Kodi dokotala wanu wakupatsani mankhwala a Warfarin? Kapena wachibale wanu kapena mnzanu akugwiritsa ntchito mankhwalawa? Awa ndi mankhwala ofunikira kwambiri omwe amaletsa magazi kuundana. Koma pali zinthu zina zomwe tiyenera kusamala nazo tikamagwiritsa ntchito mankhwalawa. Musadandaule, tidzakambirana zonsezi momveka bwino komanso momveka bwino lero.
Kodi Warfarin ndi chiyani kwenikweni?
Mwachidule, Warfarin ndi mankhwala omwe amaletsa magazi kuundana, kapena kuchepetsa magazi kuundana. Mu zamankhwala, timatcha mankhwalawa kuti ndi mankhwala oletsa magazi kuundana . Mwina mumadziwa bwino mankhwala awa omwe amadziwika ndi mayina a Coumadin® kapena Jantoven®.
Mankhwalawa amagwira ntchito poletsa magazi kuundana osafunikira kuti asapangike m'thupi lanu, m'mitsempha yamagazi kapena mumtima mwanu. Magazi kuundana osafunikirawa amatha kuchitika pazifukwa zina zamankhwala, kapena pamene simungathe kuyenda kapena kuyenda kwa nthawi yayitali.
Chofunika kwambiri ndichakuti Warfarin imaletsa magazi kuundana atsopano, koma siisungunula magazi omwe alipo kale . Komabe, imaletsa magazi kuundana kukula. Pakapita nthawi, magazi kuundana amatha kusungunuka okha.
Kodi ntchito za Warfarin ndi ziti?
Dokotala wanu mwina adakupatsani mankhwala awa kuti apewe kapena kuchiza matenda awa:
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kuundana kwa magazi m'mitsempha (Venous thromboembolism - VTE) | Magazi oundana omwe amapangika mumtsempha amasweka ndipo amamatirira kwina. |
| Kutsekeka kwa mitsempha yakuya (DVT) | Kuundana kwa magazi, nthawi zambiri m'mitsempha yakuya mwendo. |
| Kutsekeka kwa m'mapapo (PE) | Magazi oundana omwe apangidwa mumtsempha amasweka ndipo amakhazikika m'mapapo. |
| Kuundana kwa magazi m'mitsempha yamagazi (Arterial thromboembolism - ATE) | Kupangika kwa magazi kuundana mu mtsempha wamagazi. |
| Stroke | Kuundana kwa magazi kumatseka mtsempha wamagazi womwe umanyamula magazi kupita ku ubongo. |
| Matenda amtima | Kutsekeka kwa mtsempha wamagazi womwe umatumiza magazi kumtima chifukwa cha magazi kuundana. |
Kuphatikiza apo, mankhwalawa amaperekedwanso kuti apewe chiopsezo cha magazi kuundana ngati muli ndi vuto la kugunda kwa mtima kosakhazikika (Atrial fibrillation - Afib) kapena mwachitidwa opaleshoni yosinthira ma valve a mtima .
Kodi mankhwalawa amagwira ntchito bwanji?
Zosavuta kwambiri. Vitamini K ndi yofunika kwambiri kuti magazi athu aundane. Warfarin imagwira ntchito poletsa ntchito ya vitamini K, yomwe imafunika pazinthu zina zomwe zimathandiza kuti magazi aziundana. Izi zimachepetsa liwiro lomwe magazi amaundana komanso kupewa kupanga magazi oundana osafunikira.
Mlingo wa mankhwala ndi mayeso ofunikira a magazi
Mlingo wa warfarin nthawi zambiri umasiyana kuyambira 1 mg (mamiligramu) mpaka pafupifupi 10 mg. Dokotala wanu adzakupatsani mlingo winawake. Komabe, mlingo umenewo ungafunike kusinthidwa kutengera zotsatira za mayeso a magazi nthawi zonse.
