Fungidzira kuti mumwe munhu mumhuri mako, pamwe baba vako, amai vako, kana mumwe munhu waunoziva, ari kutora mushonga wekubvisa ropa wakaita seWarfarin nekuda kwechirwere chemwoyo kana chimwe chikonzero. Mushonga uyu unokosha zvikuru. Asi ko kana pakaitika tsaona kamwe kamwe uye kubuda ropa kwakawanda, kana kuti uchifanira kuvhiyiwa nekukurumidza? Zvakaoma kumisa kubuda ropa nekuti ropa rakatetepa, handiti? Muzviitiko zvakadaro zvekukurumidzira, tiri kutaura nezvemushonga unokosha kwazvo, unoponesa hupenyu unokutendera kudzora kubuda ropa nekukurumidza.
Zvichitaurwa zviri nyore, chii chinonzi Prothrombin Complex Concentrate (PCC)?
Iri harisi piritsi kana kapisiro yaunowanzo nwa. Prothrombin Complex Concentrate, kana kuti PCC, musanganiswa wemapuroteni akati wandei anobatsira kuumbwa kweropa redu. Tinodaidza kuti zvinhu zvinoumba ropa .
Mishonga inodzikisa ropa yakaita seWarfarin (mukurapa tinoidaidza kuti Vitamin K antagonists) inoshanda nekumisa chiropa chedu kugadzira zvinhu izvi zvinogwamba ropa. Ndosaka ropa richigwamba. Asi kana ropa rikangoerekana rabuda, tinofanira kukurumidza kudzorera zvinhu izvi zvinogwamba mumuviri. Ndipo panoshandiswa mushonga uyu unonzi PCC. Unokurumidza kudzosera simba reWarfarin uye unobatsira kumisa kubuda ropa. Kcentra izita rinozivikanwa remushonga uyu.
Mushonga uyu unoshandiswa riini?
Uyu hausi mushonga wekubuda ropa kwakajairika. Unoshandiswa chete kana paine nyaya dzakakomba uye dzechimbichimbi .
- Kana munhu achitora mushonga wekubvisa ropa wakaita seWarfarin akabuda ropa rakawanda nekuda kwetsaona kana chimwe chikonzero.
- Kana munhu achitora warfarin achida kuvhiyiwa nekukurumidza , mushonga uyu unopihwa usati wavhiyiwa kuderedza njodzi yekubuda ropa.
Chinhu chinonyanya kukosha ndechekuti chiremba ari kukurapa chete ndiye anogona kusarudza kana wopa mushonga uyu kana kuti kwete, nguva yaunofanira kuupa, uye kuti woupa wakawanda sei.
Zvinhu zvaunofanira kuudza chiremba wako usati wawana mushonga uyu
Sezvo uyu uri mushonga une simba guru, zvakakosha kuti uzivise chiremba wako nezvehumwe hurwere hwaunahwo mumuviri wako. Nekuti unofanira kungwarira zvikuru pakushandisa mushonga uyu pamwe chete nehumwe hurwere. Kana uine chimwe chezvinotevera, udza chiremba wako usingavanzi chero chinhu .
| Mamiriro ehutano aunofanira kutaura nezvawo | Tsananguro iri nyore |
|---|---|
| Chirwere chemwoyo kana kurwara kwemwoyo munguva pfupi yapfuura | Nekuti PCC inowedzera kugwinya kweropa, zvakakosha kuzivisa chero munhu ane nhoroondo yechirwere chemwoyo. |
| Nhoroondo yekurohwa nesitiroko kana TIA (Transient Ischemic Attack) | Kana wakambova nestroke kana mini-stroke (TIA), uri panjodzi yekugwamba kweropa. |
| Nhoroondo yeDIC (Disseminated Intravascular Coagulation) | Ichi chirwere chakakomba apo ropa rinogwamba uye kubuda ropa kunoitika panguva imwe chete mumuviri wese. |
| Nhoroondo ye heparin-induced thrombocytopenia (HIT) | Chirwere chekuti huwandu hwemaplatelet eropa hushoma nekuda kwekurwara nechimwe chinhu chinoderedza ropa chinonzi heparin. |
| Zvirwere zvetsinga dzemakumbo (Peripheral vascular disease) | Mumamiriro ezvinhu akadaro, njodzi yekugwamba kweropa yakanyanya. |
| Zvimwe zvirwere zvemuviri | Kana une allergies kumushonga uyu, heparin, mimwe mishonga, chikafu, kana madhayi. |
| Kubata pamuviri kana kutarisira mwana | Chiremba ari kufunga kupa izvi kuna vanaamai vane pamuviri nevanoyamwisa. |
Mushonga uyu unopihwa sei mumuviri?
