Tiyeni tiphunzire zambiri za Warfarin, mankhwala ochepetsa magazi.

Dokotala wanu mwina anakupatsani mankhwala otchedwa Warfarin kuti mupewe magazi kuundana m'thupi lanu kapena matenda ena a mtima. Uwu ndi mankhwala ofunikira kwambiri, koma angayambitsenso mavuto ngati sanagwiritsidwe ntchito bwino. Tsono lero, tiyeni tikambirane zomwe muyenera kudziwa zokhudza mapiritsi a Warfarin awa.

Kodi Warfarin ndi mankhwala otani?

Mwachidule, Warfarin ndi mankhwala ochepetsa magazi . Izi zikutanthauza kuti, amaletsa kupanga magazi oundana osafunikira m'mitsempha yamagazi mkati mwa thupi lanu. Tangoganizirani, nthawi zina magazi oundana akapangika mkati mwa mitsempha yathu yamagazi, angayambitse matenda oopsa kwambiri. Mwachitsanzo, zinthu monga matenda a mtima ndi sitiroko.

Warfarin imagwiritsidwa ntchito kwambiri pa:

• Letsani magazi omwe alipo kuti asakule kwambiri ndipo letsani atsopano kuti asapangidwe.
• Kuchepetsa chiopsezo cha sitiroko kwa anthu omwe ali ndi matenda ena a mtima, monga atrial fibrillation (AFib).
• Pewani magazi kuundana mwa anthu omwe adasinthidwa ma valve a mtima.

Madokotala nthawi zina angagwiritse ntchito mankhwalawa pazifukwa zina. Ngati muli ndi mafunso, funsani dokotala wanu kapena wamankhwala.

Mankhwalawa nthawi zambiri amagulitsidwa pansi pa mayina a Coumadin kapena Jantoven. Komabe, angapezekenso pansi pa mayina ena. Dzina limene dokotala wanu wakupatsani ndilofunika.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Izi ndizofunikira kwambiri. Musanayambe kumwa Warfarin, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Izi zili choncho chifukwa dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso mlingo womwe angakupatseni.

Nazi zina mwa zinthu zimenezi:

• Ngati muli ndi vuto la kumwa mowa (Alcoholism).
• Ngati muli ndi vuto la kuchepa kwa magazi m'thupi.
• Ngati muli ndi matenda otsegula magazi.
• Ngati muli ndi khansa.
• Ngati muli ndi matenda a shuga (Diabetes Mellitus).
• Ngati muli ndi matenda ena a mtima.
• Ngati muli ndi kuthamanga kwa magazi.
• Ngati mudayamba mwatuluka magazi m'mimba kapena m'matumbo (kutuluka magazi m'mimba).
• Ngati mudadwalapo sitiroko kale, kapena ngati muli ndi matenda ena okhudzana ndi ubongo.
• Ngati muli ndi matenda a impso kapena chiwindi.
• Ngati muli ndi matenda monga kusowa kwa mapuloteni C kapena kusowa kwa mapuloteni S.
• Ngati muli ndi vuto la kukumbukira zinthu, monga matenda amisala kapena matenda amisala.
• Ngati mwavulala posachedwapa, kapena mukukonzekera kuchitidwa opaleshoni kapena njira ina yachipatala mtsogolo.
• Ngati muli ndi vuto la ziwengo ku warfarin, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Palibe vuto ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala zinthu izi popanda kuzibisa.

Kodi mumagwiritsa ntchito bwanji piritsi la Warfarin molondola?

Ndikofunikira kwambiri kudziwa bwino momwe mungagwiritsire ntchito mankhwalawa.

