I-Warfarin

-Delile

• Ngaphambi kokuthatha i-warfarin,
• I-Warfarin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Warfarin ingadala ukopha okukhulu okungasongela impilo futhi kubangele nokufa. Tshela udokotela wakho uma uke waba nokugula kwegazi noma ukopha; izinkinga zokopha, ikakhulukazi esiswini sakho noma esiswini sakho (ishubhu elisuka emphinjeni liye esiswini), amathumbu, umgudu wokuchama noma isinye, noma amaphaphu; umfutho wegazi ophakeme; isifo senhliziyo; i-angina (ubuhlungu besifuba noma ingcindezi); Isifo senhliziyo; i-pericarditis (ukuvuvukala kolwelwesi (isikhwama) nxazonke zenhliziyo); i-endocarditis (ukutheleleka kwe-valve eyodwa noma ngaphezulu yenhliziyo); isifo sohlangothi noma i-ministroke; i-aneurysm (ukwenza buthaka noma ukudwengula umthambo noma umthambo); i-anemia (inani eliphansi lamaseli abomvu egazini); umdlavuza; isifo sohudo esingapheli; noma izinso, noma isifo sesibindi. Phinda utshele udokotela wakho uma uwe kaningi noma uke walimala kabi kakhulu noma wahlinzwa. Ukopha kungenzeka kakhulu ngesikhathi sokwelashwa kwe-warfarin kubantu abaneminyaka engaphezu kwengama-65 ubudala, futhi kungenzeka kakhulu ngenyanga yokuqala yokwelashwa kwe-warfarin. Ukopha nakho kungenzeka kakhulu kubantu abathatha imithamo ephezulu ye-warfarin, noma bathathe lo muthi isikhathi eside. Ingozi yokopha ngenkathi uthatha i-warfarin nayo iphakeme kubantu ababamba iqhaza emsebenzini noma kwezemidlalo okungaholela ekulimaleni kanzima. Tshela udokotela kanye nosokhemisi wakho uma uthatha noma uhlela ukuthatha noma imiphi imishanguzo kadokotela noma enganikezwa imishanguzo, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi noma yezitshalo (Bheka UKUQHUBEKA OKUKHETHEKILE), njengoba eminye yale mikhiqizo ingandisa ingozi yokuphuma kwegazi ngenkathi uthatha warfarin. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: izinhlungu, ukuvuvukala, noma ukungaphatheki kahle, ukopha okusikiwe okungapheli esikhathini esijwayelekile, ukuphuma kwamakhala noma ukopha ezinsinini zakho, ukukhwehlela noma ukuhlanza igazi noma okokusebenza okubukeka njengezizathu zekhofi, ukopha okungajwayelekile noma ukulimaza, ukwanda kokuya esikhathini noma ukuphuma kwegazi esithweni sangasese, umchamo obomvana, obomvu, noma onsundu, ukunyakaza kwamathumbu abomvu noma okulindile, ikhanda, isizungu, noma ubuthakathaka.

Abanye abantu bangaphendula ngokuhlukile ku-warfarin ngokuya ngofuzo lwabo noma ukwakheka kofuzo. Udokotela wakho angalawula ukuhlolwa kwegazi ukusiza ukuthola umthamo we-warfarin okungcono kakhulu kuwe.

I-Warfarin ivimbela igazi ekunqandeni ngakho-ke kungathatha isikhathi eside kunokujwayelekile ukuthi uyeke ukopha uma unqunyiwe noma ulimele. Gwema imisebenzi noma imidlalo enengozi enkulu yokulimala. Shayela udokotela wakho uma ukuphuma kwegazi kungavamile noma uma uwa futhi ulimala, ikakhulukazi uma ushaya ikhanda.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoku-oda ukuhlolwa kwegazi (i-PT [prothrombin test] ebikwe njengenani le-INR [isilinganiso esijwayelekile somhlaba wonke] inani) njalo ukuhlola impendulo yomzimba wakho ku-warfarin.

