Ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiWarfarin ukuthintela ukuqhekeka kwegazi emzimbeni wakho okanye kwiimeko ezithile zentliziyo. Eli liyeza elibaluleke kakhulu, kodwa linokubangela iingxaki ukuba alisetyenziswanga ngokuchanekileyo. Ngoko ke namhlanje, masithethe ngento ekufuneka uyazi malunga nezi pilisi zeWarfarin.

Loluphi uhlobo lweyeza oluyiWarfarin?

Ngamafutshane, iWarfarin sisithinteli segazi . Oko kukuthi, ithintela ukwakheka kwamahlwili egazi angafunekiyo kwimithambo yegazi emzimbeni wakho. Khawuthelekelele, ngamanye amaxesha ukuba amahlwili egazi ayenzeka ngaphakathi kwimithambo yegazi yethu, anokubangela iimeko eziyingozi kakhulu. Umzekelo, izinto ezifana nokuhlaselwa yintliziyo kunye nestroke.

I-Warfarin isetyenziswa kakhulu kwezi zinto zilandelayo:

• Nqanda ukuba amahlwili egazi akhoyo angabi makhulu kwaye uthintele ukwakheka kwamatsha.
• Nciphisa umngcipheko westroke kubantu abaneengxaki ezithile zentliziyo, ezifana ne-atrial fibrillation (AFib).
• Thintela ukuqhekeka kwegazi kubantu abaye bafakelwa iivalvu zentliziyo.

Oogqirha ngamanye amaxesha banokusebenzisa eli yeza ngezinye izizathu. Ukuba unemibuzo, buza ugqirha wakho okanye ikhemisti.

Eli yeza lidla ngokuthengiswa phantsi kwegama elithi Coumadin okanye elithi Jantoven. Nangona kunjalo, linokufumaneka phantsi kwamanye amagama. Igama elichazwe ngugqirha wakho libalulekile.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqale ukusebenzisa eli yeza?

Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa iWarfarin, kukho izinto ekufuneka uzixelele ugqirha wakho. Oku kungenxa yokuba ugqirha wakho uya kugqiba ukuba eli yeza likulungele na okanye alikufanelanga, kwaye lingakanani idosi ekufuneka akunike yona.

Nazi ezinye zezinto ezinjalo:

• Ukuba uxhomekeke kutywala (Utywala).
• Ukuba une-anemia.
• Ukuba unengxaki yokopha.
• Ukuba unomhlaza.
• Ukuba unesifo seswekile (iDiabetes Mellitus).
• Ukuba unezinye izifo zentliziyo.
• Ukuba une-high blood pressure.
• Ukuba wakha wopha esiswini okanye emathunjini (ukopha kwindlela yokugaya ukutya).
• Ukuba ukhe waba nestroke ngaphambili, okanye ukuba unesinye isifo okanye ingxaki enxulumene nengqondo.
• Ukuba unesifo sezintso okanye sesibindi.
• Ukuba uneemeko ezifana nokunqongophala kweProteni C okanye ukunqongophala kweProteni S.
• Ukuba uneengxaki zokukhumbula, ezifana nesifo sengqondo okanye i-dementia.
• Ukuba usandul’ ukwenzakala, okanye uceba ukwenza utyando okanye olunye unyango kwixesha elizayo.
• Ukuba une-allergy kwi-warfarin, amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Kulungile ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla.

Uyisebenzisa njani le pilisi yeWarfarin kanye kanye?

Kubaluleke kakhulu ukwazi kakuhle indlela yokusebenzisa eli yeza.

