E aʻo hou aʻe e pili ana iā Warfarin, kahi lāʻau hoʻokahe koko.

Ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Warfarin e pale aku i nā ʻūpā koko i loko o kou kino a i ʻole no kekahi mau maʻi puʻuwai. He lāʻau lapaʻau koʻikoʻi loa kēia, akā hiki iā ia ke hana i nā pilikia inā ʻaʻole hoʻohana pono ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea e pono ai ʻoe e ʻike e pili ana i kēia mau pila Warfarin.

He aha ke ʻano lāʻau lapaʻau ʻo Warfarin?

I ka ʻōlelo maʻalahi, he mea hoʻokahe koko ʻo Warfarin. ʻO ia hoʻi, pale ia i ke kūkulu ʻia ʻana o nā ʻōpū koko pono ʻole i loko o nā kīʻaha koko i loko o kou kino. E noʻonoʻo, i kekahi manawa inā hana ʻia nā ʻōpū koko i loko o ko kākou mau kīʻaha koko, hiki iā ia ke hana i nā kūlana weliweli loa. No ka laʻana, nā mea e like me ka hōʻeha puʻuwai a me ka hahau.

ʻO ka mea nui i hoʻohana ʻia ʻo Warfarin no:

• E pale i ka nui o nā ʻōpū koko e kū nei a pale i ke kūkulu ʻana i nā mea hou.
• E hōʻemi i ka pilikia o ka hahau ʻana i ka poʻe me kekahi mau maʻi puʻuwai, e like me ka atrial fibrillation (AFib).
• E pale i nā ʻōpū koko i loko o ka poʻe i loaʻa nā pani valve puʻuwai.

Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kumu ʻē aʻe i kekahi manawa. Inā he mau nīnau kāu, e nīnau i kāu kauka a mea kūʻai lāʻau paha.

Hoʻolaha pinepine ʻia kēia lāʻau lapaʻau ma lalo o nā inoa ʻo Coumadin a i ʻole Jantoven. Eia nō naʻe, hiki ke loaʻa pū kekahi ma lalo o nā inoa ʻē aʻe. He mea nui ka inoa a kāu kauka e kuhikuhi ai.

He aha nā mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau?

He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe iā Warfarin, aia kekahi mau mea e pono ai ʻoe e haʻi i kāu kauka. ʻO kēia no ka mea na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, a me ka nui e hāʻawi iā ʻoe.

Eia kekahi mau mea like:

• Inā ʻoe e ʻona ana i ka waiʻona (Alcoholism).
• Inā loaʻa iā ʻoe ka anemia.
• Inā he mau maʻi kahe koko kou.
• Inā loaʻa iā ʻoe ka maʻi kanesa.
• Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus).
• Inā he mau maʻi puʻuwai ʻē aʻe kāu.
• Inā he koko kiʻekiʻe kou.
• Inā ua loaʻa iā ʻoe ke kahe koko i loko o ka ʻōpū a i ʻole nā ​​​​​​naʻau (ke kahe koko ʻana i loko o ke ala gastrointestinal).
• Inā ua loaʻa iā ʻoe kahi hahau ma mua, a inā he maʻi a maʻi paha e pili ana i ka lolo.
• Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa.
• Inā loaʻa iā ʻoe nā kūlana e like me ka nele o ka Protein C a i ʻole ka nele o ka Protein S.
• Inā he mau pilikia hoʻomanaʻo kou, e like me ka psychosis a i ʻole ka dementia.
• Inā ua loaʻa iā ʻoe kahi ʻeha i hala koke aku nei, a ke hoʻolālā nei paha e hana i ke ʻoki kino a i ʻole kekahi hana lapaʻau ʻē aʻe i ka wā e hiki mai ana.
• Inā loaʻa iā ʻoe kahi hopena maʻi i ka warfarin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​​​mea mālama.
• He mea maikaʻi inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine hānai waiū ʻoe.

He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou.

Pehea ʻoe e hoʻohana ai i kēia pila Warfarin?

He mea nui loa ia e ʻike pono pehea e hoʻohana ai i kēia lāʻau.

