I-Blood thinners yindlela yamachiza asetyenziswa ukukhusela isifo. Kukho inani labahluleli begazi abahlukeneyo kwaye baneempembelelo ezifanayo kodwa igazi ngalinye licebile libuye libe nesibonelelo sempilo nganye kunye nemiphumo emibi.
Ziziphi i-Blood Thinners?
I-Blood thinners yimiyeza esetyenziswayo ukukhusela ama-blood clots ekufomeni nasekunqandeni ama-blood clots ekukhuleni. Benza oku ngokuphazamisa iinkqubo ze-coagulation zomzimba. I-coagulation yinkqubo yokusebenza kwendlela yokwenza igazi ngegazi.
Kutheni i-Blood Thinners isetyenziswe emva kwesisu?
Uninzi lwezibetho ziqala xa i-cell mass cells, i-cholesterol kunye namanye amafutha kunye nezidaka zihlanganisana ukuze zenze i-clot, iphazamise ukuhamba kwegazi ngokuqhelekileyo kwisitya segazi. Olunye uhlobo lwama-clots egazi kwingqondo, ingakumbi xa umntu enesifo se-cerebrovascular . Ifom yegazi egazini entliziyweni kunye nokuya kwiingqondo, ukulala kwelinye lemizila yegazi yengqondo ukuze kubangele isifo. Ukubunjwa kwelophuthi kuthatha ixesha-kwaye abagcini begazi bathathwa ixesha elide ukukhusela elinye i-blood clot ukuba bangene kumntu owaziwayo ukuba unomdla wokwakheka kwegazi. Kubaluleke kakhulu ukukhusela imivimbo ephindaphindiweyo ngenxa yokuba, nangona ixhoba eliseleyo liyakwazi ukuphinda lihlaselwe sisifo esinye , kukhankanya ngakumbi ukuba ibuyele kwimpembelelo yengqondo eqhutywe yinto engaphezu kweyodwa. Abagcini begazi baqinisekiswe ukuba bayayinqanda imivimbo ephindaphindiweyo-ikakhulukazi abasindileyo besifo esinentliziyo ezifana ne-friday fibrillation.
Kutheni i-Blood Thinners isetyenziselwa abantu abanoMngcipheko we-Stroke?
Umngcipheko we-stroke ngumkrele ojikeleze kabini. Nangona kunelungelo lokufunda ngengozi yokuphazamiseka ngaphambi kokuba kuqhutywe isifo, ukulungiswa kwendlela yokuphila kuyimfuneko ukunciphisa, kwaye ngokuqinisekileyo ukuphelisa, amathuba okuba unesifo. Ukuba unomngcipheko owaziwayo wokubetha, ungadinga ukuthatha igazi elincinci ukukhusela ukuphazamiseka okwenzekayo.
Ziziphi i-Blood Thinners kunye neempembelelo zazo?
I-Acetylsalycilic Acid (Aspirin, Ecotrin) - i- blood-thin -counter-counter-thinner ifika ngamandla amaninzi kunye ne-aspirin yamandla. I-Aspirin sele ijikeleze ixesha elide. Inqanda i-platelet aggregation-ithetha ukuba inqanda ikhono lamaseli amancinci ahlangene kunye nokuphilisa isilonda ekuhlanganiseni kunye. I-Aspirin isoloko ikhuthazwa ukukhusela isithintelo ngenxa yokuba isenzululwazi ibonakaliswe ukuba iyasebenza. Imiphumo emibi ibandakanya ukuphuma kwegazi, ingakumbi kwisisu kunye nekoloni. Xa i-stool (i-poop) ibonakala ibomvu ebomvu okanye imnyama kwaye itye, le nto ingabonakalisa ukuphaphaka esiswini okanye kwi-colon.
I-Warfarin (i-Coumadin) - igazi elincinci eliphazamisa isenzo se- vitamin K , iivithamini eziyimfuneko yokuchithwa kwegazi elifanelekileyo. I-Coumadin ivimbela ukuphazamiseka okuphindaphindiweyo kwaye kaninzi kunconywa kwizigulane ezinengxaki zentliziyo ezingakhokelela ekubetheni-njengentsimbi yokutshintshela intliziyo. Isenzo se-Coumadin kufuneka sihlolisiswe ngokucokisekileyo ngophando lwegazi olubizwa ngokuba yi-International Normalized Ratio (INR), kuba ukugqithisa kweCoumadin kunokubangela ukuba uphalaze kakhulu kwindawo emzimbeni . Izigulane ezithatha iCoumadin kufuneka ziqaphele, njengokuba ukuwa kungakhokelela ekubanjeni okunzulu, ukuphazamiseka kokuphila.
