Warifarine ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo, n'ibindi

Warifarine ni umuti ucisha amaraso, ufasha kwirinda ibibumbye by'amaraso bishobora guteza akaga mu mubiri wawe. Utekereze nk'uburyo bwo guhagarika buhoro buhoro imikorere isanzwe yo gupfundika kw'amaraso - ntihagarika gupfundika burundu, ahubwo irabugabanya bihagije kugirango ukomeze kugira umutekano ku bibumbye byangiza mugihe umubiri wawe ukomeza gukira neza iyo wagize igikomere cyangwa urugero.

Warifarine ni iki?

Warifarine ni umuti utuma amaraso atagira ubushobozi bwo gupfundika, bivuze ko ugabanya ubushobozi bw'amaraso bwo gupfundika. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa vitamin K antagonists kuko ikora iby'ibanze byo kubuza vitamin K, intungamubiri umubiri wawe ukeneye kugirango ukore ibintu bituma amaraso apfundika.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo bwizewe mu gufasha abantu babarirwa muri za miriyoni kwirinda ingaruka zikomeye ziterwa n'ibibumbye by'amaraso. Muganga wawe yandika warifarine iyo inyungu zo kwirinda ibibumbye zirenga akaga gato ko kuva amaraso gashobora guterwa no gufata umuti uwo ariwo wose ucisha amaraso.

Warifarine ikoreshwa mu iki?

Warifarine ifasha kwirinda no kuvura ibibumbye by'amaraso bishobora guteza ibibazo bikomeye by'ubuzima. Muganga wawe ashobora kuyandika niba ufite indwara zigushyira mu kaga ko kurwara ibibumbye byangiza.

Impamvu zisanzwe abaganga bandikira warifarine zirimo kwirinda indwara z'umutima mu bantu bafite atrial fibrillation (umutima utera nabi), kuvura ibibumbye by'amaraso mu maguru cyangwa mu muhogo, no kurengera abarwayi bafite imitsi y'umutima y'ubwenge ku bibazo bifitanye isano n'ibibumbye.

Izi ni indwara nyamukuru warifarine ifasha kuvura, kandi kuzimenya birashobora kugufasha gusobanukirwa impamvu muganga wawe yayigushyiriyeho:

• Kugira umutima utera nabi (Atrial fibrillation) - iyo umutima wawe utera nabi, amaraso ashobora kwibumbira hamwe maze akavurugana akavamo ibibumbe
• Uburwayi bw'imitsi y'amaraso (DVT) - ibibumbe by'amaraso bibumbira mu mitsi y'amaraso yimbitse, akenshi mu maguru yawe
• Uburwayi bwo guhagarara kw'amaraso mu muhogo (Pulmonary embolism) - iyo igibumbe cy'amaraso kigenda kigahurira mu muhogo wawe
• Imitsi y'umutima y'ubwenge - imitsi y'ubwenge ishobora kongera ibyago byo kuvurugana kw'amaraso
• Uburwayi bumwe na bumwe bw'umutima butuma ibyago byo guhura n'indwara y'umutwe byiyongera

Mu buryo butajegajega, warfarin ishobora kwandikwa ku zindi ndwara nka syndrome ya antiphospholipid cyangwa nyuma yo kubagwa. Muganga wawe azagusobanurira neza impamvu warfarin ikwiriye kuri wowe.

Warfarin ikora ite?

Warfarin ikora ibintu byangiza umubiri wawe mu buryo bwihariye. Ikomanga vitamine K mu gufasha umwijima wawe gukora ibintu bituma amaraso avurugana - poroteyine zifasha amaraso yawe kuvurugana iyo bikenewe.

Ibi bituma warfarin icyo abaganga bita "gukomera hagati" mu gutuma amaraso atavurugana. Ntabwo ikora ako kanya nk'imiti itangwa mu bitaro, ariko irafasha cyane mu gihe cy'igihe kirekire iyo ifashwe buri gihe.

