Kune huwandu hunowanzoshandiswa neropa rutsvuku, kusanganisira heparin.
Heparin imishonga inoshandiswa kudzivirira ropa clot maitiro. Heparin inogona kupiwa zvakananga muropa, kana sejojo pasi peganda. Kwete muromo (nemuromo) ye heparin inowanika, uye ndizvo zvinowanzoshandiswa muchipatara.
Heparin aripi anoshandiswa muHitapi?
Heparin inodzivisa kuumbwa kweropa .
Pasi pane zvimwe zvikonzero zvinowanzodiwa heparin inoshandiswa.
- Kuchengetedza kuumbwa kweropa rinogona kuumba sechinhu chakaoma chekugara pamubhedha kwenguva yakareba . Nhamba yakaderera yezuva re heparin inowanzovharwa pasi peganda inogona kubatsira kudzivirira kuumbwa kwehutachiona hwehutachiona hwakawanda (DVTs) mumvura ine midzi yemakumbo, mahudyu, uye mapapiro. DVTs inogonawo kukonzera maitiro uye mapapiro, (PE) zvinogona kutyisidzira upenyu
- Kuchengetedza zviratidzo zvemapurmoni: Kubatana kwepulmonary kune ropa rinopinda mumapapu zvichibva pamwoyo, kana kubva kumvura yakadzika yehutumbi yemuviri. Rimwechete mumapapu, zviratidzo zvemapapu zvinogona kudzivirira ropa kusvika kune zvikamu zvakakura zvepapu uye kudzivirira okisijeni-varombo, ropa rakaipa risati rapera nemhepo. Sezvakambotaurwa kare, PE inogona kutyisidzira upenyu.
- Kuchengetedza kuwedzerwa kwehutano hwehutachiona hwehutano hwakawanikwa mukati memwoyo, uye zvimwe zvikamu zvemuviri, sezvo zvingaita kuti kuve nekuputika kwemapurmonary kana kurohwa.
- Kuchengetedza kuumbwa kweropa ropa panguva yekuvhiyiwa kwemoyo, kana panguva yekuvhiyiwa kwemasimba makuru.
Heparin Anoshandiswa Kurapa Stroke Rini?
Heparin inoshandiswawo kubata zvirwere zvinokonzerwa nehutachiona ropa.
Mimwe yemamiriro ezvinhu anonyatsokurudzira kuti chirwere chinosanganiswa neropa revha rinosanganisira:
- Carotid kana vertebral dissection
- Dural sinus thrombosis
- Apo munhu ane stroke anewo ultrasound inoratidzira zvakadzika zvinopisa zvinokonzera
- Apo munhu ane chirwere cheproke anewo chirwere chekushaya ropa
- Apo carotid doppler test inoratidzira kuti ropa rinenge riri mukati metiroti carotid , kana echocardiogram inoratidzira ropa mukati memwoyo.
Intravenous Heparin Dosage
Kusiyana nemishonga yakawanda, chirwere che heparin chinofanira kusarudzwa maererano nemigumisiro yeropa rekutsvaidza iro rinonzi partial thromboplastin nguva kana PTT. Pane imwe nguva kupindira kwe heparin kunoputika, chirwere chacho chinogadziriswa maawa mana kusvika maawa matanhatu kuitira kuti ivimbise kuti ropa harina kuonda zvakanyanya zvokuti munhu anokonzera ngozi yekubuda ropa.
Paavhareji, zvirongwa zvakawanda zvehutano hwe heparin dzinodana nguva imwechete "bolus injection" ye heparin inotevera nekuwedzera kunonono kwemuti kune PTT iyo inowanzo kaviri inokosha.
Nemhaka yokuti hapana mharidzo yemuromo yemishonga iyi, heparin inofanira kumiswa musati munhu abva muchipatara. Vanhu vanoda rubatsiro rwemazuva akawanda neropa rakanyanyisa vanowanzogadzirirwa coumadin, rimwe ropa rine simba rakasimba rinowanikwa mupepeti yefomu.
Coumadin inotanga apo munhu achiri kutambira heparin yakagadzikana, asi kana kuongororwa kweropa kuchiratidza kuti coumadin ropa rinopedza simba rakakwana, heparin inogona kumira.
Izvi zvinoitwa nokuti coumadin inogona kutora kusvika maawa makumi manomwe isati yasvika.
Heparin side effects
Nhengo huru yechirwere ye heparin inopa ropa. Nokuda kwechikonzero ichi, zvakakosha kuti vanachiremba vanotevedzera ropa apo vanhu vari kurapwa ne heparin yepravenous kuti vaone kuti ropa rinowedzera kuramba rakasimba munguva yekurapa. Kubuda ropa kunogona kuitika kunzvimbo dzinoverengeka mumuviri kusanganisira:
- Vhura maronda kana nzvimbo dzokuvhiya
- Dumbu uye matumbo
- Icho chibereko uye mavhai
- Idzo mafungu nemuromo
Muzviitiko zvekubuda ropa nekuda kwehutano hwe heparin, mushonga unonzi protamine sulphate unogona kupiwa mukati-kati kuti usimbise simba reheparin rekuchera ropa.
Muzviitiko zvekubuda ropa zvakanyanya kuwedzerwa ropa zvinotarisirwa kutora nzvimbo yeropa rakarasikirwa.
Chimwe chikamu chakakosha pamusana weheparin ndiyo mamiriro ezvinhu anozivikanwa seheparin-induced thrombocytopenia (HIT). Mumamiriro ezvinhu aya heparin inokurudzira zvirwere zvemuviri zvekudzivirira zvirwere zvinopesana nemaaplatelet ake. Sezvo chimiro chepachidimbu cheplatelets chinodiwa nemuviri kuti udzivise kubuda ropa, chirwere chepasi cheplatelets chinoisa vanhu pangozi yekubuda ropa kukuru. Zvinotyisa ndezvokuti, iyo mamiriro ezvinhu anogonawo kukonzera kusina kukodzera uye kuparadzaniswa kweropa guru, rinogona kudzivirira ropa richiyerera mumitambo inokosha yeropa uye kukuvadzai itsvo, ganda, uye uropi, pakati pezvimwe nhengo.
Shoko Rinobva
Heparin imishonga inofanirwa kuchengetwa pane imwe nhengo inobva pamuviri wemuviri kune rimwe ropa rinopisa. Izvi zvinosanganisira kutevedza pedyo nekuongorora ropa kunogona kuenzanisa kuitika kwe heparin kuve nechokwadi chokuti chiito chacho chinoramba chiri mukati mehutano hwehutano.
Kana iwe wakafanirwa kugamuchira kurapa ne heparin, zvinogona kuti iwe uchatenderedzwa kune rimwe ropa rakapfava kwenguva refu.
Tsvaga nezvevamwe vanochera ropa uye nemigumisiro yavo .
> Sources
> Nyaya dzakawanda dzinowanzoitwa ischemic stroke mumurwere ane kenza: pane chimwe chinhu chinoita kuti kutanga kweanticoagulation therapy kune yechipiri chekudzivirira chirwere chepachiviri here? Suero-Abreu GA, Cheng JZ, Zvadaro RK, BMJ Case Rep 2017 Jun 3; 2017. pii: bcr-2016-218105.