He aha te Dalteparin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Dalteparin he rongoā whakaheke toto e āwhina ana ki te ārai i te hanganga o ngā kōpuku toto mōrearea i tō tinana. No tētahi rōpū rongoā e kīia ana ko te heparins iti te taumaha ngota, e mahi ana mā te whakaiti i te tūponotanga o tō toto ki te pūhui tahi me te hanga i ngā kōpuku ka ārai i ngā oko toto nui.

Ka tukuna tēnei rongoā mā te werohanga i raro i tō kiri, i te nuinga o te wā i tō puku, i tō huha rānei. Ka tohutohu pea tō tākuta i te dalteparin mēnā kei te tūpono koe ki ngā kōpuku toto nā te pokanga, te noho roa i te moenga, ētahi momo mate rānei.

He aha te Dalteparin e whakamahia ana?

Ka āwhina te Dalteparin ki te tiaki i a koe i ngā kōpuku toto e mōrearea ana ki te ora. Ka tohutohu tō tākuta i tēnei rongoā i te wā e hiahia ana tō tinana ki te tiaki atu i te hanganga o ngā kōpuku i roto i ō oko toto.

Ko ngā wāhanga tino noa e hiahiatia ana te dalteparin ko te ārai i ngā kōpuku i muri i ngā pokanga nui, ina koa ko te whakakapinga o te hope, o te turi rānei. I roto i ēnei tukanga, ka mahi pea te pūnaha pūhui tōtō o tō tinana i te pai rawa atu, ka hanga kōpuku i ngā wāhi kāore e tika ana.

Me titiro ki ngā āhuatanga motuhake e whakarato ana te dalteparin i te tiaki nui:

• Te ārai i ngā kōpuku toto i muri i ngā pokanga orthopedic pēnei i te whakakapinga o te hope, o te turi rānei
• Te ārai i ngā kōpuku i roto i ngā tāngata e noho ana i te moenga mō ngā wā roa
• Te rongoā i te thrombosis uaua hōhonu (ngā kōpuku toto i roto i ngā uaua waewae)
• Te ārai i ngā kōpuku i roto i ngā tāngata e whai ana i ētahi momo mate pukupuku
• Te rongoā i te pulmonary embolism (ngā kōpuku toto e haere ana ki ngā pūkahukahu)
• Te ārai i ngā kōpuku i roto i ngā tāngata e mate ana i ngā mate rongoā koi e iti ana te neke

Ko ia o ēnei āhuatanga e whakatakoto ana i te pēhanga atu ki tō pūnaha tohanga. Ka uru mai te Dalteparin ki te āwhina i tō tinana ki te pupuri i te taurite tika i waenga i te pūhui i te wā e hiahiatia ana me te ārai i te hanganga o ngā kōpuku kino.

Me pēhea te mahi a te Dalteparin?

Ka mahi a Dalteparin mā te rārangi i te tukanga tūturu o tō tinana ki te whakaheke toto i tētahi ara tino whāinga. E kiia ana he rongoā whakaheke toto kaha tōna, e tere ana te mahi i te wā e werohia ana i raro i tō kiri.

Whakaarohia te pūnaha whakaheke toto o tō toto hei rēhita uaua me ngā kai maha. Ka aukati a Dalteparin i tētahi kai nui e kiia ana ko Factor Xa, he mea nui mō te hanga i ngā pūtau toto. Mā te aukati i tēnei mea, ka ārai te rongoā i tō toto kia kore e whakaheke tere rawa i te wā e āhei tonu ana te whakaora noa.

Ka tīmata te mahi o te rongoā i roto i ngā hāora i muri i tō werohanga, ā, ka eke ki tōna tino pānga i roto i te 4 hāora. Ko tēnei mahi tere e tino whai hua ana i ngā wā e hiahia ana koe ki te tiaki tonu i ngā pūtau toto.

Me pēhea taku tango i te Dalteparin?

Ka hoatu a Dalteparin hei werohanga i raro i tō kiri, kāore i roto i te uaua, i te uaua rānei. Mā tō kaiwhakarato hauora koe, tētahi mema rānei o te whānau e ako me pēhea te hoatu i ēnei werohanga i te kāinga, rānei ka whiwhi koe i a rātou i tētahi whare hauora.

Ko ngā wāhi werohanga ko te nuinga o te wā ko te kiko momona huri noa i tō puku, kia 2 inihi te tawhiti mai i tō pito puku. Ka taea hoki e koe te werohia ki te wāhi o waho o tō huha o runga. He mea nui ki te huri i ngā wāhi werohanga kia kore ai e puta te riri kiri, ngā puku rānei.

