Ingabe wena noma othile omaziyo wake watshelwa udokotela ukuthi aqale "ukwelapha igazi elincane"? Mhlawumbe kwakungemva kokuhlinzwa kwenhliziyo, noma ngenxa yokuqhekeka kwegazi emthanjeni emlenzeni wakho. I-Warfarin umuthi oyinhloko nosetshenziswa kakhulu ovimbela igazi ukuthi lingaqhekeki. Abantu abaningi basebenzisa lo muthi, kodwa abazi okuningi ngawo, okungaholela ekwesabeni okungadingekile. Ngakho-ke namuhla, ake sixoxe ngalo mjovo we-Warfarin ngendlela elula kakhulu nenobungane.
Kalula nje, iyini i-Warfarin?
I-Warfarin iyisidakamizwa esisesigabeni semithi ebizwa ngokuthi ama-anticoagulants . Kalula nje, isebenza ngokunciphisa inqubo yokujiya kwegazi emzimbeni wakho. Nakuba ibizwa ngokuthi "i-blood thinner," empeleni ayinciphisi igazi lakho njengamanzi. Imane yandisa isikhathi esithathayo ukuze igazi lakho lijiye.
Pho kungani lo muthi unikezwa?
- Yelapha amahlule egazi akhiwa emithanjeni, emithanjeni, emaphashini, noma enhliziyweni.
- Futhi, vimbela ukwakheka kwamahlule egazi anjalo esikhathini esizayo.
Isibonelo, lo muthi uvame ukunikezwa umuntu oye wafakelwa i-valve yenhliziyo noma umuntu oye waba ne-blood clot emthanjeni osemlenzeni (Deep Vein Thrombosis - DVT).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala i-Warfarin
I-Warfarin umuthi okufanele usetshenziswe ngokucophelela okukhulu. Ngakho-ke, kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo. Ngaphambi kokuqala i-Warfarin, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezingezansi.
| Isimo sempilo/umkhuba | Incazelo |
|---|---|
| Izinkinga ezihlobene negazi | Izinkinga zokopha, njenge-anemia, i-hemophilia, kanye ne-aneurysm. |
| Izifo zesistimu yokugaya ukudla | Umlando wezilonda zamathumbu, i-diverticulitis, noma ukopha kwamathumbu ngaphambilini. |
| Isifo sesibindi noma sezinso | Noma yisiphi isimo sezokwelapha esihlobene nokusebenza kwesibindi noma kwezinso. |
| Isifo senhliziyo kanye nomfutho wegazi ophezulu | Izimo ezinjengomfutho wegazi ophakeme kanye nokutheleleka kwe-valve yenhliziyo. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, umdlavuza, ukuntuleka kweprotheni C noma i-S, isifo sohlangothi, noma ukulimala kobuchopho. |
| Ulwazi lomuntu siqu | Ukuba neminyaka engaphezu kwengu-65 ubudala, ukuphuza utshwala, ukuhlinzwa noma ingozi muva nje. |
| Ukukhulelwa nokuncelisa | Lokhu kubaluleke kakhulu uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-warfarin, eminye imithi, ukudla, noma izithasiselo. |
Lo muthi wokugoma unikezwa kanjani futhi yiziphi izinyathelo zokuphepha okufanele zithathwe?
I-Warfarin inikezwa ngomjovo emthanjeni. Lokhu akuyona into ongayenza ekhaya. Inikezwa udokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo .
Okubalulekile: Kunobungozi bokuphuma kwegazi uma umthamo womuthi ukhushulwa. Ngakho-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital.Shayela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Eminye imithi engase ihlangane ne-Warfarin (Ukusebenzisana Kwezidakamizwa)
I-Warfarin umuthi ongasebenzisana neminye imithi, imikhiqizo yamakhambi, kanye nokudla okuthile. Lokhu kungandisa umphumela we-Warfarin (ingozi yokopha) noma kunciphise (ingozi yokuqhekeka kwegazi).
Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imikhiqizo yamakhambi, imithi ye-Ayurvedic) .
Ngezansi kunezinto ezithile ezingase zihlangane ne-Warfarin. Lolu akulona uhlu oluphelele, kodwa yizinto eziyinhloko okufanele uziqaphele.
- Iziqeda-buhlungu: Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) njenge-ibuprofen ne-naproxen, kanye ne-aspirin.
- Ama-antibiotic: Amanye ama-antibiotic afana ne-Erythromycin, i-Ciprofloxacin, i-Metronidazole.
- Imithi Yokulwa Nesikhunta: Imithi efana ne-Fluconazole ne-Ketoconazole.
- Imithi yesifo senhliziyo, umfutho wegazi ophakeme, kanye ne-cholesterol.
- Imithi yokwelapha ukuxhuzula.
- Imithi yokwelapha isifo sengqondo.
- Imikhiqizo yamakhambi: Izinto ezifana negalikhi, i-ginkgo, i-ginseng, kanye ne-St. John's Wort.
- I-Vitamin K: Lokhu kutholakala kokubili emithini nasekudleni.
Uma uzoqala noma yimuphi umuthi omusha noma uyeka ukuthatha umuthi, qiniseka ukuthi ubuza udokotela wakho kuqala.
