Kutenga warfarin (Coumadin)

Warfarin ndi mankhwala omwe amachititsa kuti magazi anu asapangike. Ndikofunikira kuti mutenge warfarin ndendende momwe adauzidwira. Kusintha momwe mumamwa warfarin yanu, kumwa mankhwala ena, ndi kudya zakudya zina zonse zimatha kusintha momwe warfarin imagwirira ntchito m'thupi lanu. Izi zikachitika, mutha kukhala ndi vuto lopanga magazi kapena mumakhala ndi vuto lakutaya magazi.

Warfarin ndi mankhwala omwe amachititsa kuti magazi anu asapangike. Izi zitha kukhala zofunikira ngati:

• Mudakhala kale ndi magazi m'mapazi mwendo, mkono, mtima, kapena ubongo.
• Wothandizira zaumoyo wanu ali ndi nkhawa kuti magazi amatha kukhala mthupi lanu. Anthu omwe ali ndi valavu yatsopano yamtima, mtima waukulu, mtima wamtima womwe si wabwinobwino, kapena mavuto ena amtima angafunike kutenga warfarin.

Mukamamwa warfarin, mumatha kutuluka magazi, ngakhale pazomwe mwakhala mukuchita kale.

Kusintha momwe mumamwa warfarin yanu, kumwa mankhwala ena, ndi kudya zakudya zina zonse zimatha kusintha momwe warfarin imagwirira ntchito m'thupi lanu. Izi zikachitika, mutha kukhala ndi vuto lopanga magazi kapena mumakhala ndi vuto lakutaya magazi.

Ndikofunikira kuti mutenge warfarin ndendende momwe adauzidwira.

• Tengani mlingo womwe woperekayo wakupatsani. Ngati mwaphonya mlingo, itanani omwe akukuthandizani kuti akupatseni malangizo.
• Ngati mapiritsi anu akuwoneka osiyana ndi omwe mumalandira, itanani omwe akukupatsani kapena wamankhwala nthawi yomweyo. Mapiritsiwa ndi mitundu yosiyanasiyana, kutengera mtundu wa mankhwalawo. Mlingowu umadziwikanso pamapiritsi.

Wopereka wanu amayesa magazi anu pafupipafupi. Izi zimatchedwa kuyesa kwa INR kapena kuyesa PT nthawi zina. Kuyesaku kumathandizira kuti muwonetsetse kuti mukugwiritsa ntchito warfarin yokwanira kuti muthandizire thupi lanu.

Mowa ndi mankhwala ena amatha kusintha momwe warfarin imagwirira ntchito mthupi lanu.

• Musamamwe mowa mukamamwa warfarin.
• Lankhulani ndi omwe amakupatsani musanatenge mankhwala ena alionse owonjezera, mavitamini, zowonjezera, mankhwala ozizira, maantibayotiki, kapena mankhwala ena.

Uzani onse omwe amakupatsani kuti mukutenga warfarin. Izi zikuphatikizapo madokotala, manesi, ndi dokotala wanu wamazinyo. Nthawi zina, mungafunike kuyimitsa kapena kumwa zochepa za warfarin musanayeseze. Nthawi zonse lankhulani ndi omwe amakupatsani warfarin musanayime kapena kusintha mlingo wanu.

Funsani za kuvala chibangili chachitsulo kapena mkanda chomwe chimati mukumwa warfarin. Izi zipangitsa kuti omwe amakusamalirani pakagwa mwadzidzidzi adziwe kuti mukumwa mankhwalawa.

Zakudya zina zimatha kusintha momwe warfarin imagwirira ntchito m'thupi lanu. Onetsetsani kuti mwafunsana ndi omwe akukupatsani musanasinthe kwambiri pazakudya zanu.

