Ngaba wakha weva 'ngamahlwili egazi'? Ngamanye amaxesha, igazi linokwenza amahlwili angafunekiyo ngaphakathi kwemithambo yegazi yomzimba wethu. Oku kunokukhokelela kwiimeko eziyingozi ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo. Namhlanje, sithetha ngeyeza elibaluleke kakhulu elisetyenziswa ngoogqirha ukuthintela ukwakheka kwamahlwili egazi ayingozi kangaka. Loo nto yiHeparin.
Ngamafutshane, yintoni iHeparin?
IHeparin liyeza elithintela ukujiya kwegazi. Ngolwimi lwethu, 'liyi-blood thinner', oko kuthetha ukuba inciphisa amandla egazi okujiya kwaye yenza igazi libe 'lincinci' kancinci.
Oku kunemisebenzi emibini ephambili:
1. Iyathintela ukwakheka kwamahlwili egazi amatsha.
2. Ithintela ukuba ihlwili legazi esele lenziwe lingakhuli.
Kodwa into enye ekufuneka uyikhumbule: I-Heparin inokunceda ekunyibilikiseni ihlwili legazi, kodwa ayinakuqhekeka ngokupheleleyo kwaye inyibilikise ihlwili legazi esele lenziwe.
Amathumbu ethu awakwazi ukufunxa i-heparin. Ngenxa yoko, eli yeza alinakuthathwa njengepilisi. Endaweni yoko, linikwa umzimba ngeendlela ezimbini: nokuba ngesisombululo setyuwa esifakwa emthanjeni (IV), okanye njengenaliti phantsi kolusu.
I-heparin isebenza njani emizimbeni yethu?
Ukuze sikuqonde oku, masithathe umzekelo omncinci. Khawucinge ukuba inkqubo yokujiya kwegazi emizimbeni yethu ifana nomgca wokuhlanganisa apho kwakhiwa khona iimoto. Ngumsebenzi wabasebenzi abahlukeneyo kulo mgca wokuhlanganisa ogqibela ngokwenza ijini legazi.
Into eyenziwa yiHeparin kukuyekisa umsebenzi wabasebenzi ababini ababalulekileyo kule ndawo yokusebenza.
- I-Thrombin: Le yeyona nto iphambili kwinkqubo yokujiya kwegazi. I-Heparin iyayivala le Thrombin.
- I-Factor Xa: Le yenye into ebalulekileyo enceda ukujiya kwegazi. I-Heparin iyalithintela ukuba lingasebenzi.
Ngamafutshane, into eyenziwa yi-heparin kukuba ibeka ecaleni izixhobo zabasebenzi ababini ababalulekileyo kwinkqubo yokujiya kwegazi ize ibathintele ekwenzeni umsebenzi wabo. Emva koko amahlwili egazi ayayeka ukwakheka.
Ziziphi iingenelo zeHeparin?
Oogqirha basebenzisa i-heparin ukunyanga okanye ukuthintela amahlwili egazi anokonakalisa umzimba. Itheyibhile engasezantsi ibonisa ezinye zezi meko.
| Imeko/Isiganeko | Ingcaciso elula |
|---|---|
| Ukuqhekeka kwegazi emithanjeni (i-Venous thromboembolism - VTE) | Ihlwili legazi lenzeka ngaphakathi emthanjeni emzimbeni. |
| I-Deep Vein Thrombosis (DVT) | Ihlwili legazi, elidla ngokuba kumthambo onzulu emlenzeni okanye engalweni. |
| I-Pulmonary embolism (PE) | Ihlwili legazi emthanjeni liyaqhekeka lize liye emiphungeni, apho lihlala khona. |
| Uhlaselo lwentliziyo kunye nokubetha kwentliziyo | Iimeko ezibangelwa kukuqhekeka kwegazi emthanjeni wegazi entliziyweni okanye engqondweni. |
| Ukubetha kwentliziyo okungaqhelekanga (i-Atrial fibrillation - Afib) | Olu tshintsho kwisingqisho lunyusa umngcipheko wokuba igazi liqhekeke entliziyweni. |
| Utyando olukhulu okanye iingozi | Ukuthintela ukwakheka kwamahlwili egazi emva kotyando okanye xa ulele ebhedini ixesha elide ngenxa yengozi. |
| Ukucoca izintso (i-Dialysis) | Ukuthintela ukuqhekeka kwegazi kumatshini wokucoca igazi. |
Ukongeza, iHeparin ngamanye amaxesha inikwa ngexesha lokukhulelwa xa kukho ingozi erhanelekayo kwimveku, njengoko eli yeza lingaweli kwi-placenta liye kumntwana.
Kwenzeka ntoni xa unikwa iHeparin?
Ukuba ugqirha ugqiba ekubeni akunike i-heparin ngemithambo yegazi (IV), into yokuqala aza kuyenza kukuthatha isampuli yegazi lakho aze ayivavanye. Loo ngxelo yovavanyo iya kumisela ubungakanani obuchanekileyo be-heparin ekufuneka uyinikwe.
