I doctor chuan damdawi Warfarin hmang turin a pe che em? A nih loh leh chhungte emaw, thian emaw hian he damdawi hi a hmang em? Hei hi a takah chuan thisen zam venna damdawi pawimawh tak a ni. Mahse hei hi kan hman dawnin kan fimkhur em em tur thil engemaw zat a awm. Ngaihtuah buai suh, vawiin hian awlsam leh chiang takin kan sawi vek ang.
Warfarin hi eng nge ni tak tak?
A awlsam zawngin Warfarin hi thisen zam a veng thei a, a nih loh leh a ti hniam thei damdawi a ni. Damdawi lamah chuan hei hi anticoagulant kan ti a. He damdawi hi brand hming Coumadin® emaw Jantoven® emaw hmangin i hre tawh mai thei.
He damdawi hian i taksa chhungah emaw, i thisen kalna kawngah emaw, i thinlungah emaw thisen zam duh loh lo awm lo turin hna a thawk a ni. Heng thisen zam duh loh tak takte hi damdawi lam dinhmun thenkhatah emaw, rei tak i kal theih loh emaw, i che thei lo emaw a lo awm thei a ni.
A pawimawh ber chu Warfarin hian thisen zam thar siam a veng a, mahse thisen zam awmsa chu a tithianghlim lo . Mahse, clot lian zel tur chu a titawp tlat thung. Hun a kal zel a, clot chu a mah chauhin a bo thei a ni.
Warfarin hi engte hmanna nge ni?
I doctor hian a hnuaia natnate hi venna emaw, enkawlna emaw atan he damdawi hi a pe mai thei:
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Thisen kalna kawng (Venous thromboembolism - VTE) . | Vein-a thisen zam lo awm chu a chhuak a, hmun dangah a tang ta a ni. |
| Deep vein thrombosis (DVT) a awm a, a chhuak thei lo. | Thisen chhuak, ke ruh thuk takah a awm fo thin. |
| Pulmonary embolism (PE) a awm thei lo. | Vein pakhata thisen zam lo awm chu a chhuak a, lung chhungah a awm ta a ni. |
| Thisen kalna kawng (Arterial thromboembolism - ATE) . | Artery pakhata thisen zam (blood clot) siam. |
| Thai | Thisen zam hian thluaka thisen phurtu thisen kalna kawng a tikhawlo a. |
| Lung natna | Thisen zam (blood clot) hmanga thinlunga thisen pe chhuaktu artery block. |
Tin, he damdawi hi heartbeat mumal lo (Atrial fibrillation - Afib) i neih emaw, heart valve replacement surgery i neih emaw chuan thisen zam a awm loh nan an pe bawk
He damdawi hian engtin nge hna a thawh?
A awlsam hle mai. Vitamin K hi kan thisen a tikhawlo theih nan a pawimawh hle. Warfarin hian thisen zam chhuahna kawnga puitu thil thenkhat atana mamawh vitamin K hnathawh a tikhawlo a, hei hi a titawp a ni. Hei hian thisen zam chakna a ti hniam a, duh loh zawng thisen zam siam a veng bawk.
Damdawi hman dan tur leh thisen test ngei ngei tur a ni
Warfarin dose hi 1 mg (milligrams) atanga 10 mg vel thleng a ni tlangpui. I doctor chuan dose bik a pe ang che. Mahse, chu dose chu thisen test pangngai result a\angin siamrem a ngai mai thei.
Heng pill te hi rawng hrang hrang a awm a. Color tin hian pill chhunga milligram awm zat a entir a ni. Entirnan, 5mg pill pek i nih a, a dose 2.5mg-a tihhniam tura tih i nih chuan 5mg pill chu a chanveah i then a, chu chu a chanve chu i ei tur a ni. Doctor rawn hmasa lovin dose hi thlak ngai suh.
Heng thisen test te hi eng nge tih ngai?
Warfarin i ei dawnin thisen test PT/INR (Prothrombin Time / International Normalized Ratio) tih hi neih fo a ngai dawn a ni.
He test hian i thisen a zang chak zia a teh a ni. Results hian i doctor chu Warfarin hian i tan hna a thawk tha em tih leh i dose pawh siamthat a ngai em tih a hriat theih nan a pui thei a ni.
He test hi kar khatah vawi khat emaw, thla khatah vawi khat emaw tih theih a ni. I doctor chuan a rel ang.
- Damdawi dang i ei (vitamin leh natna tidamtu pawh), i hriselna a inthlak danglam (khawsik emaw, ril\am emaw ang chi), leh i ei leh in lama inthlak danglamna hian i PT/INR a nghawng thei a ni. Chuvangin , i nunah inthlak danglamna a awm chuan Warfarin doctor hnenah hriattir a pawimawh.
Warfarin i ei hian heng thilte hi dik takin ti rawh
- Nitin damdawi hi a rualin ei thin ang che . Ni khatah vawi khat chauh i ei tur a ni.
- Chaw ei hma emaw ei zawhah emaw ei theih a ni.
- I damdawi ei theihnghilh a, darkar 8 chhunga i hriat reng chuan a dose chu ei nghal rawh.
