Ingabe wena noma omunye umuntu emndenini wakho uke wanikezwa umuthi wokunciphisa igazi ngudokotela? Kungenzeka ukuthi uke wezwa nge-"Warfarin." Umuthi osindisa impilo, kodwa udinga ukusetshenziswa ngokucophelela okukhulu. Ngakho-ke namuhla, ake siphendule yonke imibuzo yakho ngawo, njengokukhuluma nomngane.
Kalula nje, iyini i-Warfarin?
I-Warfarin iyi- anticoagulant . Abanye abantu bayibiza ngokuthi "i-blood thinner," kodwa empeleni ayinciphisi igazi, imane ibambezela inqubo yokujiya kwegazi. Cabanga ngakho, lapho sisikeka endaweni ethile emzimbeni wethu, ukujiya kwegazi kubalulekile ukuze kumiswe ukopha. Kodwa kwezinye izimo zezokwelapha, ukujiya kwegazi kungakheka ngaphakathi emzimbeni ngaphandle kwesizathu, njengasemithanjeni yegazi noma enhliziyweni. Yingakho sisebenzisa i-warfarin ukuvimba ukwakheka kwamajiya egazi ayingozi kangaka.
Uma usuvele une-blood clot, i-warfarin iyasiza ekuvimbeleni ukuthi ingabi nkulu futhi ivimbele ucezu ukuthi luqhekeke bese lubhajwa esithweni esibalulekile njengamaphaphu, ubuchopho, noma inhliziyo.
Yiziphi izinzuzo zokusebenzisa i-warfarin?
Odokotela bavame ukunikeza lo muthi ukwelapha noma ukuvimbela lezi zimo ezilandelayo. Ezinye zalezi zingase zibonakale ziyinkimbinkimbi kuwe, kodwa masizigcine zilula.
| Isimo | Umqondo nje |
|---|---|
| I-Deep Vein Thrombosis (DVT) | Amahlule egazi avame ukwakheka emithanjeni ejulile yemilenze. |
| I-Pulmonary Embolism (PE) | Ihlule legazi elakheke kwenye indawo emzimbeni liyaqhekeka bese lihlala emthanjeni emaphashini. Lokhu kuyingozi kakhulu. |
| Isifo sohlangothi | Ihlule legazi livimba umthambo wegazi ohambisa igazi ebuchosheni. |
| I-Atrial Fibrillation (AFib) | Ukushaya kwenhliziyo okungajwayelekile kungaholela engcupheni yokuthi kuqhekeke igazi ngaphakathi enhliziyweni. |
| Ukufakwa Kwevalvu Yenhliziyo | Ukuvimbela ukwakheka kwamahlule egazi ku-valve yenhliziyo yokwenziwa. |
I-warfarin isebenza kanjani emzimbeni?
Lena indaba yesayensi kancane, kodwa masiyigcine ilula. I-Vitamin K ibalulekile enkambisweni yokujiya kwegazi emzimbeni wethu. Lokho okwenziwa yi-warfarin ukulawula umsebenzi walo vithamini K kancane. Ngakho-ke, inqubo yokujiya kwegazi ihamba kancane. Lokhu kumisa ukwakheka kwama-blood clots angadingekile.
Ukuhlolwa kwegazi (INR Test) kuyadingeka uma uthatha i-warfarin.
I-Warfarin iyisidakamizwa esibucayi kakhulu. Ngakho-ke uma uyisebenzisa, udinga ukuhlola njalo amazinga akho okujiya kwegazi. Ukuhlolwa esikwenzela yona kubizwa ngokuthi i-PT/INR (Isikhathi se-Prothrombin / Isilinganiso Esijwayelekile Samazwe Ngamazwe) .
Kalula nje, udokotela wakho uzonquma ukuthi umthamo wakho we-warfarin ulungile, uphansi kakhulu, noma uphakeme kakhulu ngokubheka inani lakho le-INR. Ngakho-ke, kubalulekile ukwenza lokhu kuhlolwa kwegazi ngezinsuku ezihleliwe, njengoba udokotela wakho encoma.
Kungase kudingeke ukuthi wenze lokhu kuhlolwa kanye noma kabili ngesonto ekuqaleni. Uma izinga lakho le-INR selizinzile, ungase ucelwe ukuthi kwenziwe cishe kanye ngenyanga. Izinga lakho le-INR lingashintsha ngenxa yeminye imithi oyithathayo, ukudla kwakho, noma ezinye izimo zezokwelapha. Ngakho-ke kubalulekile ukugcina udokotela wakho enolwazi nganoma yiziphi izinguquko.
