Munyori: Roger Morrison
Zuva Rekusika: 3 Gunyana 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Anticoagulants: izvo zvavari, zvavari uye nemhando huru - Utano
Anticoagulants: izvo zvavari, zvavari uye nemhando huru - Utano

Zvemukati

Anticoagulants mishonga inodzivirira kugwamba kweropa kubva pakuumba nekuti inovharira kuita kwezvinhu zvinokurudzira kugwamba. Mavhinga akakosha kuporesa maronda uye kumisa kubuda kweropa, asi pane mamiriro ezvinhu umo anogona kudzivirira kutenderera kweropa, zvichikonzera zvirwere zvakakomba, senge sitiroko, thrombosis uye pulmonary embolism, semuenzaniso.

Nekudaro, maanticoagulants anotendera ropa kugara rakagara riri mukati memidziyo uye rinogona kutenderera zvakasununguka, richikurudzirwa kune vanhu vakatambura nezvirwere zvinokonzerwa nekugwamba kana vari panjodzi huru yekuzvikurisa.

Iyo inowanzo shandiswa ndeye heparin, warfarin uye rivaroxaban powder, iyo inofanirwa kushandiswa zvine hungwaru uye nguva dzose nekutariswa kwechiremba, sezvo kushandiswa kwavo zvisiri izvo kunogona kutungamira mukuitika kwekubuda ropa kwakakomba.

Ndiani anofanirwa kushandisa

Maanticoagulants anofanirwa kushandiswa nevanhu vari panjodzi huru yekuvandudza thrombus, senge vane moyo arrhythmias kana vanoshandisa mwoyo vharuvhu maprostheses. Izvo zvinoshandiswa zvakare kubvisa thrombus iyo yatove yakaumbwa, senge mune zviitiko zvevanhu vane thrombosis, pulmonary embolism kana infarction.


Mhando huru dzeanticoagulants

Anticoagulants inogona kupatsanurwa zvinoenderana nenzira yekutonga uye yavo maitiro ekuita:

1. Majekiseni emagetsi anodzivirira jekiseni

Injectable anticoagulants, senge heparin kana fondaparinux, inoiswa mukati mehushe kana pasi pechikamu.

Iyi mishonga inowanzo shandiswa kudzivirira venous thromboembolic chirwere mune vanhu vakavhiyiwa, avo vakadzora kufamba, kudzivirira thrombus kuumbika panguva yehemodialysis, kana kurapa kwakanyanya myocardial infarction.

Heparin inogona zvakare kushandiswa mumadzimai ane nhumbu kudzivirira thrombosis, sezvo isingavhiringidze kuumbwa kwemwana

2. Mhezi anticoagulants

Kune akasiyana marudzi emuromo anticoagulants, uye sarudzo yako inoenderana nekuongororwa kwachiremba nezvezvakanaka nezvakaipira kune munhu wega wega:

MhandoMazitaKubatsirwaKukanganisa
Vitamin K inhibitors

Warfarin (Marevan, Coumadin);


Acenocoumarol (Sintrom).

- Yakashandiswa zvakanyanya;

- Yakachipa;

- Bvumira kudzora kwakakura kwe coagulation kuburikidza nemabvunzo.

- Inoda kugara uchidzora coagulation;

- Maitiro anoda kuchinjwa kazhinji,

- Mhedzisiro yaro inogona kushandurwa nemimwe mishonga kana chikafu chakapfuma muvhitamini K.

Nyowani anticoagulants

Rivaroxaban powder (Xarelto);

Dabigatrana (Pradaxa);

Apixabana (Eliquis).

- Hazvina kudikanwa kuti ugare uchidzora coagulation;

- Kuroorwa kwezuva nezuva madosi;

- Anogona kunge aine mashoma mhedzisiro.

- Zvinodhura;

- Contraindicated muzvirwere zvakawanda;

- Havana mushonga.

