Anticoagulants inodzivirira kudzivirira ropa
Kuvhiyiwa pamwe chete kunoshandiswa kurapa kwakakosha kweArthritis yakanyanya . Vakawanda vanorwara vane tsika yakagadzikana yekuzorora mushure mekubatanidzwa kwekubatanidzwa, asi pane zvinogona kuoma. Chimwe chinetso ndicho chiitiko chekudzivirira ropa mazamu mushure mekuvhiyiwa. Kuti udzivise ropa revhapiti mushure mekunyanya kushandiswa uye kugadziridzwa kwemabvi , ropa rinopisa mishonga, iro rinonziwo anticoagulant, rinopiwa.
Inguva yakareba sei anticoagulants inofanira kutorwa kunodzivirira ropa clot?
Anticoagulant Mishonga kana Ropa Vanopinda Muropa Pashure Kokuvhiya
Mhinduro: Nguva yakareba yenguva yekutora mishonga yemapfupa yeropa haina kunyatsogadziriswa, asi pane mitemo inogona kuteverwa. Nguva yakareba varwere vanotora mishonga yeanticoagulation inobva kune rudzi rwekuvhiya, uye rudzi rwemaanti anticoagulation ari kushandiswa.
Iviri iyo inowanzoshandiswa kushandiswa kwemishonga yechipfupa yeropa ndiyo injection kana tablet. Iyo jekiseni inowanzotorwa neheparin (kureva Lovenox), uye tablet iri warfarin (Coumadin).
- Injections
Injection inowanzoshandiswa nokuti huwandu hweropa hunopisa haufaniri kuongororwa neropa rega rega. Mishonga inopiwa se insulini inopfura, kazhinji kamwe kamwe pazuva. Zviri nyore kuita, asi zvinoda murwere kuti atungamirire pfuti kana vakasiya chipatara.
- Coumadin
Mahwendefa eCoumadin anotorwa manheru oga oga. Iyi mishonga inononoka kuwedzera ropa, asi ine zvakasiyana zvakasiyana kune vanhu vakasiyana. Nokudaro, kuongororwa kweropa kunofanirwa kuitwa kuti uone kuti Coumadin yakapiwa zvakakwana, uye kuti ropa harisi rakanyanya kuderera. Kubudirira kweCoumadin ndechokuti iyo nzira yakajeka yokupa ropa rakasviba, uye rinoshanda kana zvichidiwa kwenguva yakareba.
Hip Replacement Surgery
Kutevera kurapwa kwechikafu chinoshandiswa, anticoagulation mishonga inofanira kupiwa kwemazuva gumi kusvika ku14. Dambudziko rekuvhara ropa rinogona kuderedzwa nekuenderera mberi kwemishonga inopfupa yeropa kusvikira mwedzi umwe, maererano nekutsvakurudza.
Knee Replacement Surgery
Mushure mokunge mabheji akashandurwa, kurapa ropa kunopisa kunofanira kupiwa kwemazuva gumi. Kusiyanisa nekuputira kushandiswa kwekugadziriswa, hakuve nekubatsirwa mukuenderera kwemishonga iyi kwemwedzi.
Kurambidza Nguva Yekuchenesa Ropa Mishonga
Kuwedzera mishonga yemapfupa yeropa nguva yakareba kupfuura inogona kuzarura musuo wezvinogona kuitika kune ropa rakanyanya kuderera. Iyi migumisiro yemigumisiro yemishonga inonzi anticoagulation inosanganisira kubuda ropa pamusana pekudzivirira, kana kubuda mukati, sezvakaita chironda chemuviri kana chirwere. Ngozi dzekubuda ropa iduku, asi dzinofanirwa kuenzaniswa nekukwanisa kwekudzidzira ropa clot.
Kana Chiremba Anokurudzira Nguva Yakasiyana Yenguva YeMishonga
Iyi ndiyo mirayiridzo yakasimbiswa uye yakagamuchirwa neAmerican College of Chest Physicians uye American Academy of Orthopedic Surgeons. Izvozvo zvakati, pane zvakawanda zvezvikonzero zvega zvinogona kutungamirira kune kuchinja kwenguva yakareba yemishonga iyi.
Somuenzaniso, varwere vane hutano hwakagara huripo, varwere vanokura ropa, kana vamwe vatachiona vane ngozi yakawanda vangada kupfuurira mishonga iyi kwenguva yakareba kupfuura zvataurwa pamusoro apa.
Iwe unofanirwa kutevera mazano achiremba wako kwenguva yakareba kuti uenderere mberi nemishonga yakakosha yeropa. Kana iwe uine mibvunzo pamusoro penguva yakareba yekuenderera mberi nemishonga yeanticoagulation, unofanira kufonera chiremba wako.
Sources:
Friedman, RJ "Nguva Yakakwana yeProphylaxis yeVinous Thromboembolism Pashure Pose Yese Hip Arthroplasty uye Total Knee Arthroplasty" J Am Acad Orthop Surg 2007 2007 15: 148-155.