Ngaba ugqirha wakho ukunike umyalelo wokusebenzisa iyeza iWarfarin? Okanye ngaba ilungu losapho okanye umhlobo usebenzisa eli yeza? Eli liyeza elibaluleke kakhulu elithintela ukuqhekeka kwegazi. Kodwa kukho izinto ekufuneka sizilumkele xa silisebenzisa. Ungakhathazeki, siza kuthetha ngalo lonke ngokulula nangokucacileyo namhlanje.
Yintoni kanye kanye iWarfarin?
Ngamafutshane, iWarfarin liyeza elithintela igazi ekujiyeni, okanye elicothisa isantya salo. Kwizonyango, eli chiza silibiza ngokuba yi-anticoagulant . Usenokuba uqhelene neli yeza ngamagama eebhrendi iCoumadin® okanye iJantoven®.
Eli yeza lisebenza ngokuthintela ukuqhekeka kwegazi okungafunekiyo emzimbeni wakho, kwimithambo yegazi okanye entliziyweni yakho. La mahlwili egazi angafunekiyo anokwakheka kwiimeko ezithile zempilo, okanye xa ungakwazi ukuhamba okanye ukuhambahamba ixesha elide.
Into ebalulekileyo kukuba iWarfarin ithintela ukwakheka kwamahlwili egazi amatsha, kodwa ayiwanyibilikisi amahlwili egazi akhoyo . Nangona kunjalo, iyayithintela ihlwili ukuba likhule. Ekuhambeni kwexesha, ihlwili linokunyibilika lodwa.
Ziziphi iindlela zokusebenzisa iWarfarin?
Ugqirha wakho usenokuba unikile eli yeza ukuthintela okanye ukunyanga ezi meko zilandelayo:
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukuqhekeka kwegazi emithanjeni (i-Venous thromboembolism - VTE) | Ihlwili legazi elenzeka emthanjeni liyaqhekeka lize libambeke kwenye indawo. |
| I-Deep Vein Thrombosis (DVT) | Ihlwili legazi, elidla ngokuba kumthambo onzulu emlenzeni. |
| I-Pulmonary embolism (PE) | Ihlwili legazi elenziwe emthanjeni liyaqhekeka lize lihlale emiphungeni. |
| Ukuqhekeka kwegazi kwimithambo yegazi (i-Arterial thromboembolism - ATE) | Ukwakheka kwehlwili legazi kumthambo. |
| Istroke | Ihlwili legazi livala umthambo wegazi othwala igazi liye engqondweni. |
| Ukuhlaselwa yintliziyo | Ukuvaleka komthambo ohambisa igazi entliziyweni ngehlwili legazi. |
Ukongeza, eli yeza likwanikwa ukuthintela umngcipheko wokuqhekeka kwegazi ukuba unesifo sentliziyo esingahambelaniyo (i-Atrial fibrillation - Afib) okanye ukhe wenziwa utyando lokutshintshwa kwevalvu yentliziyo .
Lisebenza njani eli yeza?
Kulula kakhulu. I-Vitamin K ibalulekile ukuze igazi lethu lijiye. I-Warfarin isebenza ngokuthintela ukusebenza kwe-vitamin K, efunekayo kwezinye zezinto ezinceda kwinkqubo yokujiya kwegazi. Oku kunciphisa isantya apho igazi lijiya khona kwaye kuthintele ukwakheka kwamahlwili egazi angafunekiyo.
Umlinganiselo wamayeza kunye novavanyo lwegazi oluyimfuneko
Idosi ye-warfarin idla ngokuhluka ukusuka kwi-1 mg (ii-milligram) ukuya kwi-10 mg. Ugqirha wakho uza kukunika idosi ethile. Nangona kunjalo, loo dosi inokufuneka ilungiswe ngokusekelwe kwiziphumo zovavanyo lwegazi oluqhelekileyo.