Uma udokotela wakho ekutshela ukuthi uyeke ukuthatha i-warfarin, imiphumela yalo muthi ingahlala izinsuku ezi-2 kuya kwezi-5 ngemuva kokuyeka ukuyithatha.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-warfarin futhi isikhathi ngasinye ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngobungozi (s) bokuthatha i-warfarin.

I-Warfarin isetshenziselwa ukuvimbela amahlule egazi ekwakhekeni noma ekukhuleni okukhulu egazini lakho nasemithanjeni yegazi. Kunqunyelwe abantu abanezinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile, abantu abane-valve yokufakelwa (yokushintshwa noma eyenziwe ngomshini), kanye nabantu abahlaselwe yisifo senhliziyo. I-Warfarin nayo isetshenziselwa ukwelapha noma ukuvimbela i-venous thrombosis (ukuvuvukala nokuqina kwegazi emthanjeni) kanye ne-pulmonary embolism (i-clot yegazi emaphashini). I-Warfarin isesigabeni semithi ebizwa ngama-anticoagulants ('blood thinner'). Isebenza ngokunciphisa ikhono lokuvala igazi.

IWarfarin iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-warfarin ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-warfarin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho. Shayela udokotela wakho ngokushesha uma uthatha okungaphezu komthamo wakho onqunyiwe we-warfarin.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-warfarin futhi akhuphule kancane noma anciphise umthamo wakho ngokuya ngemiphumela yokuhlolwa kwegazi lakho. Qiniseka ukuthi uyaqonda noma yimiphi imiyalo emisha yokufaka kusuka kudokotela wakho.

