So wo duruyɛfo akyerɛw wo sɛ fa aduru a wɔfrɛ no Warfarin di dwuma? Anaasɛ abusua muni anaa adamfo bi de saa aduru yi redi dwuma? Nokwarem no, eyi yɛ aduru a ɛho hia yiye a esiw mogya a ɛbɛtɔ ano. Nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde eyi redi dwuma no. Mma ɛnhaw wo, yɛbɛka ne nyinaa ho asɛm tiawa na emu ada hɔ nnɛ.
Dɛn ankasa ne Warfarin?
Sɛ yɛbɛka no tiawa a, Warfarin yɛ aduru a ɛmma mogya ntumi nkɔ, anaasɛ ɛma ɛyɛ brɛoo. Wɔ nnuruyɛ mu no, yɛfrɛ eyi aduru a ekum mogya a ɛtwetwe mogya . Ebia wunim saa aduru yi denam edin ahorow a wɔde frɛ no Coumadin® anaa Jantoven® so.
Saa aduru yi yɛ adwuma denam mogya a ɛtwetwe a wompɛ a ɛmma ɛnkɔ wo nipadua mu, wo mogya ntini mu anaa wo koma mu no so. Saa mogya a wɔmpɛ yi betumi aba wɔ ayaresa tebea horow bi mu, anaa bere a wuntumi nnantew anaasɛ wuntumi nkɔ baabiara bere tenten no.
Nea ɛho hia ne sɛ Warfarin siw mogya a ɛtɔ foforo ano, nanso ɛnsɛe mogya a ɛwɔ hɔ dedaw no . Nanso, esiw mogya a ɛtɔ gu nipadua no mu no kwan sɛ ɛnyɛ kɛse. Bere kɔ so no, ebia mogya a ɛtɔ gu nipadua no mu no ankasa bɛpete.
Dɛn ne Warfarin a wɔde di dwuma?
Ebia wo duruyɛfo akyerɛw saa aduru yi de asiw tebea horow a edidi so yi ano anaasɛ ɔde sa:
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya a ɛtɔ wɔ ntini mu (Venous thromboembolism - VTE) . | Mogya a ɛtwetwe a ɛba ntini bi mu no bubu na ɛkyere baabi foforo. |
| Ntini a emu dɔ a ɛma mogya tu (DVT) . | Mogya a ɛtwetwe, mpɛn pii no ɛwɔ ntini a emu dɔ mu wɔ nan no mu. |
| Ahurututu mu ntini a ɛma mogya tu (PE) . | Mogya a atɔ wɔ ntini bi mu no mu tetew na ɛkɔhyɛ ahurututu no mu. |
| Mogya a ɛtɔ wɔ ntini no mu (Arterial thromboembolism - ATE) . | Mogya a ɛtwetwe wɔ ntini bi mu a ɛba. |
| Nnwodwoɔ | Mogya a ɛtwetwe siw mogya ntini bi a ɛde mogya kɔ amemene no mu no kwan. |
| Koma mu yare | Ntini bi a ɛde mogya kɔ koma no mu a mogya a ɛtwetwe no siw ano. |
Bio nso, wɔkyerɛw saa aduru yi nso de siw asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ano sɛ wo koma bɔ a ɛnteɛ (Atrial fibrillation - Afib) anaasɛ wɔayɛ wo oprehyɛn de sesa koma no mu ntini a .
Ɔkwan bɛn so na saa aduru yi yɛ adwuma?
Ɛnyɛ den koraa. Vitamin K ho hia na ama yɛn mogya atumi atɔ. Warfarin yɛ adwuma denam vitamin K a ehia ma nneɛma bi a ɛboa ma mogya tu no dwumadi a esiw ano no so. Eyi ma mogya a ɛtwetwe ntɛmntɛm no brɛ ase na esiw mogya a ɛtwetwe a wɔmpɛ no ano.
Nnuru dodow a wɔde ma ne mogya mu nhwehwɛmu a ɛyɛ ahyɛde
Warfarin dodow taa gu ahorow fi 1 mg (milligram) kosi bɛyɛ 10 mg. Wo duruyɛfo bɛma wo dodow pɔtee bi. Nanso, ebia ebehia sɛ wogyina nea efi mogya mu nhwehwɛmu a wɔyɛ no daa mu ba so sesa saa dodow no.
