Cov ntshav thinners (anticoagulants) yog chav kawm ntawm cov tshuaj kws tshuaj uas txo cov ntshav txhaws tsim los txo qis kev pheej hmoo mob plawv lossis mob hlab ntsha tawg. Anticoagulants pab rau ntau tus neeg, tab sis lawv tseem tuaj yeem muaj kev pheej hmoo loj ntawm kev phiv tshuaj. Tham nrog koj tus kws kho mob txog kev cuam tshuam nrog tshuaj thiab kev hloov pauv hauv lub neej uas tuaj yeem cuam tshuam rau koj kev noj qab haus huv yog tias koj noj cov tshuaj thim ntshav.
Cov kauj ruam
Ntu 1 ntawm 4: Zam Kev Tiv Thaiv Tshuaj
Kauj Ruam 1. Nrhiav lwm txoj hauv kev rau NSAIDs thiab tshuaj aspirin
Cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) thiab tshuaj aspirin feem ntau yog siv rau qhov mob me me. Txawm li cas los xij, noj cov tshuaj no thaum koj nyob rau anticoagulants tuaj yeem ua rau muaj kev pheej hmoo los ntshav ntau dhau. Yog tias koj tab tom noj cov tshuaj ntshav, nws yog qhov zoo tshaj los nrhiav lwm txoj hauv kev uas yuav tom khw.
- Cov tshuaj Acetaminophen feem ntau muaj kev nyab xeeb los noj nrog cov ntshav thinner, tab sis lawv yuav tsum tsis txhob noj ntau dhau, vim qhov no yuav ua rau koj lub siab puas.
- Nug koj tus kws kho mob txog kev noj tshuaj acetaminophen los ua lwm yam tshuaj aspirin lossis NSAIDs.
Kauj Ruam 2. Tsis txhob noj tshuaj uas ua rau ntshav khov
Qee cov tshuaj noj yuav ua rau koj lub cev muaj peev xwm los tsim cov ntshav khov. Cov tshuaj no tuaj yeem ua rau muaj teeb meem yog tias koj tab tom noj tshuaj anticoagulants kom koj cov ntshav nyias thiab tiv thaiv ntshav khov. Cov tshuaj ib txwm uas yuav txo qis cov ntshav ua kom cov tshuaj tiv thaiv coagagant suav nrog, tab sis tsis txwv rau:
- Carbamazepine (Tegretol) - anticonvulsant thiab lub siab ruaj khov.
- Phenobarbital (Luminal) - anticonvulsant uas tseem txo kev ntxhov siab.
- Phenytoin (Dilantin) - anticonvulsant.
- Rifampin (Rifadin) - kho tus kab mob ntsws (TB).
- Vitamin K - cov vitamins uas txhawb nqa ntshav coagulation.
- Cholestyramine (Questran) - txo cov qib roj cholesterol.
- Sucralfate (Carafate) - antacid siv los kho mob txhab.
Kauj Ruam 3. Paub cov tshuaj twg kuj ua ntshav ntshav
Ib yam li qee yam tshuaj ua rau ntshav txhaws, lwm yam tshuaj ua rau koj cov ntshav qis. Qhov no tuaj yeem ua rau koj cov ntshav dhau dhau yog tias koj twb tau noj tshuaj anticoagulants lawm. Teem sijhawm kuaj ntshav ntxiv nrog koj tus kws kho mob yog tias koj yuav tsum noj tshuaj tua kab mob, tshuaj tua kab mob, lossis lwm yam tshuaj uas paub tias yog tshuaj tiv thaiv kab mob anticoagulant. Qee cov tshuaj anticoagulants feem ntau suav nrog, tab sis tsis txwv rau:
- Amiodarone (Cordarone thiab Pacerone) - tshuaj tiv thaiv kab mob siv los kho lub plawv tsis xwm yeem.
- Co -trimoxazole (Bactrim thiab Septra) - tshuaj tua kab mob.