• Imwani ndi kapu ya madzi: Mapiritsi a Warfarin ayenera kumwedwa pakamwa, ndi kapu ya madzi.
• Monga momwe dokotala ananenera: Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola.
• Musanadye kapena mutatha kudya: Mutha kumwa mankhwalawa musanadye kapena mutatha kudya. Sizikukhudza.
• Nthawi yomweyo tsiku lililonse: Izi ndizofunikira kwambiri. Yesetsani kumwa mankhwala nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, mankhwalawo adzagwira ntchito mofanana m'thupi.
• Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa: Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa ndi dokotala wanu.
• Musasiye kumwa mankhwalawa popanda upangiri wa dokotala: Musasiye kumwa mankhwalawa mwadzidzidzi pokhapokha ngati dokotala wanu wakuuzani. Kuchita zimenezi kungakulitse chiopsezo chanu chokhala ndi magazi oundana.
• Wonjezerani mankhwala anu asanafike nthawi yoti agwiritsidwe ntchito: Musaiwale kupeza mankhwala atsopano kuchokera ku pharmacy mankhwala anu asanafike nthawi yoti agwiritsidwe ntchito.
• Ngati mwasintha mlingo wanu: Tiyerekeze kuti dokotala wanu akuyimba foni ndikusintha mlingo wanu wa warfarin. Ngati ndi choncho, lembani mlingo watsopano ndi malangizo ena papepala. Onetsetsani kuti mwamvetsa, kenako kambiranani malangizowo ndi dokotala wanu. Uzani dokotala wanu mphamvu ya mapiritsi omwe muli nawo. Funsani kuchuluka kwa mapiritsi omwe muyenera kumwa kuti mufike pa mlingo watsopano. Lembani malangizo atsopano papepalalo, pamodzi ndi tsiku, ndipo muwasunge pamodzi ndi mankhwala anu. Nthawi zina mungapemphedwe kuti musiye kumwa mankhwalawo mpaka mutakayezetsa magazi anu. Ngati izi zitachitika, ngati simukumva kuchokera kwa dokotala wanu mkati mwa maola 24 kuchokera pamene mwayesedwa, imbani dokotala wanu kuti akufunseni za mlingo watsopanowo komanso nthawi yoti muyambe kumwanso mlingo wakalewo.
• MedGuide: Nthawi iliyonse mukalandira mankhwala kuchokera ku pharmacy, mudzapatsidwa MedGuide yokhudza mankhwalawo. Nthawi zonse muziwerenga mosamala. Ili ndi zambiri zofunika kwa inu.

Chofunika: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Kodi mankhwalawa ayenera kuperekedwa kwa ana?

Ana amafunika chisamaliro chapadera akamamwa warfarin, choncho onetsetsani kuti mwakambirana izi ndi dokotala wanu.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ndikofunikira kwambiri kuti musalumphe mlingo wa warfarin , chifukwa ukhoza kusintha mphamvu ya magazi kuti achepetse thupi.

• Ngati mwaphonya mlingo wa mankhwala, imbani dokotala wanu nthawi yomweyo.
• Ngati n'kotheka, imwani mlingo womwe mwaphonya mwamsanga mukakumbukira tsiku lomwelo .
• Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, musamwe mlingo womwe mwaphonya. Ingomwani mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya.

Ndi mankhwala ena ati omwe angagwirizane ndi Warfarin?

Ichi ndi chinthu choyenera kusamala nacho kwambiri. Warfarin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri, zitsamba, komanso zakudya zowonjezera. Kuyanjana kumeneku kumatha kuwonjezera kapena kuchepetsa zotsatira za Warfarin. Ngati izi zitachitika, pakhoza kukhala chiopsezo cha kutuluka magazi kapena magazi kuundana.

Musamwe Warfarin pamodzi ndi mankhwala otsatirawa pazifukwa zilizonse:

• Defibrotide

Kuphatikiza apo, mankhwala otsatirawa amatha kuyanjana ndi Warfarin:

• Acyclovir
• Allopurinol
• Aspirin ndi mankhwala ena a NSAID (monga ibuprofen, naproxen)
• Maantibayotiki ena (monga Erythromycin, Clarithromycin, Ciprofloxacin)
• Mankhwala ena oletsa mavairasi omwe amaperekedwa pa matenda monga HIV kapena chiwindi
• Mankhwala ena omwe amaletsa magazi kuundana (monga Heparin, Enoxaparin, Clopidogrel)
• Mankhwala ena ochizira kuthamanga kwa magazi, matenda a mtima, ndi matenda a mtima
• Mankhwala ena ochepetsa mafuta m'thupi (monga atorvastatin, simvastatin)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ena a matenda a bowa (monga Fluconazole, Ketoconazole)
• Mankhwala ena a khunyu (monga Carbamazepine, Phenytoin)
• Mahomoni achikazi, kuphatikizapo mapiritsi oletsa kubereka
• Zitsamba kapena zowonjezera monga adyo, ginkgo, ginseng, tiyi wobiriwira, ndi St. John's Wort
• Zakudya zowonjezera zomwe zili ndi Vitamini K
• Mankhwala ochepetsa asidi m'mimba (monga Omeprazole, Ranitidine)
• Mankhwala a steroid (monga Prednisone)

