Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha ukuba aqale "unyango lokunciphisa igazi"? Mhlawumbi kwakusemva kotyando lwentliziyo, okanye ngenxa yokuqhekeka kwegazi emthanjeni emlenzeni wakho. I-Warfarin yeyona mithi iphambili nesetyenziswa kakhulu ethintela ukuqhekeka kwegazi. Abantu abaninzi basebenzisa eli yeza, kodwa abazi nto ingako ngalo, nto leyo enokubangela uloyiko olungeyomfuneko. Ke namhlanje, masithethe ngale injection ye-Warfarin ngendlela elula neyobuhlobo.
Ngamafutshane, yintoni iWarfarin?
I-Warfarin liyeza elikudidi lwamayeza abizwa ngokuba yi-anticoagulants . Ngamafutshane, isebenza ngokunciphisa inkqubo yokujiya kwegazi emzimbeni wakho. Nangona ibizwa ngokuba yi-"blood thinner," ayinciphisi igazi lakho njengamanzi. Iyandisa nje ixesha elithathwayo ukuze igazi lakho lijiye.
Kutheni ke ngoku eli yeza linikwa?
- Nyanga amahlwili egazi aqala emithanjeni, kwimithambo yegazi, emiphungeni, okanye entliziyweni.
- Kwakhona, thintela ukwakheka kwezi gazi ezinje kwixesha elizayo.
Umzekelo, eli yeza lidla ngokunikwa umntu ofakelwe ivalvu yentliziyo okanye umntu oye waphuma igazi elijiyileyo emthanjeni osemlenzeni (Deep Vein Thrombosis - DVT).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale iWarfarin
I-Warfarin liyeza elifanele lisetyenziswe ngononophelo olukhulu. Ke ngoko, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo. Ngaphambi kokuba uqale i-Warfarin, qiniseka ukuba uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zingezantsi.
| Imeko/umkhwa wempilo | Inkcazo |
|---|---|
| Iingxaki ezinxulumene negazi | Izifo zokopha, ezifana ne-anemia, i-hemophilia, kunye ne-aneurysm. |
| Izifo zenkqubo yokugaya ukutya | Imbali yezilonda zamathumbu, i-diverticulitis, okanye ukopha kwamathumbu ngaphambili. |
| Isifo sesibindi okanye sezintso | Nasiphi na isifo esinxulumene nokusebenza kwesibindi okanye kwezintso. |
| Isifo sentliziyo kunye noxinzelelo lwegazi oluphezulu | Iimeko ezinje ngoxinzelelo lwegazi oluphezulu kunye nosulelo lwevalvu yentliziyo. |
| Ezinye iimeko zonyango | Isifo seswekile, umhlaza, ukungabikho kweproteni C okanye S, isifo sohlangothi, okanye ukwenzakala engqondweni. |
| Inkcukacha zimntu | Ukuba uneminyaka engaphezu kwama-65 ubudala, usela utywala, ukuba ukhe watyandwa okanye wabe nengozi kutshanje. |
| Ukukhulelwa kunye nokuncancisa | Oku kubaluleke kakhulu ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Ii-aleji | Ukuba une-aleji kwi-warfarin, amanye amayeza, ukutya, okanye izithinteli. |
Inikwa njani le gonyo kwaye zeziphi iindlela zokuzikhusela ekufuneka zithathwe?
I-Warfarin inikwa ngenaliti emthanjeni. Le ayisiyonto unokuyenza ekhaya. Inikwa ngugqirha okanye umongikazi oqeqeshiweyo esibhedlele okanye eklinikhi .
Kubalulekile: Kukho umngcipheko wokopha ukuba umthamo weyeza unyusiwe. Ke ngoko, ukuba ucinga ukuba uthathe eli yeza kakhulu, qhagamshelana neZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko.Fowunela okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Amanye amayeza anokusebenzisana neWarfarin (Ubudlelwane phakathi kwamayeza)
I-Warfarin sisiyobisi esinokudibana namanye amayeza, iimveliso zezityalo, kunye nokutya okuthile. Oku kunokunyusa isiphumo se-Warfarin (umngcipheko wokopha) okanye kuyinciphise (umngcipheko wokuqhekeka kwegazi).
Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngabanye oogqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, iimveliso zemifuno, amayeza e-Ayurvedic) .
Nazi ezinye zezinto ezinokudibana neWarfarin. Olu aluloluhlu olupheleleyo, kodwa zezona zinto ziphambili ekufuneka uzazi.
- Iintlungu: Amayeza angengowe-steroidal alwa nokudumba (ii-NSAID) afana ne-ibuprofen kunye ne-naproxen, kunye ne-aspirin.
- Ii-antibiotics: Ezinye ii-antibiotics ezifana ne-Erythromycin, i-Ciprofloxacin, i-Metronidazole.
- Amayeza okulwa nefungus: Amayeza afana neFluconazole kunye neKetoconazole.
- Amayeza esifo sentliziyo, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol.
- Amayeza okunyanga isifo sokuwa.
- Amayeza okugula ngengqondo.
- Iimveliso zezityalo: Izinto ezifana negalikhi, iginkgo, iginseng, kunye neSt. John's Wort.
- I-Vitamin K: Oku kufumaneka kumayeza nasekutyeni.