Ezi pilisi ziza ngemibala eyahlukeneyo. Umbala ngamnye umele inani leemiligram kwipilisi. Umzekelo, ukuba unikwe ipilisi ye-5mg uze uxelelwe ukuba unciphise umthamo uye kwi-2.5mg, kufuneka uqhekeze ipilisi ye-5mg phakathi uze uthathe eso siqingatha. Ungaze utshintshe umthamo ngaphandle kokubonisana nogqirha wakho.
Zeziphi ezi vavanyo zegazi ekufuneka zenziwe?
Xa usebenzisa i-warfarin, kuya kufuneka uhlolwe igazi rhoqo elibizwa ngokuba yi-PT/INR (Prothrombin Time / International Normalized Ratio) .
Olu vavanyo lulinganisa ukuba igazi lakho likhawuleza kangakanani na. Iziphumo zinokunceda ugqirha wakho ukuba afumanise ukuba iWarfarin isebenza kakuhle na kuwe kwaye ukuba idosi yakho kufuneka ilungiswe na.
Olu vavanyo lunokwenziwa kube kanye ngeveki okanye kube kanye ngenyanga. Ugqirha wakho uya kugqiba.
- Amanye amayeza owasebenzisayo (kwaneevithamini kunye neepilisi zokudambisa iintlungu), utshintsho kwimpilo yakho (njengomkhuhlane okanye isifo sohudo), kunye notshintsho kwindlela otya ngayo kunokuchaphazela i-PT/INR yakho. Ngoko ke , kubalulekile ukwazisa ugqirha wakho weWarfarin malunga naluphi na utshintsho ebomini bakho.
Yenza ezi zinto kanye xa uthatha iWarfarin
- Sela amayeza ngexesha elifanayo yonke imihla . Kufuneka uwasele kube kanye ngemini.
- Ingathathwa ngaphambi okanye emva kokutya.
- Ukuba ulibele ukusela amayeza akho uze ukhumbule zingadlulanga iiyure ezisi-8, thatha loo dosi ngoko nangoko.
- Nangona kunjalo, ukuba kudlule iiyure ezisi-8, yitsibe idosi yaloo mini uze uthathe idosi yosuku olulandelayo kuphela. Ungaze uthathe iidosi ezimbini ngaxeshanye.
- Ukuba ulibele ukusela amayeza akho kangangeentsuku ezimbini nangaphezulu, qiniseka ukuba ufowunela ugqirha wakho.
Isiphumo esiphambili: Lumka ukopha!
Isiphumo esiphambili nesixhaphakileyo se-warfarin kukopha kakhulu . Oku kungenxa yokuba eli yeza lisebenza ngokuthintela ukujiya kwegazi. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko.
| Uphawu lokunika ingqalelo | Inkcazo |
|---|---|
| Yazisa ugqirha ngoko nangoko. | |
| Ukopha ngenxa yokwenzakala okuncinci | Ukopha okungayekiyo nokuba sele kudlule imizuzu eli-10. |
| Ukopha okuphuma empumlweni nasezintsinini | Ukopha okungapheli imizuzu engaphezu kwe-10. |
| Utshintsho kumbala womchamo | Umchamo ujika ube bomvu okanye ube mdaka (umhlwa). |
| Utshintsho kumbala wesihlalo | Isihlalo esibomvu okanye esimnyama esithe nkqo. |
| Ukukhwehlela igazi okanye ukuhlanza | Ukukhohlela igazi okanye ukuhlanza okufana nekofu egayiweyo. |
| Imivumbo ngaphandle kwesizathu | Imivumbo, amabala amfusa, okanye ukudumba kunye nentlungu naphi na emzimbeni ngaphandle kwesizathu. |
| Ukuya exesheni kwabasetyhini | Ukopha okungaphezulu kunesiqhelo okanye okuhlala ixesha elide kunesiqhelo. |
| Intloko ebuhlungu okanye isiyezi esingaqhelekanga | Intloko ebuhlungu kakhulu, isiyezi, utshintsho olukhawulezileyo kwintetho okanye umbono, ukungaziva mnandi kobuso okanye ingalo. |
Lufuneka nini unyango olungxamisekileyo?
