Nangmah emaw i hriat mi emaw hnenah doctor-in "thisen tithianghlimtu" hmang tan turin a hrilh tawh em? Lung zai hnuah pawh a ni mai thei, i ke vein pakhata thisen zam vang pawh a ni thei. Warfarin hi thisen zam tur venna damdawi ber leh hman tlanglawn ber a ni. Mi tam takin he damdawi hi an hmang a, mahse an hre tam lo hle a, chu chuan ṭul lova hlauhna a thlen thei a ni. Chuvangin vawiin hian he Warfarin injection chungchang hi awlsam tak leh friendly takin kan sawi dawn nia.
A awlsam zawngin, Warfarin chu eng nge ni?
Warfarin hi damdawi chi khata awm a ni a , anticoagulants an ti a . A awlsam zawngin i taksaa clotting process tihkhawtlai hmangin hna a thawk a ni. "Thisen tithianghlimtu" tia sawi ni mah se, a takah chuan tui angin i thisen a tithianghlim lo. I thisen a inzawm hun chhung a tipung mai a ni.
Chuti a nih chuan engvangin nge he damdawi hi pek a nih?
- thisen zam, thisen kalna kawng, lung emaw thinlunga thisen zam lo awm chu enkawl rawh .
- Tin, nakin lawkah chutiang thisen zam siam lo turin venhim bawk ang che .
Entirnan, he damdawi hi heart valve thlak danglam tawh emaw, kea thisen zam (Deep Vein Thrombosis - DVT) nei emaw hnenah an pe fo thin.
Warfarin i hman tan hmaa i doctor hnena i hrilh tur thil
Warfarin hi damdawi a ni a, fimkhur hle tur a ni. Chuvangin i doctor-in i hriselna dinhmun a hriat chian a pawimawh hle. Warfarin i ei tan hmain a hnuaia condition te hi i neih chuan doctor hnenah hrilh hmasa phawt ang che.
| Hriselna dinhmun/habit | Hrilhfiahna |
|---|---|
| Thisen kaihhnawih harsatna | Thisen chhuahna lama harsatna, thisen tlakchhamna, hemophilia, leh thisen kalna (aneurysm) te. |
| Digestive system natna te | Intestinal ulcer, diverticulitis, emaw, a hmaa gastrointestinal bleeding nei tawh. |
| Liver emaw kidney emaw natna | Liver emaw kidney function nena inzawm damdawi lam harsatna eng pawh. |
| Lung natna leh thisen sang | Thisen sang leh heart valve infection ang chi natna te. |
| Damdawi lam thil dang | Zunthlum, cancer, protein C emaw S tlakchhamna, stroke, emaw thluak hliam emaw. |
| Mimal chanchin | Kum 65 chunglam, zu in, tun hnaia operation emaw accident emaw nei tawh. |
| Naupai leh nau hnute pek | Hei hi naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan a pawimawh hle. |
| Allergy nei te pawh a awm | Warfarin, damdawi dang, ei tur, a nih loh leh preservatives allergy i neih chuan. |
He vaccine hi engtin nge pek a nih a, eng fimkhurna nge tih tur?
Warfarin hi vein pakhatah injection hmanga pek a ni. Hei hi in lama tih theih a ni lo. Doctor emaw trained nurse emaw damdawi in emaw clinic emaw a pek thin a ni .
Pawimawh: Damdawi dose tihpun a nih chuan thisen chhuah theihna a awm. Chuvangin, he damdawi hi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal rawh.Damdawi in hnai ber Emergency Department (ETU) ah call emaw kal emaw rawh .
He damdawi hi i tan chauh pek a ni. Eng vangin pawh midang hnenah share suh.
Warfarin nena inzawm thei damdawi dang (Drug Interactions) .
Warfarin hi damdawi dang, herbal products leh ei tur thenkhat nena inzawm thei damdawi a ni. Hei hian Warfarin hnathawh a tipung thei (thisen chhuah theihna) emaw, a tihziaawm thei (thisen chhuak hlauhawmna) emaw a ni thei.
Chuvangin, i damdawi ei zawng zawng (doctor dangte ziah, over-the-counter damdawi, vitamin, herbal products, Ayurvedic damdawi) te chu i doctor hnenah hrilh rawh
A hnuaia tarlan te hi Warfarin nena inzawm thei thil thenkhat an ni. Hei hi list kimchang tak ni lo mah se, hriat tur pawimawh ber a ni.
- Painkillers: Nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen leh naproxen ang chi te, aspirin te pawh a awm bawk.
- Antibiotics: Antibiotics thenkhat chu Erythromycin, Ciprofloxacin, Metronidazole te an ni.
- Antifungals: Damdawi Fluconazole leh Ketoconazole ang chi a ni.
- Lung natna, thisen sang, leh cholesterol damdawi.
- Seizure tan damdawi.
- Rilru natna damdawi.
