Ukusela utywala kunokuchaphazela kwi-blood coagulation. Ukuba usela isiselo esilinganiselwe sotywala-sichazwa njengesiselo esisodwa ngosuku-kunokufumana inzuzo yokusebenza njengegazi elincinci kwaye ukhusele ekunqamlezweni kwemibhobho eminyango, njenge-aspirin. Ngelo xesha, ukucoca igazi kunokukhawuleza ukuphuma kwiimithambo emilenzekileyo, okwandisa umngcipheko wokuphaphaka.
Kuya kudibanisa kunye ne-antiticoagulants njenge-Coumadin (warfarin).
Ukusela ngokulinganayo kuyisenzo sokulinganisela. Ukuba usela ngokuthe ngqo umlinganiselo ofanelekileyo wokuba "ulungelelanise" kunokuba kungcono kwimiphumo yempilo kunokuba ungaphuzi nhlobo, kodwa ukuba usela kuphela i-tad phezu kwezikhokelo zokumodareyitha, kuyingozi kakhulu kunokuba ungaphuzi nhlobo. Kubizwa ngokuba yi-J-curve. Nangona ushaya kwindawo enhle, ukusela ngokulinganayo yinkemba ehlangene ezimbini kunye nemiphumo enenzuzo kunye nezinye ezimbi.
Ukuthintela Ukusela Utywala Xa Uthabatha Igazi
Kufuneka ubale utywala ngelixa uthabatha igazi le-anticoagulant njenge-Coumadin (i-warfarin) njengoko iziphumo ezixakekayo zezobisi zinokusebenzisana nezobisi ezimiselweyo. Kuya kuba nzima kubaboneleli bezempilo bakho ukuba bafumane umlinganiselo ochanekileyo wegazi elichanekileyo xa usela utswala.
Njengoko uya kufakwa kwi-bloodnersners yegazi ukukhusela ingozi ebalulekileyo yempilo, njengengxaki enzulu ye-thrombosis, kungcono ukuba ungathathi umngcipheko kwaye ube nesiselo esinxilisayo.
Kwakhona, qwalasela ezinye iimiselo ozithathayo. Ngamanye amaxesha badibanisa negazi kunye nabotywala. Landela amanyathelo okuphepha kwaye ungayi kusela xa kukhuthazwa.
Musa ukutywala i-Alcohol ye-Ordinary Thinners Blood
Ngokufanayo, ukuba ufuna i-antiticoagulation ukunciphisa umngcipheko wempilo, akusikho kubuqili ukucinga ukuba ukusela utywala kunokutshintshisa abaxhasi begazi. Xa ugqirha ugunyazisa i-anticoagulant njengeCoumadin, uya kuba negazi lakho rhoqo uvavanyo olwenziwe ukuqinisekisa ukuba ufumana inani elichanekileyo legazi elincinci. Uncinci kwaye awukhuselwanga. Kuninzi kwaye unobungozi bokuphuma kwegazi.
Imiphumo eyahlukileyo yoTywala kwi-Coagulation
Ezinye iziphumo zibonisile ukuba abaphuzayo abavuthiweyo banesifo esincinci sesifo senhliziyo, kodwa amazinga aphakamileyo okwephaphaza kunokuba ahlasele. Iziphumo ezichaseneyo zotywala zifana neempembelelo zegazi ezinjenge-aspirin, ezikhusela ngokucacileyo ukuhlaselwa kweentliziyo kodwa ngenxa yecala lokunyuka okongezelelweyo, "kusho uKenneth J. Mukamal, umphandi onamaphepha amaninzi malunga nemiphumo yobutywala i-coagulation kunye neengozi zenhliziyo.
Asikho Isizathu Sokuqalisa Ukusela
Kukho ukunyaniseka okwenziweyo phakathi kwabaphandi ukuba ukusela ngokunyanisekileyo kunemiphumo yempilo yokukhusela kwisifo senhliziyo, ngokwe-CDC. Umgca wezantsi kukuba, nangona ukusela ngokuthe ngiselo kunokuba luncedo lwezempilo, kukho ingozi ebandakanyekayo, nayo.
Ukuba awuyaphuzi, izingozi zokuphuhlisa ezinye iingxaki ezinxulumene notywala zingase zikhulu kakhulu ukuqala ukusela ngenxa yeenzuzo zayo ezincinci.
> Imithombo:
> IiShidi zeeNkcazo - UkuNwa okuNcinane. CDC. https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm
> Larsson SC, iWallin A, iWolk A, iMarkus HS. Uhlobo oluhlukileyo lokusetyenziswa kotywala ngeendlela ezahlukeneyo zesifo: ukuphononongwa ngokuchanekileyo kunye nokuhlaziywa kwemeta. BMC Medicine . 2016; 14 (1). i-doi: 10.1186 / s12916-016-0721-4.
> Ukuthatha iWarfarin (i-Coumadin) iNIH MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000292.htm