Umuti ntugabanya amaraso yawe ako kanya - bitwara iminsi 3 kugeza kuri 5 kugira ngo ugere ku ngaruka zayo zose kuko ikora ibintu byangiza ibintu bishya bituma amaraso avurugana aho gukuraho ibiriho. Iyi ngaruka igenda ikora ni ikintu cy'umutekano gifasha kwirinda impinduka zidasanzwe kandi ziteje akaga mu bushobozi bwawe bwo kuvurugana kw'amaraso.

Nkwiriye gufata warfarin nte?

Fata warfarin nk'uko muganga wawe abitegeka, akenshi rimwe ku munsi mu gihe kimwe buri munsi. Abantu benshi babona ko byoroshye kuyifata nimugoroba, ariko ikintu cy'ingenzi ni ukuyifata buri gihe - guhitamo igihe ushobora gukurikiza buri munsi.

Ushobora gufata warfarin hamwe n'ibiryo cyangwa utabifite, ariko kuyifata hamwe n'ibiryo byagufasha niba bigutera ikibazo mu gifu. Niba uhisemo kuyifata hamwe n'ibiryo, gerageza guhora uyifata mu gihe kimwe.

Dore inama z'ingirakamaro zagufasha gufata warfarin neza kandi neza:

• Fata ku isaha imwe buri munsi kugira ngo urugero ruri mu maraso yawe rugume ruhamye
• Mimina ikinini cyose hamwe n'ikirahure cy'amazi yuzuye
• Ntugasenye, ntukore cyangwa umenye ibinini keretse muganga wawe akubwiye byihariye
• Komeza kubifata nubwo wumva umeze neza - warfarin irinda ibibazo utashobora kumva
• Koresha umuteguro w'ibinini cyangwa kwibutsa kuri terefone kugirango bigufashe kwibuka

Niba urimo gufata n'indi miti, uyitandukanye nkuko muganga wawe cyangwa umufarimasi akugira inama. Imwe mu miti irashobora guhindura uburyo warfarin ikora, bityo ikipe yawe y'ubuzima izagufasha guhuza gahunda yawe yo gufata imiti.

Nzamara igihe kingana iki mfata Warfarin?

Igihe uzamara ufata warfarin biterwa rwose n'impamvu uyifata. Abantu bamwe bayikeneye mu mezi make gusa, mu gihe abandi bashobora kuyikeneye ubuzima bwabo bwose - kandi ibyo byombi ni ibisanzwe rwose.

Niba ufata warfarin kugirango uvure amaraso, mubisanzwe uzayikeneye byibuze amezi 3, nubwo abantu bamwe bayikeneye amezi 6 cyangwa arenga. Muganga wawe azatekereza ibintu nkibyo byateye amaraso yawe niba uri mu kaga ko kongera kuyarwara.

Kubibazo nka atrial fibrillation cyangwa imitima y'ubukorano, warfarin mubisanzwe ni umuti w'igihe kirekire kuko ibi bibazo bitera ibyago bikomeje byo gupfuka. Muganga wawe azagenzura buri gihe niba ukiyikeneye kandi ashobora guhindura gahunda yawe yo kuvurwa uko igihe kigenda.

Ntuzigere uhagarika gufata warfarin ako kanya cyangwa ku giti cyawe, nubwo wumva umeze neza. Guhagarika ako kanya birashobora rwose kongera ibyago byawe byo gupfuka by'agateganyo, bityo muganga wawe azakora gahunda nziza yo kugabanya cyangwa guhagarika umuti igihe kigeze.

Ni izihe ngaruka ziterwa na Warfarin?

Ingaruka zikomeye za warfarin ni ukwiyongera kw'amaraso, biba kuko umuti ugabanya ubushobozi bw'amaraso bwo gukora ibibyimba. Abantu benshi bafata warfarin neza, ariko ni ngombwa kumenya icyo ugomba kwitaho.

