Magazi a mtundu wa magazi ndi mtundu wa mankhwala omwe amapewa kupweteka. Pali ochepa ochepa magazi omwe ali ndi zotsatira zofananamo koma munthu aliyense wochepa magazi amakhala ndi ubwino wake waumoyo komanso zotsatira zake.
Kodi Magazini Amagazi Ndi Chiyani?
Otsitsa magazi ndi mankhwala omwe amaletsa kuti magazi asapangidwe komanso kuti magazi asapitirire kukula. Amachita izi mwa kulepheretsa njira zachilengedwe za coagulation. Coagulation ndi njira yokhayokha yopangira magazi.
Nchifukwa chiyani magazi oponyera magazi akugwiritsidwa ntchito atatha kupweteka?
Mabala ambiri amayamba pamene maselo a magazi, cholesterol ndi mafuta ena ndi zowonongeka zimagwirizana kuti apangire chingwe, kusokoneza nthawi zonse kutuluka magazi m'magazi a magazi. Maonekedwe ena amagazi mu ubongo, makamaka pamene wina ali ndi matenda a cerebrovascular . Mawonekedwe ena amagazi mumtima ndikupita ku ubongo, kukagona m'modzi mwa mitsempha ya m'mitsempha ya ubongo kuyambitsa sitiroko. Kupangidwa kwa chovala choterocho kumatengera nthawi - ndipo ochepa magazi amatengedwa nthawi kuti ateteze magazi ena kuti asapangidwe mwa munthu yemwe amadziwika kuti ali ndi chizoloŵezi chowombera magazi kwambiri. Ndikofunika kuteteza kukwapulidwa kobwerezabwereza chifukwa, pamene wopulumuka wodwalayo angathe kuchira , amakhalanso okhotakhota kuti ayambe kuwonongeka kwa ubongo chifukwa cha kupweteka kambirimbiri. Otsitsa magazi amatsimikiziridwa ndi sayansi kuti azipewa kukwapula mobwerezabwereza- makamaka opulumuka ku matenda a mtima omwe ali ndi matenda a mtima monga atrial fibrillation.
Nchifukwa chiyani Magazi Amagazi Amagwiritsidwa Ntchito kwa Anthu Amene Ali Pangozi?
Kuopsa kwa sitiroko ndi lupanga lakuthwa konsekonse. Ngakhale kuti ndi mwayi wophunzira za chiopsezo cha mliri musanayambe kudwala, kusintha kwa moyo ndikofunikira kuti muchepetse, ndipo mwachiyembekezo mutha kuchotsa, mwayi wokhala ndi stroke. Ngati muli pazidzidzidzi zoopsa za kupwetekedwa, mungafunike kutenga magazi ochepetsetsa kuti musagwidwe ndi sitiroko.
Kodi Omwe Amagazi Amagazi ndi Zotsatira Zake?
Acetylsalycilic Acid (Aspirin, Ecotrin) - wokhayokha wothandizira magazi amalowa mphamvu zonse komanso mphamvu ya aspirin ya mwana. Aspirin wakhala akuzungulira kwa kanthawi. Zimalepheretsa pulogalamu ya aggregation-kutanthauza kuti imalephera kuthekera kwa maselo ang'onoang'ono omwe amasonkhana palimodzi kuchiza bala kuti asagwirizane palimodzi. Aspirin nthawi zambiri amalimbikitsidwa kuti asatetezedwe chifukwa chakuti asayansi amatsimikiziridwa kukhala othandiza. Zotsatirapo zimaphatikizapo kutuluka magazi, makamaka m'mimba ndi m'mimba. Pamene chotupa (poop) chimawoneka chofiira kapena chakuda ndipo chimatha, ichi chikhoza kukhala chizindikiro cha kutuluka magazi m'mimba kapena m'mimba.
