Ngaba ugqirha wakho ukunike inaliti ye-heparin ukuthintela ukuqhekeka kwegazi emzimbeni wakho okanye ukuthintela ukuqhekeka kwegazi okukhoyo ukuba kungabi kukhulu? Okanye ngaba unika umntu okwintsapho yakho eli yeza? Usenokoyika ukuva eli gama. Kodwa ungakhathazeki. Eli liyeza elibaluleke kakhulu elisetyenziswa rhoqo. Namhlanje, siza kuthetha ngeli yeza elibizwa ngokuba yi-heparin ngokulula.
Ngamafutshane, yintoni iHeparin?
IHeparin liyeza elithintela ukujiya kwegazi . Ngokwezonyango, sibiza oku ngokuthi "yi-anticoagulant". Khawuthelekelele, ukuba ihlwili legazi lenzeka ngokungeyomfuneko ngaphakathi kwemithambo yegazi yethu, linokuphazamisa ukuhamba kwegazi. La mahlwili egazi anokwakheka kwimithambo yegazi, kwimithambo yegazi, emiphungeni, okanye entliziyweni. Oko kwenziwa yi-heparin injection kukuthintela loo mahlwili egazi ukuba akhiwe okanye kuthintele ihlwili legazi esele lenziwe ukuba likhule.
Ukongeza, ikwasetyenziswa nakwezinye izihlandlo ezikhethekileyo.
- Xa usenza utyando lwentliziyo evulekileyo.
- Ngexesha le-dialysis kwizigulana zezintso.
- Thintela ukuqhekeka kwegazi kwizigulana ezihlala ebhedini ixesha elide emva kotyando okanye ngenxa yesinye isifo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba akunike i-heparin, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Imeko yempilo okanye ithuba | Nceda uxelele ugqirha. |
|---|---|
| Izifo zokopha | Umzekelo, isifo esifana ne-hemophilia okanye imeko apho kukho amanqanaba aphantsi eeplatelet zegazi. |
| Izifo zenkqubo yokugaya ukutya | Iimeko ezifana nesifo samathumbu okanye i-diverticulitis. |
| Usulelo lwentliziyo | Iimeko ezifana ne-'Endocarditis' (usulelo lwevalvu yentliziyo). |
| Igazi elonyukayo | Ukuba uthatha unyango loxinzelelo lwegazi oluphezulu okanye ukuba alulawulwa. |
| Izifo zesibindi | Naluphi na uhlobo lwesifo sesibindi. |
| Utyando lwakutshanje okanye ukuzala umntwana | Ukuba usandul’ utyando okanye wabeleka. |
| Izilonda zesisu | Izilonda zesisu ezikhoyo okanye zangaphambili. |
| Ii-aleji | Ukuba une-allergy kwi-heparin, ii-sulfites, amanye amayeza, ukutya, okanye izithinteli. |
| Ukukhulelwa kunye nokuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Ulisebenzisa njani eli yeza?
Olu gonyo ludla ngokunikezelwa esibhedlele okanye ekliniki yingcali yezonyango eqeqeshiweyo. Lunikwa njengenaliti emthanjeni (`injection`) okanye njengedriphu emthanjeni (`infusion`) njenge-saline. Ngamanye amaxesha, kufakwa incinci phantsi kwesikhumba.
Kusenokufuneka uzinike le naliti ekhaya. Ukuba kunjalo, uza kufundiswa indlela yokuyilungiselela nokuyifaka ngokuchanekileyo. Kubaluleke kakhulu ukusela iyeza kanye njengoko kuyalelwe, ngexesha elifanelekileyo. Ungaze uyeke ukulisebenzisa ngaphandle kwengcebiso kagqirha wakho. Ukuba wenza njalo, umngcipheko wakho wokuba nehlwili legazi unokwanda kwakhona.
Wenza ntoni ngeenaliti neesirinji ezisetyenzisiweyo?
Oku kubaluleke kakhulu. Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Sebenzisa isitya esikhethekileyo seenaliti ezibukhali esilungiselelwe zona. Ukuba awunaso, ungacela ugqirha wakho akunike sona.
Kuthekani ukuba idosi yeyeza iyanda?
Ukuba ucinga ukuba uthathe i-overdose, yiya kwiSebe leNgxamiseko elikufutshane (i-ETU) ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Yiya kuvavanyo olucwangcisiweyo lukagqirha wakho. Kusenokufuneka wenze uvavanyo lwegazi. Musa ukulibaleka eli xesha.
