Ngaba wena okanye nabani na kusapho lwakho unikwe iyeza lokunciphisa igazi ngugqirha? Mhlawumbi sele uve nge "Warfarin." Liyeza elisindisa ubomi, kodwa lifanele lisetyenziswe ngononophelo olukhulu. Ngoko ke namhlanje, masiphendule yonke imibuzo yakho ngalo, njengokuba uthetha nomhlobo.
Ngamafutshane, yintoni iWarfarin?
I-Warfarin yi- anticoagulant . Abanye abantu bayibiza ngokuba "yi-blood thinner," kodwa ayinciphisi igazi, inciphisa nje inkqubo yokuqunjelwa. Cinga ngayo, xa sinqunyulwe ndaweni ithile emzimbeni wethu, ukuqunjelwa kwegazi kubalulekile ukuze siyeke ukopha. Kodwa kwezinye iimeko zonyango, ukuqunjelwa kwegazi kunokwenziwa ngaphakathi emzimbeni ngaphandle kwesizathu, njengakwimithambo yegazi okanye entliziyweni. Yiyo loo nto sisebenzisa i-warfarin ukunqanda ukwakheka kwamaqunjelwa egazi ayingozi kangaka.
Ukuba sele unehlwili legazi, i-warfarin iyanceda ekuthinteleni ukuba lingabi likhulu kwaye ithintele ukuba isiqwenga singaqhekeki size sibambeke kwisitho esibalulekileyo njengemiphunga, ingqondo, okanye intliziyo.
Zithini iindlela zokusebenzisa i-warfarin?
Oogqirha ikakhulu banika eli yeza ukunyanga okanye ukuthintela ezi meko zilandelayo. Ezinye zezi zingabonakala zinzima kuwe, kodwa masizigcine zilula.
| Imeko | Ingcinga nje |
|---|---|
| I-Deep Vein Thrombosis (DVT) | Amahlwili egazi adla ngokwenzeka kwimithambo enzulu yemilenze. |
| Ukuxhuzula kweMiphunga (PE) | Ihlwili legazi elenzeka kwenye indawo emzimbeni liyaqhekeka lize lihlale emthanjeni osemaphashini. Oku kuyingozi kakhulu. |
| Istroke | Ihlwili legazi livala umthambo wegazi ohambisa igazi engqondweni. |
| I-Atrial Fibrillation (AFib) | Ukubetha kwentliziyo okungahambelaniyo kunokukhokelela emngciphekweni wokuba igazi liqhekeke ngaphakathi entliziyweni. |
| Ukutshintshwa kweValve yeNtliziyo | Ukuthintela ukuba igazi lingaqhekeki kwivalvu yentliziyo yokwenziwa. |
I-warfarin isebenza njani emzimbeni?
Eli libali lesayensi kancinci, kodwa masiligcine lilula. I-Vitamin K ibalulekile kwinkqubo yokujiya kwegazi emizimbeni yethu. Oko kwenziwa yi-warfarin kukulawula umsebenzi wale vithamini K kancinci. Ke ngoko, inkqubo yokujiya kwegazi ihamba kancinci. Oku kuyayekisa ukwakheka kwamahlwili egazi angeyomfuneko.
Uvavanyo lwegazi (INR Test) luyimfuneko xa usebenzisa i-warfarin.
I-Warfarin liyeza elinobuthathaka kakhulu. Ngoko ke xa ulisebenzisa, kufuneka ujonge rhoqo amanqanaba akho okujiya kwegazi. Uvavanyo esilwenzayo lubizwa ngokuba yi-PT/INR (Ixesha leProthrombin / Umlinganiselo oQhelekileyo weHlabathi) .
Ngamafutshane, ugqirha wakho uza kugqiba ukuba idosi yakho ye-warfarin ichanekile na, iphantsi kakhulu, okanye iphezulu kakhulu ngokujonga ixabiso lakho le-INR. Ke ngoko, kubalulekile ukuba olu vavanyo lwegazi lwenziwe ngeentsuku ezicwangcisiweyo, njengoko ugqirha wakho ecebisa.
Kusenokufuneka wenze olu vavanyo kube kanye okanye kabini ngeveki ekuqaleni. Xa inqanaba lakho le-INR lizinzile, ungacelwa ukuba lenziwe malunga nenyanga. Inqanaba lakho le-INR linokutshintsha ngenxa yamanye amayeza owasebenzisayo, ukutya kwakho, okanye ezinye iimeko zonyango. Ngoko ke kubalulekile ukuba ugqirha wakho aziswe ngalo naluphi na utshintsho.
