Heparin Pashure Kokuvhiya
Heparin chii?
Heparin is anticoagulant inowanzoshandiswa mushure mekuvhiyiwa. Iyo inoshandiswa kudzivirira ropa kubva pakuvhara nyore nyore pavanenge vachitsungirira vari kupedza nguva yakawanda yokuzorora kupfuura yenguva dzose - iyo iyo apo ropa revhavha rinowanzoita.
Heparin inoshandiswawo kubata ropa revhapiti pavanoita, zvichibatsira kudzivirira chivharo kuti chirege kukura muhukuru uye kudzivirira mamwe mazamu asina kuitika kubva kuitika.
Kuvhiya inozivikanwa pangozi uye inowedzera dambudziko rekuvhara ropa, naizvozvo inonyanya kuonekwa kuvarwere vekuvhiya kuti vawane hepatin nguva dzose vari muchipatara. Heparin inonzi inokosha yekudzivirira chiyero munguva yevanorwara mushure mekuita nzira.
Nei Heparin Ichipiwa Pashure Pokuvhiya?
Heparin inowanzopiwa mushure mekuvhiyiwa, zvikurukuru kune varwere vanoramba vari muchipatara kwemazuva mashomanana mushure mekuvhiyiwa, kudzivirira ropa rinopisa kubva pakuumba. Varwere vasingakwanisi kubuda pamubhedha mumazuva anotevera kuvhiyiwa vari pangozi yakawanda yekuumba mazamu, zvichiita heparin zvinodhaka zvinoshandiswa zvinowanikwa muzvipatara zvakanyanya. Kune ava varwere, heparin inowanzopiwa maawa masere kusvika gumi namaviri kumativi ose, mukuedza kuderedza ngozi yehupenyu hunopisa mishonga yemaplmm embolism kana clot. Basa reropi rinowanzotarisa kuti heparin inogona sei kugara yakachengetedzwa kuti itadzivirire .
Heparin inopiwa pasi pedcutaneously, zvinoreva kuti inorowa mumuviri munharaunda yakadai sedumbu, uye inogonawo kupiwa mukati (IV). Hapana mimwe yemuromo ye heparin, asi imwe ropa rinopfupa rinogona kupiwa mupepeti.
Lovenox, iyo yakadzika mashekeri inorema Heparin, inowanzoshandiswa mushure mekuvhiyiwa uye inoshandiswa panzvimbo ye Heparin, kwete ne Heparin.
Lovenox inopiwa sejojo.
Heparin Dosage Pashure Kokuvhiya
Heparin manyorerano akasiyana zvakasiyana kubva mukushivirira kusvika murwere uye anobva pakushandiswa kwemishonga. Zviyero zviduku zvinogona kuwedzerwa kumvura yakadzika IV kuchengetedza IV line inoyerera zvakasununguka; zvikwereti zvakakura zvinogona kuvharwa kanoverengeka pazuva kuti kudzivirira kuputika.
IV heparin inonzi titrated, kana kuchinjwa, maererano nemigumisiro yebasa , saka chirwere chakasiyana nemurwere kana ichipiwa sekudonha. Kudonha kunowanzotanga kuburikidza nehutano hwakakosha hwemuviri uye hunozogadziriswa zvichienderana nemhinduro yemuviri kune mishonga inenge maawa matanhatu ese. Izvi zvinoda kuti ropa rinowanzoswededza kuona kuti "kuonda" ropa revarwere nguva nenguva zuva rose, sezvo ropa rakawandisa rinogona kuva nengozi uye rinotungamirira kubuda ropa risingatarisirwi.
Muvana, muyero wejojo unobva pachiremera mu kilogiramu. Kunyange zvazvo mazamu ari maduku zvikuru kuvana vakawanda kupfuura mazamu evanhu vakuru, ivo variwo voga kune mumwe nomumwe wevana vane chirwere. Kana murwere ari pakunyura kweheparin, kudonha kuchagadziriswa maererano nemigumisiro yebasa nenzira yakafanana neyomunhu mukuru.
Ngozi dzeHeparin
Hazvisi zvisinganzwisisiki kuti kubvunda kuoneke pedyo neheparin injections sites. Asi zviduku zvishoma zvinotorwa sechinhu chinowanzobva pamagetsi ehutungamiri uye hachisiwo zviratidzo zvechinetso.
Murwere anopedza nguva yakawedzerwa muchipatara achigamuchira majoiratu eheparin pazuva anogona kuguma nechero rakabatwa nemavhuvhu maduku muzvikamu zvakasiyana zvekuporesa.
Heparin yakawandisa inogona kuita kuti ropa rive "rakaonda" uye rinogona kukonzera kubuda ropa. Kuwedzeredza kwe heparin, sekupa mwana muchengeti mukuru wemishonga, zvinogona kukonzera kubuda ropa zvakanyanya zvokuti zvinogona kuguma nekufa. Zviratidzo zvinowanzoonekwa zveheparin kudarika zvinosanganisira nosebleeds, ropa mumuguta kana ropa muchitsiko.
Heparin Inoped Thrombocytopenia (HIT) isinganzwisisiki chinetso che heparin.
HIT inowanikwa apo heparin inokonzera kuderedza kudarika muhuwandu hweplatelets, masero eropa anokonzera kuvhara. Izvi zvinogona kutungamirira kubuda ropa, uye, pane dzimwe nguva, kubuda ropa kwakanyanya. Muzviitiko zvakawanda, kumisa kuberekwa kweheparin inzira inobatsira.
Kunobva:
Heparin Sodium Injection. USP. RxList.com http://www.rxlist.com/heparin-drug.htm