Ukuthatha i-warfarin (Coumadin)

IWarfarin ngumuthi owenza igazi lakho lingabi namathuba okuba namahlule. Kubalulekile ukuthi uthathe i-warfarin njengoba utshelwe. Ukushintsha indlela oyithatha ngayo i-warfarin yakho, ukuthatha eminye imithi, nokudla ukudla okuthile konke kungashintsha indlela i-warfarin esebenza ngayo emzimbeni wakho. Uma lokhu kwenzeka, ungahle ube sethubeni lokwakha ihlwili noma ube nezinkinga zokopha.

IWarfarin ngumuthi owenza igazi lakho lingabi namathuba okuba namahlule. Lokhu kungabaluleka uma:

• Usuvele unamahlule egazi emlenzeni wakho, engalweni, enhliziyweni, noma ebuchosheni.
• Umhlinzeki wakho wezokunakekelwa kwempilo ukhathazekile ngokuthi kungenzeka ukuthi ihlwili legazi lakhiwe emzimbeni wakho. Abantu abane-valve yenhliziyo entsha, inhliziyo enkulu, isigqi senhliziyo esingejwayelekile, noma ezinye izinkinga zenhliziyo kungadingeka bathathe i-warfarin.

Uma uthatha i-warfarin, ungahle ube segazini, ngisho nasemisebenzini obukade uyenza.

Ukushintsha indlela oyithatha ngayo i-warfarin yakho, ukuthatha eminye imithi, nokudla ukudla okuthile konke kungashintsha indlela i-warfarin esebenza ngayo emzimbeni wakho. Uma lokhu kwenzeka, ungahle ube sethubeni lokwakha ihlwili noma ube nezinkinga zokopha.

Kubalulekile ukuthi uthathe i-warfarin njengoba utshelwe.

• Thatha kuphela umthamo umhlinzeki wakho awumisile. Uma uphuthelwa umthamo, shayela umhlinzeki wakho ukuthola iseluleko.
• Uma amaphilisi akho ebukeka ehlukile kunombhalo wakho wokugcina, biza umhlinzeki wakho noma usokhemisi ngokushesha. Amaphilisi anemibala ehlukene, kuya ngomthamo. Umthamo ubuye ubhalwe kwiphilisi.

Umhlinzeki wakho uzohlola igazi lakho ekuvakasheni okuvamile. Lokhu kubizwa ngokuthi ukuhlolwa kwe-INR noma kwesinye isikhathi ukuhlolwa kwe-PT. Isivivinyo sisiza ukuqinisekisa ukuthi uthatha inani elifanele le-warfarin ukusiza umzimba wakho.

Utshwala neminye imithi kungashintsha ukuthi i-warfarin isebenza kanjani emzimbeni wakho.

• UNGABUPHUZI utshwala ngenkathi uthatha i-warfarin.
• Khuluma nomhlinzeki wakho ngaphambi kokuthatha noma imiphi eminye imishanguzo ongayithengela, amavithamini, izithasiselo, imithi ebandayo, ama-antibiotic, noma ezinye izidakamizwa.

Tshela bonke abahlinzeki bakho ukuthi uthatha i-warfarin. Lokhu kufaka odokotela, abahlengikazi nodokotela wamazinyo. Kwesinye isikhathi, kungadingeka ukuthi ume noma uthathe i-warfarin encane ngaphambi kokwenza inqubo. Hlala ukhuluma nomhlinzeki onikeze i-warfarin ngaphambi kokumisa noma ukushintsha umthamo wakho.

Buza ngokugqoka isongo noma umgexo wesexwayiso sezokwelapha othi uthatha i-warfarin. Lokhu kuzokwazisa abahlinzeki abakunakekela esimweni esiphuthumayo ukuthi bazi ukuthi uthatha lo muthi.

Okunye ukudla kungashintsha indlela i-warfarin esebenza ngayo emzimbeni wakho. Qiniseka ukuthi ubheka umhlinzeki wakho ngaphambi kokwenza ushintsho olukhulu ekudleni kwakho.

Awudingi ukukugwema lokhu kudla, kodwa zama ukudla noma ukuphuza amanani amancane akho. Okungenani, UNGAKUSHINTSI okuningi kokudla nemikhiqizo oyidlayo usuku nosuku noma isonto nesonto:

• Imayonnaise namanye amafutha, anjenge-canola, i-olive, namafutha kabhontshisi
• AmaBroccoli, amahlumela eBrussels, neklabishi eliluhlaza eliluhlaza
• I-endive, ulethisi, isipinashi, iparsley, i-watercress, igalikhi, nama-scallion (u-anyanisi oluhlaza)
• Kale, imifino ye-collard, imifino yesinaphi, nemifino yetheniphu
• Ijusi le-Cranberry netiye eliluhlaza
• Izengezo zikawoyela wezinhlanzi, amakhambi asetshenziswa kuzinkambi zemithi

Ngoba ukuba ku-warfarin kungakwenza wophe kakhulu kunokujwayelekile:

• Kufanele ugweme imisebenzi engadala ukulimala noma isilonda esivulekile, njengemidlalo yokuxhumana.
• Sebenzisa ibhulashi lamazinyo elithambile, i-wax dental floss, nensingo kagesi. Qaphela kakhulu izinto ezibukhali.

Vimbela ukuwa ekhaya lakho ngokukhanyisa kahle nokususa omagoda abaxegayo nezintambo zikagesi ezindleleni. Ungafinyeleli noma ukhuphukele izinto zasekhishini. Beka izinto lapho ungafika kuzo kalula. Gwema ukuhamba eqhweni, phansi emanzi, noma kwezinye izindawo ezishelelayo noma ezingajwayelekile.

Qiniseka ukuthi ubheka izimpawu ezingajwayelekile zokopha noma ukulimaza emzimbeni wakho.

• Funa ukopha ezinsinini, egazini kumchamo wakho, esitokisini esinegazi noma esimnyama, ekhaleni lomakhala, noma egazini elihlanzayo.
• Abesifazane badinga ukubheka ukopha okwengeziwe ngesikhathi sabo noma phakathi kwezikhathi.
• Kungabonakala imivimbo ebomvu ebomvu noma emnyama. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha.

Shayela umhlinzeki wakho uma une:

• Ukuwa okungathi sína, noma uma ushaya ikhanda lakho
• Ubuhlungu, ukungakhululeki, ukuvuvukala endaweni yokujova noma yokulimala
• Ukulimala okuningi esikhunjeni sakho
• Ukopha okuningi (okufana nokuphuma kwamakhala noma izinsini ezophayo)
• Umchamo noma isitokisi esinegazi noma esinsundu
• Ukuphathwa ikhanda, isiyezi, noma ubuthakathaka
• Umkhuhlane noma okunye ukugula, kufaka phakathi ukuhlanza, isifo sohudo, noma ukutheleleka
• Uyakhulelwa noma uhlela ukukhulelwa

Ukunakekelwa kwe-Anticoagulant; Ukunakekelwa kwe-blood-thinner

UJaffer IH, Weitz JI. Izidakamizwa ze-Anticoagulant. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 39.

U-Kager L, u-Evans WE. Pharmacogenomics kanye nezifo ze-hematologic. Ku: Hoffman R, Benz EJ, Silberstein LE, Heslop HE, Weitz JI, Anastasi J, abahleli. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 8.

Schulman S, Hirsh J. Ukwelashwa kwe-Antithrombotic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 38.

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• Ukuncipha Kwegazi