• E lawe me ke aniani wai: E lawe waha ʻia nā papa Warfarin, me ke aniani wai.
• E like me ka ʻōlelo a ke kauka: E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau.
• Ma mua a ma hope paha o ka ʻai ʻana: Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. ʻAʻole ia he mea nui.
• I ka manawa like i kēlā me kēia lā: He mea nui loa kēia. E ho'āʻo e lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, e hana like ka lāʻau lapaʻau i loko o ke kino.
• Mai lawe ʻoi aku ma mua o ka mea i kauoha ʻia: Mai lawe ʻoe ma mua o ka nui i kauoha ʻia e kāu kauka.
• Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka: Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau ke ʻole kāu kauka e ʻōlelo aku iā ʻoe. ʻO ka hana ʻana pēlā e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā ʻōpū koko.
• E hoʻopiha hou i kāu lāʻau lapaʻau ma mua o ka pau ʻana: Mai poina e kiʻi i kahi lako lāʻau hou mai ka hale kūʻai lāʻau lapaʻau ma mua o ka pau ʻana o kāu lāʻau lapaʻau.
• Inā ʻoe e hoʻololi i kāu mahele lāʻau: Manaʻo ʻia e kāhea kāu kauka a hoʻololi i kāu mahele lāʻau warfarin. Inā pēlā, e kākau i ka mahele lāʻau hou a me nā kuhikuhi ʻē aʻe ma kahi ʻāpana pepa. E hōʻoia ua maopopo iā ʻoe, a laila e nānā i nā kuhikuhi me kāu kauka. E haʻi i kāu kauka i ka ikaika milligram o nā pila āu e loaʻa ai. E nīnau i ka nui o nā pila āu e pono ai e lawe e hiki ai i ka mahele lāʻau hou. E kākau i nā kuhikuhi hou ma ka pepa, me ka lā, a mālama iā lākou me kāu lāʻau. I kekahi manawa e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau a hiki i kāu hoʻāʻo koko aʻe. Inā hana kēia, inā ʻaʻole ʻoe e lohe hou mai kāu kauka i loko o 24 mau hola o kāu hoʻāʻo, e kāhea i kāu kauka e nīnau e pili ana i ka mahele lāʻau hou a me ka manawa e hoʻomaka hou ai e lawe i ka mahele lāʻau kahiko.
• MedGuide: I kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi MedGuide e pili ana i ka lāʻau lapaʻau. E heluhelu pono mau. Loaʻa iā ia ka nui o ka ʻike koʻikoʻi nāu.

Mea nui: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.

Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?

Pono nā keiki i ka mālama kūikawā i ka wā e lawe ana i ka warfarin, no laila e kamaʻilio e pili ana i kēia me kāu kauka.

He aha inā lawe nui wau i ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena kaohi lāʻau make a i ʻole ka lumi pilikia haukapila kokoke loa.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

He mea nui loa ʻaʻole e hōʻalo i kahi mahele o ka warfarin , no ka mea, hiki iā ia ke hoʻololi i ka hiki ke hoʻomāmā i ke koko.

• Inā ʻoe e poina i kahi mahele o ka lāʻau lapaʻau, e kāhea koke aku i kāu kauka.
• Inā hiki, e lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe i ka lā hoʻokahi .
• Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe, mai lawe i ka mahele lāʻau i hala. E lawe wale i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
• Mai lawe i ka pālua o ka lāʻau e hana ai no kahi lāʻau i hala.

He aha nā lāʻau ʻē aʻe e hiki ke launa pū me Warfarin?

He mea kēia e makaʻala nui ai. He lāʻau lapaʻau ʻo Warfarin hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, nā mea kanu, a me nā mea hoʻohui meaʻai. Hiki i kēia mau pilina ke hoʻonui a hoʻemi paha i nā hopena o Warfarin. Inā hana ʻia kēia, aia paha ka pilikia o ke kahe ʻana o ke koko a i ʻole nā ​​ʻūpā koko.

Mai lawe pū me Warfarin no kekahi kumu me kēia mau lāʻau lapaʻau:

• ʻO Defibrotide

Eia kekahi, hiki i nā lāʻau lapaʻau e hiki mai ana ke launa pū me Warfarin:

• ʻAcyclovir
• ʻAllopurinol
• ʻAspirin a me nā NSAID ʻē aʻe (e.g., ibuprofen, naproxen)
• Kekahi mau lāʻau antibiotic (e.g. Erythromycin, Clarithromycin, Ciprofloxacin)
• ʻO kekahi mau antivirals i hāʻawi ʻia no nā maʻi e like me ka HIV a i ʻole ka hepatitis
• Nā lāʻau lapaʻau ʻē aʻe e pale ai i ke kāpili ʻana o ke koko (e.g., Heparin, Enoxaparin, Clopidogrel)
• ʻO kekahi mau lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me nā maʻi puʻuwai
• ʻO kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (e.g., atorvastatin, simvastatin)
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā ​​​​maʻi noʻonoʻo ʻē aʻe
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e.g., Fluconazole, Ketoconazole)
• ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana (e.g., Carbamazepine, Phenytoin)
• ʻO nā hormones wahine, me nā lāʻau hoʻomalu hānau
• Nā mea kanu a i ʻole nā ​​​​mea hoʻohui e like me ke kālika, ginkgo, ginseng, kī ʻōmaʻomaʻo, a me St. John's Wort
• Nā mea hoʻohui i loaʻa ka Vitamin K
• Nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū (e.g. Omeprazole, Ranitidine)
• Nā lāʻau lapaʻau ʻano steroid (e.g., Prednisone)

ʻAʻole piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (i kauoha ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau, nā mea kanu, nā huaora, nā mea hoʻohui), a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau warfarin.