Qhubeka uthathe i-warfarin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-warfarin ngaphandle kokukhuluma nodokotela wakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-warfarin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-warfarin, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-warfarin. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• ungathathi imithi emibili noma ngaphezulu equkethe i-warfarin ngasikhathi sinye. Qiniseka ukuthi ubuza nodokotela wakho noma usokhemisi uma ungaqiniseki ukuthi umuthi uqukethe i-warfarin noma i-warfarin sodium.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma ongayinikezwa, amavithamini, nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha, ikakhulukazi i-acyclovir (iZovirax); i-allopurinol (iZyloprim); i-alprazolam (Xanax); ama-antibiotic anjenge-ciprofloxacin (Cipro), i-clarithromycin (i-Biaxin, e-Prevpac), i-erythromycin (i-EES, i-Eryc, i-Ery-Tab), i-nafcillin, i-norfloxacin (i-Noroxin), i-sulfinpyrazone, i-telithromycin (i-Ketek), ne-tigecycline (i-Tygaccline) ama-anticoagulants anjenge-argatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, ne-lepirudin (Refludan); ama-antifungals afana ne-fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); imishanguzo yama-antiplatelet efana ne-cilostazol (Pletal), i-clopidogrel (i-Plavix), i-dipyridamole (i-Persantine, e-Aggrenox), i-prasugrel (i-Effient), ne-ticlopidine (i-Ticlid); i-aprepitant (Hlela); i-aspirin noma imikhiqizo equkethe i-aspirin neminye imishanguzo yokulwa nokuvuvukala efana ne-celecoxib (Celebrex), diclofenac (Flector, Voltaren, e-Arthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprof , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), nesulindac (Clinoril); i-bicalutamide; bosentan; imishanguzo ethile ye-antiarrhythmic efana ne-amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, nepropafenone (Rythmol); imishanguzo ethile yokuvimba isiteshi se-calcium efana ne-amlodipine (Norvasc, e-Azor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) kanye ne-verapamil (Calan, Isoptin, Verelan, eTarka); imithi ethile ye-asthma efana ne-montelukast (i-Singulair), i-zafirlukast (i-Accolate), ne-zileuton (i-Zyflo); imithi ethile esetshenziselwa ukwelapha umdlavuza njenge-capecitabine (Xeloda), imatinib (Gleevec), ne-nilotinib (Tasigna); imithi ethile ye-cholesterol efana ne-atorvastatin (Lipitor, eCaduet) ne-fluvastatin (Lescol); imithi ethile yokuphazamiseka kokugaya ukudla njenge-cimetidine (Tagamet), i-famotidine (i-Pepcid), ne-ranitidine (i-Zantac); imishanguzo ethile yokutheleleka ngegciwane lesandulela ngculazi (i-HIV) njenge-amprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Viracept), ritonavir) UNorvir), i-saquinavir (i-Invirase), ne-tipranavir (i-Aptivus); imithi ethile ye-narcolepsy efana ne-armodafinil (i-Nuvigil) ne-modafinil (i-Provigil); imithi ethile yokuquleka efana ne-carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), ne-rufinamide (Banzel); imithi ethile yokwelapha isifo sofuba njenge-isoniazid (eRifamate, Rifater) ne-rifampin (Rifadin, eRifamate, Rifater); ama-serotonin reuptake inhibitors (SSRIs) athile noma i-serotonin ekhethiwe ne-norepinephrine reuptake inhibitors (SNRIs) efana ne-citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), i-fluoxetine (Prozac) i-fluvoxamine (i-Luvox), i-milnacipran (i-Savella), i-paroxetine (i-Paxil, i-Pexeva), i-sertraline (i-Zoloft), i-venlafaxine (i-Effexor) i-corticosteroids efana ne-prednisone; i-cyclosporine (iNeoral, iSandimmune); i-disulfiram (i-Antabuse); i-methoxsalen (i-Oxsoralen, i-Uvadex); i-metronidazole (i-Flagyl); i-nefazodone (i-Serzone), izindlela zokuvimbela inzalo zomlomo (amaphilisi okulawula inzalo); oxandrolone (Oxandrin); i-pioglitazone (Actos, e-Actoplus Met, Duetact, Oseni); i-propranolol (Inderal) noma i-vilazodone (i-Viibryd). Eminye imishanguzo eminingi ingaxhumana ne-warfarin, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu. Ungathathi noma yimiphi imithi emisha noma uyeke ukuthatha noma imiphi imithi ngaphandle kokukhuluma nodokotela wakho.
• Tshela udokotela wakho kanye nosokhemisi ukuthi yimiphi imikhiqizo engamakhambi noma yezitshalo oyithathayo, ikakhulukazi i-coenzyme Q10 (Ubidecarenone), Echinacea, igalikhi, iGinkgo biloba, i-ginseng, igoldenseal, neSt. Kuneminye imikhiqizo eminingi yamakhambi noma yezitshalo engathinta impendulo yomzimba wakho ku-warfarin. Ungaqali noma uyeke ukuthatha noma yimiphi imikhiqizo yamakhambi ngaphandle kokukhuluma nodokotela wakho.
• tshela udokotela wakho uma uke waba nesifo sikashukela noma wake waba naso. Phinda utshele udokotela wakho uma unesifo, ukugula kwamathumbu okufana nesifo sohudo, noma i-sprue (ukusabela okweqile kumaprotheni atholakala ezinhlanzini ezibanga isifo sohudo), noma i-catheter ehlala ngaphakathi (ishubhu lepulasitiki eliguquguqukayo elibekwe esinyeni ukuvumela umchamo ukukhipha).
• Tshela udokotela wakho uma ukhulelwe, ucabange ukuthi kungenzeka ukhulelwe, noma uhlele ukukhulelwa ngenkathi uthatha i-warfarin. Abesifazane abakhulelwe akufanele bathathe i-warfarin ngaphandle kokuthi babe ne-valve yenhliziyo yemishini. Khuluma nodokotela wakho mayelana nokusetshenziswa kokulawulwa kokubeletha okusebenzayo ngenkathi uthatha i-warfarin. Uma ukhulelwa ngenkathi uthatha i-warfarin, shayela udokotela wakho ngokushesha. I-Warfarin ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma yiluphi uhlobo lwenqubo yezokwelapha noma yamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-warfarin. Udokotela wakho angakutshela ukuthi uyeke ukuthatha i-warfarin ngaphambi kokuhlinzwa noma inqubo noma ushintshe isilinganiso sakho se-warfarin ngaphambi kokuhlinzwa noma inqubo. Landela izinkomba zikadokotela wakho ngokucophelela futhi ugcine konke ukuqokwa elabhorethri uma udokotela wakho eyalela ukuhlolwa kwegazi ukuze athole isilinganiso esihle kakhulu se-warfarin.
• buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-warfarin.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.