- Ciprofloxacin (Cipro) - tshuaj tua kab mob.
- Clarithromycin (Biaxin) - tshuaj tua kab mob uas tseem siv los kho qee qhov txhab.
- Erythromycin - tshuaj tua kab mob.
- Fluconazole (Diflucan) - tshuaj tua kab mob.
- Itraconazole (Sporanox) - tshuaj tua kab mob.
- Ketoconazole (Nizoral) - tshuaj tua kab mob.
- Lovastatin (Mevacor) - cov tshuaj cholesterol.
- Metronidazole (Flagyl) - tshuaj tua kab mob.
Ntu 2 ntawm 4: Hloov Txoj Kev Ua Neej
Kauj Ruam 1. Txwv cov khoom noj uas muaj vitamin K ntau
Noj cov zaub mov nplua nuj nyob hauv vitamin K tuaj yeem ua rau koj lub cev muaj peev xwm los tsim cov ntshav khov. Qhov no tuaj yeem txo qhov ua tau zoo ntawm anticoagulants los ntawm kev txo lawv lub peev xwm los ua kom koj cov ntshav thiab tiv thaiv ntshav khov.
- Cov zaub ntsuab ntsuab zoo li zaub ntsuab, zaub xas lav, zaub ntsuab, thiab zaub xas lav yog cov nplua nuj nyob hauv cov vitamin K thiab tuaj yeem hloov kho cov ntshav kom zoo.
- Cruciferous zaub, xws li zaub paj, Brussels sprouts, zaub qhwv, thiab asparagus, txhua tus muaj vitamin K siab thiab yog li yuav tsum zam.
- Lwm cov zaub uas yuav tsum zam lossis noj tsawg hauv qhov suav nrog khov taum thiab okra.
- Tham nrog koj tus kws kho mob thiab/lossis kws noj zaub mov noj txog kev noj zaub mov zoo uas yuav tsis cuam tshuam qhov ua tau zoo ntawm koj cov tshuaj.
Kauj Ruam 2. Zam cov tshuaj ntsuab uas hloov koj li INR
Qee cov tshuaj ntsuab ua raws li cov ntshav thinner. Yog tias koj haus cov tshuaj ntsuab no thaum noj tshuaj tiv thaiv kab mob anticoagulants, koj cov ntshav yuav dhau los ua tuab heev. Qhov no tuaj yeem ua rau nqaij tawv ntau dhau thiab los ntshav, uas tuaj yeem ua rau muaj teeb meem ntxiv.
- Zam tshuaj ntsuab.
- Tsis txhob noj tshuaj ntsuab, suav nrog (tab sis tsis txwv rau) alfalfa, clove, echinacea, qhiav, gingko Biloba, ginseng, tshuaj yej ntsuab, thiab St. John's wort.
Kauj Ruam 3. Txiav luam yeeb nicotine thiab cawv
Nicotine tuaj yeem ua rau koj pheej hmoo ntawm kev tsim cov ntshav txhaws thiab kab mob plawv. Dej cawv tuaj yeem ua rau qee cov ntshav ua kom tsis zoo. Nws kuj tseem tuaj yeem ua rau lub plab los ntshav, uas yuav ntau dhau vim yog cov tshuaj tiv thaiv kab mob.
Ua haujlwm nrog koj tus kws kho mob txog kev npaj ua ke txiav kev haus luam yeeb lossis haus luam yeeb yog tias tam sim no koj haus nicotine lossis cawv tsis tu ncua
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog cov vitamins thiab tshuaj ntxiv
Ntau cov vitamins thiab tshuaj ntxiv cuam tshuam rau koj lub cev lub peev xwm los tsim cov ntshav khov. Yog noj nrog anticoagulants, cov vitamins thiab tshuaj ntxiv no tuaj yeem ua rau muaj teeb meem kev kho mob hnyav.
