Ese wowe cyangwa umuntu uzi wigeze ubwirwa na muganga gutangira "gutera amaraso make"? Wenda byatewe n'uko nyuma yo kubagwa umutima, cyangwa bitewe n'uko amaraso yacitse mu mitsi yo ku kuguru kwawe. Warfarin ni wo muti w'ingenzi kandi ukoreshwa cyane ubuza amaraso kuzura. Abantu benshi bakoresha uyu muti, ariko ntibawuzi cyane, ibyo bikaba bishobora gutera ubwoba butari ngombwa. None rero uyu munsi, reka tuvuge kuri uru rushinge rwa Warfarin mu buryo bworoshye kandi bwiza.
Mu magambo make, Warfarin ni iki?
Warfarin ni umuti uri mu bwoko bw'imiti yitwa anticoagulants . Muri make, ikora mu kugabanya umuvuduko w'amaraso mu mubiri wawe. Nubwo yitwa "umuti woroshya amaraso," mu by'ukuri ntabwo ugabanya amaraso yawe nk'amazi. Yongera gusa igihe bifata kugira ngo amaraso yawe agire ubwivumbure.
None se uyu muti utangwa kuki?
- Vura amaraso apfundika mu mitsi, mu mitsi, mu bihaha, cyangwa mu mutima.
- Nanone, wirinde ko amaraso nk'ayo yakwiyongera mu gihe kizaza.
Urugero, uyu muti ukunze guhabwa umuntu wasimbuwe utwuma tw’umutima cyangwa umuntu wagize ikibazo cyo kubyimba kw’amaraso mu mitsi yo ku kaguru (Deep Vein Thrombosis - DVT).
Ibintu ugomba kubwira muganga wawe mbere yo gutangira Warfarin
Warfarin ni umuti ugomba gukoreshwa witonze cyane. Kubwibyo, ni ngombwa ko muganga wawe amenya neza uko ubuzima bwawe buhagaze. Mbere yo gutangira Warfarin, banza ubwire muganga wawe niba ufite imwe muri izi ndwara zikurikira.
| Imiterere y'ubuzima/akamenyero | Ibisobanuro |
|---|---|
| Ibibazo bifitanye isano n'amaraso | Indwara zo kuva amaraso, nko kubura amaraso, kubura amaraso, no kubura amaraso. |
| Indwara z'igogora | Amateka y'ibisebe byo mu mara, diverticulitis, cyangwa kuva amaraso mu gifu byabanje. |
| Indwara y'umwijima cyangwa impyiko | Indwara iyo ari yo yose ijyanye n'imikorere y'umwijima cyangwa impyiko. |
| Indwara z'umutima n'umuvuduko ukabije w'amaraso | Indwara nk'umuvuduko ukabije w'amaraso n'indwara z'umutima. |
| Izindi ndwara | Diyabete, kanseri, kubura poroteyine C cyangwa S, gucika intege kw'imitsi, cyangwa gukomereka mu bwonko. |
| Amakuru bwite | Kuba ufite imyaka irenga 65, unywa inzoga, kuba warakorewe impanuka cyangwa kubagwa vuba aha. |
| Gutwita no konsa | Ibi ni ingenzi cyane niba utwite, ugerageza gutwita, cyangwa wonsa. |
| Allergie | Niba ufite ubwivumbure kuri warfarin, indi miti, ibiryo, cyangwa imiti irinda ubushyuhe. |
Uru rukingo rutangwa rute kandi ni izihe ngamba zikwiye gufatwa?
Warfarin iterwa mu buryo bwo gutera urushinge mu mitsi. Ntabwo ari ikintu ushobora gukora uri mu rugo. Itangwa na muganga cyangwa umuforomo wabyigiye mu bitaro cyangwa ivuriro .
Icy'ingenzi: Hari ibyago byo kuva amaraso iyo ingano y'umuti yiyongereye. Kubwibyo, niba utekereza ko wafashe uyu muti urenze urugero, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo.Hamagara cyangwa ujye ku bitaro bikuru byita ku bibazo byihutirwa (ETU) .
Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri Warfarin (Imiti ikoreshwa)
Warfarin ni umuti ushobora kugira ingaruka ku yindi miti, ibikomoka ku bimera, n'ibiribwa bimwe na bimwe. Ibi bishobora kongera ingaruka za Warfarin (ibyago byo kuva amaraso) cyangwa bikagabanya (ibyago byo kubyimba kw'amaraso).
Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe n'abandi baganga, imiti idasaba imiti, vitamine, imiti ikomoka ku bimera, imiti ya Ayurvedic) .
Dore bimwe mu bintu bishobora kugira ingaruka kuri Warfarin. Uru si urutonde rwuzuye, ariko ni byo bintu by'ingenzi ugomba kumenya.
- Imiti igabanya ububabare: Imiti igabanya ububabare itari iya steroide (NSAIDs) nka ibuprofen na naproxen, na aspirine.
- Antibiyotike: Amwe mu ma antibiyotike nka Erythromycin, Ciprofloxacin, Metronidazole.
- Imiti irwanya fungal: Imiti nka Fluconazole na Ketoconazole.
- Imiti ivura indwara z'umutima, umuvuduko ukabije w'amaraso, na cholesterol.
- Imiti ivura indwara zo mu mutwe.
- Imiti ivura indwara zo mu mutwe.
- Ibikomoka ku bimera: Ibintu nka tungurusumu, ginkgo, ginseng, na St. John's Wort.
