Ese muganga wawe yagutegetse gukoresha umuti wa Warfarin? Cyangwa se umuntu wo mu muryango wawe cyangwa inshuti yawe ni we ukoresha uyu muti? Uyu ni umuti w'ingenzi cyane urinda kubyimba kw'amaraso. Ariko hari ibintu bimwe na bimwe tugomba kwitondera cyane mu gihe tuwukoresha. Ntugahangayike, tuzabivugaho byose mu buryo bworoshye kandi busobanutse uyu munsi.
Warfarin ni iki mu by'ukuri?
Muri make, Warfarin ni umuti ubuza amaraso kuvura, cyangwa ukagabanya umuvuduko wayo. Mu buvuzi, uyu muti tuwita umuti ugabanya amaraso kuvura . Ushobora kuba uzi uyu muti ku mazina ya Coumadin® cyangwa Jantoven®.
Uyu muti ukora mu gukumira ko amaraso adakenewe yakwibasira umubiri wawe, mu mitsi yawe cyangwa mu mutima wawe. Ayo maraso adakenewe ashobora kwibasira indwara zimwe na zimwe, cyangwa iyo udashobora kugenda cyangwa kugenda igihe kirekire.
Icy'ingenzi ni uko Warfarin ibuza amaraso mashya kuzura, ariko ntishobora gushonga amaraso asanzwe . Ariko, ibuza amaraso kuzura. Uko igihe kigenda gihita, amaraso ashobora gushonga ubwayo.
Ni iyihe mikoreshereze ya Warfarin?
Muganga wawe ashobora kuba yaragundikiye uyu muti kugira ngo akurinde cyangwa avure indwara zikurikira:
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Kuziba kw'amaraso mu mitsi (VTE) | Udukoko tw'amaraso twibasira imitsi ducika tugafata ahandi hantu. |
| Kugabanuka k'imitsi yo mu bwonko (DVT) | Amaraso apfundika, akenshi mu mitsi miremire mu kaguru. |
| Kuziba kw'imitsi mu bihaha (PE) | Udukoko tw'amaraso twakozwe mu mitsi turacika maze tugasigara mu bihaha. |
| Gufunga amaraso mu mitsi (Arterial thromboembolism - ATE) | Ihinduka ry'amaraso mu mitsi. |
| Igisebe cy'imitsi | Udukoko tw'amaraso dufunga imitsi ijyana amaraso mu bwonko. |
| Indwara y'umutima | Gufungana k'imitsi ijyana amaraso mu mutima binyuze mu gufunga amaraso. |
Byongeye kandi, uyu muti unatangwa kugira ngo wirinde ibyago byo kubyimba kw'amaraso mu gihe ufite umutima utari mwiza (Atrial fibrillation - Afib) cyangwa warakorewe kubagwa imitsi y'umutima .
Uyu muti ukora ute?
Byoroshye cyane. Vitamine K ni ingenzi kugira ngo amaraso yacu agire ubwoya. Warfarin ikora mu kubuza imikorere ya vitamine K, ikenewe kuri bimwe mu bintu bigira uruhare mu gutuma amaraso agwa. Ibi bigabanya umuvuduko w'amaraso agwa kandi bikarinda ko amaraso agwa.
Igipimo cy'imiti n'ibipimo by'amaraso bisabwa
Igipimo cya warfarin gikunze kuba hagati ya miligarama 1 (miligarama) na miligarama 10. Muganga wawe azaguha igipimo runaka. Ariko, icyo gipimo gishobora gukenera guhindurwa hashingiwe ku bisubizo by'ibizamini by'amaraso bisanzwe.
Ibi binini biza mu mabara atandukanye. Buri bara rigaragaza umubare wa miligarama mu binini. Urugero, niba uhawe ikinini cya 5mg hanyuma ukabwirwa kugabanya igipimo kikagera kuri 2.5mg, ugomba kugabanya ikinini cya 5mg mo kabiri hanyuma ukagifata kimwe cya kabiri. Ntuzigere uhindura igipimo utabanje kugisha inama muganga.
Ni ibihe bipimo by'amaraso bigomba gukorwa?
Mu gihe ufata warfarin, uzakenera gupimwa amaraso yitwa PT / INR (Igihe cya Prothrombin / Igipimo Mpuzamahanga Gisanzwe) buri gihe.
Iki kizamini gipima uburyo amaraso yawe yihuta cyane. Ibisubizo bishobora gufasha muganga wawe kumenya niba Warfarin ikora neza kuri wewe ndetse niba igipimo cyawe gikwiye guhindurwa.
Iki kizamini gishobora gukorwa rimwe mu cyumweru cyangwa rimwe mu kwezi. Muganga wawe ni we uzagikemura.
- Indi miti ufata (ndetse na vitamine n'imiti igabanya ububabare), impinduka mu buzima bwawe (nk'umuriro cyangwa impiswi), hamwe n'impinduka mu mirire yawe bishobora kugira ingaruka ku muti wa PT/INR. Kubwibyo , ni ngombwa kumenyesha muganga wawe wa Warfarin impinduka zose mu buzima bwawe.
Kora ibi bintu neza neza mugihe ufata Warfarin
- Fata umuti icyarimwe buri munsi . Ugomba kuwufata rimwe gusa ku munsi.
- Ishobora gufatwa mbere cyangwa nyuma yo kurya.
- Niba wibagiwe gufata umuti wawe ukibuka mu masaha 8, fata umuti ako kanya.
- Ariko, niba hashize amasaha arenga 8, simbuka uwo munsi ufate uwo munsi gusa. Ntukigere ufata doze ebyiri icyarimwe.
