Chiremba wako akakurayira kuti ushandise mushonga weWarfarin here? Kana kuti mumwe wemhuri yako kana shamwari yako ari kushandisa mushonga uyu here? Uyu mushonga unokosha zvikuru unodzivirira kuumbwa kweropa. Asi pane zvimwe zvinhu zvatinofanira kungwarira pakushandisa uyu. Usazvidya mwoyo, tichataura nezvazvo zvese zviri nyore uye zvakajeka nhasi.
Chii chaizvo chinonzi Warfarin?
Muchidimbu, Warfarin mushonga unodzivirira ropa kuti risagwambe, kana kuti unononotsa kufamba kwaro. Mukurapa, tinoti uyu mushonga unorwisa ropa kuti risagwambe . Ungave uchiziva mushonga uyu unonzi Coumadin® kana Jantoven®.
Mushonga uyu unoshanda nekudzivirira kuumbwa kweropa risingadiwe mumuviri wako, mutsinga dzeropa kana mumoyo mako. Kuumbwa kweropa risingadiwe uku kunogona kuitika mune mamwe mamiriro ehutano, kana kana usingakwanise kufamba kana kufamba kwenguva yakareba.
Chinhu chakakosha ndechekuti Warfarin inodzivirira magwamba matsva eropa kuti asaumbwe, asi hainyungudise magwamba eropa aripo . Zvisinei, inomisa magwamba kuti asakure. Nekufamba kwenguva, magwamba anogona kunyungudika ega.
Ndezvipi zvinoshandiswa neWarfarin?
Chiremba wako anogona kunge akakunyorera mushonga uyu kudzivirira kana kurapa zvirwere zvinotevera:
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kugwamba kweropa mutsinga (Venous thromboembolism - VTE) | Ropa rinoumbwa mutsinga rinoputika robva ranamatira kune imwe nzvimbo. |
| Kuvharwa kwetsinga yakadzika (DVT) | Kugwamba kweropa, kazhinji mutsinga yakadzika mugumbo. |
| Kuvharika kwemapapu (PE) | Ropa rakaumbwa mutsinga rinoputika robva ragara mumapapu. |
| Kugwamba kweropa mutsinga (Arterial thromboembolism - ATE) | Kuumbwa kweropa rakagwamba mutsinga. |
| Kurohwa | Kugwamba kweropa kunovhara tsinga yeropa inotakura ropa kuenda kuuropi. |
| Kumira kurova kwemoyo | Kuvharika kwetsinga dzinoendesa ropa kumoyo neropa rakagwamba. |
Pamusoro pezvo, mushonga uyu unonyorerwawo kudzivirira njodzi yekugwamba kweropa kana uine kurova kwemoyo kusina kurongeka (Atrial fibrillation - Afib) kana kuti wakambovhiyiwa mavharuvhu emwoyo .
Mushonga uyu unoshanda sei?
Zviri nyore kwazvo. Vhitamini K inokosha kuti ropa redu rigwambe. Warfarin inoshanda nekudzivisa kushanda kwevhitamini K, iyo inodiwa kune zvimwe zvezvinhu zvinobatsira mukugwamba kweropa. Izvi zvinoderedza mwero wekugwamba kweropa uye zvinodzivirira kuumbwa kweropa risingadiwe.
Chiyero chemushonga uye kuongororwa ropa kunofanirwa kuitwa
Chipimo chewarfarin chinowanzosiyana kubva pa1 mg (milligrams) kusvika pa10 mg. Chiremba wako achakupa mushonga chaiwo. Zvisinei, mushonga iwoyo ungangoda kugadziriswa zvichienderana nemigumisiro yekuongororwa ropa nguva dzose.
Mapiritsi aya anouya nemavara akasiyana. Ruvara rumwe nerumwe runomiririra huwandu hwemamirigiramu ari mupiritsi. Semuenzaniso, kana ukapihwa piritsi re5mg wobva waudzwa kuti uderedze dose kusvika pa2.5mg, unofanira kupwanya piritsi re5mg nepakati wotora hafu iyoyo. Usambofa wakachinja dose usina kubvunza chiremba wako.
Ndezvipi izvi bvunzo dzeropa dzinofanira kuitwa?
Paunenge uchitora warfarin, uchafanirwa kuongororwa ropa kunonzi PT/INR (Prothrombin Time / International Normalized Ratio) nguva nenguva.
Kuongororwa uku kunoratidza kuti ropa rako rinogwamba nekukurumidza zvakadii. Mhedzisiro yacho inogona kubatsira chiremba wako kuona kana Warfarin iri kushanda zvakanaka kwauri uye kana muyero wako uchida kugadziriswa.
Bvunzo iyi inogona kuitwa kamwe chete pasvondo kana kamwe chete pamwedzi. Chiremba wako ndiye achasarudza.
- Mimwe mishonga yaunotora (kunyangwe mavhitamini nemarwadzo ekurwadziwa), shanduko muhutano hwako (senge fivha kana manyoka), uye shanduko mukudya kwako zvinogona kukanganisa PT/INR yako. Saka , zvakakosha kuzivisa chiremba wako weWarfarin nezve chero shanduko muhupenyu hwako.
Ita zvinhu izvi chaizvo paunenge uchitora Warfarin
- Inwa mushonga uyu panguva imwe chete zuva nezuva . Unofanira kuutora kamwe chete pazuva.
- Inogona kutorwa usati wadya kana kuti wapedza kudya.
- Kana ukakanganwa kutora mushonga wako wobva wayeuka mukati memaawa masere, tora mushonga wacho nekukasika.
- Zvisinei, kana zvapfuura maawa masere, siya mushonga wezuva iroro wotora mushonga wezuva rinotevera chete. Usambotora mishonga miviri panguva imwe chete.
