Iwe kana mumwe munhu mumhuri yako akanyorerwa mushonga wekuderedza ropa nachiremba here? Saka pamwe wakambonzwa nezve "Warfarin." Mushonga unoponesa hupenyu, asi unofanirwa kushandiswa nokungwarira kukuru. Saka nhasi, ngatipindurei mibvunzo yako yese nezvawo, sekutaura neshamwari.
Zvichitaurwa zviri nyore, chii chinonzi Warfarin?
Warfarin mushonga unorwisa ropa kuti riome . Vamwe vanhu vanoti "ropa riome," asi hazviite kuti ropa riome, zvinongononotsa kuumbwa kweropa. Funga nezvazvo, kana tikachekwa pane imwe nzvimbo mumuviri wedu, kuumbwa kweropa kwakakosha kuti ropa rimire kubuda. Asi mune zvimwe zvirwere, kuumbwa kweropa kunogona kuumbwa mumuviri pasina chikonzero, senge mutsinga dzeropa kana mumoyo. Ndosaka tichishandisa warfarin kumisa kuumbwa kweropa rine njodzi.
Kana uine ropa rakagwamba kare, warfarin inobatsira kudzivirira kuti risakure uye inodzivirira kuti chidimbu chisaputsika uye chisabatirire munhengo inokosha semapapu, uropi, kana moyo.
Ndezvipi zvinoshandiswa newarfarin?
Vanachiremba ndivo vanonyanya kunyora mushonga uyu kurapa kana kudzivirira zvirwere zvinotevera. Zvimwe zvacho zvingaita sezvakaoma kwauri, asi ngatizvichengetedze zviri nyore.
| Mamiriro | Pfungwa yacho chete |
|---|---|
| Kudzikira kweThrombosis yeMutsinga Wakadzika (DVT) | Maronda eropa anowanzo umbwa mutsinga dzakadzika dzemakumbo. |
| Kubviswa kweropa mumapapu (PE) | Ropa rakaumbwa kune imwe nzvimbo mumuviri rinobuda robva rapinda mutsinga iri mumapapu. Izvi zvine njodzi huru. |
| Kurohwa | Kugwamba kweropa kunovhara tsinga yeropa inoendesa ropa kuuropi. |
| Kupera kweAtrial (AFib) | Kurova kwemoyo zvisina kurongeka kunogona kukonzera njodzi yekuumbwa kweropa mukati memoyo. |
| Kutsiva Vharuvhu Yemwoyo | Kudzivirira kuumbwa kweropa pavharuvhu yemwoyo yakagadzirwa. |
Warfarin inoshanda sei mumuviri?
Iyi inyaya yesainzi, asi ngatirambei takaiverenga. Vitamin K inokosha pakuita kuti ropa rigwambe mumuviri wedu. Zvinoitwa newarfarin kudzora mashandiro evitamin K iyi zvishoma. Nokudaro, maitiro ekugwamba kweropa anononoka zvishoma. Izvi zvinomisa kuumbwa kweropa risingakoshi.
Kuongororwa ropa (INR Test) kunofanirwa kuitwa kana uchitora warfarin.
Warfarin mushonga unobatwa nechirwere chinonetsa zvikuru. Saka kana uchiushandisa, unofanira kugara uchitarisa huwandu hweropa rako rinogwamba. Kuongororwa kwatinoita kunonzi PT/INR (Prothrombin Time / International Normalized Ratio) .
Zvichitaurwa zviri nyore, chiremba wako achaona kana dose yako yewarfarin yakakodzera, yakaderera zvakanyanya, kana kuti yakakwira zvakanyanya nekutarisa kukosha kweINR yako. Saka, zvakakosha kuti uedze ropa rako pamazuva akarongwa, sezvinokurudzirwa nachiremba wako.
Ungangoda kuongororwa uku kamwe chete kana kaviri pasvondo pakutanga. Kana huwandu hweINR yako hwagadzikana, unogona kukumbirwa kuti uiongorore kanenge kamwe chete pamwedzi. Huwandu hweINR yako hunogona kuchinja nekuda kwemimwe mishonga yaunotora, kudya kwako, kana zvimwe zvirwere. Saka zvakakosha kuti chiremba wako azive nezvekuchinja kupi zvako.
