IWarfarin

Umxholo

• Ngaphambi kokuba uthathe i-warfarin,
• I-Warfarin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

I-Warfarin inokubangela ukopha kakhulu okunokusongela ubomi kwaye kubangele nokufa. Tshela ugqirha wakho ukuba ukhe wanengxaki yegazi okanye yokopha; iingxaki zokopha, ngakumbi esiswini sakho okanye umqala wakho (ityhubhu esuka emqaleni iye esiswini), amathumbu, umchamo okanye isinyi, okanye imiphunga; igazi elonyukayo; ukuhlaselwa yintliziyo; i-angina (iintlungu zesifuba okanye uxinzelelo); isifo sentliziyo; i-pericarditis (ukudumba kwelining (sac) ejikeleze intliziyo); i-endocarditis (usulelo lwentliziyo enye okanye ngaphezulu); ukubetha okanye ukubetha; i-aneurysm (ukwenza buthathaka okanye ukukrazula umthambo okanye umthambo); i-anemia (inani eliphantsi leeseli ezibomvu egazini); umhlaza; urhudo olungapheliyo; okanye izintso, okanye isifo sesibindi. Xelela ugqirha wakho ukuba uwa rhoqo okanye wenzakele kakhulu okanye uqhaqho. Ukopha kunokwenzeka ngakumbi ngexesha lonyango lwe-warfarin kubantu abangaphezulu kweminyaka engama-65 ubudala, kwaye kunokwenzeka kakhulu kwinyanga yokuqala yonyango lwe-warfarin. Ukopha kunokwenzeka ukuba kwenzeke kubantu abathatha idosi ephezulu ye-warfarin, okanye bathathe eli yeza ixesha elide. Umngcipheko wokopha ngelixa uthatha i-warfarin uphezulu kakhulu kubantu abathatha inxaxheba kwimidlalo okanye kwimidlalo enokubangela ukonzakala okukhulu. Tshela ugqirha wakho kunye nosokhemesti ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza kagqirha okanye angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yezityalo okanye yezityalo (Jonga UKHUSELEKILEYO), njengoko ezinye zeemveliso zinokwandisa umngcipheko wokopha ngelixa uthatha iwarfarin. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: iintlungu, ukudumba, okanye ukungonwabi, ukopha kunqumka okungayeki kwixesha eliqhelekileyo, ukuphuma kweempumlo okanye ukopha kwiintsini zakho, ukukhohlela okanye ukugabha igazi okanye izinto ejongeka ngathi yindawo yekofu, ukopha okungaqhelekanga okanye ukugruzuka, ukwanda kokuya exesheni okanye ukopha kwilungu lobufazi, ipinki, bomvu, okanye umchamo omdaka mnyama, obomvu okanye ukulinda ukuhamba kwamathumbu amnyama, intloko ebuhlungu, isiyezi, okanye ubuthathaka.

Abanye abantu banokuphendula ngokwahlukileyo kwi-warfarin esekwe kwilifa labo okanye ukwakheka kwemfuza. Ugqirha wakho unokuyalela uvavanyo lwegazi ukukunceda ufumane idosi ye-warfarin ekulungeleyo.

I-Warfarin ithintela igazi ekunqandeni ngenxa yoko kungathatha ixesha elide kunesiqhelo ukuba uyeke ukopha xa usikiwe okanye wonzakele. Gwema imisebenzi okanye imidlalo enobungozi obukhulu bokubangela ukulimala. Fowunela ugqirha wakho ukuba ukopha akuqhelekanga okanye ukuba uyawa wenzakele, ngakumbi xa ubetha entloko.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya ku-odola uvavanyo lwegazi (i-PT [iprothrombin test] exelwe njenge-INR [ixabiso eliqhelekileyo lomgangatho] ixabiso) rhoqo ukujonga impendulo yomzimba wakho kwi-warfarin.

