Momma yensua Warfarin, aduru a ɛma mogya yɛ mmerɛw no ho ade pii.

Ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Warfarin sɛnea ɛbɛyɛ a mogya antɔ wo nipadua mu anaasɛ komayare ahorow bi. Eyi yɛ aduru a ɛho hia paa, nanso sɛ wɔamfa anni dwuma yiye a, ebetumi nso de ɔhaw aba. Enti ɛnnɛ, momma yɛnka nea ɛsɛ sɛ wuhu fa Warfarin nnuru yi ho.

Aduru bɛn na Warfarin yɛ?

Sɛ yɛbɛka no tiawa a, Warfarin yɛ aduru a ɛma mogya yɛ mmerɛw . Ɛne sɛ, esiw mogya a ɛho nhia a ɛbɛhyew wɔ mogya ntini a ɛwɔ wo nipadua mu no ano. Wo de susuw ho hwɛ, ɛtɔ mmere bi a, sɛ mogya tu wɔ yɛn mogya ntini mu a, ebetumi de tebea horow a ɛyɛ hu paa aba. Sɛ nhwɛso no, nneɛma te sɛ komayare ne akisikuru.

Wɔde warfarin di dwuma titiriw ma:

• Gyae mogya a ɛwɔ hɔ dedaw no sɛ ɛnyɛ kɛse na siw foforo ano.
• Tew asiane a ɛwɔ hɔ sɛ nnipa a wɔwɔ komayare ahorow bi te sɛ atrial fibrillation (AFib) benya akisikuru no so.
• Siw mogya a ɛbɛtɔ wɔ nnipa a wɔayɛ wɔn koma ntini foforo ananmu no ano.

Ɛtɔ mmere bi a nnuruyɛfo betumi de saa aduru yi adi dwuma esiane nneɛma afoforo nti. Sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo anaa nnuruyɛfo.

Wɔtaa de edin Coumadin anaa Jantoven na ɛtɔ saa aduru yi. Nanso, ebia wobetumi anya bi nso wɔ din afoforo ase. Edin a wo duruyɛfo bɛkyerɛw ama wo no ho hia.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi ase anom saa aduru yi?

Eyi ho hia paa. Ansa na wubefi ase anom Warfarin no, nneɛma bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Eyi te saa efisɛ wo duruyɛfo no besi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnsɛ, ne dodow a ɔde bɛma wo.

Nneɛma a ɛtete saa bi ni:

• Sɛ wonom nsa (Alcoholism) a.
• Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu a.
• Sɛ wowɔ mogyatɔw ho haw ahorow a.
• Sɛ wowɔ kokoram a.
• Sɛ wowɔ asikreyare (Diabetes Mellitus) a.
• Sɛ wowɔ komayare afoforo a.
• Sɛ wowɔ mogya mmoroso a.
• Sɛ mogya atu wo wɔ yafunu anaa dwensɔtwaa mu pɛn (mogya a ɛtɔ wɔ yafunu mu).
• Sɛ woadi kan anya akisikuru, anaasɛ wowɔ yare anaa yare foforo a ɛfa amemene ho a.
• Sɛ wowɔ asaabo anaa mmerɛbo mu yare a.
• Sɛ wowɔ tebea horow te sɛ Protein C a enni mu anaa Protein S a enni mu a.
• Sɛ wowɔ ɔhaw ahorow a ɛma wokae ade, te sɛ adwene mu yare anaa adwenemhaw a.
• Sɛ woapira nnansa yi, anaasɛ woreyɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn anaa aduruyɛ foforo daakye a.
• Sɛ wo ho yɛ wo hyew wɔ warfarin, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a, ɛnyɛ hwee.
• Sɛ woyɛ ɛna a ɔma nufu a.

Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka saa nneɛma yi akyerɛ oduruyɛfo no a womfa nsie.

Ɔkwan bɛn so na wode Warfarin aduru yi di dwuma pɛpɛɛpɛ?

