Yini i-Warfarin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Warfarin iyimithi enciphisa igazi esiza ekuvikeleni ukwakheka kwamahlule egazi ayingozi emzimbeni wakho. Cabanga ngayo njengesistimu yamabhuleki emnene yokujiya kwegazi lakho kwemvelo - ayimisi ukujiya ngokuphelele, kodwa iyanciphisa ngokwanele ukukugcina uphephile emahuleni ayingozi ngenkathi ivumela umzimba wakho ukuthi uphole kahle uma ulimala noma ukhuhleka.

Yini i-Warfarin?

I-Warfarin iyimithi elwa nokujiya kwegazi, okusho ukuthi inciphisa ikhono legazi lakho lokujiya. Ingowodwa yohlobo lwemithi ebizwa ngokuthi ama-vitamin K antagonists ngoba isebenza ngokuvimba i-vitamin K, umsoco umzimba wakho owudingayo ukuze wenze izinto ezijiyisa igazi.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukusiza izigidi zabantu ukuthi zigweme izinkinga ezinkulu ezivela emahuleni egazi. Udokotela wakho unquma i-warfarin lapho izinzuzo zokuvimbela amahlule zidlula ingozi encane yokuphuma kwegazi ehambisana nokuthatha noma yisiphi isinciphisi segazi.

Isetshenziselwani i-Warfarin?

I-Warfarin isiza ekuvikeleni nasekwelapheni amahlule egazi angase abangele izinkinga ezinkulu zempilo. Udokotela wakho angase akunqumele yona uma unezimo ezikubeka engozini enkulu yokuthuthukisa amahlule ayingozi.

Izizathu ezivame kakhulu zokuthi odokotela banqume i-warfarin zihlanganisa ukuvimbela ukushaywa unhlangothi kubantu abane-atrial fibrillation (ukushaya kwenhliziyo okungajwayelekile), ukwelapha amahlule egazi emilenzeni noma emaphashini, nokuvikela iziguli ezinamavalvu enhliziyo okwenziwe ngumuntu ezingxenyeni ezihlobene nama-clot.

Nazi izimo eziyinhloko i-warfarin esiza ukuziphatha, futhi ukwazi ngalezi kungakusiza ukuthi uqonde ukuthi kungani udokotela wakho eyincomile:

• I-Atrial fibrillation - uma inhliziyo yakho ishaya ngokungajwayelekile, igazi lingaqongelela futhi lenze amahlule
• I-Deep vein thrombosis (DVT) - amahlule egazi akheka emithanjeni ejulile, ngokuvamile emilenzeni yakho
• I-Pulmonary embolism - uma ihlule legazi lihamba liye emaphashini akho
• Ama-valve enhliziyo okwenziwa - ama-valve emishini angakhuphula ingozi yama-clot
• Ezinye izimo zenhliziyo ezikhuphula ingozi yokushaywa unhlangothi

Ngokuvamile, i-warfarin ingase inikezwe ezinye izimo ezifana ne-antiphospholipid syndrome noma ngemva kokuhlinzwa okuthile. Udokotela wakho uzokuchazela ngqo ukuthi kungani i-warfarin ilungile esimweni sakho esithile.

Isebenza Kanjani I-Warfarin?

I-Warfarin isebenza ngokungenelela inqubo yemvelo yomzimba wakho yokujiya kwegazi ngendlela eqondiwe kakhulu. Ivimbela uvithamini K ekusizeni isibindi sakho ukuthi senze izinto ezithile zokujiya kwegazi - amaprotheni asiza igazi lakho ukuthi lijiye uma kudingeka.

Lokhu kwenza i-warfarin lokho odokotela abakubiza ngokuthi “amandla aphakathi nendawo” okunciphisa igazi. Akunamandla ngokushesha njengemithi enikezwa ezibhedlela, kodwa isebenza kahle kakhulu ukuvikela isikhathi eside uma ithathwa njalo.