Izinto okufanele uziqaphele kakhulu uma uthatha i-Warfarin
Ukuhlolwa kwegazi kwe-PT/INR
Ukuhlolwa kwegazi okuyimpoqo nokubaluleke kakhulu okumele kwenziwe yiwo wonke umuntu othatha i-warfarin yi -PT/INR . Lokhu kulinganisa isikhathi esithathwayo ukuze igazi lakho lijiye. Ngokusekelwe emiphumeleni yalolu vivinyo, udokotela wakho uzonquma umthamo we-warfarin owudingayo.
- Lokhu kuhlolwa kuzodingeka kwenziwe njalo ngesikhathi sokuqala kokuthatha umuthi.
- Uma usuthole umthamo ofanele wena, imvamisa yokuhlola izoncipha.
- Ungayeki lokhu kuhlolwa kwegazi nganoma yisiphi isizathu. Kubalulekile ukuze uphephe.
Izinguquko ekudleni
Isenzo se-warfarin sithinteka ngqo yisakhamzimba esibizwa nge-vitamin K. Ukuthatha i-vitamin K eningi kakhulu kunganciphisa umphumela we-warfarin futhi kubangele ukuqhekeka kwegazi. Uma i-vitamin K iphansi, umphumela we-warfarin unganda futhi ubangele ukopha.
Into ebalulekile ukungayeki ngokuphelele ukudla ukudla okuqukethe i-vitamin K. Into ebalulekile ukugcina inani olidlayo lilingana. Ungadli kakhulu ngolunye usuku futhi ungadli lutho ngolunye usuku.
Ukudla okucebile nge-vitamin K:
- Imifino eluhlaza okotshani njengespinashi, iklabishi, ilethisi, ibroccoli, kanye nekale.
- Itiye eliluhlaza
- I-Parsley
Khuluma nodokotela wakho ngaphambi kokwenza noma yiziphi izinguquko ezinkulu ekudleni kwakho.
Qaphela izingozi
Uma uthatha i-warfarin, ngisho nokusikeka okuncane kungabangela ukopha okuningi kunokujwayelekile. Ngakho-ke:
- Gwema ezemidlalo nemisebenzi engabangela ukuwa nokulimala.
- Qaphela kakhulu uma usebenzisa izikhali ezibukhali nemimese.
- Kuphephile ukusebenzisa i-razor kagesi esikhundleni se-razor.
- Sebenzisa ibhulashi lamazinyo elithambile uma uxubha amazinyo akho. Tshela udokotela wakho uma izinsini zakho zopha igazi.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Warfarin ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile.
| Isibonakaliso | Okufanele ngikwenze? |
|---|---|
| Izimpawu okufanele zibikwe kudokotela wakho ngokushesha | |
| Izimpawu zokuphuma kwegazi: - Izihlalo ezimnyama, ezihlala isikhathi eside - Umchamo obomvu noma onsundu omnyama - Ukuhlanza into ebukeka njengekhofi - Ukopha okungajwayelekile okuvela ekhaleni nasezinsinini - Amabala abomvu noma amabala egazi esikhumbeni | Lokhu kungaba izimpawu zokopha kwangaphakathi. Funa iseluleko sikadokotela ngokushesha. |
| Izimpawu zesifo sohlangothi: - Ikhanda elibuhlungu kakhulu ngokuzumayo - Ukudideka, ubunzima bokukhuluma - Ukuba ndikindiki noma ubuthakathaka ebusweni, engalweni, noma emlenzeni | Lesi yisimo esiphuthumayo. Yiya esibhedlela ngokushesha. |
| Izici ze-clot yegazi: - Ubuhlungu besifuba, ubunzima bokuphefumula - Ubuhlungu emilenzeni, ukuvuvukala, ukufudumala | Lokhu kungaba uphawu lokuthi umuthi awusebenzi kahle. Tshela udokotela wakho ngokushesha. |
| Ukusabela kokungezwani komzimba, ukopha okukhulu kokuya esikhathini kwabesifazane, ubuhlungu obukhulu besisu. | Funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Uhudo | Tshela udokotela wakho uma kuqhubeka izinsuku ezingaphezu kwezimbalwa. |
| Ukulahlekelwa izinwele | Uma lokhu kukukhathaza, khuluma nodokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- I-Warfarin umuthi ovimbela ukujiya kwegazi futhi kufanele usetshenziswe ngokucophelela okukhulu.
- Ungalokothi weqe ukuhlolwa kwegazi kwe-PT/INR okunqunyiwe. Ukuphepha kwakho kuncike kukho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ungayeki ukudla imifino eluhlaza ecebile ngevithamini K. Kunalokho, zama ukugcina ukudla kwakho kusezingeni elifanayo nsuku zonke .
- Ngisho nesilonda esincane singabangela ukopha ngokweqile, ngakho-ke qaphela ngangokunokwenzeka ukuze ugweme izingozi.
- Uma ubona izimpawu zokopha , njengendle emnyama noma ukopha okungavamile, yazisa udokotela wakho ngokushesha.
- Uma unenkinga ngalo muthi, ungesabi ukukhuluma nodokotela wakho.
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