Saa nnuru yi wɔ kɔla ahorow. Kɔla biara gyina hɔ ma miligram dodow a ɛwɔ aduru no mu. Sɛ nhwɛso no, sɛ wɔma wo 5mg aduru na afei wɔka kyerɛ wo sɛ tew dodow no so nkɔ 2.5mg a, ɛsɛ sɛ wobubu 5mg aduru no mu abien na wonom saa fã no. Mma nsakra dodow a wɔde ma no da a wonkɔ wo duruyɛfo nkyɛn.
Dɛn ne mogya mu nhwehwɛmu a ɛsɛ sɛ wɔyɛ yi?
Sɛ worenom warfarin a, ɛho behia sɛ woyɛ mogya mu nhwehwɛmu a wɔfrɛ no PT/INR (Prothrombin Time / International Normalized Ratio) daa.
Saa nhwehwɛmu yi kyerɛ sɛnea wo mogya tu ntɛmntɛm. Nea ebefi mu aba no betumi aboa wo duruyɛfo ma wahu sɛ ebia Warfarin reyɛ adwuma yiye ama wo ne sɛ ebia ɛsɛ sɛ wɔyɛ nsakrae wɔ dodow a wode ma no mu anaa.
Wobetumi ayɛ sɔhwɛ yi pɛnkoro dapɛn biara anaa pɛnkoro ɔsram biara. Wo duruyɛfo na obesi gyinae.
- Nnuru afoforo a wonom (vitamin ne nnuru a wɔde kum ɛyaw mpo), nsakrae a ɛba w’akwahosan mu (te sɛ atiridii anaa atiridiinini), ne nsakrae a ɛba w’aduan mu no betumi aka wo PT/INR. Enti , ɛho hia sɛ wobɔ wo Warfarin oduruyɛfo amanneɛ wɔ nsakrae biara a ɛbɛba w’asetra mu ho.
Yɛ saa nneɛma yi pɛpɛɛpɛ bere a worenom Warfarin no
- Nom aduru no bere koro mu da biara . Ɛsɛ sɛ wofa no pɛnkoro pɛ da biara.
- Wobetumi anom ansa na wɔadi anaasɛ wɔadi awie.
- Sɛ wo werɛ fi sɛ wobɛnom w’aduru no na wokae wɔ nnɔnhwerew 8 ntam a, fa dodow no ntɛm ara.
- Nanso, sɛ ɛboro nnɔnhwerew 8 a, twa saa da no dodow no so na fa da a edi hɔ no nkutoo. Mfa nnuru abien prɛko pɛ da.
- Sɛ wo werɛ fi sɛ wobɛnom w’aduru no nna abien anaa nea ɛboro saa a, hwɛ hu sɛ wobɛfrɛ wo duruyɛfo.
Nea efi mu ba titiriw: Hwɛ yiye na mogya antu!
Warfarin ho nsunsuanso titiriw ne nea ɛtaa ba ne mogya a ɛtɔ dodo . Nea enti a ɛte saa ne sɛ saa aduru yi yɛ adwuma denam mogya a esiw ano no so. Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara.
| Nsɛnkyerɛnne a ɛsɛ sɛ wode w’adwene si so | Nkyerɛmu |
|---|---|
| Bɔ oduruyɛfo no amanneɛ ntɛm ara. | |
| Mogya a ɛtɔ fi opira ketewaa bi mu | Mogya a ɛtɔ a ennyae bere a wɔde nhyɛso ahyɛ mu simma 10 mpo akyi. |
| Mogya a ɛtɔ fi hwene ne anom | Mogya a ɛtɔ a ennyae bɛboro simma 10. |
| Nsu kɔla a ɛsakra | Nsu a ɛdan kɔkɔɔ anaa bruu tuntum (rusty). |
| Nsakrae a ɛba nsu mu kɔla mu | Nsu a ɛyɛ kɔkɔɔ a ɛhyerɛn anaa tuntum a wɔde tarry ayɛ. |
| Mogya a ɔfefe anaasɛ ɔfe | Mogya anaa ɔfe a ɛte sɛ kɔfe a wɔayam. |
| Akuru a ɛnyɛ nea ɛde ba | Akuru, nsensanee kɔkɔɔ, anaasɛ ɔfe ne ɛyaw wɔ nipadua no nyinaa so a ntease biara nnim. |
| Mmea brayɛ | Mogya a ɛba brayɛ mu a emu yɛ duru sen sɛnea ɛte daa anaasɛ ɛkyɛ sen sɛnea ɛtaa ba. |
| Tiyɛ anaasɛ adwenemhaw a ɛyɛ soronko | Tiyɛ a emu yɛ den, adwenemhaw, kasa anaa anisoadehu a ɛsakra mpofirim, anim anaa abasa a ɛyɛ mmerɛw. |
Bere bɛn na ɛho hia sɛ wɔsa yare ntɛm?
