Ua hāʻawi ʻia ʻoe iā Warfarin? A laila pono ʻoe e ʻike i kēia mau mea (Warfarin)

Ua kuhikuhi anei kāu kauka iā ʻoe e hoʻohana i ka lāʻau lapaʻau ʻo Warfarin? A i ʻole he lālā o ka ʻohana a he hoaaloha paha e hoʻohana ana i kēia lāʻau? He lāʻau lapaʻau koʻikoʻi kēia e pale ai i nā ʻūpā koko. Akā, aia kekahi mau mea e pono ai mākou e makaʻala loa i ka wā e hoʻohana ai i kēia. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau i kēia lā me ka maʻalahi a me ka maopopo.

He aha maoli ka Warfarin?

I ka ʻōlelo maʻalahi, ʻo Warfarin kahi lāʻau lapaʻau e pale ai i ke koko mai ka hoʻopili ʻana, a i ʻole e hoʻolohi iā ia. I ka lāʻau lapaʻau, kapa mākou i kēia he anticoagulant . Ua kamaʻāina paha ʻoe i kēia lāʻau lapaʻau ma nā inoa inoa ʻo Coumadin® a i ʻole Jantoven®.

Hana kēia lāʻau lapaʻau ma ka pale ʻana i nā ʻōpū koko i makemake ʻole ʻia mai ka hoʻokumu ʻana i loko o kou kino, i loko o kou mau kīʻaha koko a i ʻole i loko o kou puʻuwai. Hiki ke hoʻokumu ʻia kēia mau ʻōpū koko i makemake ʻole ʻia i kekahi mau kūlana olakino, a i ʻole ke hiki ʻole iā ʻoe ke hele a neʻe paha no ka manawa lōʻihi.

He aha nā hoʻohana ʻana o Warfarin?

Ua kuhikuhi paha kāu kauka i kēia lāʻau lapaʻau e pale a mālama paha i nā kūlana ma lalo nei:

Eia kekahi, ua kuhikuhi ʻia kēia lāʻau lapaʻau e pale i ka pilikia o nā ʻōpū koko inā loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole (Atrial fibrillation - Afib) a i ʻole ua hana ʻia ke ʻoki pani valve puʻuwai .

Pehea e hana ai kēia lāʻau lapaʻau?

He mea maʻalahi loa. He mea nui ka Vitamin K no ko kākou koko e hoʻopili ai. Hana ʻo Warfarin ma ke ālai ʻana i ka hana o ka vitamin K, ka mea e pono ai no kekahi o nā mea e kōkua ai i ke kaʻina hana hoʻopili koko. Hoʻolohi kēia i ka wikiwiki o ke kāpili ʻana o ke koko a pale i ka hoʻokumu ʻia ʻana o nā kāpili koko i makemake ʻole ʻia.

Ka nui o ka lāʻau lapaʻau a me nā hoʻāʻo koko e pono ai

ʻO ka maʻamau, ʻokoʻa ka nui o ka warfarin mai 1 mg (milligrams) a i kahi 10 mg. E hāʻawi kāu kauka iā ʻoe i kahi nui kikoʻī. Eia nō naʻe, pono paha e hoʻoponopono ʻia kēlā nui ma muli o nā hopena o nā hoʻokolohua koko maʻamau.

Loaʻa kēia mau pila i nā kala like ʻole. Hōʻike kēlā me kēia kala i ka helu o nā milligrams i loko o ka pila. No ka laʻana, inā hāʻawi ʻia ʻoe i kahi pila 5mg a laila ʻōlelo ʻia e hoʻemi i ka nui i 2.5mg, pono ʻoe e wāwahi i ka pila 5mg i ka hapalua a lawe i kēlā hapalua. Mai hoʻololi i ka nui me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

He aha kēia mau hoʻāʻo koko e pono e hana ʻia?

I ka wā e lawe ai i ka warfarin, pono ʻoe e hana i kahi hoʻāʻo koko i kapa ʻia ʻo PT/INR (Prothrombin Time / International Normalized Ratio) i nā manawa a pau.

Hiki ke hana ʻia kēia hoʻāʻo i hoʻokahi manawa i ka pule a i ʻole hoʻokahi manawa i ka mahina. Na kāu kauka e hoʻoholo.