Kumenya izi ngaruka zirashobora kugufasha kumva ufite icyizere cyo gufata warfarin no kumenya igihe cyo kuvugana na muganga wawe:

• Gukomereka byoroshye cyangwa ibikomere bigaragara nta mpamvu igaragara
• Amara asohoka igihe kirekire ugereranije n'ibisanzwe kugirango ahagarare ku gukata guto
• Amara ava mu mazuru akunda kuza cyangwa bigoye guhagarara
• Iminsi y'imihango iremereye cyangwa irekire ku bagore
• Gusohoka amaraso mu mashinya iyo ukora amenyo
• Utudomo duto dutukura cyangwa tw'umuyugubwe ku ruhu rwawe

Izi ngaruka zisanzwe zikunda gucungwa kandi ntibisobanura ko ugomba kureka gufata warfarin. Ariko, ugomba kuvugana na muganga wawe niba bitangiye kugutera ikibazo cyangwa bisa nkaho birimo birushaho kuba bibi.

Ibyago bikomeye byo kuva amaraso ni bike ariko bisaba ubufasha bwihutirwa. Hamagara muganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa niba ubonye:

• Umutwe ukabije cyangwa isereri
• Urubavu rudasanzwe cyangwa imyanda yirabura, yijimye
• Gukorora amaraso cyangwa kuruka amaraso
• Kuva amaraso akabije cyangwa adashobora guhagarara kuva ahantu hose
• Kugabanuka kw'imbaraga, gucika intege, cyangwa impinduka mu iyerekwa

Inkuru nziza ni uko ibibazo bikomeye byo kuva amaraso bidakunze kubaho iyo warfarin ikurikiranwa neza binyuze mu igeragezwa ry'amaraso risanzwe. Itsinda ryawe ry'ubuzima rizakorana nawe kugirango ribone urugero rukwiye rugufasha kurinda ibibyimba mugihe rigabanya ibyago byo kuva amaraso.

Ninde utagomba gufata Warfarin?

Warfarin ntirinzwe kuri buri wese, kandi muganga wawe azatekereza neza uko ubuzima bwawe buhagaze mbere yo kuyandika. Abantu bamwe bafite ibibazo bituma warfarin iba iy'akaga cyane, mugihe abandi bakeneye gukurikiranwa byihariye.

Muganga wawe azasuzuma amateka yawe y'ubuzima n'ubuzima bwawe bw'ubu kugira ngo arebe niba warfarin ikwiriye kuri wowe. Bazatekereza ibintu bigaragara kandi bitagaragara bishobora kugira ingaruka ku mutekano wawe.

Abantu muri rusange batagomba gufata warfarin harimo abafite:

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• Gusohoka amaraso cyangwa ibihe by'amaraso menshi vuba aha
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• Indwara ikomeye y'umwijima igira ingaruka ku kuvura amaraso
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• Ibyiciro bimwe na bimwe by'ubwonko nk'urugimbu rwa vuba aha rufite amaraso
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• Kubagwa kwateguwe mu minsi mike iri imbere
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• Kutabasha gukora ibizamini by'amaraso buri gihe kugira ngo bikurikiranwe
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• Gusama (uretse mu bihe byihariye cyane)
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Ibyiciro bimwe na bimwe bisaba kwitonda cyane ariko ntibisaba gukumira gukoresha warfarin. Muganga wawe ashobora kuyandika arushaho gukurikiranwa niba ufite indwara y'impyiko, amateka yo kugwa, cyangwa ibyiciro bimwe na bimwe byo mu gifu.

Imyaka yonyine ntigutera gukoresha warfarin - abantu benshi bakuze bayifata neza hamwe no gukurikiranwa neza. Muganga wawe azagereranya inyungu n'ibibazo byihariye kubera uko ubuzima bwawe bumeze.

