Ukuthatha warfarin (Coumadin)

IWarfarin liyeza elenza ukuba igazi lakho lingabikho amathuba okwenza amahlwili. Kubalulekile ukuba uthathe i-warfarin ngokuchanekileyo njengoko uxelelwe. Ukutshintsha indlela oyithatha ngayo i-warfarin yakho, ukuthatha amanye amayeza, kunye nokutya ukutya okuthile konke kunokutshintsha indlela esebenza ngayo i-warfarin emzimbeni wakho. Ukuba oku kuyenzeka, unokuba nakho ukwenza i-clot okanye uneengxaki zokopha.

IWarfarin liyeza elenza ukuba igazi lakho lingabikho amathuba okwenza amahlwili. Oku kunokuba kubalulekile ukuba:

• Sele unamahlwili egazini emlenzeni, engalweni, entliziyweni, okanye kwingqondo.
• Umboneleli wakho wezempilo ukhathazekile ukuba iqhekeza legazi lingenzeka emzimbeni wakho. Abantu abanevalvu yentliziyo entsha, intliziyo enkulu, isingqi sentliziyo esingaqhelekanga, okanye ezinye iingxaki zentliziyo banokufuna ukuthatha i-warfarin.

Xa uthatha i-warfarin, kunokwenzeka ukuba wophe, kwanakwimisebenzi obuqhele ukuyenza.

Ukutshintsha indlela oyithatha ngayo i-warfarin yakho, ukuthatha amanye amayeza, kunye nokutya ukutya okuthile konke kunokutshintsha indlela esebenza ngayo i-warfarin emzimbeni wakho. Ukuba oku kuyenzeka, unokuba nakho ukwenza i-clot okanye uneengxaki zokopha.

Kubalulekile ukuba uthathe i-warfarin ngokuchanekileyo njengoko uxelelwe.

• Thatha kuphela idosi obonelelwe ngumboneleli wakho. Ukuba uphosa idosi, tsalela umnikezeli wakho ngengcebiso.
• Ukuba iipilisi zakho zijongeka zahlukile kumyalelo wakho wokugqibela, tsalela umnikezeli wakho okanye usokhemesti kwangoko. Amacwecwe anemibala eyahlukeneyo, kuxhomekeke kwidosi. Umthamo uphawulwe nakwipilisi.

Umboneleli wakho uya kuvavanya igazi lakho kutyelelo rhoqo. Oku kubizwa ngokuba luvavanyo lwe-INR okanye ngamanye amaxesha uvavanyo lwe-PT. Uvavanyo luyanceda ukuqinisekisa ukuba uthatha inani elifanelekileyo le-warfarin ukunceda umzimba wakho.

Utywala kunye namanye amayeza anokutshintsha indlela esebenza ngayo i-warfarin emzimbeni wakho.

• Musa ukusela utywala ngelixa uthatha i-warfarin.
• Thetha nomboneleli wakho ngaphambi kokuba uthathe naliphi na iyeza, iivithamini, izongezo, amayeza abandayo, amayeza okubulala iintsholongwane, okanye ezinye iziyobisi.

Xelela bonke ababoneleli bakho ukuba uthatha i-warfarin. Oku kubandakanya oogqirha, abongikazi kunye nogqirha wakho wamazinyo. Ngamanye amaxesha, unokufuna ukuyeka okanye uthathe i-warfarin encinci ngaphambi kokuba ube nenkqubo. Soloko uthetha nomboneleli omisele i-warfarin ngaphambi kokumisa okanye ukutshintsha idosi.

Buza malunga nokunxiba isongo okanye isilumkiso sezonyango esithi uthatha i-warfarin. Oku kuyakuvumela ababoneleli abakukhathaleleyo ngexesha likaxakeka bazi ukuba uthatha eli chiza.

Olunye uhlobo lokutya lunokutshintsha indlela esebenza ngayo i-warfarin emzimbeni wakho. Qiniseka ukuba ujonga nomboneleli wakho ngaphambi kokwenza naluphi na utshintsho olukhulu kwindlela otya ngayo.