Kana iri vhitamini K inhibitors, coagulation control inowanzo fanirwa kuitwa kamwe chete pamwedzi kana maererano nezano rekurapa.

Natural anticoagulant mishonga

Kune zvimwe mishonga yemakwenzi, inozivikanwa seinokwanisa "kutetepa" ropa nekudzora njodzi yemagumbeze, akadai seGinkgo biloba kana Dong quai, semuenzaniso.


Izvi zvinomera zvinogona kushandiswa mumatei kana kumedzwa nenzira yemacapsule, anotengeswa muzvitoro zvekudya zvine hutano. Nekudaro, mashandisiro ayo haafanire kutsiva mishonga yakatemwa nachiremba, uye haifanire kushandiswa pamwe chete nemamwe maanticoagulants.

Uye zvakare, ivo vanofanirwa chete kutorwa mushure mekuziva kwachiremba, nekuti vanogona kukanganisa maitiro emimwe mishonga, uye, semamwe mishonga, iyi mishonga yemakwenzi inofanira kumiswa munguva yekuvhiya chero kupi kuvhiyiwa.

Kuchengeta panguva yekurapa

Panguva yekurapwa neanticoagulants, zvakakosha kuti:

  • Mhan'arira kuna chiremba pese panenge paine shanduko mukudya kana mukushandiswa kwemishonga kuitira kuti isadzikise chiito cheanticoagulant;
  • Dzivisa kusanganisa maviri marudzi eanticoagulants, kunze kwekunge zviitiko zvekurapa zvichiratidza;
  • Teerera kune zviratidzo zvekubuda ropa, senzvimbo dzakawandisa paganda, kubuda mazino, ropa mumurini kana kumagaro uye, kana paine aripo, tsvaga kurapwa.

Kumwe kudya kwakapfuma muvhitamini K kunoderedza kuita kweimwe anticoagulants, senge warfarin, uye hanya dzinofanira kutorwa mukushandisa kwavo. Zvisinei, sezvo muyero weanticoagulant uchichinjika kune zvinodikanwa zvemunhu wega wega, hazvidi kuti umise kudyiwa kwezvose izvi zvekudya, asi kuti udzivise shanduko kamwe-kamwe mukudya, kuchengetedza huwandu hwakawanda mukudya.

Mienzaniso yezvikafu izvi yakasvibira yakasvibira uye miriwo yemashizha, senge sipinashi, kare, lettuce, kuwedzera kune kabichi, broccoli neholiflower, semuenzaniso. Ona iro rakazara runyorwa rwezvikafu zvakapfuma mu vitamini K.

Mishonga yekumba isingafanire kushandiswa neanticoagulants

Zvakajairika kuti vamwe vanhu vashandise mishonga yemakwenzi kana mishonga yekumba, vasina zano rekurapa, zuva nezuva, nekuti vanofunga kuti ndezvakasikwa uye kuti hazvikuvadze. Nekudaro, mamwe acho anogona kupindirana, kazhinji achiwedzera, mhedzisiro yeanticoagulants, iyo inokonzeresa njodzi yekubuda ropa, ichiisa hupenyu hwemunhu panjodzi.

Nekudaro, vanhu vanoshandisa anticoagulant kana anti-kuunganidzira mishonga, vanofanirwa kutarisisa pavanotora mishonga yekumba kana zvekuwedzera zvekudya zvakagadzirirwa zvichibva pa:

  • Garlic;
  • Ginkgo Biloba;
  • Ginseng;
  • Tsvuku tsvuku;
  • Guaco;
  • Dong Quai kana Chinese Angelica;
  • Bhiza chestnut;
  • Bilberry;
  • Guarana;
  • Arnica.

Nekuda kwerudzi urwu rwekudyidzana pakati pemishonga nemushonga wepanyama, zvakakosha kuti utore chete mishonga mushure mekuratidzwa kana kubvumidzwa nachiremba.

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