Mapiritsi awa amabwera mumitundu yosiyanasiyana. Mtundu uliwonse umayimira chiwerengero cha ma milligrams mu piritsi. Mwachitsanzo, ngati mwapatsidwa piritsi la 5mg kenako nkuuzidwa kuti muchepetse mlingo kufika pa 2.5mg, muyenera kuswa piritsi la 5mg pakati ndikumwa theka limenelo. Musasinthe mlingo popanda kufunsa dokotala wanu.
Kodi mayeso a magazi awa ndi ati omwe ayenera kuchitidwa?
Mukamamwa warfarin, muyenera kuyesedwa magazi nthawi zonse kuti PT/INR (Prothrombin Time / International Normalized Ratio) .
Kuyezetsa kumeneku kumayesa momwe magazi anu amaundana mofulumira. Zotsatira zake zingathandize dokotala wanu kudziwa ngati Warfarin ikugwira ntchito bwino kwa inu komanso ngati mlingo wanu ukufunika kusinthidwa.
Mayesowa atha kuchitika kamodzi pa sabata kapena kamodzi pamwezi. Dokotala wanu ndiye adzasankha.
- Mankhwala ena omwe mumamwa (ngakhale mavitamini ndi mankhwala ochepetsa ululu), kusintha kwa thanzi lanu (monga kutentha thupi kapena kutsegula m'mimba), komanso kusintha kwa zakudya zanu kungakhudze PT/INR yanu. Chifukwa chake , ndikofunikira kudziwitsa dokotala wanu wa Warfarin za kusintha kulikonse m'moyo wanu.
Chitani izi nthawi yomweyo mukatenga Warfarin
- Imwani mankhwala nthawi yomweyo tsiku lililonse . Muyenera kumwa kamodzi kokha patsiku.
- Ikhoza kumwedwa musanadye kapena mutadya.
- Ngati mwaiwala kumwa mankhwala anu ndipo mwakumbukira mkati mwa maola 8, imwani mlingo nthawi yomweyo.
- Komabe, ngati kwadutsa maola opitilira 8, dumphani mlingo wa tsiku limenelo ndi kumwa mlingo wa tsiku lotsatira wokha. Musamwe mlingo umodzi nthawi imodzi.
- Ngati mwaiwala kumwa mankhwala anu kwa masiku awiri kapena kuposerapo, onetsetsani kuti mwayimbira dokotala wanu.
Zotsatira zake zoyipa: Samalani kuti magazi asatuluke!
Chotsatira chachikulu komanso chofala kwambiri cha warfarin ndi kutuluka magazi ambiri . Izi zili choncho chifukwa mankhwalawa amagwira ntchito poletsa magazi kuundana. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
| Chizindikiro choti mumvetsere | Kufotokozera |
|---|---|
| Uzani dokotala nthawi yomweyo. | |
| Kutuluka magazi chifukwa cha kuvulala pang'ono | Kutuluka magazi komwe sikutha ngakhale mutagwiritsa ntchito mphamvu kwa mphindi 10. |
| Kutuluka magazi m'mphuno ndi m'kamwa | Kutuluka magazi kosatha kwa mphindi zoposa 10. |
| Kusintha kwa mtundu wa mkodzo | Mkodzo umakhala wofiira kapena wakuda (wokhala ndi dzimbiri). |
| Kusintha kwa mtundu wa chopondapo | Chimbudzi chofiira kapena chakuda chochedwa. |
| Kutsokomola magazi kapena kusanza | Kutsokomola magazi kapena kusanza komwe kumaoneka ngati kofi. |
| Mabala opanda chifukwa | Mabala, mawanga ofiirira, kapena kutupa ndi kupweteka kulikonse pathupi popanda chifukwa. |
| Kusamba kwa akazi | Kutuluka magazi m'mimba komwe kumakhala kolemera kuposa masiku onse kapena komwe kumatenga nthawi yayitali kuposa masiku onse. |
| Mutu wovuta kapena chizungulire | Mutu waukulu, chizungulire, kusintha mwadzidzidzi kwa mawu kapena masomphenya, dzanzi pankhope kapena mkono. |
Kodi chithandizo chadzidzidzi chikufunika liti?