Anei ngā mea e hiahia ana koe ki te mōhio mō te wā me te whakarite:

• Tangohia te dalteparin i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i tō toto
• Kāore koe e hiahia ki te kai i mua, i muri rānei i te tango i tēnei rongoā
• Whakawhāia te rongoā i roto i tō pouaka whakamātao, engari waiho kia mahana ki te pāmahana rūma i mua i te werohanga
• Kaua e rūrū te syringe, e tango rānei i ngā mirumiru hau mēnā kāore i tohutohutia e tō kaiwhakarato hauora
• Horoi i te wāhi werohanga ki te waipiro, waiho kia maroke rawa
• Pēhia te kiri mā te ngawari, whakaurua te ngira i te koki 90-tohu

Ka whakaatu mai tō kaiwhakarato hauora i te tikanga werohanga tika, ā, ka mōhio kei te pai koe ki te mahi. Kaua e whakaroa ki te pātai pātai, ki te tono rānei i tētahi whakaaturanga mēnā kāore koe i te mōhio ki tētahi taahiraa.

Kia Pēhea te Roa e Tango Ana ahau i te Dalteparin?

Ko te roa o tō maimoatanga dalteparin e whakawhirinaki ana ki te take e tango ana koe i te rongoā me tō āhuatanga hauora takitahi. Mā tō tākuta e whakatau te roa tika i runga i ō āhuatanga tūpono me tō āhuatanga hauora.

Mō te ārai pokanga, tērā pea ka tango koe i te dalteparin mō te 5 ki te 10 rā i muri i tō mahi. Mēnā kei te rongoā koe mō te pūtau toto kaha, ka roa pea tō maimoatanga mō ētahi marama. Ko ngā tāngata e haere tonu ana te rongoā mate pukupuku tērā pea ka hiahia ki te rongoā wā-roa.

Ka aroturuki tō tākuta i tō ahunga whakamua mā ngā arowhai me ngā whakamātautau toto. Ka whakatika rātou i tō mahere maimoatanga i runga i te pai o tō urupare me te huri o ō āhuatanga tūpono. Kaua rawa e mutu te tango dalteparin ohorere me te kore e kōrero tuatahi ki tō kaiwhakarato hauora, nā te mea ka tūpono koe ki ngā pūtau toto mōrearea.

He Aha ngā Pānga Taha o te Dalteparin?

Pērā i ngā rongoā whakaheke toto katoa, ka taea e te dalteparin te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko te pānga taha tino noa ko te piki o te toto, te pānga rānei, e puta ana nā te mea ka iti ake te tūpono o tō toto ki te pūtau.

Me tīmata tātou ki ngā pānga taha e tino tūpono ana koe ki te wheako, he mea whakahaere noa iho, ehara i te mōrearea:

• Te pānga, te whero rānei i ngā wāhi werohanga
• Te toto iti e roa ana ki te mutu (pērā i ngā tapahi iti)
• Te mamae rangitahi, te pūhi rānei i te wāhi e werohia ana e koe
• Ngā puku iti, te mārō rānei i raro i te kiri i ngā wāhi werohanga
• Te whakapairuaki iti, te pōrearea puku rānei
• Te mamae o te upoko, te whanoke rānei

Ko ēnei pānga taha noa ka pai ake i te wa e urutau ana tō tinana ki te rongoā. Ko te nuinga o te tangata e kite ana ko te huri i ngā wāhi werohanga me te whakamahi i te pēhanga ngawari i muri i te werohanga ka āwhina i te whakaiti i ngā tauhohenga ā-rohe.

Ināianei, me kōrero tātou mō ngā pānga taha tino nui e hiahia ana ki te āwhina hauora tonu, ahakoa he iti noa iho ēnei:

• Te toto nui e kore e mutu, tae atu ki te ihu nui, te pānga rānei
• Te toto i roto i tō mimi, i tō kūtai rānei, i te kūtai pango, i te kūtai tārā rānei
• Te mamae nui o te upoko, te rangirua, te huringa rānei o te tirohanga
• Te mamae o te uma, te uaua rānei ki te hā
• Te mamae nui o te puku, te ruaki toto rānei
• Ngā tohu o te toto i te tuaiwi mēnā i whai koe i ngā tikanga tuaiwi (te mamae nui o te tuara, te ngaro o te rongo, te ngoikore rānei)

He onge ēnei pānga taha nui engari e hiahia ana ki te āwhina hauora tonu. Mēnā ka pā ki a koe ēnei tohu, whakapā atu ki tō kaiwhakarato hauora i te wā tonu, rapu rānei i te āwhina hauora ohorere.