Mndandanda uwu si wokwanira. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe dokotala wanu wakupatsani, ogulidwa ku pharmacy, zitsamba, mavitamini, zowonjezera), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingasokoneze mankhwala anu a warfarin.

Ndi zinthu ziti zomwe tiyenera kusamala nazo makamaka tikamamwa Warfarin?

Pali zinthu zingapo zomwe zingakhudze chitetezo chanu komanso momwe mankhwalawa amagwirira ntchito mukamagwiritsa ntchito Warfarin.

• Kuyezetsa magazi nthawi zonse (PT/INR): Mukatenga warfarin, muyenera kuyezetsa magazi nthawi zonse. Umu ndi momwe dokotala wanu amayezetsera kuti aone ngati mlingo wa warfarin womwe mukutenga ndi wolondola. Musalumphe mayeso a magazi awa. Mayesowa ayenera kuchitika pafupipafupi mukayamba kumwa mankhwalawo. Mukapeza mlingo woyenera kwa inu, kuchuluka kwa mayesowa kudzachepa.
• ID ya Zachipatala: Valani chibangili cha ID ya zachipatala kapena unyolo wosonyeza kuti mukumwa warfarin. Komanso, nthawi zonse nyamulani khadi lomwe limalemba matenda anu, dzina la mankhwala, mlingo, ndi nthawi zomwe mumamwa. Izi zitha kukhala zofunika kwambiri pakagwa ngozi.
• Mukayamba/kusiya mankhwala ena: Musayambe mankhwala atsopano kapena kusiya kumwa mankhwala aliwonse omwe mukumwa popanda upangiri wa dokotala. Izi zikuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala.
• Zakudya ndi Vitamini K: Lankhulani ndi dokotala wanu za zakudya zanu. Musasinthe zinthu zambiri nthawi imodzi. Izi zili choncho chifukwa michere yotchedwa Vitamini K imakhudza momwe Warfarin imagwirira ntchito. Zakudya zambiri zimakhala ndi Vitamini K. Chifukwa chake, ndikofunikira kudya zakudya zomwe zili ndi Vitamini K mofanana, mochuluka nthawi zonse. Mwachitsanzo, ndiwo zamasamba zobiriwira monga sipinachi, kabichi, broccoli, kale, sipinachi, tiyi wobiriwira, asparagus, ndi brussel sprouts. Musawonjezere kapena kuchepetsa kuchuluka kwa zakudya izi nthawi imodzi.
• Dzitetezeni ku kuvulala: Mukatenga warfarin, chiopsezo chotuluka magazi chimakhala chachikulu. Chifukwa chake, samalani kwambiri mukamagwiritsa ntchito zinthu zakuthwa monga mipeni. Dzitetezeni ku kugwa ndi kuvulala. Samalani mukamasewera masewera. Gwiritsani ntchito lumo lamagetsi ngati n'kotheka. Samalani mukatsuka mano anu ndi floss. Uzani dokotala wanu ngati muwona mabala, mabala, kapena mawanga ofiira pakhungu lanu.
• Ngati mukudwala:Uzani dokotala wanu ngati mwakhala mukudwala kwa masiku opitilira angapo chifukwa cha kusanza, kutsegula m'mimba, kapena kutentha thupi. Komanso, ngati simungathe kudya bwino kwa masiku angapo, uzani dokotala wanu. Zinthu izi zitha kusintha mphamvu ya warfarin.
• Ngakhale mutasiya kumwa mankhwala: Ngakhale mutasiya kumwa warfarin, zimatenga masiku angapo kuti mphamvu yachibadwa ya thupi lanu yotseka magazi ibwerere mwakale. Funsani dokotala wanu nthawi yomwe muyenera kusamala. Ngati mukufuna opaleshoni kapena kuchitidwa opaleshoni ya mano, onetsetsani kuti mwawauza kuti mukumwa warfarin.