- Tsis txhob noj cov vitamins uas muaj ntau dua li niaj hnub pom zoo kom tau txais cov vitamins A, E, lossis C yog tias koj noj cov ntshav thinner.
- Ntses roj, qej roj, thiab qhiav tshuaj ntxiv yuav tsum zam txhua yam.
- Dos thiab qej extracts feem ntau muag raws li cov tshuaj ntxiv, tab sis lawv yuav cuam tshuam rau koj li INR thiab yog li yuav tsum zam.
Kauj Ruam 5. Qhia rau koj tus kws kho mob txog kev mus deb
Cov tib neeg uas taug kev mus ntev, feem ntau txhais tias yog kev mus ncig ntev dua plaub teev, tej zaum yuav muaj kev pheej hmoo loj ntawm kev tsim cov ntshav khov. Qhov no suav nrog kev caij tsheb, tsheb npav, tsheb ciav hlau, lossis dav hlau.
Yog tias koj tab tom noj cov tshuaj ntshav ntshav, koj tus kws kho mob yuav qhia koj kom hloov koj lub sijhawm tshuaj kom tiv thaiv kev pheej hmoo ntawm ntshav khov thaum mus ncig
Ntu 3 ntawm 4: Txo Koj Qhov Kev Raug Mob
Kauj Ruam 1. Tsis txhob tso tseg koj cov tshuaj
Thaum noj cov tshuaj thim ntshav tuaj yeem ua rau koj muaj ntshav ntau ntxiv yog tias koj raug mob, nws yuav tsum nyob twj ywm ntawm cov tshuaj no kom tsis txhob muaj lwm yam teeb meem loj, xws li mob hlab ntsha tawg, mob ntsws hauv lub ntsws, lossis myocardial infarction. Nco ntsoov tias koj tseem noj koj cov tshuaj tshwj tsis yog koj tus kws kho mob qhia koj kom tsis txhob noj nws.
Kauj Ruam 2. Tiv thaiv kev raug mob
Vim tias anticoagulants txo koj lub cev lub peev xwm los tsim cov ntshav khov, koj txoj kev pheej hmoo los ntshav ntau dhau yog qhov tseem ceeb dua. Koj tuaj yeem txo koj qhov kev pheej hmoo ntawm kev raug mob los ntawm kev txo koj qhov kev sib cuag nrog cov khoom ntse thiab zam kev sib cuag kis las/kev ua ub no.
- Ceev faj heev thaum siv riam, txiab, thiab rab chais hniav. Koj yuav xav txiav txim siab hloov mus rau rab chais hluav taws xob yog tias koj txiav ib feem ntawm koj lub cev.
- Ceev faj thaum koj txiav koj cov rau tes thiab ntiv taw kom tiv thaiv ntshav ntau dhau los ntawm koj cov cuticle.
- Ua nrog cov dej num qis thiab tsis sib cuag xws li ua luam dej thiab taug kev.
- Tham nrog koj tus kws kho mob ua ntej pib ib qho kev tawm dag zog tshiab lossis ncaws pob/ua si.
- Koj tseem tuaj yeem tham txog koj cov kev xaiv tshuaj nrog koj tus kws kho mob kom nrhiav tau ib qho uas ua rau muaj kev pheej hmoo qis tshaj ntawm cov ntshav ntau yog tias koj raug mob.
Kauj Ruam 3. Siv cov cuab yeej tiv thaiv
Yog tias koj tab tom noj tshuaj anticoagulants, koj yuav tsum ua tib zoo ceeb toom kom tsis txhob raug mob rau koj tus kheej. Qhov no suav nrog kev ceev faj thaum koj tab tom ua haujlwm nyob ib ncig ntawm lub tsev lossis taug kev yooj yim hauv koj lub zej zog.
- Hnav ib lub kaus mom hlau tiv thaiv txhua lub sijhawm koj caij skateboard, caij skateboard, lossis caij tsheb kauj vab lossis scooter, lossis xaiv yam kev nyab xeeb.