- Ngati kutuluka magazi sikutha pambuyo pa mphindi 10 za kupanikizika pa bala laling'ono, pitirizani kukakamiza ndikupita ku Dipatimenti Yodzidzimutsa yapafupi (ETU) .
- Ngati mwavulala kwambiri ndipo mukutuluka magazi ambiri, imbani 1990 nthawi yomweyo kapena pitani ku ETU ndi thandizo la wina mwamsanga.
Dziwani zambiri zokhudza chakudya ndi vitamini K
Apa ndi pomwe anthu ambiri amalakwitsa. Anthu ena amaganiza kuti ayenera kusiya kudya zakudya zokhala ndi vitamini K akamamwa warfarin. Izi ndi zolakwika.
Chofunika kwambiri ndikudya zakudya zokhala ndi vitamini K zomwe mumadya sabata iliyonse . Kudya kwambiri sabata imodzi osadya konse sabata yotsatira kungayambitse kusiyana kwakukulu mu INR yanu.
Zakudya zokhala ndi vitamini K wambiri (onetsetsani kuti mumadya zakudya zofanana pa sabata):
- Ndiwo zamasamba zobiriwira zakuda monga kale, broccoli, sipinachi, ndi masamba a collard
- Mitundu ya letesi
- Katsitsumzukwa
Ngati mukufuna kuwonjezera kudya masamba, mungasankhe ndiwo zamasamba zomwe zili ndi vitamini K yochepa, monga:
- Chimanga, dzungu, mbatata, kaloti, nkhaka, tomato.
Chofunika: Musanasinthe kwambiri zakudya zanu (monga kuyamba kudya zakudya zochepetsa thupi), onetsetsani kuti mwalankhula ndi dokotala wanu.
Zinthu zomwe muyenera kupewa mukatenga Warfarin
- Mankhwala ena: Musamwe mankhwala aliwonse (ngakhale ochepetsa ululu, mavitamini, kapena mankhwala a Ayurvedic) popanda kufunsa dokotala wanu.
- Opaleshoni: Musanayambe ngakhale chinthu chaching'ono monga kuchotsa dzino, muyenera kuuza dokotala wanu wa mano kapena dokotala kuti mukumwa Warfarin.
- Chakudya ndi Zakumwa: Pewani kumwa madzi a mphesa, makangaza, ndi cranberry.
- Mowa: Pewani kumwa mowa. Kungawonjezere chiopsezo cha kutuluka magazi.
- Mimba: Pewani kutenga mimba mukumwa warfarin. Ngati mukukonzekera kutenga mimba, lankhulani ndi dokotala wanu za izi.
- Ngozi: Dzitetezeni momwe mungathere ku ngozi monga kugwa ndi kugundana mwamphamvu. Ngati mumachita masewera olimbitsa thupi, funsani dokotala wanu za zimenezo.
Uthenga Wopita Nawo Kunyumba
- Warfarin ndi mankhwala ofunikira kwambiri omwe amaletsa magazi kuundana. Imwani monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso mu mlingo woyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Musalumphe mayeso a magazi a PT/INR. Ndikofunikira kuti mukhale otetezeka.
- Ngati muwona zizindikiro zilizonse za kutuluka magazi kosazolowereka (mabala olimba, ndowe zakuda, mkodzo wofiira), funsani dokotala nthawi yomweyo.
- Nthawi zonse dziwitsani dokotala wanu za kusintha kulikonse pa zakudya zanu, mankhwala ena omwe mukumwa, kapena matenda anu.
- Musanachotse dzino kapena opaleshoni, muyenera kuuza dokotalayo kuti mukumwa Warfarin.
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