Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba kuti atange mushonga we "blood thinner" here? Pamwe zvaive mushure mekuvhiyiwa kwemoyo, kana nekuda kwekugwamba kweropa mutsinga yegumbo rako. Warfarin ndiyo mushonga mukuru uye unoshandiswa zvakanyanya unodzivirira ropa kuti risagwambe. Vanhu vazhinji vanoshandisa mushonga uyu, asi havazivi zvakawanda nezvawo, izvo zvinogona kukonzera kutya kusingakoshi. Saka nhasi, ngatitaurei nezvejekiseni reWarfarin nenzira iri nyore uye ine hushamwari.
Zvichitaurwa zviri nyore, chii chinonzi Warfarin?
Warfarin mushonga uri muboka remishonga inonzi anticoagulants . Muchidimbu, inoshanda nekunonotsa maitiro ekugwamba kweropa mumuviri wako. Kunyangwe ichinzi "mushonga weropa unoomesa," haiomese ropa rako semvura. Inongowedzera nguva inotora kuti ropa rako rigwambe.
Saka sei mushonga uyu uchipihwa?
- Rapai ropa rakagwamba rinoita mutsinga, mutsinga dzeropa, mumapapu, kana mumoyo.
- Uyewo, dzivirira kuumbwa kweropa rakadaro mune ramangwana.
Semuenzaniso, mushonga uyu unowanzopihwa munhu akamboiswa vharuvhu yemoyo kana munhu akaita ganda reropa mutsinga iri mugumbo (Deep Vein Thrombosis - DVT).
Zvinhu zvaunofanira kuudza chiremba wako usati watanga Warfarin
Warfarin mushonga unofanirwa kushandiswa nekungwarira kwakanyanya. Saka, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Usati watanga Warfarin, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zviri pazasi.
| Hutano/tsika | Tsananguro |
|---|---|
| Matambudziko ane chekuita neropa | Zvirwere zvekubuda ropa, zvakaita seanemia, hemophilia, uye aneurysm. |
| Zvirwere zvekugaya chikafu | Nhoroondo yemaronda emudumbu, diverticulitis, kana kubuda ropa mudumbu kare. |
| Chirwere chechiropa kana cheitsvo | Chero chirwere chine chekuita nekushanda kwechiropa kana itsvo. |
| Chirwere chemwoyo neBP | Zvirwere zvakaita seBP yakakwira uye hutachiona hwevharuvhu yemwoyo. |
| Zvimwe zvirwere | Chirwere cheshuga, kenza, kushomeka kweprotein C kana S, sitiroko, kana kukuvara kweuropi. |
| Ruzivo rwemunhu | Kuva nemakore anopfuura 65 ekuberekwa, kunwa doro, kuvhiyiwa kana tsaona munguva pfupi yapfuura. |
| Kubata pamuviri nekuyamwisa | Izvi zvakakosha zvikuru kana uri nepamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
| Kurwara | Kana uine allergies ku warfarin, mimwe mishonga, chikafu, kana zvinochengetedza. |
Jekiseni iri rinopihwa sei uye ndeapi matanho ekudzivirira anofanira kutorwa?
Warfarin inopihwa nejekiseni mutsinga. Izvi hazvigone kuitwa kumba. Inopihwa nachiremba kana nesi akadzidziswa muchipatara kana kiriniki .
Zvakakosha: Pane njodzi yekubuda ropa kana mushonga wacho ukawedzerwa. Saka, kana uchifunga kuti watora mushonga uyu wakawandisa, kurumidza kubata National Poisons Information Centre paColombo National Hospital.Fonera kana enda kuchipatara chiri pedyo neEmergency Department (ETU) .
Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Mimwe mishonga inogona kupindirana neWarfarin (Kudyidzana Kwemishonga)
Warfarin mushonga unogona kusanganiswa nemimwe mishonga, mishonga yemiti, nezvimwe zvekudya. Izvi zvinogona kuwedzera simba reWarfarin (njodzi yekubuda ropa) kana kuderedza njodzi yekugwamba kweropa.
Saka, udza chiremba wako nezvemishonga yese yauri kutora (yakanyorerwa nevamwe vanachiremba, mishonga inotengeswa pasina kunyorerwa chiremba, mavhitamini, mishonga yemishonga, mishonga yeAyurvedic) .
Pazasi pane zvimwe zvinhu zvinogona kupindirana neWarfarin. Iyi haisi rondedzero yakazara, asi ndiyo zvinhu zvikuru zvinofanira kucherechedzwa.
- Mishonga inouraya marwadzo: Mishonga isiri yesteroidal inorwisa kuzvimba (NSAIDs) yakaita se ibuprofen ne naproxen, uye aspirin.
- Mishonga inorwisa mabhakitiriya: Mimwe mishonga inorwisa mabhakitiriya yakaita seErythromycin, Ciprofloxacin, Metronidazole.
- Mishonga inorwisa fungus: Mishonga yakaita seFluconazole neKetoconazole.
- Mishonga yezvirwere zvemwoyo, BP, uye cholesterol.
- Mishonga yekurapa pfari.
- Mishonga yekurapa chirwere chepfungwa.
- Zvigadzirwa zvemiti: Zvinhu zvakaita segariki, ginkgo, ginseng, uye St. John's Wort.
- Vhitamini K: Izvi zvinowanikwa mumishonga uye muchikafu.
