Uma sithola isilonda noma ukulimala noma kuphi emzimbeni wethu, ukuphuma kwegazi kuyayeka ngemva kwesikhashana, akunjalo? Empeleni kuyindlela emangalisayo yokuvikela emzimbeni wethu. Ukopha kuyayeka ngoba igazi liyaqhekeka . Kodwa cabanga ukuthi bekuzokwenzekani uma leli hlwili legazi lihlangana ngaphakathi komthambo wegazi ngaphakathi emzimbeni wethu ngaphandle kwesizathu? Leso isimo esiyingozi kancane. Ngoba ukuqhekeka kwegazi okungadingekile kungabangela izifo ezisongela ukuphila njengokuhlaselwa yinhliziyo kanye nohlangothi . Ngakho-ke, namuhla sizokhuluma ngohlobo olukhethekile lomuthi odokotela abalusebenzisayo ukuvimba ukwakheka kwamahlwili egazi angadingekile.
Kalula nje, uyini lo muthi wokulwa nama-platelet?
Imithi yokulwa nama-platelet uhlobo lomuthi ovimbela ukwakheka kwama-blood clots. Isebenza ngokuvimbela ama-platelet , izingcezu ezincane zamaseli egazi, ukuthi anganamatheli ndawonye futhi ahlangane ndawonye.
Manje ungase uzibuze ukuthi ayini lawa ma-platelet. Ake sikuchaze kalula. Igazi lethu lakhiwe kakhulu yizingxenye eziningana:
- Amangqamuzana egazi abomvu : Lawa yiwo athwala umoya-mpilo emzimbeni wonke.
- Amangqamuzana amhlophe egazi : Lawa alwa nokutheleleka emzimbeni wethu.
- Ama-Platelet: Lawa amaseli asiza ekwakheni amahlule egazi ukuze kumiswe ukopha emizimbeni yethu.
Ake sithi unenxeba elincane engalweni noma emlenzeni wakho. Ngaleso sikhathi, lawa ma-platelet aqoqana ngokushesha azungeze inxeba, anamathele ndawonye, bese enza ipulaki, amise ukuphuma kwegazi. Lena inqubo yemvelo emzimbeni wethu. Kodwa inkinga iwukuthi, ngenxa yezinye izimo zesifo , lawa ma-platelet aqala ukunamathelana ngaphakathi kwemithambo yegazi . Yilapho-ke imithi yokulwa nama-platelet isisiza khona. Lokho okwenziwa yile mithi ukunciphisa ikhono lalawo ma-platelet lokunamathelana ndawonye. Khona-ke ama-blood clots angadingekile awakheki.
Uyini umehluko phakathi kwama-Antiplatelet nama-Anticoagulants (ama-Blood Thinners)?
Yilapho abantu abaningi bedideka khona. Yomibili le mithi isebenza ukunciphisa ukujiya kwegazi. Kodwa isebenza ngezindlela ezimbili ezahlukene. Kubalulekile ukuqonda lokhu.
Kalula nje, ama-antiplatelet avimba ama-platelet ukuthi anganamatheli ndawonye. Ama-anticoagulant (aziwa nangokuthi “ama-blood thinners”) avimba ukusebenza kwamanye amaprotheni ahilelekile enqubweni yokujiya kwegazi.
Ake sibheke le mininingwane ukuze sicacise kabanzi lo mehluko.
| Uhlobo lomuthi | Indlela esebenza ngayo | Izibonelo |
|---|---|---|
| Ama-antiplatelet | Ama-platelet egazini ayanamathelana, ahlangane, futhi avimbele ukwakheka kwamahlule. | I-Aspirin, i-Clopidogrel, i-Ticagrelor |
| Ama-anticoagulant (ama-blood thinners) | Kuthinta amaprotheni ahlukahlukene (izici zokujiya) ahilelekile ekuqhekekeni kwegazi. | I-Warfarin, i-Heparin, i-Apixaban, i-Rivaroxaban |
Ubani odinga le mithi?