• Yithathe neglasi yamanzi: Iipilisi zeWarfarin mazithathwe ngomlomo, neglasi yamanzi.
• Kanye njengokuba ugqirha etshilo: Landela imiyalelo ebhalwe kwileyibhile kagqirha ngokuchanekileyo.
• Ngaphambi okanye emva kokutya: Ungalithatha eli yeza ngaphambi okanye emva kokutya. Akunamsebenzi.
• Ngexesha elifanayo yonke imihla: Oku kubaluleke kakhulu. Zama ukusela iyeza ngexesha elifanayo yonke imihla. Ngale ndlela, iyeza liza kusebenza ngendlela efanayo emzimbeni.
• Musa ukuthatha ngaphezu kwedosi emiselweyo: Musa ukuthatha ngaphezu kwedosi emiselwe ngugqirha wakho.
• Musa ukuyeka ukuthatha eli yeza ngaphandle kwengcebiso kagqirha wakho: Musa ukuyeka ukulithatha ngequbuliso ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo. Ukwenza njalo kunokunyusa umngcipheko wokuba negazi eliqhekekileyo.
• Gcwalisa amayeza akho ngaphambi kokuba aphele: Ungalibali ukufumana amayeza amatsha kwikhemesti ngaphambi kokuba amayeza akho aphele.
• Ukuba utshintsha idosi yakho: Masithi ugqirha wakho ubiza aze atshintshe idosi yakho ye-warfarin. Ukuba kunjalo, bhala phantsi idosi entsha kunye neminye imiyalelo ephepheni. Qinisekisa ukuba uyayiqonda, uze uxoxe ngemiyalelo nogqirha wakho. Xelela ugqirha wakho amandla eepilisi onazo. Buza ukuba zingaphi iipilisi ekufuneka uzithathe ukuze ufikelele kwidosi entsha. Bhala imiyalelo emitsha ephepheni, kunye nomhla, kwaye uyigcine kunye namayeza akho. Ngamanye amaxesha unokucelwa ukuba uyeke ukuthatha iyeza de kube luvavanyo lwakho lwegazi olulandelayo. Ukuba oku kuyenzeka, ukuba awuva mpendulo kugqirha wakho kwiiyure ezingama-24 emva kovavanyo lwakho, fowunela ugqirha wakho ukuze akubuze ngedosi entsha kunye nokuba ungaqala nini ukuthatha idosi endala kwakhona.
• I-MedGuide: Ngalo lonke ixesha ufumana amayeza kwikhemesti, uza kunikwa i-MedGuide malunga namayeza. Soloko uyifunda ngononophelo. Iqulethe ulwazi oluninzi olubalulekileyo kuwe.

Kubalulekile: Eli yeza lelakho kuphela. Musa ukulinika omnye umntu, nokuba uneempawu ezifanayo nezakho.

Ngaba eli yeza lifanele linikwe abantwana?

Abantwana badinga ukhathalelo olukhethekileyo xa besebenzisa i-warfarin, ngoko ke qiniseka ukuba uxoxa ngale nto nogqirha wakho.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka lesibhedlele elikufutshane ngoko nangoko.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukungawuthathi umthamo we-warfarin , kuba inokutshintsha amandla egazi okuba linciphe.

• Ukuba uphoswe yidosi yamayeza, fowunela ugqirha wakho ngoko nangoko.
• Ukuba kunokwenzeka, thatha idosi oyiphosileyo ngokukhawuleza njengoko ukhumbula ngaloo mini inye .
• Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi yakho elandelayo, ungayithathi idosi oyiphosileyo. Thatha nje idosi yakho elandelayo ngexesha elicwangcisiweyo.
• Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyiphosileyo.

Ngawaphi amanye amayeza anokusebenza kunye neWarfarin?

Oku kukwayinto ekufuneka uyilumkele kakhulu. I-Warfarin sisiyobisi esinokusebenzisana namanye amayeza amaninzi, iziqholo, kwanezongezo zokutya. Olu nxibelelwano lunokunyusa okanye lunciphise iziphumo ze-Warfarin. Ukuba oku kuyenzeka, kunokubakho umngcipheko wokopha okanye ukuqhekeka kwegazi.

Musa ukuthatha iWarfarin namayeza alandelayo nangasiphi na isizathu:

• I-Defibrotide

Ukongeza, la mayeza alandelayo anokunxibelelana neWarfarin:

