Yu ɔ pɔsin we yu sabi dɔn ɛva tɛl yu fɔ du "blɔd thinner"? Sɔntɛm na afta dɛn dɔn ɔpreshɔn yu at, ɔ bikɔs blɔd dɔn klɔt na wan vein na yu leg. Warfarin na di men mɛrɛsin ɛn we dɛn kin yuz mɔ fɔ mek blɔd nɔ klɔt. Bɔrku pipul kin yuse dis mɛrɛsin, bɔt dɛn nɔr kin no bɔrku tin bɔt am, wae kin mek dɛn frayd wae nɔr nid fɔ de. So tide, lɛ wi tɔk bɔt dis Warfarin injɛkshɔn insay wan rili simpul ɛn padi we.
Fɔ tɔk am simpul wan, wetin na Warfarin?
Warfarin na wan mɛrɛsin we de insay wan klas we dɛn kɔl antikoagulant . Fɔ tɔk am simpul wan, i de wok bay we i de slo di klot we de na yu bɔdi. Pan ɔl we dɛn kɔl am "blɔd tina," i nɔ kin rili tan yu blɔd lɛk wata. I jɔs de mek di tɛm we yu de tek fɔ mek yu blɔd klɔt bɔku.
Dɔn wetin mek dɛn de gi dis mɛrɛsin?
- Trit di blɔd we kin kam na di vein, at, di lɔng, ɔ di at.
- Dɔn bak, mek dɛn kayn blɔd klɔt ya nɔ fɔm tumara bambay.
Fɔ ɛgzampul, bɔku tɛm dɛn kin gi dis mɛrɛsin to pɔsin we dɔn gɛt at valv riplesmɛnt ɔ pɔsin we dɔn gɛt blɔd klɔt na wan vein na in leg (Deep Vein Thrombosis - DVT).
Tin dɛn we yu nid fɔ tɛl yu dɔktɔ bifo yu bigin fɔ yuz Warfarin
Warfarin na mɛrɛsin we yu fɔ tek tɛm yuz bad bad wan. So, i impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi prɔblɛm. Bifo yu bigin fɔ tek Warfarin, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di tin dɛn we de dɔŋ ya.
| Wɛlbɔdi kɔndishɔn/abit | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit blɔd | Di prɔblɛm dɛn we kin mek pɔsin gɛt blɔd, lɛk we pɔsin nɔ gɛt bɛtɛ blɔd, we i gɛt ɛmofilia, ɛn we i kin gɛt anɛrizm. |
| Dijestiv sistɛm sik dɛn | Wan histri bɔt ɔlsa na di intestinal, diverticulitis, ɔ di blɔd we bin de kɔmɔt na di bɛlɛ bifo. |
| Liva ɔ kidni sik | Ɛni mɛdikal kɔndishɔn we gɛt fɔ du wit di liva ɔ kidni we de wok. |
| At sik ɛn ay blɔd prɛshɔn | Kɔndishɔn dɛn lɛk ay blɔd prɛshɔn ɛn at valv infɛkshɔn. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Dayabitis, kansa, prɔtin C ɔ S we nɔ de, strok, ɔ injuri na yu bren. |
| Pɔsin in yon infɔmeshɔn | Fɔ dɔn pas 65 ia, fɔ drink rɔm, fɔ gɛt ɔpreshɔn ɔ aksidɛnt i nɔ tu te yet. |
| Bεlε εn we i de gi pikin in bεlε | Dis rili impɔtant if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
| Alɛji dɛn we pɔsin kin gɛt | If yu nɔ gɛt alɛji to warfarin, ɔda mɛrɛsin, it, ɔ tin dɛn we de mek yu nɔ pwɛl. |
Aw dɛn kin gi dis vaysin ɛn us tin dɛn fɔ tek tɛm wit?
Dɛn kin gi warfarin bay we dɛn injekt am na wan vein. Dis nɔto sɔntin we yu go ebul fɔ du na os. Na dɔktɔ ɔ nɔs we tren na ɔspitul ɔ klinik kin gi am .
