Chifukwa Chimene Odzipiritsira Magazi Amagwiritsidwa Ntchito Opaleshoni Odwala
Magazi otetezeka ndi mankhwala omwe amagwiritsidwa ntchito popewera kapena kuteteza magazi.
Mitundu Yoponda Magazi
Pali mitundu iwiri yoyamba ya magazi ochepa, imodzi imatchedwa antiticoagulant ndipo ina imatchedwa antiplatelet. Pamene onse awiri amaletsa kutseka kwa magazi, kapena molondola, kuchepetsa mapangidwe, amapanga m'njira zosiyanasiyana.
Anticoagulant: Mtundu uwu wa mankhwala umagwira ntchito mwa kusokoneza zinthu zowoneka bwino zomwe zimayenda m'thupi.
Izi zimapangitsa kuti kukhale kovuta kuti magazi aphimbe ndi kuwonjezera kutalika kwa nthawi yomwe thupi liyenera kupanga bwino clot. Mankhwala a antiticoagulants ndi ovuta kwambiri kuposa mankhwala osokoneza bongo, choncho mtundu uwu wa mankhwala umagwiritsidwa ntchito pamene wodwala amafuna magazi kuti akhale "ochepa".
Antiplatelet: Mankhwala amtundu uwu amagwira ntchito mwa kulepheretsa "chizindikiro" cha mankhwala chomwe thupi limatulutsa pamene likufunika kupanga chovala. Kawirikawiri, chizindikirocho chikanatsegula mapeletletti, mtundu wa kachigawo kakang'ono ka magazi, ndi mapaleletti amasonkhanitsa pamalo omwe amachotsa magazi ndipo amayamba kumamatirana kuti apange chovala. Ndi mankhwala oletsa antiplatelets omwe akupezeka, kufalitsa kwa chizindikiro ndizochepetsedwa ndipo "voliyumu" imatembenuzidwa, kotero mapulaneti ang'onoang'ono amayankha.
N'chifukwa Chiyani Magazi Amagwiritsidwa Ntchito?
Kuchita opaleshoni kumadziwika kuti ndi koopsa kuti apangidwe magazi, monga momwe wodwala amakhalali nthawi yochulukirapo pa opaleshoni, komanso kwa maola kapena masiku akutsatira njirayi.
Kukhala wosasunthika ndidzidzidzi wowopsa kuti apangidwe magazi, kotero kupewa kutseka ndi mbali yofunikira ya chisamaliro chochita opaleshoni.
Kwa odwala ena, ochepa magazi amagwiritsidwa ntchito kupopera magazi, zomwe zimatenga nthawi yaitali kuti magazi aphimbe. Kwa odwala ena, ochepa magazi amagwiritsidwa ntchito pofuna kuteteza chovala chomwe chilipo kale kuti chikhale choipa (komanso kupewa zowonjezera zowonjezera kuti zisapangidwe).
Mayeso a magazi amadziwa ngati magazi owonda ndi ofunika komanso mlingo umene uyenera kuperekedwa.
Odwala ena amafunika kuti magazi azikhala ochepa kwambiri, monga wodwala amene ali ndi mtima wamtundu wotchedwa Atrial Fibrillation. Kwa ena, monga odwala omwe posachedwapa anachitidwa opaleshoni, akhoza kukhala ochepa magazi pamene ali kuchipatala koma sakufunanso.
Asanachitike Opaleshoni
Otsitsa magazi ndi zinthu zonyenga musanachite opaleshoni. Dokotala wa opaleshoni ayenera kupeza bwino pakati pa kuteteza mapiritsi ndi kukhala wodwala wamagazi kwambiri panthawi ya opaleshoni. Kwa odwala ambiri omwe nthawi zambiri amatenga magazi ochepa asanayambe opaleshoni, mlingo wa magazi omwe amawatenga tsiku lililonse amasiya maola 24 asanachitike opaleshoni. Kusokoneza kwakanthaŵi kochepa nthawi zambiri kumapewa kutaya magazi ochulukirapo popanda kuonjezera chiopsezo cha magazi. Magazini a magazi amatha kuyambiranso tsiku lotsatira opaleshoni, poganiza kuti mayeso a magazi amasonyeza kuti izi ndi zoyenera.
Pa Opaleshoni
Magazini a magazi si ambiri mwa mankhwala omwe amaperekedwa panthawi yopanga opaleshoni pokhapokha ngati pali zochitika zapadera zomwe zimagwiritsa ntchito magazi owonda kwambiri opindulitsa wodwala, monga kugwiritsa ntchito mtima wamapapu pamapikisoni .
Magazini a magazi amachititsa kuti magazi awonjezeke panthawi ya opaleshoni, kotero kuti ayenera kuganiziridwa musanapereke mankhwala amtundu uwu pamene kutaya mwazi ndi mbali ya opaleshoni.
Pambuyo pa Opaleshoni
Ochepa magazi amagwiritsidwa ntchito mobwerezabwereza atatha opaleshoni kuti magazi asamaye miyendo, yotchedwa Deep Vein Thrombosis (DVT) ndi mitundu ina ya magazi. Mankhwala amagazi amafunika kuchitidwa mozama, chifukwa chovala chimodzi chingasandulike mazenera ambiri, kapena chophimba pamlendo chingasunthike ndikukhala chovala m'mapapo. Mtima wosagunda mu nyimbo yachibadwa ukhoza kuchititsa kuti ma clot apangidwe omwe amachititsa kudwala, choncho njira yomwe magazi amatha kuyang'anitsitsa amayang'anitsitsa bwino zotsatira zake.
Kuyesera Magazi Anu
Pali mayesero atatu a magazi omwe amagwiritsidwa ntchito kuti ayese magazi kuti atseke. Mayesowa amatchedwa Prothrombin Time (PT), Partial Thromboplastin Time (PTT) ndi International Normalized Ratio (INR). Mwinanso mungamve mayeserowa akutchedwa "maphunziro oundana", "nthawi zophimba" kapena "PT, PTT, INR" monga momwe amachitira nthawi zonse.
PT, PTT ndi zotsatira za INR ndi zomwe akutanthauza
Amagazi Omwe Amadziwika
Mmodzi mwa mankhwala omwe amapezedwa kwambiri m'magazi ndi awa:
- Heparin
- Plavix
- Coumadin / Warfarin
- Lovenox
- Aspirin
Kusankha magazi ochepetsetsa kumapangidwa ndi dokotala wa opaleshoni, yemwe amadziwa kuti magazi amayembekezereka bwanji pa opaleshoni inayake. Angayesetse kuchepetsa kutsekemera pang'ono, kapena angafunike kuchepetsa kwambiri mwayi wotseka, malingana ndi chikhalidwe cha matenda ndi opaleshoni.
Kawirikawiri, atatha opaleshoni, Heparin amaperekedwa ngati mfuti m'mimba kawiri kapena katatu patsiku. Nthaŵi zina, Lovenox amagwiritsidwa ntchito m'malo mwa Heparin, koma nthawi zambiri amathandizidwa pa chipatala. Kwa odwala amene amamasulidwa mwamsanga panyumba atatha opaleshoni, magazi operewera amatha kapena sakanenedwa monga kuyembekezera kuti wodwalayo akuyenda tsiku lonse, zomwe zimachepetsa kwambiri ngozi ya magazi.
> Chitsime:
> Kupopera Magazi. Medline Plus. Zomwe zinapezeka > May, > 2015. http://www.nlm.nih.gov/medlineplus/bloodthinners.html