Umngcipheko ophambili we-warfarin: Ukopha
Ngenxa yokuba i-warfarin ilawula ukujiya kwegazi, isiphumo esiphambili esinokubakho kukopha kakhulu . Ngoko ke, kufuneka ulumke kakhulu ngezi mpawu zilandelayo.
| Iimpawu zokopha ekufuneka uziqaphele | |
|---|---|
| Nxibelelana noGqirha wakho ngoko nangoko | |
| Ukudumba emzimbeni ngaphandle kwesizathu. | Ukopha okuncinci okuvela kwiintsini okanye empumlweni. |
| Ukopha kakhulu okanye ixesha elide ngexesha lokuya exesheni kwabasetyhini. | Umchamo obomvu, omdaka, okanye omnyama. |
| Isihlalo esibomvu okanye esimnyama esithe nkqo. | Ukuziva udiniwe kwaye ubuthathaka ngaphezu kwesiqhelo. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
| Ukusikeka okungayekiyo ukopha nangona emva kokufaka uxinzelelo imizuzu eli-10. | Ukukhohlela igazi okanye ukuhlanza okufana nekofu egayiweyo. |
| Intloko ebuhlungu kakhulu ngequbuliso, isiyezi, utshintsho embonweni okanye ekuthetheni. | Ukwenzakala entloko ngenxa yokuwa okanye ukubetheka kabuhlungu. |
I-Warfarin kunye nokutya neziselo (ingakumbi i-vitamin K)
Lo ngumbuzo omkhulu abantu abaninzi abanawo. Akulunganga na ukutya imifuno eluhlaza ngelixa usela i-warfarin?
Akunyanzelekanga ukuba uyeke ngokupheleleyo ukuzitya. Into ebalulekileyo kukugcina ukutya okune-vitamin K kudla rhoqo iveki neveki.
Khawucinge ukuba utye imifuno eluhlaza emininzi ngeveki uze uyeke ukuyitya ngokupheleleyo kwiveki elandelayo, i-INR yakho inokutshintsha ngequbuliso. Oko kuyingozi. Ngoko ke, yitya ngendlela oqhele ukwenza ngayo. Kodwa ukuba uza kwenza utshintsho olukhulu kwindlela otya ngayo (umzekelo, ukuba yi-vegan, ukuqala ukutya okukhethekileyo ukuze unciphise umzimba), qiniseka ukuba uxelela ugqirha wakho ngayo loo nto. Unokuyijonga rhoqo i-INR yakho aze alungise amayeza akho ukuba kuyimfuneko.
- Ukutya okutyebileyo kwi-vitamin K (gcina ubungakanani bokutya obufanayo):Imifuno eluhlaza njengekale, ispinatshi, iikholadi, ibroccoli, kunye nelettuce.
- Ukutya okunevithamini K ephantsi (kungatyiwa ngaphandle koloyiko): iminqathe, iitapile, iitapile ezimnandi, iikhukhamba, iitumato, amathanga, umbona.
Izinto ekufuneka uzikhumbule xa uthatha i-warfarin
- Yithathe ngexesha: Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla.
- Ukuba uphoswe yidosi: Ukuba ukhumbula zingadlulanga iiyure ezisi-8 zedosi yakho ecwangcisiweyo, thatha idosi ngokukhawuleza xa ukhumbula. Ukuba idlule iiyure ezisi-8 emva kwexesha, yeka idosi ephoswe yiyo uze uthathe idosi yosuku olulandelayo. Ungaze uthathe iidosi ezimbini ngaxeshanye. Ukuba uphoswe yidosi kangangeentsuku ezimbini okanye ngaphezulu, tsalela umnxeba ugqirha wakho ngoko nangoko.
- Lumka ngamanye amayeza: Xelela ugqirha wakho ngamanye amayeza owasebenzisayo (amayeza kwezinye izifo, iintlungu, iivithamini, kwanamayeza e-Ayurvedic). Amanye amayeza anokuchaphazela indlela esebenza ngayo i-warfarin.
- Lumka: Cinga kabini phambi kokusebenzisa iireyiza kunye nezixhobo ezibukhali ezifana neemela. Lumka xa ungawi. Sebenzisa ibhrashi yamazinyo ethambileyo xa uhlamba amazinyo akho.
- Ucwangciso kunye notyando: Ngaphambi kokuba ukhuphe amazinyo okanye naluphi na olunye utyando, qiniseka ukuba uxelele ugqirha ukuba uthatha i-warfarin.
- Utywala: Kuphephe ukusela utywala. Bunokuchaphazela ukusebenza kwe-warfarin kunye nomngcipheko wokopha.
Umyalezo Wokuya Ekhaya
- I-Warfarin liyeza elisindisa ubomi, kodwa kubaluleke kakhulu ukulithatha kanye njengoko ugqirha ekuxelela, ngomlinganiselo ochanekileyo nangexesha elifanelekileyo.
- Musa ukuyeka ukuthatha amayeza okanye ukutshintsha idosi nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
- Kunyanzelekile ukuba uvavanyo lwakho lwegazi lwe-INR lwenziwe ngemihla emiselweyo. Le yeyona ndlela ilungileyo yokukhusela kwakho.
- Ukuba ubona ukopha okungaqhelekanga, ukukrweleka, okanye ezinye iimpawu ezingaqhelekanga, yazisa ugqirha wakho ngoko nangoko.
- Thetha nogqirha wakho malunga neminye imithi oyithathayo, utshintsho olukhulu kwindlela otya ngayo, kunye nazo naziphi na iingxaki zempilo onazo.
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