Impɔtant: Risk de fɔ mek yu blɔd kɔmɔt if dɛn ad di doz fɔ di mɛrɛsin. So, if yu tink se yu dɔn tek dis mɛrɛsin tumɔs, go to di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm.Kɔl ɔ go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) .
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Ɔda mɛrɛsin dɛn we kin miks wit Warfarin (Drug Interactions) .
Warfarin na drɔg we kin miks wit ɔda mɛrɛsin, ɛbul prodak, ɛn sɔm it dɛn. Dis kin ɔl tu inkrisayz di ifɛkt fɔ Warfarin (risk fɔ blɔd) ɔ fɔ ridyus am (risk fɔ mek blɔd klɔt).
So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we ɔda dɔktɔ dɛn gi yu, mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn, ɛbul prɔdak, Ayurveda mɛrɛsin) .
Dis dɔŋ ya na sɔm tin dɛm wae kin intarakt wit Warfarin. Dis nɔto kɔmplit list, bɔt na di men tin dɛn we yu fɔ no bɔt.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Nɔn-steroidal anti-inflammatory drugs (NSAID) lɛk ibuprofen ɛn naproxen, ɛn aspirin.
- Antibayɔtik: Sɔm antibayɔtik lɛk Ɛritromaysin, Siproflɔksasin, Mɛtronidazɔl.
- Antifungals: Mεdisin dεm lεk Fluconazole εn Ketoconazole.
- Mɛrɛsin fɔ at sik, ay blɔd prɛshɔn, ɛn kɔlɔstrel.
- Mɛrɛsin fɔ mek pɔsin gɛt sik we de mek pɔsin sik.
- Mɛrɛsin fɔ mɛn sik dɛn we pɔsin kin gɛt na in maynd.
- Di tin dɛn we dɛn mek wit ɛbul: Tin dɛn lɛk galik, ginkgo, ginseng, ɛn Sɛnt Jɔn Wɔt.
- Vitamin K: Dis de insay ɔl tu di mɛrɛsin ɛn it.
If yu go bigin fɔ tek ɛni nyu mɛrɛsin ɔ yu go stɔp fɔ tek mɛrɛsin, mek shɔ se yu aks yu dɔktɔ fɔs.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek Warfarin
PT/INR blɔd tɛst
Wan mandatory ɛn rili impɔtant blɔd tɛst we ɔlman we de tek warfarin fɔ gɛt na di PT/INR . Dis kin mɛzhɔ di tɛm we i tek fɔ mek yu blɔd klɔt. Bay di rizɔlt fɔ dis tɛst, yu dɔktɔ go no di doz fɔ di warfarin we yu nid.
- Dis tɛst go nid fɔ du bɔku tɛm insay di fɔs tɛm we dɛn bigin fɔ tek di mɛrɛsin.
- Wae yu dɔn fɛn di rayt doz fɔ yu, di frɛkuɛns fɔ tɛst go dɔŋ.
- Nɔ skip dis blɔd tɛst fɔ ɛni rizin. I impɔtant fɔ mek yu sef.
Di chenj dɛn we de apin na di it we dɛn de it
Di akshɔn we warfarin de du kin afɛkt dairekt wan bay wan nyutriɛnt we dɛn kɔl vaytamɛn K. If yu tek bɔku vaytamɛn K i kin ridyus di ifɛkt we warfarin gɛt ɛn mek yu blɔd klɔt. If vaytamɛn K nɔ bɔku, di ifɛkt we wɔfarin gɛt kin bɔku ɛn mek pɔsin blɔd kɔmɔt.
Di impɔtant tin na fɔ nɔ stɔp fɔ it it dɛn we gɛt vaytamɛn K. Di impɔtant tin na fɔ kip di amount we yu de it kɔnsistɛns. Nɔ it bɔku wan de ɛn nɔ it ɛnitin di nɛks de.
