Akwai wasu lokutan da ake amfani da jini sosai, ciki har da heparin.
Heparin ne magani wanda aka yi amfani da ita don hana yaduwar jini. Za'a iya ba shi Hebarin ko dai kai tsaye a cikin jini, ko kuma inuwa a karkashin fata. Babu bugun kogin (ta bakin) heparin, kuma shine dalilin da ya sa ake amfani dasu a asibiti.
Yaushe ne Heparin Ana amfani dashi a asibitin?
Heparin ya hana samun jigilar jini .
Da ke ƙasa akwai wasu dalilai da suka fi dacewa da ake kira heparin .
- Don hana samuwar yaduwar jini wanda zai iya zama a matsayin wahalar zama a gado don lokaci mai tsawo . Kwanan kuɗi na yau da kullum na heparin da ake sarrafawa a ƙarƙashin fata zai iya taimakawa wajen hana jigilar kyamara mai zurfi (DVTs) a cikin zurfin ƙafafun kafafu, cinya, da ƙyalle. Hakanan DVTs na iya haifar da ciwon ƙwaƙwalwa da kuma gwaninta, (PE) wanda zai iya zama barazanar rai
- Don magance burbushin halittu: Abolisms na yau da kullum na jini ne wanda ke shiga cikin huhu daga zuciya, ko kuma daga cikin jiki mai zurfi na jiki. Da zarar a cikin huhu, alamu na wucin gadi zai iya yaduwa jini zuwa manyan ɓangaren huhu kuma ya hana oxygen-talauci, jini mai zubar da jini daga cike da oxygen. Kamar yadda aka fada a baya, PEs na iya zama barazanar rayuwa.
- Don hana yaduwar jini da ake samu a cikin zuciya, da sauran sassa na jiki, saboda zasu iya haifar da embolisms na huhu ko bugun jini.
- Don hana yaduwar jini a lokacin da ake tiyata, ko kuma a lokacin aikin tiyata.
Yaushe ne Heparin ya yi amfani da cutar?
An kuma yi amfani da Heparin don magance cututtuka da aka haifar da yaduwar jini.
Wasu daga cikin yanayin da ke bayar da shawarar cewa wani bugun jini yana hade da jini ya hada da:
- Ƙungiyar Carotid ko rarrabuwa
- Dural sinus thrombosis
- Lokacin da mutumin da yake fama da bugun jini yana da hotunan dan tayi yana nuna zurfin kyamara mai zurfi
- Lokacin da mutumin da ke fama da ciwon bugun jini yana da fibrillation
- Lokacin da jarrabawar carotid doppler ta nuna cewa akwai jini a ciki a cikin rikici na carotid , ko kuma echocardiogram yana nuna jini cikin zuciya.
Ciwon Heparin Mai Cutar
Ba kamar yawancin magunguna ba, dole ne a zabi kashi na heparin bisa ga sakamakon gwajin jini wanda ake kira lokacin thromboplastin lokaci ko PTT. Da zarar an fara jigilar kwayar cutar heparin, an gyara kashi a kowane 4 zuwa 6 hours don tabbatar da cewa jini ba zai zama mai tsanani ba cewa mutum yana iya fuskantar hadarin jini.
A matsakaita, yawancin maganin kula da heparin suna kira "bolus injection" guda daya na heparin sannan kuma ƙara yawan karuwar a cikin PTT wanda shine kimanin sau biyu.
Saboda babu magani na maganin wannan magani, dole ne a dakatar da heparin kafin mutum ya bar asibitin. Mutanen da suke buƙatar tsararren lokaci tare da jinin jini sune maƙasudin ƙaddara, wani jini mai karfi wanda yake samuwa a cikin takarda.
An fara farawa tsakanin mutum yayin da mutum yana ciwon heparin mai ciki, amma da zarar gwaje-gwaje na jini ya nuna cewa jinin jini yana da kyau, ana iya dakatar da heparin.
Anyi hakan ne saboda za'a iya ɗaukar kwanakin sa'o'i 72 kafin a sami sakamako mai so.
Harkokin illar Heparin
Babban sakamako mai karfi na heparin yana zub da jini. Saboda wannan dalili, yana da muhimmanci cewa likitoci suyi la'akari da jini lokacin da ake kula da mutane tare da heparin mai ciki don tabbatar da cewa jini yana da karfin hali a lokacin magani. Hanyoyin jini na bazawa zai iya faruwa daga wurare da dama a jiki ciki har da:
- Bude kofa ko shafukan yanar gizo
- A ciki da intestines
- Ya zauna cikin mahaifa da ovaries
- Gums da baki
A lokuta da zubar da zub da jini saboda yaduwar magani, za'a iya ba da magani da ake kira protate sulfate a cikin intravenously don magance jini-thinning sakamako.
A cikin lokuta da zubar da jini na jini mai tsanani ana buƙatar maye gurbin jinin da aka rasa.
Wani muhimmin tasiri na heparin shine yanayin da ake kira thrombocytopenia (HIT). A cikin wannan yanayin heparin ya haifar da tsarin rigakafi na jikin mutum don samar da kwayoyin cuta a kan kansa. Tun da yake tsarin jiki yana buƙatar jiki don hana zub da jini, matakin ƙananan kayan ado yana sanya mutane suna fuskantar hadarin jini. Sabanin haka, wannan yanayin zai iya haifar da ƙaddamar da ƙananan jini wanda bai dace da shi ba, wanda zai iya toshe jini ta hanyar jini mai mahimmanci kuma ya lalata kodan, fata, da kwakwalwa, a tsakanin sauran sassan.
Kalma Daga
Heparin ne magani wanda dole ne a kiyaye shi a wani kashi bisa ga mayar da martani ga jikin mutum zuwa aikin jini. Wannan yana buƙatar rufewa tare da gwaje-gwaje na jini wanda zai iya auna tasirin heparin don tabbatar da cewa an kiyaye aikin a cikin asibiti.
Idan ka samu magani tare da heparin, mai yiwuwa za a sauya ka zuwa wani zubar da jini na tsawon lokaci.
Bincika game da sauran jini da kuma abubuwan da suke da nasaba .
> Sources
> Sakamakon ƙwaƙwalwar cututtuka masu yawa a cikin mai haƙuri da ciwon daji: shin akwai wani tasiri ga farawar maganin maganin maganin rigakafi don kare rigakafi na biyu? Suero-Abreu GA, Cheng JZ, Sa'an nan kuma RK, BMJ Case Rep. 2017 Jun 3; 2017. Koma: bcr-2016-218105.