Cabanga ngomuntu emndenini wakho, mhlawumbe ubaba wakho, umama wakho, noma umuntu omaziyo, ethatha umuthi wokunciphisa igazi njengeWarfarin ngenxa yesimo senhliziyo noma ngesinye isizathu. Lomuthi ubaluleke kakhulu. Kodwa kuthiwani uma kwenzeka ingozi engazelelwe futhi kukhona ukopha okuningi, noma uma kufanele uhlinzwe ngokushesha? Kunzima ukumisa ukopha ngoba igazi lincane, akunjalo? Namuhla sikhuluma ngomuthi obaluleke kakhulu, osindisa impilo okuvumela ukuthi ulawule ukopha ngokushesha ezimweni eziphuthumayo nezibucayi kangaka.
Kalula nje, iyini i-Prothrombin Complex Concentrate (PCC)?
Leli akulona iphilisi noma i-capsule ovame ukuyithatha. I-Prothrombin Complex Concentrate, noma i-PCC, iyinhlanganisela yamaprotheni amaningana asiza ukujiya kwegazi. Lokhu sikubiza ngokuthi izici zokujiya kwegazi .
Izinto zokunciphisa igazi ezifana ne-Warfarin (ngokwezokwelapha sizibiza ngokuthi lezi zi-Vitamin K antagonists) zisebenza ngokuvimbela isibindi sethu ekwenzeni lezi zinto ezibangela ukujiya kwegazi. Yingakho igazi liqina. Kodwa uma kwenzeka ukuphuma kwegazi ngokuzumayo, sidinga ukubuyisela ngokushesha lezi zinto ezibangela ukujiya kwegazi emzimbeni. Yilapho-ke lo muthi obizwa ngokuthi i-PCC usetshenziswa khona. Usheshe uguqule umphumela we-Warfarin futhi usize ekumiseni ukuphuma kwegazi. I-Kcentra igama lomkhiqizo elidumile lalo muthi.
Lomuthi usetshenziswa nini?
Lona akusiwo umuthi wokopha okuvamile. Usetshenziswa kuphela ezimweni ezimbi kakhulu neziphuthumayo .
- Uma umuntu othatha umuthi wokwehlisa igazi njengeWarfarin eba nokopha okukhulu ngenxa yengozi noma esinye isizathu.
- Uma umuntu othatha i-warfarin edinga ukuhlinzwa okuphuthumayo , lo muthi unikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe ingozi yokopha.
Into ebaluleke kakhulu ukuthi udokotela okwelaphayo kuphela onganquma ukuthi uzowunika yini lo muthi noma cha, uzowunika nini, nokuthi uzowunika malini.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthola lokhu kwelashwa
Njengoba lo umuthi unamandla kakhulu, kubalulekile ukuthi wazise udokotela wakho nganoma yiziphi ezinye izifo onazo emzimbeni wakho. Ngoba udinga ukuqaphela kakhulu lapho usebenzisa lo muthi ngezimo ezithile zezokwelapha. Uma unezinye zezimo ezilandelayo, tshela udokotela wakho ngaphandle kokufihla lutho .
| Isimo sezokwelapha okufanele usibike | Incazelo elula |
|---|---|
| Isifo senhliziyo noma ukuhlaselwa yinhliziyo muva nje | Ngenxa yokuthi i-PCC ikhulisa ukujiya kwegazi, kubaluleke kakhulu ukwazisa noma ubani onomlando wesifo senhliziyo. |
| Umlando wesifo sohlangothi noma i-TIA (i-Transient Ischemic Attack) | Uma uke waba nesifo sohlangothi noma i-mini-stroke (TIA) ngaphambilini, usengozini yokuba namahlule egazi. |
| Umlando we-DIC (i-Disseminated Intravascular Coagulation) | Lesi yisimo esibi lapho igazi liqhuma khona kanye nokopha kwenzeka ngesikhathi esisodwa emzimbeni wonke. |
| Umlando we-thrombocytopenia ebangelwa yi-heparin (HIT) | Isimo lapho inani lama-platelet egazi liphansi ngenxa yokungezwani komzimba nesinye isinciphisi segazi esibizwa ngokuthi i-heparin. |
| Izifo zemithambo emilenzeni (isifo semithambo yegazi engaphandle) | Ezimweni ezinjalo, ingozi yokuqhekeka kwegazi iphakeme kakhulu. |
| Ezinye izinto ezibangela ukungezwani komzimba | Uma une-allergy kulo muthi, i-heparin, eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa noma ukulindela umntwana | Udokotela ucabangela kakhulu ukunikeza lokhu omama abakhulelwe nabancelisayo. |
Lo muthi unikezwa kanjani emzimbeni?
