Warfarin

Zamkati

• Musanatenge warfarin,
• Warfarin ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Ngati mukukumana ndi zina mwazizindikiro izi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Warfarin itha kuyambitsa magazi ambiri omwe angawopsyeze moyo ngakhale kupha. Uzani dokotala wanu ngati mwakhalapo ndi matenda amwazi kapena magazi; kutaya magazi, makamaka m'mimba mwanu kapena m'mero ​​(chubu kuchokera pakhosi mpaka m'mimba), matumbo, thirakiti kapena chikhodzodzo, kapena mapapo; kuthamanga kwa magazi; matenda amtima; angina (kupweteka pachifuwa kapena kupanikizika); matenda a mtima; pericarditis (kutupa kwa akalowa (thumba) mozungulira mtima); endocarditis (matenda a mtima umodzi kapena angapo); sitiroko kapena utumiki; aneurysm (kufooketsa kapena kung'amba mtsempha kapena mtsempha); kuchepa magazi (magazi ochepa ofiira m'magazi); khansa; matenda otsegula m'mimba; kapena impso, kapena matenda a chiwindi. Komanso uzani dokotala wanu ngati mumagwa pafupipafupi kapena mwakhala mukuvulala kapena kuchitidwa opaleshoni yaposachedwa. Kuthira magazi kumachitika nthawi yachithandizo cha warfarin kwa anthu azaka zopitilira 65, ndipo kumachitikanso mwezi woyamba wamankhwala a warfarin. Magazi amakhalanso ovuta kwa anthu omwe amamwa kwambiri warfarin, kapena amamwa mankhwalawa kwa nthawi yayitali. Chiwopsezo chokhala ndi magazi mukamamwa warfarin ndichonso chachikulu kwa anthu omwe akuchita nawo masewera kapena masewera omwe angawonongeke kwambiri. Uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena mukukonzekera kumwa mankhwala aliwonse kapena osalembedwa, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba (Onani ZOCHITIKA ZOCHITIKA), monga zina mwazinthuzi zitha kuwonjezera ngozi yakutaya magazi mukamamwa warfarin. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: kupweteka, kutupa, kapena kusapeza bwino, kutuluka magazi kuchokera pakadulidwe komwe sikasiya nthawi yayitali, kutuluka magazi m'mphuno kapena kutuluka magazi m'kamwa mwanu, kutsokomola kapena kusanza magazi kapena zinthu zomwe zimawoneka ngati malo a khofi, kutuluka mwachilendo kapena kuphwanya, kuchulukitsa msambo kapena kutuluka magazi kumaliseche, pinki, wofiira, kapena mkodzo wakuda, wakuda kapena wofiyira matumbo akuda, mutu, chizungulire, kapena kufooka.

Anthu ena amatha kuyankha mosiyana ndi warfarin kutengera kutengera kwawo kapena kapangidwe kawo. Dokotala wanu akhoza kuyitanitsa kuyesa magazi kuti akuthandizeni kupeza mankhwala a warfarin omwe ndi abwino kwa inu.

Warfarin imalepheretsa magazi kuti asagundane kotero zimatha kutenga nthawi yayitali kuposa masiku onse kuti musiye magazi mukadulidwa kapena kuvulala. Pewani zochitika kapena masewera omwe ali ndi chiopsezo chachikulu chovulaza. Itanani dokotala wanu ngati kutuluka magazi ndikwachilendo kapena ngati mudzagwa ndikupwetekedwa, makamaka mukamenya mutu.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu azilamula kuti mukayezetse magazi (PT [prothrombin test] onenedwa kuti ndi INR [mtengo wadziko lonse]) kuti muwone momwe thupi lanu likuyankhira ku warfarin.

Ngati dokotala akukuuzani kuti musiye kumwa warfarin, zotsatira za mankhwalawa zimatha masiku awiri kapena asanu mutasiya kumwa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi warfarin ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za chiopsezo chotenga warfarin.

Warfarin imagwiritsidwa ntchito kuteteza magazi kuundana kuti asapangike kapena kukula m'mitsempha mwanu. Amalangizidwa kwa anthu omwe ali ndi mitundu ina ya kugunda kwamtima mosasinthasintha, anthu omwe ali ndi ma prosthetic (m'malo kapena makina) amagetsi amtima, komanso anthu omwe adwala matenda amtima. Warfarin imagwiritsidwanso ntchito pochiza kapena kupewa venous thrombosis (kutupa ndi magazi m'mitsempha) ndi pulmonary embolism (magazi a m'mapapu). Warfarin ali mgulu la mankhwala otchedwa anticoagulants ('magazi opopera magazi'). Zimagwira ntchito pochepetsa kutseka kwa magazi.

