma.
Izvi zvine mabasa maviri makuru:
1. Inodzivisa kuumbwa kweropa idzva.
2. Zvinodzivirira ropa rakatoumbwa kuti risakure.
Asi chinhu chimwe chete chekurangarira: Heparin inogona kubatsira kunyungudutsa ropa rakagwamba, asi haigone kupwanya zvachose nekunyungudutsa ropa rakagwamba kare.
Matumbu edu haagone kunwisa heparin. Saka, mushonga uyu haugone kutorwa sepiritsi. Asi, unopiwa mumuviri nenzira mbiri: kungava kuburikidza nesaline solution inopinzwa mutsinga (IV), kana kuti jekiseni pasi peganda.
Heparin inoshanda sei mumiviri yedu?
Kuti tinzwisise izvi, ngatitorei muenzaniso mudiki. Fungidzira kuti maitiro ekugwamba kweropa mumuviri wedu akafanana netambo yekubatanidza uko mota dzinovakwa. Ibasa revashandi vakasiyana-siyana mutambo iyi yekubatanidza rinozopedzisira raita ganda reropa.
Chinoitwa neHeparin kumisa basa revashandi vaviri vakakosha munzvimbo iyi yebasa.
- Thrombin: Iyi ndiyo inonyanya kukosha pakugwamba kweropa. Heparin inodzima Thrombin iyi.
- Factor Xa: Ichi chimwe chinhu chakakosha chinobatsira kuumbwa kweropa. Heparin inomisa kushanda kwaro.
Zvichitaurwa zviri nyore, chinoitwa neheparin ndechekuti inobvisa zvombo zvevashandi vaviri vakakosha mukuita kwekugwamba kweropa parutivi uye inovamisa kuita basa ravo. Ipapo magwamba eropa anomira kuumbwa.
Ndezvipi zvinoshandiswa neHeparin?
Vanachiremba vanoshandisa heparin kurapa kana kudzivirira kuumbwa kweropa kunogona kukuvadza muviri. Tafura iri pazasi inoratidza mamwe emamiriro ezvinhu aya.
| Mamiriro/Chiitiko | Tsananguro iri nyore |
|---|---|
| Kugwamba kweropa mutsinga (Venous thromboembolism - VTE) | Ropa rinoumbwa mukati metsinga mumuviri. |
| Kuvharwa kwetsinga yakadzika (DVT) | Kugwamba kweropa, kazhinji mutsinga yakadzika mugumbo kana ruoko. |
| Kuvharika kwemapapu (PE) | Ropa rakagwamba mutsinga rinobuda roenda kumapapu, uko rinogara. |
| Kurwiswa kwemoyo uye sitiroko | Zvirwere zvinokonzerwa nekugwamba kweropa mutsinga yeropa mumoyo kana muuropi. |
| Kurova kwemwoyo kusina kujairika (Atrial fibrillation - Afib) | Kuchinja uku kwerhythm kunowedzera njodzi yekuumbwa kweropa rakagwamba mumoyo. |
| Kuvhiyiwa kukuru kana tsaona | Kudzivirira kuumbwa kweropa mushure mekuvhiyiwa kana kana wakarara kwenguva yakareba nekuda kwetsaona. |
| Kuchenesa itsvo (Dialysis) | Kudzivirira kuumbwa kweropa mumuchina we dialysis. |
Pamusoro pezvo, Heparin dzimwe nguva inopihwa panguva yekuzvitakura kana paine fungidziro yekuti mwana ari mudumbu anogona kubatwa nechirwere ichi, sezvo mushonga uyu usingapfuure nepasenta kuenda kumwana.
Chii chinoitika kana ukapihwa Heparin?
Kana chiremba akasarudza kukupa heparin netsinga (IV), chinhu chekutanga chavachaita kutora sampuli yeropa rako voriongorora. Mushumo webvunzo iwoyo ndiwo ucharatidza huwandu chaihwo hweheparin yaunoda kupihwa.
Kazhinji aPTT (nguva yekushanda kwechikamu chethromboplastin)Iyi bvunzo yeropa inonzi coagulation test. Iyi bvunzo inoongorora kuti zvinotora nguva yakareba sei kuti ropa rako rigwambe. Kunyangwe mushure mekunge watanga kutora heparin, bvunzo iyi ichaitwa nguva nenguva kuti ive nechokwadi chekuti mushonga uri kushanda nemazvo uye kugadzirisa dose kana zvichidikanwa.
