Ngabe kuphephile ukuphuza utshwala ngenkathi uthatha izinciphisi zegazi?

Imfundo Yezempilo Ukuxuba

Uma uthatha i-anticoagulant, eyaziwa nangokuthi i-thinner yegazi-yokuvikela unhlangothi, i-fibrillation ye-atrial , i-vein thrombosis ejulile, i-embolism ye-pulmonary, noma esinye sezimo eziningi zezokwelapha, ngokwemvelo, ezingadala amahlule egazi - mhlawumbe uyazi ukuthi le mithi yandisa ingozi yokuphuma kwegazi. Yini enye enciphisa igazi lakho futhi inyuse ingozi yokuphuma kwegazi? Ukuphuza utshwala.

Hlanganisa lezi zinto zombili futhi ingozi yokopha inyuka kakhulu, kusho uDkt. Holly Alvarado, Pharm.D. UDuke Health owake wasebenza njengochwepheshe wekhemisi elwa namagciwane emtholampilo wezifo zenhliziyo.

Ngingabuphuza yini utshwala ngenkathi ngiphuza igazi?

Ngokuvamile, ngingasho ukuthi [ukuphuza ngenkathi uthatha ama-anticoagulants] kuwumqondo omubi, kusho uDkt Alvarado. Ngingancoma ukuthi abantu bayeke.

Ukwenza izinto zibe zimbi kakhulu, ushintsho lwe-metabolic olwenzeka esibindini ngenkathi uphuza lungashintsha kakhulu ukusebenza kwabanciphisi begazi, kusho uJohn Beckner, R.Ph., umqondisi omkhulu wezinhlelo zamasu Inhlangano Kazwelonke Yosokhemisi Bomphakathi .

Kungenza umuthi ungasebenzi kahle, noma kungakhuphula leyo ndlela ethile yokusebenza futhi kube nomphumela ohlukile (isb., Ngisho nokuphuma kwegazi okunzima kakhulu), kusho uBeckner, enezela ngokuthi umphumela uncike kumuntu.

Ufuna intengo engcono nge-eliquis?

Bhalisela izexwayiso zentengo ye-eliquis bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Ngingakwazi ukuxuba noma yini abahlinza igazi notshwala?

Kulungile, kepha ungayishintsha yini imishanguzo ukuze iphephe kwi-imbibe? Ngemuva kwakho konke, kunabahlinzeki abaningi begazi emakethe.

Ngeshwa, cha-akunandaba okuyi i-anticoagulant oyithathayo. Isexwayiso sisebenza kusigaba sonke sezidakamizwa, kufaka phakathi:

• I-Coumadin ( iziguli eziningi zithatha i-warfarin , uhlobo olujwayelekile)
• U-Eliquis (apixaban)
• I-Lovenox (enoxaparin)
• Xarelto (i-Rivaroxaban powder)
• Pradaxa (dabigatran)
• I-Savaysa (i-edoxaban)
• I-Arixtra (fondaparinux)

Ngalokho kusho, izivivinyo zokwelashwa bakhombisile ukuthi ingozi yokuphuma kwegazi ehlotshaniswa nama-anticoagulant agents amasha, njengo-Eliquis, ayinamandla kangako kunengozi ehambisana nabanye, njengeCoumadin, kusho uDkt. Alvarado. (U-Eliquis wamukelwa Ukuvunyelwa kwe-FDA ngo-2012 ; Its Ozakwethu abajwayelekile bavunywa ngasekupheleni konyaka odlule .)Kodwa-ke, lokho akuniki ukudlula ku-Eliquis notshwala combo-kuseseyingozi, u-Beckner noDkt Alvarado bayagcizelela (njengabo bonke abanye).

Imiphumela emibi yokuxuba utshwala nezinciphisi zegazi

Noma ngabe uyaphuza noma cha (ngethemba ukuthi akunjalo, ukuze uphephe) ngenkathi uthatha ama-anticoagulants, qaphela izimpawu zokopha okungavamile . Funa ukwelashwa uma uhlangabezana:

• Kuphuma igazi emakhaleni, ikakhulukazi angalawuleki
• Ukopha okuphezulu kwe-GI, kukhonjiswe yisitokisi esimnyama / sokulinda
• Ukuphuma kwegazi kwe-Lower GI, kuboniswe ngegazi elibomvu elikhanyayo esitokisini
• Ukusikeka nokusikwa okungayeki ukopha
• Izinsini zokopha
• Ukulinyazwa ngokweqile / okungavamile
• Ukukhathala okukhulu
• Ukuphathwa ikhanda, isiyezi, noma ukudideka ngemuva kokuwa (ikakhulukazi uma ushaya ikhanda lakho)
• Vomit enegazi noma ebukeka njengezizathu zekhofi

Kwezinye izimo — uma uhlangabezana nezinsini ezophayo noma ukulimaza, ngokwesibonelo — ungamane ushayele udokotela wakho. Ngezinye izikhathi, uhambo olusheshayo oluya e-ER noma ucingo oluya ku-911 luyadingeka, kusho uDkt Alvarado, ngoba ezinye iziqephu zokopha zingasongela impilo.

Uma isiguli siwa futhi sishaya ikhanda, bangabhekana nokuphuma kwegazi ngaphakathi futhi bangazi nakwazi, usho kanjalo. Futhi ngesikhathi lapho befana nokuthi ‘angizizwa kahle,’ kungenzeka [sekwephuze kakhulu] ukuyilawula.

Ngakho-ke, angisophinde ngiphuze?

Yize u-Beckner noDkt. Alvarado bezikhuthaza kakhulu iziguli zabo ezithatha ama-anticoagulants ukuthi zingaphuzi nhlobo utshwala, ziyavuma ukuthi ukusetshenziswa okulingene, okungajwayelekile kungenzeka lunga kubantu abathile. Kepha kusho ukuthini ngempela ukulinganisela? Yebo, ngenkathi i- INational Institute on Alcohol Abuse and Alcoholism iyichaza njengesiphuzo esisodwa ngosuku sabesifazane neziphuzo ezimbili ngosuku kwabesilisa , leyo mali ingathathwa ngokweqile futhi ingaphephile kumuntu othatha igazi elincanyana. Igama eliyisihluthulelo lapha li-sporadic. Ngamanye amagama, njalo ngezikhathi ezithile.

Ukube benginesiguli esifana nokuthi 'indodakazi yami iyashada futhi ngifuna ukubamba iqhaza ku-toast,' bengizothi mhlawumbe kulungile uma unengilazi eyodwa, kusho uDkt Alvarado. Kepha ngicabanga ukuthi kubalulekile ezigulini ezinengilazi eyodwa nje ukuthi zazi nje izimpawu eziyisixwayiso futhi zazi ukuthi zingena kuphi.