- Vitamine K: Iyi iboneka mu miti no mu biribwa.
Niba ugiye gutangira umuti mushya cyangwa uhagaritse gufata umuti, banza ubaze muganga wawe.
Ibintu ugomba kwitondera cyane cyane mu gihe ufata Warfarin
Ikizamini cy'amaraso cya PT/INR
Ikizamini cy’amaraso gitegetswe kandi cy’ingenzi cyane umuntu wese ufata warfarin agomba gukora ni PT / INR . Ibi bipima igihe bifata kugira ngo amaraso yawe agire ubwoya. Hashingiwe ku bisubizo by’iki kizamini, muganga wawe azagena ingano ya warfarin ukeneye.
- Iki kizamini kizakenera gukorwa kenshi mu gihe cyo gutangira imiti.
- Iyo umaze kubona igipimo gikwiye, inshuro zo gupima zizagabanuka.
- Ntugasimbuke iki gipimo cy'amaraso kubera impamvu iyo ari yo yose. Ni ingenzi ku mutekano wawe.
Impinduka mu mirire
Ingaruka za warfarin zigira ingaruka ku buryo butaziguye ku ntungamubiri yitwa vitamine K. Gufata vitamine K nyinshi bishobora kugabanya ingaruka za warfarin no gutera amaraso kuzura. Iyo vitamine K ari nke, ingaruka za warfarin zishobora kwiyongera bigatuma amaraso ava.
Icy'ingenzi ni ukudahagarika burundu kurya ibiryo birimo vitamine K. Icy'ingenzi ni ugukomeza kurya ingano ihoraho. Ntukarye byinshi umunsi umwe kandi ntukarye ikintu icyo ari cyo cyose gikurikiraho.
Bimwe mu biribwa bikungahaye kuri vitamine K:
- Imboga z'icyatsi kibisi nka epinari, amashu, salade, broccoli, na kale.
- Icyayi cy'icyatsi
- Persil
Vugana na muganga wawe mbere yo kugira impinduka zikomeye ku mirire yawe.
Irinde impanuka
Iyo ufashe warfarin, nubwo wakomeretse gato bishobora gutuma amaraso menshi agabanuka kurusha uko bisanzwe. Kubera iyo mpamvu:
- Irinde siporo n'ibikorwa bishobora gutera kugwa no gukomereka.
- Witondere cyane iyo ukoresha intwaro zityaye n'ibyuma.
- Ni byiza gukoresha urwembe rukoresha amashanyarazi aho gukoresha urwembe.
- Koresha uburoso bw'amenyo bworoshye mu gihe woza amenyo yawe. Bwira muganga wawe niba ishinya ryawe ryavuye amaraso.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti iyo ari yo yose, Warfarin ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Ibimenyetso | Ni iki cyakorwa? |
|---|---|
| Ibimenyetso bigomba kumenyeshwa muganga wawe ako kanya | |
| Ibimenyetso byo kuva amaraso: - Ibyuma by'umukara, intebe zo gutegereza - Inkari zitukura cyangwa iz'umukara wijimye - Kuruka ikintu gisa n'ikawa - Kuva amaraso mu mazuru no mu ishinya ku buryo budasanzwe - Uduheri dutukura cyangwa uduheri tw'amaraso ku ruhu | Ibi bishobora kuba ibimenyetso byo kuva amaraso imbere mu mubiri. Shaka ubufasha kwa muganga ako kanya. |
| Ibimenyetso by'indwara yo mu bwonko: - Kurwara umutwe ukabije mu buryo butunguranye - Urujijo, kugorwa no kuvuga - Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru | Ibi ni ibyihutirwa. Jya kwa muganga ako kanya. |
| Ibiranga amaraso apfunditse: - Kubabara mu gituza, guhumeka bigoranye - Kubabara amaguru, kubyimba, ubushyuhe | Iki gishobora kuba ikimenyetso cy'uko umuti udakora neza. Bibwire muganga wawe ako kanya. |
| Ubwivumbure, kuva amaraso menshi mu gihe cy'imihango ku bagore, kuribwa mu nda cyane. | Shaka inama z'abaganga ako kanya. |
| Ibimenyetso akenshi bitari bikomeye, ariko bigomba kumenyeshwa muganga mu gihe bikomeje | |
| Impiswi | Bwira muganga wawe niba bimara iminsi irenga mike. |
| Gutakaza umusatsi | Niba ibi bikubangamiye, vugana na muganga wawe. |
Ubutumwa bwo kujyana mu rugo
- Warfarin ni umuti ubuza amaraso kuzura, kandi ugomba gukoreshwa witonze cyane.
- Ntuzigere wirengagiza gupimwa amaraso kwa muganga kwa PT/INR. Umutekano wawe ushingiye kuri byo.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Ntureke kurya imboga rwatsi zikungahaye kuri vitamine K. Ahubwo, gerageza kugumana indyo yawe ku rugero rumwe buri munsi .
- Ndetse n'igikomere cyoroshye gishobora gutera kuva amaraso menshi, bityo rero witondere uko bishoboka kose kugira ngo wirinde impanuka.
- Niba ubonye ibimenyetso byo kuva amaraso , nko kwitumamo imyanda y'umukara cyangwa kuva amaraso ku buryo budasanzwe, menyesha muganga wawe ako kanya.
- Niba ufite impungenge kuri uyu muti, ntutinye kuvugana na muganga wawe.
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