Yu dɔktɔ dɔn tɛl yu fɔ yuz di mɛrɛsin we dɛn kɔl Warfarin? Ɔ yu fambul ɔ yu padi de yuz dis mɛrɛsin? Dis na rili impɔtant mɛrɛsin we de mek blɔd nɔ klɔt. Bɔt sɔm tin dɛn de we wi nid fɔ rili tek tɛm wit we wi de yuz dis. Nɔ wɔri, wi go tɔk bɔt ɔl am simpul ɛn klia wan tide.
Wetin rili na Warfarin?
Fɔ tɔk am simpul wan, Warfarin na mɛrɛsin we de mek blɔd nɔ klot, ɔ i de mek i slo. Insay mɛrɛsin, wi kin kɔl dis wan antikɔagulant . Yu kin no dis mɛrɛsin bay di brand nem Coumadin® ɔ Jantoven®.
Dis mɛrɛsin de wok bay we i de mek blɔd we yu nɔ want nɔ fɔm insay yu bɔdi, na yu blɔd vesel ɔ na yu at. Dɛn blɔd ya we yu nɔ want kin kam pan sɔm mɛrɛsin, ɔ we yu nɔ ebul fɔ waka ɔ muv rawnd fɔ lɔng tɛm.
Di impɔtant tin na dat, Warfarin de mek nyu blɔd klɔt nɔ kam, bɔt i nɔ de sɔlv di blɔd we dɔn de . Bɔt i kin stɔp di klot fɔ mek i nɔ big. As tɛm de go, di klot kin sɔlv insɛf.
Wetin na di yus dɛm fɔ Warfarin?
Yu dɔktɔ go dɔn gi yu dis mɛrɛsin fɔ mek yu nɔ gɛt ɔ trit dɛn sik ya:
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Blɔd we de klɔt na di vein dɛn (Venous thromboembolism - VTE) . | Blɔd we kin klɔt na wan vein kin brok ɛn stɔp ɔdasay. |
| Dip vein trombosis (DVT) . | Blɔd we de klɔt, bɔku tɛm na dip vein na di leg. |
| Pulmonari ɛmbolizm (PE) . | Wan blɔd we dɔn fɔm na wan vein kin brok ɛn i kin lod na di lɔng dɛn. |
| Blɔd we de klɔt na di at (Aterial thromboembolism - ATE) . | Fɔmeshɔn fɔ wan blɔd we de klɔt na wan at. |
| Strok | Blɔd we de klɔt kin blok wan blɔd vesel we de kɛr blɔd go na di bren. |
| At atak | Blɔk we wan at we de gi blɔd to di at bay we blɔd klɔt. |
Apat frɔm dat, dɛn kin gi yu dis mɛrɛsin bak fɔ mek yu nɔ gɛt di risk fɔ mek blɔd klɔt if yu at bit we nɔ de bit ɔltɛm (Atrial fibrillation - Afib) ɔ yu dɔn du ɔpreshɔn fɔ chenj yu at valv .
Aw dis mɛrɛsin de wok?
I rili simpul. Vitamin K impɔtant fɔ mek wi blɔd klot. Warfarin de wok bay we i de blok di akshɔn fɔ vaytamɛn K, we nid fɔ sɔm pan di tin dɛn we de ɛp fɔ mek di blɔd klɔt. Dis kin mek di blɔd klɔt slo ɛn i kin mek di blɔd klɔt we yu nɔ want.
Di doz fɔ mɛrɛsin ɛn mandatory blɔd tɛst
di doz fכ di wכfarin kin vεryus frכm 1 mg (miligram) to lεk 10 mg. Yu dɔktɔ go gi yu wan patikyula doz. Bɔt dɛn kin nid fɔ chenj da doz de bay di tin dɛn we dɛn kin du we dɛn kin du blɔd tɛst ɔltɛm.
