Coumadin, wotchedwanso Warfarin, ndi mankhwala omwe amachokera ku coumarin, mankhwala omwe amapezeka mu zomera zina. Zimathetsa mphamvu ya thupi kupanga magazi, poletsa ntchito ya vitamini K.
Coumadin ndi Strokes
Coumadin ndi mankhwala amphamvu omwe amagwiritsidwa ntchito popewera mimba. Coumadin ali ndi mphamvu zowonjezera magazi (ie, izo zimalepheretsa kupangika kosalekeza kwa magazi mu thupi).
Chitsanzo cha matenda omwe amadzimadzimadzi omwe amachititsa kuti magazi asapangidwe, amachititsa kuti matendawa asapitirire kudwala , matenda omwe amachititsa kuti mtima wokhotakhota ukugwedezeke mkati mwa zipinda za mtima. Nthawi zina zomwe Coumadin amagwiritsidwira ntchito popewera kupweteka ndi:
- Munthu wina akakhala ndi valavu yamtima m'malo mwake anachitidwa opaleshoni
- Munthu akapezeka kuti ali ndi magazi mkati mwa mtima atatha kudwala matenda a mtima
- Munthu akapezeka kuti ali ndi magazi m'mitsempha yam'mimba (amadziwikanso kuti deep veous thrombosis kapena DVT.) DVTs imayambitsa zilonda pakati pa anthu omwe ali ndi dzenje pakati pa dzanja lamanja ndi lamanzere pambali pa mtima. amadziwika ngati patent foramen ovale kapena PFO.
- Pamene wina ali ndi chizoloŵezi chosavulaza kupanga magazi chifukwa cha matenda osokoneza bongo, monga lupus.
- Ngati wina ali ndi chibadwa choyambitsa magazi kumapanga magazi chifukwa cha kusowa kwa njira imodzi kapena zingapo za thupi zomwe zimalepheretsa kuti magazi asawonongeke .
Mayiko Odziwika Kwambiri (INR)
Kudula magazi kumayesedwa pogwiritsira ntchito International Normalized Ratio (INR) yomwe imapatsa mtengo wa 1.0 kwa anthu omwe ali ndi mphamvu zodzipangira magazi. Pamene anthu atenga Coumadin, INR yawo ikuwonjezereka, zomwe zimasonyeza kuti sangathe kupanga magazi.
Chofunika kwambiri cha INR chopewa kupweteka ndi pakati pa 2-3. INR imayesedwa ndi kuyesa magazi. Ngati INR ikukwera kwambiri (kuposa 3) izi zingayambitse magazi osafunika. Ichi ndi chifukwa chake anthu omwe amatenga Coumadin ayenera kutenga magazi awo masabata kapena miyezi ingapo.
Kupanikizika kwa Magazi
Anthu omwe amavutika ndi kuthamanga kwa magazi komanso omwe amachititsa Coumadin kuti asatetezedwe nthawi zonse ayenera kukumbukira kuti kuthamanga kwa magazi kumabweretsa chiopsezo chachikulu kapena kukwapulidwa kumene kumayambitsa magazi m'mphuno. Pamene Coumadin amachepetsa njira zomwe thupi limasiya kuika magazi, anthu omwe amatenga Coumadin nthawi zonse amayenera kuthamanga kwa magazi. Ndipotu, kafukufuku wasonyeza kuti ngakhale kuchepetsa kuchepetsa kuthamanga kwa magazi (pansi pazifukwa 12) kungachepetse ngozi ya magazi mu ubongo pafupifupi 80%.
Malangizo
- Tengani mankhwala okha omwe dokotala wanu akuwuzani (Coumadin amagwiritsa ntchito mankhwala osiyanasiyana)
- Tengani Coumadin nthawi imodzimodzi tsiku lililonse (nthawi zambiri musanagone)
- Idyani mavitamini K omwe ali ndi chakudya tsiku ndi tsiku (mwachitsanzo, nsomba, broccoli, sipinachi, kabichi, kale, kolifulawa)
- Pewani mowa mopitirira muyeso
- Pewani ntchito zomwe zingakugwetseni
- Musayime Coumadin popanda chidziwitso cha dokotala wanu
- Musati mutenge mlingo wawiri wa Coumadin, kupatula ngati mwafunsidwa ndi dokotala wanu kuti achite zimenezo
- Itanani dokotala wanu ngati chovala chanu chikusintha
Zotsatira:
Barker Fiebach, ndi Zieve, Malamulo a Zamankhwala Ambulatory , Edition Seventh, Baltimore, Williams ndi Wilkins.