Nakuba amahlule egazi ebalulekile emizimbeni yethu, abanye abantu basengozini enkulu yokuba namahlule egazi emithanjeni yabo. Yingakho odokotela bebanika imithi yokulwa nama-platelet. Ingaba yinto ebaluleke kakhulu kubantu abanezimo ezilandelayo:
- I-Angina: Ubuhlungu besifuba obubangelwa ukugeleza kwegazi okwanele enhliziyweni.
- I-Atrial Fibrillation: Isimo lapho inhliziyo ishaya khona ngokungajwayelekile.
- Isifo Semithambo Yenhliziyo: Ukuncipha noma ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
- Kulabo abake baba nokuhlaselwa yinhliziyo noma isifo sohlangothi ngaphambilini: Ukuvimbela lesi simo ukuthi singaphinde senzeke.
- Isifo Semithambo Yegazi Engaphandle: Ukuvaleka kwemithambo yegazi ngaphandle kwenhliziyo, ikakhulukazi emilenzeni.
- Ngemva kokuhlinzwa okuthile: Isibonelo, labo abaye bahlinzwa nge-coronary artery bypass, i-angioplasty ene-stent placement, kanye nokuhlinzwa kwe-heart-valve.
Yiziphi izinhlobo zemithi yokulwa nama-platelet ezikhona?
Kunezinhlobo eziningana zemithi yokulwa nama-platelet. Evame kakhulu esiyaziyo futhi esiyisebenzisayo yi -aspirin . Kunezinye izinhlobo eziningana futhi. Uhlobo ngalunye lusebenza ngendlela ehlukile kancane.
| Isigaba sezidakamizwa | Okufanele ukwenze nje | Izibonelo |
|---|---|---|
| Izithibi ze-Adenosine diphosphate (ADP) receptor | Kunciphisa ukunamathela kwama-platelet. | I-Clopidogrel, i-Ticagrelor, i-Prasugrel |
| Izithibi zokuphinda zithathe i-Adenosine | Ivimba ama-enzyme ahilelekile ekugayeni kwegazi. | I-Dipyridamole |
| Izithibi ze-Glycoprotein platelet | Kuvimba izinto ezigcina amahlule egazi ndawonye. | I-Abciximab, i-Eptifibatide |
| Izithibi ze-Phosphodiesterase | Iyandisa imithambo yegazi futhi ivimbele ama-platelet ukuthi anganamatheli ndawonye. | I-Cilostazol |
Ungayisebenzisa kanjani le mithi?
Imithi eminingi yokulwa nokuvuvukala kwemithambo yegazi itholakala ngesimo samaphilisi. Lokho kusho ukuthi iphuzwa ngomlomo. Kwezinye izimo ezikhethekile, inikezwa futhi ngemithambo yegazi.
- Ungawaphuza la maphilisi ngaphambi noma ngemva kokudla. Kodwa-ke, abanye abantu bangase babe nokungakhululeki esiswini noma isilungulela ngemva kokuthatha lo muthi. Uma lokhu kwenzeka, kungcono ukuthatha umuthi kanye nokudla .
- Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
- Into ebaluleke kakhulu ukuphuza umuthi njengoba nje udokotela emyalile.Ngisho noma uzizwa ungcono, ungayeki ukuthatha imithi noma ukushintsha umthamo nganoma yisiphi isizathu ngaphandle kokubuza udokotela wakho.
Yiziphi izinzuzo nezingozi zale mithi?
Njenganoma yimuphi umuthi, le mithi yokulwa nama-platelet ingaba nezinzuzo kanye nezingozi ezithile.
Izinzuzo eziyinhloko
Inzuzo eyinhloko yale mithi ukuthi ivimbela izimo eziyingozi njengokuhlaselwa yinhliziyo kanye nohlangothi. Iwusizo kakhulu ekuvimbeleni ukuphinda kwesimo esinjalo kumuntu oke waba naso ngaphambili. Iphinde isize ekunciphiseni izimpawu ezifana nobuhlungu besifuba, ukungakhululeki okubangelwa ukwehla kokugeleza kwegazi emzimbeni, kanye nobunzima bokuphefumula.
Ingozi eyinhloko
Ingozi enkulu yale mithi ukopha ngokweqile . Lokhu kungenxa yokuthi le mithi ivimba ukwakheka kwamahlule egazi. Ngakho-ke, ivimbela amahlule egazi angadingekile kanye namahlule egazi adingwa yimizimba yethu.
