IHeparin: Iyini iHeparin?

Heparin Emva kokuPiliswa

Iyini iHeparin?

I-Heparin i-anticoagulant isetyenziswa ngokubanzi emva kokuhlinzwa. Isetyenziselwa ukuthintela igazi ekugqibeleni ngokugqithiseleyo ngelixa isigulane sichitha ixesha lokuphumla ixesha eliqhelekileyo kunokuqhelekileyo - okokuba kukuthi ama-clots yegazi ayenako ukwenza.

I-Heparin isetyenziselwa ukuphatha amacwecwe egazi xa zenza ifom, ikunceda ukukhusela i-clot ukuba ingabikho ngokwanda kunye nokukhusela ama-clots eyongezelelweyo.

Ugqirha yinto eyaziwayo yengozi kwaye yandisa umngcipheko wamacenge egazi, ngoko ngokuqhelekileyo ukuba izigulane zonyango zifumana ii-heparin eziqhelekileyo xa esesibhedlele. I-Heparin ithathwa njengento ebalulekileyo yokuthintela ngexesha lokugulisa isigulane emva kwenkqubo.

Kutheni I-Heparin Yanikezelwa Emva Kwenyango?

I-Heparin idlalwa emva kokuhlinzwa, ngokukodwa kwizigulane ezihlala esibhedlele iintsuku ezimbalwa emva kokuhlinzwa, ukukhusela ama-clots egazi ekufakeni. Izigulane ezingenako ukuphuma ebhedeni kwimini elandela ukuhlinzwa zibeka ingozi enkulu yokwenza iimbophu, okwenza i-heparin isilwanyana esisetyenziswa rhoqo kwiiyunithi zokunyamekela. Ngenxa yezi gulane, i-heparin idlalwa rhoqo kwiiyure ezisibhozo ukuya kwiiyure ezilishumi elinambini ngelo xesha, ngomgudu wokunciphisa umngcipheko wokubangela ukutshatyalaliswa kwe-pulmonary pulmary or clot. Umsebenzi weezintso ngokuqhelekileyo uya kuqonda ukuba kaninzi kangakanani i-heparin inokunikezelwa ngokukhuselekileyo ukukhusela ama-clots .

I-Heparin inikwe i-subcutaneously, oku kuthetha ukuba ijojowe emzimbeni kwindawo efana nesisu, kwaye inokunikezwa nge-intravenously (IV). Ayikho ifomu yomlomo ye-heparin, kodwa ezinye igalelo zegazi zinganikezelwa kwifom tablet.

I-Lovenox, ephantsi kwe-molecular weight Heparin, iphinda isetyenziswe rhoqo emva kokuhlinzwa kwaye isetyenziselwa endaweni yeHeparin, kungekhona neHeparin.

I-Lovenox inikezwa njengejoza.

I-Heparin Isisemva Emva kokuhlinzwa

I-heparin dosage ihluka ngokubanzi kwisigulane ukuya kwisigulane kwaye ixhomekeke ekusebenziseni leyeza. Amanani amancinci angeniswa kwi-IV yamanzi ukugcina umgca we-IV uhamba ngokukhululeka; Inani elikhulu linokuthi lijojowe ngamaxesha amaninzi ngemini ukukhusela ukunqanda.

I-heparin ye-IV i-titrated, okanye ihlengahlengiswe, ngokwemiqathango yebhu , ngoko ke umthamo uyingqayizivele kwisigulane ukuba kunikwa nje nge-drip. Ukuxubha kudla ngokuqalwa ngokusekelwe kumzimba wobukhulu obufanelekileyo kwaye ulungelelanise ngokusekelwe kwimpendulo yomzimba kwiyeza malunga neeyure ezintandathu. Oku kudinga igazi eliqhelekileyo litsalathisa ukujonga indlela "elincinci" igazi likagulane lixesha elizeleyo kulo lonke usuku, njengokuba igazi elininzi kakhulu lingabungozi kwaye liholele ekuphumeni kwegazi elingalindelekanga.

Kubantwana, i-injection dosage isekelwe kwisisindo kilogram. Ngelixa ama-dosage azincinci kakhulu kunabantwana abaninzi kunamazinga omdala, abuye ahlukeneyo ngamnye kwisigulane sezingane. Ukuba isigulane sise-heparin, i-drip iya kulungiswa ngokubhekiselele kwiziphumo zebhabhi ngendlela efanayo nomntu omdala.

Iingozi zeHeparin

Akuqhelekanga ukuba kutyhuke ukuvela kwiindawo ze-injini ze-heparin. Kodwa imivimbo emincinci ithathwa njengomphumo wecala oqhelekileyo wokulawula kwaye akuyiyo impawu yeengxaki.

Isigulane esichitha ixesha elongezelelweyo kwisibhedlele esifumana ii-injection ze-heparin ezintathu ngosuku zingaphelela ngesisu esisibophelelwe yimivimbo emincinci kwimigangatho yokuphilisa.

Ininzi ye-heparin inokubangela ukuba igazi libe "lincinci" kwaye lingakhokelela ekuphumeni kwegazi. Ukugqithisa kwe-heparin, njengokunikezela usana ngumntu omdala weziyobisi, kunokubangela ukuphuma kwegazi kunokuba kungabangela ukufa. Impawu eziqhelekileyo ze-heparin overdose ziquka i-nosebleeds, igazi kumchamo okanye igazi kwi-stool.

I-Heparin Yenza I-Thrombocytopenia (i-HIT) yinkxalabo engavumelekanga yolawulo lwe-heparin.

I-HIT yenzeka xa i-heparin ibangela ukunciphisa okukhulu kwinani leeplatelet, iiseli zegazi ezenza i-clotting. Oku kunokukhokelela ekuphumeni kwegazi, kwaye kwezinye iimeko, ukuphuma kwegazi. Kwiimeko ezininzi, ukuyeka ukuhanjiswa kwe-heparin yonyango olululo.

_Umthombo:

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