Khawucinge ukuba kukho umntu kusapho lwakho, mhlawumbi utata wakho, umama wakho, okanye umntu omaziyo, othatha iyeza lokunciphisa igazi elifana neWarfarin ngenxa yesifo sentliziyo okanye ngesizathu esithile. Eli yeza libaluleke kakhulu. Kodwa kuthekani ukuba kukho ingozi ngequbuliso kwaye kukho ukopha kakhulu, okanye ukuba kufuneka wenze utyando ngokukhawuleza? Kunzima ukuyeka ukopha kuba igazi lincinci, akunjalo? Kwimeko enjalo engxamisekileyo, enzima, sithetha ngeyeza elibaluleke kakhulu, elisindisa ubomi elikuvumela ukuba ulawule ukopha ngokukhawuleza.
Ngamafutshane, yintoni iProthrombin Complex Concentrate (PCC)?
Le ayisiyopilisi okanye ikhaphu oqhele ukuyithatha. I-Prothrombin Complex Concentrate, okanye i-PCC, yindibaniselwano yeeproteni ezininzi ezinceda ukujiya kwegazi. Ezi zinto sizibiza ngokuba zii-clotting factors .
Izinto zokunciphisa igazi ezifana neWarfarin (ngokwezonyango sizibiza ngokuba zii-Vitamin K antagonists) zisebenza ngokuthintela isibindi sethu ekwenzeni ezi zinto zokujiya igazi. Yiyo loo nto igazi lijiya. Kodwa xa siphuma igazi ngequbuliso, kufuneka sibuyisele ngokukhawuleza ezi zinto zokujiya igazi emzimbeni. Kulapho ke eli yeza libizwa ngokuba yiPCC lisetyenziswa khona. Likhawuleza litshintshe isiphumo seWarfarin kwaye lincede ekumiseni ukopha kwegazi. IKcentra ligama elidumileyo leli yeza.
Lisetyenziswa nini eli yeza?
Eli asiloyeza lokopha okuqhelekileyo. Lisetyenziswa kuphela kwiimeko ezinzima nezingxamisekileyo .
- Xa umntu othatha iyeza lokunciphisa igazi elifana neWarfarin efumana ukopha okukhulu ngenxa yengozi okanye esinye isizathu.
- Xa umntu othatha i-warfarin kufuneka enziwe utyando olungxamisekileyo , eli yeza linikwa ngaphambi kotyando ukunciphisa umngcipheko wokopha.
Eyona nto ibalulekileyo kukuba ngugqirha okunyangayo kuphela onokugqiba ukuba uya kuyinika na okanye hayi le yeza, nini, kwaye umele uyinike malini.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ufumane olu nyango
Ekubeni eli liyeza elinamandla kakhulu, kubalulekile ukuba wazise ugqirha wakho ngazo naziphi na ezinye izifo onazo emzimbeni wakho. Kuba kufuneka ulumke kakhulu xa usebenzisa eli yeza kwiimeko ezithile zonyango. Ukuba unenye yezi meko zilandelayo, xelela ugqirha wakho ngaphandle kokufihla nantoni na .
| Imeko yempilo omele uyixele | Ingcaciso elula |
|---|---|
| Isifo sentliziyo okanye uhlaselo lwentliziyo lwakutshanje | Ngenxa yokuba i-PCC inyusa ukujiya kwegazi, kubaluleke kakhulu ukwazisa nabani na onembali yesifo sentliziyo. |
| Imbali yesifo sohlangothi okanye i-TIA (i-Transient Ischemic Attack) | Ukuba ukhe waba nestroke okanye i-mini-stroke (TIA) ngaphambili, usengozini yokuba ne-blood clots. |
| Imbali ye-DIC (i-Disseminated Intravascular Coagulation) | Le yimeko enzima apho igazi liqhekeka khona kwaye igazi liphuma ngaxeshanye emzimbeni wonke. |
| Imbali ye-heparin-induced thrombocytopenia (HIT) | Imeko apho inani leeplatelet zegazi liphantsi ngenxa yokunganyamezelani nenye into enciphisa igazi ebizwa ngokuba yi-heparin. |
| Izifo zemithambo yegazi emilenzeni (isifo semithambo yegazi ejikeleze imithambo yegazi) | Kwiimeko ezinjalo, umngcipheko wokuqhekeka kwegazi uphezulu. |
| Ezinye izinto ezibangela ukuba umntu angabi naso i-aleji | Ukuba une-aleji kweli yeza, i-heparin, amanye amayeza, ukutya, okanye iidayi. |
| Ukukhulelwa okanye ukulindela umntwana | Ugqirha ucinge ngokukodwa ngokunika oku oomama abakhulelweyo nabancancisayo. |
Eli yeza linikwa njani emzimbeni?
