Izindleko zokugaya igazi zivame ukusetshenziselwa ukuvimbela izibhamu. Uma usuvele une-stroke noma i-TIA, kunethuba lokuthi udinga ukuthatha igazi elincane.
Izibhamu kanye ne-TIAs ziphakathi kwezinkinga eziqine kakhulu zokuba nesinye isifo. Eqinisweni, cishe amaphesenti angama-30 kuwo wonke ama-stroke aphindaphindiwe, okwenza ukuvimbela ukushaywa yisifo kubaluleke ikakhulukazi ekuhlakalweni kwesifo sohlangothi kanye nabasindile be-TIA.
Nasi uhlu lwabantu abasebenzisa igazi abavame ukusetshenziselwa ukuvimbela isifo, kanye neminye yemiphumela yabo emibi .
Aggrenox:
I-Aggrenox iyinhlanganisela ye-aspirin kanye ne-release-release-dipyridamole. Ama-headaches yiwona ohlangothini ovame kakhulu obikwe no-Aggrenex. Eminye imiphumela emibi ejwayelekile ihlanganisa ubuhlungu besisu , indigestion kanye nesifo sohudo.
Yini okufanele uyiqaphele : Kumele uyeke ukuthatha u-Aggrenox bese uya kudokotela wakho noma ekamelweni eliphuthumayo uma ubona izitembu ezimnyama noma zokulinda, ngoba lokhu kuyisibonakaliso sokuphuma kwamathumbu emathunjini, okungase kuqhubekele phambili ekuphuthumeni kwezokwelapha.
I-aspirin:
I-aspirin yigazi elincane elikwazi ukuvimbela isifo uma unesimo esithile sezinselele. I-aspirin ingacasula isisu namathumbu futhi ingabangela ukuhlushwa, ukuhlanya izinhlanzi, nokuhlanza. "I-enteric eboshwe," noma i-EC, ifomu le-aspirin lihle kakhulu ohlelweni lokugaya futhi liveza imiphumela emibi kakhulu. Eminye imiphumela emibi engavamile ye-aspirin ihlanganisa ukuphefumula nokuphefumula kwamathumbu emathunjini.
Yini okufanele uyiqaphele: Uma ubona izitshalo ezimnyama noma ezilindile, lokhu kuyisibonakaliso sokuphuma kwesisu noma ukuphuma kwamathumbu emathunjini, futhi kufanele kukugqugquzele ukuthi ufune ukunakekelwa kwezokwelapha Kumelwe futhi uthole usizo oluphuthumayo uma uthuthukisa ukuphefumula okunzima ngenkathi u-aspirin .
I-aspirin ayinconywa kubantwana ngoba ingabangela ukuba izingane zihlakulele isenzo esibi futhi esibulalayo esibizwa ngokuthi iReye's Syndrome.
U-Coumadin:
Eyaziwa nangokuthi i- warfarin, le mithi isetshenziselwa ukuvimbela izibilini kulabo abanesifo senhliziyo ezifana nezinkinga ze- atrial fibrillation noma izinkinga ze-valve yenhliziyo nalabo ababhekene nokuphazamiseka kwegazi .
I-Coumadin ingabangela ukuphuma kwegazi okukhulu. Uma uthatha u-coumaden, kudingeka ube nokuhlolwa kwegazi njalo ukuze kuqaphele ukulinganiswa okujwayelekile kwamazwe ngamazwe (INR.) Lesi yisilinganiso somhlaba wonke sokuqhaqha kwegazi okubonisa ukubaluleka kwe-1.0 emisebenzini evamile yokuvala igazi. Njengoba i-INR iyanda, ibonisa ukuthi umuntu akanamathuba okuba enze ama-blood clots. Iziguli ezine -fibrillation ye-atrial kumele zigcine i-INR ka-2-3 ukuze kunciphise ngengozi ukushaywa yisifo.
I-Coumadin isebenza ngokuphikisa u- vitamin K, okuyi-vithamini okusiza ekugubheni igazi. Njengoba u-coumaden ephikisana ne-vitamin K, kuncipha ukuncipha kwegazi.
Uma uthatha u-coumaden, kubalulekile ukuqapha ukudla kwakho okunevithamini K. Ukudla kakhulu i-vitamin K kungalwisana nemiphumela ye-coumaden, ukukhansela isenzo sokuvimbela isisu. Ukudla okunye okuqukethwe nge-vitamin K okuphezulu kufaka isipinashi, ulethisi, ama-alfalfa amahlumela, isilimo esinamagatsha anamanzi, i-broccoli, i-cauliflower kanye neklabishi. Odokotela batusa ukuthi udle isilinganiso esifanayo samavithamini K nsuku zonke ukuze ugcine izinga eliqinile lamavithamini K emzimbeni wakho.
Yini okufanele uyiqaphele: Ngomphumela ovame kakhulu ohlangothini oluvame kakhulu weCoumadin aluvamile, futhi ngezinye izikhathi luvame ukuphuma. Ukuphuma kwegazi kungase kwenzeke ngaphakathi kweso noma emathunjini, noma kunjalo, ukuphuma kwegazi futhi ukululaza kalula kungenzeka noma kuphi emzimbeni, kufaka phakathi ubuchopho . Uma uthatha u-Coumaden, kufanele ukhumbule ukuqapha umbala wakho wesitembu futhi ufune ukunakekelwa kwezokwelapha uma izitembu ziba mnyama noma zibonakala zibala.
