Chikonzero Nei Ropa Rwakaipa Rinoshandiswa Kuvhiya Varwere
Ropa rakapfava mishonga inoshandiswa kudzivirira kana kubata ropa.
Mhando dzeRopa VaTinner
Iko kune maviri makuru evanhu vekuteerera ropa, imwe inonzi anticoagulant uye imwe inonzi antiplatelet. Kunyange zvazvo vose vari vaviri vachidzivirira kuvhara ropa, kana kunyanya kunyatsoita, kunonoka kuumbwa kwezvivharo, vanozviita nenzira dzakasiyana.
Anticoagulant: Mhando iyi yemishonga inobata nekupindira nemaitiro anowanzovhara mumutumbi.
Izvi zvinoita kuti zvive zvakaoma kuti ropa rivhare uye rinowedzera urefu hwenguva iyo muviri unoda kubudirira kugadzira chivharo. Anticoagulants ane utsinye kupfuura mishonga inorwisa antiplatelet, saka rudzi urwu rwemishonga inoshandiswa apo murwere anoda ropa kuti rive "rakapfava".
Antiplatelet: Mhando iyi yemishonga inoshanda nekupindira nekemikisi "chiratidzo" icho mutumbi unotuma kana zvichida kugadzira chivharo. Kazhinji, chiratidzo chacho chaizoita maplatelet, rudzi rwechikamu chechikamu cheropa, uye maplatelets aizounganidza panzvimbo yekubuda ropa uye anotanga kusungirirana pamwe chete kuti aite chivharo. Neine antiplatelet mishonga inopararira, kuparidzirwa kwechiratidzo chacho zvose kunonoka uye "izwi" rinoderedzwa, saka zvishoma maplatelet anopindura.
Sei Ropa Rinoita Kuti Vanhu Vose Vashandise?
Kuvhiya inozivikanwa pangozi yekuumbwa kweropa, sezvo murwere anowanzove kwenguva yakareba panguva yekuvhiyiwa, uye kwemaawa kana mazuva achitevera nzira.
Kunyarara hazvizivikanwe kuti zvinokonzerwa nekuumbwa kweropa, kuitira kuti kudzivirira kwekuvhara chikamu chikamu chinokosha chekuchengetedzwa kwepurooperative.
Kune vamwe varwere, ropa rakanyanyisa rinoshandiswa kuderedza ropa, izvo zvinotora kutora nguva refu kuti ropa rivhare. Kune vamwe varwere, ropa rakanyanyisa rinoshandiswa kudzivirira chipfeko chiripo chiripo kubva pakuipa (nekudzivirira mamwe mazamu asina kuumba).
Ropa rekuongorora rinosarudza kana ropa rakaonda richidiwa uye chirwere chinofanira kupiwa.
Vamwe varwere vachati ropa rakapfurikidza kwenguva refu, zvakadai somurwere ane mwoyo wemhanzi unonzi Atrial Fibrillation. Kune vamwe, vakadai sevarwere avo vachangobva kuvhiyiwa, vangave vane ropa rakapfava pavanenge vari muchipatara asi havachidizve.
Pamberi Kuvhiya
Ropa rakapfava zvinhu zvinonyangadza vasati vavhiyiwa. Chiremba anovhiya anofanira kuwana huyero pakati pekudzivirira mavhare uye kuva nemurwere aine ropa rakawandisa panguva yekuvhiyiwa. Kune varwere vazhinji vanogara vachiita ropa rakapfava vasati vavhiyiwa, muyero wevanhu vanochera ropa avo vanowanzobatwa zuva roga roga rinomira maawa makumi maviri asati apera chirwere. Uku kukanganiswa kwenguva pfupi kunowanzokwanisa kudzivirira kubuda ropa kunowedzera pasina kuwedzera kengozi yeropa. Ropa rakapfava rinokwanisa zvakare kudzokorora zuva mushure mekuvhiyiwa, tichifunga kuti kuongorora kweropa kunoratidza kuti izvi zvakakodzera.
Panguva yekuvhiya
Ropa rakapfasa kazhinji haisi pakati pemishonga inoshandiswa panguva yekuvhiya kunze kwekunge kune mamiriro akasiyana anoshandisa kushandisa ropa rakakosha kunobatsira murwere, zvakadai sekushandiswa kwemwoyo wemapapu mumapineji .
Ropa rakapfupa rinowedzera kubuda ropa panguva yekuvhiyiwa, kuitira kuti iyo inofanira kuongororwa isati yapa rudzi urwu rwemishonga apo kurasikirwa kweropa chikamu chinotarisirwa chekuvhiyiwa.
Mushure mekuvhiya
Ropa rakanyanyisa rinowanzoshandiswa mushure mekuvhiyiwa kuti kudzivirira ropa kuvhare mumakumbo, anonzi Deep Vein Thrombosis (DVT) uye mamwe marudzi evhavha. Ropa rinofanira kugara rakatorwa zvakanyanyisa, nokuti rimwechete rinogona kuchinja kuva mazai akawanda, kana chivharo mumakumbo chinogona kufamba uye kuva chivharo mumapapu. Mwoyo usingarohwi mumutambo wakakwana unogona kukonzera kuti mazai aite izvo zvinokonzera chirwere, saka nzira iyo ropa rinoputika rinonyatsoongororwa kuitira zvakanakisisa mugumisiro.
Kuedzwa kweNopa Rako
Kune zvitatu zvekuongorora ropa zvinoshandiswa kuedza ropa rekuvhara. Aya maedzo anonzi Prothrombin Time (PT), Partial Thromboplastin Time (PTT) uye International Normalized Ratio (INR). Iwe unogona zvakare kunzwa kuedzwa uku kunonzi "kuvhara zvidzidzo", "nguva dzinoputika" kana "PT, PTT, INR" sezvavanowanzorairwa pamwe chete.
PT, PTT uye zviwanikwa zveNR uye zvavanoreva
Ropa Rwakawanda
Pakati pemishonga inowanzoshandiswa yeropa kunopisa ndeyotevera:
- Heparin
- Plavix
- Coumadin / Warfarin
- Lovenox
- Aspirin
Kusarudzwa kweropa rakapfurikidza kunowanzoitwa nechiremba, uyo anogona kunyatsoziva kuti kubuda ropa kunotarisirwa panguva ipi zvayo kuvhiyiwa. Vanogona kunge vachida kuita zvishoma kuti vadzivirire, kana kuti vangave vachida kuderedza zvakanakira mikana yekuvhara, zvichienderana nehutano hwechirwere uye chirwere.
Kazhinji, mushure mekuvhiyiwa, Heparin inopiwa sepfuti mudumbu mbiri kusvika katatu pazuva. Mune zvimwe zviitiko, Lovenox inoshandiswa panzvimbo yeHeparin, asi muhuwandu hwemhosva imwe kana imwe inotarisirwa panguva yechipatara ichidzoka. Kune varwere vanobva vasunungurwa pamba pakarepo mushure mekuvhiyiwa, ropa rakapfava rinogona kana risingaregi kurongerwa sezvinotarisira kuti murwere ari kufamba zuva rose, izvo zvinoderedza kuderedza ngozi yeropa.
> Kwakabva:
> Ropa Vadiki. Medline Plus. Yakasvika > May, > 2015. http://www.nlm.nih.gov/medlineplus/bloodthinners.html