Ɛho hia paa sɛ wubehu sɛnea wɔde saa aduru yi di dwuma pɛpɛɛpɛ.

• Fa nsu kuruwa ka ho: Ɛsɛ sɛ wɔfa warfarin aduru a wɔde di dwuma wɔ ano, ne nsu kuruwa biako.
• Sɛnea oduruyɛfo no kae no ara pɛ: Di akwankyerɛ a ɛwɔ nnuru a wɔkyerɛw ma no so no akyi pɛpɛɛpɛ.
• Ansa na woadidi anaa bere a woadi akyi: Wubetumi anom saa aduru yi ansa na woadi anaa bere a woadi akyi. Ɛnfa ho.
• Bere koro no ara mu da biara: Eyi ho hia yiye. Bɔ mmɔden sɛ wobɛnom aduru no bere koro mu da biara. Saa kwan no so no, aduru no bɛyɛ adwuma saa ara wɔ nipadua no mu.
• Nnom nsen nea wɔakyerɛw ama wo: Nnom nsen dodow a wo duruyɛfo akyerɛ wo no.
• Nnyae saa aduru yi nom a wo duruyɛfo no nnyae afotu: Nnyae saa aduru yi nom mpofirim gye sɛ wo duruyɛfo ka kyerɛ wo. Saa a wobɛyɛ no betumi ama asiane a ɛwɔ hɔ sɛ wobɛma mogya atɔw no ayɛ kɛse.
• Fa wo nnuru no hyɛ mu ma ansa na asa: Mma wo werɛ mmfi sɛ wubenya nnuru foforo afi nnurutɔnbea hɔ ansa na w’aduru no asa.
• Sɛ wosakra wo dodow a: Fa no sɛ wo duruyɛfo frɛ wo na ɔsesa wo warfarin dodow. Sɛ saa a, kyerɛw dodow foforo no ne akwankyerɛ afoforo gu krataa bi so. Hwɛ hu sɛ wobɛte ase, na afei wo ne wo duruyɛfo no nkɔhwɛ akwankyerɛ no so. Ka nnuru a wowɔ no ahoɔden miligram kyerɛ wo duruyɛfo. Bisa nnuru dodow a ɛsɛ sɛ wonom na ama woanya dodow foforo no. Write the new instructions on the paper, along with the date, and keep them with your medication. Ɛtɔ mmere bi a, wobetumi aka akyerɛ wo sɛ gyae aduru no nom kosi sɛ wɔbɛyɛ wo mogya mu nhwehwɛmu a edi hɔ. Sɛ eyi ba a, sɛ woante wo duruyɛfo no asɛm wɔ nnɔnhwerew 24 akyi wɔ wo nhwehwɛmu no akyi a, frɛ wo duruyɛfo na bisa dodow foforo no ho asɛm ne bere a ɛsɛ sɛ wufi ase nom dodow dedaw no bio.
• MedGuide: Bere biara a wubenya nnuru afi nnurutɔnbea hɔ no, wɔbɛma wo MedGuide a ɛfa aduru no ho. Kenkan no yiye bere nyinaa. Nsɛm pii a ɛho hia ma wo wom.

Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mfa mma obi foforo, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wowɔ no a.

So ɛsɛ sɛ wɔde aduru yi ma mmofra?

Mmofra hia ɔhwɛ soronko bere a wɔrenom warfarin no, enti hwɛ hu sɛ wo ne wo duruyɛfo bɛbɔ eyi ho nkɔmmɔ.

Na sɛ menom nnuru pii nso ɛ?

Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so ntɛm ara.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Ɛho hia yiye sɛ worentwa warfarin dodow bi so , efisɛ ebetumi asakra sɛnea mogya no tumi yɛ teateaa.