- Ukuba ukopha akuyeki emva kwemizuzu eli-10 yoxinzelelo kwinxeba elincinci, qhubeka nokufaka uxinzelelo kwaye uye kwiSebe leNgxamiseko elikufutshane (ETU) .
- Ukuba wenzakele kakhulu kwaye wopha kakhulu, fowunela u-1990 ngoko nangoko okanye uye kwi -ETU ngoncedo lomntu ngokukhawuleza.
Funda ngakumbi ngokutya kunye ne-vitamin K
Kulapho abantu abaninzi benza khona impazamo. Abanye abantu bacinga ukuba kufuneka bayeke ngokupheleleyo ukutya ukutya okunevithamini K xa bethatha i-warfarin. Oku akulunganga.
Eyona nto ibalulekileyo kukugcina umlinganiselo ofanayo wokutya okune-vitamin K okuninzi okutyayo iveki neveki . Ukutya kakhulu iveki enye uze ungatyi konke konke iveki elandelayo kunokubangela umahluko omkhulu kwi-INR yakho.
Ukutya okutyebileyo kwi-vitamin K (gcina umlinganiselo owutyayo ngeveki ufana):
- Imifuno eluhlaza emnyama efana nekale, ibroccoli, ispinatshi, kunye nemifuno eluhlaza
- Iintlobo zelettuce
- I-asparagus
Ukuba ufuna ukwandisa ukutya kwakho imifuno, ungakhetha imifuno engenavithamini K eninzi, efana nale:
- Umbona, ithanga, iitapile, iminqathe, iikomkomere, iitumato.
Kubalulekile: Ngaphambi kokuba wenze naluphi na utshintsho olukhulu kwindlela otya ngayo (umz. ukuqala indlela yokunciphisa umzimba), qiniseka ukuba uthetha nogqirha wakho.
Izinto ekufuneka uziphephe xa usebenzisa iWarfarin
- Amanye amayeza: Musa ukuthatha naluphi na unyango (nokuba lunyango lwentlungu, iivithamini, okanye amayeza e-Ayurvedic) ngaphandle kokubonisana nogqirha wakho.
- Utyando: Ngaphambi kokuba wenze nantoni na encinci njengokukhupha izinyo, kufuneka uxelele ugqirha wamazinyo okanye ugqirha ukuba usebenzisa iWarfarin.
- Ukutya Neziselo: Kuphephe ukusela i-grapefruit, i-pomegranate, kunye nejusi ye-cranberry.
- Utywala: Kuphephe ukusela utywala. Bunokunyusa umngcipheko wokopha.
- Ukukhulelwa: Kuphephe ukukhulelwa ngelixa usela i-warfarin. Ukuba uceba ukukhulelwa, thetha nogqirha wakho ngayo loo nto.
- Iingozi: Zikhusele kangangoko unako kwiingozi ezifana nokuwa kunye neengozi ezinzima. Ukuba udlala imidlalo, qhagamshelana nogqirha wakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- I-Warfarin liyeza elibaluleke kakhulu elithintela ukujiya kwegazi. Lithathe kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo, ngedosi efanelekileyo.
- Musa ukuyeka ukuthatha amayeza okanye ukutshintsha idosi nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
- Ungaze uluphose uvavanyo lwegazi lwe-PT/INR. Lubalulekile ukuze ukhuseleke.
- Ukuba ubona naziphi na iimpawu zokopha okungaqhelekanga (ukukrweleka okuqinileyo, ilindle elimnyama, umchamo obomvu), funa ingcebiso kagqirha ngokukhawuleza.
- Soloko wazisa ugqirha wakho ngalo naluphi na utshintsho kwindlela otya ngayo, amanye amayeza owasebenzisayo, okanye iimeko zempilo.
- Ngaphambi kokuba ukhutshwe izinyo okanye utyando, kufuneka uxelele ugqirha ukuba usebenzisa iWarfarin.
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