Ukuba ugqirha ukuxelela ukuba uyeke ukuthatha i-warfarin, iziphumo zeliyeza zinokuhlala iintsuku ezi-2 ukuya kwezi-5 emva kokuyeka ukuzithatha.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-warfarin kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Thetha nogqirha wakho malunga nomngcipheko (s) wokuthatha i-warfarin.

I-Warfarin isetyenziselwa ukuthintela amahlwili egazi ekubeni enze okanye akhule abe makhulu kwigazi lakho nakwimithambo yegazi. Imiselwe abantu abaneentlobo ezithile zokubetha kwentliziyo ngokungaqhelekanga, abantu abane-valve yokufakelwa (ukutshintshwa okanye oomatshini), kunye nabantu abaye bahlaselwa sisifo sentliziyo. I-Warfarin ikwasetyenziselwa ukunyanga okanye ukuthintela i-venous thrombosis (ukudumba kunye ne-clot yegazi emthanjeni) kunye ne-pulmonary embolism (i-clot yegazi emphungeni). I-Warfarin ikudidi lwamayeza abizwa ngokuba zii-anticoagulants ('izicoci zegazi'). Isebenza ngokunciphisa ukubanakho kwegazi.

IWarfarin iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye ngemini kunye okanye ngaphandle kokutya. Thatha i-warfarin malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-warfarin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho. Biza ugqirha wakho ngokukhawuleza ukuba uthatha ngaphezulu kwedosi emiselweyo ye-warfarin.

Ugqirha wakho uya kukuqala ngethamo eliphantsi le-warfarin kwaye ngokuthe ngcembe andise okanye anciphise idosi yakho esekwe kwiziphumo zovavanyo lwegazi. Qinisekisa ukuba uyayiqonda nayiphi na imiyalelo emitsha yethamo kugqirha wakho.