• I-Acyclovir
• I-Allopurinol
• I-Aspirin kunye nezinye ii-NSAID (umz., i-ibuprofen, i-naproxen)
• Amanye amayeza okubulala iintsholongwane (umz. i-Erythromycin, i-Clarithromycin, i-Ciprofloxacin)
• Amanye amayeza okubulala iintsholongwane anikwa izifo ezifana ne-HIV okanye i-hepatitis
• Amanye amayeza athintela ukujiya kwegazi (umz., iHeparin, iEnoxaparin, iClopidogrel)
• Amanye amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye neengxaki zesingqisho sentliziyo
• Amanye amayeza okwehlisa i-cholesterol (umz., i-atorvastatin, i-simvastatin)
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
• Amanye amayeza osulelo lwefungus (umz., iFluconazole, iKetoconazole)
• Amanye amayeza okuxhuzula (umz., iCarbamazepine, iPhenytoin)
• Iihomoni zabasetyhini, kuquka neepilisi zokulawula ukuzalwa
• Iimifuno okanye izongezo ezifana negalikhi, iginkgo, iginseng, iti eluhlaza, kunye neSt. John's Wort
• Izongezo ezineVithamin K
• Amayeza anciphisa i-asidi yesisu (umz. i-Omeprazole, i-Ranitidine)
• Amayeza ohlobo lwe-steroid (umz., i-Prednisone)

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha, athengwe kwikhemesti, amayeza emifuno, iivithamini, izongezo), kwaye ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho e-warfarin.

Zeziphi izinto ekufuneka sizilumkele ngakumbi xa sithatha iWarfarin?

Kukho izinto ezininzi ezinokuchaphazela ukhuseleko lwakho kunye nokusebenza kakuhle kwamayeza ngelixa uthatha iWarfarin.

• Uvavanyo lwegazi oluqhelekileyo (PT/INR): Xa uthatha i-warfarin, kuya kufuneka wenze uvavanyo lwegazi olubizwa ngokuba yi-PT/INR rhoqo. Le yindlela ugqirha wakho ajonga ngayo ukuze abone ukuba idosi ye-warfarin oyithathayo ichanekile na. Musa ukulibazisa olu vavanyo lwegazi. Olu vavanyo kuya kufuneka lwenziwe rhoqo xa uqala ukuthatha amayeza. Nje ukuba ufumane idosi efanelekileyo kuwe, ukuphindaphinda kwezi vavanyo kuya kuncipha.
• Isazisi sezonyango: Nxiba isongo sesazisi sezonyango okanye itsheyini echaza ukuba uthatha i-warfarin. Kwakhona, soloko uphethe ikhadi elichaza imeko yakho, igama leyeza, umthamo, kunye namaxesha olithatha ngawo. Oku kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
• Xa uqala/uyeka amanye amayeza: Musa ukuqala naliphi na iyeza elitsha okanye uyeke ukusebenzisa naliphi na iyeza olisebenzisayo ngaphandle kwengcebiso kagqirha wakho. Oku kuquka amayeza athengiswa ngaphandle kwemvume kagqirha.
• Ukutya kunye neVithamin K: Thetha nogqirha wakho malunga nokutya kwakho. Musa ukwenza utshintsho olukhulu ngaxeshanye. Oku kungenxa yokuba isondlo esibizwa ngokuba yiVithamin K sichaphazela indlela esebenza ngayo iWarfarin. Ukutya okuninzi kuqulethe iVithamin K. Ngoko ke, kubalulekile ukutya ukutya okuqulethe iVithamin K ngendlela efanayo, ngomlinganiselo ofanayo. Umzekelo, imifuno eluhlaza efana nespinatshi, ikhaphetshu, ibroccoli, ikale, ispinatshi, iti eluhlaza, i-asparagus, kunye ne-brussel sprouts. Musa ukwandisa okanye ukunciphisa inani lezi zinto zokutya ngaxeshanye.
• Zikhusele ekwenzakaleni: Xa uthatha i-warfarin, umngcipheko wokopha uphezulu. Ngoko ke, lumka kakhulu xa usebenzisa izinto ezibukhali ezifana neemela. Zikhusele ekuweni nasekuvuthweni. Lumka xa udlala imidlalo. Sebenzisa i-razor yombane ukuba kunokwenzeka. Lumka xa uhlamba amazinyo akho kwaye ufaka i-floss. Xelela ugqirha wakho ukuba ubona amanxeba, imivumbo, okanye amabala abomvu eluswini lwakho.
• Ukuba uyagula:Xelela ugqirha wakho ukuba ubugula kangangeentsuku ezingaphezu kwezimbalwa ngenxa yokuhlanza, urhudo, okanye umkhuhlane. Kwakhona, ukuba awukwazi ukutya kakuhle kangangeentsuku ezininzi, xelela ugqirha wakho. Ezi zinto zinokutshintsha impembelelo ye-warfarin.
• Nokuba sele uyekile ukusebenzisa amayeza: Nokuba sele uyekile ukusebenzisa i-warfarin, kuya kuthatha iintsuku ezininzi ukuba amandla omzimba wakho okujiya igazi abuyele esiqhelweni. Buza ugqirha wakho ukuba kufuneka uqaphele ixesha elingakanani. Ukuba uza kwenziwa utyando okanye wenze umsebenzi wamazinyo, qiniseka ukuba ubaxelela ukuba usebenzisa i-warfarin.

