He aha te Heparin me te konutai pūhaumāota: Ngā whakamahinga, te inenga, ngā pānga taha me ētahi atu

Ko te heparin me te konutai pūhaumāota he rongoā whakakotahi e ārai ana i ngā pūhui toto i te wā e pupuri ana i ngā rārangi IV kia mārama, kia whai hua. E whakakotahi ana tēnei otinga i te heparin, he mea whakaheke toto, me te konutai pūhaumāota (wai tote) hei hanga i tētahi huarahi haumaru, whai hua ki te pupuri i ō wāhi uru uaua.

Mēnā kei te whiwhi koe i te rongoā IV, kei a koe rānei he kātere, he tūranga pūmau engari nui tēnei rongoā i roto i tō atawhai. E mahi ana i ngā wāhi o muri hei ārai i ngā pūhui mōrearea mai i te hanganga i roto i ō rārangi IV i te wā e whakarite ana kia noho hauora ō uaua i roto i tō maimoatanga.

He aha te Heparin me te konutai pūhaumāota?

Ko te heparin me te konutai pūhaumāota he otinga kore huakita e whakakotahi ana i ngā wāhanga e rua e tika ana mō te atawhai IV. Ko te Heparin he mea whakaheke toto tūturu e ārai ana i te toto mai i te pūhui, i te wā e rite ana te konutai pūhaumāota ki te wai tote rongoā e taurite ana ki te toenga wai tūturu o tō tinana.

E hanga ana tēnei whakakotahitanga i te mea e kīia ana e ngā kaiwhakarato hauora he "heparin flush" rānei "heparin lock." He mea hanga motuhake te otinga kia ngawari ki ō uaua i te wā e whakarato ana i te whakamarumaru pono ki te hanganga pūhui. Kua whakamahia haumaru i roto i ngā hōhipera me ngā whare haumanu mō ngā tekau tau.

Ka tae mai te rongoā i roto i ngā syringe kua whakakiia i mua, i ngā ipu rānei me ngā kukū tino motuhake. Ka whakamahi tonu tō rōpū hauora i te kaha tika e hiahiatia ana mō tō āhuatanga motuhake, e whakarite ana i te haumaru me te whai huatanga.

He aha te Heparin me te konutai pūhaumāota e whakamahia ana mō?

E mahi ana tēnei rongoā hei kaitiaki mō ō wāhi uru IV, e ārai ana i ngā pūhui toto ka taea te aukati i tō kātere, i te rārangi IV rānei. Ko te mea nui e whakamahia ana ki te pupuri i te tuwhera (te tuwhera) o ngā kātere rārangi uaua i te wā e kore e whakamahia ana mō te rongoā, te tuku wai rānei.

E whakamahi ana ngā kaiwhakarato hauora i tēnei otinga i roto i ētahi wāhanga nui. Ki te mea he rārangi pokapū tō, he rārangi PICC, he IV tō waho e hiahia ana kia noho ki te wāhi mō ngā wā roa, mā te horoi i ngā wā katoa ki tēnei otinga ka pai te mahi o ngā mea katoa.

He mea nui hoki te rongoā i ngā wā o ētahi tikanga rongoā e tika ana kia mārama tonu te uru ki te IV. Kei roto i tēnei ko ngā maimoatanga dialysis, ngā wāhanga chemotherapy, me te rongoā paturopi wā-roa e hiahia ana tō rārangi IV kia mahi pono i ngā rā, i ngā wiki rānei.

Me pēhea te mahi a Heparin me te konutai pūhaumāota?

E mahi ana tēnei rongoā mā te whakararu i te tukanga whakakōpiko tūturu o tō tinana i tētahi ara tino whāinga. Ka whakahohe a Heparin i tētahi pūmua e kiia nei ko te antithrombin III, ā, ka aukati i ētahi mea whakakōpiko i roto i tō toto, e ārai ana i te hanganga o te kōpiko i te wāhi e noho ana te rongoā.

Ko te wāhanga konutai pūhaumāota te kaikawe tino pai mō te heparin i te wā e mau ana te taurite tika o ngā tote i roto i tō rerenga toto. He isotonic tēnei otinga wai tote, te tikanga e ōrite ana ki te hanganga wai tūturu o tō tinana, nō reira kāore e pā ana te riri, te raruraru rānei i roto i ō uaua.

