Heparin Pambuyo Opaleshoni
Heparin ndi chiyani?
Heparin ndi anticoagulant yomwe imagwiritsidwa ntchito patatha opaleshoni. Amagwiritsidwa ntchito pofuna kuteteza magazi kuti asamawonongeke mosavuta pamene akupirira ndikupuma nthawi yochulukirapo kusiyana ndi kawirikawiri - ndi pamene magazi amatha kupanga.
Heparin imagwiritsidwanso ntchito popanga magazi pokhapokha atapanga mawonekedwe, kuthandiza kuteteza khungu kuti lisapitirire kukula kwake komanso kuteteza mazati owonjezera kuti asachitike.
Kuchita opaleshoni kumadziwika ndi chiopsezo ndipo kumayambitsa chiopsezo cha magazi, choncho zimakhala zofala makamaka kwa odwala opaleshoni kuti apeze Heparin nthawi zonse ali m'chipatala. Heparin amaonedwa ngati chofunika kwambiri choteteza anthu kuchipatala atatha.
N'chifukwa Chiyani Heparin Inaperekedwa Pambuyo Opaleshoni?
Heparin kawirikawiri amaperekedwa opaleshoni, makamaka kwa odwala amene amakhala m'chipatala kwa masiku angapo atatha opaleshoni, kuteteza magazi kuti asapangidwe. Odwala omwe sangathe kutuluka m'mimba masiku omwe akuchitika opaleshoni amakhala pachiopsezo chachikulu chopanga mipiringidzo, kupanga heparin mankhwala osokoneza bongo m'magulu akuluakulu ochipatala. Kwa odwalawa, heparin amapatsidwa maola asanu ndi atatu kapena khumi ndi awiri mphindi zisanu ndi ziwiri usiku wonse, poyesera kuchepetsa chiopsezo chowopsya chophimba m'mimba. Ntchito ya impso nthawi zambiri imadziwitsa momwe heparin angaperekere mosavuta kuti asamangidwe .
Heparin imapatsidwa mwachindunji, kutanthauza kuti imayikidwa mu thupi m'deralo monga mimba, ndipo imatha kuperekedwa mwachangu (IV). Palibe mawonekedwe a heparin, koma ena ochepa magazi akhoza kuperekedwa mu mawonekedwe apiritsi.
Lovenox, yomwe ndi yotsika kwambiri ya maselo a Heparin, imagwiritsidwanso ntchito kawirikawiri pambuyo pa opaleshoni ndipo imagwiritsidwa ntchito m'malo mwa Heparin, osati ndi Heparin.
Lovenox amaperekedwa ngati jekeseni.
Heparin Mlingo Pambuyo Opaleshoni
Mankhwala a Heparin amasiyana kwambiri ndi odwala mpaka opirira ndipo amadalira kugwiritsa ntchito mankhwala. Zing'onozing'ono zingathe kuwonjezeredwa ku mavitamini achinayi kuti mavitamini achinayi azitha kuyenda momasuka; Mankhwala angapo angapangidwe kangapo patsiku kuti atetezedwe.
Heparin IV imatchulidwa, kapena kusintha, malinga ndi zotsatira za labu , kotero kuti mlingoyo ndi wapadera kwa wodwala ngati akuperekedwa ngati akuyendetsa. Kutayira nthawi zambiri kumayambika chifukwa cha kulemera kwake kwa thupi ndikusintha mogwirizana ndi momwe thupi limayankhira kwa mankhwala pafupifupi maola asanu ndi limodzi. Izi zimafuna kuti magazi amodzike nthawi zambiri kuti awone momwe "magazi" amagawira magazi nthawi zonse tsiku lonse, chifukwa magazi owonjezera kwambiri amakhala oopsa ndipo amachititsa magazi osayembekezereka.
Kwa ana, mlingo wa jekeseni umadalira kulemera kwa kilogalamu. Ngakhale mlingowo ndi wochepa kwambiri kwa ana ambiri kusiyana ndi mankhwala akuluakulu, amakhalanso payekha kwa wodwalayo aliyense. Ngati wodwalayo ali ndi phokoso la heparin, kuyamwa kudzasinthidwa molingana ndi zotsatira za labu momwe munthu wamkulu angakhalire.
Ngozi za Heparin
Si zachilendo kuti kuvulaza kuoneke pa malo omwe amapezeka m'magazi a heparin. Koma mikwingwirima yaying'ono imawonedwa ngati yachibadwa mbali zotsatira za kayendetsedwe kawo ndipo sizowona zizindikiro za vuto.
Wodwala amene amathera nthawi yayitali kuchipatala atalandira jekeseni zitatu za heparin patsiku akhoza kutha ndi mimba yomwe ili ndi mikwingwirima yaying'ono mu magawo osiyanasiyana a machiritso.
Heparin wochuluka angayambitse magazi kukhala "oonda" ndipo amatha kutuluka magazi. Heparin yowonjezereka, monga kupatsa khanda mankhwala akuluakulu a mankhwala, ikhoza kuyambitsa magazi kwambiri kuti ikhoza kufa. Zizindikiro zowonjezereka za heparin overdose zimaphatikizapo nosebleeds, magazi mumtsuko kapena magazi mu mpando.
Heparin Induced Thrombocytopenia (HIT) ndi vuto losawerengeka la heparin administration.
HIT imachitika pamene heparin imayambitsa kuchepa kwakukulu kwa chiwerengero cha mapiritsi, maselo a magazi omwe amachititsa kuti tizilombo toyamwa. Izi zingayambitse magazi, ndipo, nthawi zina, magazi amawopsa kwambiri. Nthaŵi zambiri, kusiya kutulutsa heparin ndi mankhwala othandiza.
Chitsime:
Kupweteka kwa Soparin Sodium. USP. RxList.com http://www.rxlist.com/heparin-drug.htm