Kodi Warfarin imakhudza bwanji amayi apakati ndi oyamwitsa?

Iyi ndi nkhani yofunika kwambiri.

• Pa nthawi ya mimba: Warfarin ndi mankhwala omwe angayambitse zilema zobereka komanso kutuluka magazi m'mimba mwa mwana wosabadwayo. Chifukwa chake, amayi a msinkhu wobereka ayenera kugwiritsa ntchito njira zolerera zogwira mtima ngati akumwa warfarin.
• Ngati mutenga mimba mukumwa warfarin, lankhulani ndi dokotala nthawi yomweyo ndipo kambiranani za zoopsa zomwe zingachitike komanso zomwe mungachite.
• Pa nthawi yoyamwitsa: Ngati ndinu mayi woyamwitsa, muyeneranso kulankhula ndi dokotala wanu za kumwa warfarin.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, warfarin ingayambitse zotsatirapo zina. Zina zimakhala zoopsa ndipo ziyenera kunenedwa kwa dokotala nthawi yomweyo. Zina sizili zoopsa kwenikweni.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kutuluka magazi:
• Zakuda, ndowe zokhazikika, kapena magazi m'ndowe.
• Kusanza magazi, kapena kusanza chinthu chofiirira ngati khofi wophikidwa.
• Mkodzo umasintha kukhala wofiira kapena wakuda.
• Madontho ang'onoang'ono ofiira kapena ofiirira pakhungu.
• Kutupa kapena kutuluka magazi kosazolowereka (monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa).
• Kutuluka magazi muubongo: Mutu waukulu, kuuma khosi, kusokonezeka maganizo, chizungulire, kusintha kwa masomphenya, dzanzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda, kusanza.
• Zala zakuda kapena zofiirira zimapweteka.
• Kusamba kwambiri kwa akazi.
• Kutupa kowawa, kutentha, kufiira, matuza, kapena zilonda pakhungu.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba
• Kutaya tsitsi

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, chonde funsani dokotala wanu.

Kodi mapiritsi a Warfarin awa mumasunga bwanji?

• Sungani pamalo omwe ana ndi ziweto sangafikire. Izi ndizofunikira kwambiri.
• Sungani kutentha kwa chipinda. Ndiko kuti, pakati pa madigiri 15 ndi 30 Celsius (59 ndi 86 Fahrenheit).
• Tetezani ku kuwala.
• Tayani mankhwala otha ntchito.
• Musayitulutse m'chimbudzi.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Warfarin ndi mankhwala omwe angapulumutse moyo ngati agwiritsidwa ntchito moyenera, komanso akhoza kukhala oopsa ngati agwiritsidwa ntchito molakwika. Chifukwa chake,

• Imwani mankhwalawo monga momwe dokotala wanenera, panthawi yoyenera komanso mu mlingo woyenera.
• Onetsetsani kuti mwayesa magazi anu a PT/INR pa masiku omwe akonzedwa.
• Uzani dokotala wanu za mankhwala ena onse, zitsamba, ndi kusintha kwa zakudya ndi zakumwa zomwe mukumwa.
• Dziwani zizindikiro zilizonse za kutuluka magazi. Uzani dokotala wanu, ngakhale zitakhala zochepa chabe.
• Ngati muli ndi pakati, mukufuna kutenga pakati, kapena ndinu mayi woyamwitsa, onetsetsani kuti mwauza dokotala wanu.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, funsani dokotala wanu kapena wamankhwala. Musachite mantha kapena kuchita manyazi kufunsa.

Ndikukhulupirira kuti izi zakuthandizani kumvetsetsa bwino za Warfarin. Khalani ndi thanzi labwino!

Warfarin , magazi kuundana, kuchepetsa magazi, matenda a mtima, sitiroko, PT/INR, vitamini K