I-Heparin:
U-Heparin uvame ukunikezwa esibhedlela. U-Heparin kufanele athathwe nge-intravenously (IV) ngokujova ngqo kwisitsha segazi . I-Heparin isetshenziselwa ukuvimbela ukwakheka kwe-clot yegazi nokuthuthukisa ikhono lomzimba lokuphula amakhebhu wegazi akhona.
Ukuze i-heparin isebenze ngokuphepha, amazinga egazi kufanele ahlolwe ngezikhathi ezithile ukuze aqiniseke ukuthi amazinga we-heparin awela emkhawulweni ophephile. Ukuhlolwa kwegazi okwenziwe ukwenza lokhu kuthiwa yi-thromboplastin ye-partial ( PTT ). Imiphumela emibi kakhulu ye-heparin iphuma futhi ilulaza kalula. Ukuthukuthela esiteshini se-IV nakho kungenzeka. Kwezinye izimo ezingavamile i-heparin ingabangela ukusabela okweqile.
Yini okufanele uyiqaphele: Umphumela ovame kakhulu futhi owingozi we-heparin ukuphuma kwegazi okungavamile. Ngakho-ke, kumele uhlale ubheke izitshalo ezimnyama, ezibonisa ukuphuma kwamagciwane, noma umchamo omhlophe we-orange, obomvana noma obumnyama, njengoba lokhu kuyigugu legazi emcinini.
Lovenox
ULovenox, obizwa nangokuthi i-enoxaparin, uhlobo lwe- heparin okuthiwa i-heparin engxenyeni. I-Lovenox ayidingi ukuqapha amazinga egazi futhi ingafakwa injected intramuscularly. Abantu abanesifo esingenasifo sezinso akufanele basebenzise uLovenox, njengoba umsebenzi wezinso ompofu uvumela uLovenox ukuba aqoqe egazini. Imiphumela emibi yeLovenox ihlanganisa ukucwenga nokuhlushwa kwesikhumba endaweni yomjovo.
Yini okufanele uyiqaphele : Ngokuvamile, abantu bahlakulela ukusabela okweqile kuLovenox futhi bahlakulele ukuqhuma. Uma kunzima, ukusabela kungabangela ukuvuvukala ezandleni nasemilonyeni, nokuhlupheka ukuphefumula. Uma uthuthukisa noma iyiphi yalezi zimpawu ngenkathi kuLovenox kufanele ufune ukunakekelwa okuphuthumayo. Njengalabanye abathintekayo begazi, i-Lovenox ingabangela ukulimaza nokuphuma kwegazi.
I-Plavix:
Imiphumela emibi ejwayelekile ye-Plavix ihlanganisa ubuhlungu besisu, ama-muscle aches, isizungu, kanye nekhanda. Ukuphumula okulula nokuphumula kwempumu nakho kungenzeka. Abantu abanezilonda zesisu bangase bahlakulele ukuphuma kwamathumbu emathunjini, okungabe besongela ukuphila.
Yini okufanele uyiqaphele: Uma ubona izitshalo ezimnyama noma ezilindile, lokhu kuyisibonakaliso sokuphuma kwamathumbu emathunjini. Lokhu kanye nanoma yiziphi ezinye izinhlobo zokuphuza okungavamile kufanele kukugqugquzele ukuthi ufune usizo oluphuthumayo.
Izwi elivela
I-Blood thinners ingenye yezindlela eziphumelelayo kakhulu zokuvimbela isifo. Kodwa-ke, bonke abathintekayo begazi bayaziwa ukuthi babe nemiphumela emibi, ngisho nangaphezu kwe-counter blood thinners. Ngesikhathi ubamba igazi, kubalulekile ukuthi uyakwazi ukubona imiphumela emibi. Uma ucabanga ukuthi ungabhekana nanoma yimiphi imiphumela emibi yegazi elincane ozithathayo, kufanele uxhumane nomhlinzeki wakho wokunakekelwa kwezempilo, oyokunikeza imiyalelo ezenzweni ezilandelayo okufanele uzithathe.
> Izinkomba:
> Ukuphumelela nokuphepha kwe-dose encishisiwe okungezona amavithamini K okuphikisanayo nama-anticoagulants omlomo kanye ne-warfarin ezigulini ezine-fibrillation e-atrial: isisindo esinesisindo esifundazweni sonke, u-Nielsen PB, u-Skjøth F Søgaard M Kjældgaard JN, i-Lip GY Larsen TB, i-BMJ. 2017 Feb 10; 356: j510. i-doi: 10.1136 / bmj.j510.
> Ukuphepha kwama-anticoagulants omsindo ngqo: Ulwazi oluvela kwizifundo ze-postmarketing, i-Villines TC, i-Peacock WF, i-Am J Emerg Med. 2016 Sep 28. pii: S0735-6757 (16) 30648-9