To taub Cov Ntshav Ntws Thiab Lawv Ua Haujlwm Li Cas

Zoo Siab

• Cov ntshav ua dab tsi?
• Ua li cas cov ntshav nyias nyias ua haujlwm?
• Puas muaj kev pheej hmoo lossis phiv?
• Yuav ua li cas cov roj (cholesterol) siab ua rau lub plawv nres thiab mob ntshav nce siab?
• Outlook

Cov ntshav ua dab tsi?

Ntshav cov ntshav yog cov tshuaj uas tiv thaiv kom ntshav txhaws. Lawv kuj tseem raug hu ua anticoagulants. "Coagulate" txhais tau tias "txhaws."

Cov ntshav txhaws tuaj yeem ua rau cov ntshav khiav mus rau lub siab lossis lub hlwb. Yog tias tsis muaj ntshav txaus rau cov kabmob no yuav ua rau lub plawv nres lossis hlab ntsha tawg.

Muaj cov roj cholesterol siab ua rau koj muaj kev pheej hmoo mob plawv lossis hlab ntsha tawg vim muaj ntshav txhaws. Kev noj cov ntshav nyias dua tuaj yeem pab txo qis qhov kev pheej hmoo ntawd. Cov tshuaj no yog siv los tiv thaiv cov ntshav txhaws hauv cov neeg uas muaj lub plawv tsis txaus siab, hu ua atrial fibrillation.

Warfarin (Coumadin) thiab heparin yog cov ntshav dua tshiab. Kuj muaj tsib lim ntshav tshiab ntxiv:

• apixaban (Eliquis)
• betrixaban (Bevyxxa, Portola)
• Dabigatran (Pradaxa)
• edoxaban (Savaysa)
• rivaroxaban (Xarelto)

Ua li cas cov ntshav nyias nyias ua haujlwm?

Qhov ua kom ntshav tsis txhob ua kom nyias nyias cov ntshav. Hloov chaw, lawv tiv thaiv nws kom txhaws.

Koj yuav tsum muaj cov vitamin K los tsim cov protein hu ua ntshav txhaws nyob hauv koj lub siab. Clotting yam ua rau koj cov ntshav txhaws. Lub cev ntshav dua tshiab xws li Coumadin tiv thaiv cov vitamin K ua haujlwm tsis zoo, uas ua kom cov ntshav txhaws hauv koj cov ntshav.

Cov ntshav tshiab ua haujlwm zoo ib yam li Eliquis thiab Xarelto ua haujlwm txawv - lawv thaiv tau Qhov Xa. Koj lub cev xav tau yam Xa ua cov tshuaj thrombin, ib qho enzyme uas pab koj cov ntshav txhaws.

Puas muaj kev pheej hmoo lossis phiv?

Vim tias cov tshuaj tiv thaiv ntshav tiv thaiv kom ntshav tsis txhob txhaws, lawv tuaj yeem ua rau koj los ntshav ntau dua li ib txwm. Qee zaum cov ntshav yuav hnyav heev. Cov ntshav lim ntshav tshiab yog cov yuav ua kom los ntshav ntau dua cov tshiab.

Hu rau koj tus kws kho mob yog tias koj pom muaj cov tsos mob no thaum tab tom noj cov ntshav nyias:

• bruises tshiab yam tsis tau paub dua
• cov pos hniav los ntshav
• zis liab lossis tsaus xim av lossis tso quav
• hnyav dua-dua li ib txwm muaj dua
• hnoos lossis ntuav ntshav
• tsis muaj zog lossis kiv taub hau
• mob taub hau heev lossis mob plab
• kev txiav uas yuav tsis nres ntshav

Ua kom ntshav nyias kuj tuaj yeem cuam tshuam nrog qee yam tshuaj kho. Qee cov tshuaj ntxiv rau qhov tshwm sim ntawm cov ntshav thinner thiab ua rau koj feem ntau los ntshav. Lwm yam tshuaj ntxiv ua rau cov ntshav tsis muaj ntshav zoo thaum tiv thaiv kom txhob mob stroke.