Warfarin (Coumadin) - Woponda magazi omwe amalepheretsa mavitamini K , mavitamini oyenerera kuti magazi azikhala bwino. Coumadin imapewa kupwetekedwa kobwerezabwereza ndipo nthawi zambiri amalimbikitsidwa kwa odwala omwe ali ndi vuto la mtima lomwe lingayambitse kupweteka-monga kudzoza mtima kwa valve. Cholinga cha Coumadin chiyenera kuyang'aniridwa mosamala ndi mayeso a magazi otchedwa International Normalized Ratio (INR), chifukwa kuwonjezera pa kuchepa kwa Coumadin kungayambitse magazi ochulukirapo paliponse m'thupi . Odwala omwe amatenga Coumadin ayenera kukhala osamala, ngati kugwa kungabweretse kuopsa kwambiri, kupha magazi.
Clopidogrel (Plavix) -ndi magazi owonda omwe amasintha zochita za platelet. Nthawi zambiri amalimbikitsidwa kuti asatetezedwe, koma zotsatira zake zimaphatikizapo kutaya mwazi, kuchepa kwa maselo oyera, komanso matenda osadziwika omwe amatchedwa thrombotic thrombocytopenic purpura, yomwe imadziwika ndi magazi ochepa.
Aggrenox (kuphatikizapo aspirin ndi dipyridamole) - dipyridamole ndi wochepa magazi omwe amalepheretsa kuchita mapuloteni mwa kutseka michere yomwe imayenderana ndi mapulogalamu. Amagwiritsidwa ntchito ndi aspirin m'philo limodzi kuti achepetse chiopsezo. Zotsatirapo zingaphatikizepo kutaya magazi, kuvulaza, ndi kumutu.
Dabigatran (Pradaxa) - Wopatsa magazi watsopano amene amaletsa kutulutsa magazi, komwe kumakhudza magazi. Mankhwalawa atsimikiziridwa kuchepetsa chiopsezo cha kupweteka kwa anthu omwe ali ndi matenda a atrial, koma amachititsa magazi kapena kusokoneza machiritso oyenera.
Apixaban (Eliquis) - magazi ochepa omwe amachititsa kuti puloteni ikhale yotchedwa thrombin. Amavomerezedwa kuti azipewa kupweteka kwa anthu omwe ali ndi matenda a atrial. Mofanana ndi ena ochepa magazi, amachititsa kuti pakhale magazi.
Rivaroxaban (Xarelto) -magazi ofooketsa omwe amachititsa kuti mazira asamapangidwe ndi kusokoneza njira ziwiri zozizira. Xarelto amafunika kuthandizidwa kamodzi tsiku ndi tsiku ndipo amavomerezedwa kuti azipewa kupweteka kwa anthu omwe ali ndi matenda oopsa. Mofanana ndi ena ochepa magazi, amatha kuvulaza ndi kutuluka m'magazi.
Magazini a magazi ndi ena mwa mankhwala osavuta; komabe amapanga zosankha zovuta kwambiri pa chisamaliro. Ngakhale kuti atsimikiziridwa kuchepetsa kupweteka kwa magazi, chiopsezo chokhala ndi magazi chingayambitse mavuto okhumudwitsa monga kuchepetsa kupweteka kudulidwa kapena kuchepa kwazing'ono mpaka kupha magazi oopsa .
Zosankha zokhuza ngati mukuyenera kutenga magazi ochepa zimaphatikizapo kukambirana ndi dokotala wanu wokhazikika yemwe adzayang'anitsitsa chiopsezo chanu cha matendawa pophatikizidwa ndi kuika magazi kwanu.
Zotsatira
Sitiroko ndi kuika magazi poika magazi m'magazi, Senoo K, Lane D, Lip GY, Korean Circulation Journal, September 2014
Zokangana pa zokhudzana ndi kachilombo koyambitsa matendawa, odwala a Mohanty BD, Othandizira PM, Gokanapudy LR, Handa R, Mohanty S, Choi SS, Goldman ME, Fuster V, Halperin JL , Vascular Medicine, May 2014
Kubwereza kwa anticoagulants pamlomo kwa odwala omwe ali ndi matenda a atrial, Greenspon AJ, Medicine Postgraduate, November 2012
Mankhwala ovomerezeka a kalankhulidwe ka alamu: ndemanga yeniyeni ya madokotala a stroke, McGrath ER 1 , Eikelboom JW, Kapral MK, O'Donnell MJ, International Journal of Stroke, January 2014