Warfarin (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Coumadin, Jantoven
Mayelana naleli khambi
I-Warfarin isetshenziswa ukuvimba noma ukwelapha ukugandeka kwegazi, okuhlanganisa i-deep venous thrombosis noma i-pulmonary embolism. Isetshenziswa futhi ekugandekeni kwegazi okungabangelwa izimo ezithile zenhliziyo, ukuhlinzwa kwenhliziyo evulekile, noma ngemuva kokuhlaselwa yinhliziyo. I-Warfarin iyilokhu i-anticoagulant (isilwanyana segazi) esinciphisa ikhono legazi lokugandeka. Lolu dokotela lutholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekubeni kunqunywe ukuthi kusetshenziswe imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Ngale mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-warfarin kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-warfarin kubantu abadala. Noma kunjalo, iziguli ezikhulile zingadinga ukuqapha kanye nokulungiswa komthamo, ikakhulukazi labo abasezingozini zokopha igazi. Izifundo kwabesifazane zikhomba ukuthi le mithi inezinsola ezincane kumntwana uma isetshenziswa ngesikhathi sokuncelisa. Nakuba imithi ethile ingafanele isetshenziswe ndawonye, kwezinye izimo imithi emibili ehlukene ingase isetshenziswe ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye imithi oyithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ingozi eyanda yemiphumela emibi ethile, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki enye noma kokubili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nanoma iyiphi imithi kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ingozi eyanda yemiphumela emibi ethile kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli leyeza kuphela njengoba kunconywe udokotela wakho. Umthamo wakho ungase udinge ukushintshwa izikhathi eziningi ukuze uthole ukuthi yini esebenza kangcono kuwe. Ungasebenzisi okuningi kwalokhu, ungalusebenzisi kaningi, futhi ungalusebenzisi isikhathi eside kunalokho udokotela wakho akuyalile. Leli leyeza kufanele libe ne-Medication Guide. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Landela imiyalo yodokotela wakho ngokucophelela mayelana nanoma iyiphi i-diet ekhethekile. Leli leyeza lisebenza kangcono uma udle inani elifanayo le-vitamin K ekudleni kwakho nsuku zonke. Tshela udokotela wakho ngaphambi kokushintsha ukudla kwakho. Gwema ukushintsha okukhulu kokudla i-vitamin K. Amanye ukudla ane-vitamin K eningi yi-asparagus, i-broccoli, i-brussels sprouts, ikhabeji, imifino eluhlaza (njenge-collards, i-turnip greens, i-mustard greens, i-spinach, ne-salad greens), amaplama, i-rhubarb, namafutha athile omifino (njenge-soybean oil ne-canola oil). Ungathatha amathebulethi esiswini esigcwele noma esingenalutho. Ungaphuzi ijusi le-grapefruit ngenkathi usebenzisa leli leyeza. Ijusi le-grapefruit lingashintsha inani leli leyeza elithathelwa emzimbeni. Umthamo waleli leyeza uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela imithamo yaleli leyeza. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani leyeza olithathayo lixhomeke emandleni eleyeza. Futhi, inani lemithamo oyithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi olithatha leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela leli leyeza. Uma uphuthelwa umthamo waleli leyeza, uthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esikhathini sakho sokudla okuvamile. Ungawandisi imithamo. Gcina leli leyeza esitsheni esivaliwe emazingeni okushisa kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagqabi. Gcina ungafinyeleleki ezinganeni. Ungagcini leyeza eliphelile noma leyeza elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi leyeza ongeke ulithathe.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.