Mitundu Yamagazi Amavala Patatha Opaleshoni ndi Zochiritsira Zovomerezeka
Mankhwala a magazi ndi vuto lalikulu limene odwala opaleshoni amatha kuchipeza panthawiyi komanso pambuyo pake. Ngakhale chovala cha magazi chomwe chimapanga mwendo ndi vuto lalikulu, mazira a magazi amatha kukhala oopsa pangozi ngati amapita ku ubongo (embolic / ischemic stroke) kapena mapapo ( pulmonary embolism ). Mavutowa ndi ofunika kwambiri ndipo ayenera kuchitidwa mwamsanga kuti achepetse kuwonongeka kwa thupi kapena ubongo.
Kodi N'chiyani Chimayambitsa Magazi Akamatha Opaleshoni?
Mphindi wamagazi amatha kupanga panthawi yomwe mukuchitidwa opaleshoni kapena pochita opaleshoni kusiyana ndi momwe mumachitira tsiku ndi tsiku. Pali zifukwa zambiri za izi, koma chifukwa chimodzi chachikulu chikugwiritsabe ntchito pa tebulo lochita ntchito kwa nthawi yaitali. Izi sizikuthandizani kuti magazi asamawonongeke, chifukwa simusunthira mwazi mwathupi mwamsanga kapena molimbika monga momwe mukuchitira.
Anthu ena amalephera kuchita opaleshoni chifukwa amamva ululu, akudwala kwambiri, kapena sangathe kuyenda. Kwa odwalawa, chiopsezo chowombera chimawonjezeka pokhapokha ndondomeko yatsirizika komanso panthawi yopaleshoni chifukwa akupitirizabe kugwira ntchito.
Mtundu wa opaleshoni yomwe muli nayo ingapangitse kuti pakhale ndondomeko yotaya magazi. Ngati opaleshoni yanu ikufuna mitsempha yanu kapena mitsempha kuti idulidwe kapena kukonzedweratu, chiopsezo chokhala ndi magazi ndi chokwanira chifukwa thupi lanu limagwira ntchito kuimitsa magazi mwa kupanga mapepala.
Ngati mukuchitidwa opaleshoni kumene mtima wanu waimitsidwa, makamaka mtima woposa opaleshoni (CABG) , chiopsezo chanu chokhala ndi magazi chiwonjezerekanso.
Mbiri yanu ya zamankhwala ndi chikhalidwe chanu ingathandizenso kupanga mapangidwe opangidwa pambuyo pa opaleshoni. Mwachitsanzo, ngati mumasuta fodya, muli pachiopsezo chachikulu kuti mupangidwe magazi m'malo mwa opaleshoni.
Zinthu Zowopsa Kwa Magazi Amavala Patatha Opaleshoni
- Kukhumudwa kwa Atrial: Odwala omwe ali ndi vuto la mtima wosasintha amakhala ndi chiopsezo chachikulu chopanga magazi.
- Mimba: mwayi wamagazi amawonjezeka pamene thupi limapanga magazi mwamsanga pokonzekera kubadwa kwa mwana.
- Khansara: mitundu ina ya khansara imapangitsa magazi kukhala ovuta.
- Mbiri ya Magazi Omwe Amagazi: Ngati mwakhalapo ndi magazi m'mbuyomu mwakhala mukukhala nawo m'tsogolomu.
- Mbiri ya banja ya magazi: Ngati pali anthu angapo m'banja lanu omwe awonongera magazi, mukhoza kukhala ndi chizoloŵezi chobadwa kuti muzipanga mosavuta kuposa munthu wamba.
- Hormone Replacement Therapy (HRT): imodzi yodziwika bwino ya HRT ndiyo ngozi yowonjezereka yopanga magazi.
- Kusuta: kusiya kusuta kungachepetse mwayi wanu wopanga magazi pambuyo pa opaleshoni kapena pa moyo wanu wa tsiku ndi tsiku.
- Kunenepa kwambiri
- Kukhazikika kwa nthawi yaitali: izi zimaphatikizapo nthawi imene mumagwiritsa ntchito anesthesia ndi nthawi yobwezeretsa ngati simungathe kuyenda ndi kubwerera ku ntchito zina zachizolowezi.
- Mavuto a Magetsi a Mtima: Anthu omwe ali ndi vuto la mtima wamagetsi kapena mavuto a mtima amakhala ndi mwayi waukulu wopanga mapepala omwe angathe kupita kumapapo kapena ubongo.
- Kutaya madzi m'thupi: madzi ndi chigawo chachikulu cha magazi ndipo pamene sangakhale okwanira magazi amakhoza kusungunuka mosavuta. Kumwa madzi okwanira pambuyo pakuchita opaleshoni kungathandize kuteteza kupatukana kupanga.
- Genetics: Ngati banja lanu limakhala lopangika kupanga mapepala, mukhoza kukhala nawo.
