Thisen tithianghlimtu Warfarin chungchang hi i zir belh leh ang u.

I doctor chuan i taksaa thisen zam a awm loh nan emaw, thinlung natna thenkhat tan emaw damdawi Warfarin a pe che a ni mai thei. Hei hi damdawi pawimawh tak a ni a, a hman dik loh chuan harsatna a thlen thei bawk. Chuvangin vawiin hian heng Warfarin pills chungchanga i hriat tur te kan sawi dawn nia.

Warfarin hi eng damdawi nge ni?

A awlsam zawngin, Warfarin hi thisen tithianghlimtu a ni . Chu chu i taksa chhunga thisen kalna kawng hrang hrangah a tul lova thisen zam a awm loh nan a veng tihna a ni. Ngaihtuah teh, a chang chuan kan thisen kalna kawng chhungah thisen zam a lo awm a nih chuan dinhmun hlauhawm tak tak a thlen thei a ni. Entirnan, heart attack leh stroke ang chi thil te.

Warfarin hi a bik takin:

• Thisen zam awmsa te chu a lian lo tur chu titawp la, a thar lo awm lo turin ven rawh.
• Lung lam natna thenkhat, atrial fibrillation (AFib) ang chi nei te tan stroke hlauhawmna tihziaawm.
• Heart valve thlak danglam tawhte thisen zam tur ven.

Doctor-te chuan a chang chuan chhan dang vangin he damdawi hi an hmang thei bawk. Zawhna i neih chuan i doctor emaw pharmacist emaw zawt la.

He damdawi hi Coumadin emaw Jantoven emaw tih hming puin an hralh tlangpui. Mahse, hming dangin a awm thei bawk. I doctor-in a hming a ziah hi a pawimawh hle.

He damdawi hi ka ei tan hmaa doctor hnena ka hrilh tur te chu engte nge ni?

Hei hi a pawimawh hle. Warfarin i ei tan hmain doctor hnena i hrilh tur thenkhat a awm. Hei hi a chhan chu i doctor hian he damdawi hi i tan a tha em tih a rel ang a, eng dose nge i pek ang tih a rel bawk ang.

Chutiang thil thenkhat chu hetiang hi a ni:

• Zu ruih (Alcoholism) addict i nih chuan.
• Anemia i neih chuan.
• Thisen chhuahna lama harsatna i neih chuan.
• Cancer i neih chuan.
• Zunthlum (Diabetes Mellitus) i neih chuan.
• Lung natna dang i neih chuan.
• Thisen sang i neih chuan.
• I pum emaw, intestines-a thisen chhuak (gastrointestinal tract-a thisen chhuak) i neih tawh chuan.
• A hmaa stroke i lo neih tawh chuan, emaw, thluak nena inzawm natna dang emaw, natna dang emaw i neih chuan.
• Kidney emaw liver natna i neih chuan.
• Protein C tlakchhamna emaw Protein S tlakchhamna ang chi condition i neih chuan.
• Hriatrengna lama harsatna i neih chuan, psychosis emaw dementia emaw i neih chuan.
• Tun hnaia hliam i tuar a nih chuan, emaw, nakin lawkah operation emaw, damdawi dang emaw tih i tum a nih chuan.
• Warfarin, damdawi dang, ei tur, dye emaw, preservatives emaw allergy i neih chuan.
• Naupai emaw, nau pai tum emaw i nih chuan a pawi lo.
• Nu hnute pe lai i nih chuan.

Heng thilte hi thup lova doctor hnena hrilh hi mahni himna atan a pawimawh hle.

Engtin nge he Warfarin pill hi i hman tak tak ang?

He damdawi hman dan dik tak hriat a pawimawh hle.