I-Warfarin ibachaphazela njani oomama abakhulelweyo nabancancisayo?

Le yingxaki ebaluleke kakhulu.

• Ngexesha lokukhulelwa: I-Warfarin liyeza elinokubangela iziphene zokuzalwa kunye nokopha kusana olungekazalwa. Ke ngoko, abafazi abakwiminyaka yokuzala kufuneka basebenzise ucwangciso lokuzala olusebenzayo ukuba bathatha i-warfarin.
• Ukuba ukhulelwa ngelixa usebenzisa i-warfarin, thetha nogqirha wakho ngoko nangoko uze uxoxe ngeengozi ezinokubakho kunye neendlela onokukhetha kuzo.
• Ngexesha lokuncancisa: Ukuba ungumama oncancisayo, kufuneka uthethe nogqirha wakho malunga nokuthatha i-warfarin.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na imithi, i-warfarin inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zinzima kwaye kufuneka zixelwe kugqirha wakho ngoko nangoko. Ezinye azinzima kangako.

Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukopha:
• Umnyama, indle ehlala ixesha elide, okanye igazi esitulweni.
• Ukuhlanza igazi, okanye ukuhlanza into emdaka njengekofu egayiweyo.
• Umchamo ujika ube bomvu okanye ube mdaka.
• Amabala amancinci abomvu okanye amfusa eluswini.
• Ukukrweleka okanye ukopha okungaqhelekanga (umz. ukopha empumlweni, ukopha kweentsini).
• Ukopha engqondo: Intloko ebuhlungu kakhulu, intamo eqinileyo, ukudideka, isiyezi, utshintsho lombono, ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba, ukuhlanza.
• Iinzwane ezibuhlungu ezimnyama okanye ezimfusa.
• Ukuya esikhathini okunzima kwabasetyhini.
• Ukudumba okubuhlungu, ubushushu, ukubomvu, amadyungudyungu, okanye izilonda eluswini.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Urhudo
• Ukulahleka kweenwele

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, nceda udibane nogqirha wakho.

Uzigcina njani ezi pilisi zeWarfarin?

• Yigcine kude nabantwana nezilwanyana zasekhaya. Oku kubaluleke kakhulu.
• Gcina kubushushu begumbi. Oko kukuthi, phakathi kwe-15 kunye ne-30 degrees Celsius (59 kunye ne-86 degrees Fahrenheit).
• Zikhusele ekukhanyeni.
• Lahla amayeza aphelelwe lixesha.
• Musa ukuyikhupha ethoyilethi.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Warfarin sisiyobisi esinokusindisa ubomi ukuba sisetyenziswa ngokuchanekileyo, kodwa sinokuba yingozi ukuba sisetyenziswa gwenxa.

• Sela amayeza kanye njengoko ugqirha ekuxelela, ngexesha elifanelekileyo nangedosi efanelekileyo.
• Qiniseka ukuba wenza uvavanyo lwakho lwegazi lwe-PT/INR ngeentsuku ezicwangcisiweyo.
• Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iziqholo, kunye notshintsho kwindlela otya ngayo nakwisiselo osiselayo.
• Qaphela naziphi na iimpawu zokopha. Xelela ugqirha wakho, nokuba kuncinci nje.
• Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo, qiniseka ukuba uxelele ugqirha wakho.
• Ukuba unemibuzo okanye amathandabuzo, buza ugqirha wakho okanye ingcali yezemithi. Musa ukoyika okanye ube neentloni ukubuza.

Ndiyathemba ukuba olu lwazi lukuncede ukuba uqonde ngcono iWarfarin. Hlala usempilweni!

I- Warfarin, ukujiya kwegazi, ukuncitshiswa kwegazi, isifo sentliziyo, isifo sohlangothi, i-PT/INR, i-vitamin K