- Kana ukakanganwa kutora mushonga wako kwemazuva maviri kana kupfuura, iva nechokwadi chekufonera chiremba wako.
Mhedzisiro huru: Chenjerera kubuda ropa!
Mhedzisiro huru uye inowanzo onekwa yewarfarin kubuda ropa rakawanda . Izvi zvinodaro nekuti mushonga uyu unoshanda nekudzivirira kuumbwa kweropa. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
| Saina kuti uteerere | Tsananguro |
|---|---|
| Zivisa chiremba nekukasika. | |
| Kubuda ropa kubva mukukuvara kudiki | Kubuda ropa kusingamire kunyangwe mushure mekudzvanya kwemaminitsi gumi. |
| Kubuda ropa kubva mumhino nematadza | Kubuda ropa kusingamire kwemaminitsi anopfuura gumi. |
| Kuchinja kweruvara rweweti | Weti inoshanduka kuita tsvuku kana kuti tsvuku (yakasviba). |
| Kuchinja kweruvara rwechitsiko | Chituru chitsvuku kana kuti chitema chakareruka. |
| Kukosora ropa kana kurutsa | Kukosora ropa kana kurutsa zvinoita sekunge kofi yakakuyiwa. |
| Maronda asina chikonzero | Maronda, mavanga epepuru, kana kuzvimba uye kurwadziwa chero kupi zvako pamuviri pasina chikonzero. |
| Kuenda kumwedzi kwevakadzi | Kubuda ropa panguva yekuenda kumwedzi kunorema kupfuura zvakajairwa kana kuti kunotora nguva yakareba kupfuura zvakajairwa. |
| Musoro usingawanzoitiki kana dzungu | Musoro wakanyanya, dzungu, kuchinja kamwe kamwe kwekutaura kana kuona, kusanzwa kwechiso kana ruoko. |
Kurapwa kwekukurumidzira kunodiwa rini?
- Kana kubuda ropa kusingamire mushure memaminitsi gumi ekumanikidzwa paronda diki, ramba uchimanikidza woenda kuEmergency Department (ETU) iri pedyo.
- Kana wakakuvara zvakanyanya uye uchibuda ropa rakawanda, fonera 1990 nekukasika kana kuti enda kuETU uchibatsirwa nemumwe munhu nekukurumidza.
Dzidza zvakawanda nezvechikafu uye vhitamini K
Apa ndipo panokanganisa vanhu vazhinji. Vamwe vanhu vanofunga kuti vanofanira kurega kudya chikafu chine vhitamini K kana vachitora warfarin. Izvi hazvina kunaka.
Chinhu chinonyanya kukosha ndechekudya chikafu chine Vitamin K chakafanana nechaunodya vhiki nevhiki . Kudya zvakawanda vhiki imwe chete usingadyi zvachose vhiki inotevera kunogona kukonzera mutsauko mukuru muINR yako.
Zvikafu zvakapfuma muvhitamini K (chengeta huwandu hwekudya kwaunodya pasvondo hwakafanana):
- Muriwo wakasvibirira wakaita sekare, broccoli, sipinachi, uye collard greens
- Mhando dze lettuce
- Asparagus
Kana uchida kuwedzera kudya kwako muriwo, unogona kusarudza muriwo usina vhitamini K yakawanda, yakaita se:
- Chibage, manhanga, mbatatisi, makarotsi, magaka, matomatisi.
Zvakakosha: Usati waita chero shanduko huru pakudya kwako (semuenzaniso kutanga kudya kwekuderedza uremu), iva nechokwadi chekutaura nachiremba wako.
Zvinhu zvekudzivisa kana uchitora Warfarin
- Mimwe mishonga: Usatore chero mushonga (kunyangwe mishonga inoderedza marwadzo, mavhitamini, kana mishonga yeAyurvedic) usina kubvunza chiremba wako.
- Kuvhiyiwa: Usati waita chero chinhu chidiki sekubvisa zino, unofanira kuudza chiremba wemazino kana chiremba kuti uri kutora Warfarin.
- Zvekudya Nekunwa: Dzivisa kunwa grapefruit, pomegranate, uye cranberry juice.
- Doro: Dzivisa kunwa doro. Rinogona kuwedzera njodzi yekubuda ropa.
- Kubata Pamuviri: Dzivisa kubata pamuviri paunenge uchitora warfarin. Kana uchironga kubata pamuviri, taura nachiremba wako nezvazvo.
- Njodzi: Zvidzivirire zvakanyanya kubva mutsaona dzakadai sekudonha nekukuvadzwa zvakanyanya. Kana uchitamba mitambo, bvunza chiremba wako nezvazvo futi.
Mharidzo Yekuenda Nayo Kumba
- Warfarin mushonga unokosha zvikuru unodzivirira kugwinha kweropa. Inwa sezvawaudzwa nachiremba wako, panguva yakakodzera, nemuyero wakakodzera.
- Usarega kutora mushonga kana kuchinja mwero wemushonga chero chikonzero chipi zvacho usina kubvunza chiremba wako.
- Usambofa wakarega kuongororwa ropa rePT/INR. Izvi zvakakosha kuti uchengetedzeke.
- Kana ukaona zviratidzo zvekubuda ropa zvisina kujairika (mavanga akaomarara, tsvina nhema, weti tsvuku), tsvaga rubatsiro rwechiremba nekukasika.
- Gara uchizivisa chiremba wako nezve shanduko dziri mukudya kwako, mimwe mishonga yauri kutora, kana mamiriro ehutano.
- Usati wabviswa zino kana kuvhiyiwa, unofanira kuudza chiremba ari kutaurwa nezvake kuti uri kutora Warfarin.
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