Lona akuwona umuthi ongathathwa ekhaya. Lo muthi, obizwa ngokuthi i-PCC, unikezwa esibhedlela noma emtholampilo kuphela . Unikezwa emzimbeni njengokufakwa kwe-intravenous, njenge-saline , ngudokotela noma umhlengikazi oqeqeshiwe.
Uma unikeza izingane lo muthi, kufanele nakanjani uthintane nodokotela wezingane.
Uma uphuze lo muthi ngokweqile ngengozi, abasebenzi bezokwelapha bazothatha isinyathelo ngokushesha njengoba lokhu kuyisimo esiphuthumayo esibhedlela. Kodwa-ke, uma usola into efana nale, kubalulekile ukwazisa i-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Uma kudingeka, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Yimiphi imiphumela emibi engalindelwa?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Eminye imbi kakhulu, eminye imnene. Into ebaluleke kakhulu ukuthi uqashwe eduze ngudokotela wakho ngenkathi uthatha lo muthi nangemva kwalokho. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, kufanele uzibike ngokushesha.
| Izinhlobo zemiphumela emibi | |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma kumhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokuqhekeka kwegazi | Ubunzima bokuphefumula, ubuhlungu besifuba, ukuvuvukala emlenzeni (Deep Vein Thrombosis - DVT), ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni noma emlenzeni (izimpawu zesifo sohlangothi), ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu, ubunzima bokuhamba, isiyezi. |
| Ezinye izimpawu ezinkulu | Izimpawu zokutheleleka njengokushintsha kombono, ukudideka, umkhuhlane noma ukubanda, kanye nokukhwehlela. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Kungase kube khona ikhanda elibuhlungu elijwayelekile. |
| Isicanucanu nokuhlanza | Kungase kube nokuphazamiseka kwesisu noma ukuhlanza. |
| Ukungalali | Ubuthongo bungase buphazamiseke. |
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, i-PCC ingasebenzisana neminye imithi. Lokhu kungabangela izinkinga uma kusetshenziswa neminye imithi, ikakhulukazi i-Factor VIIa, esiza ekuqhekekeni kwegazi.
Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu akusho nje kuphela leyo oyinikezwe udokotela wakho, kodwa futhi naleyo oyithatha ekhemisi, amavithamini, izithasiselo zokudla okunempilo, imithi yesiSinhala, imithi ye-Ayurvedic , njll. Futhi, mtshele uma ubhema noma uphuza utshwala.
Umlayezo Wokuya Nawe Ekhaya
- I-Prothrombin Complex Concentrate (PCC) umuthi okhethekile, osindisa impilo onikezwa ukuvimba ukopha okungazelelwe, okukhulu ezigulini ezithatha imithi yokunciphisa igazi njenge-Warfarin.
- Leli akulona iphilisi, umuthi onikezwa ngemithambo esibhedlela kuphela. Awusetshenziswa ekhaya.
- Qiniseka ukuthi wazisa udokotela wakho ngomlando wakho wezokwelapha ophelele, ikakhulukazi isifo senhliziyo, isifo sohlangothi, kanye nokungezwani komzimba.
- Uma uthatha umuthi, yazisa abasebenzi bezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nobunzima bokuphefumula, ubuhlungu besifuba, ukuvuvukala kwemilenze, noma izimpawu zokushaya kwesifo sohlangothi.
- Uma unenkinga ngalo muthi, xoxa ngawo nodokotela wakho. Kubaluleke kakhulu ukuthola ulwazi olunembile kudokotela wakho okwelaphayo kunokufuna ulwazi ku-inthanethi.
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