Rhoqo i-aPTT (ixesha le-thromboplastin elisebenzayo)Olu luvavanyo lwegazi olubizwa ngokuba luvavanyo lokujiya kwegazi. Olu vavanyo lulinganisa ixesha elithathayo ukuba igazi lakho lijiye. Kwanasemva kokuba uqale ukuthatha i-heparin, olu vavanyo luya kwenziwa rhoqo ukuqinisekisa ukuba iyeza lisebenza kakuhle kwaye kulungiswe umthamo ukuba kuyimfuneko.
Ndifanele ndithathe iHeparin ixesha elingakanani?
Kuxhomekeke kwisizathu sokuba unikwe iHeparin. Umzekelo, emva kotyando, inganikwa malunga neentsuku ezisixhenxe okanye ude ukwazi ukuvuka uhambe.
IHeparin idla ngokunikezelwa esibhedlele. Ngaphambi kokuba uphume esibhedlele, ugqirha wakho uza kukutshintshela kwipilisi onokuyisela ekhaya.
Ziziphi iingenelo zokusebenzisa iHeparin?
- Isebenza ngokukhawuleza: Iqala ukusebenza ngoko nangoko xa inikwa ngemithambo yegazi.
- Ukuphela ngokukhawuleza: Iziphumo zeziyobisi ziyaphela ngokukhawuleza xa uyeka ukuzisebenzisa.
- Ukuguquka kwesiphumo: Ukuba kukho into efana nokopha, isiphumo sinokuguqulwa ngokunika i-antidote Protamine .
- Amava: Ukuba liyeza elaziwayo nelithembekileyo elisetyenziswe ngoogqirha kangangeminyaka emininzi.
Masiqaphele nemiphumo emibi kunye neengozi.
Eyona ngozi inkulu yokusebenzisa i-heparin kukopha kakhulu . Nokuba unokwenzakala okuncinci, ungopha kakhulu kunesiqhelo. Ngoko ke kufuneka ulumke kakhulu xa usebenzisa i-heparin. Ukuba usesibhedlele, cela uncedo ngaphambi kokuba uvuke ebhedini. Oku kunokunceda ukuthintela ukuwa.
Kubaluleke kakhulu: Ufanele uxelele ugqirha wakho malunga namanye amayeza, iivithamini, okanye amayeza e-Ayurvedic owasebenzisayo. Amanye amayeza anokusebenzisana ne-Heparin aze anyuse okanye anciphise imiphumo yawo. Ungaze uqale amayeza amatsha ngaphandle kokubuza ugqirha wakho kuqala.
Iziphumo ebezingalindelekanga eziqhele ukubonwa:
- Intlungu okanye ukuluhlaza okwesibhakabhaka apho kufakwe khona inaliti.
- Ukulahleka kweenwele (okwethutyana).
- Inani eliphantsi leeplatelet egazini (i-Thrombocytopenia).
Ukuba unale mpawu, xelela ugqirha wakho ngoko nangoko!
Ukuba ufumana naziphi na kwezi mpawu, musa ukuzityeshela. Yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe.
- Ubunzima bokuphefumla, ukuphefumla ngokukhawuleza.
- Ukopha okungenakunqandwa (umz., empumlweni, kwiintsini).
- Amabala aluhlaza okwesibhakabhaka kunye nemivumbo emzimbeni ngequbuliso.
- Ubuthathaka ngequbuliso okanye ukuba ndindisholo kwelinye icala lomzimba.
- Ukukhubeka kunye nokudideka ngelixa uhamba.
- Utshintsho olukhawulezileyo embonweni okanye ekuveni.
- Intloko ebuhlungu kakhulu.
- Intlungu yesifuba okanye ukuziva ukubetha kwentliziyo ngokukhawuleza.
- Ukuhlanza okufana nekofu.
- Indlu emnyama, indle ehlala ixesha elide okanye igazi esitulweni.
- Umchamo omdaka okanye obomvu.
IHeparin liyeza elibaluleke kakhulu elinokunceda ekusindiseni ubomi. Oogqirha bagqiba ekubeni bakunike lona emva kokuvavanya ngononophelo iingenelo kunye neengozi. Ngoko ke ukuba unemibuzo malunga noku, ungoyiki ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- IHeparin luhlobo 'lonyango olunciphisa igazi' oluthintela ukwakheka kwamahlwili egazi ayingozi emzimbeni.
- Oku kunikwa njengenaliti ngemithambo yegazi (IV) okanye phantsi kolusu. Akunakuthathwa njengepilisi.
- Umlinganiselo omele uwunikwe umiselwa ngononophelo olukhulu ngovavanyo lwegazi.
- Umngcipheko ophambili wokusebenzisa eli yeza kukopha kakhulu, ngoko ke lumka ukuze uzikhusele ekwenzakaleni.
- Ukuba ubona ukopha okungaqhelekanga, ukukrweleka, okanye ezinye iimpawu ezirhanelekayo, yazisa ugqirha wakho ngoko nangoko.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho