Heparin ndi magazi ochepa kwambiri omwe amagwiritsidwa ntchito monga gawo la mankhwala a chemotherapy kulowetsedwa. Kawirikawiri amagwiritsidwa ntchito ndi anthu omwe amalandira khungu la khansa ya m'mawere chifukwa kafukufuku amasonyeza kuti mankhwala a chemotherapy amachititsa kuti pakhale ngozi ya magazi . Popeza heparin ndi anticoagulant imagwiritsidwa ntchito popewera magazi m'matope anu amtengatenga. Imodzi mwa "zotsatira zoyipa" zamatenda a chemotherapy ndikutseka, ndipo amaganiza kuti heparin ikhoza kuchepetsa ngoziyi.
Ulamuliro wa Heparin
Kumayambiriro kapena mapeto a mankhwala a chemotherapy kulowetsedwa, namwino wanu adzalowetsa chiwindi cha heparin mu kathete yanu kuti awone. Chemotherapy infusions imakhala ndi tiyi tating'ono tating'ono (catheters) kudzera mwa mankhwala, saline, ndi magazi omwe angayende. Ngati muli ndi phokoso lapansi la khungu la chemotherapy , mudzakhala ndi mzere wa catheter womwe umagwiritsidwa ntchito pa doko, yomwe imatenga zakumwa zamadzimadzi m'mitima mwanu, kumene mankhwalawa amasakanikirana ndi magazi ambiri ndipo amatuluka m'thupi lanu lonse.
Heparin imayikidwa mu catheter yanu mzere kuti muteteze magazi mkati mwa chubu palokha. Kathette yotchinga ndi yoipa chifukwa:
- Zimathandiza kuti namwino wanu wa mankhwala a chemotherapy asathenso kuchita masewero anu a CBC , kuphatikizapo mankhwala a chemotherapy.
- Kuthamanga kwa magazi kumatsekedwa ndipo kungayambitse kupweteka kapena kutupa pamaso panu, khosi, chifuwa, kapena mkono.
- Thumba ikhoza kuswa kapena kutuluka, kufunafuna kukonzanso kapena kukonzanso.
Kawirikawiri chemo heparin ikutha ndi 5cc, yaing'ono kwambiri, ndipo sichikhoza kuvulaza kapena zotsatira zake.
Mmene Mungamvere ndi Heparin
Pali njira zodzitetezera zomwe mungatsatire pogwiritsira ntchito heparin ndipo sikuti aliyense adzatha kuponyedwa. Muyenera:
- Pewani mankhwalawa ngati mulibe mankhwala a heparin, ng'ombe, nkhumba, kapena zina zomwe zimagwiritsidwa ntchito mu jekeseni wa heparin.
- Afunseni dokotala kuti atsimikize kuti heparin sangawononge kapena kuyanjana ndi mankhwala ena alionse.
- Ngati mapulogalamu anu (maselo omwe amathandiza magazi) ndi otsika, dokotala wanu angalimbikitse saline m'malo mwake.
- Lekani kusuta ngati muli ndi jekeseni ya heparin, monga kusuta kungapangitse heparin kukhala yopanda mphamvu.
Zochita Zina za Heparin
Kuphatikiza pa mankhwala otchedwa chemotherapy, heparin amagwiritsidwa ntchito pochizira magazi m'milingo ndi m'mapapo. Amagwiritsidwanso ntchito kuteteza magazi pambuyo pa opaleshoni. Anthu omwe satha kusamuka kwa nthawi yaitali angafunikire heparin kuteteza kwambiri mitsempha ya thrombosis (magazi omwe amapanga mkati mwa mwendo kapena ntchafu). Magazi amagazi amatha kuchoka ndikupita kumapapo ( pulmonary emboli ) nthawi zina ndi zotsatira zoopsa. Anthu omwe ali ndi khansa ali ndi chiopsezo chowonjezereka chokhala ndi magazi, ngakhale popanda mankhwala a chemotherapy.
Heparin ikhoza kugwiritsidwa ntchito muyezo woyenera kwa mibadwo yonse, kuchokera kwa khanda mpaka anthu okalamba.
Mawu Ochokera
Kukhala wothandizira wanu ndikofunikira pa gawo lililonse la chithandizo. Kuyankhulira kumaphatikizapo kupempha za mankhwala, mankhwala, ndi zodzitetezera musanatengeke. Kumaphatikizaponso kuphunzitsa za mankhwala anu, kuthekera koyenderana ndi mankhwala ena, ndi zizindikiro ziti zomwe zingakuchititseni kuti muitane dokotala wanu.
Kukhala wokonzeka monga momwe mungakhalire pa nthawi yomwe mungakhale ora ochepa poyambitsa kupatsirana kumayamba ndikusankha malo oyenera kulowetsedwa musanayambe kumwa mankhwala. Onetsetsani kuti muyankhule ndi dokotala wanu za ubwino ndi zovuta za njira zosiyanasiyana monga chikhalidwe cha IV (kuikidwa nthawi iliyonse mukakhala ndi kulowetsedwa), mzere wa PICC, kapena doko (khomo-khwa).
Malo ambiri opatsirana khansa ndi malo ambiri ogwiritsira ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala amodzi amakhala ndi maonekedwe omwe amapatsa anthu chinsinsi pa kulowetsedwa ngati angakonde. Izi zimakhala zabwino kwambiri chifukwa chotenga nthawi yaitali (monga Taxol (paclitaxel) momwe mungagone ndi kugona.
Ndondomekoyi imabwerekanso kukhala omasuka kugawira ena nkhawa, funsani mafunso okhudza mankhwala omwe mukulandira, ndi kugawana nawo mayankho anu pa chithandizo chanu ndi namwino wanu pamene akubwera ndi kunja kuti akuyang'ane. Palinso malo oti wina asunge kampani yanu panthawi yachipatala.
Komabe, anthu ena amakonda mipando ya chemotherapy, ndipo amatha kuona ndi kukambirana ndi anthu ena omwe amalandira mankhwala a chemotherapy pa nthawi yomweyo. Malo otseguka oterewa nthawi zambiri amakhala owala komanso airy, pomwe cubicle ikhoza kukhala ndi mawindo.
Chinthu chofunikira ndikudziwa kuti muli ndi chisankho komanso kuti mumve zofuna zanu ndi oncologist wanu ndi infusion infesi.
> Zotsatira:
> National Library of Medicine. Heparin Injection. Kusinthidwa 12/21/17.