Warfarin imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Tengani warfarin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani warfarin chimodzimodzi monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala. Itanani dokotala wanu nthawi yomweyo ngati mutenga zochuluka kuposa kuchuluka kwanu kwa warfarin.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa wa warfarin ndikuwonjezera pang'onopang'ono kapena kuchepa mlingo wanu kutengera zotsatira za kuyesa kwanu magazi. Onetsetsani kuti mwamvetsetsa malangizo aliwonse atsopano ochokera kwa dokotala wanu.

Pitirizani kumwa warfarin ngakhale mukumva bwino. Osasiya kumwa warfarin osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge warfarin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la warfarin, mankhwala ena aliwonse, kapena zina mwazomwe zimaphatikizidwa m'mapiritsi a warfarin. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• musamwe mankhwala awiri kapena kupitilira apo omwe amakhala ndi warfarin nthawi imodzi. Onetsetsani kuti mwayankhulana ndi dokotala kapena wamankhwala ngati simukudziwa ngati mankhwala ali ndi warfarin kapena sodium warfarin.
• auzeni adotolo komanso asayansi yanu zakumwa zomwe mumamwa kapena zomwe mukufuna kumwa, makamaka acyclovir (Zovirax); allopurinol (Zyloprim); alprazolam (Xanax); maantibayotiki monga ciprofloxacin (Cipro), clarithromycin (Biaxin, ku Prevpac), erythromycin (EES, Eryc, Ery-Tab), nafcillin, norfloxacin (Noroxin), sulfinpyrazone, telithromycin (Ketek), ndi tigecyilline (Tygaccline (Tygaccline) Maanticoagulants monga argatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, ndi lepirudin (Refludan); ma antifungal monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); mankhwala antiplatelet monga cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, mu Aggrenox), prasugrel (Effient), ndi ticlopidine (Ticlid); Aprepitant (Emend); ma aspirin kapena mankhwala a aspirin ndi mankhwala ena osagwiritsa ntchito zotupa monga celecoxib (Celebrex), diclofenac (Flector, Voltaren, ku Arthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprof , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), ndi sulindac (Clinoril); bicalutamide; bosentan; mankhwala ena opatsirana mwamphamvu monga amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, ndi propafenone (Rythmol); njira zina zotsekera calcium monga amlodipine (Norvasc, ku Azor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) ndi verapamil (Calan, Isoptin, Verelan, ku Tarka); mankhwala ena a mphumu monga montelukast (Singulair), zafirlukast (Accolate), ndi zileuton (Zyflo); mankhwala ena omwe amachiza khansa monga capecitabine (Xeloda), imatinib (Gleevec), ndi nilotinib (Tasigna); mankhwala ena a cholesterol monga atorvastatin (Lipitor, ku Caduet) ndi fluvastatin (Lescol); mankhwala ena azovuta zam'mimba monga cimetidine (Tagamet), famotidine (Pepcid), ndi ranitidine (Zantac); mankhwala ena opatsirana pogonana monga amprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Viracept), ritac Norvir), saquinavir (Invirase), ndi tipranavir (Aptivus); mankhwala ena a narcolepsy monga armodafinil (Nuvigil) ndi modafinil (Provigil); mankhwala ena ogwidwa monga carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), ndi rufinamide (Banzel); mankhwala ena ochizira TB monga isoniazid (mu Rifamate, Rifater) ndi rifampin (Rifadin, ku Rifamate, Rifater); serotonin reuptake inhibitors (SSRIs) kapena serotonin ndi norepinephrine reuptake inhibitors (SNRIs) monga citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, fluvoxamine (Luvox), milnacipran (Savella), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor) corticosteroids monga prednisone; cyclosporine (Neoral, Sandimmune); disulfiram (Antabuse); methoxsalen (Oxsoralen, Uvadex); metronidazole (Flagyl); nefazodone (Serzone), njira zolera zam'kamwa (mapiritsi oletsa kubereka); oxandrolone (Oxandrin); pioglitazone (Actos, mu Actoplus Met, Duetact, Oseni); propranolol (Inderal) kapena vilazodone (Viibryd). Mankhwala ena ambiri amathanso kulumikizana ndi warfarin, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Musatenge mankhwala atsopano kapena kusiya kumwa mankhwala osalankhula ndi dokotala.
• Uzani dokotala ndi wazamankhwala mankhwala omwe mumamwa, makamaka coenzyme Q10 (Ubidecarenone), Echinacea, adyo, Ginkgo biloba, ginseng, goldenseal, ndi wort St. Pali mankhwala ena azitsamba kapena azitsamba omwe angakhudze momwe thupi lanu limayankhira ku warfarin. Osayamba kapena kusiya kumwa mankhwala azitsamba osalankhula ndi dokotala.
• Uzani dokotala ngati mwadwalapo kapena munakhalapo ndi matenda ashuga. Muuzeni adotolo ngati muli ndi matenda, matenda am'mimba monga kutsekula m'mimba, kapena sprue (zomwe sizigwirizana ndi mapuloteni omwe amapezeka m'matumbo omwe amayambitsa matenda otsekula m'mimba), kapena catheter yokhalamo (chubu chosungunuka cha pulasitiki chomwe chimayikidwa mchikhodzodzo kuti chilole mkodzo kutulutsa).
• Uzani dokotala wanu ngati muli ndi pakati, ganizirani kuti mungakhale ndi pakati, kapena konzekerani kutenga pakati mukatenga warfarin. Amayi oyembekezera sayenera kumwa warfarin pokhapokha atakhala ndi valavu yamtima. Lankhulani ndi dokotala wanu za momwe mungagwiritsire ntchito njira zolerera mukamamwa warfarin. Mukakhala ndi pakati mukatenga warfarin, itanani dokotala wanu mwachangu. Warfarin ikhoza kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, kapena mtundu uliwonse wamankhwala kapena mano, uzani dokotala kapena dokotala kuti mukumwa warfarin. Dokotala wanu angakuuzeni kuti musiye kumwa warfarin musanachite opaleshoni kapena njira kapena musinthe mulingo wa warfarin musanachite opareshoni kapena njira. Tsatirani malangizo a dokotala mosamala ndikusunga nthawi zonse ndi labotale ngati dokotala akukulangizani kuti mupimitse magazi kuti mupeze mulingo woyenera wa warfarin.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa warfarin.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.