Yidla ukudla okujwayelekile, okunempilo. Okunye ukudla neziphuzo, ikakhulukazi lezo eziqukethe i-vitamin K, kungathinta ukuthi i-warfarin ikusebenzela kanjani. Buza udokotela wakho noma usokhemisi uhlu lokudla okuqukethe uvithamini K. Yidla ukudla okungaguquguquki kokudla okuqukethe u-vitamin K njalo ngesonto. Ungadli inqwaba yemifino enamaqabunga, imifino eluhlaza noma uwoyela othile wemifino oqukethe inani elikhulu likavithamini K. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza ushintsho ekudleni kwakho. Khuluma nodokotela wakho ngokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Thatha umthamo ophuthelwe ngokushesha uma uwukhumbula, uma kuwusuku olufanayo lapho ubuzophuza khona umthamo. Ungathathi umthamo ophindwe kabili ngosuku olulandelayo ukwenzela okulahlekile. Shayela udokotela wakho uma uphuthelwa umthamo we-warfarin.

I-Warfarin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• igesi
• ubuhlungu besisu
• ukuqunjelwa
• shintsha ngendlela izinto ezinambitha ngayo
• ukulahleka kwezinwele
• ngizizwa ngibanda noma ngigodola

Uma uhlangabezana nalezi zimpawu ezilandelayo, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ukushaqeka
• ubuhlungu besifuba noma ingcindezi
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• imfiva
• ukutheleleka
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukukhathala ngokweqile
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane

Kufanele wazi ukuthi i-warfarin ingadala i-necrosis noma isilonda esibucayi (ukufa kwesikhumba noma ezinye izicubu zomzimba). Shayela udokotela wakho ngokushesha uma ubona umbala onsomi noma omnyama esikhunjeni sakho, izinguquko zesikhumba, izilonda, noma inkinga engavamile kunoma iyiphi indawo yesikhumba noma yomzimba wakho, noma uma unobuhlungu obunzima obenzeka ngokungazelelwe, noma umbala noma ukushintsha kwezinga lokushisa kunoma iyiphi indawo yomzimba wakho. Shayela udokotela wakho ngokushesha uma izinzwane zakho ziba buhlungu noma ziba nsomi noma zimnyama ngebala. Ungahle udinge ukunakekelwa kwezempilo khona manjalo ukuvimbela ukunqunywa (ukususwa) kwesitho sakho somzimba esithintekile.

I-Warfarin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokushisa okweqile, umswakama (hhayi endlini yangasese), nokukhanya.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• okunyakaza okunegazi noma okubomvu, noma okulindile
• ukukhafula noma ukukhwehlela igazi
• ukopha kakhulu ngesikhathi sakho sokuya esikhathini
• umchamo obomvana, obomvu, noma onsundu
• ukukhwehlela noma ukuphalaza okubukeka njengezindawo zekhofi
• amancane, ayizicaba, ayindilinga abomvu angaphansi kwesikhumba
• ukulimaza noma ukopha okungavamile
• kuqhubeke ukuqhuma noma ukopha ekusikeni okuncane

Phatha ikhadi lokukhomba noma ufake isongo elisho ukuthi uthatha i-warfarin. Buza usokhemisi noma udokotela wakho ukuthi ulithola kanjani leli khadi noma isongo. Bhala igama lakho, izinkinga zezokwelapha, imithi nemithamo, negama likadokotela nenombolo yocingo ekhadini.

Tshela bonke abahlinzeki bakho bezempilo ukuthi uthatha i-warfarin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Coumadin^®
• UJantoven^®