Qhubeka uthathe i-warfarin nokuba uziva uphilile. Sukuyeka ukuthatha i-warfarin ngaphandle kokuthetha nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-warfarin,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-warfarin, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-warfarin. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• musa ukuthatha amayeza amabini okanye nangaphezulu aqukethe i-warfarin ngaxeshanye. Qiniseka ukuba ujonga ugqirha okanye usokhemesti ukuba awuqinisekanga ukuba amayeza aqulathe i-warfarin okanye i-warfarin sodium.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha, ngakumbi i-acyclovir (iZovirax); i-allopurinol (iZyloprim); alprazolam (Xanax); I-antibiotics efana ne-ciprofloxacin (Cipro), i-clarithromycin (i-Biaxin, kwi-Prevpac), i-erythromycin (i-EES, i-Eryc, i-Ery-Tab), i-nafcillin, i-norfloxacin (i-Noroxin), i-sulfinpyrazone, i-telithromycin (i-Ketek) kunye ne-tigecycline ii-anticoagulants ezinje ngeargatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, kunye lepirudin (Refludan); izinto zokubulala ezifana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); amayeza antiplatelet anje nge cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, e Aggrenox), prasugrel (Effient), kunye ticlopidine (Ticlid); Aprepitant (Hlomela); I-aspirin okanye iimveliso eziqukethe i-aspirin kunye nezinye iziyobisi ezichasayo ezinjenge-celecoxib (Celebrex), diclofenac (Flector, Voltaren, eArthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprof , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), kunye nesulindac (Clinoril); bicalutamide; bosentan; amayeza athile antiarrhythmic anje nge-amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, kunye nepropafenone (Rythmol); iindlela ezithile zokuthintela amayeza e-calcium ezinje nge-amlodipine (Norvasc, eAzor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) kunye neverapamil (Calan, Isoptin, Verelan, eTarka); amayeza athile e-asthma afana ne-montelukast (Singulair), zafirlukast (Accolate), kunye ne-zileuton (Zyflo); amayeza athile asetyenziselwa ukunyanga umhlaza njenge-capecitabine (Xeloda), imatinib (Gleevec), kunye ne-nilotinib (Tasigna); amayeza athile e-cholesterol efana ne-atorvastatin (Lipitor, eCaduet) kunye ne-fluvastatin (Lescol); amayeza athile kwiziphazamiso zokwetyisa ezifana ne-cimetidine (Tagamet), i-famotidine (i-Pepcid), kunye ne-ranitidine (i-Zantac); amayeza athile osulelo lwe-immunodeficiency virus (HIV) njenge-amprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Viracept), ritac Norvir), saquinavir (Invirase), kunye netipranavir (Aptivus); amayeza athile e-narcolepsy njenge-armodafinil (i-Nuvigil) kunye ne-modafinil (i-Provigil); amayeza athile okuxhuzula okufana ne-carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), kunye ne-rufinamide (Banzel); amayeza athile anyanga isifo sephepha njenge-isoniazid (eRifamate, Rifater) kunye ne-rifampin (Rifadin, eRifamate, Rifater); i-serotonin reuptake inhibitors (i-SSRIs) okanye i-serotonin ekhethiweyo kunye ne-norepinephrine reuptake inhibitors (SNRIs) ezinje nge-citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, i-fluvoxamine (Luvox), milnacipran (Savella), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor) corticosteroids ezinje nge-prednisone; i-cyclosporine (iNeoral, iSandimmune); disulfiram (Antabuse); methoxsalen (iOxsoralen, iUvadex); iMetronidazole (Flagyl); nefazodone (Serzone), izinto zokucwangcisa ngomlomo (iipilisi zolawulo lokuzalwa); oxandrolone (Oxandrin); ipioglitazone (Actos, kwiActoplus Met, Duetact, Oseni); propranolol (Inderal) okanye i-vilazodone (Viibryd). Uninzi lwamanye amayeza anokusebenzisana ne-warfarin, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Sukuthatha amayeza amatsha okanye uyeke ukuthatha naliphi na iyeza ngaphandle kokuthetha nogqirha wakho.
• xelela ugqirha wakho kunye nosokhemesti ukuba zeziphi iimveliso zemithi okanye zezityalo ozithathayo, ngakumbi i-coenzyme Q10 (Ubidecarenone), Echinacea, igalikhi, iGinkgo biloba, iginseng, igoldenseal, kunye neSt. Zininzi ezinye iimveliso zemifuno okanye zezityalo ezinokuchaphazela impendulo yomzimba wakho kwi-warfarin. Ungaqali okanye uyeke ukuthatha naziphi na iimveliso zemveliso ngaphandle kokuthetha nogqirha wakho.
• xelela ugqirha wakho ukuba ukhe unesifo seswekile. Xelela ugqirha wakho ukuba unentsholongwane, isifo esiswini esifana nesifo sohudo, okanye i-sprue (impendulo engahambelaniyo neprotheni efumaneka kwiinkozo ezibangela isifo sohudo), okanye i-catheter yokuhlala (ityhubhu yeplastiki eguquguqukayo ebekwe kwisinye ukuvumela umchamo ukukhupha amanzi).
• Tshela ugqirha wakho ukuba ukhulelwe, cinga ukuba unokukhulelwa, okanye ucwangcise ukukhulelwa ngelixa uthatha i-warfarin. Abafazi abakhulelweyo akufuneki bathathe i-warfarin ngaphandle kokuba bane-valve yentliziyo yomatshini. Thetha nogqirha wakho malunga nokusetyenziswa kolawulo lokuzalwa olusebenzayo ngelixa uthatha i-warfarin. Ukuba ukhulelwa ngelixa uthatha i-warfarin, biza ugqirha ngokukhawuleza. IWarfarin inokulimaza umbungu.
• xelela ugqirha wakho ukuba uncelisa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, okanye naluphi na uhlobo lonyango okanye inkqubo yamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-warfarin. Ugqirha wakho unokukuxelela ukuba uyeke ukuthatha i-warfarin ngaphambi kotyando okanye inkqubo okanye utshintshe idosi yakho yewarfarin ngaphambi kotyando okanye inkqubo. Landela umkhombandlela kagqirha wakho ngononophelo kwaye ugcine konke ukuqeshwa kunye nelabhoratri ukuba ugqirha wakho uyalela uvavanyo lwegazi ukuze ufumane elona dose lifanelekileyo le-warfarin.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-warfarin.
• xelela ugqirha wakho ukuba usebenzisa iimveliso zecuba. Ukutshaya icuba kunokunciphisa ukusebenza kweli yeza.

