Ndeapi mishonga asingakwanise kutorwa usati wavhiyiwa

Zvemukati

• 1. Platelet antiaggregants
• 2. Maanticoagulants
• 3. Asiri-steroidal anti-anogumbura zvinodhaka
• 4. Hormonal Therapies
• 5. Mishonga yeshuga
• 6. Mishonga yecholesterol
• 7. Kugadziriswa kwezvirwere zve rheumatic
• 8. Phytotherapics
• 9. Diuretics
• Mishonga inogona kuchengetwa

Kuti kuvhiya kumhanye nenjodzi shoma uye kuti kupora kukurumidze, zvakakosha kuteedzera zvarehwa nachiremba nezve kuenderera kweimwe kurapwa, nekuti mune dzimwe nguva, zvinofanirwa kumisa kushandiswa kwemimwe mishonga, kunyanya iyo inobatsira njodzi yekubuda ropa kana kuunza imwe mhando yehormone decompensation, sezvinoitika kuacetylsalicylic acid, clopidogrel, anticoagulants, isiri-steroidal inorwisa-kupisa mishonga kana mimwe mishonga yeshuga, semuenzaniso.

Mishonga yakawanda inofanirwawo kuongororwa pane imwe nyaya-ne-kesi, senge mishonga yekuzvidzivirira uye mishonga yekudzvinyirira, iyo inomiswa muvanhu vane njodzi yekuita. Mimwe mishonga, senge antihypertensive madhiragi, maantibayotiki uye chisingaperi corticosteroids, inoda kuchengetwa uye kutorwa kunyangwe pazuva rekuvhiyiwa, sezvo kukanganiswa kwavo kunogona kukonzera makwiriro ane huwandu hwepamusoro kana kuwora kwehomoni panguva yekuvhiyiwa.

Nekudaro, zvakakosha kuti, usati wavhiyiwa, rondedzero yemishonga iyo munhu ari kutora inogadzirwa, kuti iendeswe kuna chiremba, kusanganisira homeopathic kana mimwe inoita kunge isingakoshi, kuitira kuti njodzi ipi neipi panguva ino idzivirirwe. yekuvhiya.

Uye zvakare, zvimwe zvekuchengetedza zvinofanirwa kutorwa, sekumira kuputa fodya, kunwa zvinwiwa zvinodhaka uye kuchengetedza kudya kwakaringana, kunyanya mumazuva asati avhiyiwa uye munguva yese yepamberi pekuvhiya. Ona zvimwe zvakawanda nezve kuchengetwa kunofanirwa kutorwa usati uye mushure mekuvhiyiwa.

1. Platelet antiaggregants

Antiplatelet zvinodhaka, senge acetylsalicylic acid, clopidogrel, ticagrelor, cilostazol uye ticlopidine, inozivikanwa se "ropa kuonda" zvinodhaka, haifanire kushandiswa usati wavhiyiwa, uye inofanirwa kumiswa mazuva manomwe kusvika gumi zvisati zvaitika, kana sekuratidzwa kwachiremba. Platelet antiaggregants iyo inogona kudzoserwa chiito, inogona kumiswa maererano nehafu yehupenyu hwavo, izvo zvinoreva kumisa mushonga anenge maawa makumi manomwe nemaviri asati avhiyiwa.

2. Maanticoagulants

Vanhu vanoshandisa coumarinic anticoagulants, senge Marevan kana Coumadin, vanogona kungoitwa oparesheni mushure mekumiswa kwavo, vachida mazinga ecoagulation, akaongororwa neINR bvunzo, kuve mukati memiganhu yakajairwa.

Vanhu vanoshandisa izvo zvitsva anticoagulants, senge rivaroxaban powder, apixaban uye dabigatran, vangangodaro vasingade kumisa mishonga yekuvhiya kudiki, senge dermatological, mazino, endoscopy uye cataract kuvhiya. Nekudaro, kana ari ekuvhiya kwakaomarara, iyi mishonga inogona kumiswa kwenguva inogona kusiyanisa pakati pemaawa makumi matatu nematanhatu nemazuva mana, zvichienderana nehukuru hwekuvhiyiwa uye nemamiriro ehutano hwemunhu.

Mushure mekumiswa kweanticoagulants, chiremba anogona kuratidza kushandiswa kwejekiseni heparin, kuitira kuti munguva iyo munhu wacho asine mushonga, hapana zvakare njodzi yekuwedzera yezvinetso, senge thrombosis uye sitiroko, semuenzaniso. Nzwisisa izvo izvo heparin zvinoratidza uye kuti ungashandise sei.

3. Asiri-steroidal anti-anogumbura zvinodhaka

Asiri-steroidal anti-anogumbura zvinodhaka haafanire kushandiswa usati wavhiyiwa, sezvo achivhiringidza kugona kweropa kugwamba uye anogona kungoshandiswa chete kusvika pamazuva matatu mazuva asati aitwa.

4. Hormonal Therapies

Zvirongwa zvekudzivirira kubata pamuviri hazvidi kumiswa pamberi pekuvhiyiwa kudiki uye mumadzimai ari panjodzi yakaderera yekuve neimwe mhando yetrombosis. Nekudaro, vakadzi vari panjodzi yakawedzera, sevaya vane nhoroondo yakapfuura kana yemhuri yehutachiona, semuenzaniso, vanofanirwa kurega kushandisa mushonga unenge mavhiki matanhatu zvisati zvaitika uye, panguva ino, imwe nzira yemaitiro ekudzivirira nhumbu inofanira kushandiswa.

Hormone kutsiva kurapa netamoxifen kana raloxifene, inofanirwa kubviswa mukati mevakadzi vese, mavhiki mana pamberi pekuvhiya, sezvo iwo mahormone avo ari akakwirira, nekudaro zvichikonzera njodzi huru yetrombosis.