- Xaiv cov khau thiab cov khau khiab nrog cov khau uas tsis nplua kom txo tau txoj kev pheej hmoo ntawm kev ntog.
- Nco ntsoov koj hnav khau thiab hnab looj tes ua teb txhua lub sijhawm koj ua haujlwm hauv vaj. Koj tseem tuaj yeem hnav hnab looj tes tiv thaiv thaum koj tuav cov cuab yeej ntse los tiv thaiv kev raug mob.
Kauj Ruam 4. Ua zoo rau koj cov hniav thiab cov pos hniav
Koj yuav tsis xav txog kev txhuam koj cov hniav ua qhov txaus ntshai, tab sis yog tias koj noj tshuaj anticoagulants koj cov pos hniav tuaj yeem ntshav ntau dhau. Koj tuaj yeem ceev faj tiv thaiv qhov no los ntawm kev kho koj cov pos hniav maj mam muab thiab hloov pauv me me rau txoj hauv kev koj ntxuav koj cov hniav.
- Siv cov txhuam hniav mos mos los txo qhov kev pheej hmoo ua rau koj cov pos hniav raug mob.
- Tsis txhob txhuam hniav Hloov chaw, ntxuav koj cov hniav los ntawm kev ua tib zoo siv cov hlua dig hniav.
Kauj Ruam 5. Saib xyuas cov cim qhia tias siv tshuaj ntau dhau
Yog tias koj tsis tau kuaj koj cov ntshav tsis tu ncua los ntawm kws kho mob, muaj qhov pheej hmoo tias koj tuaj yeem noj ntau dhau lossis tsawg ntawm koj cov tshuaj. Hauv cov ntshav thinner, noj tshuaj ntau dhau ua rau muaj kev pheej hmoo los ntshav ntau ntxiv thiab nqaij tawv.
- Koj yuav tsum tau kuaj koj cov ntshav ntsuas tsis tu ncua rau qee yam tshuaj, xws li Warfarin. Kev ua haujlwm hauv lub limtiam yuav pab xyuas kom cov tshuaj ua haujlwm tau zoo thiab nws tseem tuaj yeem tiv thaiv kev siv tshuaj ntau dhau lossis kho qis.
- Cov nqaij ntau dhau, cov pos hniav los ntshav, los ntshav, qhov hnyav ntawm lub cev ntas, thiab los ntshav ntev los ntawm kev raug mob me me yog txhua yam teeb meem tshwm sim cuam tshuam nrog kev noj tshuaj kom ntshav ntau dhau.
- Kom koj cov ntshav kuaj tsis tu ncua los ntawm koj tus kws kho mob thiab qhia rau koj tus kws kho mob yog tias koj pom muaj ntshav ntau dhau los lossis nqaij tawv.
Kauj Ruam 6. Nkag siab txog qhov txaus ntshai cuam tshuam nrog cev xeeb tub
Qee cov ntshav thinner tsis nyab xeeb yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub. Lawv tuaj yeem ua rau muaj kev pheej hmoo nce ntshav hauv plab hauv plab thiab yug menyuam tsis xws luag. Vim li no, cov kws kho mob feem ntau pom zoo kom cov poj niam uas npaj yuav cev xeeb tub hloov mus rau cov ntshav thinner uas yuav tsis hla txoj hlab ntshav thiab cuam tshuam rau menyuam hauv plab. Qhov kev hloov no yuav tsum tau ua ua ntej cev xeeb tub.
- Warfarin (Coumadin), cov ntshav ntshav ntau dua, tsis muaj kev nyab xeeb rau lub sijhawm cev xeeb tub.
- Heparin, lwm cov ntshav ntshav ntau dua, yuav tsis hla txoj hlab ntshav thiab yog li ntawd xav tias feem ntau nyab xeeb rau noj thaum cev xeeb tub.