Sɔm it dɛn we gɛt bɔku vaytamɛn K:
- Dak grɛn vɛjitebul dɛn lɛk spinach, kabij, lɛtis, brɔkoli, ɛn kelɛb.
- Grin ti
- Pasli
Tɔk to yu dɔktɔ bifo yu mek ɛni big chenj na yu it.
Tek tɛm wit aksidɛnt
We yu de tek warfarin, ivin we yu kɔt am smɔl, i kin mek yu blɔd bɔku pas aw i kin kɔmɔt. Dat mek:
- Nɔ du spɔt ɛn tin dɛn we go mek pɔsin fɔdɔm ɛn wund.
- Tek tɛm bad bad wan we yu de yuz shap wɛpɔn ɛn nɛf.
- I bɛtɛ fɔ yuz ilɛktrik reza instead fɔ yuz reza.
- Yuz tut brɔsh we gɛt saf brist we yu de brus yu tit. Tɛl yu dɔktɔ if yu gɔm de blɔd.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Lɛk ɛni mɛrɛsin, Warfarin kin mek yu gɛt sayd ɛfɛkt. Sɔm kin siriɔs, ɛn ɔda wan dɛn kin kɔmɔn.
| Di sayn we de sho se di sik de | Wetin fɔ du? |
|---|---|
| Di sayn dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan | |
| Di sayn dɛn we de sho se pɔsin de blɔd: - Blak, tarry stɔl dɛn - Rɛd ɔ dak brawn urine - Fɔ vɔmit sɔntin we tan lɛk kɔfi grɔn - Nɔmal blɔd we de kɔmɔt na di nos ɛn di gɔm - Rɛd spat ɔ blɔd spat na di skin | Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin de blɔd insay pɔsin in bɔdi. Go to dɔktɔ wantɛm wantɛm. |
| Di sayn dɛn we pɔsin kin si we i gɛt strok: - Wantɛm we yu ed kin at bad bad wan - Kɔnfyushɔn, prɔblɛm fɔ tɔk - Di fes, an, ɔ leg kin swɛla ɔ wik | Dis na imejensi. Go na ɔspitul wantɛm wantɛm. |
| Di kwaliti dɛn we blɔd kin gɛt: - Chɛst pen, i nɔ izi fɔ blo - Leg pen, swel, wam | Dis kin bi sayn fɔ sho se di mɛrɛsin nɔ de wok fayn. Tɛl yu dɔktɔ wantɛm wantɛm. |
| Alɛji riakshɔn, ebi ebi blɔd we uman dɛn kin gɛt we dɛn de gɛt mɔnt, we dɛn kin gɛt siriɔs bɛlɛ kramp. | Go to dɔktɔ wantɛm wantɛm. |
| Di sayn dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Rɔnbɛlɛ | Tɛl yu dɔktɔ if i tek pas sɔm dez. |
| Di ia we de lɔs | If dis de mɔna yu, tɔk to yu dɔktɔ. |
Mɛsej we dɛn kin kɛr go na os
- Warfarin na mɛrɛsin we de mek blɔd nɔ klot ɛn dɛn fɔ tek tɛm yuz am bad bad wan.
- Nɔ ɛva skip di PT/INR blɔd tɛst we dɛn dɔn tɛl yu fɔ du. Yu sef de dipen pan am.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Nɔ stɔp fɔ it grɛn vɛjitebul dɛn we gɛt vaytamɛn K. Bifo dat, tray fɔ mek yu it di sem lɛvul ɛvride .
- Ivin wan simpul wund kin mek yu blɔd pasmak, so tek tɛm as yu ebul fɔ avɔyd aksidɛnt.
- If yu notis sayn dɛn we de sho se yu de blɔd , lɛk blak stɔl ɔ blɔd we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛnitin fɔ wɔri bɔt dis mɛrɛsin, nɔ fred fɔ tɔk to yu dɔktɔ.
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