Ingabe udokotela wakho ukunike umyalelo wokusebenzisa umuthi i-Warfarin? Noma ingabe ilungu lomndeni noma umngane usebenzisa lo muthi? Empeleni lo muthi ubaluleke kakhulu ovimbela amahlule egazi. Kodwa kunezinto ezithile okudingeka siziqaphele kakhulu lapho sisebenzisa lokhu. Ungakhathazeki, sizokhuluma ngakho konke kalula nangokucacile namuhla.
Iyini ngempela i-Warfarin?
Kalula nje, i-Warfarin umuthi ovimbela igazi ukuthi lingajiyi, noma olehlisa ijubane. Kwezokwelapha, lokhu sikubiza ngokuthi umuthi oqeda ukujiya kwegazi . Ungase ujwayelene nalo muthi ngamagama omkhiqizo i-Coumadin® noma i-Jantoven®.
Lomuthi usebenza ngokuvimbela ukwakheka kwamahlule egazi angadingeki emzimbeni wakho, emithanjeni yakho yegazi noma enhliziyweni yakho. Lawa mahlule egazi angadingeki angakheka ezimweni ezithile zezokwelapha, noma lapho ungakwazi ukuhamba noma ukuhamba isikhathi eside.
Into ebalulekile ukuthi i-Warfarin ivimbela ukwakheka kwamahlule egazi amasha, kodwa ayiwancibilikisi amahlule egazi akhona . Kodwa-ke, iyayivimba ihlule ukuthi likhule. Ngokuhamba kwesikhathi, ihlule lingase lincibilike lodwa.
Yiziphi izinzuzo zokusebenzisa i-Warfarin?
Udokotela wakho kungenzeka ukuthi unikeze lo muthi ukuvimbela noma ukwelapha izimo ezilandelayo:
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukugoba kwegazi emithanjeni (i-venous thromboembolism - VTE) | Ihlule legazi elakheka emthanjeni liyaqhekeka bese libhajwa kwenye indawo. |
| I-Deep Vein Thrombosis (DVT) | Ihlule legazi, ngokuvamile emthanjeni ojulile emlenzeni. |
| I-Pulmonary embolism (PE) | Ihlule legazi elakheke emthanjeni liyaqhekeka bese lihlala emaphashini. |
| Ukugoba kwegazi emthanjeni (i-Arterial thromboembolism - ATE) | Ukwakheka kwehlule legazi emthanjeni. |
| Isifo sohlangothi | Ihlule legazi livimba umthambo wegazi othwala igazi liye ebuchosheni. |
| Isifo senhliziyo | Ukuvaleka komthambo wegazi ohambisa igazi enhliziyweni ngehlule legazi. |
Ngaphezu kwalokho, lo muthi uphinde unikezwe ukuvimbela ingozi yokuqhekeka kwegazi uma unenhliziyo engajwayelekile (i-Atrial fibrillation - Afib) noma uke wahlinzwa esikhundleni se-valve yenhliziyo .
Lomuthi usebenza kanjani?
Kulula kakhulu. I-Vitamin K ibalulekile ukuze igazi lethu lijiye. I-Warfarin isebenza ngokuvimbela isenzo se-vitamin K, esidingekayo kwezinye zezici ezisiza enkambisweni yokujiya kwegazi. Lokhu kunciphisa izinga lokujiya kwegazi futhi kuvimbele ukwakheka kwamajiye egazi angafuneki.
Umthamo wemithi kanye nokuhlolwa kwegazi okuphoqelekile
Umthamo we-warfarin uvame ukuhluka kusuka ku-1 mg (ama-milligram) kuya ku-10 mg. Udokotela wakho uzokunikeza umthamo othize. Kodwa-ke, lowo mthamo ungadinga ukulungiswa ngokusekelwe emiphumeleni yokuhlolwa kwegazi okuvamile.