Umuthi awunciphisi igazi lakho ngokushesha - kuthatha cishe izinsuku ezi-3 kuya kwezi-5 ukufinyelela emiphumeleni yawo ephelele ngoba usebenza ngokuvimbela ukuthi kungakhiwa izinto ezintsha zokujiya kwegazi kunokuthi kususwe lezo ezikhona. Lesi senzo esinensayo empeleni siyisici sokuphepha esisiza ukuvimbela izinguquko ezingazelelwe, eziyingozi ekwazi kwakho ukujiya kwegazi.

Kufanele Ngiyithathe Kanjani I-Warfarin?

Thatha i-warfarin ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Abantu abaningi bakuthola kulula ukuyithatha kusihlwa, kodwa into ebaluleke kakhulu ukuqina - ukukhetha isikhathi ongakwazi ukusinamathela nsuku zonke.

Ungayithatha i-warfarin ngaphandle kokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza uma ikukhathaza isisu. Uma ukhetha ukuyithatha nokudla, zama ukuqina ngokuthi yisiphi isidlo oyihambisa ngaso.

Nawa amathiphu awusizo angakusiza ukuthi usebenzise i-warfarin ngokuphepha nangempumelelo:

• Yithathe ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo egazini lakho
• Gwinya ithebhulethi yonke ngamanzi agcwele ingilazi
• Ungayichobozi, ungayihlafuni, noma ungayiqhekezi amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo
• Qhubeka uyithatha ngisho noma uzizwa ulungile - i-warfarin ivimbela izinkinga ongeke uzizwe
• Sebenzisa umhleli wamaphilisi noma isikhumbuzi sefoni ukukusiza ukuthi ukhumbule

Uma futhi usebenzisa eminye imithi, yihlukanise njengoba udokotela wakho noma usokhemisi encoma. Eminye imithi ingashintsha indlela i-warfarin esebenza ngayo, ngakho-ke ithimba lakho lezempilo lizokusiza ukuthi uhlele uhlelo lwakho lokulinganisa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Warfarin?

Ubude besikhathi ozothatha ngaso i-warfarin buqondene ngokuphelele nokuthi uyithatheleni. Abanye abantu bayayidinga izinyanga ezimbalwa nje, kanti abanye bangayidinga impilo yonke - futhi zombili lezi zimo zivamile ngokuphelele.

Uma usebenzisa i-warfarin ukwelapha igazi eligqamukile, ngokuvamile uzoyidinga okungenani izinyanga ezi-3, nakuba abanye abantu beyidinga izinyanga ezi-6 noma ngaphezulu. Udokotela wakho uzocabangela izinto ezinjengokuthi yini ebangela i-clot yakho nokuthi ngabe usengozini yokuthola enye.

Ezimweni ezinjenge-atrial fibrillation noma ama-valve enhliziyo okwenziwa, i-warfarin ngokuvamile iyimithi yesikhathi eside ngoba lezi zimo zenza ingozi eqhubekayo ye-clot. Udokotela wakho uzohlola njalo ukuthi usayidinga yini futhi angashintsha uhlelo lwakho lokwelashwa ngokuhamba kwesikhathi.

Ungayeki ukuthatha i-warfarin ngokuzumayo noma ngokwakho, ngisho noma uzizwa umkhulu. Ukuyeka kungazelelwe empeleni kungakhuphula ingozi yakho yama-clots okwesikhashana, ngakho-ke udokotela wakho uzokwenza uhlelo oluphephile lokunciphisa noma ukuyeka imithi uma isikhathi sesilungile.

Yiziphi Imiphumela Eceleni Ye-Warfarin?

Umphumela omkhulu we-warfarin yingozi eyengeziwe yokuphuma igazi, okwenzeka ngoba umuthi unciphisa ikhono legazi lakho lokujiya. Abantu abaningi bayakwazi ukumelana ne-warfarin kahle, kodwa kubalulekile ukwazi ukuthi yini okufanele uyibheke.

