I-Heparin: Iyini i-Heparin?

I-Heparin Ngemuva Kokuhlinzwa

Iyini iHeparin?

I-Heparin i-anticoagulant evame ukusetshenziswa ngemva kokuhlinzwa. Isetshenziselwa ukuvimbela igazi ukuba lingaboni kalula ngenkathi libekezela lichitha isikhathi esiningi sokuphumula kunokujwayelekile - okuyinto lapho ama-clots egazi angase akhiwe khona.

I-Heparin nayo isetshenziselwa ukuphatha ama-clots egazi lapho enza ifomu, esiza ekuvimbeleni i-clot ukuba ingakhulumi ngosayizi futhi ivimbele ama-clots angeziwe avela.

Ukwelashwa kuyingozi engaziwayo futhi kwandisa ingozi yezindwangu zegazi, ngakho-ke kuvame kakhulu ukuthi iziguli zihlinzekwe njalo uma uthola usizo lweHeparin ngesikhathi esesibhedlela. I-Heparin ibhekwa njengesisindo esibalulekile sokuvimbela ngesikhathi sokugula iziguli ngemuva kwenqubo.

Kungani I-Heparin Yanikezwa Ngemva Kokuhlinzwa?

U-Heparin uvame ukunikezwa ngemuva kokuhlinzwa, ikakhulukazi ezigulini ezihlala esibhedlela izinsuku ezimbalwa emva kokuhlinzwa, ukuvimbela ama-clots egazi ukuba awakhiwe. Iziguli ezingakwazi ukuphuma embhedeni ezinsukwini ezilandelayo ukuhlinzeka zisengozini enkulu yokwakha ama-clots, okwenza i-heparin isidakamizwa esivame ukusetshenziswa emayunithi amakhulu okunakekela. Kulezi ziguli, i-heparin ivame ukunikezwa amahora angu-8 kuya kwangu-12 ngehora, ngomzamo wokunciphisa ingozi yokumbumbuluzela noma ukugqoka i-pulmonary. Umsebenzi wezinso uzovamise ukuthi u-heparin angaphiwa kaningi kangakanani ukuvimbela ama-clots .

I-Heparin inikezwa ngaphansi komzimba, okusho ukuthi ijojowe emzimbeni endaweni efana nesisu, futhi inganikezwa nge-intravenously (IV). Ayikho ifomu lomlomo we-heparin, kodwa amanye ama-bloodline anganikezwa ngefomu lethebhulethi.

I-Lovenox, ephansi kakhulu isisindo samangqamuzana iHeparin, iphinda isetshenziswe kaningi ngemva kokuhlinzwa futhi isetshenziselwa esikhundleni seHeparin, hhayi ngeHeparin.

I-Lovenox inikezwa njengomjovo.

I-Heparin Isilinganiso Ngemva Kokuhlinzwa

Izindleko ze-Heparin ziyahlukahluka kakhulu kusuka kwesineke kuya kwesineke futhi zixhomeke ekusebenziseni imithi. Izindleko ezincane zingangeniswa ku-IV fluids ukugcina umzila we-IV ugeleza ngokukhululekile; Amanani amakhulu angafakwa ngezikhathi eziningana ngosuku ukuze avimbele ukuvalwa.

IV heparin is titrated, noma ulungise, ngokusho imiphumela lab , ngakho umthamo uhlukile isiguli uma unikezwa njengendlela drip. Ukuvuthwa kuvame ukuqala ngokusezingeni elihle lomzimba bese kulungiswa ngokusekelwe impendulo yomzimba kumuthi cishe njalo emahoreni ayisithupha. Lokhu kudinga igazi legazi njalo ukuze lihlole ukuthi "luncane kangakanani" igazi lesiguli njalo ngezikhathi zonke, njengoba igazi elibi kakhulu lingaba yingozi futhi liholele ekukhenikeni okungalindelekile.

Ezinganeni, umthamo wesilingo uncike kwisisindo kilogram. Nakuba izilinganiso zincane kakhulu ezinganeni eziningi kunamazinga omdala omdala, zibuye zibe ngabanye ngesiguli ngasinye sezingane. Uma isiguli sisebusweni lwe-heparin, i-drip izolungiswa ngokusho kwemiphumela yebhu ebomvu ngendlela efanayo.

Izingozi ze-Heparin

Kuyinto evamile ukuthi ukulimala kuvele kuzungeze ama-injection ye-heparin. Kodwa izivunguvungu ezincane zibhekwa njengomphumela ovamile wendlela yokuphatha futhi akuzona izibonakaliso zenkinga.

Isiguli esichitha isikhathi eside esesibhedlela sithola izijovo ezintathu ze-heparin ngosuku zingaphelela ngesisu esihlanganiswe nezivunguvungu ezincane ngezigaba zokuphulukisa.

I-heparin eningi kakhulu ingabangela igazi ukuba libe "mncane" futhi lingabangela ukuphuma kwegazi. Ukudlula ngokweqile kwe-heparin, njengokunikeza usana umthamo omdala womuthi, kungabangela ukuphuma kwegazi okukhulu kangangokuba kungabangela ukufa. Izimpawu ezivamile kakhulu ze-heparin overdose zihlanganisa i-nosebleeds, igazi emcimbini noma egazini.

I-Heparin Yenza I-Thrombocytopenia (i-HIT) iyinkinga engavamile yokuphathwa kwe-heparin.

I-HIT yenzeka uma i-heparin ibangela ukunciphisa okukhulu kwenani lamaplatelet, amaseli egazi abangela ukugoqa. Lokhu kungabangela ukuphuma kwegazi, futhi kwezinye izimo, ukuphuma kwegazi okukhulu. Ezimweni eziningi, ukuyeka ukulethwa kwe-heparin kuyindlela yokwelapha ephumelelayo.

_Umthombo:

_{I-Heparin Injection ye-Sodium. I-USP. RxList.com http://www.rxlist.com/heparin-drug.htm}