Ingozi enkulu ye-warfarin: Ukopha
Ngenxa yokuthi i-warfarin ilawula ukujiya kwegazi, umphumela oyinhloko ongase ube khona ukopha ngokweqile . Ngakho-ke, kufanele uqaphele kakhulu ngalezi zimpawu ezilandelayo.
| Izimpawu zokopha okufanele uziqaphele | |
|---|---|
| Xhumana nodokotela wakho ngokushesha | |
| Ukulimala emzimbeni ngaphandle kwesizathu. | Ukopha okuncane okuvela ezinsinini noma ekhaleni. |
| Ukopha okukhulu noma okuhlala isikhathi eside ngesikhathi sokuya esikhathini kwabesifazane. | Umchamo obomvu, onsundu, noma omnyama. |
| Indle ebomvu noma emnyama ephuzi. | Ukuzizwa ukhathele futhi ubuthakathaka kakhulu kunokujwayelekile. |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha. | |
| Ukusikeka okungayeki ukuphuma kwegazi ngisho nangemva kokucindezela imizuzu eyi-10. | Ukukhwehlela igazi noma ukuhlanza okufana nokudla okucoliwe. |
| Ikhanda elibuhlungu kakhulu ngokuzumayo, isiyezi, izinguquko embonweni noma enkulumweni. | Ukulimala ekhanda ngenxa yokuwa noma ukushaywa kanzima. |
I-Warfarin nokudla neziphuzo (ikakhulukazi i-vitamin K)
Lona umbuzo omkhulu abantu abaningi abanawo. Akukuhle yini ukudla imifino eluhlaza ngenkathi uthatha i-warfarin?
Akudingeki uyeke ukuzidla ngokuphelele. Into ebalulekile ukugcina ukudla kwakho okunothe nge-vitamin K kuhambisana njalo isonto nesonto.
Cabanga nje uma udle imifino eluhlaza eminingi ngesonto elilodwa bese uyeka ukuyidla ngokuphelele ngesonto elilandelayo, i-INR yakho ingashintshashintsha ngokuzumayo. Lokho kuyingozi. Ngakho-ke, yidla ngendlela ovame ukuyenza. Kodwa uma uzokwenza ushintsho olukhulu ekudleni kwakho (isibonelo, ukuba yi-vegan, ukuqala ukudla okukhethekile ukuze wehlise isisindo), qiniseka ukuthi utshela udokotela wakho ngakho. Angabe esehlola i-INR yakho kaningi futhi alungise imithi yakho uma kudingeka.
- Ukudla okucebile nge-vitamin K (gcina inani olidlayo lihambisana njalo):Imifino eluhlaza okotshani njenge-kale, isipinashi, ama-collard, i-broccoli, kanye ne-lettuce.
- Ukudla okune-vitamin K ephansi (kungadliwa ngaphandle kokwesaba): izaqathe, amazambane, ubhatata, ukhukhamba, utamatisi, amathanga, ummbila.
Izinto okufanele uzikhumbule uma uthatha i-warfarin
- Yithathe ngesikhathi: Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Uma uphuthelwa umthamo: Uma ukhumbula zingakapheli amahora angu-8 kusukela kumthamo wakho ohleliwe, thatha umthamo ngokushesha nje lapho ukhumbula. Uma sekwephuzile amahora angaphezu kwangu-8, yeqa umthamo ophuthelwe bese uthatha umthamo wosuku olulandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Uma uphuthelwa umthamo izinsuku ezimbili noma ngaphezulu, shayela udokotela wakho ngokushesha.
- Qaphela eminye imithi: Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo (imithi yezinye izimo, imithi yobuhlungu, amavithamini, ngisho nemithi ye-Ayurvedic). Eminye imithi ingathinta indlela esebenza ngayo i-warfarin.
- Qaphela: Cabanga kabili ngaphambi kokusebenzisa izinsingo namathuluzi abukhali njengemimese. Qaphela ukuwa. Sebenzisa ibhulashi lamazinyo elithambile lapho uxubha amazinyo akho.
- Ukuhlela Nokuhlinzwa: Ngaphambi kokukhipha amazinyo noma olunye ukuhlinzwa, qiniseka ukuthi utshela udokotela ukuthi uthatha i-warfarin.
- Utshwala: Gwema ukuphuza utshwala. Kungathinta ukusebenza kahle kwe-warfarin kanye nengozi yokopha.
Umlayezo Wokuya Nawe Ekhaya
- I-Warfarin iyimithi esindisa impilo, kodwa kubaluleke kakhulu ukuyithatha njengoba nje udokotela ekutshela, ngesilinganiso esifanele nangesikhathi esifanele.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
- Kuphoqelekile ukuthi kwenziwe ukuhlolwa kwegazi lakho le-INR ngezinsuku ezihleliwe. Kuyindlela engcono kakhulu yokuphepha kwakho.
- Uma ubona noma yikuphi ukuphuma kwegazi okungajwayelekile, ukuklwebheka, noma ezinye izimpawu ezingavamile, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngeminye imithi oyiphuzayo, izinguquko ezinkulu ekudleni kwakho, kanye nanoma yiziphi izinkinga zempilo onazo.
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