Ukuqonda le miphumela emibi kungakusiza ukuthi uzizwe uqiniseka ngokwengeziwe ngokuthatha i-warfarin nokwazi ukuthi ungaxhumana nini nodokotela wakho:

• Ukulimala kalula noma ukulimala okuvelayo ngaphandle kwembangela ecacile
• Ukuphuma igazi okuthatha isikhathi eside kunokujwayelekile ukuyeka emicutshini emincane
• Ukuphuma igazi emakhaleni okuvame kakhulu noma okunzima ukukuyeka
• Izikhathi ezinzima noma ezinde kwabesifazane
• Ukuphuma igazi ezinsinini lapho uxubha amazinyo
• Amachashaza amancane abomvu noma ansomi esikhumbeni sakho

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi akusho ukuthi udinga ukuyeka ukuthatha i-warfarin. Kodwa-ke, kufanele uxhumane nodokotela wakho uma iba yinkinga noma ibonakala iba yimbi.

Izinkinga ezingathi sína zokuphuma igazi azivamile kodwa zidinga ukunakekelwa kwezempilo ngokushesha. Shayela udokotela wakho ngokushesha noma funa ukunakekelwa okuphuthumayo uma uhlangabezana:

• Ikhanda elibuhlungu elibuhlungu noma isiyezi
• Ubuhlungu besisu obungajwayelekile noma izitulo ezimnyama, ezinama-tarry
• Ukukhwehlela igazi noma ukuhlanza igazi
• Ukuphuma igazi okukhulu noma okungalawuleki kunoma iyiphi imbangela
• Ubuthakathaka obungazelelwe, ukuba ndikindiki, noma izinguquko zombono

Izindaba ezinhle ukuthi izinkinga ezingathi sína zokuphuma igazi azivamile uma i-warfarin iqashwe kahle ngokuhlolwa kwegazi okuvamile. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukuthola umthamo ofanele okuvikela ezigxotsheni ngenkathi kunciphisa ingozi yokuphuma igazi.

Ubani Ongafanele Athathwe I-Warfarin?

I-Warfarin ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela isimo sakho ngaphambi kokuyinika. Abanye abantu banemibandela eyenza i-warfarin ibe yingozi kakhulu, kanti abanye badinga ukuqashwa okukhethekile.

Udktela wakho uzobukeza umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje ukuze aqiniseke ukuthi i-warfarin ilungele wena. Bazocabangela kokubili izinto ezisobala nezicashile ezingase zithinte ukuphepha kwakho.

Abantu ngokuvamile okungafanele bathathe i-warfarin bahlanganisa labo abane:

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• Ukuphuma igazi okusebenzayo noma izigameko zokuphuma igazi ezinkulu zakamuva
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• Isifo sesibindi esibi esithinta ukujiya kwegazi
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• Izimo ezithile zobuchopho njengokushaywa unhlangothi kwamuva nokuphuma igazi
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• Ukuhlinzwa okuhlelelwe ezinsukwini ezimbalwa ezizayo
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• Ukungakwazi ukuba nezivivinyo zegazi ezivamile zokuqapha
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• Ukukhulelwa (ngaphandle kwezimo ezithile kakhulu)
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Ezinye izimo zidinga ukuqapha okwengeziwe kodwa akudingeki ukuthi zivimbele ukusetshenziswa kwe-warfarin. Udokotela wakho angase akwazi ukuyinikeza ngokuqapha okuseduze uma unesifo sezinso, umlando wokuwa, noma izimo ezithile zokugaya ukudla.

Ubudala bodwa abukukufanelekeli ukuthatha i-warfarin - abadala abaningi bayayithatha ngokuphepha ngokuqapha okufanele. Udokotela wakho uzokala izinzuzo nezingozi ngokuqondile ngesimo sakho.

Amagama Omkhiqizo we-Warfarin

Igama elivamile lomkhiqizo we-warfarin yi-Coumadin, nakuba inguqulo ejwayelekile ebizwa ngokuthi

Kukhona izinciphisi zegazi ezintsha ezitholakala manje ezisebenza ngendlela ehlukile kune-warfarin. Le mithi emisha, ebizwa ngokuthi ama-direct oral anticoagulants (DOACs), ihlanganisa i-apixaban (Eliquis), i-rivaroxaban (Xarelto), kanye ne-dabigatran (Pradaxa).

