Ake sifunde kabanzi nge-Warfarin, umuthi wokunciphisa igazi.

Udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Warfarin ukuvimbela ukujiya kwegazi emzimbeni wakho noma ezimweni ezithile zenhliziyo. Lo muthi ubaluleke kakhulu, kodwa ungabangela nezinkinga uma ungasetshenziswanga kahle. Ngakho-ke namuhla, ake sixoxe ngalokho okudingeka ukwazi ngala maphilisi e-Warfarin.

Uhlobo luni lomuthi i-Warfarin?

Kalula nje, i-Warfarin iyi -blood thinner . Okusho ukuthi, ivimbela ukwakheka kwamahlule egazi angadingekile emithanjeni yegazi emzimbeni wakho. Cabanga nje, ngezinye izikhathi uma amahlule egazi akheka ngaphakathi emithanjeni yethu yegazi, angabangela izimo eziyingozi kakhulu. Isibonelo, izinto ezifana nokuhlaselwa yinhliziyo kanye nesifo sohlangothi.

I-Warfarin isetshenziswa kakhulu kulezi zidakamizwa ezilandelayo:

• Vimbela ukuqhekeka kwegazi okukhona ukuthi kungakhuli futhi uvimbele ukwakheka okusha.
• Nciphisa ingozi yokushaywa yisifo sohlangothi kubantu abanezimo ezithile zenhliziyo, njenge-atrial fibrillation (AFib).
• Vimbela ukujiya kwegazi kubantu abaye bashintshwa ama-valve enhliziyo.

Odokotela ngezinye izikhathi bangasebenzisa lo muthi ngezinye izizathu. Uma unemibuzo, buza udokotela wakho noma usokhemisi.

Lo muthi uvame ukudayiswa ngaphansi kwamagama athi Coumadin noma Jantoven. Kodwa-ke, ungase utholakale ngaphansi kwamanye amagama. Igama elishiwo udokotela wakho libalulekile.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala ukuthatha lo muthi?

Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukuthatha i-Warfarin, kunezinto ezithile okudingeka uzitshele udokotela wakho. Lokhu kungenxa yokuthi udokotela wakho uzonquma ukuthi lo muthi ukulungele yini noma cha, nokuthi uzokunika muphi umthamo.

Nazi ezinye zezinto ezinjalo:

• Uma uluthekile otshwaleni (Utshwala).
• Uma une-anemia.
• Uma unenkinga yokopha.
• Uma unomdlavuza.
• Uma unesifo sikashukela (i-Diabetes Mellitus).
• Uma unezinye izifo zenhliziyo.
• Uma une-high blood pressure.
• Uma wake waba nokopha esiswini noma emathunjini (ukopha endleleni yokugaya ukudla).
• Uma uke waba nesifo sohlangothi ngaphambilini, noma uma unesinye isifo noma isifo esihlobene nobuchopho.
• Uma unesifo sezinso noma sesibindi.
• Uma unezimo ezifana nokuntuleka kweProtheyini C noma ukuntuleka kweProtheyini S.
• Uma unezinkinga zokukhumbula, njenge-psychosis noma i-dementia.
• Uma usanda kulimala, noma uhlela ukuhlinzwa noma olunye uhlobo lwezokwelapha esikhathini esizayo.
• Uma une-allergy ku-warfarin, eminye imithi, ukudla, amadayi, noma izithasiselo.
• Kulungile uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla.

Ulisebenzisa kanjani leli philisi le-Warfarin ngqo?

Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.

