Li-anticoagulants: seo li leng sona, seo e leng sona le mefuta e meholo
Litaba
- Ke mang ea lokelang ho sebelisa
- Mefuta e meholo ea li-anticoagulants
- 1. Liente tse entang liente
- 2. Li-anticoagulants tsa molomo
- Litlhare tsa tlhaho tsa anticoagulant
- Tlhokomelo nakong ea kalafo
- Litlhare tsa lapeng tse sa lokelang ho sebelisoa le li-anticoagulants
Li-anticoagulants ke lithethefatsi tse thibelang mali hore a se ke a hlaha hobane a thibela tšebetso ea lintho tse khothalletsang ho hoama. Masela a bohlokoa ho folisa maqeba le ho emisa ho tsoa mali, empa ho na le maemo ao ho 'ona a ka thibelang ho potoloha ha mali, ho baka mafu a tebileng, joalo ka stroke, thrombosis le pulmonary embolism.
Kahoo, li-anticoagulants li lumella mali hore a lule a le metsi ka har'a methapo 'me a ka potoloha ka bolokolohi, a khothalletsoa batho ba nang le mafu a bakoang ke ho koaloa kapa ba kotsing e kholo ea ho a fumana.
Tse sebelisoang haholo ke heparin, warfarin le rivaroxaban powder, tse lokelang ho sebelisoa ka hloko le ho lula li beiloe leihlo ke bongaka, hobane ts'ebeliso ea tsona e fosahetseng e ka lebisa ho hlaheng ha mali a mangata.
Ke mang ea lokelang ho sebelisa
Li-anticoagulants li lokela ho sebelisoa ke batho ba kotsing e kholo ea ho ba le thrombus, joalo ka ba nang le arrhythmias ea pelo kapa ba sebelisang li-prostheses tsa pelo. Li boetse li sebelisetsoa ho felisa thrombus e seng e thehiloe, joalo ka maemong a batho ba nang le thrombosis, embolism ea pulmonary kapa infarction.
Mefuta e meholo ea li-anticoagulants
Li-anticoagulants li ka aroloa ho latela tsela ea tsamaiso le mofuta oa tsona oa ketso:
1. Liente tse entang liente
Li-anticoagulants tse entsoang, joalo ka heparin kapa fondaparinux, li fanoa ka methapo kapa ka tlas'a mmele.
Meriana ena ka kakaretso e sebelisetsoa ho thibela lefu la venous thromboembolic ho batho ba seng ba entsoe opereishene, ba fokotsang motsamao, ho thibela sebopeho sa thrombus nakong ea hemodialysis, kapa ho phekola infarction e bohloko ea myocardial.
Heparin e ka boela ea sebelisoa ho basali ba bakhachane ho thibela thrombosis, kaha ha e sitise ho thehoa ha lesea
2. Li-anticoagulants tsa molomo
Ho na le mefuta e fapaneng ea li-anticoagulants tsa molomo, 'me khetho ea hau e tla latela tlhahlobo ea ngaka ea melemo le likotsi tsa bona ho motho ka mong:
Mefuta | Mabitso | Melemo | Likotsi |
Vithamine K inhibitors | Warfarin (Marevan, Coumadin); Acenocoumarol (Sintrom). | - E sebelisoa haholo; - Theko e tlaase; - Lumella taolo e kholo ea sefuba ka liteko. | - Ho hlokahala ho etsa taolo ea khafetsa ea coagulation; - Tekanyo e hloka ho fetoloa khafetsa, - Phello ea eona e ka fetoloa ke meriana e meng kapa lijo tse nang le vithamine ea K. |
Li-anticoagulants tse ncha | Rivaroxaban phofo (Xarelto); Dabigatrana (Pradaxa); Apixabana (Eliquis). | - Ha ho hlokahale ho etsa taolo khafetsa ea coagulation; - Tekanyetso e le 'ngoe ea letsatsi le letsatsi; - E kanna ea ba le litla-morao tse fokolang. | - E theko e boima haholo; - Contraindicated maloetseng a 'maloa; - Ha ba na lithibela-mafu. |
Mabapi le li-inhibitors tsa vithamine K, taolo ea li-coagulation e lokela ho etsoa hang ka khoeli kapa ho latela boeletsi ba bongaka.