Ko wai e kore e tango Dalteparin?

Kāore i te haumaru te Dalteparin mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakarite. Ka mōrearea te rongoā mō te hunga whai i ētahi āhuatanga, mō te hunga rānei e tango ana i ētahi rongoā motuhake.

Kaua koe e tango dalteparin mēnā he toto kaha, kāore i te whakahaerehia i tō tinana. Kei roto i tēnei ko te pokanga tata me te toto tonu, ngā whewhe puku e toto ana, i ētahi āhuatanga rānei e pā ana ki te nui o te toto.

Ko ēnei ngā āhuatanga matua e kore ai e haumaru te dalteparin:

• Te toto kaha, ngā mate toto rānei
• Ngā raruraru tākihi nui
• Te mate pānga ki te dalteparin, ki ētahi atu heparins rānei
• Te hītori o te thrombocytopenia i whakauruhia e te heparin (he tauhohenga onge engari nui)
• Te roro tata, te kanohi, te pokanga tuaiwi rānei
• Te toto tiketike nui kāore i te whakahaerehia
• Ngā whewhe puku, ngā whewhe whekau rānei

Ka tūpato anō tō tākuta ki te whakahau i te dalteparin mēnā he ētahi atu āhuatanga ō koe e whakanui ana i te tūponotanga o te whakaheke toto, pēnei i te mate ate, te whiu i pā tata nei, mēnā rānei kei te tango koe i ētahi atu rongoā whakaheke toto. Kāore ēnei āhuatanga e aukati aunoa i te dalteparin, engari e hiahia ana kia nui ake te aroturuki me te whakatikatika i ngā horopeta.

Ngā Ingoa Waitohu o Dalteparin

Kei te wātea te Dalteparin i raro i te ingoa waitohu Fragmin i te nuinga o ngā whenua, tae atu ki te United States. Koinei te ingoa waitohu e mōhiotia whānuitia ana mō tēnei rongoā.

I te wā e whiwhi ana koe i tō rongoā, ka whakaatu pea te tapanga i te

• Enoxaparin (Lovenox) - he rongoā whakaheke toto werohia, he rite tonu te whakamahinga
• Fondaparinux (Arixtra) - he rongoā whakaheke toto waihanga mō ngā tūāhuatanga motuhake
• Warfarin (Coumadin) - he rongoā whakaheke toto waha e hiahia ana ki te aroturuki toto i ngā wā katoa
• Rivaroxaban (Xarelto) - he rongoā whakaheke toto waha hou ake nei
• Apixaban (Eliquis) - tētahi atu kōwhiringa waha, he iti ake ngā rāhui kai
• Heparin kāore i wehea - e whakamahia ana i ngā hōhipera

He painga me ngā whakaaro ō ia kōwhiringa. Ko ngā rongoā waha he pai ake pea engari ka pā tahi ki ngā kai me ētahi atu rongoā. Ko ngā kōwhiringa werohia he tere ake te mahi engari e hiahia ana ki te whakahaere ake.

He Pai Ake Anei te Dalteparin i te Enoxaparin?

He rongoā whakaheke toto pai te dalteparin me te enoxaparin, he rite tonu te mahi i tō tinana. Kāore tētahi e pai ake ana i tētahi – ko te kōwhiringa ka whakawhirinaki ki tō tūāhuatanga hauora me ngā whakaaro whaihua.

He pai ake pea te Dalteparin i ētahi tūāhuatanga, pērā i te hunga e raru ana i te pūkahukahu, nā te mea he rerekē te tukatuka e tō tinana. He mea tika anō kia kotahi te rongoā i te rā mō ngā momo tūāhuatanga, he pai ake pea tēnei ki ētahi i te rongoā e rua ngā wā i te rā.

Ko te Enoxaparin, i tētahi taha, kua nui ake te rangahau mō ētahi tūāhuatanga, ā, he pai ake pea mō te rongoā i ngā toto toto kaha. He nui ake anō te wātea, ā, he iti ake pea te utu i te dalteparin.

Ka kōwhiri tō tākuta i waenga i ēnei rongoā i runga i ngā mea pērā i tō mahi pūkahukahu, te tūāhuatanga motuhake e rongoā ana, te inihua, me ō hiahia whaiaro mō te auau rongoā. He tino whai hua ngā rongoā e rua ina whakamahia tika ana.