- Mahse, darkar 8 aia rei a nih chuan chu ni a dose chu skip la, a tuk dose chauh ei rawh. Vawi khatah vawi hnih ei ngai suh.
- Ni hnih emaw a aia rei emaw i damdawi i ei theihnghilh a nih chuan i doctor koh ngei ngei tur a ni.
A side effect ber: Thisen chhuah lakah fimkhur rawh!
Warfarin hian a side effect ber leh a tam ber chu thisen chhuah tam lutuk hi a ni . Hei hi a chhan chu he damdawi hian thisen zam tur venna hmangin hna a thawk a ni. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Sign ngaihven tur | Hrilhfiahna |
|---|---|
| Doctor hnenah hriattir nghal rawh. | |
| Hliam tenau avanga thisen chhuak | Minute 10 chhung pressure pek hnuah pawh thisen chhuak tawp lo. |
| Hnar leh hmui atanga thisen chhuak | Minute 10 aia rei lo thisen chhuak. |
| Zun rawng a inthlak danglam | Zun chu a sen emaw, a dum (rusty) emaw a lo awm. |
| Stool rawng a inthlak danglam thin | Stool sen hring emaw tarry dum emaw a awm. |
| Thisen khuh emaw, luak chhuak emaw | Thisen khuh emaw, coffee ground ang maia luak chhuak emaw. |
| A chhan awm lova hliam tuar | Hriselna, purple spots, emaw taksa hmun dangah pawh chhan awm lovin a hring leh a na. |
| Hmeichhia thlasik lai | Menstrual bleeding pangngai aia rit emaw, a tlangpui aia rei emaw a awm. |
| Lu natna danglam tak emaw, luak chhuak emaw | Lu na na tak, luak chhuak, tawng emaw mit hmuh dan inthlak danglam nghal, hmai emaw kut emaw a bengchheng. |
Engtikah nge emergency treatment a ngai?
- Hliam tenau tak, minute 10 chhung pressure hnua thisen chhuak a reh loh chuan pressure pe chhunzawm la, Emergency Department (ETU) hnai ber pan rawh.
- Hliam na tak i nei a, thisen a chhuak nasa a nih chuan 1990 call nghal la, a rang thei ang bera tu emaw puihnain ETU- ah kal rawh.
Chaw leh vitamin K chungchang zir belh rawh
Hei hi mi tam takin an tihsualna hmun a ni. Mi thenkhat chuan warfarin an ei dawnin vitamin K awmna ei tur ei hi bansan vek tur niin an ngai. Hei hi a dik lo a ni.
A pawimawh ber chu kar khat atanga kar khat chhunga vitamin K tamna ei tur i ei zat ang chiah kha vawng reng tur a ni . Kar khat chhunga ei tam leh kar leh lamah ei loh tak tak hian INR-ah danglamna nasa tak a thlen thei a ni.
Vitamin K tamna ei tur (kar khata i ei zat chu a inang reng tur):
- Thlai dum dum, kale, broccoli, spinach, leh collard greens te pawh a awm
- Lettuce chi hrang hrang
- Asparagus a ni
Thlai ei tam i tum a nih chuan vitamin K tlakchhamna thlai i thlang thei a, chungte chu:
- Corn, pumpkin, potato, carrot, cucumber, tomato te pawh a awm bawk.
Pawimawh: I ei leh in lama inthlak danglamna lian tham (e.g. weight loss diet i tan) hmain i doctor nen inbiakna neih hmasak phawt ang che.
Warfarin ei huna pumpelh tur thil
- Damdawi dang: Doctor rawn hmasa lovin damdawi engmah (painkiller, vitamin, Ayurvedic damdawi pawh) ei loh tur.
- Surgery: Ha lakchhuah ang chi thil tenau tak pawh i neih hmain i ha enkawltu emaw, surgeon emaw hnenah Warfarin i ei tih i hrilh hmasa tur a ni.
- Chaw leh In: Grapefruit, pomegranate, leh cranberry tui in loh tur.
- Zu: Zu in loh tur. Thisen chhuah theihna a tipung thei a ni.
- Naupai: Warfarin ei laiin naupai loh tur. Naupai i tum a nih chuan i doctor nen inbia ang che.
- Accident: Accident, tlu leh hard impact lakah a theih ang anga inveng rawh. Infiamna i khelh chuan chu lam pawh chu i doctor rawn la.
Take-Home Thuchah a ni
- Warfarin hi thisen zam tur venna damdawi pawimawh tak a ni. I doctor-in a hrilh ang chiah khan ei la, a hun takah, a dose dik takah ei rawh.
- Doctor rawn hmasa lovin damdawi ei kha bansan suh emaw, eng thil vang pawh nise a dose thlak loh tur a ni.
- PT/INR thisen test hi skip ngai suh. I himna atan a pawimawh hle.
- Thisen chhuahna danglam tak (hard bruising, black stools, red urine) i hmuh chuan doctor rawn nghal rawh.
- I ei leh in lama inthlak danglamna te, damdawi dang i ei te, hriselna lama harsatna i neih te chu i doctor hnenah hriattir fo ang che.
- Ha lakchhuah emaw, operation emaw i neih hmain, doctor sawi tur hnenah Warfarin i ei tih i hrilh hmasa tur a ni.
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