Ropa rakapfava rudzi rwemishonga inoshandiswa kudzivirira kupora. Kune nhamba dzakasiyana dzakasiyana-siyana dzeropa uye dzine zvimwe zvakafanana asi mumwe nomumwe wega wega ane simba anewo oga wega yehutano huripo nemigumisiro.
Chii Chinonzi Blood Thinners?
Ropa rakanyanyisa ndeyemishonga inoshandiswa kudzivirira ropa rekuvhara kubva pakuumba uye kumira ropa rega kubva pakukura. Vanoita izvi kuburikidza nekupindira nemararamiro emuviri ekugadzirisa. Coagulation ndiyo nzira yehupenyu hwehutambo hwekuvhara ropa.
Sei Ropa Rakashandiswa Rinoshandiswa Mushure meStroke?
Nhamo dzakawanda dzinotanga apo kuvhara kwemasero eropa, cholesterol nedzimwe mafuta nemafuta zvinokonzera pamwe kuti zvigadzire chivharo, kupopotera kunowanzoyerera kweropa mukati memudziyo weropa. Mamwe mabheti eropa anoumba muuropi, kunyanya kana mumwe munhu ane chirwere cheperebrovascular . Mamwe mapepa eropa anoumbwa mumoyo uye anoenda kuuropi, pokugara mune imwe yemidziyo yeropa yeuropi yekukonzera sitiroko. Kuumbwa kwejira yakadaro kunotora nguva-uye ropa rakapfava rinotorwa kwenguva yakareba kudzivirira rimwe ropa rekuvhara kubva pakuumba mumwe munhu anozivikanwa kuva netsika yekuwedzerwa ropa rakawanda. Zvinonyanya kukosha kudzivirira kurwisa kwemazuva ose nokuti, apo munhu anenge apona chirwere angakwanisa kudzoka kubva kune imwe chirwere , inowedzera kutora kuti idzoke kubva pakukanganisa kwehuropi hunokonzerwa nekurohwa kamwe chete. Ropa rakapfasi rinoratidzwa nesayenzi kudzivirira kudzokorora-kunyanya muvanopona varwere vane chirwere chemwoyo chakadai seAriric fibrillation.
Sei Ropa Rakagadzirirwa Rinoshandiswa Kwevanhu Vane Ngozi Yekurohwa?
Dambudziko rekurohwa nechirwere ibakatwa rakapinza-rakapinza. Kunyange zvazvo kune mukana wekudzidza nezvehutachiona husati hwaitika, chirwere chemararamiro chinodiwa kuti chidzivirire, uye tarisiro kubvisa, mikana kana ine chirwere. Kana iwe uri pangozi inozivikanwa yekurohwa, iwe unogona kutora ropa rakapfavirira kudzivirira chirwere chisingaiti.
Ndezvipi ropa rakakanganiswa uye nemigumisiro yaro?
Acetylsalycilic Acid (Aspirin, Ecotrin) - iyo bedzi pamusoro pe-blood-thinner inouya musimba nguva dzose uye mwana aspirin simba. Aspirin yave iripo kwekanguva. Iyo inhibits platelet aggregation-kureva kuti inodzivirira kukwanisa kwemasero maduku anoungana pamwe chete kuzoporesa vanga kubva kuungana pamwe chete. Aspirin inowanzokurudzirwa kuti igadzire kudzivirira nokuti yakaratidza svesayenzi kuti inoshanda. Zvimwe zvinokonzera zvinosanganisira kubuda ropa, kunyanya mumudumbu uye mumakoni. Apo gorosi (poop) inenge yakatsvuka yakajeka kana rima uye ichimirira, ichi chinogona kuva chiratidzo chekubuda ropa mudumbu kana colon.