Ngā Pātai e Pātai Pinepine ana mō te Dalteparin

Q1. He Haumaru Anei te Dalteparin mō te Hunga e Raru ana i te Pūkahukahu?

Ka taea te whakamahi tūpato i te dalteparin mō te hunga he raruraru tākihi ngawari ki te pōturi, engari me mātakitaki pū, ā, he maha ngā wā ka whakatikatikahia te horopeta. Ka āwhina ō tākihi ki te tango i tēnei rongoā i tō tinana, nō reira ka taea e te mahi tākihi kua iti te whakaputa i te rongoā kia piki ake ki ngā taumata mōrearea.

Mēnā he mate tākihi tōu, ka tono pea tō tākuta i ngā whakamātautau toto i ia wā ki te mātakitaki i te mahi o ō tākihi, ā, ka tohutohu pea i tētahi horopeta iti ake. Ko te hunga he ngoikore tākihi nui e kore e taea te whakamahi i te dalteparin, ā, me whai i ētahi atu kōwhiringa whakaheke toto.

Q2. Me pēhea ahau ki te kore e tika te whakamahi i te nui rawa o te Dalteparin?

Mēnā ka werohia e koe te nui rawa o te dalteparin, whakapā atu ki tō kaiwhakarato hauora, ki te pokapū whakahaere paitini rānei i te wā tonu. Kaua e tatari kia kite mēnā ka puta ngā tohu, i te mea ka nui rawa te whakaheke toto ka puta te toto nui i roto.

I te wā e tatari ana ki ngā tohutohu hauora, mātakitaki mō ngā tohu o te toto nui pēnei i te pānga o te pānga, te ihu e kore e mutu, te toto i roto i te mimi, i te tūtae rānei, i te mamae nui o te upoko rānei. I ētahi wā, ka tohutohu pea tō tākuta kia haere ki te ruma ohorere mō te mātakitaki me te maimoatanga pea me ngā rongoā ka taea te whakahoki i ngā pānga o te dalteparin.

Q3. Me pēhea ahau ki te ngaro i te horopeta o te Dalteparin?

Mēnā ka ngaro i a koe tētahi horopeta o te dalteparin, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau - kaua e rua ngā horopeta.

Mēnā he maha ngā wā ka wareware koe i ngā horopeta, whakamātauhia te whakatakoto i ngā pūoho waea, te whakamahi rānei i tētahi kaiwhakarite pire me ngā wāhi mō ia rā. He mea nui te horopeta rite tonu mō te pupuri i ngā taumata toto pūmau me te ārai i ngā toto toto. Kōrero ki tō kaiwhakarato hauora mēnā kei te raru koe ki te mahara ki tō hōtaka rongoā.

Q4. Āhea ahau e mutu ai te tango i te Dalteparin?

Kaua e mutu te tango i te dalteparin me te kore e kōrero tuatahi ki tō kaiwhakarato hauora. Ko te whakamutu ohorere ka waiho koe i te tūponotanga tonu mō ngā pūhui toto mōrearea, ina koa kei te tūpono tonu koe nā te pokanga tata, ngā āhuatanga rānei o te hauora.

Ka whakatau tō tākuta i te wā e haumaru ana te whakamutu i runga i tō āhuatanga hauora, te pai o tō whakaora, me te mea kua huri ō āhuatanga tūpono. Ka whakaiti pea rātou i tō horopeta, ka huri rānei i a koe ki tētahi momo whakaheke toto kē i mua i te whakamutu katoa.

Q5. Ka taea e au te inu waipiro i te wā e tango ana i te Dalteparin?

Ko te inu waipiro i te āhua tika e whakaaetia ana i te wā e tango ana i te dalteparin, engari ko te inu nui ka piki ake te tūponotanga o ngā raruraru toto. Ka pā te waipiro ki te kaha o tō ate ki te whakaputa i ngā mea e pūhui ana, ā, ka nui ake te tūponotanga o te toto.

Mēnā ka whiriwhiri koe ki te inu waipiro, inu i te āhua tika, ā, kia tūpato ki ngā mahi ka whara, ka whara rānei. Kōrero ki tō kaiwhakarato hauora mō te nui o te waipiro e haumaru ana mō tō āhuatanga motuhake, ina koa he raruraru ate tō, kei te tango rānei koe i ētahi atu rongoā.