- Kuphephe ukwenzakala: Ngelixa usebenzisa eli yeza, ungopha igazi lula. Ngoko ke, hlala kude nemidlalo kunye nemisebenzi enokubangela ukuba uwe okanye wenzakale. Lumka kakhulu xa usebenzisa izinto ezibukhali ezifana neemela. Ukuba ucheba iinwele, kukhuselekile ukusebenzisa i-razor yombane. Yiba nobubele kakhulu xa uhlamba amazinyo akho kwaye ufaka i-floss.
- Xela nayiphi na ingozi: Ukuba ubona nayiphi na imivumbo, amabala abomvu, okanye ukopha kakhulu nokuba kungonzakalo oluncinci, xelela ugqirha wakho ngoko nangoko.
- Isaziso sangaphambi kotyando: Ukuba ucwangciselwe ukwenza naluphi na utyando (nokuba kukhutshwe izinyo), qiniseka ukuba uxelela ugqirha ukuba uthatha i-heparin.
- Izandla neenyawo ezibandayo: Ukuba izandla okanye iinyawo zakho zivakala zibanda kwaye ziluhlaza okwesibhakabhaka, inokuba yingxaki yokujikeleza kwegazi. Xelela ugqirha wakho ngoko nangoko.
- Ukusetyenziswa ixesha elide: Ukusela i-heparin ixesha elide kunokwenza amathambo abe buthathaka kwaye kwandise umngcipheko wokuqhekeka kwamathambo. Ngoko ke, thetha nogqirha wakho malunga nokufumana i-calcium kunye ne-vitamin D eyaneleyo ekutyeni kwakho.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na imithi, i-heparin inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Iimpawu zokopha | Indle emnyama okanye engapheliyo; umchamo obomvu okanye omdaka; ukuhlanza okufana nekofu egayiweyo; amabala abomvu eluswini; ukopha okungaqhelekanga emehlweni, kwiintsini, okanye empumlweni. |
| Iimpawu zehlwili legazi | Intlungu yesifuba; ubunzima bokuphefumla; intlungu yomlenze, ukudumba, okanye ukuziva ufudumele. |
| Iimpawu zeStroke | Ukutshintsha kombono; ukudideka; ubunzima bokuthetha okanye ukuqonda; intloko ebuhlungu kakhulu; ukudinwa okanye ubuthathaka ngequbuliso ebusweni, engalweni, okanye emlenzeni; ubunzima bokuhamba; isiyezi. |
| Ezinye iimpawu | Intlungu yamathambo, umkhuhlane, isicaphucaphu, ukuhlanza. |
| Iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukulahleka kweenwele | Ukulahleka kweenwele okwethutyana. |
| Intlungu kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukudumba okuncinci kwindawo yokutofa. |
Ezinye izinto ezinokusebenzisana nale mithi
Ukuba usebenzisa i-heparin, kufuneka uphephe ukusebenzisa amanye amayeza. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
Umngcipheko wokopha uyanda kakhulu xa usebenzisa amayeza, ingakumbi i-aspirin kunye ne-NSAIDs (umz., i-ibuprofen, i-naproxen), kunye ne-heparin. Ngoko ke, musa ukuthatha nayiphi na i-painkillers ngaphandle kwengcebiso kagqirha.
Izinto ezinje ngokutshaya nokusela utywala nazo zinokuchaphazela ukusebenza kakuhle kwale mithi, ngoko ke thetha nogqirha wakho ngayo loo nto.
Umyalezo Wokuya Ekhaya
- I-Heparin liyeza elibaluleke kakhulu elithintela ukujiya kwegazi. Musa ukuyoyika.
- Sela amayeza kanye njengoko ugqirha wakho ekuxelela, ngedosi efanelekileyo, ngexesha elifanelekileyo. Ungaze uyeke ukuwasela amayeza akho ngaphandle kwengcebiso.
- Lumka kakhulu xa usebenzisa eli yeza, kuba nokuba yingozi encinci inokubangela ukopha.
- Ukuba ufumana naziphi na iimpawu ezinzulu ezifana nokopha okungaqhelekanga, intloko ebuhlungu kakhulu, okanye iintlungu zesifuba, funa ingcebiso kagqirha ngokukhawuleza.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
- Lahla iinaliti kunye neesirinji ezisetyenzisiweyo ngokukhuselekileyo kwisitya esikhethekileyo.
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