Kana uchizotanga kushandisa mushonga mutsva kana kurega kushandisa mushonga, iva nechokwadi chekubvunza chiremba wako kutanga.
Zvinhu zvekungwarira zvakanyanya kana uchitora Warfarin
Kuongororwa kweropa rePT/INR
Kuongororwa ropa kunofanira kuitwa nemunhu wese anotora warfarin kunonzi PT/INR . Izvi zvinoyera nguva inotorwa kuti ropa rako rigwambe. Zvichibva pamhedzisiro yebvunzo iyi, chiremba wako ndiye achasarudza huwandu hwewarfarin hwaunoda.
- Bvunzo iyi inofanira kuitwa kakawanda panguva yekutanga kutora mushonga.
- Kana wangowana mushonga wakakodzera, nguva yekuyedzwa ichaderera.
- Usapotsa kuongororwa ropa uku chero chikonzero chipi zvacho. Zvakakosha kuti uchengetedzeke.
Kuchinja mukudya
Kushanda kwewarfarin kunokanganiswa zvakananga nechinhu chinovaka muviri chinonzi vitamin K. Kutora vitamin K yakawandisa kunogona kuderedza kushanda kwewarfarin uye kukonzera kuungana kweropa. Kana vitamin K iri shoma, kushanda kwewarfarin kunogona kuwedzera uye kukonzera kubuda ropa.
Chinhu chakakosha ndechekuti usarega zvachose kudya chikafu chine vhitamini K. Chinhu chakakosha ndechekuchengetedza huwandu hwaunodya hwakafanana. Usadye zvakawanda rimwe zuva uye usadye chero chinhu chinotevera.
Zvimwe zvekudya zvine vhitamini K yakawanda:
- Muriwo wakasvibirira wakaita sespinachi, kabichi, lettuce, broccoli, uye kale.
- Tii yegirini
- Parsley
Taura nachiremba wako usati waita chero shanduko huru pakudya kwako.
Chenjerera tsaona
Kana uchitora warfarin, kuchekwa kudiki kunogona kukonzera kubuda ropa rakawanda kupfuura zvakajairika. Saka:
- Dzivisa mitambo nezvimwe zvinhu zvinogona kukonzera kudonha nekukuvara.
- Chenjerera zvikuru kana uchishandisa zvombo zvakapinza nemapanga.
- Zvakachengeteka kushandisa reza yemagetsi pachinzvimbo chereza.
- Shandisa bhurashi remazino rakapfava paunenge uchikwesha mazino ako. Udza chiremba wako kana mazino ako akabuda ropa.
Migumisiro inogona kuitika
Kufanana nemishonga yese, Warfarin inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Chiratidzo | Chii chekuita? |
|---|---|
| Zviratidzo zvinofanira kuudzwa chiremba wako nekukasika | |
| Zviratidzo zvekubuda ropa: - Zvituru zvitema, zvitete zvekumirira - Weti tsvuku kana kuti dema - Kurutsa chinhu chinoita sechikafu chekofi - Kubuda ropa zvisina kujairika mumhino nematadza - Mavara matsvuku kana madonda eropa paganda | Izvi zvinogona kunge zviri zviratidzo zvekubuda ropa mukati memuviri. Tsvaga rubatsiro rwechiremba nekukasika. |
| Zviratidzo zvestroke: - Musoro wakakomba kamwe kamwe - Kuvhiringidzika, kuoma kutaura - Kushaya simba kana kushaya simba pachiso, ruoko, kana gumbo | Izvi zvinonetsa. Enda kuchipatara nekukasika. |
| Hunhu hweganda reropa: - Kurwadziwa pachipfuva, kuoma kufema - Kurwadziwa kwemakumbo, kuzvimba, kudziya | Izvi zvinogona kunge zviri chiratidzo chekuti mushonga wacho hausi kushanda nemazvo. Udza chiremba wako nekukasika. |
| Kurwara nepfungwa, kubuda ropa rakawanda panguva yekuenda kumwedzi kuvakadzi, kurwadziwa mudumbu zvakanyanya. | Tsvaga rubatsiro rwechiremba nekukasika. |
| Zviratidzo zvisingawanzo kuva zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Manyoka | Udza chiremba wako kana zvichitora mazuva anopfuura mashoma. |
| Kudonha kwebvudzi | Kana izvi zvichikunetsa, taura nachiremba wako. |
Mharidzo Yekuenda Nayo Kumba
- Warfarin mushonga unodzivirira kuumbwa kweropa uye unofanira kushandiswa nokungwarira zvikuru.
- Usambofa wakarega kuongororwa ropa rako rePT/INR. Kuchengetedzeka kwako kunoenderana nazvo.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Usarega kudya miriwo yakasvibira ine vhitamini K yakawanda. Pane kudaro, edza kuchengetedza kudya kwako kwakaenzana zuva nezuva .
- Kunyangwe ronda diki rinogona kukonzera kubuda ropa rakawanda, saka chenjerera zvakanyanya kudzivirira tsaona.
- Kana ukaona zviratidzo zvekubuda ropa , zvakaita setsvina nhema kana kubuda ropa kusingawanzoitiki, zivisa chiremba wako nekukasika.
- Kana uine zvinokunetsa nezvemushonga uyu, usatya kutaura nachiremba wako.
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