Uyu hausi mushonga unogona kutorwa kumba. Mushonga uyu, unonzi PCC, unongopihwa muchipatara kana kukiriniki chete . Unopihwa mumuviri semushonga wemutsinga, semushonga wemunyu , nachiremba kana mukoti akadzidziswa.
Kana uri kupa mushonga uyu kuvana, unofanira kubvunza chiremba wevana.
Kana mushonga uyu ukatorwa netsaona, vashandi vekurapa vachatora matanho nekukasika sezvo iri dambudziko rechipatara. Zvisinei, kana ukafungidzira chimwe chinhu chakadai, zvakakosha kuzivisa Emergency Treatment Unit (ETU) yechipatara nekukurumidza. Kana zvichidikanwa, unogona zvakare kufonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Ndezvipi migumisiro inogona kutarisirwa?
Kufanana nemushonga upi zvawo, mushonga uyu unogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho haina kunyanya kuoma. Chinhu chakakosha ndechekuti utariswe nachiremba wako paunenge uchitora mushonga uyu uye mushure mezvo. Kana ukaona zviratidzo zvisingawanzoitiki, unofanira kuzvitaura nekukasika.
| Mhando dzemigumisiro yakaipa | |
|---|---|
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba wako kana nesi nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Zviratidzo zvekugwamba kweropa | Kutadza kufema zvakanaka, kurwadziwa pachipfuva, kuzvimba kwegumbo (Deep Vein Thrombosis - DVT), kusanzwa kana kushaya simba kamwe kamwe kumeso, ruoko kana gumbo (zviratidzo zvestroke), kuoma kutaura, musoro wakanyanya, kuoma kufamba, dzungu. |
| Zvimwe zviratidzo zvakakomba | Zviratidzo zvehutachiona zvakaita sekuchinja kwemaonero, kuvhiringidzika, fivha kana kutonhorwa, uye kukosora. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | Musoro wemusoro unogona kuitika. |
| Kusvotwa nekurutsa | Dumbu rinogona kurwadza kana kurutsa. |
| Kushaya hope | Kurara kunogona kukanganiswa. |
Panogona kuva nematambudziko nemimwe mishonga here?
Ehe, PCC inogona kukanganisana nemimwe mishonga. Izvi zvinogona kukonzera matambudziko kana ikashandiswa pamwe chete nemimwe mishonga, kunyanya Factor VIIa, iyo inobatsira kuumba ropa.
Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora. Izvi zvinoreva kwete chete iyo yawakanyorerwa nachiremba wako, asiwo iyo yaunotora kubva ku pharmacy, mavhitamini, zvinovaka muviri, mishonga yeSinhala, mishonga yeAyurvedic , nezvimwewo. Zvakare, muudze kana uchisvuta kana kunwa doro.
Mharidzo Yekuenda Nayo Kumba
- Prothrombin Complex Concentrate (PCC) mushonga wakakosha, unoponesa hupenyu unopihwa kumisa kubuda ropa kwakakomba muvarwere vanotora mishonga inobvisa ropa rakanyanya seWarfarin.
- Uyu hausi mushonga wepiritsi, mushonga unopinzwa muchipatara chete. Haushandiswe kumba.
- Iva nechokwadi chekuzivisa chiremba wako nezvenhoroondo yako yese yezveutano, kunyanya chirwere chemwoyo, sitiroko, uye allergies.
- Paunenge uchitora mushonga, zivisa vashandi vekurapa nekukasika kana ukasangana nemigumisiro yakakomba yakadai sekuoma kufema, kurwadziwa pachipfuva, kuzvimba kwemakumbo, kana zviratidzo zvestroke.
- Kana muine zvinokunetsai nezvemushonga uyu, kurukurai nachiremba wenyu. Zvakakosha kuwana ruzivo rwakarurama kubva kuna chiremba wenyu ari kurapa pane kutsvaga ruzivo paindaneti.
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