Ama-anticoagulants asiza ukuvimbela ama-clots egazi
Ukuhlinzwa okuhlanganyelwe ngokuhlanganyela kuyindlela yokwelapha ephumelelayo yesikhumba esiqinile . Iningi leziguli zinokuphumula okujwayelekile emva kokutshala okuhlangene, kodwa kunezinkinga ezingenzeka. Enye ingcindezi ingozi yokuthuthukisa ama-blood clots emva kokuhlinzwa. Ukuze uvimbele ama-clots egazi ngemuva kokufaka esikhundleni se-hip kanye nokuguqulwa kwamadolo , imithi ye-blood thinning, ebizwa nangokuthi i-anticoagulant, inikelwa.
Ama-anticoagulants adingeka ukuthi athathwe isikhathi esingakanani ukuvimbela i-clot yegazi?
Imithi ye-Anticoagulant noma Abahlukumezi Ngegazi Ngemva kokuhlinzwa
Impendulo: Ubude obuhle bokuthatha imithi yokwehlisa igazi akukwakhiwa kahle, kodwa kuneziqondiso ezingalandelwa. Ubude beziguli ezithatha imithi ye-anticoagulation kuncike ohlobo lokuhlinzeka, futhi uhlobo lomuthi we-anticoagulation olusetshenziswa.
Izinketho ezimbili ezivame ukusetshenziselwa imithi ye-blood thinning ingumjovo noma ithebhulethi. Umjovo ngokuvamile u-heparin (isib. Lovenox), futhi ithebhulethi iyi-warfarin (i-Coumadin).
- Izifo
Izijovane zivame ukusetshenziswa ngoba izinga legazi elincane alidingeki lihlolwe ngokuhlolwa kwegazi nsuku zonke. Imithi inikezwa njengokudubula kwe-insulini, ngokuvamile kanye kanye ngosuku. Kuyinto elula ukuyenza, kodwa idinga isiguli ukuthi siphethe isibhamu lapho besishiyile esibhedlela.
- I-Coumadin
Amaphilisi e-Coumadin athathwa nsuku zonke. Le mithi kancane kancane igxilisa igazi, kodwa inemiphumela ehlukene kubantu abahlukene. Ngakho-ke, ukuhlolwa kwegazi kufanele kwenziwe ukuze kuqinisekiswe ukuthi i-Coumadin enikeziwe, nokuthi igazi alilona lincane kakhulu. Inzuzo yeCoumadin ukuthi yindlela elula yokwenza igazi elincanyana, futhi lisebenza ngokwengeziwe uma kudingeka isikhathi eside.
Ukuhlinzwa kwe-Hip esikhundleni
Ukulandela ukuhlinzwa kwe-hip esikhundleni, imithi ye-anticoagulation kufanele inikezwe okungenani izinsuku ezingu-10 kuya kwezingu-14. Ingozi ye-clot yegazi ingancishiswa ngokuqhubeka nemithi yokwelapha yegazi kuze kube yinyanga eyodwa, ngokusho kocwaningo oluthile.
Ukuhlinzwa KwamaKnee esikhundleni
Ngemuva kokuhlinzwa kokuguqulwa kwamadolo, imithi ye-blood thinning kumele inikezwe okungenani izinsuku ezingu-10. Ngokuphambene nokuqhaqha ukuqhutshwa kokuhlinzwa, akubanga nzuzo ekuqhubekeleni le mithi inyanga.
Ukunciphisa Isikhathi Emithini Yokunqanda Igazi
Ukwandisa imithi ye-blood thinning isikhathi eside kunokudinga ukuvula umnyango wezinkinga ezikhona zokuba negazi elincane kakhulu. Lemiphumela emibi yemithi ye-anticoagulation ihlanganisa ukuphuma kwegazi nxazonke, noma ukuphuma kwangaphakathi, njengokulonda kwesisu noma isifo sohlangothi. Izingozi zokuphuma kwegazi ziyingcosana, kodwa zidinga ukulinganisela ngokumelene nethuba lokuthuthukisa i-blood clot.
Uma uDokotela ephakamisa isikhathi esihlukile soMithi
Lezi ziqondiso eziye zaqalwa futhi zavunyelwana yi-American College of Chest Physicians kanye ne-American Academy of Orthopedic Surgeons. Lokho kusho ukuthi kunezici eziningi ezingaholela ekushintsheni esikhathini eside sale mithi.
Isibonelo, iziguli ezinezimo zezokwelapha ezikhona ngaphambili, iziguli ezakha i-clot yegazi, noma ezinye iziguli ezibeka ingozi kakhulu zingadinga ukuqhubeka le mithi isikhathi eside kunemihlahlandlela eshiwo ngenhla.
Kumele ulandele izincomo zodokotela wakho isikhathi eside ukuze uqhubeke nemithi yokwehlisa igazi. Uma unemibuzo mayelana nokuthi ungaqhubeka isikhathi eside kangakanani nemithi ye-anticoagulation, kufanele uxhumane nodokotela wakho.
Imithombo:
Friedman, RJ "Isikhathi esiphezulu se-Prophylaxis ye-Venous Thromboembolism Ngemva kokuphela kwe-Hip Arthroplasty ne-Total Knee Arthroplasty" J Am Acad Orthop Surg 2007 2007: 15-15.