So oduruyɛfo bi akyerɛw wo anaa w’abusua mu biara aduru a ɛma mogya tu? Afei ebia woate "Warfarin" ho asɛm. Ɛyɛ aduru a egye nkwa, nanso ɛyɛ nea ɛsɛ sɛ wɔde ahwɛyiye kɛse di dwuma. Enti ɛnnɛ, momma yemmua wo nsɛmmisa a ɛfa ho nyinaa, te sɛ nea wo ne w’adamfo bi rekasa no.
Sɛ yɛbɛka no tiawa a, dɛn ne Warfarin?
Warfarin yɛ aduru a ekum mogya a ɛtwetwe mogya . Nnipa binom frɛ no "mogya a ɛma mogya no yɛ mmerɛw," nanso ɛnyɛ mogya no teateaa ankasa, ɛma mogya a ɛtwetwe no brɛ ase kɛkɛ. Susuw ho hwɛ, sɛ yɛatwa yɛn nipadua no baabi a, mogya a ɛbɛtɔ no ho hia na ama mogya atɔ yɛn no agyae. Nanso wɔ aduruyɛ mu tebea horow bi mu no, mogya a ɛtɔ gu nipadua no mu a ntease biara nnim, te sɛ mogya ntini anaa koma no mu. Ɛno nti na yɛde warfarin di dwuma de siw mogya a ɛyɛ hu a ɛte saa a ɛba no ano no.
Sɛ mogya atɔ wo dedaw a, warfarin boa ma ɛnyɛ kɛse na ɛmma asinasin bi mmubu na ɛnkɔhyɛ akwaa bi a ɛho hia te sɛ ahurututu, amemene, anaa koma mu.
Dɛn ne nneɛma a wɔde warfarin di dwuma?
Nnuruyɛfo kyerɛw saa aduru yi titiriw de sa tebea horow a edidi so yi anaasɛ wɔde siw ano. Ebia eyinom bi bɛyɛ te sɛ nea ɛyɛ den kakra ma wo, nanso momma yɛmma ɛnyɛ mmerɛw.
| Tebea | Adwene no ara kwa |
|---|---|
| Ntini a Ɛkɔ Mu Ntini a Ɛyɛ Den (DVT) . | Mpɛn pii no, mogya a ɛtɔ wɔ nan no mu ntini a emu dɔ no mu. |
| Ahurututu mu Ntini a Ɛyɛ Fɛ (PE) . | Mogya a ɛtwetwe a ayɛ nipadua no mmeae foforo no bubu na ɛkyere ntini bi a ɛwɔ ahurututu no mu. Eyi yɛ asiane kɛse. |
| Nnwodwoɔ | Mogya a ɛtwetwe siw mogya ntini bi a ɛde mogya kɔ amemene no mu no kwan. |
| Atiridiinini a Ɛyɛ Fɛ (AFib) . | Koma a ɛbɔ a ɛnbɔ daa no betumi ama asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ wɔ koma no mu aba. |
| Koma Valve a Wɔde Sesa | Sɛnea ɛbɛyɛ a mogya a ɛbɛtɔ wɔ koma no mu ntini a wɔde nsa ayɛ so. |
Ɔkwan bɛn so na warfarin yɛ adwuma wɔ nipadua no mu?
Eyi yɛ nyansahu mu asɛm kakra, nanso momma yɛmma ɛnyɛ mmerɛw. Vitamin K ho hia ma mogya a ɛtwetwe wɔ yɛn nipadua mu no. Nea warfarin yɛ ne sɛ ɛhyɛ vitamin K yi dwumadi so kakra. Enti, mogya a ɛtwetwe no yɛ brɛoo kakra. Eyi ma mogya a ɛtwetwe a ɛho nhia no gyae.
Mogya mu nhwehwɛmu (INR Test) yɛ nea ɛsɛ sɛ wɔyɛ bere a wɔrenom warfarin no.
Warfarin yɛ aduru a ɛyɛ mmerɛw yiye. Enti sɛ wode redi dwuma a, ɛsɛ sɛ wohwɛ sɛnea wo mogya mu yɛ den daa. Wɔfrɛ sɔhwɛ a yɛyɛ ma no PT/INR (Prothrombin Time / International Normalized Ratio) .
Sɛ yɛbɛka no tiawa a, wo duruyɛfo no behu sɛ ebia wo warfarin dodow no teɛ, ɛba fam dodo, anaasɛ ɛdɔɔso dodo denam wo INR bo a ɔbɛhwɛ so. Enti, ɛho hia sɛ woma wɔyɛ mogya mu nhwehwɛmu yi wɔ nna a wɔahyɛ ato hɔ no mu, sɛnea wo duruyɛfo kamfo kyerɛ no.
Ebia ɛho behia sɛ woyɛ sɔhwɛ yi pɛnkoro anaa mprenu dapɛn biara mfiase no. Sɛ wo INR dodow no yɛ den wie a, ebia wɔbɛka akyerɛ wo sɛ ma wɔnyɛ bɛyɛ pɛnkoro ɔsram biara. Wo INR dodow betumi asesa esiane nnuru afoforo a wonom, w’aduan, anaa ayaresa tebea afoforo nti. Enti ɛho hia sɛ woma wo duruyɛfo hu nsakrae biara.
