Kodi inuyo kapena wina aliyense m'banja mwanu adapatsidwa mankhwala ochepetsa magazi ndi dokotala? Ndiye mwina mwamvapo za "Warfarin." Ndi mankhwala opulumutsa moyo, koma ndi omwe amafunika kugwiritsidwa ntchito mosamala kwambiri. Kotero lero, tiyeni tiyankhe mafunso anu onse okhudza mankhwalawa, monga momwe mungalankhulire ndi mnzanu.
Mwachidule, kodi Warfarin ndi chiyani?
Warfarin ndi mankhwala oletsa magazi kuundana . Anthu ena amaitcha kuti "yochepetsa magazi kuundana," koma kwenikweni siimachepetsa magazi, imangochepetsa magazi kuundana. Taganizirani izi, tikavulala kwinakwake m'thupi lathu, magazi kuundana ndi ofunikira kuti magazi asiye kutuluka. Koma m'matenda ena, magazi kuundana amatha kupangika mkati mwa thupi popanda chifukwa, monga m'mitsempha yamagazi kapena mumtima. Ndicho chifukwa chake timagwiritsa ntchito warfarin kuti tiletse magazi kuundana oopsa chonchi.
Ngati muli kale ndi magazi oundana, warfarin imathandiza kuti magazi asakule kwambiri ndipo imaletsa chidutswa kuti chisasweke ndikukakamira mu chiwalo chofunikira monga mapapo, ubongo, kapena mtima.
Kodi ntchito za warfarin ndi ziti?
Madokotala nthawi zambiri amalemba mankhwalawa kuti athetse kapena kupewa matenda otsatirawa. Zina mwa izi zingawoneke zovuta pang'ono kwa inu, koma tiyeni tizisunga mosavuta.
| Mkhalidwe | Lingaliro chabe |
|---|---|
| Kutsekeka kwa Mitsempha Yakuya (DVT) | Magazi amaundana nthawi zambiri m'mitsempha yakuya ya miyendo. |
| Kutsekeka kwa Mapafu (PE) | Magazi oundana omwe apangika kwina m'thupi amasweka ndipo amakhala mumtsempha m'mapapo. Izi ndi zoopsa kwambiri. |
| Stroke | Kuundana kwa magazi kumatseka mtsempha wamagazi womwe umatumiza magazi ku ubongo. |
| Kutupa kwa Atrial (AFib) | Kugunda kwa mtima kosasinthasintha kungayambitse chiopsezo cha magazi kuundana mkati mwa mtima. |
| Kusintha kwa Valavu ya Mtima | Kuletsa magazi kuundana kuti asapangike pa valavu yopangira mtima. |
Kodi warfarin imagwira ntchito bwanji m'thupi?
Nkhani iyi ndi yasayansi pang'ono, koma tiyeni tiisunge mosavuta. Vitamini K ndi yofunika kwambiri pa ndondomeko yothira magazi m'thupi lathu. Chimene warfarin imachita ndikulamulira ntchito ya vitamini K iyi pang'ono. Chifukwa chake, ndondomeko yothira magazi imachedwa pang'ono. Izi zimaletsa kupanga magazi osafunikira.
Kuyezetsa magazi (INR Test) ndikofunikira kwambiri mukatenga warfarin.
Warfarin ndi mankhwala osavuta kuwagwiritsa ntchito. Choncho mukamagwiritsa ntchito, muyenera kuyang'ana nthawi zonse kuchuluka kwa magazi anu omwe amaundana. Mayeso omwe timachita pa mankhwalawa amatchedwa PT/INR (Prothrombin Time / International Normalized Ratio) .
Mwachidule, dokotala wanu adzadziwa ngati mlingo wanu wa warfarin ndi woyenera, wotsika kwambiri, kapena wokwera kwambiri poyang'ana mtengo wanu wa INR. Chifukwa chake, ndikofunikira kuti muyese magazi awa pa masiku omwe akonzedwa, monga momwe dokotala wanu akulangizira.
Poyamba mungafunike kuyezetsa magazi kamodzi kapena kawiri pa sabata. Mukangoyima mulingo wa INR, mungapemphedwe kuti muchite izi kamodzi pamwezi. Mlingo wanu wa INR ukhoza kusintha chifukwa cha mankhwala ena omwe mumamwa, zakudya zanu, kapena matenda ena. Chifukwa chake ndikofunikira kudziwitsa dokotala wanu za kusintha kulikonse.