• ʻO nā lāʻau lapaʻau ʻē aʻe āu e lawe ai (ʻoiai nā huaora a me nā lāʻau ʻeha), nā loli i kou olakino (e like me ke kuni a i ʻole ka maʻi diarrhea), a me nā loli i kāu meaʻai e hiki ke hoʻopilikia i kāu PT/INR. No laila , he mea nui e hoʻomaopopo i kāu kauka Warfarin e pili ana i nā loli i kou ola.

E hana pololei i kēia mau mea i ka wā e lawe ana iā Warfarin

• E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā . Hoʻokahi wale nō manawa e lawe ai i ka lā.
• Hiki ke lawe ʻia ma mua a ma hope paha o ka ʻai ʻana.
• Inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau a hoʻomanaʻo i loko o 8 mau hola, e lawe koke i ka lāʻau.
• Eia nō naʻe, inā ua hala ma mua o 8 mau hola, e kāpae i ka lāʻau o ia lā a lawe wale i ka lāʻau o ka lā aʻe. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
• Inā poina iā ʻoe e lawe i kāu lāʻau lapaʻau no ʻelua lā a ʻoi aku paha, e kāhea aku i kāu kauka.

ʻO ka hopena nui: E makaʻala i ke kahe ʻana o ke koko!

ʻO ka hopena nui a maʻamau o ka warfarin, ʻo ia ke kahe nui ʻana o ke koko . ʻO kēia no ka mea hana kēia lāʻau lapaʻau ma ka pale ʻana i ke kāpili ʻana o ke koko. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke i kāu kauka.

Āhea e pono ai ka mālama ʻana i ka pilikia?

• Inā ʻaʻole e pau ke kahe ʻana o ke koko ma hope o 10 mau minuke o ke kaomi ʻana ma kahi ʻeha liʻiliʻi, e hoʻomau i ke kaomi ʻana a hele i ka ʻOihana Pilikia kokoke loa (ETU) .
• Inā loaʻa iā ʻoe kahi ʻeha nui a ke kahe nui nei ke koko, e kāhea koke aku i ka 1990 a i ʻole e hele i ka ETU me ke kōkua o kekahi i ka hikiwawe loa.

E aʻo hou e pili ana i ka meaʻai a me ka wikamina K

ʻO kēia kahi e hana hewa ai ka poʻe he nui. Manaʻo kekahi poʻe e pono e hoʻōki loa i ka ʻai ʻana i nā meaʻai i loaʻa ka wikamina K i ka wā e lawe ana i ka warfarin. He mea hewa kēia.

Nā meaʻai waiwai i ka wikamina K (e mālama i ka nui āu e ʻai ai i kēlā me kēia pule):

• Nā mea kanu ʻōmaʻomaʻo ʻeleʻele e like me ka kale, broccoli, spinach, a me nā greens collard
• Nā ʻano letus
• ʻAseparagus

Inā ʻoe e ʻimi nei e hoʻonui i kāu ʻai ʻana i nā mea kanu, hiki iā ʻoe ke koho i nā mea kanu haʻahaʻa i ka huaora K, e like me:

• Kulina, paukena, ʻuala, kāloti, kukama, tōmato.

Mea nui: Ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu papaʻai (e laʻa me ka hoʻomaka ʻana i kahi papaʻai pohō kaumaha), e kamaʻilio me kāu kauka.

Nā mea e pale aku ai i ka wā e lawe ai iā Warfarin

• Nā lāʻau lapaʻau ʻē aʻe: Mai lawe i kekahi lāʻau lapaʻau (ʻoiai nā mea hōʻeha ʻeha, nā huaora, a i ʻole nā ​​​​lāʻau Ayurvedic) me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• ʻO ke ʻoki kino: Ma mua o ka loaʻa ʻana o kahi mea liʻiliʻi e like me ka unuhi ʻana o ka niho, pono ʻoe e haʻi i kāu kauka niho a kauka ʻoki paha e lawe ana ʻoe iā Warfarin.
• Mea ʻAi a me Mea Inu: E hōʻalo i ka inu ʻana i ka wai pomegerane, pomegerane, a me ka wai cranberry.
• ʻOna: E pale i ka inu ʻana i ka ʻona. Hiki iā ia ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
• Hāpai: Mai hāpai i ka wā e lawe ana i ka warfarin. Inā ʻoe e hoʻolālā ana e hāpai, e kamaʻilio me kāu kauka e pili ana i ia mea.
• Nā Ulia: E pale iā ʻoe iho i ka hiki mai nā ulia e like me ka hāʻule ʻana a me nā hopena paʻakikī. Inā ʻoe e pāʻani haʻuki, e nīnau i kāu kauka e pili ana i kēlā.