Amazina y'ubwoko bwa Warfarin

Izina risanzwe rya warfarin ni Coumadin, nubwo verisiyo rusange yitwa gusa

Imiti mishya igabanya amaraso irahari ikora mu buryo butandukanye na warfarin. Iyi miti mishya, yitwa direct oral anticoagulants (DOACs), irimo apixaban (Eliquis), rivaroxaban (Xarelto), na dabigatran (Pradaxa).

Iyi miti isimbura warfarin ntisaba gupima amaraso buri gihe kugira ngo ikurikiranwe kandi ntigirana imikoranire myinshi n'ibiribwa nka warfarin. Ariko, ntibereye buri wese - urugero, abantu bafite imitsi y'imitima y'ubwenge, basanzwe bakenera gukoresha warfarin.

Muganga wawe azatekereza ku bintu nk'uburwayi bwawe bwihariye, imikorere y'impyiko, indi miti ufata, n'ibyo ukunda ku giti cyawe mugihe ahitamo umuti ugabanya amaraso ukwiriye kuri wowe. Buri muti ufite ibyiza byawo n'ibyo ugomba kuzirikana.

Niba ubu uri gufata warfarin kandi wibaza ku bindi bisimbura, ganira ibi na muganga wawe. Ashobora kugufasha gusobanukirwa niba guhindura byagufitiye akamaro mu miterere yawe yihariye.

Ese Warfarin iruta indi miti igabanya amaraso?

Warfarin ntiruta cyangwa ngo irushwe n'indi miti igabanya amaraso - ni ukubona umuti ukwiriye kubera ibyo ukeneye. Warfarin yakoreshejwe neza mu myaka myinshi kandi iracyariyo ihitamo ryiza kubera uburwayi bumwe na bumwe.

Ibyiza bya warfarin birimo ubushobozi bwayo bwo guhagarikwa (abaganga barashobora kuyihagarika niba bibaye ngombwa), ubushobozi bwayo ku bantu bafite imitsi y'imitima y'ubwenge, n'igiciro cyayo gito ugereranije n'ibindi bisimbura bishya. Gupima amaraso buri gihe, nubwo bidashimishije, bituma habaho gukurikiranwa neza.

Imiti mishya igabanya amaraso itanga koroherezwa hamwe n'inzitizi nkeya z'imirire kandi ntisaba gupima amaraso buri gihe. Ariko, ntishobora guhagarikwa byoroshye niba havutse kuva amaraso, kandi akenshi ihenze kurusha warfarin.

Muganga wawe yakugenyeye warfarin bitewe n'uburwayi bwawe bwihariye, kandi birashoboka ko ariyo nzira nziza kubyo ukeneye. Niba ufite impungenge ku miti ufata, ziganireho mu buryo bweruye n'ikipe yawe y'ubuzima.

Ibibazo Bikunze Kubazwa Kuri Warifarine

Ese Warifarine Ifitiye Umutekano Abantu Barwaye Indwara y'Impyiko?

Warifarine ishobora gukoreshwa ku bantu barwaye indwara y'impyiko, ariko bisaba gukurikiranwa neza. Bitandukanye n'imiti mishya ikoreshwa mu kuvura amaraso, warifarine ikorwa mu mwijima aho gukorwa mu mpyiko, bityo indwara y'impyiko yoroheje cyangwa yo hagati ntisanzwe ibuza kuyikoresha.

Ariko, indwara y'impyiko ishobora kugira ingaruka ku buryo umubiri wawe ukoresha vitamine K n'ibindi bintu bigira uruhare mu kugena imikorere ya warifarine. Muganga wawe azagenzura ibizamini by'amaraso yawe kenshi kandi ashobora guhindura urugero rwawe neza niba ufite ibibazo by'impyiko.

Nkwiriye Gukora Iki Niba Nanyoye Warifarine Nyinshi Kubw'impanuka?

Niba unyoye urugero rwa warifarine rurenze urwo wari wahawe kubw'impanuka, ntugire ubwoba - urugero rumwe rurenze ntirusanzwe guteza ibibazo bikomeye. Vugana na muganga wawe cyangwa umufarimasi vuba na bwangu ubamenyeshe icyabaye kandi usabe inama.

