Anticoagulants: lawv yog dab tsi, lawv yog dab tsi rau thiab hom tseem ceeb
Zoo Siab
- Leej twg yuav tsum siv
- Lub ntsiab ntawm cov tshuaj tiv thaiv
- 1. Txhaj tshuaj tiv thaiv kab mob
- 2. Cov tshuaj tiv thaiv qhov ncauj
- Tshuaj ntsuab zoo heev
- Saib xyuas thaum kho
- Cov tshuaj hauv tsev uas yuav tsum tsis txhob siv nrog tshuaj anticoagulants
Anticoagulants yog cov tshuaj uas tiv thaiv cov ntshav txhaws vim tias lawv thaiv qhov kev ua ntawm cov tshuaj uas txhawb txhaws. Piv txwv yog qhov tseem ceeb los kho qhov txhab thiab nres ntshav, tab sis muaj qee qhov xwm txheej uas lawv tuaj yeem tiv thaiv cov ntshav ncig, ua rau muaj kab mob loj, xws li mob stroke, thrombosis thiab pulmonary embolism, piv txwv.
Yog li, anticoagulants tso cai rau cov ntshav ib txwm nyob hauv cov hlab ntsha thiab tuaj yeem khiav mus los dawb, raug pom zoo rau cov neeg uas tau muaj mob los ntawm cov ntshav txhaws lossis tus neeg muaj feem yuav ua mob hnyav.
Kev siv ntau tshaj plaws yog heparin, warfarin thiab rivaroxaban, uas yuav tsum tau siv nrog kev saib xyuas thiab ib txwm nrog kev saib xyuas kev kho mob, vim tias kev siv tsis raug tuaj yeem ua rau tshwm sim ntawm ntshav los ntshav ntau.
Leej twg yuav tsum siv
Cov tshuaj tiv thaiv Anticoagulants yuav tsum siv los ntawm cov neeg muaj kev pheej hmoo ntau ntawm kev mob ntsws, xws li cov mob plawv dhia tsis zoo lossis cov uas siv lub plawv qhib lub plawv. Lawv kuj tseem siv los tshem tawm qhov mob plab zais uas twb tau tsim, ib yam li muaj rau cov neeg muaj tus mob thrombosis, pulmonary embolism lossis infarction.
Lub ntsiab ntawm cov tshuaj tiv thaiv
Cov tshuaj tiv thaiv Anticoagulants tuaj yeem faib ua ke raws txoj kab ke ntawm kev tswj hwm thiab lawv txoj kev ua:
1. Txhaj tshuaj tiv thaiv kab mob
Cov tshuaj tiv thaiv kab mob uas txhaj tshuaj, xws li heparin lossis fondaparinux, raug txhaj tshuaj rau hauv lub cev lossis kis kabmob.
Cov tshuaj no feem ntau siv los tiv thaiv tus mob venous thromboembolic hauv cov neeg uas tau phais mob, uas tau txo qis kev mus ncig, los tiv thaiv qhov mob thrombus thaum mob hemodialysis, lossis kho tus mob myocardial infarction.
Heparin kuj tseem siv tau rau cov poj niam cev xeeb tub kom tiv thaiv kev mob thrombosis, vim nws tsis cuam tshuam rau tus menyuam txoj kev tsim
2. Cov tshuaj tiv thaiv qhov ncauj
Muaj ntau yam sib txawv ntawm cov tshuaj tiv thaiv qhov ncauj, thiab koj cov kev xaiv yuav nyob ntawm tus kws kho mob qhov kev ntsuas ntawm lawv qhov zoo thiab qhov tsis zoo rau txhua tus neeg:
Cov hom | Npe | Cov txiaj ntsig | Nyias tsis zoo |
Vitamin K inhibitors | Warfarin (Marevan, Coumadin); Acenocoumarol (Sintrom). | - Siv heev; - Tus pheej yig; - Cia kev tswj ntau dua ntawm kev coagulation los ntawm kev xeem. | - Yuav tsum tau ua tus tswj tuav coagulation xwm yeem; - Cov koob tshuaj yuav tsum tau hloov pauv ntau zaus, - Nws cov txiaj ntsig tuaj yeem hloov kho los ntawm lwm yam tshuaj noj lossis zaub mov nplua nuj nyob hauv cov Vitamin K. |
Cov tshuaj tiv thaiv tshiab | Rivaroxaban (Xarelto); Dabigatrana (Pradaxa); Apixabana (Eliquis). | - Nws tsis yog qhov tsim nyog los ua kom tswj tau tas li ntawm coagulation; - Ib hnub tshuaj txhaj ib zaug; - Tej zaum yuav muaj kev phiv tsawg dua. | - Yuav kim dua; - Contraindicated nyob rau hauv ntau yam kab mob; - Lawv tsis muaj antidotes. |
Thaum muaj vitamin K inhibitors, kev tswj kom tsis txhob coagulation ib txwm yuav tsum tau ua ib hlis ib zaug lossis raws li cov lus qhia kho mob.