Hei whakaheke toto, e kiia ana he kaha te heparin i te wā e whakamahia ana i te punaha puta noa i tō tinana. Heoi, i roto i ngā otinga horoi heparin, he iti noa iho ngā horopeta, ā, e mahi ana i te rohe i roto i tō rārangi IV, kaua ki te pā ki tō punaha tohanga toto katoa.

Me pēhea taku tango i te Heparin me te konutai pūhaumāota?

Kāore koe e

Ma te rōpū hauora e whakatau te wā tika me te auau o ēnei horoi i runga i tō āhuatanga takitahi. Ka whiwhi ētahi tūroro i ngā horoi i ngā wā katoa 8-12 haora, ā, ko ētahi atu tāngata ka hiahia pea i mua i te tango rongoā, i muri hoki i ia whakahaere rongoā, i ia tikanga rānei.

Kāore he here kai, he whakaritenga motuhake rānei e hiahiatia ana e koe. Kāore te rongoā e pā ana ki te kai, ā, ka taea e koe te kai me te inu noa iho ki te kore te tākuta i hoatu ētahi atu tohutohu motuhake ki a koe e pā ana ki tō mahere maimoatanga whānui.

Kia Pēhea te Roa e Tango Ana ahau i te Heparin me te Konutai Chloride?

Ko te roa o te whakamahi i te heparin me te konutai chloride e whakawhirinaki ana ki te roa e hiahia ana koe kia noho tonu tō uru IV. Ka taea e tēnei te whānui mai i ētahi rā mō ngā maimoatanga wā-poto ki ētahi wiki, marama rānei mō te manaaki hauora e haere tonu ana.

Mō ngā tūroro e whai rārangi IV rangitahi ana, ka haere tonu ngā horoi kia tangohia rā anō te katheta. Ki te whai rārangi pokapū, tauranga rānei koe mō te wā roa, ka whiwhi pea koe i ēnei horoi mō te wā e noho ana te pūrere i tō tinana, ā, ka roa pea te marama, te tau rānei.

Ka arotakehia e tō kaiwhakarato hauora i ngā wā katoa mēnā kei te hiahia tonu koe i te uru IV me ngā horoi heparin e pā ana. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō hauora whānui, te ahunga whakamua o te maimoatanga, me ō raru katoa ka puta. Ko te whāinga tonu ko te whakarato i te rongoā mō te wā tika e whai hua ana, e tika ana.

He Aha ngā Pānga Taha o te Heparin me te Konutai Chloride?

He pai te aro o te nuinga o te tāngata ki ngā horoi heparin me te konutai chloride, me te iti noa o ngā pānga taha. I te mea he iti ngā horopeta, ā, e mahi ana i te rohe i roto i tō rārangi IV, he iti ake te tūpono ka pā ki a koe ngā pānga taha e pā ana ki ngā whakaheke toto horopeta-katoa e hoatu ana puta noa i tō tinana.

Koinei ngā pānga taha tino noa ka kitea e koe, ahakoa kāore te nuinga o te tāngata e pā ana:

• He mōmona ngawari, he ngawari rānei i te wāhi IV
• He pānga iti, he ngau rānei i te wā o te horoi
• He toto iti e roa ana te mutu ki te tapahia koe
• He whero, he mahana rānei i te taha o te wāhi whakauru katita

Ko ēnei pānga noa he wā poto noa iho, ka tere te ngaro. Ka aroturukihia e tō rōpū hauora ēnei pānga, ā, ka taea te whakatika i tō manaaki ki te hiahiatia.

He onge ngā pānga taha nui ake, engari me āta rongoa tonu. Ko ēnei pānga onge pea:

• He toto rereke e kore e mutu i te pēhanga noa
• Ngā tohu o te pānga mate pāwera pēnei i te pāwera, te mōmona, te uaua rānei ki te hā
• He mōmona nui e puta ohorere ana, e horapa tere ana rānei
• He toto i roto i tō mimi, he tūtae pouri rānei
• He mamae pūpū, he whanoke rānei

Kua whakangungua tō rōpū hauora ki te mōhio me te whakautu ki ēnei raruraru onge tonu. Ka āta aroturukihia koe, ina koa i te wā tuatahi ka tīmata koe ki te whiwhi i te rongoā.

Ko wai e kore e tango Heparin me te konutai pūhaumāota?

Ko ētahi āhuatanga hauora ka kore e tika, ka mōrearea rānei te heparin me te konutai pūhaumāota. Ka āta arotakehia e tō kaiwhakarato hauora tō hītori hauora i mua i te whakamahi i tēnei rongoā kia mōhio ai he haumaru mō tō āhuatanga motuhake.