• Tui glass khat nen ei tur: Warfarin tablet hi ei tur a ni a, tui glass khat nen ei tur a ni.
• Doctor-in a sawi ang chiah khan: Prescription label-a thupek awmte chu zawm chiang rawh.
• Chaw ei hma emaw ei zawhah emaw: He damdawi hi ei hma emaw ei zawhah emaw i ei thei. A pawimawh lo.
• Nitin hun khatah: Hei hi a pawimawh hle. Nitin damdawi hi a ruala ei tum ang che. Chutiang chuan damdawi chuan taksaah hna a thawk ve tho ang.
• Damdawi pek aia tam ei loh tur: I doctor-in a pek aia tam ei loh tur.
• Doctor thurawn tel lova he damdawi hi ei khap suh: Doctor-in a tih loh chuan he damdawi hi ei nghal vat suh. Chutianga i tih chuan thisen zam i neih theihna a tipung thei a ni.
• I damdawi chu a tlakchham hmain replenish leh rawh: I damdawi a tlakchham hmain damdawi dawr atanga damdawi supply thar lak theihnghilh suh.
• I dose i thlak chuan: I doctor chuan a rawn call a, i warfarin dose chu a thlak ta ang u. Chutiang a nih chuan dose thar leh thupek dangte chu lehkhaah ziak rawh. I hriatthiam ngei ngei tur a ni a, chutah chuan i doctor nen instruction te chu han thlir leh rawh. Pill i neihte chakna chu i doctor hnenah hrilh rawh. Dose thar thleng tur chuan pill engzat nge i ei tur tih zawt rawh. Write the new instructions on the paper, along with the date, and keep them with your medicine. A châng chuan i thisen test leh hma loh chuan damdawi ei kha bansan turin an ti thei che a ni. Chutiang a nih chuan i test atanga darkar 24 chhunga i doctor hnen atanga thu i hriat loh chuan i doctor call la, dose thar chungchang leh engtikah nge dose hlui i ei tan leh tur tih zawt rawh.
• MedGuide: Damdawi dawr atanga damdawi i dawn apiangin damdawi chungchang MedGuide pek i ni ang. Ngun takin chhiar fo ang che. I tan thu pawimawh tak tak a keng tel a ni.

Pawimawh: He damdawi hi i tan chauh a ni. Midang hnenah pe suh, i natna lan chhuah dan ang chiah kha nei mahse.

He damdawi hi naupangte hnena pek tur em ni?

Naupangte hian warfarin an ei hian fimkhur bik an mamawh a, chuvangin he thu hi i doctor nen sawiho ngei ngei tur a ni.

Damdawi ka ei tam lutuk chuan engtin nge ni ang?

He damdawi hi i ei tam lutuk nia i hriat chuan poison control center emaw, damdawi in emergency room hnai ber emaw ko nghal rawh.

Damdawi dose i ei loh chuan engtin nge i tih ang?

Warfarin dose khat pawh skip loh a pawimawh hle a , thisen a hring theihna a tidanglam thei a ni.

• Damdawi dose i ei loh chuan doctor ko nghal rawh.
• A theih chuan, chu ni vek chuan i hriatreng veleh missed dose chu ei nghal rawh .
• Mahse, i dose leh tur hun a lo thleng tawh a nih chuan i missed dose kha ei suh. I dose lo awm tur chu a hun ruatah ei mai rawh.
• Dose hloh tawh chu tihpun nan double dose ei ngai suh.

Eng damdawi dang nge Warfarin nen hian inzawmna nei thei?

Hei pawh hi fimkhur hle tur a ni. Warfarin hi damdawi dang tam tak, thinghnah leh ei leh in lama chawhmeh chi hrang hrang nen pawh a inzawm thei a ni. Heng inzawmnate hian Warfarin nghawng a tipung thei a, a ti tlem thei bawk. Chutiang a nih chuan thisen chhuah emaw, thisen zam emaw a awm thei.

Warfarin hi eng chhan pawh nise a hnuaia damdawi te nen hian ei loh tur a ni:

• Defibrotide a ni

Tin, a hnuaia damdawi te hian Warfarin nen hian an inzawm thei bawk:

• Acyclovir a ni
• Allopurinol a ni
• Aspirin leh NSAID dang (e.g. ibuprofen, naproxen) te hi a ni.
• Antibiotics thenkhat (e.g. Erythromycin, Clarithromycin, Ciprofloxacin) te hi a tha hle.
• HIV emaw, hepatitis emaw ang chi natna atana antiviral thenkhat pek thin
• Thisen zam lohna damdawi dang (e.g., Heparin, Enoxaparin, Clopidogrel) .
• Thisen sang, lung natna, leh thinlung rhythm disorder te tan damdawi thenkhat
• Cholesterol tihhniamna damdawi thenkhat (e.g., atorvastatin, simvastatin) .
• Depression, lungkhamna emaw, rilru natna dang emaw damdawi thenkhat
• Fungal infection damdawi thenkhat (e.g., Fluconazole, Ketoconazole) .
• Seizure damdawi thenkhat (e.g., Carbamazepine, Phenytoin) .
• Hmeichhe hormone, naupai venna damdawi te pawh a tel
• Herbs emaw supplement emaw garlic, ginkgo, ginseng, green tea, leh St. John’s Wort te pawh a awm thei
• Vitamin K awmna Supplement te hi a ni
• Pum acid tihtlem thei damdawi (e.g. Omeprazole, Ranitidine) .
• Steroid chi hrang hrang damdawi (e.g., Prednisone) .

He list hi a kimchang lo hle. Chuvangin, i damdawi ei zawng zawng (Doctor-in a pek, damdawi dawr atanga a lei, herb, vitamin, supplement), leh zu i in emaw, zu i in emaw, damdawi dang i hman emaw te chu doctor hnenah hrilh rawh. Thil thenkhat chu i warfarin damdawi nen a inzawm thei.

Warfarin kan ei dawna kan fimkhur bik tur thilte chu engte nge ni?

Warfarin i ei lai hian i himna leh damdawi hman tangkai dan tur tichhe thei thil engemaw zat a awm.

• Thisen test mumal (PT/INR): Warfarin i ei hian thisen test PT/INR tih hi neih fo a ngai dawn a ni. Hei hi i doctor chuan warfarin i ei tur dose a dik leh dik loh a enfiah thin. Heng thisen test te hi skip suh. Damdawi i ei tan tirh hian heng test te hi tih fo a ngai dawn a ni. I tana dose dik tak i hmuh chuan heng test neih tam dan hi a tlahniam ang.
• Medical ID: Warfarin i ei tih ziakna medical ID bracelet emaw chain emaw bun la. Tin, i dinhmun, damdawi hming, a hman dan leh i ei hun te ziakna card keng fo bawk ang che. Hei hi emergency-ah chuan a pawimawh hle thei.
• Damdawi dang ei tan/tâwp dawnin: Damdawi thar eng emaw i ei tan emaw, i doctor thurawn tel lo chuan i ei lai pawh chawlhsan suh. Hei hian over-the-counter damdawi te pawh a huam tel a ni.
• Diet leh Vitamin K: Doctor nen i ei leh in chungchang sawipui rawh. Vawi khatah inthlak danglamna lian tak tak siam suh. Hei hi a chhan chu Vitamin K tih nutrient pakhat hian Warfarin hnathawh dan a nghawng vang a ni. Chaw tam takah hian Vitamin K a awm a, chuvangin Vitamin K telna ei tur chu a inang, a zat inang tlang taka ei a pawimawh. Entirnan, thlai chi hrang hrang, spinach, cabbage, broccoli, kale, spinach, green tea, asparagus, leh brussel sprouts te hi a ni. Heng ei tur te hi vawi khatah tihpun leh tihtlem loh tur a ni.
• Hliam lakah inveng rawh: Warfarin ei hian thisen chhuah theihna a sang zawk. Chuvangin, chemte ang chi thil hriam tak tak hman hunah fimkhur hle ang che. Tlu leh hliam lakah inveng rawh. Infiamna i khelh hunah fimkhur hle ang che. A theih chuan electric razor hmang ang che. Ha sil leh floss-naah fimkhur rawh. I vunah hliam, hliam, sen hring i hmuh chuan doctor hnenah hrilh rawh.
• I damloh chuan:Ni engemaw zat aia tam i damlo a, luak chhuak, luak chhuak emaw, khawsik emaw i neih chuan i doctor hnenah hrilh rawh. Tin, ni eng emaw zat i ei tha thei lo a nih chuan doctor hnenah hrilh bawk ang che. Heng thilte hian warfarin hnathawh dan a thlak danglam thei a ni.
• Damdawi i chawlhsan hnuah pawh: Warfarin i ei tawh loh hnuah pawh i taksain thisen a tihkhawtlai theihna pianphung chu a pangngaia a lo kir leh theih nan ni engemaw zat a la ngai dawn a ni. Doctor hnenah eng chen nge i fimkhur tur tih zawt rawh. Surgery emaw ha enkawlna emaw i tih dawn chuan warfarin i ei tih hrilh ngei ang che.

