Heparin inopa ropa rakanyatsoshandiswa sechikamu chemhemotherapy inopusika. Inowanzoshandiswa nevanhu vanogamuchira chemotherapy yekenza yemucheche nokuti tsvakurudzo inoratidza kuti chemotherapy inowedzera dambudziko rekuvhara ropa . Sezvo Heparin iri anticoagulant inoshandiswa kudzivirira ropa maziso muchiteshi chako chengetani. Chimwe chezvinhu zvakajairika "migumisiro" yechiteshi chemotherapy ichivhara, uye inofungidzirwa kuti heparin inogona kuderedza ngozi iyi.
Kutungamirirwa kweHeparin
Pakutanga kana pakuguma kwekemotherapy yako inopisa, mukoti wako achapinza chigamba che heparin mumutsetse wako wekatheta kuti uupfe. Chemotherapy infusions inosanganisira zvakawanda zviduku duku (catheters) zvinoshandiswa nemishonga, saline, uye neropa. Kana iwe uine ganda remukati-iro-ganda remakemikirini , iwe uchava nekanyorwa yakanamatirwa pachiteshi, iyo inotakura zvinokonzera mvura mumoyo mako, apo mishonga inosanganiswa nehuwandu hwehupenyu uye zvino inofamba mumuviri wako wose.
Heparin inorohwa mu catheter yako mutsara kunodzivirira ropa mukati mehutu pachayo. Catheter yakavharwa yakaipa nokuti:
- Iyo inodzivirira chiremba wako chemotherapy kubva mukukwanisa kuita yako CBC ropa kuteka , uyewo chemotherapy yako infusion.
- Ropa rinoyerera rakadzivirirwa uye rinogona kukonzera kurwadziwa kana kupfugama muchiso chako, mutsipa, chifuva, kana ruoko.
- Iyo tube inogona kuputsa kana kuvhara, ichida kugadziriswa kana kugadziriswa.
Chimiro che-post-chemo heparin chinoputika 5 cc, chikamu chiduku zvikuru, uye hachibviri kukonzera kusagadzikana kana kuti nemigumisiro.
Kuchengetedza Kutevera NaHeparin
Kune zviitiko zvakakosha zvekutevera nekushandisa heparin uye kwete munhu wose achakwanisa kuve nemafuta aya. Unofanira:
- Dzivisa ichi chirwere kana uri weergergic kune heparin, nyuchi, nyama yenguruve, kana chero ipi zvayo inoshandiswa mujoyi ye heparin.
- Tarisa nechiremba wako kuti ave nechokwadi kuti heparin haichazopindi kana kuyanana nemumwe wemishonga yako.
- Kana maplatelets (masero ayo anobatsira ropa clot) ari pasi, chiremba wako angakurudzira a saline flush panzvimbo.
- Rega kusvuta kana uine zvirwere zveheparin nguva dzose, sezvo kusvuta kunogona kuita kuti heparin isanyanya kushanda.
Zvimwe Zvishandiso zveHeparin
Mukuwedzera kune post-chemotherapy inoputika, heparin inoshandiswa kuporesa ropa mazamu mumakumbo nemapapu. Iyo inoshandiswawo kudzivirira ropa maziso pashure pokuvhiyiwa. Vanhu vasingakwanisi kufamba kwenguva yakareba vangada heparin kudzivirira yakadzika vein thrombosis (ropa rinoputika mukati megumbo mukati memakumbo kana gumbo). Aya mavhavha eropa anogona kubuda ndokuenda kumaapapu ( mapapinari emboli ) dzimwe nguva nemigumisiro yakaipa. Vanhu vane kenza vane mungozi yakawanda yekuvandudza ropa, kunyange vasina chemotherapy.
Heparin inogona kushandiswa mumayero akakodzera kwemazera ose, kubva kune vacheche kusvika kune vakwegura.
Shoko Rinobva
Kuva iwe mutongi wako kunokosha mune imwe nhanho yekurapa. Kukurudzira kunosanganisira kubvunza pamusoro pemishonga yako yekurapa, migumisiro, nekuchengetedza usati wapera. Iko kunosanganisira kudzidzisa nezvemishonga yako, zvinogona kuwirirana nemamwe madhiragi, uye chii chinoratidza kuti iwe unofanira kudana chiremba wako.
Kuva wakagadzikana sezvaunogona kuva panguva iyo ingangodaro maawa mashomanana chemo inokonzerwa nekukanganiswa kwekutanga inotanga nekusarudza nzvimbo yakakodzera yekuisa pasi musati yatanga kurapwa. Ita chokwadi chekutaura nachiremba wako pamusoro pezvakanaka uye kuipa kwemitoo yakasiyana-siyana yakadai seyendarama IV (yakaiswa nguva imwe neimwe iwe une infusion), mutambo wePICC, kana chikepe (port-a-cath).
Kazhinji kenza nzvimbo uye dzakawanda dzinoshandiswa pakuvhima chemotherapy nzvimbo dzine humwe hutumbi hunoita kuti vanhu vave nehupombwe panguva yekudzivirira kana vachida. Izvi zvinonyanya kufadza kwenguva refu (zvakadai neTareol (paclitaxel) mune kuti iwe unogona kurara pasi uye kuvhara.
Urongwa uhwu hunokweretesawo kunzwa wakasununguka kugovana zvinetso, bvunza mibvunzo pamusoro pemishonga yauri kuigamuchira, uye kugovera mhinduro dzemuviri kumushonga wako nemureri wako sezvaanopinda uye kunze kuti aongorore iwe. Panewo nzvimbo yekuti mumwe munhu akuchengetedzere iwe musangano panguva yekurapa.
Vamwe vanhu, zvisinei, vanosarudza chemotherapy zvigaro, uye mukana wekuti vose vaone uye vataurirane nevamwe vanhu vanogamuchira chemotherapy panguva imwe chete. Iyi nzvimbo huru yakazaruka inowanzovharika uye inotyisa zvakare, asi cubicle inogona kunge isina mahwindo.
Chinhu chinokosha ndechokuziva kuti une sarudzo uye kuti utaure zvaunofarira newavo oncologist uye mukoti wekuisira pasi.
> Sources:
> US National Library of Medicine. Heparin Injection. Updated 12/21/17.