Idyani chakudya choyenera, chopatsa thanzi. Zakudya ndi zakumwa zina, makamaka zomwe zili ndi vitamini K, zimatha kukhudza momwe warfarin imagwirira ntchito kwa inu. Funsani dokotala wanu kapena wamankhwala mndandanda wa zakudya zomwe zili ndi vitamini K. Idyani chakudya chokwanira cha vitamini K chomwe chili ndi sabata limodzi. Osadya masamba ambiri obiriwira, masamba obiriwira kapena mafuta ena azamasamba omwe ali ndi vitamini K. Onetsetsani kuti mwalankhula ndi adotolo musanasinthe pazakudya zanu. Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira, ngati ndi tsiku lomwelo lomwe mudamwa. Musamamwe kawiri kawiri tsiku lotsatira kuti mupange yemwe mwaphonya. Itanani dokotala wanu ngati mwaphonya mlingo wa warfarin.

Warfarin ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mpweya
• kupweteka m'mimba
• kuphulika
• sintha momwe zinthu zimamvekera
• kusowa tsitsi
• kumva kuzizira kapena kumva kuzizira

Ngati mukukumana ndi zina mwazizindikiro izi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• ukali
• kupweteka pachifuwa kapena kupanikizika
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• malungo
• matenda
• nseru
• kusanza
• kutsegula m'mimba
• kutopa kwambiri
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• chikasu cha khungu kapena maso
• zizindikiro ngati chimfine

Muyenera kudziwa kuti warfarin imatha kuyambitsa necrosis kapena chilonda (kufa kwa khungu kapena ziwalo zina za thupi). Itanani dokotala wanu nthawi yomweyo mukawona khungu loyera kapena lakuda pakhungu lanu, kusintha kwa khungu, zilonda zam'mimba, kapena vuto losazolowereka mdera lililonse la khungu lanu kapena thupi lanu, kapena ngati muli ndi ululu waukulu womwe umachitika mwadzidzidzi, kapena kusintha kwa utoto kapena kutentha m'dera lililonse la thupi lanu. Itanani dokotala wanu nthawi yomweyo ngati zala zanu zikupweteka kapena kukhala zofiirira kapena zakuda. Mungafunike chithandizo chamankhwala nthawi yomweyo kuti mupewe kudulidwa (kuchotsa) gawo lamthupi lanu lomwe lakhudzidwa.

Warfarin ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kutentha kwambiri, chinyezi (osati kubafa), ndi kuwala.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• wamagazi kapena ofiira, kapena kuyenda matumbo
• kulavulira kapena kutsokomola magazi
• Kutaya magazi kwambiri ndi msambo
• pinki, wofiira, kapena mkodzo wakuda
• kutsokomola kapena kusanza komwe kumawoneka ngati malo a khofi
• ang'onoang'ono, osalala, ozungulira ofiira pansi pa khungu
• kuvulaza kapena kutuluka mwachilendo
• kupitiriza kutuluka kapena kutuluka magazi chifukwa chodulidwa pang'ono

Tengani khadi lokuzindikiritsani kapena valani chibangili chonena kuti mumatenga warfarin. Funsani wamankhwala kapena dokotala wanu momwe angalandire khadi iyi kapena chibangili. Lembani dzina lanu, mavuto azachipatala, mankhwala ndi mlingo, ndi dzina la adotolo ndi nambala yanu ya foni pa khadi.

Uzani onse omwe amakupatsani zaumoyo kuti mumamwa warfarin.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Coumadin^®
• Jantoven^®