Asiane titiriw a ɛwɔ warfarin mu: Mogya a ɛtɔ
Esiane sɛ warfarin hwɛ mogya a ɛtwetwe so nti, ɔhaw titiriw a ebetumi aba ne mogya a ɛtɔ dodo . Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ sɛnkyerɛnne ahorow a edidi so yi ho.
| Mogya a ɛretu ho sɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye | |
|---|---|
| Kɔ Wo Oduruyɛfo nkyɛn Ntɛm ara | |
| Akuru a ɛba nipadua no so a ntease biara nnim. | Mogya nketenkete a efi anom anaa hwene mu ba. |
| Mogya a ɛtɔ kɛse anaa ɛkyɛ bere a mmea rekɔ brayɛ mu. | Nsu a ɛyɛ kɔkɔɔ, bruu, anaa tuntum. |
| Nsu a ɛyɛ kɔkɔɔ a ɛhyerɛn anaa tuntum a wɔde tarry ayɛ. | Ɔbrɛ ne mmerɛwyɛ a wɔte nka sen sɛnea wɔtaa yɛ no. |
| Kɔ Emergency Treatment Unit (ETU) ntɛm ara. | |
| Ntwitwiridii a mogya nnyae bere a wɔde nhyɛso ahyɛ mu simma 10 mpo akyi. | Mogya anaa ɔfe a ɛte sɛ kɔfe a wɔayam. |
| Tiyɛ a emu yɛ den mpofirim, adwenemhaw, nsakrae a ɛba wɔ anisoadehu anaa kasa mu. | Ti a opira esiane sɛ obi ahwe ase anaasɛ obi abɔ no denneennen nti. |
Warfarin ne aduan ne anonne (titiriw vitamin K) .
Eyi ne asɛmmisa kɛse a nnipa pii wɔ. So ɛnyɛ papa sɛ wubedi nhabannuru a ɛyɛ ahabammono bere a worenom warfarin no?
Ɛho nhia sɛ wugyae wɔn di koraa. Ade a ɛho hia ne sɛ wobɛma nnuan a vitamin K wom a wudi no ayɛ nea ɛkɔ so daa dapɛn biara.
Fa no sɛ sɛ wudi nhabannuru a ɛyɛ ahabammono pii dapɛn biako na afei wugyae di koraa dapɛn a edi hɔ no a, wo INR betumi asakra mpofirim. Ɛno yɛ asiane. Enti, di sɛnea wotaa di no. Nanso sɛ wobɛyɛ nsakrae kɛse wɔ w’aduan mu (sɛ nhwɛso no, sɛ worekɔ vegan, sɛ worefi aduan titiriw bi ase de atew wo mu duru so a), hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo . Afei obetumi ahwɛ wo INR mpɛn pii na sɛ ɛho hia a, wayɛ nsakrae wɔ w’aduru no mu.
- Nnuan a vitamin K pii wom (ma dodow a wudi no nkɔ so pɛpɛɛpɛ):Nnuadewa a ɛyɛ ahabammono tuntum te sɛ kale, spinach, collards, broccoli, ne lettuce.
- Nnuan a vitamin K nnim (wobetumi adi a wonsuro): karɔt, ɛmo, ɛmo a ɛyɛ dɛ, kukuruku, tomato, akutu, atoko.
Nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a worenom warfarin no
- Fa no bere ano: Fa yɛ wo su sɛ wobɛnom w’aduru no bere koro mu da biara.
- Sɛ wopa dodow bi a: Sɛ wokae wɔ nnɔnhwerew 8 akyi wɔ dodow a woahyɛ da ayɛ ho nhyehyɛe no akyi a, fa dodow no bere a woakae ara pɛ. Sɛ ɛka akyi bɛboro nnɔnhwerew 8 a, twa dodow a woayera no so na fa da a edi hɔ no. Mfa nnuru abien prɛko pɛ da. Sɛ wopa nnuru dodow bi nna abien anaa nea ɛboro saa a, frɛ wo duruyɛfo ntɛm ara.
- Hwɛ yie wɔ nnuru foforɔ ho: Ka nnuru foforɔ biara a worenom (nnuru a wɔde sa tebea foforɔ, ɛyaw ano aduru, vitamin, Ayurvedic nnuru mpo) ho asɛm kyerɛ wo duruyɛfoɔ. Nnuru bi betumi aka sɛnea warfarin yɛ adwuma.
- Hwɛ yiye: Susuw ho mprenu ansa na wode agyan ne nnwinnade a ano yɛ nnam te sɛ nnade adi dwuma. Hwɛ yiye wɔ asehwe ho. Fa brɔs a ɛyɛ mmerɛw di dwuma bere a worehohoro wo sẽ no.
- Nhyehyɛe ne Oprehyɛn: Ansa na wobɛyɛ wo sẽ anaa oprehyɛn foforo biara no, hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo no sɛ worenom warfarin.
- Nsã: Kwati nsa a wobɛnom. Ebetumi aka sɛnea warfarin yɛ adwuma yiye ne asiane a ɛwɔ hɔ sɛ mogya bɛtu no.
Nkrasɛm a Wɔde Kɔ Fie
- Warfarin yɛ aduru a egye nkwa, nanso ɛho hia yiye sɛ wobɛfa no sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata ne bere a ɛfata mu.
- Nnyae nnuru no nom anaasɛ nsakra dodow no esiane biribiara nti a wonkɔ wo duruyɛfo nkyɛn.
- Ɛyɛ ahyɛde sɛ wobɛma wɔayɛ wo INR mogya mu nhwehwɛmu wɔ nna a wɔahyɛ ato hɔ no mu. Ɛyɛ ade a eye sen biara a wɔde susuw w’ahobammɔ ho.
- Sɛ wuhu sɛ mogya retu wo, akuru, anaa sɛnkyerɛnne afoforo a ɛyɛ soronko a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Wo ne wo duruyɛfo nka nnuru afoforo a wonom, nsakrae akɛse a aba w’aduan mu, ne akwahosan ho haw biara a wowɔ ho asɛm.
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