• Thatha nengilazi yamanzi: Amaphilisi e-Warfarin kufanele athathwe ngomlomo, nengilazi yamanzi.
• Njengoba nje udokotela eshilo: Landela imiyalelo ebhalwe ilebula likadokotela ngqo.
• Ngaphambi noma ngemva kokudla: Ungawuthatha lo muthi ngaphambi noma ngemva kokudla. Akunandaba.
• Ngesikhathi esifanayo nsuku zonke: Lokhu kubaluleke kakhulu. Zama ukuphuza umuthi ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, umuthi uzosebenza ngendlela efanayo emzimbeni.
• Ungathathi okungaphezu kwalokho okunqunywe udokotela wakho: Ungathathi okungaphezu kwalokho okunqunywe udokotela wakho.
• Ungayeki ukuthatha lo muthi ngaphandle kweseluleko sikadokotela wakho: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo. Ukwenza kanjalo kungandisa ingozi yakho yokuba namahlule egazi.
• Gcwalisa imithi yakho ngaphambi kokuba iphele: Ungakhohlwa ukuthola umuthi omusha ekhemisi ngaphambi kokuba imithi yakho iphele.
• Uma ushintsha umthamo wakho: Ake sithi udokotela wakho ubiza futhi ushintsha umthamo wakho we-warfarin. Uma kunjalo, bhala phansi umthamo omusha kanye neminye imiyalelo ephepheni. Qiniseka ukuthi uyakuqonda, bese uxoxa ngemiyalelo nodokotela wakho. Tshela udokotela wakho amandla amaphilisi onawo. Buza ukuthi mangaki amaphilisi okudingeka uwathathe ukuze ufinyelele umthamo omusha. Bhala imiyalelo emisha ephepheni, kanye nosuku, bese uwagcina kanye nomuthi wakho. Ngezinye izikhathi ungase ucelwe ukuthi uyeke ukuthatha umuthi kuze kube yilapho uhlolwa igazi lakho elilandelayo. Uma lokhu kwenzeka, uma ungaphenduli kudokotela wakho zingakapheli amahora angama-24 kusukela ekuhlolweni kwakho, shayela udokotela wakho ukuze abuze ngomthamo omusha nokuthi uzoqala nini ukuthatha umthamo omdala futhi.
• I-MedGuide: Njalo uma uthola imithi ekhemisi, uzonikezwa i-MedGuide mayelana nomuthi. Yifunde ngokucophelela njalo. Iqukethe ulwazi oluningi olubalulekile kuwe.

Okubalulekile: Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

Ingabe lo muthi kufanele unikezwe izingane?

Izingane zidinga ukunakekelwa okukhethekile lapho zithatha i-warfarin, ngakho qiniseka ukuthi uxoxa ngalokhu nodokotela wakho.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Kubaluleke kakhulu ukungayeki umthamo we-warfarin , ngoba ingashintsha ikhono legazi lokuncipha.

• Uma uphuthelwa umthamo wemithi, shayela udokotela wakho ngokushesha.
• Uma kungenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula ngalolo suku .
• Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, ungawuthathi umthamo ophuthelwe. Vele uthathe umthamo wakho olandelayo ngesikhathi esihleliwe.
• Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe.

Yimiphi eminye imithi engasebenzisana ne-Warfarin?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. I-Warfarin umuthi ongasebenzisana neminye imithi eminingi, amakhambi, ngisho nezithasiselo zokudla. Lokhu kusebenzisana kungandisa noma kunciphise imiphumela ye-Warfarin. Uma lokhu kwenzeka, kungaba khona ingozi yokopha noma ukuqhekeka kwegazi.

Ungasebenzisi i-Warfarin kanye nemithi elandelayo nganoma yisiphi isizathu:

• I-Defibrotide

Ngaphezu kwalokho, imithi elandelayo ingasebenzisana ne-Warfarin:

• I-Acyclovir
• I-Allopurinol
• I-aspirini namanye ama-NSAID (isib. i-ibuprofen, i-naproxen)
• Amanye ama-antibiotic (isib. i-Erythromycin, i-Clarithromycin, i-Ciprofloxacin)
• Amanye ama-antiviral anikezwa izifo ezifana ne-HIV noma i-hepatitis
• Eminye imithi evimbela ukujiya kwegazi (isib., i-Heparin, i-Enoxaparin, i-Clopidogrel)
• Eminye imithi yokwelapha umfutho wegazi, isifo senhliziyo, kanye nezinkinga zesigqi senhliziyo
• Eminye imithi yokwehlisa i-cholesterol (isib. i-atorvastatin, i-simvastatin)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• Eminye imithi yokwelapha izifo zesikhunta (isb., i-Fluconazole, i-Ketoconazole)
• Eminye imithi yokwelapha ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin)
• Ama-hormone abesifazane, okuhlanganisa namaphilisi okulawula ukuzalwa
• Amakhambi noma izithasiselo ezifana negalikhi, i-ginkgo, i-ginseng, itiye eliluhlaza, kanye ne-St. John's Wort
• Izithasiselo eziqukethe i-Vitamin K
• Imithi enciphisa i-asidi esiswini (isib. i-Omeprazole, i-Ranitidine)
• Imithi ye-steroid (isib. i-Prednisone)