Ukuba uza kuqala ukusebenzisa amayeza amatsha okanye uyeke ukuwasebenzisa, qiniseka ukuba ubuza ugqirha wakho kuqala.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa iWarfarin
Uvavanyo lwegazi lwe-PT/INR
Uvavanyo lwegazi oluyimfuneko nolubaluleke kakhulu ekufuneka lwenziwe ngumntu wonke othatha i-warfarin yi -PT/INR . Olu vavanyo lulinganisa ixesha elithathwayo ukuze igazi lakho lijiye. Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho uya kumisela idosi ye-warfarin oyifunayo.
- Olu vavanyo kuya kufuneka lwenziwe rhoqo ngexesha lokuqala kokusebenzisa amayeza.
- Wakuba ufumene idosi efanelekileyo kuwe, ubuninzi bovavanyo buya kuncipha.
- Musa ukulibaleka olu vavanyo lwegazi nangasiphi na isizathu. Lubalulekile ukuze ukhuseleke.
Utshintsho kwindlela yokutya
Isenzo se-warfarin sichaphazeleka ngokuthe ngqo sisondlo esibizwa ngokuba yi-vitamin K. Ukusela i-vitamin K eninzi kunokunciphisa isiphumo se-warfarin kwaye kubangele ukuqhekeka kwegazi. Ukuba i-vitamin K iphantsi, isiphumo se-warfarin sinokunyuka kwaye sibangele ukopha.
Into ebalulekileyo kukuba ungayeki ngokupheleleyo ukutya ukutya okunevithamini K. Into ebalulekileyo kukugcina umlinganiselo owutyayo ufana. Musa ukutya kakhulu ngolunye usuku kwaye ungatyi nantoni na ngolulandelayo.
Ukutya okutyebileyo kwi-vitamin K:
- Imifuno eluhlaza njengespinatshi, ikhaphetshu, ilettuce, ibroccoli, kunye nekale.
- Iti eluhlaza
- Iparsley
Thetha nogqirha wakho ngaphambi kokuba wenze naluphi na utshintsho olukhulu kwindlela otya ngayo.
Lumka kwiingozi
Xa usebenzisa i-warfarin, nokuba inxeba elincinci linokubangela ukopha okungakumbi kunokuqhelekileyo.
- Ziphephe imidlalo kunye nemisebenzi enokubangela ukuwa nokwenzakala.
- Lumka kakhulu xa usebenzisa izixhobo ezibukhali kunye neemela.
- Kukhuselekile ukusebenzisa i-razor yombane endaweni ye-razor.
- Sebenzisa ibhrashi yamazinyo ethambileyo xa uhlamba amazinyo akho. Xelela ugqirha wakho ukuba iintsini zakho ziyopha.
Iziphumo ebezingalindelekanga ezinokubakho
Njengayo nayiphi na imithi, iWarfarin inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ngelixa ezinye zixhaphakile.
| Uphawu | Kwenziwe ntoni? |
|---|---|
| Iimpawu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpawu zokopha: - Izitulo ezimnyama, ezihlala ixesha elide - Umchamo obomvu okanye omdaka omnyama - Ukuhlanza into ebonakala ngathi yikofu - Ukopha okungaqhelekanga okuphuma empumlweni nasezintsinini - Amabala abomvu okanye amabala egazi eluswini | Ezi zisenokuba ziimpawu zokopha ngaphakathi emzimbeni. Funa ingcebiso kagqirha ngoko nangoko. |
| Iimpawu zestroke: - Intloko ebuhlungu kakhulu ngequbuliso - Ukudideka, ubunzima bokuthetha - Ubundindi okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni | Le yimeko engxamisekileyo. Yiya esibhedlele ngokukhawuleza. |
| Iimpawu zehlwili legazi: - Intlungu yesifuba, ubunzima bokuphefumla - Intlungu yomlenze, ukudumba, ubushushu | Oku kungaba luphawu lokuba iyeza alisebenzi kakuhle. Xelela ugqirha wakho ngoko nangoko. |
| Ukusabela kwi-allergy, ukopha kakhulu exesheni kwabasetyhini, iintlungu zesisu eziqatha. | Funa ingcebiso yezonyango ngoko nangoko. |
| Iimpawu eziqhele ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Urhudo | Xelela ugqirha wakho ukuba ihlala ixesha elingaphezulu kweentsuku ezimbalwa. |
| Ukulahleka kweenwele | Ukuba oku kuyakukhathaza, thetha nogqirha wakho. |
Umyalezo Wokuya Ekhaya
- I-Warfarin liyeza elithintela ukujiya kwegazi kwaye kufuneka lisetyenziswe ngononophelo olukhulu.
- Ungaze uluphose uvavanyo lwakho lwegazi olumiselweyo lwe-PT/INR. Ukhuseleko lwakho luxhomekeke kulo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Musa ukuyeka ukutya imifuno eluhlaza etyebileyo kwi-vitamin K. Endaweni yoko, zama ukugcina ukutya kwakho kusemgangathweni ofanayo yonke imihla .
- Kwanesilonda nje esilula sinokubangela ukopha kakhulu, ngoko ke lumka kangangoko unako ukuze uphephe iingozi.
- Ukuba ubona iimpawu zokopha , ezifana nendle emnyama okanye ukopha okungaqhelekanga, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unenkxalabo malunga nale mithi, ungoyiki ukuthetha nogqirha wakho.
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