Kuteteza Kuvala Magazi Patatha Opaleshoni
Kuwuka ndi kusunthira pamene mukuchira kuchokera ku opaleshoni ndi imodzi mwa njira zabwino zopezera magazi. Kusunga bwino madzi ndi kumwa madzi ochulukirapo kungachepetsenso mwayi wopanga zitsulo. Muyeneranso kudziwa zizindikiro ndi zizindikiro za magazi .
Kuphatikiza pa njira zosavutazi, dokotala wanu angaperekenso mankhwala kuti asamapangidwe kuti asapangidwe. Monga nthawizonse, kupewa ndibwino kuposa mankhwala. Mankhwala osokoneza bongo - monga Lovenox kapena Heparin - amavomereza panthawi yachipatala atatha opaleshoni, mankhwalawa amaperekedwa kuti athetse mapangidwe a magazi.
Zomwe sizinalembedwe kuti zigwiritsidwe ntchito kunyumba.
Kuchiza Kwa Magazi Omwe Amagazi
Mankhwala amagazi a magazi amadalira malo amagazi a magazi. Ngati chophimba chimapanga, pali mankhwala omwe angapangidwe. Coumadin, kapena warfarin wachibadwa, amaperekedwa kuti athandize thupi kuchotsa mwazi m'magazi. Heparin angaperekedwe kuti ateteze mazati oonjezera kuti asapangidwe kapena kupewa kutsekemera kuchoka kukula.
Chovala chimene chimapita ku mitsempha ya magazi chomwe chimadyetsa ubongo chingayambitse matenda a ischemic, omwe amadziwikanso kuti sitiroko ya embolic. Mtundu woterewu umayambitsa kuwonongeka kwa kuchotsa minofu yomwe imatulutsa mpweya wotsekemera wa magazi.
Mtundu woterewu umatengedwa ndi mankhwala otchedwa TPA omwe amathandiza kuthetsa magazi. Ngati TPA sichitha kugwiritsidwa ntchito kapena ayi, madokotala angasankhe kuyesa kuchotsa opaleshoniyo. Ndondomekoyi yachitidwa mwa kukakera chida chaching'ono m'magazi a magazi kupyolera mu chidziwitso chaching'ono mumphuno. Chipangizocho chimasunthika pang'onopang'ono ngakhale mitsempha ya thupi mpaka thupi lifikira mu ubongo, komwe lingachotsedwe mwaulemu ndi kuchotsedwa mthupi kupyolera mu kapangidwe ka groin. Pambuyo pochotsa chovalacho, magazi amatha kuthamanganso mpaka m'magazi a ubongo omwe amachotsedwa mpweya, ndipo wodwalayo akhoza kupeza ntchito zina za m'deralo.
Zovala zomwe zimapanga miyendo zimatchedwa deep vein thrombosis (DVT) ndipo ndizofala kwambiri pamagazi pambuyo pa opaleshoni. Nthawi zambiri amakhala m'milingo, koma amatha kumasuka ndikuyamba kudutsa m'magazi. Zovala zimatha kuchoka ku miyendo kupita kumapapu ndikupanga chiopsezo chotchedwa pulmonary embolism. Ngakhale kuti mapuloteni amatha kupatsidwa mankhwala , pamakhala chiwerengero cha anthu ambiri omwe amafa chifukwa cha magazi.
Kawirikawiri, miyendo imatulutsidwa ndi mankhwala, koma ngati pangakhale chiopsezo chachikulu kuti chovalacho chiziyenda kumapapu, chida chotchedwa low filter vena cava (kapena Greenfield Filter) chikhoza kuikidwa. Chipangizochi chimakhala ngati ngongole yaing'ono, yokhala ndi mapepala asanalowe m'mapapo ndikuwononga. Zitsulozi zimayikidwa kupyolera pang'ono pang'onopang'ono kapena pakhosi, momwe fyuluta imalowetsedwa m'malo otsika vena cava. Fyuluta ikhoza kuyikidwa kwa kanthawi kapena kosatha.
Mawu Ochokera
Magazi atatha opaleshoni akhoza kukhala vuto lalikulu kwambiri. Ngati mukumva ululu wosadziwika kapena kuwonjezeka kwakukulu kwa ululu pambuyo pa opaleshoni, makamaka miyendo, pangakhale vuto ndi magazi. Ndi bwino kunena kuti mungathe kuika magazi magazi kwa wothandizira anu kusiyana ndi kusanyalanyaza ndikukumana ndi nkhani yoopsya ngati pulmonary embolism.
Pambuyo opaleshoni, zotetezeka nthawi zonse zimakhala bwino kusiyana ndi zowawa, makamaka pamene magazi amatha.
Zotsatira:
Mankhwala Ophimba Magazi - Imani Chovala. National Blood Clot Alliance. Inapezeka mu June, 2013. http://www.stoptheclot.org/learn_more/blood_clot_treatment.htm