Simuyenera kupewa zakudya izi, koma yesani kudya kapena kumwa pang'ono chabe. Pang'ono ndi pang'ono, MUSASinthe zakudya zambiri ndi zinthu zomwe mumadya tsiku ndi tsiku kapena sabata ndi sabata:

• Mayonesi ndi mafuta ena, monga mafuta a canola, azitona, ndi soya
• Broccoli, ziphuphu za Brussels, ndi kabichi wobiriwira wobiriwira
• Endive, letesi, sipinachi, parsley, watercress, adyo, ndi ma scallion (anyezi wobiriwira)
• Kale, masamba obiriwira, masamba a mpiru, ndi masamba a turnip
• Madzi a kiranberi ndi tiyi wobiriwira
• Mafuta a nsomba, zitsamba zomwe zimagwiritsidwa ntchito mu tiyi wazitsamba

Chifukwa kukhala pa warfarin kumatha kukupangitsani magazi kuposa nthawi zonse:

• Muyenera kupewa zinthu zomwe zitha kuvulaza kapena kutsegula chilonda, monga masewera olumikizirana.
• Gwiritsani ntchito mswachi wofewa, phula mano, ndi lumo lamagetsi. Samalani kwambiri pozungulira zinthu zakuthwa.

Pewani kugwa mnyumba mwanu powunikira bwino ndikuchotsa ma rugs ndi zingwe zamagetsi panjira. MUSAFIKE kapena kukwera zinthu kukhitchini. Ikani zinthu momwe mungafikire kwa iwo mosavuta. Pewani kuyenda pa ayezi, pansi ponyowa, kapena malo ena oterera kapena osazolowereka.

Onetsetsani kuti mukuyang'ana zizindikiro zosazolowereka zakutuluka magazi kapena mabala pa thupi lanu.

• Fufuzani kutuluka magazi m'kamwa, magazi mumkodzo wanu, chopondapo chamagazi kapena chamdima, zotuluka m'mphuno, kapena magazi akusanza.
• Amayi amayenera kuwonetsetsa kuti akutuluka magazi nthawi yayitali kapena pakati.
• Mikwingwirima yakuda kapena yakuda imatha kuwoneka. Izi zikachitika, itanani dokotala wanu nthawi yomweyo.

Itanani omwe akukuthandizani ngati muli ndi:

• Kugwa kwakukulu, kapena ngati mugunda mutu wanu
• Ululu, kusapeza bwino, kutupa pa jakisoni kapena tsamba lovulala
• Mabala ambiri pakhungu lanu
• Kutaya magazi kwambiri (monga magazi a m'mphuno kapena magazi m'kamwa)
• Mkodzo wamagazi kapena wakuda wakuda kapena chopondapo
• Mutu, chizungulire, kapena kufooka
• Malungo kapena matenda ena, kuphatikizapo kusanza, kutsegula m'mimba, kapena matenda
• Mumakhala ndi pakati kapena mukukonzekera kutenga pakati

Kusamalira anticoagulant; Kusamalira magazi

Jaffer IH, Weitz JI. Mankhwala oletsa anticoagulant. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chaputala 39.

Kager L, Evans WE. Pharmacogenomics ndi matenda a hematologic. Mu: Hoffman R, Benz EJ, Silberstein LE, Heslop HE, Weitz JI, Anastasi J, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2018: mutu 8.

Schulman S, Hirsh J. Thandizo la Antithrombotic. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 38.

• Opaleshoni ya aortic valve - yowonongeka pang'ono
• Opaleshoni ya aortic valve - yotseguka
• Kuundana kwamagazi
• Matenda a mitsempha ya Carotid
• Mitsempha yakuya
• Matenda amtima
• Kuchita opaleshoni yamagetsi a Mitral - kovuta kwambiri
• Opral valve valve - yotseguka
• Kuphatikiza kwamapapo
• Kuukira kwakanthawi kochepa

• Matenda a atrial - kutulutsa
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Matenda a mtima - kutulutsa
• Kulephera kwa mtima - kutulutsa
• Opaleshoni ya valve yamtima - kutulutsa
• M'chiuno m'malo - kumaliseche
• Bondo olowa m'malo - kumaliseche
• Kutenga warfarin (Coumadin, Jantoven) - zomwe mungafunse dokotala wanu

• Operewera Magazi