He aha nā mea e pono ai mākou e makaʻala nui i ka wā e lawe ai iā Warfarin?

Aia kekahi mau kumu e hiki ke hoʻopilikia i kou palekana a me ka pono o ka lāʻau lapaʻau i ka wā e lawe ana iā Warfarin.

• Nā hoʻāʻo koko maʻamau (PT/INR): Ke lawe ʻoe i ka warfarin, pono ʻoe e loaʻa i kahi hoʻāʻo koko i kapa ʻia ʻo PT/INR i nā manawa a pau. Penei ke nānā ʻana o kāu kauka inā pololei ka nui o ka warfarin āu e lawe nei. Mai hoʻokuʻu i kēia mau hoʻāʻo koko. Pono e hana pinepine ʻia kēia mau hoʻāʻo ke hoʻomaka mua ʻoe e lawe i ka lāʻau. Ke loaʻa iā ʻoe ka nui kūpono nou, e emi ana ka pinepine o kēia mau hoʻāʻo.
• Palapala Lapaʻau: E komo i kahi kūpeʻe lima a kaulahao paha e hōʻike ana e lawe ana ʻoe i ka warfarin. Eia kekahi, e lawe mau i kahi kāleka me ʻoe e papa inoa ana i kou kūlana, ka inoa o ka lāʻau lapaʻau, ka nui o ka lāʻau, a me nā manawa āu e lawe ai. He mea nui loa kēia i ka wā pilikia.
• I ka hoʻomaka ʻana/hoʻōki ʻana i nā lāʻau lapaʻau ʻē aʻe: Mai hoʻomaka i kekahi lāʻau lapaʻau hou a i ʻole e hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau āu e lawe nei me ka ʻole o ke aʻo ʻana a kāu kauka. Hoʻokomo pū kēia i nā lāʻau lapaʻau ma luna o ke kauka.
• ʻAi a me ka Wikamina K: E kamaʻilio me kāu kauka e pili ana i kāu ʻai. Mai hana i nā hoʻololi nui i ka manawa hoʻokahi. ʻO kēia no ka mea, hoʻopilikia kahi meaʻai i kapa ʻia ʻo Wikamina K i ke ʻano o ka hana ʻana o Warfarin. Loaʻa i nā meaʻai he nui ka Wikamina K. No laila, he mea nui e ʻai i nā meaʻai i loaʻa ka Wikamina K ma ke ʻano like, ma ka nui mau. No ka laʻana, nā mea kanu ʻōmaʻomaʻo e like me ka spinach, kāpeti, broccoli, kale, nā greens mustard, ke kī ʻōmaʻomaʻo, asparagus, a me nā ʻōpuʻu brussel. Mai hoʻonui a hoʻemi paha i ka nui o kēia mau meaʻai i ka manawa hoʻokahi.
• E pale iā ʻoe iho mai nā ʻeha: I ka wā e lawe ai i ka warfarin, ʻoi aku ka nui o ka pilikia o ke kahe ʻana o ke koko. No laila, e makaʻala loa i ka hoʻohana ʻana i nā mea ʻoi e like me nā pahi. E pale iā ʻoe iho mai ka hāʻule ʻana a me nā palapū. E makaʻala i ka wā e pāʻani ana i nā haʻuki. E hoʻohana i kahi pahi ʻumiʻumi uila inā hiki. E makaʻala i ka palaki ʻana a me ka flossing i kou mau niho. E haʻi i kāu kauka inā ʻike ʻoe i kekahi mau ʻeha, nā palapū, a i ʻole nā ​​​​kiko ʻulaʻula ma kou ʻili.
• Inā maʻi ʻoe:E haʻi i kāu kauka inā ua maʻi ʻoe no nā lā he nui me ka luaʻi ʻana, ka maʻi pākī, a i ʻole ke kuni. Eia kekahi, inā ʻaʻole hiki iā ʻoe ke ʻai pono no kekahi mau lā, e haʻi i kāu kauka. Hiki i kēia mau mea ke hoʻololi i ka hopena o ka warfarin.
• ʻOiai ma hope o kou hoʻōki ʻana i ka lāʻau lapaʻau: ʻOiai ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka warfarin, e hala ana kekahi mau lā no ka hiki maoli o kou kino ke hoʻopaʻa i ke koko e hoʻi i ka maʻamau. E nīnau i kāu kauka i ka lōʻihi o kou makaʻala. Inā ʻoe e hana ana i ke ʻoki kino a i ʻole ka hana niho, e hōʻoia e haʻi iā lākou e lawe ana ʻoe i ka warfarin.