• Sɛ wopa nnuru dodow bi a, frɛ wo duruyɛfo ntɛm ara.
• Sɛ ɛbɛyɛ yiye a, fa dodow a woayera no bere a woakae da koro no ara ara pɛ .
• Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ no a, nnom dodow a woayera no. Fa wo dodow a edi hɔ no ara wɔ bere a wɔahyɛ da ayɛ no mu.
• Mfa nnuru mmɔho abien da mfa nsiesie dodow a woayera no.

Nnuru afoforo bɛn na ebetumi ne Warfarin adi nkitaho?

Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Warfarin yɛ aduru a etumi ne nnuru afoforo pii, nhabannuru, ne aduannuru mpo di nkitaho. Saa nkitahodi ahorow yi betumi ama Warfarin nkɛntɛnso akɔ soro anaasɛ atew. Sɛ eyi ba a, asiane betumi aba sɛ mogya bɛtu anaa mogya atɔ.

Mfa Warfarin nka nnuru a edidi so yi ho esiane biribiara nti:

• Defibrotide a wɔde hyɛ nipadua mu

Bio nso, nnuru a edidi so yi betumi ne Warfarin adi nkitaho:

• Acyclovir a wɔde yɛ aduru
• Allopurinol a wɔde di dwuma
• Aspirin ne NSAID afoforo (sɛ nhwɛso no, ibuprofen, naproxen) .
• Nnuru bi a ekum ɔyare mmoawa (sɛ nhwɛso no, Erythromycin, Clarithromycin, Ciprofloxacin) .
• Nnuru bi a wɔde kum ɔyare mmoawa a wɔde ma nyarewa te sɛ HIV anaa mmerɛbo mu yare
• Nnuru afoforo a ɛmma mogya ntumi nkɔ (e.g., Heparin, Enoxaparin, Clopidogrel) .
• Nnuru bi a wɔde sa mogya mmoroso, komayare, ne komayare
• Nnuru bi a ɛtew mogya mu srade so (sɛ nhwɛso no, atorvastatin, simvastatin) .
• Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo
• Nnuru bi a wɔde sa fungal yare (e.g., Fluconazole, Ketoconazole) .
• Nnuru bi a wɔde sa akisikuru (e.g., Carbamazepine, Phenytoin) .
• Mmea hormone ahorow, a nnuru a wɔde siw awo ano ka ho
• Nnuru anaa nnuru a wɔde ka aduan ho te sɛ galik, ginkgo, ginseng, tii a ɛyɛ ahabammono, ne St. John’s Wort
• Nnuru a wɔde ka aduan ho a Vitamin K wom
• Nnuru a ɛtew yafunu mu acid so (e.g. Omeprazole, Ranitidine) .
• Nnuru a ɛte sɛ steroid (sɛ nhwɛso no, Prednisone) .

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ka nnuru a wonom (a oduruyɛfo akyerɛw ama wo, woatɔ afi nnurutɔnbea, nhabannuru, vitamin, nnuru a wɔde ka aduan ho), ne sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma no nyinaa kyerɛ wo duruyɛfo. Nneɛma bi betumi ne wo warfarin nnuru no adi nkitaho.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw bere a yɛrenom Warfarin no?

Nneɛma pii wɔ hɔ a ebetumi aka w’ahobammɔ ne sɛnea aduru no yɛ adwuma yiye bere a worenom Warfarin no.