Yitya ukutya okuqhelekileyo, okusempilweni. Okunye ukutya kunye nokusela, ngakumbi ezo ziqukethe i-vitamin K, inokuchaphazela indlela i-warfarin isebenza ngayo. Buza ugqirha wakho okanye usokhemesti uluhlu lokutya okuqulathe ivithamin K. Yitya ukutya okuneevithamini K ezinokutya okuqulethe iveki neveki. Sukutya izixa ezikhulu zamagqabi, imifuno eluhlaza okanye ioyile ethile yemifuno enesixa esikhulu sevithamini K. Qiniseka ukuba uthethe nogqirha wakho ngaphambi kokuba wenze utshintsho kwindlela otya ngayo. Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yamagilebhisi ngelixa uthatha eli yeza.

Thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule, ukuba ikwayimini enye owawuza kuthatha ngayo idosi. Musa ukuthatha idosi ephindwe kabini ngosuku olulandelayo ukuze wenze enye ephosiweyo. Fowunela ugqirha wakho ukuba uphosa idosi yewarfarin.

I-Warfarin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• irhasi
• intlungu zesisu
• ukudumba
• utshintsho kwindlela izinto ezingcamla ngayo
• ukulahleka kweenwele
• uziva ubanda okanye unengqele

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:

• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo
• ukudinwa
• iintlungu esifubeni okanye uxinzelelo
• ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
• ifiva
• usulelo
• isicaphucaphu
• ukugabha
• urhudo
• ukudinwa kakhulu
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane

Kuya kufuneka uyazi ukuba i-warfarin inokubangela i-necrosis okanye i-gangrene (ukusweleka kolusu okanye ezinye izicwili zomzimba). Biza ugqirha wakho kwangoko ukuba ubona umbala o-purplish okanye umnyama kulusu lwakho, utshintsho lolusu, izilonda, okanye ingxaki engaqhelekanga nakweyiphi na indawo yesikhumba sakho okanye umzimba, okanye ukuba unentlungu ebukhali eyenzeka ngesiquphe, okanye umbala okanye utshintsho lobushushu nakweyiphi na indawo yomzimba wakho. Biza ugqirha wakho ngokukhawuleza ukuba iinzwane zakho ziba buhlungu okanye zibe mfusa okanye zimnyama ngombala. Unokufuna ukhathalelo lwezonyango kwangoko ukuthintela ukunqunyulwa (ukususwa) kwelungu lomzimba elichaphazelekayo.

I-Warfarin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obugqithisileyo, ukufuma (hayi kwigumbi lokuhlambela), kunye nokukhanya.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• igazi okanye obomvu, okanye ukulinda ukuhamba kwamathumbu
• Ukutshica okanye ukukhohlela igazi
• ukopha kakhulu xa usiya exesheni
• umchamo opinki, obomvu, okanye omnyama
• ukukhohlela okanye ukugabha okubonakala ngathi yindawo yekofu
• amancinci, tyaba, angqukuva abomvu angqukuva phantsi kolusu
• ukugruzuka okanye ukopha okungaqhelekanga
• uqhubeke ukopha okanye ukopha kwizicucu ezincinci

Phatha ikhadi lokuzazisa okanye unxibe isongo esichaza ukuba uthatha i-warfarin. Buza usokhemesti okanye ugqirha wakho ukuba ulifumana njani eli khadi okanye isongo. Dwelisa igama lakho, iingxaki zonyango, amayeza kunye needosi, kunye negama likagqirha kunye nenombolo yomnxeba ekhadini.

Xelela bonke ababoneleli bakho bezempilo ukuba uthatha i-warfarin.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Coumadin^®
• Jantoven^®