- Herbal products: Garlic, ginkgo, ginseng, leh St. John’s Wort ang chi thil te.
- Vitamin K: Hei hi damdawi leh ei leh inah te a awm a.
Damdawi thar eng emaw i ei tan dawn emaw, damdawi ei i chawlhsan dawn emaw a nih chuan doctor zawt hmasa phawt ang che.
Warfarin ei huna fimkhur bik tur thil
PT/INR thisen test a ni
Warfarin ei apiangin thisen test ngei ngei tur leh pawimawh tak chu PT/INR hi a ni. Hei hian i thisen a inzawm hun chhung a teh a ni. He test result a\ang hian i doctor chuan warfarin i mamawh zat a ruat ang.
- He test hi damdawi ei tan tirh lamah tih fo a ngai dawn a ni.
- I tana dose dik tak i hmuh chuan test tamna a tlahniam ang.
- He thisen test hi eng vang pawhin skip suh. I himna atan a pawimawh hle.
Ei leh in lama inthlak danglamna
Warfarin hnathawh hi vitamin K an tih hian direct-in a nghawng a, Vitamin K ei tam lutuk hian warfarin hnathawh a tiziaawm thei a, thisen a tikhawlo thei bawk. Vitamin K a tlem chuan warfarin hian a nghawng a tipung thei a, thisen a chhuak thei bawk.
A pawimawh ber chu vitamin K awmna chaw ei khap tlat loh hi a ni a, a pawimawh ber chu i ei zat inang reng tur a ni. Ni khat chu ei tam suh la, a tuk ah engmah ei suh.
Vitamin K tamna ei tur thenkhat:
- Thlai dum dum, spinach, cabbage, lettuce, broccoli, leh kale te.
- Green tea a ni
- Parsley thlai
I ei leh in lama inthlak danglamna lian tham i siam hmain i doctor nen inbiakna neih hmasa phawt ang che.
Accident laka fimkhur rawh
Warfarin ei hian cut tlemte pawh hian a tlangpui aia thisen a chhuah tam thei. Chuvangin:
- Infiamna leh thil chi hrang hrang, tlu leh hliam thlen thei thilte chu pumpelh rawh.
- Hriamhrei hriam leh chemte i hman hunah fimkhur hle ang che.
- Razor hmang lovin electric razor hman a him zawk.
- Ha i sil dawnin toothbrush hrual nem tak hmang thin ang che. I hmui thisen a chhuah chuan doctor hnenah hrilh rawh.
Side effect awm thei te
Damdawi dang ang bawkin Warfarin hian side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu an awm fo.
| Symptom a ni | Engtin nge tih ang? |
|---|---|
| Symptoms te chu doctor hnenah hriattir nghal tur a ni | |
| Thisen chhuahna chhinchhiahna: 1.1. - Dum, tarry stools a awm - Zun sen emaw, dum emaw - Coffee grounds ang maia thil chil chhuah - Hnar leh hmui atanga thisen chhuak pangngai lo - Vunah sen emaw thisen hring emaw a awm | Hengte hi chhungril lama thisen chhuak chhinchhiahna a ni thei. Damdawi lam thurawn zawng nghal rawh. |
| Stroke natna lan chhuah dan: - Lu na tak tak - Buaina, tawng harsa - Hmai, kut leh kea natna emaw, chak lohna emaw | Hei hi emergency a ni. Damdawi inah kal nghal rawh. |
| Thisen zam (thisen chhuak) mizia: 1.1. - Chhung na, thawk harsa - Ke na, a hring, a lum | Hei hi damdawiin a thawk tha lo tih chhinchhiahna a ni thei. Doctor hnenah hrilh nghal rawh. |
| Allergic reaction, hmeichhiaah thlasik laiin thisen chhuak nasa tak, pum nasat lutuk. | Damdawi lam thurawn zawng nghal rawh. |
| Symptoms nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Kawthalo | Ni engemaw zat aia rei a daih chuan doctor hrilh rawh. |
| Sam tlakchhamna | Hei hian a tibuai che a nih chuan i doctor nen inbia ang che. |
Take-Home Thuchah a ni
- Warfarin hi thisen zam tur venna damdawi a ni a, fimkhur hle tur a ni.
- PT/INR thisen test i pek tawhte chu skip ngai suh. I himna chu a innghat a ni.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Vitamin K tamna thlai hring ei kha bansan suh. Chu ai chuan nitin i ei zat chu a level inang vek turin bei rawh .
- Hliam awlsam tak pawh hian thisen a chhuah nasa lutuk thei a, chuvangin accident laka inven nan a theih ang anga fimkhur hle ang che.
- Thisen chhuahna chhinchhiahna i hmuh chuan , chu chu bawlhhlawh dum emaw, thisen chhuak danglam tak emaw a ni a, i doctor hnenah hriattir nghal rawh.
- He damdawi chungchangah hian ngaihtuahna i neih chuan i doctor biak pawh hlau suh.
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