Ingabe udokotela uke wakubhalela umuthi wokuvimbela ukuqhekeka kwegazi kuwe noma komunye umuntu emndenini wakho? Kungaba yinto ejwayelekile njenge-Aspirin. Noma kungaba into efana ne-Clopidogrel. Sivame ukuyibiza le mithi ngokuthi imithi ye-Antiplatelet. Namuhla, sizokhuluma kalula nangendlela enesizotha ngokuthi iyini ngempela le mithi, ukuthi isebenza kanjani emzimbeni wethu, nokuthi yiziphi izinyathelo zokuphepha okufanele sizithathe lapho siyisebenzisa.
Ziyini izidakamizwa zokulwa nama-platelet? Zisebenza kanjani?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngegazi lethu. Igazi lethu liqukethe ikakhulukazi amangqamuzana abomvu egazi (athwala umoya-mpilo), amangqamuzana amhlophe egazi (alwa namagciwane), kanye nolunye uhlobo lweseli elincane, esilibiza ngokuthi ama-platelet .
Cabanga ukuthi usika isandla sakho ngommese. Igazi ligeleza isikhashana, bese livele lime, akunjalo? Lokho kungenxa yalezi zinhlayiya. Uma indawo ilimele, lezi zinhlayiya zigijimela endaweni elimele, zinamathele ndawonye, bese zakha i-mesh, zakha i-clot. Leli qhubu lisebenza 'njengesivikelo' esivimba ukopha. Lena yindlela yokuzivikela yemvelo emangalisayo emzimbeni wethu.
Kodwa, nansi inkinga. Kwenzekani uma ihlule legazi elinjengaleli lenzaka ngaphakathi kwemithambo yegazi yethu ngaphandle kokulimala? Lokho kuyingozi kakhulu. Uma ihlule legazi elinjalo lenzaka emthanjeni ohambisa igazi enhliziyweni, lingabangela ukuhlaselwa yinhliziyo . Uma lenzaka emthanjeni oya ebuchosheni, lingabangela isifo sohlangothi .
Imithi yokulwa nama-platelet isebenza ngokuvimbela ama-platelet ukuthi anamathele ndawonye emithanjeni, okuyikho okuvimbela ukwakheka kwama-blood clots. Kalula nje, le mithi inciphisa 'ukunamathela' kwama-platelet.
Uyini umehluko phakathi kwama-antiplatelet nama-anticoagulants?
Abantu abaningi badidanisa lezi zinhlobo ezimbili zemithi. Nakuba zombili zibizwa ngokuthi "imithi yokunciphisa igazi," indlela ezisebenza ngayo ihlukile kancane. Nakuba umphumela wokugcina wazo zombili uwukunciphisa ukujiya kwegazi, indawo yokusebenza ihlukile. Masiqonde lokhu ngokucacile.
| Uhlobo lomuthi | Indlela esebenza ngayo |
|---|---|
| Ama-antiplatelet (isib. i-Aspirin, i-Clopidogrel) | Yini ehlangana kuqala ukuze kwakheke ihlule legazi?Kuvimbela ama-platelet ukuthi anganamatheli ndawonye. |
| Ama-anticoagulant (isib. i-Warfarin, i-Apixaban) | Uma ama-platelet esehlangene, aphazamisa ukusebenza kwamaprotheni akhethekile egazini (izici zokugoba) ezisiza ekuqiniseni i-blood clot. |
Ubani odinga le mithi?
Umuntu ophilile ngokuvamile akadingi lo muthi. Kodwa abantu abanezimo ezithile zezokwelapha basengozini enkulu yokuba namahlule egazi emithanjeni yabo. Nazi ezinye zezizathu eziyinhloko ezenza udokotela wakho akunike lo muthi:
- Uma uke waba nokuhlaselwa yinhliziyo noma isifo sohlangothi ngaphambili, vimbela ukuphinda kwenzeke.
- Uma unesifo semithambo yenhliziyo , okusho ukuthi imithambo yenhliziyo yakho isinciphile.
- I-Angina , okungukuthi, uma unezinhlungu esifubeni.
- Isifo Semithambo Yegazi Engasogwini , okusho ukuthi imithambo eholela ezithweni ivaliwe.
- Uma unezinkinga zesigqi senhliziyo njenge- atrial fibrillation .
- Uma uke wahlinzwa nge-bypass (Coronary Artery Bypass) .
- Uma uke waba ne-angioplasty , okungukuthi, uma uke wafakwa i-stent emithanjeni yakho.
- Uma uke wahlinzwa ivalvu yenhliziyo.