I-Clopidogrel (Plavix) -yigazi elincinci elitshintsha umsebenzi weplatelet. Ngokuqhelekileyo kunconywa ukukhuselwa kwesifo, kodwa iimiphumo ezichaphazelayo ziquka ukuphuma kwegazi, inani eliphantsi lamaseli egazi, kunye nesifo esingavamile esibizwa ngokuba yi-thrombocytopenic purpura, esichazwe ngamacandelo amancinci egazi.
Aggrenox (inhlanganisela ye-aspirin kunye ne-dipyridamole) - i- dipyridamole yigazi elincinci elivimbela umsebenzi weplatelet ngokuthintela i-enzymes ehambelana neeplatelet. Ihlanganiswe ne-aspirin kwipilisi enye ukunciphisa umngcipheko wesifo. Imiphumo emibi ingabandakanywa ukuphuma kwegazi, ukulimaza kunye neentloko.
I-Dabigatran (Pradaxa) - igazi elitsha elivunyiweyo elincinci elithintela ukuthinteka, okubandakanyeka kwi-clotting yegazi. Eli nyanga liye laboniswa ukunciphisa umngcipheko wokubetha kwabantu ngabanye abane-fibrillation ye-atrial, kodwa kunokubangela ukuphuma okanye ukuphazamisa ukuphulukiswa kwesilonda esifanelekileyo.
Apixaban (Eliquis) - igazi elincinci eliphazamisa ukusetyenziswa kweprotheni ebizwa ngokuthi i-thrombin. Kuvunyiwe ukukhuselwa ngothintelo kubantu abane-fibrillation ye-atrial. Njengabanye abancinci begazi, kwandisa umngcipheko wegazi.
I-Rivaroxaban (i-Xarelto) -galelo legazi elithintelayo elithintela ukubunjwa kwe-clot ngokuphazamisa amanqanaba amabini ahlukeneyo kwi-cascade ye-clotting. I-Xarelto ifuna ukuba ithathwe kanye rhoqo imihla ngemihla kwaye ivunyelwe ukukhuselwa kwesithintelo kubantu abane-fibrillation ye-atrial. Njengoko kunye nabanye abagcini begazi, kunokubangela ukutyumla nokuphuma.
Abagcini begazi bamanye amayeza alula kakhulu; kodwa zibeka ezinye zezona zigqibo ezinzima kunonophelo lokunyamezela. Ngoxa beye bangqina ukuba banciphisa isifo, ingozi yokuphuma kwamanzi ingabangela iingxaki ezixakalisayo ezifana nokuphulukiswa okucothayo kwinqanaba elincinci okanye elincinci lokubethelwa kwingozi yokubulala .
Isigqibo malunga nokuba ungayifumani i-blood thinner idinga ukuba uthintane nogqirha wakho oqhelekileyo oya kuhlolisisa kakuhle ingozi yakho yokuxilongwa ngokubambisana nomngcipheko wegazi.
Imithombo
I-stroke kunye nokuphaphaka komngcipheko kwi-fibrillation ye-atrial, i- Senoo K, i-Lane D, i-Lip GY, i-Korean Circulation Journal, Septemba 2014
Iingxabano malunga ne-antiticoagulants entsha yomlomo yokukhusela isifo kwizigulane ezine-frilling, i-Mohanty BD, i-Looser PM, i-Gokanapudy LR, i-Handa R, i-Mohanty, i-Choi SS, i-Goldman ME, i-Fuster V, i-Halperin JL , i- Vascular Medicine, ngoMeyi 2014
Ukuhlaziywa kwama-antiticoagulants ngomlomo kwizigulane ezinefayili ye-agrifi, i-Greenspon AJ, i-Postgraduate Medicine, ngoNovemba 2012
I-anticoagulants yomlomo omnumzana: Ukuhlaziywa ngokugqithiseleyo koogqirha be-stroke, uMcGrath ER 1 , u-Eikelboom JW, uKapral MK, u-O'Donnell MJ, i-International Journal of Stroke, uJanuwari 2014