Heparin ndi mankhwala omwe amachititsa kuti awononge magazi. Mankhwala awa amapangidwa mwa mawonekedwe a mawonekedwe akunja ndi madzi kwa jekeseni. Koma nthawi zambiri amagwiritsa ntchito yankho la Heparin, chifukwa limayamba kuchepetsa kupangidwe kwa fibrin.
Zizindikiro za kugwiritsa ntchito Heparin
Heparin itangoyamba, kayendetsedwe ka magazi mu impso kachulukitsidwa, ubongo wa m'magazi umasintha ndipo zochita zina za mavitamini zimachepa. Ndicho chifukwa nthawi zambiri majekeseniwa amagwiritsidwa ntchito pochiza ndi kuteteza matenda a myocardial infarction. Perekani mankhwala otero pamtundu wambiri komanso ndi embolism ya pulmonary.
Zizindikiro zogwiritsiridwa ntchito kwa Heparin ndizo:
- zozama;
- angina pectoris;
- chiwonetsero;
- kukonza;
- thrombophlebitis ;
- magazi osauka amatsuka impso;
- mitundu yina ya zofooka za mtima;
- lupus nephritis;
- glomerulonephritis;
- bakiteriya endocarditis.
Mu mankhwala ochepa, mankhwalawa amagwiritsidwa ntchito pofuna kuteteza thromboembolism ya venous ndi DIC-matenda a gawo loyamba.
Amagwiritsa ntchito jekeseni wa Heparin ndi njira zopaleshoni, kuti magazi a wodwalayo asafulumire msanga.
Heparin yogwiritsira ntchito
Zotsatira zothamanga zimachitika pambuyo pa heparin yolandira mkati. Anthu omwe ali ndi jekeseni ya m'mimba sangathe kuchita mpaka atadutsa mphindi khumi ndi zisanu kapena makumi atatu, ndipo ngati jekeseni yapangidwa pansi pa khungu, ndiye kuti zomwe Heparin amachita zidzatha pafupifupi ola limodzi.
Ngati mankhwalawa atchulidwa ngati njira yothandizira, nthawi zambiri amaika jekeseni wamkati m'mimba kwa mayunitsi zikwi zisanu. Pakati pa jekeseni wotereyo payenera kukhalapo pakati pa maola 8 mpaka 12. Zimaletsedwa kupukuta Heparin subcutaneously m'malo omwewo.
Kuchiza, mitundu yosiyanasiyana ya mankhwalawa imagwiritsidwa ntchito, yomwe imasankhidwa ndi dokotala malingana ndi chikhalidwe ndi mtundu wa matenda komanso umunthu wa thupi la wodwalayo. Ngakhalenso kupereka majekeseni a Heparin m'mimba, komanso kugwiritsa ntchito mankhwala osokoneza bongo, akhoza kuuzidwa mosadandaula za dokotala, chifukwa mankhwala oterewa amagwirizana ndi mankhwala ambiri. Koma pano pokhapokha kugwiritsira ntchito Heparin ndi mavitamini kapena zowonjezera zowonjezera zamoyo zimatheka popanda mantha.
Pofuna kuchepetsa kugwiritsa ntchito mankhwala osokoneza bongo, sichikhoza kusakanikirana ndi mankhwala ena mu sirinji imodzi. Zizindikiro za kutsegulira kwa Heparin ndizoti pambuyo poyendetsa matenda osokoneza bongo, kupanga maphutchu, komanso kukhala ndi mankhwala a nthawi yayitali, pangakhale zotsatirapo:
- zosokoneza;
- kusokonezeka kwa chimbudzi kapena kugwirizana;
- kuphwanya kugawa kwa calcium;
- kupweteka kwa migraine.
Zotsutsana ndi ntchito ya Heparin
Mosamala, Heparin iyenera kugwiritsidwa ntchito panthawi ya mimba komanso panthawi yopatsa. Pambuyo podzifunsa dokotala akhoza kugwiritsa ntchito mankhwalawa kwa omwe akuvutika ndi zovuta zambiri.
Musaike Heparin mfupa m'mimba, mwachangu kapena mwachangu, ngati wodwalayo adadziwika kuti:
- mimba;
- ulcerative colitis ;
- wosalimba chiwindi ntchito;
- mankhwala osokoneza bongo m'magazi;
- subacute bakiteriya endocarditis;
- ntchito yowonongeka;
- matenda owopsa;
- kupweteka kwa magazi;
- hypersensitivity kwa mankhwala.
Komanso musagwiritsire ntchito mankhwalawa kwa omwe atha kuchita opaleshoni m'maso, ubongo, chiwindi kapena prostate.