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengwe ekhemisi, amakhambi, amavithamini, izithasiselo), nokuthi uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nemithi yakho ye-warfarin.

Yiziphi izinto okudingeka siziqaphele kakhulu lapho sithatha i-Warfarin?

Kunezici eziningana ezingathinta ukuphepha kwakho kanye nokusebenza kahle komuthi ngenkathi uthatha i-Warfarin.

• Ukuhlolwa kwegazi okuvamile (PT/INR): Uma uthatha i-warfarin, kuzodingeka ukuthi uhlolwe igazi okubizwa ngokuthi i-PT/INR njalo. Lena yindlela udokotela wakho ahlola ngayo ukuze abone ukuthi umthamo we-warfarin owuthathayo ulungile yini. Ungaweqi lo mthamo wegazi. Lokhu kuhlolwa kuzodingeka kwenziwe kaningi uma uqala ukuthatha umuthi. Uma usuthole umthamo ofanele wena, imvamisa yalokhu kuhlolwa izoncipha.
• Umazisi Wezokwelapha: Gqoka isongo noma iketanga elibonisa ukuthi uthatha i-warfarin. Futhi, phatha ikhadi elibonisa isimo sakho, igama lomuthi, umthamo, kanye nezikhathi owuthatha ngazo. Lokhu kungabaluleka kakhulu esimweni esiphuthumayo.
• Uma uqala/uyeka eminye imithi: Ungaqali noma yimuphi umuthi omusha noma uyeke ukuthatha noma yimuphi umuthi owuthathayo ngaphandle kweseluleko sikadokotela wakho. Lokhu kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela.
• Ukudla kanye neVithamini K: Khuluma nodokotela wakho ngokudla kwakho. Ungenzi izinguquko ezinkulu ngesikhathi esisodwa. Lokhu kungenxa yokuthi isakhi esibizwa ngokuthi iVithamini K sithinta indlela esebenza ngayo iWarfarin. Ukudla okuningi kuqukethe iVithamini K. Ngakho-ke, kubalulekile ukudla ukudla okuqukethe iVithamini K ngendlela efanayo, ngobuningi obuhambisanayo. Isibonelo, imifino eluhlaza njengespinashi, iklabishi, ibroccoli, ikale, isipinashi, itiye eliluhlaza, i-asparagus, kanye nama-brussel sprouts. Ungakhulisi noma wehlise inani lalokhu kudla ngesikhathi esisodwa.
• Zivikele ekulimaleni: Uma uthatha i-warfarin, ingozi yokopha iphezulu. Ngakho-ke, qaphela kakhulu uma usebenzisa izinto ezibukhali njengemimese. Zivikele ekuweni nasekulinyazweni. Qaphela lapho udlala imidlalo. Sebenzisa i-razor kagesi uma kungenzeka. Qaphela lapho uxubha futhi ufaka i-floss yamazinyo akho. Tshela udokotela wakho uma ubona noma yimaphi amanxeba, imihuzuko, noma amabala abomvu esikhumbeni sakho.
• Uma ugula:Tshela udokotela wakho uma usugule izinsuku ezingaphezu kwezimbalwa ngenxa yokuhlanza, uhudo, noma umkhuhlane. Futhi, uma ungakwazi ukudla kahle izinsuku eziningana, tshela udokotela wakho. Lezi zinto zingashintsha umphumela we-warfarin.
• Ngisho nangemva kokuyeka umuthi: Ngisho nangemva kokuyeka ukuthatha i-warfarin, kuzothatha izinsuku eziningana ukuthi ikhono lomzimba wakho lokujiya igazi libuyele esimweni esijwayelekile. Buza udokotela wakho ukuthi kufanele uqaphele isikhathi esingakanani. Uma uzohlinzwa noma uyohlolwa amazinyo, qiniseka ukuthi ubatshela ukuthi uthatha i-warfarin.