- Niba wibagiwe gufata umuti wawe iminsi ibiri cyangwa irenga, hamagara muganga wawe.
Ingaruka nyamukuru: Witondere kuva amaraso!
Ingaruka nyamukuru kandi zikunze kugaragara za warfarin ni ukuva amaraso menshi . Ibi biterwa nuko uyu muti ukora mu gukumira kuvura amaraso. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya.
| Icyapa cyo kwitaho | Ibisobanuro |
|---|---|
| Bimenyeshe muganga ako kanya. | |
| Kuva amaraso bitewe n'igikomere gito | Kuva amaraso bidahagarara nubwo washyiramo igitutu mu gihe cy'iminota 10. |
| Kuva amaraso mu mazuru no mu ishinya | Kuva amaraso bidahagarara mu gihe kirenze iminota 10. |
| Ihinduka ry'ibara ry'inkari | Inkari zihinduka umutuku cyangwa umukara wijimye (zimeze nk'ingufu). |
| Ihinduka ry'ibara ry'intebe | Imyanya y'umutuku cyangwa iy'umukara irabagirana. |
| Gukorora amaraso cyangwa kuruka | Gukorora amaraso cyangwa kuruka bisa n'ibinyobwa bya kawa. |
| Ibikomere bidafite impamvu | Ibisebe, ibibara by'umuhengeri, cyangwa kubyimba no kubabara ahantu hose ku mubiri nta mpamvu. |
| Imihango y'abagore | Kuva amaraso mu mihango biremereye kurusha uko bisanzwe cyangwa bikamara igihe kirekire kuruta uko bisanzwe. |
| Kuribwa umutwe cyangwa isereri bidasanzwe | Kuribwa umutwe cyane, kuzungera, guhinduka mu buryo butunguranye mu mivugire cyangwa mu kureba, gucika intege mu maso cyangwa mu kuboko. |
Ni ryari hakenewe ubuvuzi bwihutirwa?
- Niba kuva amaraso bidahagaze nyuma y'iminota 10 y'umuvuduko ku gikomere gito, komeza gushyiramo umuvuduko hanyuma ujye mu Kigo cyita ku Butabazi bw'Ibanze (ETU) kiri hafi yawe.
- Niba ufite imvune ikomeye kandi uva amaraso menshi, hamagara 1990 ako kanya cyangwa ujye kwa ETU ukoresheje umuntu vuba bishoboka.
Menya byinshi ku biribwa na vitamine K
Aha niho abantu benshi bakora ikosa. Hari abantu batekereza ko bagomba kureka burundu kurya ibiryo birimo vitamine K iyo bafata warfarin. Ibi si byo.
Igikuru ni ugufata ingano imwe y'ibiribwa bikungahaye kuri Vitamine K urya buri cyumweru . Kurya cyane icyumweru kimwe no kutarya na gato mu cyumweru gitaha bishobora guteza itandukaniro rikomeye mu INR yawe.
Ibyokurya bikungahaye kuri vitamine K (komeza kurya ingano ihoraho mu cyumweru):
- Imboga z'icyatsi kibisi nka kale, broccoli, epinari, n'imboga z'icyatsi kibisi
- Ubwoko bwa salade
- Asparagus
Niba ushaka kongera imboga urya, ushobora guhitamo imboga zifite vitamine K nke, nka:
- Ibigori, ibihaza, ibirayi, karoti, inkoko, inyanya.
Icy'ingenzi: Mbere yo guhindura cyane imirire yawe (urugero: gutangira indyo yo kugabanya ibiro), banza uganire na muganga wawe.
Ibintu ugomba kwirinda mugihe ufata Warfarin
- Indi miti: Ntugafate umuti uwo ari wo wose (ndetse n'imiti igabanya ububabare, vitamine, cyangwa imiti ya Ayurvedic) utabanje kugisha inama muganga wawe.
- Kubagwa: Mbere yo gukora ikintu gito nko gukuramo iryinyo, ugomba kubwira umuganga w'amenyo cyangwa umuganga ko urimo gufata Warfarin.
- Ibyokurya n'ibinyobwa: Irinde kunywa umutobe w'imbuto z'umurama, umurama w'amakomamanga n'umutobe w'amakara.
- Inzoga: Irinde kunywa inzoga. Bishobora kongera ibyago byo kuva amaraso.
- Gutwita: Irinde gutwita mu gihe ufata warfarin. Niba uteganya gutwita, ganira na muganga wawe kuri ibyo.
- Impanuka: Irinde uko bishoboka kose impanuka nko kugwa no guhura n'ingaruka zikomeye. Niba ukina siporo, banza ubaze muganga wawe kuri ibyo.
Ubutumwa bwo kujyana mu rugo
- Warfarin ni umuti w'ingenzi cyane ubuza amaraso kuzura. Uwufate neza nk'uko muganga wawe akubwira, ku gihe gikwiye, ku gipimo gikwiye.
- Ntugahagarike gufata umuti cyangwa ngo uhindure ingano yawo ku mpamvu iyo ari yo yose utabanje kugisha inama muganga wawe.
- Ntuzigere usimbuka ikizamini cy'amaraso cya PT/INR. Ni ingenzi ku mutekano wawe.
- Niba ubonye ibimenyetso byo kuva amaraso bidasanzwe (gukomereka bikomeye, imyanda y'umukara, inkari zitukura), shaka ubufasha bwa muganga byihutirwa.
- Buri gihe menyesha muganga wawe impinduka iyo ari yo yose mu mirire yawe, indi miti ufata, cyangwa indwara zawe.
- Mbere yo gukurwa iryinyo cyangwa kubagwa, ugomba kubwira umuganga urimo gufata Warfarin.
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