5. Mishonga yeshuga

Hwendefa mishonga yeshuga yemhando dzakasiyana, senge glimepiride, gliclazide, liraglutide uye acarbose, semuenzaniso, inofanira kumiswa zuva rapfuura kuvhiyiwa. Metformin, kune rimwe divi, inofanirwa kumiswa maawa makumi mana nemasere pamberi pekuvhiyiwa, sezvo ichipa njodzi yekukonzera acidosis muropa panguva yekuvhiyiwa. Mune imwe nguva mushure mekusiya zvinodhaka, zvakakosha kuti glucose yeropa iongororwe uye, mune kesi yekuwedzera ropa glucose, insulin inofanira kushandiswa.

Mumamiriro ezvinhu apo munhu anoshandisa insulin, inofanirwa kuenderera mberi, kunze kwekugara kwenguva yakareba insulini, senge glargine neNPH, umo chiremba anogona kudzora muyero muhafu kana 1/3, kuitira kuti njodzi ideredzwe hypoglycemia panguva yekuvhiyiwa. .

6. Mishonga yecholesterol

Cholesterol zvinodhaka zvinofanirwa kumiswa zuva rimwechete usati wavhiyiwa, uye chete statin-mhando zvinodhaka, senge simvastatin, pravastatin kana atorvastatin, semuenzaniso, inogona kuchengetwa, sezvo isingakonzere njodzi panguva yekuita.

7. Kugadziriswa kwezvirwere zve rheumatic

Mishonga yakadai se allopurinol kana colchicine, inoratidzwa nezvezvirwere zvakaita segout, semuenzaniso, inofanira kumiswa mangwanani ekuvhiya.

Kana zviri zvemishonga inoshandiswa kurapa zvirwere zvakaita se osteoporosis kana rheumatoid arthritis, mazhinji acho anofanirwa kumiswa zuva rapfuura kuvhiya, zvisinei, mune dzimwe nguva, zvingave zvichidikanwa kumbomisa kurapwa rinenge vhiki pamberi pekuvhiya, mumishonga senge sulfasalazine uye penicillamine.

8. Phytotherapics

Mishonga yemakwenzi inofungidzirwa, nevanhu vazhinji, yakachengeteka zvine chekuita nemishonga yeopopathic, ichigara ichishandiswa, pamwe nekusiiwa kwekushandisa pamberi pachiremba. Nekudaro, iwo mishonga inogona kukonzeresa mhedzisiro, uye mazhinji acho haana humbowo hwesainzi hwekushanda, uye anogona kukanganisa zvakanyanya kuvhiya, saka anofanirwa kumiswa nguva dzese.

Mishonga yemakwenzi yakaita seGinkgo biloba, Ginseng, Arnica, Valeriana, Kava-kava kana St. John's wort kana gariki tii, semuenzaniso, inogona kukonzera mhedzisiro panguva yekuvhiyiwa, sekuwedzera njodzi yekubuda ropa, zvichikonzera matambudziko emwoyo kana kutowedzera sedative mhedzisiro yeanesthetics, saka, zvinoenderana nemishonga yemakwenzi iri kutaurwa, vanofanirwa kumiswa pakati pemaawa makumi maviri nemana kusvika mazuva manomwe maitiro acho asati aitwa.

9. Diuretics

Dhiureti inofanirwa kumiswa pese apo kuvhiya kunosanganisira njodzi kana kana kurasikirwa kweropa kuchinge kwafanotaurwa, sezvo mishonga iyi inogona kushandura itsvo 'kugona kuisa weti, izvo zvinogona kukanganisa mhinduro kune hypovolemia.

Uye zvakare, zvinwiwa zvine caffeine-yakawanda uye zvinowedzera, senge kofi, green tii uye nhema tii, inofanirwawo kudzivirirwa muvhiki pasati pakuvhiya.

Mushure mekuvhiya, kurapwa kwacho kunogona kutangwazve, zvinoenderana nechiratidzo chekurapa, zvinoenderana nekudzoreredzwa uye kudzikiswa kwenjodzi dzemhedzisiro. Ziva zvakare kuti ndeapi matanho makuru ekutora kuti uwane nekukurumidza kubva pakuvhiyiwa.

Mishonga inogona kuchengetwa

Iyo mishonga inofanirwa kuchengetwa, kunyangwe pazuva rekuvhiyiwa uye panguva yekutsanya, ndeiyi:

• Antihypertensive uye antiarrhythmic zvinodhaka, senge carvedilol, losartan, enalapril kana amiodarone, semuenzaniso;
• Chirwere steroids, senge prednisone kana prednisolone, semuenzaniso;
• Mishonga YeAsima, senge salbutamol, salmeterol kana fluticasone, semuenzaniso;
• Kurapa kwechirwere chetachiona, ine levothyroxine, propylthiouracil kana methimazole, semuenzaniso;
• Mishonga ye gastritis uye reflux, senge omeprazole, pantoprazole, ranitidine uye domperidone, semuenzaniso;
• Kurapa kwezvirwere, nemishonga inorwisa mabhakitiriya, haigone kumiswa;

Uye zvakare, mimwe mishonga inogona kuchengetedzwa nekungwarira, senge anxiolytics, antidepressants uye anticonvulsants, nekuti kunyangwe zvisiri zvinopesana pamberi pekuvhiyiwa, mashandisiro avo anofanirwa kukurukurwa nachiremba anovhiya uye anesthetist, sezvo vachigona kukanganisa mamwe marudzi anesthesia uye, mu zvimwe zviitiko, kuwedzera njodzi yezvinetso.