Lezi ezinye izindlela azidingi ukuhlolwa kwegazi njalo ukuze kuqashwe futhi zinezinto ezimbalwa ezihlangana nokudla kune-warfarin. Kodwa-ke, azilungile kuwo wonke umuntu - abantu abanezivalve zenhliziyo ezingokwenziwa, isibonelo, ngokuvamile badinga ukunamathela ku-warfarin.

Udokotela wakho uzocabangela izinto ezifana nesimo sakho esithile, ukusebenza kwezinso, eminye imithi, kanye nezintandokazi zakho lapho ekhetha inciphisi yegazi engcono kakhulu kuwe. Umuthi ngamunye unezinzuzo zawo kanye nezinto okufanele zicatshangelwe.

Uma njengamanje usebenzisa i-warfarin futhi uzibuza ngezindlela ezingezinye, xoxa ngalokhu nodokotela wakho. Bangakusiza ukuthi uqonde ukuthi ukushintsha kungaba yinzuzo yini esimweni sakho esithile.

Ingabe i-Warfarin Ingcono Kunezinye Izinciphisi Zegazi?

I-Warfarin akudingeki ukuthi ingcono noma imbi kunezinye izinciphisi zegazi - kumayelana nokuthola umuthi olungile wezidingo zakho ezithile. I-Warfarin isetshenziswe ngokuphepha amashumi eminyaka futhi isahlala iyindlela engcono kakhulu yezimo ezithile.

Izinzuzo eziyinhloko ze-warfarin zihlanganisa ukuguquleka kwayo (odokotela bangayiqeda uma kudingeka), ukusebenza kwayo kubantu abanezivalve zenhliziyo ezingokwenziwa, kanye nezindleko zayo eziphansi uma ziqhathaniswa nezinye izindlela ezintsha. Ukuhlolwa kwegazi njalo, ngenkathi kungalungile, futhi kuvumela ukuqashwa okunembile.

Izinciphisi zegazi ezintsha zinikeza lula ngemikhawulo embalwa yokudla futhi akudingeki ukuhlolwa kwegazi njalo. Kodwa-ke, azikwazi ukuguqulwa kalula uma ukuphuma kwegazi kwenzeka, futhi ngokuvamile zibiza kakhulu kune-warfarin.

Udokotela wakho wakukhethele i-warfarin ngokusekelwe esimweni sakho sezokwelapha esithile, futhi cishe iyindlela engcono kakhulu yezidingo zakho. Uma unezinkathazo ngemithi yakho, xoxa ngazo ngokukhululeka nethimba lakho lezempilo.

Imibuzo Evame Ukubuzwa Mayelana ne-Warfarin

Ingabe i-Warfarin iphephile kubantu abanezifo zezinso?

I-Warfarin ingasetshenziswa kubantu abanezifo zezinso, kodwa idinga ukuqashwa ngokucophelela. Ngokungafani neminye imithi emisha yokunciphisa igazi, i-warfarin icutshungulwa yisibindi sakho kunokuba izinso zakho, ngakho-ke isifo sezinso esingesibi kakhulu asivamisile ukuvimbela ukusetshenziswa kwayo.

Kodwa-ke, isifo sezinso singathinta indlela umzimba wakho obhekana ngayo novithamini K nezinye izinto ezithinta ukusebenza kahle kwe-warfarin. Udokotela wakho uzoqapha izivivinyo zakho zegazi kaningi futhi angase alungise umthamo wakho ngokucophelela uma unezinkinga zezinso.

Ngingenzani uma ngiphuthelwa ngengozi ukuthatha i-Warfarin eningi kakhulu?

Uma ngengozi uthatha umthamo owengeziwe we-warfarin, ungangeni ekuvaleni - umthamo owodwa owengeziwe akunakwenzeka ukuthi ubangele izinkinga ezinkulu. Xhumana nodokotela wakho noma usokhemisi ngokushesha ukuze ubazise ukuthi kwenzekeni futhi ucele isiqondiso.