Isibonelo, uma unengozi encane, kungathatha isikhathi eside ukuthi ukopha kume kunokujwayelekile. Futhi, ukopha kwangaphakathi kungaba yingozi. Ngakho-ke ngaphambi kokuthi uqale ukuthatha lo muthi, khuluma nodokotela wakho ngalezi zingozi. Kubalulekile futhi ukukhuluma ngezindlela zokuzivikela ekuweni nasekulimaleni ekhaya.
Imiphumela emibi nezinto okufanele uziqaphele
Eminye imiphumela emibi ingase ivele uma uthatha lo muthi. Eminye ivamile, kanti eminye ingaba izimpawu zesimo esibucayi. Ngakho-ke kubalulekile ukuzazi lezi.
| Imiphumela emibi kanye nezici eziyingozi | |
|---|---|
| Imiphumela emibi evamile engabonakala | |
| |
| Izimpawu ezinkulu okufanele zibikwe kudokotela wakho ngokushesha | |
|
Into ebaluleke kakhulu ukuthi uma uthatha umuthi ongaphezu kwesilinganiso esinconyiwe, okungukuthi, uma uphuza ngokweqile, kungaba yingozi empilweni. Ngakho-ke , ungalokothi uthathe okungaphezu kwesilinganiso esinqunywe udokotela wakho. Uma lokhu kwenzeka, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ake sifunde nangokusebenzisana kwemithi neminye.
Imithi yokulwa nokuvuvukala kwemithambo yegazi ingasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kufaka phakathi:
- Eminye imithi enqunywe udokotela.
- Imithi etholakala ngaphandle kwemvume kadokotela.
- Amavithamini, amaminerali, amakhambi, nezinye izithasiselo.
- Imithi ye-Ayurvedic noma eminye imithi yendabuko.
Tshela udokotela wakho ngakho konke lokhu ukuze akunike ukwelashwa okufanele nokuphephile kakhulu.
Ubani okungafanele athathe lo muthi?
Imithi yokulwa nokuvuvukala kwemithambo yegazi ayifanele abantu abanezimo ezithile zezokwelapha, futhi kwezinye izimo, ukusetshenziswa kwayo kufanele kugwenywe.
- Labo abazohlinzwa noma bakhishwe amazinyo ezinsukwini ezimbalwa ezizayo (udokotela wakho noma udokotela wamazinyo uzokweluleka ngalokhu).
- Ukukhulelwa, ukuzama ukukhulelwa, noma omama abancelisayo.
- Abantu abake baba nokopha ebuchosheni ngaphambilini.
- Abantu abake baba nokusabela kokungezwani komzimba nale mithi ngaphambili.
- Abantu abanenkinga yokujiya kwegazi njenge-hemophilia.
- Abantu abanesifo sezinso noma sesibindi.
- Abantu abanazo noma abake baba nezilonda esiswini.
Uma unesimo esifana nalesi, qiniseka ukuthi utshela udokotela wakho ngaso.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi we-antiplatelet uhlobo olubaluleke kakhulu lomuthi oluvimbela ukwakheka kwamahlule egazi angadingeki angaholela ezimweni ezibucayi njengokuhlaselwa yinhliziyo kanye nohlangothi.
- Eminingi yale mithi kumele ithathwe isikhathi eside. Ungalokothi uyeke ukuyithatha noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Ingozi enkulu yale mithi ukopha ngokweqile. Qaphela imihuzuko engavamile, ukuphuma kwegazi ekhaleni, kanye nendle emnyama. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Nikeza udokotela wakho incazelo ephelele yayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
- Kubaluleke kakhulu ukutshela udokotela wakho noma udokotela wamazinyo ukuthi uthatha le mithi ngaphambi kokuhlinzwa noma ukwelashwa kwamazinyo.
Imithi yokulwa nama-platelet, amahlule egazi, ukuhlaselwa yinhliziyo, isifo sohlangothi, i-Aspirin, i-Clopidogrel, izinto ezinciphisa igazi, ama-platelet, isifo senhliziyo
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