Izinto okufanele uziqaphele uma usebenzisa imithi yokulwa nokuvuvukala kwemithambo yegazi
Indlela yokuphuza umuthi
Imithi eminingi yokulwa nokuvuvukala kwemithambo yegazi ithathwa njengamaphilisi. Kuphela ezimweni ezikhethekile lapho kusetshenziswa khona imithi efakwa ngemithambo yegazi. Uma uzwa ubuhlungu besisu noma isilungulela ngesikhathi uthatha amaphilisi, kungcono ukuthatha imithi kanye nokudla.
Okubaluleke kakhulu: Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma useduze kakhulu nomthamo wakho olandelayo (isb., kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu. Futhi, ungayeki ukuthatha noma yimiphi yale mithi (kufaka phakathi i-aspirin) ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukwakheka kwehlule legazi ngokuzumayo futhi kube nemiphumela eyingozi.
Izingozi nemiphumela emibi
Ingozi enkulu yale mithi ukopha ngokweqile. Lokhu kungenxa yokuthi le mithi ivimbela ukwakheka kwamahlule egazi angafuneki ngaphakathi emithanjeni, futhi ibambezela ukwakheka kwamahlule egazi adingekayo ukuze kumiswe ukopha lapho kwenzeka ukulimala empeleni.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi evame ukubonwa | |
| Uphenduka ube luhlaza okwesibhakabhaka ngisho noma kunesilonda esincane | Imivimbo ibonakala kalula ezingxenyeni ezahlukene zomzimba. |
| Ukopha ekhaleni | Ukopha kancane ngaphandle kwesizathu. |
| Ukopha okuvela esilondeni | Ukopha okuthatha isikhathi eside ukuyeka, ngisho noma kuphuma enxebeni elincane. |
| Ukuya esikhathini kwabesifazane | Ukopha kakhulu kunokujwayelekile. |
| Izimpawu ezinkulu okufanele zibikwe kudokotela wakho ngokushesha | |
| Igazi emchameni | Umchamo obomvu, opinki, noma onsundu. |
| Igazi esitulweni | Indle ebomvu noma ephuzi. |
| Ukuhlanza igazi | Ukukhwehlela igazi noma ukuhlanza igazi elifana nekhofi elicwengekile. |
| Ubuhlungu obukhulu besisu | Ubuhlungu besisu obungazelelwe, obukhulu, obuqhubekayo. |
| Ihlule legazi elikhulu, elikhululekile | Ukwakheka kwehlule legazi elikhulu, elimise okweqanda (i-hematoma) ngaphansi kwesikhumba. |
Uma ubona noma yiziphi izimpawu ezingathi sína ezifana nalezi, shesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukusebenzisana neminye imithi
Uma uthatha lo muthi, kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Eminye imithi ingasebenzisana nalo muthi we-antiplatelet futhi yandise ingozi yokopha. Ngakho-ke qiniseka ukuthi utshela udokotela wakho ngalezi zinto:
- Imithi yezinye izifo.
- Imithi efana nezinhlungu zobuhlungu ongayithenga ekhemisi ngaphandle kwencwadi kadokotela.
- Amavithamini, amaminerali noma ezinye izithako.
- Ikakhulukazi, qiniseka ukuthi wazisa udokotela wakho nganoma yimiphi imithi ye-Ayurvedic noma ye-Sinhala oyithathayo.
Ubani ongafaneleki ukuthatha lo muthi?
Abanye abantu bangase bangafaneleki kulo muthi. Udokotela wakho uzonquma lokhu.
- Abantu abahlelelwe ukuhlinzwa noma abakhishwe izinyo ezinsukwini ezimbalwa ezizayo.
- Ukukhulelwa, ukuzama ukukhulelwa, noma omama abancelisayo.
- Abantu abake baba nokopha ebuchosheni ngaphambilini.
- Abantu abanezinkinga zokujiya kwegazi njenge-hemophilia.
- Abantu abanesifo esibi sezinso noma sesibindi.
- Abantu abanazo noma abake baba nezilonda esiswini.
Lo muthi uwuhlobo lomuthi olubaluleke kakhulu olungasiza ekusindiseni izimpilo ezimweni ezimbi njengokuhlaselwa yinhliziyo kanye nohlangothi. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi uqaphele izingozi ezingaba khona.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi wokulwa nokuvuvukala kwama-platelet umuthi obaluleke kakhulu onikezwa ukuvimbela izifo ezisongela ukuphila njengokuhlaselwa yinhliziyo kanye nohlangothi.
- Ungalokothi uyeke ukuthatha lo muthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Ingozi enkulu yale mithi ukopha ngokweqile. Qaphela ukugwema ukulimala ngesikhathi semisebenzi yansuku zonke.
- Uma ubona izimpawu zokopha okukhulu, njengegazi emchameni noma esitulweni sakho, ukuhlanza igazi, noma ubuhlungu obukhulu besisu, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi ye-Ayurvedic oyithathayo.
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