- Sɛ mogya no annyae bere a wode simma 10 ahyɛ kuru ketewaa bi so akyi a, kɔ so hyɛ no na kɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a ɛbɛn wo no nkyɛn .
- Sɛ woapira kɛse na mogya retu wo kɛse a, frɛ 1990 ntɛm ara anaasɛ kɔ ETU a obi bɛboa wo ntɛm ara sɛnea wubetumi.
Sua pii fa aduan ne vitamin K ho
Ɛha na nnipa pii di mfomso. Nnipa binom susuw sɛ ɛsɛ sɛ wogyae nnuan a vitamin K wom koraa bere a wɔrenom warfarin no. Eyi yɛ mfomso.
Ade a ɛho hia sen biara ne sɛ wobɛkɔ so akura nnuan a vitamin K wom dodow koro no ara a wudi dapɛn biara . Sɛ wudidi pii dapɛn biako na wunnnidi koraa dapɛn a edi hɔ no a, ebetumi ama nsonsonoe kɛse aba wo INR mu.
Nnuan a vitamin K pii wom (ma dodow a wudi dapɛn biara nkɔ so pɛpɛɛpɛ):
- Nnuadewa a ɛyɛ ahabammono tuntum te sɛ kale, broccoli, spinach, ne collard greens
- Lettuce ahorow ahorow
- Asparagus a wɔde yɛ aduan
Sɛ worehwehwɛ sɛ wobɛma nhabannuru a wudi no akɔ soro a, wubetumi apaw nhabannuru a vitamin K nnim, te sɛ:
- Atoko, akutu, ɛmo, karɔt, kukuruku, tomato.
Nea ɛho hia: Ansa na wobɛyɛ nsakrae kɛse biara wɔ w’aduan mu (sɛ nhwɛso no, wubefi aduan a wode bɛtew wo mu duru so ase) no, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.
Nneɛma a ɛsɛ sɛ wokwati bere a worenom Warfarin no
- Nnuru afoforo: Nnom nnuru biara (nnuru a wɔde kum ɛyaw, vitamin, anaa Ayurvedic nnuru mpo) a wonkɔ wo duruyɛfo nkyɛn.
- Oprehyɛn: Ansa na wobɛyɛ biribi ketewaa bi te sɛ sẽ a woyi mpo no, ɛsɛ sɛ woka kyerɛ wo sẽ ho oduruyɛfo anaa oprehyɛn ho ɔbenfo sɛ worenom Warfarin.
- Aduan ne Nsã: Kwati sɛ wobɛnom bobe aba, granate akutu, ne kranberɛ nsu.
- Nsã: Kwati nsa a wobɛnom. Ebetumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse.
- Nyinsɛn: Kwati sɛ wubenyinsɛn bere a worenom warfarin no. Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, wo ne wo duruyɛfo nka ho asɛm.
- Akwanhyia: Bɔ wo ho ban sɛnea wubetumi biara fi akwanhyia te sɛ asehwe ne ɔhaw a emu yɛ den ho. Sɛ wobɔ agumadi a, kɔ wo duruyɛfo nkyɛn wɔ ɛno nso ho.
Nkrasɛm a Wɔde Kɔ Fie
- Warfarin yɛ aduru a ɛho hia paa a ɛmma mogya ntumi nkɔ. Fa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu.
- Nnyae nnuru no nom anaasɛ nsakra dodow no esiane biribiara nti a wonkɔ wo duruyɛfo nkyɛn.
- Mma nntwa PT/INR mogya mu nhwehwɛmu so da. Ɛho hia ma w’ahobammɔ.
- Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ mogya retu wo soronko (akuru a ɛyɛ den, nsu tuntum, nsu kɔkɔɔ) a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Bere nyinaa ka nsakrae biara a ɛba w’aduan mu, nnuru afoforo a wonom, anaa akwahosan tebea horow mu ho asɛm kyerɛ wo duruyɛfo.
- Ansa na wobɛyi wo sẽ anaa wobɛyɛ wo oprehyɛn no, ɛsɛ sɛ woka kyerɛ oduruyɛfoɔ a wɔreka ho asɛm no sɛ worenom Warfarin.
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