Eli asiloyeza elinokuselwa ekhaya. Eli yeza, elibizwa ngokuba yi-PCC, linikwa esibhedlele okanye eklinikhi kuphela . Linikwa emzimbeni njengokufakwa kwe-intravenous, njenge-saline , ngugqirha okanye umongikazi oqeqeshiweyo.
Ukuba unika abantwana eli yeza, ngokuqinisekileyo kufuneka udibane nogqirha wabantwana.
Ukuba eli yeza lisetyenziswe ngempazamo, abasebenzi bezonyango baza kuthatha amanyathelo ngoko nangoko kuba le yingxaki yesibhedlele. Nangona kunjalo, ukuba ukrokrela into efana nale, kubalulekile ukwazisa iYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele ngoko nangoko. Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Zeziphi iziphumo ebezingalindelekanga ezinokulindelwa?
Njengalo naliphi na iyeza, eli yeza linokubangela iziphumo ebezingalindelekanga. Ezinye zinzima, ezinye zincinci. Eyona nto ibalulekileyo kukuba ugqirha wakho akujonge ngeliso elibukhali ngelixa usebenzisa eli yeza nasemva koko. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, kufuneka uzixele ngoko nangoko.
| Iintlobo zeziphumo ebezingalindelekanga | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho okanye kumongikazi wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Iimpawu zokuqhekeka kwegazi | Ubunzima bokuphefumla, iintlungu zesifuba, ukudumba komlenze (Deep Vein Thrombosis - DVT), ukuba ndindisholo okanye ubuthathaka ngequbuliso ebusweni, engalweni okanye emlenzeni (iimpawu zestroke), ubunzima bokuthetha, intloko ebuhlungu kakhulu, ubunzima bokuhamba, isiyezi. |
| Ezinye iimpawu ezinzulu | Iimpawu zosulelo ezifana nokutshintsha kombono, ukudideka, umkhuhlane okanye ukubanda, kunye nokukhwehlela. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Intloko ebuhlungu ngokubanzi inokubakho. |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwesisu okanye ukuhlanza kunokubakho. |
| Ukungalali | Ubuthongo bunokuphazamiseka. |
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, i-PCC inokusebenzisana namanye amayeza. Oku kunokubangela iingxaki xa kusetyenziswa amanye amayeza, ingakumbi i-Factor VIIa, enceda ukujiya kwegazi.
Kungoko ke, kubalulekile ukuxelela ugqirha wakho ngamayeza owasebenzisayo. Oku akuthethi nje kuphela lawo anikwe ngugqirha wakho, kodwa nalawo uwathatha kwikhemesti, iivithamini, izongezo zesondlo, amayeza aseSinhala, amayeza e-Ayurvedic , njl. Kwakhona, mxelele ukuba utshaya okanye usela utywala.
Umyalezo Wokuya Ekhaya
- I-Prothrombin Complex Concentrate (PCC) liyeza elikhethekileyo, elisindisa ubomi elinikwa ukunqanda ukopha ngequbuliso, okukhulu kwizigulana ezithatha amayeza okunciphisa igazi afana neWarfarin.
- Eli asilo pilisi, liyeza elinikwa ngemithambo esibhedlele kuphela. Alisetyenziswa ekhaya.
- Qiniseka ukuba uyamxelela ugqirha wakho imbali yakho epheleleyo yezonyango, ingakumbi isifo sentliziyo, isifo sohlangothi, kunye nee-allergies.
- Xa usela amayeza, yazisa abasebenzi bezonyango ngokukhawuleza ukuba ufumana isiphumo esibi esifana nobunzima bokuphefumla, iintlungu zesifuba, ukudumba kwemilenze, okanye iimpawu zestroke.
- Ukuba uneengxaki malunga nale mithi, thetha ngayo nogqirha wakho. Kubaluleke ngakumbi ukufumana ulwazi oluchanekileyo kugqirha wakho onyangayo kunokukhangela ulwazi kwi-intanethi.
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