Chiwopsezo chachikulu cha warfarin: Kutuluka magazi
Popeza warfarin imalamulira magazi kuundana, zotsatira zake zazikulu zomwe zingachitike ndi kutuluka magazi ambiri . Chifukwa chake, muyenera kusamala kwambiri ndi zizindikiro zotsatirazi.
| Zizindikiro za kutuluka magazi zomwe muyenera kuzisamala nazo | |
|---|---|
| Lumikizanani ndi Dokotala Wanu Mwamsanga | |
| Mabala pa thupi popanda chifukwa. | Kutuluka magazi pang'ono m'kamwa kapena m'mphuno. |
| Kutuluka magazi ambiri kapena kwa nthawi yayitali panthawi ya msambo mwa akazi. | Mkodzo wofiira, wabulauni, kapena wakuda. |
| Chimbudzi chofiira kapena chakuda chochedwa. | Kumva kutopa kwambiri komanso kufooka kuposa masiku onse. |
| Pitani ku Chipinda Chothandizira Padzidzidzi (ETU) nthawi yomweyo. | |
| Kudula komwe sikusiya kutuluka magazi ngakhale mutagwiritsa ntchito mphamvu kwa mphindi 10. | Kutsokomola magazi kapena kusanza komwe kumaoneka ngati kofi. |
| Mutu waukulu mwadzidzidzi, chizungulire, kusintha kwa masomphenya kapena kulankhula. | Kuvulala mutu chifukwa cha kugwa kapena kuvulala kwambiri. |
Warfarin ndi zakudya ndi zakumwa (makamaka vitamini K)
Funso lalikulu lomwe anthu ambiri amafunsa ndi ili. Kodi sikwabwino kudya ndiwo zamasamba zobiriwira mukumwa warfarin?
Simuyenera kusiya kudya zakudya zimenezi. Chofunika kwambiri ndichakuti muzidya zakudya zokhala ndi vitamini K nthawi zonse sabata iliyonse.
Tangoganizirani ngati mutadya ndiwo zamasamba zobiriwira zambiri sabata imodzi kenako n’kusiya kuzidya kwathunthu sabata yotsatira, INR yanu ingasinthe mwadzidzidzi. Zimenezo n’zoopsa. Choncho, idyani monga mwachizolowezi. Koma ngati mukufuna kusintha kwambiri zakudya zanu (monga, kuyamba kudya zakudya zamasamba okha, kuyamba kudya zakudya zapadera kuti muchepetse thupi), onetsetsani kuti mwauza dokotala wanu za izi. Kenako akhoza kuyang’ana INR yanu pafupipafupi ndikusintha mankhwala anu ngati pakufunika kutero.
- Zakudya zokhala ndi vitamini K wambiri (onetsetsani kuti mumadya zakudya zokhazikika):Ndiwo zamasamba zobiriwira zakuda monga kale, sipinachi, collards, broccoli, ndi letesi.
- Zakudya zomwe zili ndi vitamini K yochepa (zikhoza kudyedwa popanda mantha): kaloti, mbatata, mbatata, nkhaka, tomato, maungu, chimanga.
Zinthu zofunika kukumbukira mukatenga warfarin
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse.
- Ngati mwaphonya mlingo: Ngati mwakumbukira mkati mwa maola 8 kuchokera pamene mwakonza mlingo, imwani mlingo mwamsanga mukangokumbukira. Ngati mwachedwa ndi maola oposa 8, thawani mlingo womwe mwaphonya ndi kumwa mlingo wa tsiku lotsatira. Musamwe milingo iwiri nthawi imodzi. Ngati mwaphonya mlingo kwa masiku awiri kapena kuposerapo, imbani dokotala wanu nthawi yomweyo.
- Samalani ndi mankhwala ena: Uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa (mankhwala a matenda ena, ochepetsa ululu, mavitamini, ngakhale mankhwala a Ayurvedic). Mankhwala ena amatha kusintha momwe warfarin imagwirira ntchito.
- Samalani: Ganizirani kawiri musanagwiritse ntchito malezala ndi zida zakuthwa monga mipeni. Samalani kuti musagwe. Gwiritsani ntchito burashi yofewa ya mano potsuka mano anu.
- Kukonzekera ndi Opaleshoni: Musanachotse mano kapena opaleshoni ina iliyonse, onetsetsani kuti mwauza dokotala kuti mukumwa warfarin.
- Mowa: Pewani kumwa mowa. Kungakhudze mphamvu ya warfarin komanso chiopsezo cha kutuluka magazi.
Uthenga Wopita Nawo Kunyumba
- Warfarin ndi mankhwala opulumutsa moyo, koma ndikofunikira kwambiri kumwa monga momwe dokotala wanenera, mu mlingo woyenera komanso panthawi yoyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Ndikofunikira kuti muyesedwe magazi anu a INR pa masiku omwe akonzedwa. Ndi njira yabwino kwambiri yotetezera thanzi lanu.
- Ngati muwona kutuluka magazi kosazolowereka, mabala, kapena zizindikiro zina zachilendo, dziwitsani dokotala wanu nthawi yomweyo.
- Lankhulani ndi dokotala wanu za mankhwala ena omwe mukumwa, kusintha kwakukulu kwa zakudya zanu, ndi mavuto aliwonse azaumoyo omwe muli nawo.
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