Qhia rau koj tus kws kho mob paub ua ntej koj noj tshuaj anticoagulant yog tias koj tau noj ib yam ntawm cov tshuaj no:

• cov tshuaj tua kab mob xws li cephalosporins, ciprofloxacin (Cipro), erythromycin (Erygel, Ery-tab), thiab rifampin (Rifadin)
• antifungal tshuaj zoo li fluconazole (Diflucan) thiab griseofulvin (gris-PEG)
• cov tshuaj tiv thaiv qaug dab peg carbamazepine (Carbatrol, Tegretol)
• antithyroid tshuaj
• tshuaj noj tiv thaiv tsis pub muaj menyuam
• cov tshuaj khomob zoo li capecitabine
• cov roj (cholesterol) txo qis tshuaj clofibrate
• cov tshuaj gout allopurinol (Aloprim, Zyloprim)
• kub siab nyem tshuaj cimetidine (Tagamet HB)
• cov tshuaj atherosclerosis plawv amiodarone (Nexterone, Pacerone)
• cov tshuaj tiv thaiv kab mob azathioprine (Azasan)
• mob muab tshuaj rau mob xws li cov tshuaj aspirin, diclofenac (Voltaren), ibuprofen (Advil, Motrin), thiab naproxen (Aleve)

Thiab qhia rau koj tus kws kho mob paub yog tias koj tab tom noj tshuaj (OTC) cov tshuaj noj, tshuaj vitamins, lossis tshuaj ntsuab. Qee cov khoom lag luam no tseem tuaj yeem cuam tshuam nrog cov ntshav thinners.

Koj yuav tau xav saib xyuas seb koj tau txais cov vitamin K ntau npaum li cas rau hauv koj cov zaub mov noj. Nug koj tus kws kho mob seb koj yuav noj zaub mov ntau npaum li cas nyob rau txhua hnub. Cov zaub mov muaj vitamin K ntau yog:

• zaub paj ntsuab
• Zaub pob qe
• zaub qhwv
• collard zaub ntsuab
• ntsuab tshuaj yej
• kale
• lentils
• zaub xas lav
• zaub ntsuab
• turnip zaub ntsuab

Yuav ua li cas cov roj (cholesterol) siab ua rau lub plawv nres thiab mob ntshav nce siab?

Cov roj (cholesterol) yog ib yam ua rog nyob hauv koj cov ntshav. Koj lub cev ua qee cov roj (cholesterol). Tus so yog los ntawm cov khoom noj uas koj noj. Cov nqaij liab, cov zaub mov mis nyuj ua kom muaj roj, thiab cov zaub mov ci yog feem ntau hauv cov roj (cholesterol).

Thaum koj muaj cov roj (cholesterol) ntau hauv koj cov ntshav, nws tuaj yeem tsim nyob rau hauv koj phab ntsa leeg thiab tsim cov nplaum uas hu ua cov quav hniav. Cov Plaques txo cov hlab ntsha, tso ntshav kom tsawg los ntawm lawv.

Yog tias cov quav hniav yaug qhib, ntshav txhaws tuaj yeem tsim. Cov ntshav ntawd tuaj yeem taug kev mus rau lub plawv lossis lub hlwb thiab ua rau mob plawv lossis hlab ntsha tawg.

Outlook

Muaj cov roj cholesterol siab ua rau koj muaj kev pheej hmoo los yog mob plawv lossis hlab ntsha tawg. Cov ntshav khov yog ib txoj hauv kev los tiv thaiv cov ntshav txhaws. Koj tus kws kho mob yuav sau ntawv rau koj ib ntawm cov tshuaj yog tias koj tseem muaj atrial fibrillation.

Ib qho roj (cholesterol) tag nrho qib qis dua 200 mg / dL. Cov qib roj cholesterol LDL zoo tshaj yog 100 mg / dL. LDL roj (cholesterol) yog yam tsis huv uas tsim cov quav hniav hauv cov hlab ntsha.

Yog tias koj tus lej loj, koj tuaj yeem hloov pauv kev ua neej no los pab lawv txo:

• Txwv txiav tus nqi ntawm cov roj nyeem, trans rog, thiab roj cholesterol hauv koj cov zaub mov noj.
• Noj ntau cov txiv hmab txiv ntoo thiab zaub, ntses, thiab cov nplej kom ntau.
• Poob ceeb thawj yog tias koj rog dhau. Noj 5 mus rau 10 xwb tuaj yeem pab txo koj cov roj (cholesterol) kom qis.
• Ua kev tawm dag zog xws li caij tsheb kauj vab lossis taug kev 30 mus rau 60 feeb txhua hnub.
• Txiav kev haus luam yeeb.

Yog tias koj tau sim ua cov kev hloov no thiab koj cov roj (cholesterol) tseem siab heev, koj tus kws kho mob yuav muab cov tshuaj statins lossis lwm yam tshuaj los txo nws. Ua raws li koj cov phiaj xwm kho mob kom zoo txhawm rau tiv thaiv koj cov hlab ntsha thiab txo qhov kev pheej hmoo ntawm koj lub plawv nres lossis mob hlab ntsha tawg.