Dɛn pils ya gɛt difrɛn kɔlɔ dɛn. Ɛni kɔlɔ de sho di nɔmba fɔ di miligram dɛn we de insay di pil. Fɔ ɛgzampul, if dɛn gi yu 5mg pil ɛn afta dat dɛn tɛl yu fɔ ridyus di doz to 2.5mg, yu fɔ brok di 5mg pil insay af ɛn tek da af de. Nɔ ɛva chenj di doz we yu nɔ go to yu dɔktɔ.
Wetin na dɛn blɔd tɛst ya we dɛn nid fɔ du?
We yu de tek warfarin, yu go nid fɔ gɛt blɔd tɛst we dɛn kɔl PT/INR (Prothrombin Time / International Normalized Ratio) ɔltɛm.
Dis tɛst de sho aw yu blɔd de klɔt kwik kwik wan. Di rizɔlt kin ɛp yu dɔktɔ fɔ no if Warfarin de wok fayn fɔ yu ɛn if yu nid fɔ ajɔst di doz.
Dɛn kin du dis tɛst wan tɛm insay di wik ɔ wan tɛm insay di mɔnt. Yu dɔktɔ go disayd.
- Ɔda mɛrɛsin dɛn we yu de tek (ivin vaytamɛn ɛn pen kil), chenj na yu wɛlbɔdi (lɛk fiva ɔ dayarɛa), ɛn chenj na yu it kin afɛkt yu PT/INR. So , i impɔtant fɔ tɛl yu Warfarin dɔktɔ bɔt ɛni chenj na yu layf.
Du dɛn tin ya ɛksaktɔli we yu de tek Warfarin
- Tek di mɛrɛsin di sem tɛm ɛvride . Na wan tɛm nɔmɔ yu fɔ tek am insay di de.
- Yu kin tek am bifo ɔ afta yu it.
- If yu fɔgɛt fɔ tek yu mɛrɛsin ɛn mɛmba insay 8 awa, tek di doz wantɛm wantɛm.
- Bɔt if i dɔn pas 8 awa, skip di doz fɔ da de de ɛn tek di doz fɔ di nɛks de nɔmɔ. Nɔ ɛva tek tu dos wan tɛm.
- If yu fɔgɛt fɔ tek yu mɛrɛsin fɔ tu dez ɔ mɔ, mek shɔ se yu kɔl yu dɔktɔ.
Di men sayd ɛfɛkt: Tek tɛm fɔ mek yu blɔd kɔmɔt!
Di men ɛn kɔmɔn sayd ɛfɛkt we warfarin kin gɛt na we pɔsin de blɔd pasmak . Dis na bikɔs dis mɛrɛsin de wok bay we i de mek blɔd nɔ klɔt. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Notis di dɔktɔ wantɛm wantɛm. | |
| Blɔd we de kɔmɔt frɔm smɔl injuri | Blɔd we nɔ de stɔp ivin afta yu dɔn put prɛshɔn fɔ 10 minit. |
| Blɔd we de kɔmɔt na di nos ɛn di gɔm | Blɔd we nɔ de stɔp fɔ pas 10 minit. |
| Chenj in kɔlɔ na di urine | Yurin de tɔn rɛd ɔ dak brawn (rɔsti). |
| Chenj in stɔl kɔlɔ | Brayt rɛd ɔ tarry blak stɔl. |
| Fɔ kɔf blɔd ɔ fɔ vɔmit | Fɔ kɔf blɔd ɔ vɔmit we tan lɛk kɔfi grɔn. |
| Brus we nɔ gɛt ɛni rizin | Brus, pepul spat, ɔ swel ɛn pen ɔlsay na di bɔdi fɔ natin. |
| Di uman dɛn we kin gɛt mɔnt | Di blɔd we de kɔmɔt na di mɔnt we de ebi pas aw i fɔ bi ɔ we de te pas aw i kin bi. |
| Ed pen ɔ diziz we nɔ kɔmɔn | Bɔrku ed pen, diziz, chenj wae yu de tɔk ɔr de si wantɛm wantɛm, yu fes ɔ yu an nɔr de fil fayn. |
Ustɛm dɛn nid fɔ gɛt tritmɛnt kwik kwik wan?
