Othile emndenini wakho, noma wena ngokwakho, kungenzeka ukuthi uthatha 'imithi yokunciphisa igazi'. Kungenzeka ukuthi uzizwe wesaba kancane lapho udokotela wakho ekubhalela lo muthi. Kuvamile kakhulu ukuthi kuvele imibuzo efana nokuthi "Ingabe lokhu kuzokwandisa ukopha?", "Kwenzekani uma ngikwenza kabi?" engqondweni. Ngakho-ke, ungesabi. Namuhla, ake sixoxe ngale mithi yokunciphisa igazi, noma njengoba ibizwa ngokwezokwelapha, `(Ama-Anticoagulants)`, ukuze kucace konke.
Kalula nje, ziyini lezi zinto ezivimbela ukugabha kwegazi?
Ama-anticoagulant uhlobo lomuthi onciphisa ikhono legazi lakho lokujiya. Abanye abantu bawabiza ngokuthi 'ama-blood thinner'. Kodwa empeleni akwenzayo 'ukujiya' igazi njengamanzi, kodwa kunalokho anciphisa izinga lokwakheka kwama-blood clots . Le mithi yenza izinto ezimbili eziyinhloko. Enye iwukusiza umzimba wakho ukuncibilikisa ama-blood clots akhona. Enye iwukuvimbela ukwakheka kwama-blood clots amasha, angadingeki.
Le mithi itholakala njengemijovo, uketshezi olufakwa emthanjeni (i-IV), kanye namaphilisi omlomo.
Kungani sidinga lolu hlobo lomuthi?
Ngokuvamile, lapho imizimba yethu ilimala, kuhle ukuthi igazi lijiye. Lokhu kumisa ukuphuma kwegazi futhi inxeba liphole. Kodwa ake ucabange, kuthiwani uma kwakheka ijiye legazi ngaphakathi kwemithambo yethu ngaphandle kwesizathu?
Kufana neloli elikhulu elibhajwa ngokuzumayo emgwaqweni ongenazo izimoto eziningi. Bese kuthi ezinye izimoto emgwaqweni zingadluli, ngoba leli qhubu legazi livimbela ukuhamba kwegazi.
Uma ihlule legazi elakheka ngale ndlela lihamba ngemithambo yegazi bese linamathela emthanjeni wegazi omncane esithweni esibalulekile njengobuchopho, amaphaphu, noma inhliziyo, kungabangela izimo eziyingozi kakhulu.
- Isifo sohlangothi: Sibangelwa ukuqhekeka kwegazi okuya ebuchosheni bese kuvimbela.
- I-Pulmonary Embolism (PE): Ihlule legazi elivimba umthambo omkhulu wegazi emaphashini . Lesi yisimo esiyingozi esingaholela ekufeni ngokushesha.
- Ukuhlaselwa Yinhliziyo: Kubangelwa ukugoba kwegazi okuvimba imithambo yegazi ehambisa igazi enhliziyweni.
Ngakho-ke, odokotela banikeza le mithi "ye-Anticoagulants" kubantu abasengozini yokuthola lezi zimo eziyingozi.
| Ukusetshenziswa okuvame kakhulu kwama-anticoagulants | |
|---|---|
| Ukushaya kwenhliziyo okungajwayelekile (i-Atrial Fibrillation) | Ngenxa yokuthi amakamelo aphezulu enhliziyo awaphampi kahle, igazi lingahlangana futhi lijike. Uma la maqhubu eya ebuchosheni, angabangela ukukhubazeka. |
| Ukuhlinzwa Kwe-Valve Yenhliziyo | Ngemva kokufakwa kwama-valve enhliziyo okwenziwa, kuba nengozi yokuthi igazi liqhekeke ku-valve. |
| Ukufakwa Kwesinqe/Idolo | Ngemva kwalokhu kuhlinzwa, amahlule egazi angakheka emithanjeni ejulile yemilenze. Lesi simo sibizwa ngokuthi i-Deep Vein Thrombosis (DVT). Ihlule legazi eliphuma kule DVT lingahamba liye emaphashini. |
| Izinkinga Zokuvinjelwa Kwegazi | Abanye abantu banezifo zofuzo ezibangela ukuba igazi labo lijiye kalula. Bayawudinga futhi lo muthi. |
Lo muthi usebenza kanjani emzimbeni?
Umzimba wethu uhlala ugcina ibhalansi phakathi kokujiya kwegazi kanye nokuvimbela ukujiya kwegazi. Ama-anticoagulant athinta lokhu kulinganisela kancane futhi anciphise uhlangothi lokujiya kwegazi. Lokhu kuvimbela ukwakheka kwamahlule egazi angadingeki. Le mithi isebenza ngendlela ehlukile.
Imijovo kanye nemithi ye-IV
Lezi zivame ukusetshenziswa ezibhedlela, lapho kudingeka imiphumela esheshayo.
