Nangmah emaw, i chhungte zingah emaw doctor-in thisen tihthianghlimna damdawi a pe tawh em? Tichuan "Warfarin" tih hi i hre tawh ngei ang. Nunna chhanhim thei damdawi a ni a, mahse uluk taka hman ngai a ni. Chuvangin vawiinah hian a chungchanga i zawhna zawng zawng hi i chhang vek ang u, i thianpa nena inbiakna ang maiin.
A awlsam zawngin, Warfarin chu eng nge ni?
Warfarin hi anticoagulant a ni a . Mi thenkhat chuan "blood thinner" an ti a, mahse a takah chuan thisen a ti thim lo va, clotting process a ti slow mai a ni. Ngaihtuah teh, kan taksa hmun dangah cut kan neih hian thisen chhuah tihtawp nan thisen zam hi a pawimawh hle. Mahse damdawi lam dinhmun thenkhatah chuan taksa chhungah chhan awm lovin thisen zam a lo awm thei a, chu chu thisen kalna kawngah emaw, thinlungah emaw a lo awm thei a ni. Chuvang chuan warfarin hi kan hmang a, hetiang thisen zam hlauhawm tak tak siam hi kan titawp thin.
Thisen zam i neih tawh chuan warfarin hian a lian lo tur a titawp a, a piece pakhat chu a inthen a, lung, thluak, thinlung ang chi organ pawimawh takah a tang lo bawk.
Warfarin hi engte nge a hman?
Doctor-te chuan he damdawi hi a hnuaia natnate enkawl emaw, venna emaw atan an pe ber a ni. Chung zinga ṭhenkhat chu i tan chuan a buaithlak deuhin a lang thei a, mahse a awlsam zawngin i dah ang u.
| Dinhmun | Ngaihtuahna mai mai a ni |
|---|---|
| Deep Vein Thrombosis (DVT) natna hi a awm thei lo. | Ke ruh thuk takah thisen zam a lo awm fo thin. |
| Pulmonary Embolism (PE) a awm thei lo. | Taksa hmun danga thisen zam lo awm chu a chhuak a, lung chhunga vein pakhatah a inkhung ta a ni. Hei hi a hlauhawm hle mai. |
| Thai | Thisen zam hian thluaka thisen pe chhuaktu thisen kalna kawng a tikhawlo a ni. |
| Atrial Fibrillation (AFib) a awm thei lo. | Heartbeat mumal lo hian thinlung chhungah thisen zam a siam thei a ni. |
| Heart Valve thlak danglam a ni | Artificial heart valve-a thisen zam a lo awm loh nan. |
Engtin nge warfarin hian taksa chhungah hna a thawh?
Hei hi scientific story deuh a ni a, mahse a awlsam zawngin i dah ang u. Kan taksaa thisen zam (blood clotting process) atan Vitamin K hi a pawimawh hle. Warfarin hian a tih chu he vitamin K hnathawh hi tlem a control hi a ni. Chuvang chuan thisen zam (blood clotting process) hi a zawi deuh a ni. Hei hian a tul lova thisen zam siam chu a titawp a ni.
Warfarin ei dawnin thisen test (INR Test) neih a ngai a ni.
Warfarin hi damdawi sensitive tak a ni. Chuvangin i hman hunah i thisen zam zat i enfiah fo a ngai a ni. A test kan tih hi PT/INR (Prothrombin Time / International Normalized Ratio) tih a ni.
A awlsam zawngin, i doctor chuan i warfarin dose dik leh tlem, a sang lutuk tih chu i INR value enin a hre thei ang. Chuvangin he thisen test hi doctor-in a rawt angin ni ruat saah tih a pawimawh hle .
He test hi a tir lamah kar khatah vawi khat emaw vawi hnih emaw i neih a ngai mai thei. I INR level a lo nghet tawh chuan thla khatah vawi khat vel tih tir turin an ti mai thei. I INR level hi damdawi dang i ei vang te, i ei leh in vang te, damdawi lam thil dang vang emaw hian a danglam thei a ni. Chuvangin, i doctor hnenah thil danglam a awm chuan hriattir reng a pawimawh.