Litlhare tsa tlhaho tsa anticoagulant
Ho na le lintho tse ling tsa litlama, tse tsebahalang ka hore li na le bokhoni ba ho "fokotsa" mali le ho fokotsa menyetla ea maqeba, joalo ka Ginkgo biloba kapa Dong quai.
Limela tsena li ka sebelisoa ho li-tee kapa tsa nooa ka mokhoa oa li-capsules, tse rekisoang mabenkeleng a lijo tsa bophelo bo botle. Leha ho le joalo, ts'ebeliso ea eona ha ea lokela ho nkela litlhare tse laetsoeng ke ngaka sebaka, 'me ha ea lokela ho sebelisoa hammoho le li-anticoagulants tse ling.
Ntle le moo, li lokela ho nkoa feela kamora tsebo ea ngaka, kaha li ka kena-kenana le tšebetso ea meriana e meng, mme joalo ka meriana e meng, meriana ena ea litlama e lokela ho emisoa nakong ea ts'ebetso ea opereishene efe kapa efe.
Tlhokomelo nakong ea kalafo
Nakong ea kalafo ka li-anticoagulants, ho bohlokoa ho:
- Tlaleha ho ngaka neng kapa neng ha ho na le liphetoho lijong kapa ts'ebelisong ea meriana e le hore o se ke oa nyenyefatsa ts'ebetso ea anticoagulant;
- Qoba ho kopanya mefuta e 'meli ea li-anticoagulants, ntle le haeba ho na le sesupo sa bongaka;
- Ela hloko lipontšo tsa ho tsoa mali, joalo ka matheba a mangata letlalong, marenene a tsoang mali, mali ka morong kapa setuloana, 'me haeba ho na le a teng, batla thuso ea bongaka.
Lijo tse ling tse nang le vithamine ea K li fokotsa tšebetso ea li-anticoagulants tse ling, joalo ka warfarin, mme tlhokomelo e lokela ho nkoa ha e sebelisoa. Leha ho le joalo, joalo ka ha lethal dose ea anticoagulant e fetoha le litlhoko tsa motho ka mong, ha ho hlokahale ho emisa ts'ebeliso ea lijo tsena kaofela, empa ho qoba phetoho ea tšohanyetso lijong, ho boloka palo e sa fetoheng ea lijo.
Mehlala ea lijo tsena ke botala bo lefifi le meroho e makhasi, joalo ka spinach, kale, lettuce, ntle le k'habeche, broccoli le cauliflower, mohlala. Bona lenane lohle la lijo tse nang le vithamine ea K.
Litlhare tsa lapeng tse sa lokelang ho sebelisoa le li-anticoagulants
Ho tloaelehile hore batho ba bang ba sebelise litlama kapa litlhare tsa lapeng, ntle le boeletsi ba bongaka, letsatsi le letsatsi, hobane ba nahana hore ke tsa tlhaho ebile ha li kotsi. Leha ho le joalo, tse ling tsa tsona li ka sebelisana, hangata li matlafatsa, litlamorao tsa li-anticoagulants, tse bakang kotsi ea ho tsoa mali, li beha bophelo ba motho eo kotsing.
Kahoo, batho ba sebelisang li-anticoagulant kapa anti-aggregating, ba lokela ho hlokomela haholo ha ba noa litlhare tsa lapeng kapa litlatsetso tsa lijo tse lokiselitsoeng ho ipapisitsoe le:
- Konofole;
- Ginkgo Biloba;
- Ginseng;
- Sage e khubelu;
- Guaco;
- Dong Quai kapa Angelica ea China;
- Chestnut ea pere;
- Bilberry;
- Guarana;
- Arnica.
Ka lebaka la tšebelisano ea mofuta ona lipakeng tsa litlhare le litlhare tsa tlholeho, ho bohlokoa ho noa meriana feela kamora ho laeloa ke ngaka kapa tumello ea eona.