I-Warfarin ibathinta kanjani omama abakhulelwe nabancelisayo?

Lolu udaba olubaluleke kakhulu.

• Ngesikhathi sokukhulelwa: I-Warfarin umuthi ongabangela ukukhubazeka kokuzalwa nokopha kosana olungakazalwa. Ngakho-ke, abesifazane abaseminyakeni yokuzala kufanele basebenzise izindlela zokuvimbela inzalo ezisebenzayo uma bethatha i-warfarin.
• Uma ukhulelwa ngenkathi uthatha i-warfarin, khuluma nodokotela wakho ngokushesha bese uxoxa ngezingozi ezingaba khona kanye nezinketho zakho.
• Ngesikhathi sokuncelisa: Uma ungumama oncelisayo, kufanele futhi ukhulume nodokotela wakho mayelana nokuthatha i-warfarin.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-warfarin ingabangela imiphumela emibi. Eminye iyingozi futhi kufanele ibikwe kudokotela wakho ngokushesha. Eminye ayibi kakhulu kangako.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukopha:
• Umnyama, indle ephuzile, noma igazi esitulweni.
• Ukuhlanza igazi, noma ukuhlanza into ensundu njengekhofi egayiwe.
• Umchamo uba bomvu noma ube nsundu ngokumnyama.
• Amabala amancane abomvu noma ansomi esikhumbeni.
• Ukuphuka noma ukuphuma kwegazi okungavamile (isib. ukuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini).
• Ukopha ebuchosheni: Ikhanda elibuhlungu kakhulu, intamo eqinile, ukudideka, isiyezi, izinguquko zombono, ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ubunzima bokuhamba, ukuhlanza.
• Izinzwane ezibuhlungu ezimnyama noma ezinsomi.
• Ukuya esikhathini okunzima kwabesifazane.
• Ukuvuvukala okubuhlungu, ukushisa, ukubomvu, amabhamuza, noma izilonda esikhumbeni.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Uhudo
• Ukulahlekelwa izinwele

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwale, sicela uxhumane nodokotela wakho.

Uwagcina kanjani la maphilisi e-Warfarin?

• Yigcine kude nezingane nezilwane ezifuywayo. Lokhu kubaluleke kakhulu.
• Gcina ekamelweni lokushisa. Okungukuthi, phakathi kwama-degree Celsius angu-15 no-30 (ama-degree Fahrenheit angu-59 no-86).
• Vikela ekukhanyeni.
• Lahla umuthi ophelelwe yisikhathi.
• Ungayisusi endlini yangasese.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Warfarin umuthi ongasindisa impilo uma usetshenziswa ngendlela efanele, kodwa futhi ungaba yingozi uma usetshenziswa ngendlela engafanele. Ngakho-ke,

• Thatha umuthi njengoba nje udokotela ekutshela, ngesikhathi esifanele nangomthamo ofanele.
• Qiniseka ukuthi wenza ukuhlolwa kwegazi lakho le-PT/INR ngezinsuku ezihleliwe.
• Yazisa udokotela wakho ngayo yonke eminye imithi, amakhambi, kanye nezinguquko ekudleni nasekuphuzeni okuthathayo.
• Qaphela noma yiziphi izimpawu zokopha. Tshela udokotela wakho, noma ngabe kuncane nje.
• Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo, qiniseka ukuthi utshela udokotela wakho.
• Uma unemibuzo noma ukungabaza, buza udokotela wakho noma usokhemisi. Ungesabi noma ungabi namahloni okubuza.

Ngiyethemba ukuthi lolu lwazi lukusizile ukuthi uqonde kangcono i-Warfarin. Hlala uphilile!

I- Warfarin, ukujiya kwegazi, ukuncipha kwegazi, isifo senhliziyo, isifo sohlangothi, i-PT/INR, i-vitamin K