I-Anticoagulants inceda ukunqanda ama-clots egazi
Utyando olwenziwa ngokutsha luyonyango olululo lwe-arthritis . Uninzi lwezigulane zinokuphulukana ngokuqhelekileyo emva kokutshintshwa ngokubambisana, kodwa kukho iingxaki. Enye inkxalabo yengozi yokuphuhlisa igazi emva kokuhlinzwa. Ukuze uthintele amaqhekeza egazi emva kokutshintshwa kwentshukumo kunye nokuguqulwa kwamadolo , iyeza elincinci lonyango, elibizwa ngokuba yi-anticoagulant, linikezelwa.
Kufuneka kube nini i-antiticoagulants ukuthathwa ukukhusela i-clot yegazi?
Imithi yamaAnticoagulant okanye i-Blood Thinners Emva kokuhlinzwa
Impendulo: Ubude obude bexesha lokuthatha imishanguzo egazini yegazi alunakunikwa ngokuchanekileyo, kodwa kukho izikhokelo ezinokulandelwa. Ubude bexesha abagulane bathabatha imithi ye-anticoagulation kuxhomekeke kuhlobo lotyando, kunye nohlobo lwamayeza e-antiticoagulation asetyenziswa.
Iindlela ezimbini eziqhelekileyo ezisetyenziswayo kwiimithi zonyango egazini ziyijoza okanye ipilisi. Ijoza iqhelekileyo i-heparin (umz. Lovenox), kwaye i-tablet i-warfarin (i-Coumadin).
- Injections
Izigulane zivame ukusetyenziswa kuba izinga legazi elincinci alinakufuneka lihlolwe ngokuhlolwa kwegazi kwansuku zonke. Amachiza anikezelwa njengebhola le-insulin, ngokuqhelekileyo kanye ngosuku. Kuyinto elula ukwenza, kodwa ifuna isigulane ukuba siphendule ibhola xa sishiye esibhedlele.
- Coumadin
Iipilisi zeCoumadin zithathwa ngentsuku nganye. Eli nyanga lincipha igazi, kodwa lineempembelelo ezahlukeneyo kubantu abahlukeneyo. Ngoko ke, iimvavanyo zegazi kufuneka zenziwe ukuze kuqinisekiswe i-Coumadin eyaneleyo, kwaye igazi alilona lincinci. Inzuzo yeCourmadin kukuba yindlela elula yokwenza igazi elincinci, kwaye ngakumbi xa kufuneka ixesha elide.
Ukuguqulwa kwe-Hip Replacement Surgery
Ukulandela utyando lokutshintshwa kwe-hip, amayeza anticoagulation kufuneka anikezelwe ubuncinane iintsuku ezili-10 ukuya kwe-14. Umngcipheko we-clot igazi ungancitshiswa ngokuqhubeka nokunyanga kwegazi kumanyanga omnye, ngokweminye uphando.
Ukuguqulwa KwamaKnee Replacement
Emva kokuhlinzwa ngokuguqulwa kwamadolo, ukuxiliswa kwegazi kufuneka kunikwe ubuncinane iintsuku ezili-10. Ngokuchasene nokuqhaqha ukutshintshwa okutshintshwayo, akuzange kubekho nzuzo ekuqhubekeni kwala mayeza kunyanga.
Ukunciphisa ixesha kwiMida yokuThambisa iGazi
Ukwandisa imishanguzo egazini yegazi ixesha elide kunokuba lifunekayo livula umnyango weengxaki ezinokwenzeka zokuba negazi elincinci. Ezi ziphumo zecala le-antiticoagulation amayeza ziquka ukuphuma ngegazi, okanye ukuphuma kwamanzi, njengesilonda esiswini okanye isisu. Izingozi zokuphuma kwegazi zincinci, kodwa kufuneka zilinganiswe ngokubhekiselele kwimeko yokuphuhlisa igazi.
Ukuba Ugqirha uxhasa ubude obude bexesha leMithi
Ezi zikhokelo eziye zaqulunqwa zavunyelwana yi-American College of Chest Physicians kunye ne-American Academy of Orthopedic Surgeons. Oku kuthethi, kukho ezininzi izinto ezinokubangela ukuba utshintsho kwixesha lala mayeza.
Ngokomzekelo, izigulane ezinezifo zonyango ezangekho ngaphambili, izigulane eziphuhlisa i-blood clot, okanye ezinye izigulane ezinobungozi obuphezulu zingadinga ukuqhubeka ezi zonyango ixesha elide kunezikhokelo ezikhankanywe ngasentla.
Kufuneka ulandele iingcebiso zegqirha zakho malunga nobude bexesha ukuqhubela phambili imishanguzo yegazi. Ukuba unemibuzo malunga nokuba uhamba ixesha elingakanani ukuqhubeka neyeza lokubulala i-antiticoagulation, kufuneka uqhagamshelane nogqirha wakho.
Imithombo:
Friedman, RJ "Ixesha elifanelekileyo leProphylaxis ye-Venous Thromboembolism Emva kokuphela kwe-Hip Arthroplasty kunye ne-Total Knee Arthroplasty" J Am Acad Orthop Surg 2007 2007: 15-15.