Ndinofanira kutora Heparin kwenguva yakareba sei?
Zvinoenderana nechikonzero chauri kupihwa Heparin. Semuenzaniso, mushure mekuvhiyiwa, inogona kupihwa kwemazuva manomwe kana kusvika wava kukwanisa kumuka nekufamba.
Heparin inowanzopihwa muchipatara. Usati wabuda muchipatara, chiremba wako achakuchinjira kune piritsi raunogona kunwa kumba.
Ndezvipi zvakanakira kushandisa Heparin?
- Inoshanda nekukurumidza: Inotanga kushanda pakarepo kana ikapinzwa mutsinga.
- Kupera nekukurumidza: Mhedzisiro yemushonga inopera nekukurumidza kana ukarega kuushandisa.
- Kugona kuchinja mhedzisiro yacho: Kana chimwe chinhu chakadai sekubuda ropa chikaitika, mhedzisiro yacho inogona kugadziriswa nekupa mushonga weProtamine .
- Ruzivo: Kuva mushonga unozivikanwa uye unovimbwa nawo wave uchishandiswa navanachiremba kwemakumi emakore.
Ngatiziveiwo nezvemigumisiro nenjodzi.
Njodzi huru yekutora heparin kubuda ropa rakawanda . Kunyangwe kana uine kukuvara kudiki, unogona kubuda ropa rakawanda kupfuura zvakajairika. Saka unofanira kungwarira zvikuru paunenge uchitora heparin. Kana uri muchipatara, kumbira rubatsiro usati wamuka pamubhedha. Izvi zvinogona kubatsira kudzivirira kudonha.
Zvakakosha: Unofanira kuudza chiremba wako nezve mimwe mishonga, mavhitamini, kana mishonga yeAyurvedic yauri kutora. Mimwe mishonga inogona kushanda pamwe chete neHeparin uye kuwedzera kana kuderedza mhedzisiro yayo. Usambofa watanga mushonga mutsva usina kutanga wabvunza chiremba wako.
Migumisiro inowanzoonekwa:
- Marwadzo kana kusviba kweganda panzvimbo yakapihwa jekiseni.
- Kudonha kwebvudzi (kwenguva pfupi).
- Kuwanda kwemaplatelet muropa (Thrombocytopenia).
Kana uine zviratidzo izvi, taura nachiremba wako nekukasika!
Kana ukaona chimwe chezviratidzo izvi, usazviregeredza. Kurumidza kuzivisa chiremba wako kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Kutadza kufema zvakanaka, kufema nekukurumidza.
- Kubuda ropa kusingagone kumiswa (semuenzaniso kubva mumhino, matadza).
- Mavara ebhuruu anongoerekana aonekwa uye mavanga pamuviri.
- Kushaya simba kamwe kamwe kana kuti kunzwa kusanzwa zvakanaka kune rumwe rutivi rwemuviri.
- Kugumburwa uye kuvhiringidzika paunenge uchifamba.
- Kuchinja kamwe kamwe kwekuona kana kunzwa.
- Musoro wakanyanya.
- Kurwadziwa pachipfuva kana kunzwa kurova kwemoyo nekukurumidza.
- Kurutsa semukombe wekofi.
- Matema, tsvina yekumirira kana ropa riri mutsvina.
- Weti yebrown kana tsvuku.
Heparin mushonga unokosha zvikuru unogona kubatsira kuponesa hupenyu. Vanachiremba vanosarudza kukupa mushure mekunyatsoongorora zvakanakira nengozi. Saka kana uine mibvunzo nezveizvi, usatya kutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Heparin mushonga wemhando ye'kuonda ropa' unodzivirira kuumbwa kweropa rine njodzi mumuviri.
- Iyi inopihwa sejekiseni kuburikidza netsinga (IV) kana pasi peganda. Haigone kutorwa sepiritsi.
- Chipimo chaunofanira kupiwa chinoonekwa nokungwarira kuburikidza nekuongororwa kweropa.
- Njodzi huru yekunwa mushonga uyu kubuda ropa rakawanda, saka chenjerera kuzvidzivirira kubva mukukuvara.
- Kana ukaona kubuda ropa kusingawanzoitiki, mavanga, kana zvimwe zviratidzo zvinofungirwa, zivisa chiremba wako nekukasika.
- Zvakakosha kuudza chiremba wako nezvemimwe mishonga yese yauri kutora.
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