Ko ngā tāngata e whai mate toto kaha ana, e pā ana rānei ki te toto e kore e whakahaerehia, kaua e whiwhi i ngā horoi heparin. Kei roto i tēnei ko ngā āhuatanga pēnei i te mate ate nui, ētahi momo anemia, i te pokanga nui rānei i ngā wā tata nei, kei te nui te mōrearea o te toto.

Mēnā he pāwera tō mōhio ki te heparin, kua whakawhanake rānei i tētahi āhuatanga e kīia nei ko te heparin-induced thrombocytopenia (HIT) i mua, ka whakamahia ētahi atu otinga horoi. He pānga onge engari he nui te HIT i te wā e whakaputa ana te heparin i ngā toto toto mōrearea, kaua ki te ārai i a rātou.

Me mōhio ngā tūroro e pā ana ki te mate tākihi nui, te pēhanga toto tiketike kāore i te whakahaeretia, ētahi mate ngākau rānei, me whakatika te horopeta, me whakamahi rānei i ētahi rongoā kē. Ka whakaarohia e tō rōpū hauora ēnei āhuatanga katoa i te wā e whakamahere ana i tō atawhai IV.

Ngā Ingoa Waitohu o Heparin me te Konutai Hāoraida

E wātea ana tēnei rongoā i raro i ētahi ingoa waitohu, ahakoa he maha ngā hōhipera me ngā whare haumanu e whakamahi ana i ngā putanga whānui e mahi ana i te pai. Ko ngā ingoa waitohu noa ko Hep-Lock, HepFlush, me ngā whakaritenga motuhake o te hōhipera.

Ko te nuinga o ngā whare hauora e whakarite ana i ā rātou ake otinga heparin me te konutai hāoraida, e hoko rānei mai i ngā kamupene rongoā motuhake. Kāore te ingoa waitohu e whakamahia ana e pā ana ki tō rongoā, i te mea me tutuki ngā paerewa haumaru me te whai hua i ngā putanga katoa.

Ka whakamahi tonu tō kaiwhakarato hauora i te kukume me te hanganga e tika ana mō tō momo uru IV me ngā hiahia hauora. Ahakoa he putanga waitohu, he putanga whānui rānei, ka mahi te rongoā i te ara kotahi hei pupuri i tō rārangi IV e mahi tika ana.

Ngā Kōwhiringa kē o Heparin me te Konutai Hāoraida

He maha ngā kōwhiringa kē mō te pupuri i te tuwhera o te rārangi IV i te wā kāore e tika ana, e wātea ana rānei te heparin. Ko te wai tote noa (konutai hāoraida anake) te kōwhiringa kē noa, ahakoa me nui ake te horoi i te wā e pōti ai.

Mō ngā tūroro kāore e taea te whiwhi heparin nā te mate pāwera, ētahi atu raruraru rānei, ka whakamahi ngā kaiwhakarato hauora i ngā rongoā whakaheke toto kē pēnei i te argatroban, te bivalirudin rānei. E mahi ana ēnei rongoā i te rerekē atu i te heparin engari ka tutuki i te whāinga kotahi o te aukati i te hanganga o te pōti.

Ko ētahi hangarau kātera hou i hangaia hei whakaiti i te hiahia mō ngā horoi whakaheke toto. He paninga motuhake, he hoahoa rānei ō ēnei kātera motuhake e ātete ana ki te hanganga pōti, ahakoa kāore e tika ana mō ngā āhuatanga katoa.

He Pai Anei te Heparin me te Konutai Hāoraida i te Wai Tote Noa?

Ko te whakatau i waenga i te heparin me te konutai pūhaumāota me te wai tote noa anake e whakawhirinaki ana ki tō āhuatanga hauora me te momo uru IV kei a koe. Mo te maha o nga IV taha-poto, he pai te mahi a nga horoi wai tote noa, karekau hoki e mau ana i nga tupono toto iti e pa ana ki te heparin.

Heoi, mo nga raina pokapū mo te wa roa, mo nga turoro e nui ana te tupono ki te hanga toto, he maha nga wa ka whai hua ake te heparin me te konutai pūhaumāota ki te aukati i nga aukati. Ko te iti o te heparin e whakarato ana i te whakamarumaru taapiri ka tino nui mo te pupuri i te uru IV mo nga wa roa.

Ka whakaarohia e to roopu hauora nga mea penei i to tupono toto, te momo katita kei a koe, te roa e hiahia ana koe ki te uru IV, me to ahuatanga hauora katoa i te wa e whiriwhiri ana i waenga i enei whiringa. He haumaru me te whai hua i te wa e whakamahia ana.