Warfarin hian engtin nge nu naupai leh nau hnute pe lai a nghawng?

Hei hi thil pawimawh tak a ni.

• Naupai lai: Warfarin damdawi a ni a, nausen piang laiah piansualna a thlen thei a, thisen a chhuah thei bawk. Chuvangin nau neih kum tling tawh hmeichhiate hian warfarin an ei a nih chuan naupai venna tha tak an hmang tur a ni.
• Warfarin i ei laiin nau i pai a nih chuan i doctor nen inbia nghal la, a hlauhawm theih dan leh i duhthlan turte sawipui rawh.
• Nau hnute pek lai: Nu hnute pe lai i nih chuan warfarin ei chungchang doctor nen pawh i sawipui tur a ni.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin warfarin hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu a nasat avangin doctor hnenah hriattir nghal tur a ni. Ṭhenkhat chu chutiang chuan an serious lo.

Side effects i doctor hnena report nghal tur:

• Allergic reaction: vun rawng, vun hring, hives, hmai, hmui, lei emaw, kawr emaw a hring.
• Thisen chhuak: 1.1.
• Black, tarry stool emaw, stool chhunga thisen awm emaw.
• Thisen chhuak, emaw coffee ground ang chi thil dum hring chhuak.
• Zun chu a sen emaw, a dum emaw a lo awm.
• Vunah hian a sen emaw, a sen emaw te te a awm thin.
• Thil danglam tak, hliam emaw thisen chhuak (e.g. hnar thisen, hmui thisen chhuak).
• Thluak a thisen chhuak: Lu na nasa tak, kawr khauh, buai, luak chhuak, mit a danglam, hmai, kut emaw, ke emaw a bengchheng emaw chak lo emaw, tawng harsa, kal harsa, luak chhuak.
• Dark emaw purple emaw ke ruh natna nei.
• Hmeichhiaah period rit tak tak.
• Natna neia vun a hring, a lum, a sen, a hring emaw, vunah hliam emaw a awm.

Side effects, a tlangpuiin doctor thurawn ngai lo, mahse a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni:

• Kawthalo
• Sam tlakchhamna

He list-ah hian side effect awm thei zawng zawng a tel lo. Heng bakah hian thil danglam bik i hmuh chuan doctor rawn la.

Engtin nge heng Warfarin pills te hi i dahkhawm thin?

• Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni. Hei hi a pawimawh hle.
• Room temperature-ah dah tur a ni. Chu chu 15 leh 30 degree Celsius (59 leh 86 degree Fahrenheit) inkar a ni tihna a ni.
• Eng lakah venghim rawh.
• Damdawi expire tawh chu paih vek rawh.
• Toilet chhungah flush down suh.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Warfarin hi damdawi hman dik a nih chuan nunna chhanhim thei a ni a, a hman dik loh chuan a hlauhawm thei bawk. Chuvangin,

• Damdawi hi doctor-in a sawi ang chiah chiah, a hun takah leh a dose dik takah ei tur a ni.
• I PT/INR thisen test hi ni ruat saah tih ngei ngei tur a ni.
• Damdawi dang zawng zawng, thinghnah leh i ei leh in tur inthlak danglamna zawng zawng chu i doctor hnenah hrilh rawh.
• Thisen chhuahna chhinchhiahna eng pawh fimkhur rawh. Tlemte chauh pawh nise, i doctor hnenah hrilh rawh.
• Naupai, nau pai tum emaw, nau hnute pe lai emaw i nih chuan doctor hnenah hrilh ngei ngei tur a ni.
• Zawhna emaw rinhlelhna emaw i neih chuan i doctor emaw pharmacist emaw zawt la. Zawh chu hlau lo la, zak suh.

He thu hian Warfarin chungchang hriatthiamna tha zawk i neih theih ka beisei. Hrisel takin awm rawh!

` Warfarin, thisen zam, thisen thim, lung natna, stroke, PT/INR, vitamin K