Njodzi huru yewarfarin: Kubuda ropa
Nekuti warfarin inodzora kugayiwa kweropa, mhedzisiro huru inogona kuitika kubuda ropa rakawanda . Saka, unofanira kungwarira zvikuru nezvezviratidzo zvinotevera.
| Zviratidzo zvekubuda ropa zvekutarisira | |
|---|---|
| Bata Chiremba Wako Nokukurumidza | |
| Maronda pamuviri pasina chikonzero. | Kubuda ropa kudiki kubva mumazino kana mumhino. |
| Kubuda ropa rakawanda kana kwenguva refu panguva yekuenda kumwedzi kuvakadzi. | Weti tsvuku, tsvuku, kana kuti yakasviba. |
| Chituru chitsvuku kana kuti chitema chakareruka. | Kunzwa kuneta uye kushaya simba kupfuura zvakajairika. |
| Enda kuEmergency Treatment Unit (ETU) nekukasika. | |
| Kuchekwa kusingamire kubuda ropa kunyangwe mushure mekudzvanya kwemaminitsi gumi. | Kukosora ropa kana kurutsa zvinoita sekunge kofi yakakuyiwa. |
| Musoro wakakomba kamwe kamwe, dzungu, shanduko mukuona kana kutaura. | Kukuvara musoro nekuda kwekudonha kana kurohwa zvakanyanya. |
Warfarin nechikafu nechinwiwa (kunyanya vhitamini K)
Uyu ndiwo mubvunzo mukuru unobvunzwa nevanhu vazhinji. Hazvina kunaka here kudya miriwo mitema uchinwa warfarin?
Hamufaniri kurega kuzvidya zvachose. Chinhu chakakosha ndechekugara muchidya zvekudya zvine Vitamin K nguva dzose vhiki nevhiki.
Fungidzira kana ukadya miriwo mitema yakawanda vhiki imwe chete wozorega kuidya zvachose vhiki inotevera, INR yako inogona kuchinja-chinja kamwe kamwe. Izvozvo zvine njodzi. Saka, idya sezvawagara uchiita. Asi kana uchizochinja zvikuru kudya kwako (semuenzaniso, kutanga kudya kwevegan, kutanga kudya kwakakosha kuti uderedze huremu), iva nechokwadi chekuudza chiremba wako nezvazvo. Iye anogona kuzoongorora INR yako kakawanda uye kugadzirisa mishonga yako kana zvichidikanwa.
- Zvikafu zvakapfuma muvhitamini K (chengeta huwandu hwaunodya hwakafanana):Muriwo wakasvibirira wakaita sekare, sipinachi, collards, broccoli, uye lettuce.
- Zvikafu zvisina vhitamini K yakawanda (zvinogona kudyiwa pasina kutya): makarotsi, mbatatisi, mbatatisi, magaka, matomatisi, manhanga, chibage.
Zvinhu zvekurangarira kana uchitora warfarin
- Inwa mushonga nenguva: Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva.
- Kana ukarasikirwa nedosi: Kana ukayeuka mukati memaawa masere kubva pamushonga wako wawakaronga, tora mushonga nekukurumidza sezvaunoyeuka. Kana ukanonoka kupfuura maawa masere, siya mushonga wawakarasikirwa wotora mushonga wezuva rinotevera. Usambofa wakatora mishonga miviri panguva imwe chete. Kana ukarasikirwa nedosi kwemazuva maviri kana anopfuura, fonera chiremba wako nekukasika.
- Chenjererai nemimwe mishonga: Udza chiremba wenyu nezvemimwe mishonga yamuri kutora (mishonga yemamwe matambudziko, mishonga inoderedza marwadzo, mavhitamini, kunyangwe mishonga yeAyurvedic). Mimwe mishonga inogona kukanganisa mashandiro anoita warfarin.
- Chenjerera: Funga kaviri usati washandisa mareza nemidziyo yakapinza yakaita semapanga. Chenjerera kana ukadonha. Shandisa bhurashi remazino rakapfava paunenge uchikwesha mazino ako.
- Kuronga uye Kuvhiyiwa: Usati wabviswa mazino kana chero kumwe kuvhiyiwa, iva nechokwadi chekuudza chiremba kuti uri kutora warfarin.
- Doro: Dzivisa kunwa doro. Zvinogona kukanganisa kushanda kwewarfarin uye njodzi yekubuda ropa.
Mharidzo Yekuenda Nayo Kumba
- Warfarin mushonga unoponesa hupenyu, asi zvakakosha zvikuru kuutora sezvawaudzwa nachiremba, muchiyero chakakodzera uye panguva chaiyo.
- Usarega kutora mushonga kana kuchinja mwero wemushonga chero chikonzero chipi zvacho usina kubvunza chiremba wako.
- Zvinosungirwa kuti ropa rako reINR riongororwe pamazuva akarongwa. Ndiyo nzira yakanakisisa yekuchengetedzeka kwako.
- Kana ukaona kubuda ropa kusingawanzoitiki, mavanga, kana zvimwe zviratidzo zvisingawanzoitiki, zivisa chiremba wako nekukasika.
- Taura nachiremba wako nezvemimwe mishonga yauri kutora, shanduko huru mukudya kwako, uye chero matambudziko ehutano auri kusangana nawo.
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