- If di blɔd nɔ stɔp afta 10 minit we yu prɛs yu smɔl wund, kɔntinyu fɔ prɛs am ɛn go to di Imejɛnsi Dipatmɛnt (ETU) we de nia yu .
- If yu gɛt siriɔs injuri ɛn yu de blɔd bad bad wan, kɔl 1990 wantɛm wantɛm ɔ go na di ETU wit pɔsin in ɛp kwik kwik wan.
Lan mɔ bɔt it ɛn vaytamɛn K
Dis na di say we bɔku pipul dɛn kin mek mistek. Sɔm pipul dɛn kin tink se dɛn fɔ stɔp fɔ it tin dɛn we gɛt vaytamɛn K kpatakpata we dɛn de tek warfarin. Dis na tin we nɔ rayt.
Di tin we impɔtant pas ɔl na fɔ kip di sem kayn it dɛn we gɛt vaytamɛn K we yu de it frɔm wik to wik . If yu it bɔku wan wik ɛn nɔ it atɔl di nɛks wik, dat kin mek yu gɛt big difrɛns na yu INR.
Fɔd dɛn we gɛt bɔku vaytamɛn K (kit di amount we yu de it fɔ wan wik kɔnsistɛns):
- Dak grɛn vɛjitebul dɛn lɛk kale, brɔkoli, spinach, ɛn kɔla grɛn
- Tayp dɛn fɔ lɛtis
- Asparagus we dɛn kɔl Asparagus
If yu de luk fɔ mek yu it mɔ vɛjitebul, yu kin pik vɛjitebul dɛn we nɔ gɛt bɔku vaytamɛn K, lɛk:
- Kon, pɔmpin, potato, karɔt, kɔkumba, tomato.
Impɔtant: Bifo yu mek ɛni big chenj na yu it (e.g., yu bigin fɔ it tin fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi), mek shɔ se yu tɔk to yu dɔktɔ.
Tin dɛn we yu fɔ avɔyd we yu de tek Warfarin
- Ɔda mɛrɛsin dɛn: Nɔ tek ɛni mɛrɛsin (ivin mɛrɛsin fɔ mɛn pen, vaytamɛn, ɔ Ayurveda mɛrɛsin) we yu nɔ go to yu dɔktɔ.
- Ɔpreshɔn: Bifo yu ivin gɛt sɔntin we smɔl lɛk fɔ pul yu tut, yu fɔ tɛl yu dɛntist ɔ dɔktɔ we de du ɔpreshɔn se yu de tek Warfarin.
- Fɔ it ɛn drink: Nɔ drink grep, granat, ɛn kranbɛri jus.
- Rɔm: Nɔ drink rɔm. I kin mek yu gɛt mɔ blɔd.
- Bɛlɛ: Nɔ gɛt bɛlɛ we yu de tek warfarin. If yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt am.
- Aksidɛnt: Protɛkt yusɛf as mɔ as yu ebul frɔm aksidɛnt lɛk fɔ fɔdɔm ɛn fɔ ambɔg yu at. If yu de ple spɔt, go to yu dɔktɔ bɔt dat bak.
Mɛsej we dɛn kin kɛr go na os
- Warfarin na wan mɛrɛsin we rili impɔtant we de mek blɔd nɔ klot. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, insay di rayt doz.
- Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ ɛni rizin we yu nɔ go to yu dɔktɔ.
- Nɔ ɛva skip PT/INR blɔd tɛst. I impɔtant fɔ mek yu sef.
- If yu notis ɛni sayn fɔ blɔd we nɔ kɔmɔn (had brus, blak stɔl, rɛd urine), go to dɔktɔ wantɛm wantɛm.
- Ɔltɛm tɛl yu dɔktɔ bɔt ɛni chenj na yu it, ɔda mɛrɛsin dɛn we yu de tek, ɔ wɛlbɔdi prɔblɛm.
- Bifo yu pul yu tut ɔ ɔpreshɔn, yu fɔ tɛl di dɔktɔ we yu de tɔk bɔt se yu de tek Warfarin.
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