Pehea ka hopena o Warfarin i nā makuahine hāpai a me nā makuahine hānai?

He mea nui loa kēia.

• I ka wā hāpai: He lāʻau lapaʻau ʻo Warfarin hiki ke hoʻoulu i nā kīnā hānau a me ke kahe koko i loko o ka pēpē i hānau ʻole ʻia. No laila, pono i nā wahine o ka makahiki hānau keiki ke hoʻohana i ka kaohi hānau kūpono inā lākou e lawe ana i ka warfarin.
• Inā hāpai ʻoe i ka wā e lawe ana i ka warfarin, e kamaʻilio koke me kāu kauka a kūkākūkā i nā pilikia kūpono a me kāu mau koho.
• I ka wā e hānai waiū ai: Inā he makuahine hānai ʻoe, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i ka warfarin.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka warfarin ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi a pono e hōʻike koke ʻia i kāu kauka. ʻAʻole koʻikoʻi kekahi.

Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:

• Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
• Ke kahe koko ʻana:
• ʻEleʻele, ʻeleʻele a i ʻole ke koko i loko o ka noho.
• Ka luaʻi ʻana i ke koko, a i ʻole ka luaʻi ʻana i kahi mea ʻeleʻele e like me ka lepo kofe.
• Ke ʻulaʻula a ʻeleʻele paha ka mimi.
• Nā kiko ʻulaʻula liʻiliʻi a poni paha ma ka ʻili.
• ʻO ka ʻeha a i ʻole ke kahe koko ʻana ma ke ʻano ʻē (e like me ke kahe koko o ka ihu, nā ʻāʻī koko).
• Ke kahe koko ʻana i loko o ka lolo: ʻEha poʻo nui, ʻāʻī ʻoʻoleʻa, huikau, poniuniu, loli o ka ʻike, mae a nāwaliwali paha ma ka maka, lima, a i ʻole ka wāwae, paʻakikī ke ʻōlelo, paʻakikī ke hele, luaʻi.
• Nā manamana wāwae ʻeleʻele a poni paha.
• Nā wā kaumaha i nā wahine.
• Pehu ʻeha, wela, ʻulaʻula, pehu, a i ʻole nā ​​ʻeha ma ka ʻili.

Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:

• Ka maʻi pākī
• Pohō lauoho

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e ʻoluʻolu e nīnau i kāu kauka.

Pehea ʻoe e mālama ai i kēia mau pila Warfarin?

• E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona. He mea nui loa kēia.
• E mālama i ka mahana o ka lumi. ʻO ia hoʻi, ma waena o 15 a me 30 kekelē Celsius (59 a me 86 kekelē Fahrenheit).
• E pale mai ka mālamalama.
• E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
• Mai hoʻolei i lalo i ka lua.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

He lāʻau lapaʻau ʻo Warfarin hiki ke hoʻōla i ke ola inā hoʻohana pono ʻia, akā hiki nō hoʻi ke lilo i mea weliweli inā hoʻohana hewa ʻia. No laila,

• E lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, i ka manawa kūpono a me ka nui kūpono.
• E hōʻoia e hana i kāu mau hoʻāʻo koko PT/INR i nā lā i hoʻonohonoho ʻia.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, a me nā loli i ka meaʻai a me ka mea inu āu e lawe nei.
• E makaʻala i nā hōʻailona o ke kahe ʻana o ke koko. E haʻi i kāu kauka, ʻoiai inā he liʻiliʻi wale nō.
• Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole he makuahine hānai waiū ʻoe, e ʻōlelo pono i kāu kauka.
• Inā he mau nīnau a kānalua paha kāu, e nīnau i kāu kauka a kauka lāʻau paha. Mai makaʻu a hilahila paha e nīnau.

Manaʻolana wau ua kōkua kēia ʻike iā ʻoe e hoʻomaopopo maikaʻi iā Warfarin. E noho olakino!

ʻO Warfarin, ke koko ʻana, ka lahilahi o ke koko, ka maʻi puʻuwai, ka hahau ʻana, PT/INR, ka wikamina K