Warfarin (Coumadin) - ropa rakapfava rinopesana nebasa re vitamin K , vitamini inodikanwa pakugadzirisa ropa rakakodzera. Coumadin inodzivirira kupora kacho uye inowanzokurudzirwa kuvarwere vane zvinetso zvemoyo zvinogona kutungamirira kumarwadzo-zvakadai sekugadziriswa kwemwoyo. Coumadin tsananguro inofanirwa kuongororwa zvakanyatsotariswa neropa reHitendered Normalized Ratio (INR), nokuti kunyanya kudarika kweCoumadin kunogona kukonzera kubuda kukuru kwese kwomuviri . Varwere vanotora Coumadin vanofanira kungwarira, sezvinowira pasi zvinogona kutungamirira kune zvakakomba, upenyu hunopisa kubuda ropa.
Clopidogrel (Plavix) -inopa ropa rakasimba rinoshandura basa replatelet. Inowanzokurudzirwa kuti iite chirwere chekudzivirira chirwere, asi migumisiro yechirwere inosanganisira kubuda kweropa, pasi pekuyera ropa masero, uye chirwere chisingawanzozivikanwa chinonzi thrombotic thrombocytopenic purpura, inoratidzirwa nechechi yeropa.
Aggrenox (kusanganiswa kwe aspirin uye dipyridamole) - dipyridamole inopa ropa rakapinza rinodzivisa basa replatelet nekudzivirira mapurojekiti anowanikwa neaplatelet. Inosanganiswa ne aspirin mune rimwe piritsi kuti kuderedze njodzi yekurohwa. Migumisiro inogona kusanganisira kubuda ropa, kupwanya, uye musoro.
Dabigatran (Pradaxa) - imwe ropa rinotenderwa rakapfava rinodzivirira thrombin, iro rinobatanidzwa mukuvhara ropa. Iyi mishonga yakaratidza kuti inoderedza dambudziko rekurohwa kune vanhu vane inrial fibrillation, asi inogona kukonzera kubuda kana kupindira nekurapa kwakanaka kurapa.
Apixaban (Eliquis) - ropa rakaonda rinopesana nekushandiswa kweprotheni inonzi thrombin. Inogamuchirwa kuti uzvidzivirire vanhu vane zvirwere zvekushaya ropa. Kungofanana nedzimwe ropa, vanowedzera dambudziko rekubuda ropa.
Rivaroxaban (Xarelto) -Aine ropa rakasimba rinodzivirira kubvisa maitiro ekugadzirisa nekupindira nhanho dzakasiyana-siyana mumakumbo akavhara. Xarelto inongoda kutorwa kamwe chete zuva rega rega uye inogamuchirwa kuti udzivirire kurwisa kune vanhu vane acrial fibrillation. Sezvo kune dzimwe ropa rakapfava, zvinogona kukonzera kupwanya nekubuda ropa.
Ropa rakanyanyisa ropa nderimwe remishonga iri nyore; asi ivo vanoisa mamwe ematambudziko akaoma mukurwara kwechirwere. Kunyange zvazvo vakaratidza kuderedzwa chirwere, dambudziko rekubuda ropa rinogona kukonzera matambudziko anokanganisa zvakadai sekunonoka kuporesa kubva kune akachekwa kana kuti maduku maduku okupwanya kusvika kuhutachiona hunopisa upenyu .
Chisarudzo chekuti iwe kana uchida kutora ropa rakakosha unoda here kubvunzurudza chiremba wako wenguva dzose uyo achaongorora zvakakwana dambudziko rako rekurohwa pamwe chete nekuwedzerwa kweropa rako.
Sources
Kushungurudzika uye kubuda ropa muhutachiona hwekushaya ropa, Senoo K, Lane D, Lip GY, Korean Circulation Journal, September 2014
Zvinokakavadzana pamusoro penyaya itsva yemuromo anticoagulants nekuda kwekudzivirira kurohwa kwechirwere kune varwere vane friction inrial, Mohanty BD, Mutevereri PM, Gokanapudy LR, Handa R, Mohanty S, Choi SS, Goldman ME, Fuster V, Halperin JL , Vascular Medicine, May 2014
Kuongororwa kwemuromo anticoagulants kune varwere vane fibriation inrial, Greenspon AJ, Postgraduate Medicine, November 2012
Novel oral anticoagulants: kugadziriswa kwakanyanya kwechiremba vanachiremba, McGrath ER 1 , Eikelboom JW, Kapral MK, O'Donnell MJ, International Journal of Stroke, January 2014