Anticoagulants amathandiza kupewa magazi
Kuchita opaleshoni yowonjezereka kumagwira ntchito yothandizira kwambiri matenda a nyamakazi . Odwala ambiri amatha kupumula mwachidziwitso pambuyo potsatizana, koma pali mavuto omwe angathe. Chinthu chimodzi chimakhala chiopsezo chokhala ndi magazi pambuyo pa opaleshoni. Pofuna kuteteza magazi kumapeto kwa mchiuno m'malo mwa mawondo , mankhwala ochepetsa magazi, amatchedwanso anticoagulant, amaperekedwa.
Kodi ma antiticoagulants amayenera kutengedwera nthawi yayitali kuti ateteze magazi?
Mankhwala a Anticoagulant kapena Opopera Magazi Pambuyo Opaleshoni
Yankho: Nthawi yeniyeni yokwanira yopatsira mankhwala ochepetsa magazi sizinakhazikike, koma pali malangizo omwe angatsatidwe. Kutalika kwa nthawi yomwe odwala amatenga mankhwala a antiticoagulation kumadalira mtundu wa opaleshoni, ndipo mtundu wa mankhwala ophera antiticoagulation ukugwiritsidwa ntchito.
Njira ziwiri zomwe zimagwiritsidwa ntchito kwambiri pamagazi oponda magazi ndi jekeseni kapena piritsi. Jekeseni ndi heparin (mwachitsanzo Lovenox), ndipo piritsi ndi warfarin (Coumadin).
- Majekeseni
Majekeseni amagwiritsidwa ntchito chifukwa msinkhu wa magazi sungayang'ane ndi kuyesa magazi tsiku ndi tsiku. Mankhwalawa amaperekedwa ngati insulini yothamanga, kawirikawiri kamodzi patsiku. Ndi zophweka kuchita, koma amafuna kuti wodwala apereke mfuti kamodzi atachoka kuchipatala.
- Coumadin
Mapiritsi a Coumadin amatengedwa madzulo alionse. Mankhwalawa pang'onopang'ono amatsitsa magazi, koma amakhala ndi zotsatira zosiyana kwa anthu osiyanasiyana. Choncho, kuyezetsa magazi kuyenera kuchitidwa pofuna kutsimikiza kuti Coumadin wapatsidwa, komanso kuti magazi si oonda kwambiri. Ubwino wa Coumadin ndikuti ndi njira yophweka yowonjezera magazi, ndipo ndiwothandiza pakakhala nthawi yayitali.
Hip Surgery Surgery
Pambuyo pochita opaleshoni yowonjezera, mankhwala ophera antiticoagulation ayenera kuperekedwa kwa masiku osachepera 10 mpaka 14. Kuopsa kwa magazi amatha kuchepetsedwa mwa kupitirira mankhwala opatsirana magazi kwa mwezi umodzi, malinga ndi kafukufuku wina.
Kupanga Opaleshoni Yachikazi
Pambuyo pa opaleshoni ya mawondo, mankhwala opatsirana magazi ayenera kuperekedwa kwa masiku osachepera khumi. Mosiyana ndi kuchitidwa opaleshoni yowonjezereka, sipakhala phindu popitiriza mankhwalawa kwa mwezi umodzi.
Kulepheretsa Nthawi Yopopera Magazi
Kuchulukitsa mankhwala opatsirana magazi nthawi yayitali kuposa kotheka kungatsegule chitseko cha mavuto omwe angakhalepo chifukwa cha magazi omwe ndi ochepa kwambiri. Zotsatira zina za mankhwala a antiticoagulation zimaphatikizapo kutuluka kwa magazi pafupipafupi, kapena kutuluka m'mimba, monga zilonda za m'mimba kapena stroke. Mavuto a kutuluka magazi ndi ochepa, koma amayenera kukhala olingana ndi mwayi wokhala ndi magazi.
Ngati Dokotala Akupereka Nthawi Yambiri ya Mankhwala
Izi ndizimene zakhazikitsidwa ndi kuvomerezedwa ndi American College of Chest Physicians ndi American Academy of Orthopedic Surgeons. Izi zinati, pali zinthu zambiri zomwe zingayambitse kusintha kwa mankhwalawa.
Mwachitsanzo, odwala omwe ali ndi matenda omwe kale analipo, odwala omwe amakhala ndi magazi, kapena ena omwe ali pangozi kwambiri angafunikire kupitiliza kumwa mankhwalawa kwa nthawi yaitali kuposa zomwe tatchulazi.
Muyenera kutsatira malangizo a dokotala wanu kwa nthawi yaitali kuti mupitirizebe mankhwala ochepetsa magazi. Ngati muli ndi mafunso okhudza momwe mungapitirire mankhwala a antiticoagulation, muyenera kuonana ndi dokotala wanu.
Zotsatira:
Friedman, RJ "Nthawi Yopambana ya Prophylaxis ya Thromboembolism Yamtundu Wonse Pambuyo pa Total Hip Arthroplasty ndi Total Knee Arthroplasty" J Am Acad Orthop Surg 2007 2007 15: 148-155.