La maphilisi afika ngemibala ehlukene. Umbala ngamunye umele inani lama-milligram ephilisini. Isibonelo, uma unikezwa iphilisi elingu-5mg bese utshelwa ukuthi wehlise umthamo ube ngu-2.5mg, kufanele uphule iphilisi elingu-5mg phakathi bese uthatha lelo ngxenye. Ungalokothi ushintshe umthamo ngaphandle kokubonisana nodokotela wakho.
Yiziphi lezi zivivinyo zegazi okudingeka zenziwe?
Uma uthatha i-warfarin, kuzodingeka ukuthi uhlolwe igazi elibizwa nge -PT/INR (Isikhathi se-Prothrombin / Isilinganiso Esijwayelekile Samazwe Ngamazwe) njalo.
Lokhu kuhlolwa kulinganisa ukuthi igazi lakho liqina ngokushesha kangakanani. Imiphumela ingasiza udokotela wakho ukuthi anqume ukuthi i-Warfarin isebenza kahle yini kuwe nokuthi umthamo wakho udinga ukulungiswa yini.
Lokhu kuhlolwa kungenziwa kanye ngesonto noma kanye ngenyanga. Udokotela wakho uzonquma.
- Eminye imithi oyithathayo (ngisho namavithamini kanye nemithi yokubulala izinhlungu), izinguquko empilweni yakho (njengomkhuhlane noma isifo sohudo), kanye nezinguquko ekudleni kwakho kungathinta i-PT/INR yakho. Ngakho-ke , kubalulekile ukwazisa udokotela wakho we-Warfarin nganoma yiziphi izinguquko empilweni yakho.
Yenza lezi zinto ngqo lapho uthatha i-Warfarin
- Thatha umuthi ngesikhathi esifanayo nsuku zonke . Kufanele uwuthathe kanye kuphela ngosuku.
- Ingathathwa ngaphambi noma ngemva kokudla.
- Uma ukhohlwa ukuphuza umuthi wakho bese ukhumbula zingakapheli amahora angu-8, thatha lowo mthamo ngokushesha.
- Kodwa-ke, uma sekudlule amahora angaphezu kwangu-8, yeqa umthamo walolo suku bese uthatha umthamo wangosuku olulandelayo kuphela. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Uma ukhohlwa ukuphuza umuthi wakho izinsuku ezimbili noma ngaphezulu, qiniseka ukuthi ushayela udokotela wakho ucingo.
Umphumela oyinhloko: Qaphela ukopha!
Umphumela oyinhloko novame kakhulu we-warfarin ukopha ngokweqile . Lokhu kungenxa yokuthi lo muthi usebenza ngokuvimbela ukujiya kwegazi. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Uphawu okufanele ulunake | Incazelo |
|---|---|
| Yazisa udokotela ngokushesha. | |
| Ukopha ngenxa yokulimala okuncane | Ukopha okungayeki ngisho nangemva kokufaka ingcindezi imizuzu eyi-10. |
| Ukopha okuvela ekhaleni nasezinsinini | Ukopha okungapheli imizuzu engaphezu kweyi-10. |
| Ushintsho kumbala womchamo | Umchamo uba bomvu noma ube nsundu ngokumnyama (ugqwale). |
| Ukushintsha kombala wesihlalo | Indle ebomvu noma emnyama ephuzi. |
| Ukukhwehlela igazi noma ukuhlanza | Ukukhwehlela igazi noma ukuhlanza okufana nokudla okucoliwe. |
| Imivimbo ngaphandle kwesizathu | Imivimbo, amabala ansomi, noma ukuvuvukala nobuhlungu noma kuphi emzimbeni ngaphandle kwesizathu. |
| Ukuya esikhathini kwabesifazane | Ukopha esikhathini okunzima kakhulu kunokujwayelekile noma okuhlala isikhathi eside kunokujwayelekile. |
| Ikhanda elibuhlungu noma isiyezi esingavamile | Ikhanda elibuhlungu kakhulu, isiyezi, ushintsho olusheshayo enkulumweni noma embonweni, ukungazweli kobuso noma ingalo. |
Kudingeka nini ukwelashwa okuphuthumayo?
