Kutheni Igazi Elixhambileyo Liyasetyenziselwa Ukongela Izigulane
Igazi elincinci ngumzimba osetyenziswayo ukukhusela okanye ukuphatha amacandelo egazi.
Iintlobo zeGizizizizi
Kukho ezimbini iintlobo eziphambili zegazi, ababizwa ngokuba yi-anticoagulant kwaye enye ibizwa ngokuba yi-antiplatelet. Ngoxa bebini banqanda ukuvalwa kwegazi, okanye ngokuchanekileyo, banciphisa ukubunjwa kwamacwecwe, benza njalo ngeendlela ezahlukeneyo.
I-Anticoagulant: Olu hlobo lwamayeza lusebenza ngokuphazamisa izinto eziqhelekileyo zokuqhawula ezijikeleza emzimbeni.
Oku kwenza kube nzima ukuba igazi livale kwaye likhulise ubude bexesha apho umzimba ufuna ukuphumelela ukwenza i-clot. I-Anticoagulants inamandla ngaphezu kwamachiza e-antiplatelet, ngoko olu hlobo lonyango lusetyenziswa xa isigulane sidinga igazi ukuba "lincinci".
I-Antiplatelet: Olu hlobo lonyango lusebenza ngokuphazamisa "umqondiso" wamachiza othunyelwa ngumzimba xa kufuneka udale i-clot. Ngokuqhelekileyo, umqondiso wawuza kusebenzisa iiplatelets, uhlobo lweqhekeza legazi, kunye neeplatelets ziza kubuthana kwindawo yokuphuma kwegazi kwaye ziqale ukunamathela ukuze zenze i-clot. Ngamachiza e-antiplatelet ekusasazeni, ukusasazwa kwembonakaliso kokubambezeleka kwaye "umthamo" uguqulwa, ngoko ke amaplanethi amaphendule.
Kutheni Igazi Lixhatshazwayo?
Ugqirha yinto eyaziwayo yengozi yokubunjwa kwegazi, njengoko isigulane sisoloko sihlala ixesha elide ngexesha lotyando, kunye neeyure okanye iintsuku ezilandela inkqubo.
Ukungazinzi kuyinto eyaziwayo yengozi yokubunjwa kwegazi, ngoko ukuthintela iinqamlezo kuyindawo ebalulekileyo yokunakekelwa ngononophelo.
Kwezinye izigulane, igazi elincinci lisetyenziselwa ukunciphisa igazi, okwenza kuthathe ixesha elide ukuba igazi livale. Kwezinye izigulane, abagcini begazi basetyenziselwa ukukhusela i-clot esele ikhona ekubeni ibuhlungu (kunye nokuthintela amaqhekeza angaphezulu ekuquluneni).
Iimvavanyo zeGazi zichonga ukuba kufuneka igazi elincinci kwaye umthamo onokunikezelwa.
Ezinye izigulane ziza kufuna abagcini begazi ixesha elide, njengesigulane esinesithandwa senhliziyo esibizwa ngokuba yiFibrill Fibrillation. Kwabanye, njengezigulane ezisandul 'ukuhlinzwa, zingaphantsi kwegazi xa zihlala esibhedlele kodwa zingasayi kufuna kwakhona.
Ngaphambi koPhengululo
Abagcini begazi bayaziqhatha izinto ngaphambi kokuhlinzwa. Ugqirha kufuneka ufumane ukulinganisela phakathi kokukhusela ama-clots kunye nokuba nesigulane sininzi kakhulu ngexesha lotyando. Kwizigulane ezininzi ezihlala zithatha igazi elincinci ngaphambi kokuhlinzwa, i-dose yegazi egxinyiweyo edlalwa rhoqo ngosuku imisiwe iiyure ezingama-24 phambi kokuhlinzwa. Ukuphazamiseka okufutshane kudla ngokwaneleyo ukuthintela ukuphuma kwegazi ngaphandle kokwandisa kakhulu umngcipheko wegazi. Igazi elincinci lingaphinda liqaliswe ngosuku emva kokuhlinzwa, becinga ukuba iimvavanyo zegazi zibonisa ukuba oku kulungile.
Ngexesha loPhengululo
Abagcini begazi abaqhelekanga phakathi kwamachiza alawulwayo ngexesha lotyando ngaphandle kokuba kukho iimeko ezizodwa ezenza ukuba igazi lincinci lisebenzise isigulane, njengokusetyenziswa kwentliziyo yomphunga .
I-Blood thinners ikwandisa ukuphuma ngegazi ngexesha lotyando, ngoko kufuneka kuthathelwe ingqalelo ngaphambi kokuba unike lolu hlobo lwamachiza xa ukulahleka kwegazi kulindeleke ukuba inxalenye yokuhlinzwa.
Emva kokuPiliswa
Amagxobhozi egazini asetyenziswa rhoqo emva kokuhlinzwa ukuze avimbele i-blood clots kwimilenze, ebizwa ngokuba yi- Deep Vein Thrombosis (DVT) kunye nezinye iintlobo zegazi. Amacwecwe egazi kufuneka ahlale ethathwa ngokungathí sina, kuba enye i-clot ingaba ngamacu amaninzi, okanye i-clot emlenzeni ingahamba kwaye ibe yintsimbi emphupheni. Intliziyo engabethayo kwisigqi esivamile ingabangela ukuba ama-clots enze ifom edala i-stroke, ngoko indlela igazi elivaliweyo lijongwa ngokugqithiseleyo kwisiphumo esihle kakhulu.
Ukuvavanya Igazi Lakho
Kukho iimvavanyo ezintathu zegazi ezisetyenziselwa ukuvavanya igazi ukuze livale. Ezi mvavanyo zibizwa ngokuba yiProthrombin Time (PT), i-Partial Thromboplastin Time (PTT) kunye ne-International Normalized Ratio (INR). Unokuva kwakhona le mvavanyo ebizwa ngokuba "izifundo zokuqhawula", "ii-clotting times" okanye "PT, PTT, INR" njengoko zihlala ziyalwe kunye.
PT, PTT kunye neziphumo ze-IN kunye noko bathethayo
Igalelo legazi eliqhelekileyo
Phakathi kwamachiza amaninzi asetyenziswayo egazini awalandelayo:
- Heparin
- Plavix
- Coumadin / Warfarin
- Lovenox
- Aspirin
Ukukhethwa kwegazi elincinci ngokuqhelekileyo lenziwe ngumgqirha, onokuthi uyazi ukuba uninzi lwegazi elilindelekileyo ngexesha lotyando oluthile. Bangafuna ukunqanda ngokukhawuleza ukuguqulwa, okanye bangadinga ukunciphisa ngokuphawulekayo amathuba okuvala, kuxhomekeke kwimeko yesifo kunye nokuhlinzwa.
Ngokuqhelekileyo, emva kokuhlinzwa, i-Heparin inikezwa njengesibhozo kwisisu esishumi ukuya kathathu ngosuku. Kwezinye iimeko, uLovenox isetyenziselwa indawo yeHeparin, kodwa kuninzi kwimeko apho omnye okanye omnye ulawulwa ngexesha lokubuyiswa kwesibhedlele. Kwizigulane ezithunyelwa ekhaya ngokukhawuleza emva kwenkqubo yokuhlinzwa, igazi elincinci lingenza okanye lingenakumiselwa njengoko kulindeleke ukuba isigulane sihamba yonke imihla, eyanciphisa kakhulu umngcipheko wegazi.
> Umthombo:
> I-Blood Thinners. Medline Plus. Kufumaneka > Meyi, > 2015. http://www.nlm.nih.gov/medlineplus/bloodthinners.html