Tshuaj ntsuab zoo heev
Muaj qee cov tshuaj ntsuab, paub zoo tias muaj peev xwm "ua kom ntshav" ntshav thiab txo cov kev pheej hmoo ntawm txhaws, xws li Ginkgo biloba lossis Dong quai, piv txwv.
Cov nroj tsuag no tuaj yeem siv tau hauv teas los yog noj hauv daim ntawv ntawm cov tsiav tshuaj, muag hauv cov khw muag khoom noj khoom haus huv. Txawm li cas los xij, nws txoj kev siv yuav tsum tsis txhob hloov cov tshuaj uas kws kho mob tau sau tseg, thiab yuav tsum tsis txhob siv nrog lwm cov tshuaj tiv thaiv.
Ntxiv rau, lawv yuav tsum tau noj tsuas yog tom qab tus kws kho mob paub, vim tias lawv yuav cuam tshuam nrog kev txiav txim ntawm lwm cov tshuaj, thiab, zoo li lwm yam tshuaj, cov tshuaj ntsuab yuav tsum nres hauv lub sijhawm preoperative ntawm kev phais.
Saib xyuas thaum kho
Thaum kho nrog anticoagulants, nws yog ib qho tseem ceeb rau:
- Qhia rau tus kws kho mob thaum twg muaj kev hloov pauv hauv kev noj zaub mov noj lossis kev siv tshuaj kho mob thiaj li tsis pub cais qhov kev ua ntawm anticoagulant;
- Zam txhob sib xyaw ob hom tshuaj tiv thaiv, tshwj tsis yog muaj mob;
- Ua tib zoo saib rau cov cim los ntshav, xws li ntau dhau ntawm daim tawv nqaij, cov pos hniav los ntshav, ntshav hauv cov zis lossis cov quav thiab, yog tias muaj ib qho ntawm cov no, nrhiav kev kho mob.
Qee cov khoom noj uas muaj vitamin K txo qis kev nqis tes ntawm qee yam anticoagulants, xws li warfarin, thiab kev saib xyuas yuav tsum tau noj rau hauv lawv cov kev noj. Txawm li cas los xij, raws li cov koob tshuaj anticoagulant tuaj yeem hloov kho rau cov kev xav tau ntawm txhua tus neeg, nws tsis tas yuav tsum tau txiav kev noj zaub mov ntawm tag nrho cov zaub mov no, tab sis, kom tsis txhob hloov pauv sai sai rau kev noj zaub mov, tswj kom tsis tu ncua ntawm cov zaub mov noj.
Piv txwv ntawm cov zaub mov no yog xim ntsuab tsaus thiab zaub ntsuab, xws li zaub ntsuab, kale, zaub xas lav, ntxiv rau cov zaub qhwv, zaub paj ntsuab thiab zaub paj dawb, piv txwv li. Saib cov npe tag nrho ntawm cov khoom noj uas muaj vitamin K kom txaus.
Cov tshuaj hauv tsev uas yuav tsum tsis txhob siv nrog tshuaj anticoagulants
Nws yog ib qho muaj rau qee tus neeg siv cov tshuaj ntsuab los yog tshuaj ntsuab hauv tsev, tsis muaj lus qhia kho mob, nyob rau ib hnub, vim lawv xav tias lawv yog ntuj thiab tias lawv tsis muaj teeb meem. Txawm li cas los xij, qee qhov ntawm lawv tuaj yeem sib cuam tshuam, feem ntau ua rau muaj kev cuam tshuam, qhov tshwm sim ntawm anticoagulants, uas ua rau muaj kev pheej hmoo los ntshav, ua rau tus neeg lub neej muaj kev pheej hmoo.
Yog li, cov neeg uas siv cov tshuaj tiv thaiv tsis haum lossis tshuaj tiv thaiv kev suav tshuaj, yuav tsum tau saib xyuas tshwj xeeb thaum noj tshuaj hauv tsev lossis khoom noj khoom haus npaj tau raws li:
- Qij;
- Ginkgo Biloba;
- Ginseng;
- Liab sage;
- Guaco;
- Dong Quai lossis Suav Angelica;
- Nees txiv ntseej;
- Bilberry;
- Guarana;
- Arnica.
Vim tias hom kev cuam tshuam no ntawm cov tshuaj thiab cov tshuaj ntsuab, nws tseem ceeb uas yuav tsum tau noj tshuaj nkaus xwb tom qab tus kws kho mob pom zoo los yog pom zoo.