Zomwe muyenera kudziwa zokhudza jakisoni wa Warfarin

Kodi inuyo kapena munthu wina amene mumamudziwa adauzidwapo ndi dokotala kuti ayambe "kuchepetsa magazi"? Mwina chinali pambuyo pa opaleshoni ya mtima, kapena chifukwa cha magazi kuundana m'mitsempha ya mwendo wanu. Warfarin ndiye mankhwala akuluakulu komanso omwe amagwiritsidwa ntchito kwambiri omwe amaletsa magazi kuundana. Anthu ambiri amagwiritsa ntchito mankhwalawa, koma sadziwa zambiri za iwo, zomwe zingayambitse mantha osafunikira. Chifukwa chake lero, tiyeni tikambirane za jakisoni wa Warfarin m'njira yosavuta komanso yochezeka.

Mwachidule, kodi Warfarin ndi chiyani?

Warfarin ndi mankhwala omwe ali m'gulu la mankhwala otchedwa anticoagulants . Mwachidule, imagwira ntchito pochepetsa kutsekeka kwa magazi m'thupi lanu. Ngakhale imatchedwa "yochepetsa magazi," kwenikweni siimachepetsa magazi anu ngati madzi. Imangowonjezera nthawi yomwe imatenga kuti magazi anu atseke.

Nanga n’chifukwa chiyani mankhwalawa amaperekedwa?

• Chitani magazi oundana omwe amapangika m'mitsempha, m'mitsempha yamagazi, m'mapapo, kapena mumtima.
• Komanso, pewani kupangika kwa magazi otere mtsogolo.

Mwachitsanzo, mankhwalawa nthawi zambiri amaperekedwa kwa munthu amene wasinthidwa valavu ya mtima kapena munthu amene magazi ake aundana m'mitsempha ya mwendo (Deep Vein Thrombosis - DVT).

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kugwiritsa ntchito Warfarin

Warfarin ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala kwambiri. Chifukwa chake, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Musanayambe kumwa Warfarin, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi.

Kodi katemerayu amaperekedwa bwanji ndipo ndi njira ziti zodzitetezera zomwe ziyenera kutengedwa?

Warfarin imaperekedwa mwa jakisoni mumtsempha. Si chinthu chomwe mungachite kunyumba. Imaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala .

Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.

Mankhwala ena omwe angagwirizane ndi Warfarin (Kuyanjana ndi Mankhwala)

Warfarin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, mankhwala azitsamba, ndi zakudya zina. Izi zitha kuwonjezera mphamvu ya Warfarin (chiopsezo cha kutuluka magazi) kapena kuchepetsa (chiopsezo cha magazi kuundana).

Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe madokotala ena amalemba, mankhwala osagulitsidwa ndi dokotala, mavitamini, mankhwala azitsamba, mankhwala a Ayurvedic) .

Nazi zina mwa zinthu zomwe zingagwirizane ndi Warfarin. Iyi si mndandanda wathunthu, koma ndi zinthu zofunika kuzidziwa.

• Mankhwala oletsa kutupa: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) monga ibuprofen ndi naproxen, ndi aspirin.
• Mankhwala opha tizilombo: Mankhwala ena opha tizilombo monga Erythromycin, Ciprofloxacin, Metronidazole.
• Mankhwala Oletsa Bowa: Mankhwala monga Fluconazole ndi Ketoconazole.
• Mankhwala a matenda a mtima, kuthamanga kwa magazi, ndi cholesterol.
• Mankhwala ochizira khunyu.
• Mankhwala a matenda amisala.
• Zinthu zochokera ku zitsamba: Zinthu monga adyo, ginkgo, ginseng, ndi St. John's Wort.
• Vitamini K: Izi zimapezeka m'mankhwala komanso m'zakudya.

Zinthu zofunika kusamala kwambiri mukatenga Warfarin

Kuyezetsa magazi kwa PT/INR

Kuyezetsa magazi kofunikira komanso kofunikira kwambiri komwe aliyense amene akumwa warfarin ayenera kuchita ndi PT/INR . Izi zimayesa nthawi yomwe magazi anu amaundana. Kutengera ndi zotsatira za mayesowa, dokotala wanu adzadziwa mlingo wa warfarin womwe mukufuna.

• Mayesowa ayenera kuchitika pafupipafupi nthawi yoyamba kumwa mankhwala.
• Mukapeza mlingo woyenera kwa inu, kuchuluka kwa mayeso kudzachepa.
• Musalumphe mayeso a magazi awa pazifukwa zilizonse. Ndikofunikira kuti mukhale otetezeka.

Kusintha kwa zakudya

Kagwiridwe ka ntchito ka warfarin kamakhudzidwa mwachindunji ndi michere yotchedwa vitamini K. Kumwa vitamini K wambiri kungachepetse mphamvu ya warfarin ndikuyambitsa magazi kuundana. Ngati vitamini K ndi yochepa, mphamvu ya warfarin ingachuluke ndikuyambitsa kutuluka magazi.

Zakudya zina zokhala ndi vitamini K:

• Ndiwo zamasamba zobiriwira monga sipinachi, kabichi, letesi, broccoli, ndi kale.
• Tiyi wobiriwira
• Parsley

Lankhulani ndi dokotala wanu musanasinthe kwambiri zakudya zanu.

Chenjerani ndi ngozi

Mukamamwa warfarin, ngakhale kudula pang'ono kungayambitse kutuluka magazi ambiri kuposa masiku onse.

• Pewani masewera ndi zochitika zomwe zingayambitse kugwa ndi kuvulala.
• Samalani kwambiri mukamagwiritsa ntchito zida zakuthwa ndi mipeni.
• Ndi bwino kugwiritsa ntchito lezala lamagetsi m'malo mwa lezala.
• Gwiritsani ntchito burashi yofewa ya mano potsuka mano anu. Uzani dokotala wanu ngati mkamwa mwanu mwatuluka magazi.

Zotsatirapo zomwe zingatheke

Monga mankhwala ena aliwonse, Warfarin ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.