- Uma ukopha kungayeki ngemva kwemizuzu eyi-10 yokucindezela enxebeni elincane, qhubeka nokucindezela bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze.
- Uma ulimele kakhulu futhi wopha kakhulu, shayela u-1990 ngokushesha noma uye ku -ETU ngosizo lothile ngokushesha okukhulu.
Funda kabanzi ngokudla kanye ne-vitamin K
Yilapho abantu abaningi benza khona iphutha. Abanye abantu bacabanga ukuthi kufanele bayeke ngokuphelele ukudla ukudla okuqukethe i-vitamin K uma bethatha i-warfarin. Lokhu akulungile.
Into ebaluleke kakhulu ukugcina inani elifanayo lokudla okunothe nge-vitamin K okudlayo isonto nesonto . Ukudla kakhulu isonto elilodwa bese ungadli nhlobo isonto elilandelayo kungabangela umehluko omkhulu ku-INR yakho.
Ukudla okucebile nge-vitamin K (gcina inani olidlayo ngesonto lihambisana):
- Imifino eluhlaza okotshani njenge-kale, i-broccoli, isipinashi, kanye nemifino ye-collard
- Izinhlobo ze-lettuce
- I-asparagus
Uma ufuna ukwandisa ukudla kwakho kwemifino, ungakhetha imifino ephansi ku-vitamin K, njenge:
- Ummbila, ithanga, amazambane, izaqathi, ukhukhamba, utamatisi.
Okubalulekile: Ngaphambi kokwenza noma yiziphi izinguquko ezinkulu ekudleni kwakho (isib. ukuqala ukudla kokwehlisa isisindo), qiniseka ukuthi ukhuluma nodokotela wakho.
Izinto okufanele uzigweme lapho uthatha i-Warfarin
- Eminye imithi: Ungathathi noma yimuphi umuthi (ngisho nemithi yokubulala izinhlungu, amavithamini, noma imithi ye-Ayurvedic) ngaphandle kokubonisana nodokotela wakho.
- Ukuhlinzwa: Ngaphambi kokuba wenze into encane njengokukhipha izinyo, kufanele utshele udokotela wamazinyo noma udokotela ohlinzayo ukuthi uthatha i-Warfarin.
- Ukudla Nokuphuza: Gwema ukuphuza i-grapefruit, i-pomegranate, kanye nejusi le-cranberry.
- Utshwala: Gwema ukuphuza utshwala. Kungandisa ingozi yokopha.
- Ukukhulelwa: Gwema ukukhulelwa ngenkathi uthatha i-warfarin. Uma uhlela ukukhulelwa, khuluma nodokotela wakho ngakho.
- Izingozi: Zivikele ngangokunokwenzeka ezingozini ezifana nokuwa kanye nemivimbo enzima. Uma udlala imidlalo, xhumana nodokotela wakho ngalokho futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Warfarin umuthi obaluleke kakhulu ovimbela ukujiya kwegazi. Yiphuze njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele, ngomthamo ofanele.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
- Ungalokothi weqe ukuhlolwa kwegazi kwe-PT/INR. Kubalulekile ukuze uphephe.
- Uma ubona noma yiziphi izimpawu zokopha okungajwayelekile (imivimbo eqinile, indle emnyama, umchamo obomvu), funa iseluleko sezokwelapha ngokushesha.
- Yazisa udokotela wakho njalo nganoma yiziphi izinguquko ekudleni kwakho, eminye imithi oyiphuzayo, noma izimo zempilo.
- Ngaphambi kokukhishwa kwezinyo noma ukuhlinzwa, kufanele utshele udokotela okukhulunywa ngaye ukuthi uthatha i-Warfarin.
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