Nga Pātai e Pātai pinepine ana mo te Heparin me te Konutai Pūhaumāota

He Haumaru te Heparin me te Konutai Pūhaumāota mo nga Wahine Hapū?

Ko te heparin me te konutai pūhaumāota e kiia ana he haumaru i te wa e hapu ana i te wa e whakamahia ana hei horoi raina IV. Karekau te Heparin e whiti i te waahi, no reira karekau e pa ki to peepi e tipu ana. Heoi, ka ata tirotirohia koe e to kaiwhakarato hauora, a ka whakatika pea i te auau, i te kukū ranei i runga i to wahanga haputanga.

I etahi wa ka nui ake te tupono o te toto o nga wahine hapu, na reira he mea nui ake nga horoi heparin mo te pupuri i te uru IV. Ka mahi tahi to roopu whakawhanau me etahi atu kaiwhakarato hauora kia noho haumaru ai koe me to peepi i roto i to maimoatanga.

Me aha ahau ki te whiwhi ohorere au i te nui rawa o te Heparin me te Konutai Pūhaumāota?

I te mea ka tukuna tonu tenei rongoa e nga tohunga hauora, he tino onge nga horopeta ohorere. Mena kei te awangawanga koe mo te whiwhi i te nui rawa, whakamohio tonu ki to nēhi, ki te tākuta ranei. Ka taea e ratou te arotake tere i to ahuatanga me te mahi tika ki te hiahiatia.

Ko ngā tohu o te nui rawa o te heparin ka uru pea ko te toto rere ke, te pāpā nui, te toto rānei i roto i tō mimi. Heoi, ko ngā horopeta iti e whakamahia ana i roto i ngā horoi IV ka kore rawa e puta he horopeta nui. Ka mātakitaki tata tō rōpū hauora i a koe, ā, ka taea te whakatika i ngā pānga o te heparin ki te tika.

Me pēhea taku mahi mēnā ka ngaro i ahau tētahi horopeta o te Heparin me te Konutai Chloride?

Kāore koe e hiahia ki te māharahara mō te ngaro i ngā horopeta nā te mea ka whakahaerehia tēnei rongoā e ngā tāngata ngaio hauora mōu. Mēnā ka whakawhāia tētahi horoi kua whakaritea, ka hoatu e tō nēhi i te wā e taea ai, ā, ka whakatika i te wā o ngā horopeta a muri ake nei.

Ko te ngaro i tētahi horoi i ētahi wā ka uaua, ina koa ki te uru IV wā-poto. Ka arotakehia e tō rōpū hauora te mahi o tō rārangi IV, ā, ka mahi pea i ētahi atu horoi mēnā e tika ana kia mōhio ai kei te pai tonu ngā mea katoa.

Āhea taku mutu i te tango i te Heparin me te Konutai Chloride?

Ka mutu te rongoā i te wā e kore e hiahiatia ana tō uru IV, i te wā rānei e tangohia ana tō kātera. Mā tō kaiwhakarato hauora e whakatau tēnei whakatau i runga i te ahunga whakamua o tō maimoatanga me ō hiahia hauora whānui.

Mō ngā tūroro me ngā rārangi pokapū wā-roa, ngā tauranga rānei, ka taea te haere tonu ngā horoi heparin mō te kore mutunga ki te pupuri i te mahi o te pūrere. Ka arotakehia e tō rōpū hauora i ngā wā katoa mēnā kei te hiahia tonu koe i te uru IV, ā, ka whakatika i tō mahere tiaki kia rite.

Ka taea e te Heparin me te Konutai Chloride te pā ki ōku rongoā kē atu?

He mea noa ngā pānga rongoā ki ngā otinga horoi heparin nā te mea he iti ngā horopeta, ā, e mahi ana i te rohe i roto i tō rārangi IV. Heoi, mēnā kei te tango koe i ētahi atu whakaheke toto pēnei i te warfarin, te aspirini rānei, ka mātakitaki tata tō kaiwhakarato hauora i a koe mō ngā tohu o te toto rere nui ake.

Whakamōhio tonu ki tō rōpū hauora mō ngā rongoā katoa, ngā tāpiringa, me ngā rongoā otaota e tango ana koe. Ka taea e rātou te tautuhi i ngā pānga pea, ā, ka whakatika i tō mahere tiaki kia mōhio ai kei te haumaru koe i roto i tō maimoatanga.