• Mogya mu nhwehwɛmu a wɔyɛ no daa (PT/INR): Sɛ wonom warfarin a, ɛho behia sɛ woyɛ mogya mu nhwehwɛmu a wɔfrɛ no PT/INR daa. Eyi ne ɔkwan a wo duruyɛfo fa so hwɛ sɛ warfarin dodow a worenom no teɛ anaa. Mma nntwa mogya mu nhwehwɛmu ahorow yi so. Ɛho behia sɛ wotaa yɛ nhwehwɛmu ahorow yi bere a wudi kan fi ase nom aduru no. Sɛ wunya dodow a ɛfata ma wo pɛ a, mpɛn dodow a wɔyɛ nhwehwɛmu yi so bɛtew.
• Aduruyɛ ho ID: Hyɛ aduruyɛ ho ID abɔso anaa nkɔnsɔnkɔnsɔn a ɛkyerɛ sɛ worenom warfarin. Afei nso, fa kratasin bi ka wo ho bere nyinaa a wɔakyerɛw wo tebea no, aduru no din, dodow a wode di dwuma, ne mmere a wobɛnom. Eyi betumi ayɛ nea ɛho hia paa wɔ tebea a egye ntɛmpɛ mu.
• Sɛ worefi ase/woregyae nnuru afoforo a: Mfi ase nnom nnuru foforo biara anaasɛ nnyae nnuru biara a worenom a wo duruyɛfo nni afotu. Nea ɛka eyi ho ne nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu.
• Aduandi ne Vitamin K: Wo ne wo duruyɛfo nkasa fa w’aduan ho. Mma nnyɛ nsakrae akɛse prɛko pɛ. Eyi te saa efisɛ aduannuru bi a wɔfrɛ no Vitamin K ka sɛnea Warfarin yɛ adwuma. Nnuan pii wɔ Vitamin K. Enti, ɛho hia sɛ wodi nnuan a Vitamin K wom wɔ ɔkwan koro no ara so, dodow a ɛkɔ so daa. Sɛ nhwɛso no, nhabannuru a ɛyɛ ahabammono te sɛ akutu, kabege, broccoli, kale, sinapi ahabammono, tii ahabammono, asparagus, ne brussel sprouts. Mma nnuan yi dodow nkɔ soro anaasɛ ɛntew so prɛko pɛ.
• Bɔ wo ho ban fi opira ho: Sɛ wonom warfarin a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no yɛ kɛse. Enti, hwɛ yiye paa bere a wode nneɛma a ano yɛ nnam te sɛ nnade redi dwuma no. Bɔ wo ho ban fi asehwe ne akuru ho. Hwɛ yiye bere a woredi agumadi no. Sɛ ɛbɛyɛ yiye a, fa anyinam ahoɔden afiri di dwuma. Hwɛ yiye bere a worebɔ wo sẽ na wode nhama abɔ wo sẽ no. Sɛ wuhu akuru, akuru, anaa nsensanee kɔkɔɔ bi wɔ wo honam ani a, ka kyerɛ wo duruyɛfo.
• Sɛ woyare a:Sɛ woayare bɛboro nna kakraa bi a wofe, wo ho atɔ wo, anaa wo ho ayɛ wo hyew a, ka kyerɛ wo duruyɛfo. Afei nso, sɛ wuntumi nnidi yiye nna pii a, ka kyerɛ wo duruyɛfo. Saa nneɛma yi betumi asakra nkɛntɛnso a warfarin nya.
• Bere a woagyae aduru no mpo: Sɛ wugyae warfarin nom mpo a, ebegye nna pii ansa na wo nipadua no awosu mu tumi a ɛma mogya tu no asan ayɛ sɛnea na ɛte kan no. Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wohwɛ yiye. Sɛ worekɔyɛ oprehyɛn anaasɛ wɔbɛyɛ wo sẽ ho adwuma a, hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ worenom warfarin.

Ɔkwan bɛn so na Warfarin ka ɛnanom a wɔyem ne wɔn a wɔma wɔn nufu?

Eyi yɛ asɛm a ɛho hia paa.