Warfarin hlauhawmna ber: Thisen chhuah
Warfarin hian thisen zam a control avangin, a side effect awm thei ber chu thisen chhuah tam lutuk hi a ni . Chuvangin a hnuaia symptoms te hi i fimkhur hle tur a ni.
| Thisen chhuahna symptoms fimkhur tur | |
|---|---|
| I Doctor Biak nghal rawh | |
| Chhan awm lovin taksaah hliam a awm. | Gums emaw hnar atanga thisen chhuak tenau. |
| Hmeichhiaah thlasik laiin thisen a chhuak nasa emaw, rei tak emaw a chhuak thin. | Zun sen, sen, emaw dum emaw. |
| Stool sen hring emaw tarry dum emaw a awm. | A hma aia chau leh chak lo zawka inhriatna. |
| Emergency Treatment Unit (ETU) ah kal nghal rawh. | |
| Minute 10 chhung pressure pek hnuah pawh thisen chhuah tawp lo cut. | Thisen khuh emaw, coffee ground ang maia luak chhuak emaw. |
| Lu na tak tak, luak chhuak, mit emaw tawng danglam emaw. | Tlu emaw, na taka vuak emaw avanga lu hliam. |
Warfarin leh ei leh in (a bik takin vitamin K) .
Hei hi mi tam takin zawhna lian ber an neih chu a ni. Warfarin ei lai hian thlai hring ei hi a tha lo em ni?
An ei hi i bansan vek a ngai lo. A pawimawh ber chu vitamin K tamna ei tur i ei zat tur chu kar khat atanga kar khatah a inang reng tur a ni.
Kar khat chhungin thlai hring tam tak i ei a, kar leh lamah i ei tawh lo vek a nih chuan i INR chu a inthlak danglam nghal thei tih han ngaihtuah teh. Chu chu a hlauhawm khawp mai. Chuvangin, i ei dan pangngai angin ei rawh. Mahse i ei leh in ah inthlak danglamna lian tak i siam dawn a nih chuan (entir nan, vegan kal, taksa rihna tihtlem nan special diet tan) i doctor hnenah hrilh ngei ang che. Chumi hnuah chuan i INR chu a check fo thei a, a tul chuan i damdawi chu a siamrem thei bawk.
- Vitamin K tamna ei tur (i ei zat chu a inang reng tur):Thlai dum dum, kale, spinach, collards, broccoli, leh lettuce te ang chi te.
- Vitamin K tlakchhamna ei tur (hlau lova ei theih): carrot, potato, sweet potato, cucumber, tomato, pumpkin, corn.
Warfarin ei huna hriat reng tur thil
- A hun takah ei rawh: Nitin i damdawi ei hun inangah ei thin ang che.
- Dose i miss a nih chuan: I dose ruahman atanga darkar 8 chhunga i hriatreng chuan i hriatreng veleh dose chu ei nghal rawh. Darkar 8 aia rei a tlai chuan missed dose kha skip la, a tuk zingah ei tur a ni. Vawi khatah vawi hnih ei ngai suh. Ni hnih emaw a aia tam emaw dose i ei loh chuan doctor ko nghal rawh.
- Damdawi dang lakah fimkhur rawh: Damdawi dang i ei tur (condition dang damdawi, natna tidamtu, vitamin, Ayurvedic damdawi pawh) i doctor hnenah hrilh rawh. Damdawi thenkhat hian warfarin hnathawh dan a nghawng thei a ni.
- Fimkhur rawh: Razor leh hmanraw hriam tak tak, chemte ang chi i hman hmain vawi hnih ngaihtuah hmasa phawt ang che. Tlu lakah fimkhur rawh. Ha i sil dawnin toothbrush nem tak hmang thin ang che.
- Planning leh Surgery: Ha lakchhuah emaw, surgery dang emaw i tih hmain doctor hnenah warfarin i ei tih hrilh hmasa phawt ang che .
- Zu: Zu in loh tur. Warfarin hman tangkai dan leh thisen chhuah theihna a nghawng thei a ni.
Take-Home Thuchah a ni
- Warfarin hi nunna chhanhim thei damdawi a ni a, mahse doctor-in a sawi ang chiah, a dose dik leh a hun dik taka ei a pawimawh hle.
- Doctor rawn hmasa lovin damdawi ei kha bansan suh emaw, eng thil vang pawh nise a dose thlak loh tur a ni.
- INR thisen test hi ni ruat saah tih ngei ngei tur a ni. I himna tur tehfung tha ber a ni.
- Thisen chhuahna danglam tak, hliam tuar, emaw, natna dang danglam tak i hmuh chuan doctor hnenah hriattir nghal rawh.
- Damdawi dang i ei lai te, i ei leh in lama inthlak danglamna lian tham te, leh hriselna lama harsatna i neih apiang te chu i doctor nen sawiho rawh.
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