Ungazami ukuthi "ulungise" umthamo owengeziwe ngokweqa umthamo wakho olandelayo - lokhu kungaba yingozi enkulu kunokuthatha okwengeziwe. Udokotela wakho angase afune ukuhlola amazinga akho okujiya kwegazi ngokushesha kunokujwayelekile ukuze aqiniseke ukuthi usengaphakathi kwebanga eliphephile.

Uma uthathe okuningi kakhulu kunomthamo wakho obekiwe noma uhlangabezana nokuphuma kwegazi okungavamile, funa ukunakekelwa kwezempilo ngokushesha. Gcina ibhodlela lemithi nawe ukuze abahlinzeki bezempilo bakwazi ukubona kahle ukuthi uthathe ini nokuthi kungakanani.

Ngingenzani uma ngiphuthelwa umthamo we-Warfarin?

Uma uphuthelwa umthamo we-warfarin, yithathe ngokushesha lapho ukhumbula ngalo lolo suku. Uma sekuyisikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile - ungaqali ukuthatha imithamo emibili.

Ukuphuthelwa umthamo ngezikhathi ezithile akuyona ingozi, kodwa zama ukuthatha umthamo wakho ophuthelwe kungakapheli amahora angu-12 kusukela ngesikhathi ovamise ukuyithatha ngaso. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okukusiza ukuthi ukhumbule.

Cabanga ngokusebenzisa umhleli wamaphilisi, izikhumbuzi zocingo, noma ukuxhumanisa umthamo wakho we-warfarin nomkhuba wansuku zonke njengokuxubha amazinyo akho. Ukungaguquguquki kubalulekile ukuze i-warfarin isebenze ngempumelelo nangokuphepha.

Ngingayeka nini ukuthatha i-Warfarin?

Ungalokothi uyeke ukuthatha i-warfarin ngokwakho - njalo sebenzisana nodokotela wakho ukuze udale uhlelo oluphephile lokunciphisa noma ukuyeka imithi. Ukuyeka kungazelelwe kungakhuphula ngempela ingozi yakho yama-clots egazi okwesikhashana.

Udokotela wakho uzoquma ukuthi kuphephile nini ukuyeka ngokusekelwe esizathwini sakho sokuqala sokuthatha i-warfarin kanye nesimo sakho sempilo yamanje. Kwezinye izimo, ungase udinge i-warfarin impilo yakho yonke, kanti ezinye zidinga okwesikhashana kuphela.

Lapho sekuyisikhathi sokuyeka, udokotela wakho ngokuvamile uzonciphisa umthamo wakho kancane kancane kunokuyeka kungazelelwe. Bazophinda baqaphe ukuhlolwa kwegazi lakho ngalesi sikhathi sokuguquka ukuze baqinisekise ukuthi amazinga akho okugaxa igazi abuyela ngokuqhelekile ngokuphepha.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Warfarin?

Ungaba namanani aphakathi nendawo, aphakathi nendawo otshwala ngenkathi uthatha i-warfarin, kodwa ukungaguquguquki kubalulekile. Utshwala bungathinta indlela i-warfarin esebenza ngayo emzimbeni wakho, ngakho izinguquko ezingazelelwe emikhubeni yakho yokuphuza zingathinta amazinga akho okugaxa igazi.

Uma njengamanje uphuza utshwala njalo, gcina iphethini yakho ejwayelekile kunokuyeka kungazelelwe. Uma ungaphuza, akudingeki uqale. Xoxa nodokotela wakho ngalokho okufanele esimweni sakho esithile.

Ukuphuza kakhulu noma ukuphuza ngokweqile kungaba yinkinga ngokuqondene ne-warfarin ngoba kungakhuphula ingozi yokopha futhi kwenze amazinga akho okugaxa igazi angabi nakwazi ukuqagelwa. Udokotela wakho angakusiza ukuthi uqonde imikhawulo ephephile ngokusekelwe ezidingweni zakho zempilo.