Ntugerageze "gukosora" urugero rurenze urwo wanyoye ureka urugero rukurikira - ibi bishobora kuba byateza akaga kurusha kunywa bike byinshi. Muganga wawe ashobora gushaka kureba urugero rw'amaraso yawe mbere y'uko bisanzwe kugirango arebe niba ukiri mu rugero rw'umutekano.

Niba wanyoye byinshi cyane kurusha urugero rwawe rwanditswe cyangwa urimo gushyiramo amaraso atari asanzwe, jya kwa muganga ako kanya. Guma n'agacupa k'umuti kugirango abaganga babone neza icyo wanyoye n'ingano yacyo.

Nkwiriye Gukora Iki Niba Ntasize Urugero rwa Warifarine?

Niba usize urugero rwa warifarine, unywe ako kanya wibukirije kuri uwo munsi. Niba igihe cyo kunywa urugero rukurikira kigeze, reka urugero wasize ukomeze gahunda yawe isanzwe - ntukongereho urugero.

Kutanywa urugero rimwe na rimwe ntibisanzwe guteza akaga, ariko gerageza kunywa urugero wasize mu masaha 12 uhereye igihe usanzwe uyinywera. Niba ukunda kwibagirwa urugero, vugana na muganga wawe kuri gahunda zigufasha kwibuka.

Tekereza gukoresha umuteguro w'ibinini, ibyibutso kuri terefone, cyangwa guhuza urugero rwawe rwa warfarin n'akamenyero ka buri munsi nko kumesa amenyo. Guhora ukora kimwe ni ingenzi kugira ngo warfarin ikore neza kandi mu buryo butekanye.

Ni ryari nshobora kureka gufata Warfarin?

Ntuzigere uhagarika gufata warfarin ku giti cyawe - buri gihe korana na muganga wawe kugira ngo ukore gahunda itekanye yo kugabanya cyangwa guhagarika umuti. Guhagarika ako kanya bishobora kongera ibyago byawe byo kuvura amaraso by'agateganyo.

Muganga wawe azahitamo igihe bitewe n'impamvu yawe yo gufata warfarin n'ubuzima bwawe bw'ubu. Kubera ibibazo bimwe na bimwe, ushobora gukenera warfarin ubuzima bwawe bwose, mu gihe abandi bayikenera by'agateganyo gusa.

Igihe kigeze cyo guhagarika, muganga wawe azasanzwe agabanya urugero rwawe buhoro buhoro aho guhagarika ako kanya. Bazagenzura kandi ibizamini byawe by'amaraso muri iki gihe cyo guhinduka kugira ngo barebe ko urwego rwawe rwo kuvura amaraso rusubira mu buryo busanzwe mu buryo butekanye.

Nshobora kunywa inzoga nkanwa warfarin?

Ushobora kugira inzoga rimwe na rimwe, mu rugero ruto mugihe ufata warfarin, ariko guhora ukora kimwe ni ingenzi. Inzoga zirashobora kugira ingaruka ku buryo warfarin ikora mu mubiri wawe, bityo impinduka zidasanzwe mu ngeso zawe zo kunywa zishobora kugira ingaruka ku rwego rwawe rwo kuvura amaraso.

Niba ubu unywa inzoga buri gihe, guma ku buryo bwawe busanzwe aho guhagarika ako kanya. Niba utanywa, ntugomba gutangira. Ganira na muganga wawe ku byo bikwiye kubera ibibazo byawe byihariye.

Kunywa cyane cyangwa kunywa inzoga nyinshi birashobora kuba ikibazo cyane na warfarin kuko bishobora kongera ibyago byo kuva amaraso no gutuma urwego rwawe rwo kuvura amaraso rutagaragara. Muganga wawe ashobora kugufasha gusobanukirwa imbibi zitekaniye zishingiye ku byo ukeneye ku buzima bwawe bwite.