Ntu 4 ntawm 4: Ua Ntej Nrog Tus Kws Kho Mob
Kauj Ruam 1. Khaws tus kws kho mob teem caij sib ntsib tas li
Koj tus kws kho mob yuav tsum paub txog txhua yam kev hloov pauv koj ua rau koj kev noj zaub mov lossis kev ua haujlwm qoj ib ce. Koj yuav tsum tau qhia rau koj tus kws kho mob txog cov vitamins lossis tshuaj ntxiv uas koj tab tom txiav txim siab ua ntej koj pib noj lawv.
- Ntsib nrog koj tus kws kho mob seb puas muaj ib yam dej num twg uas koj tab tom txiav txim siab yuav ua rau koj pheej hmoo raug mob.
- Koj tus kws kho mob tseem tuaj yeem qhia koj yog tias cov vitamins thiab tshuaj ntxiv uas koj tab tom txiav txim siab yuav hloov pauv qhov ua tau zoo ntawm koj cov tshuaj tiv thaiv kab mob.
Kauj Ruam 2. Mus kuaj koj cov ntshav tas li
Yog tias koj noj tshuaj anticoagulants, nws yog ib qho tseem ceeb uas koj tau kuaj koj cov ntshav tas li. Koj cov ntshav cov ntshav muaj peev xwm raug ntsuas thiab tshaj tawm hauv International Normalized Ratio, lossis INR. Yog tsis muaj kev kuaj mob tas li, koj tus kws kho mob yuav tsis paub yog tias koj tab tom noj tshuaj kom ntshav kom raug.
- Nug koj tus kws kho mob ntau npaum li cas koj yuav tsum tau kuaj. Qee yam xws li kev mus ncig thiab txwv kev noj zaub mov noj tuaj yeem ua rau nce ntawm qhov koj pom zoo ntsuas INR.
- Yog tias koj tau txais qhov tshuaj kom raug ntawm cov ntshav ua kom yuag, koj li INR yuav tsum poob qhov twg los ntawm 2.5 thiab 3.0.
- Tus INR qis dua 1.0 txhais tau tias koj tsis tau txais kev cuam tshuam los ntawm koj cov tshuaj tiv thaiv kab mob. Qhov INR siab dua 5.0 yog qhov txaus ntshai heev thiab yuav tsum qhia rau koj tus kws kho mob tam sim.
Kauj Ruam 3. Hloov kho koj tus kws muag tshuaj
Ntxiv nrog rau kev qhia koj tus kws kho mob, koj yuav tsum tham nrog koj qhov xwm txheej kho mob rau koj tus kws muag tshuaj. Qee zaum yuam kev hauv kev xa tshuaj noj tuaj yeem ua rau hnyav, tuaj yeem ua rau tuag taus.
- Ceeb toom koj tus kws muag tshuaj kom paub tseeb tias koj noj cov tshuaj thim ntshav.
- Txheeb xyuas koj cov tshuaj txhua zaus koj nqa daim ntawv yuav tshuaj. Xyuas kom tseeb tias nws yog daim ntawv yuav tshuaj kom raug thiab nyeem daim ntawv lo kom pom tias cov ntshav thinner yuav ua rau tsis zoo.
Kauj Ruam 4. Qhia rau cov neeg ua haujlwm xwm txheej ceev
Yog tias koj ntsib xwm txheej ceev thiab raug kho los ntawm EMT lossis kws kho mob chav kho mob xwm txheej ceev, koj cov ntaub ntawv kho mob yuav tsis muaj tam sim ntawd. Txhawm rau tiv thaiv kev pheej hmoo ntawm kev siv yeeb tshuaj tsis zoo, koj yuav xav nqa qee hom laminated ID lossis hnav cov hlua tes kho mob ceeb toom rau cov neeg ua haujlwm xwm txheej ceev kom paub tseeb tias koj noj tshuaj anticoagulants.