Akunyanzelekanga ukuba ukuphephe oku kutya, kodwa zama ukutya okanye ukusela izixa ezincinci zazo. Ubuncinci, SUKUTSHINTSHA okuninzi koku kutya kunye neemveliso ozityayo mihla le okanye ngeveki-ukuya evekini:

• IMayonesi kunye neeoyile, ezinjengeCanola, umnquma, kunye neoyile yeembotyi zesoya
• IBroccoli, ihlumelo laseBrussels, kunye neklabishi eluhlaza eluhlaza
• I-Endive, lettuce, isipinatshi, iparsley, i-watercress, igalikhi, kunye neescallions (itswele eluhlaza)
• Kale, imifuno ye-collard, imifuno yesardard, kunye nemifuno ye-turnip
• Ijusi yeCranberry kunye neti eluhlaza
• Izongezo zeoyile yeentlanzi, imifuno esetyenziswa kwiitayi zamayeza

Kungenxa yokuba ukuba kwi-warfarin kunokukwenza wophe ngaphezulu kunesiqhelo:

• Kuya kufuneka uyiphephe imisebenzi enokubangela ukwenzakala okanye inxeba elivulekileyo, njengemidlalo yokunxibelelana.
• Sebenzisa ibrashi yamazinyo ethambileyo, i-wax yamazinyo kunye nesitshixo sombane. Qaphela ngakumbi izinto ezibukhali.

Thintela ukuwa ekhayeni lakho ngokuba nesibane esilungileyo kunye nokususa iirabha ezivulekileyo kunye neentambo zombane ezindleleni. SUKUFIKELE okanye unyukele phezulu ekhitshini. Beka izinto apho ungafikelela kuzo ngokulula. Kuphephe ukuhamba phezu komkhenkce, imigangatho emanzi, okanye ezinye izinto ezimtyibilizi okanye ezingaqhelekanga.

Qinisekisa ukuba ujonge iimpawu ezingaqhelekanga zokopha okanye ukugruzuka emzimbeni wakho.

• Khangela ukopha kwiintsini, igazi kumchamo wakho, isitulo esinegazi okanye esimnyama, ukuphuma kweempumlo, okanye ukugabha igazi.
• Abasetyhini kufuneka bajonge ukopha okungaphezulu ngexesha labo okanye phakathi kwexesha.
• Imivumbo ebomvu ebomvu okanye emnyama inokuvela. Ukuba oku kuyenzeka, biza ugqirha wakho kwangoko.

Fowunela umnikezeli wakho ukuba unayo:

• Ukuwa okunzulu, okanye ukuba ubetha entloko
• Iintlungu, ukungonwabi, ukudumba kwenaliti okanye indawo yokwenzakala
• Ukutyumka okuninzi kulusu lwakho
• Ukuphuma okuninzi (njengeempumlo zempumlo okanye iintsini ezophayo)
• Umchamo wegazi okanye mnyama omdaka okanye ilindle
• Intloko ebuhlungu, isiyezi, okanye ubuthathaka
• Umkhuhlane okanye esinye isifo, kubandakanya ukugabha, urhudo, okanye usulelo
• Uyakhulelwa okanye ucwangcisa ukukhulelwa

Unonophelo lwe-Anticoagulant; Ukunyamekela kwegazi

UJaffer IH, Weitz JI. Iziyobisi Anticoagulant. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 39.

U-Kager L, uEvans WE. Pharmacogenomics kunye nezifo zehematologic. Ku: Hoffman R, Benz EJ, Silberstein LE, Heslop HE, Weitz JI, Anastasi J, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; I-2018: isahluko 8.

Schulman S, Hirsh J. Unyango lwe-Antithrombotic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 38.

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• I-vein thrombosis enzulu
• Ukuhlaselwa yintliziyo
• Utyando lweMitral valve -yincinci
• Utyando lweMitral valve-luvulekile
• Ukudibanisa iipulmonary
• Uhlaselo lwexeshana lweschemic

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• Utyando lweCarotid-ukukhutshwa
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• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Utyando lwevalvu yentliziyo - ukukhutshwa
• Ukutshintshwa kwe-Hip - ukukhutshwa
• Ukutshintshwa ngokudibeneyo kwedolo - ukukhutshwa
• Ukuthatha i-warfarin (Coumadin, Jantoven) -ukubuza ugqirha wakho

• Ukucoca igazi