• Wɔ nyinsɛn mu: Warfarin yɛ aduru a ebetumi ama awo mu dɛmdi ne mogya atɔ akokoaa a ɔhyɛ yafunu mu no. Enti, ɛsɛ sɛ mmea a wɔadi mfe a wobetumi awo no de awo ano aduru a etu mpɔn di dwuma sɛ wɔrenom warfarin a.
• Sɛ wunyinsɛn bere a worenom warfarin a, wo ne wo duruyɛfo nkasa ntɛm ara na munsusuw asiane ahorow a ebetumi aba ne akwan horow a wubetumi apaw ho.
• Bere a worema nufu: Sɛ woyɛ ɛna a woma nufu a, ɛsɛ sɛ wo ne wo duruyɛfo nso kasa fa warfarin a wobɛnom ho.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru biara no, warfarin betumi de ɔhaw ahorow bi aba. Ebinom yɛ aniberesɛm na ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara. Ebinom nyɛ aniberesɛm saa.

Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Mogya a ɛtɔ:
• Nsu tuntum, tarry, anaa mogya a ɛwɔ nsu mu.
• Mogya a wobɛfe, anaasɛ biribi a ɛyɛ bruu te sɛ kɔfe a wɔayam.
• Nsu a ɛdan kɔkɔɔ anaa bruu tuntum.
• Nsonsonoe nketenkete a ɛyɛ kɔkɔɔ anaa kɔkɔɔ wɔ honam ani.
• Akuru a ɛyɛ soronko anaasɛ mogya a ɛtɔ (e.g. hwene mu mogya, anom a mogya tu).
• Mogya a ɛtɔ wɔ amemene no mu: Tiyɛ a emu yɛ den, kɔn a ɛyɛ den, adwene a ɛyɛ basaa, adwenemhaw, aniwa a ɛsakra, anim, abasa anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, nantew a ɛyɛ den, ɔfe.
• Nsateaa a ɛyɛ tuntum anaa kɔkɔɔ a ɛyɛ yaw.
• Bere a emu yɛ duru wɔ mmea mu.
• Ɛyaw a ɛho ahonhon, ɔhyew, kɔkɔɔ, akisikuru, anaa akuru a ɛwɔ honam ani.

Nsunsuanso bɔne a mpɛn pii no enhia sɛ wunya aduruyɛ mu afotu, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:

• Ayamtuo
• Nwi a ɛtɔ

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn.

Ɔkwan bɛn so na wode Warfarin nnuru yi sie?

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ. Eyi ho hia paa.
• Fa sie wɔ dan mu hyew mu. Ɛne sɛ, ɛyɛ digrii Celsius 15 kosi 30 (digrii Fahrenheit 59 kosi 86).
• Bɔ ho ban fi hann ho.
• Tow nnuru a ne bere atwam gu.
• Mfa nsu nkɔ tiafi mu.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Warfarin yɛ aduru a sɛ wɔde di dwuma yiye a, ebetumi agye nkwa, nanso sɛ wɔde di dwuma wɔ ɔkwan a ɛnteɛ so a, ebetumi ayɛ asiane nso. Enti,

• Fa aduru no sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata ne dodow a ɛfata mu.
• Hwɛ hu sɛ wobɛyɛ wo PT/INR mogya mu nhwehwɛmu wɔ nna a wɔahyɛ da ayɛ no mu.
• Ka nnuru afoforo, nhabannuru, ne nsakrae a ɛba wɔ aduan ne anonne a wonom mu nyinaa ho asɛm kyerɛ wo duruyɛfo.
• Hwɛ yiye wɔ mogya a ɛretu ho sɛnkyerɛnne biara ho. Ka kyerɛ wo duruyɛfo, sɛ ɛyɛ kakra mpo a.
• Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
• Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, bisa wo duruyɛfo anaa nnuruyɛfo. Mma nsuro anaa n’ani nnwu sɛ wubebisa.

Mewɔ anidaso sɛ saa nsɛm yi aboa wo ma woanya Warfarin ho ntease pa. Kɔ so nya apɔwmuden!

` Warfarin, mogya a ɛtwetwe, mogya a ɛyɛ mmerɛw, komayare, ɔyare a ɛma obi hwe ase, PT/INR, vitamin K