- I-Heparin: Lokhu kusebenza ngokusebenzisa iphrotheni ebizwa ngokuthi `(Antithrombin)` evimbela ukujiya kwegazi emzimbeni. Kunezinhlobo ezimbili zalokhu. Eyokuqala ishesha kakhulu, kodwa udinga ukuhlola igazi lakho njalo ukuqinisekisa ukuthi umthamo ulungile. Olunye uhlobo `(I-Heparin Enesisindo Esiphansi - LMWH)` lusebenza kancane kancane, kodwa kulula ukucabanga ukuthi lusebenza kahle kangakanani. Ngakho-ke, akudingeki uhlole igazi lakho njalo.
- Ama-Direct Thrombin Inhibitors: Lawa avimba ngqo iphrotheni ebizwa ngokuthi `(Thrombin)` esiza ukujiya kwegazi.
Izinhlobo zamaphilisi omlomo
Lezi yizo odokotela abazinikezayo ukuze zisetshenziswe isikhathi eside.
- I-Warfarin: Lona umuthi omdala kakhulu osetshenziswa abantu abaningi ezweni lethu. Usebenza ngokuvimbela ukusetshenziswa kwe-vitamin K, ebalulekile ekuqineni kwegazi. Umthamo ubaluleke kakhulu uma uthatha i-Warfarin. Uma wenza ngokweqile, ingozi yokopha inganda. Yingakho udokotela wakho ezokwenza ukuhlolwa kwegazi lakho njalo (ukuhlolwa kwe-INR) futhi alungise umthamo.
- Ama-Anticoagulant Omlomo Aqondile (DOACs): Lena imithi emisha. Izibonelo zifaka phakathi `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)`. Lokhu akudingi ukuhlolwa kwegazi okuvamile njengeWarfarin.
Into eyesabekayo kakhulu! Yimiphi imiphumela emibi kanye nezinkinga?
Ingozi eyinhloko nevame kakhulu yanoma yimuphi umuthi wokuvimbela ukuvuza kwegazi ukuphuma kwegazi. Lokhu kusho ukuthi ngisho nokusikeka okuncane kungathatha isikhathi eside ukuyeka ukuphuma kwegazi, futhi ungase uvuvuke kalula. Ngaphezu kwalokho, umuthi ngamunye unemiphumela yawo emibi.
| Uhlobo lomuthi | Imiphumela/izinkinga ezithile ezingaba khona |
|---|---|
| I-Warfarin |
|
| I-Heparin | |
| Ama-Anticoagulant Omlomo Aqondile (ama-DOAC) |
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Njengomuntu ophuza lo muthi, kudingeka uqaphele kakhulu ngalokhu, ngoba ngisho nengozi encane ingaba yingozi.
Khuluma nodokotela wakho uma unalezi zimpawu:
- Uma ukuphuma kwegazi ezinsinini, ekhaleni, noma esilondeni esincane kungayeki .
- Uma uphuka kalula kunokuvamile noma ubona imihuzuko ngaphandle kwesizathu.
- Uma uzizwa unesiyezi, ubuthakathaka, noma ukhathele ngendlela engavamile.
Uma unalezi zimpawu, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha:
Lokhu kubaluleke kakhulu! Uma umuntu ophuza lo muthi ewa, ikakhulukazi uma eshayeka ekhanda, noma ngabe akukho ukuphuma kwegazi ngaphandle, angaphuma igazi ngaphakathi kobuchopho. Lokhu kusongela impilo!
- Noma yiluphi uhlobo lokuwa, ikakhulukazi uma ushayeka ekhanda, kufanele lubikwe ku-ETU ngokushesha, noma ngabe akukho ukulimala okubonakalayo.
- Uma ulimale kakhulu noma ushayiswa yinto enzima bese uphuka kakhulu .
- Ikhanda elibuhlungu ngokuzumayo noma elibuhlungu esiswini.
- Ukuhlanza igazi (ikakhulukazi uma libukeka njengekhofi) noma ukukhwehlela igazi.
- Igazi emchameni (umchamo uphenduka ube nombala ophuzi, obomvu, noma onsundu) noma igazi emchameni (indle iphenduka ibe bomvu noma ibe mnyama mnyama, njengethayela).
Umlayezo Wokuya Nawe Ekhaya
- Ama-anticoagulant ayimithi ebaluleke kakhulu engasiza ekusindiseni izimpilo. Udokotela wakho ukubhalela wona ngesizathu esihle.
- Ingozi enkulu yale mithi ukopha. Hlala uqaphele izimpawu eziyisixwayiso zokopha.
- Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho.
- Uma ubona udokotela, udokotela wamazinyo nganoma yisiphi esinye isifo, noma uhlinzwa, qiniseka ukuthi ubatshela ukuthi uthatha lo muthi.
- Uma uwa noma ushayeka ekhanda, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha, noma ngabe awuzizwa ungakhululekile.
- Uma uthatha i-Warfarin, kubalulekile ukuthi uhlolwe igazi nge-INR ngosuku oluhleliwe njengoba kunqunywe udokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho