U-Coumadin, owaziwa nangokuthi yiWarfarin, yipilisi eyayisuka kwi-coumarin, ikhemikhali efumaneka kwezinye izityalo. Iyakunciphisa amandla omzimba wokwenza iimbali zegazi, ngokuthintela umsebenzi we- vitamin K.
ICoumadin neStrokes
I-Coumadin yonyango elinamandla elisetyenziselwa ukuthintela isithintelo. I-Coumadin inempahla egacekileyo yegazi (oko kukuthi, inqanda ukubunjwa okungaqhelekanga kwamacandelo egazi emzimbeni).
Umzekelo wesifo apho isakhiwo esingaqhelekanga se-clot segazi sikhokelela ekubetheni i-fibrillation ye-atrial, isifo apho ukubetha okungaqhelekanga kwentliziyo kuholela ekubunjweni kwegazi elingenakudliwa ngaphakathi kweentliziyo zamagumbi. Ezinye iziganeko apho iCoumadin isetyenziselwa ukukhuselwa kwesibalo ziquka:
- Xa umntu enesiphako senhliziyo esilungileyo yatshintshela i- valve ye-prosthetic valve
- Xa umntu efunyenwe ukuba enegazi legazi ngaphakathi entliziyweni emva kokuhlaselwa kwentliziyo
- Xa umntu efunyenwe ukuba enegazi legazi emilanjeni enzulu emilenzeni (eyaziwa ngokuba yi- thrombosis enzulu okanye i- DVT.) I- DVTs inokubangela ukubetha kubantu abanomdlana omncinci phakathi kweendawo ezilungileyo kunye nekhohlo yentliziyo. yaziwa ngokuba yi-patent foramen ovale okanye PFO.
- Xa umntu enesimo esingaqhelekanga sokwenza iimbambo zegazi ngenxa yesifo sokuzimela, njenge-lupus.
- Xa umntu enesimo semfuyo eselungelelaniso ukuze enze iimbumba zegazi ngenxa yokusilela kwindlela enye okanye ngaphezulu kweendlela zomzimba ezivame ukukhusela isakhiwo segazi esingavamile.
I-International Ratio Ratio (INR)
I-clotting yegazi igqithwe ngokusebenzisa i-International Normalized Ratio (INR) ebonisa ukubaluleka kwe-1.0 kubantu abanekhono eliqhelekileyo lokwenza i-clots blood. Xa abantu bathatha i-Coumadin, i-INR iyakhula, ibonisa ukuba ayinakukwazi ukwenza i-blood clots.
I-INR enqwenelekayo yokuthintela ulwaphulo luphakathi kwe-2-3. I-INR ilinganiswa nokuhlolwa kwegazi. Ukuba i-INR iya phezulu (ngaphezu kwe-3) oku kunokubangela ukuba uphephe okungafunwa. Esi sizathu sokuba abantu abathatha iCoumadin kufuneka babe negazi labo bathathe iiveki ezimbalwa okanye iinyanga ezimbalwa.
UkuLawula Igazi
Abantu abafumana uxinzelelo lwegazi oluphezulu kunye nabo bathatha iCourmadin ngokukhusela isifo kufuneka bahlale bekhumbula ukuba ukunyuka kwengcinezelo yegazi kwandisa umngcipheko weentlungu okanye imivimbo ebangelwa ukuphuma kwintsholongwane. Njengoko i-Coumadin iyanciphisa iindlela zomzimba eziyeke ukuyeka igazi, abantu abathatha iCoumadin kufuneka bahlale begcina ingcinezelo yegazi. Enyanisweni, uphando luye lwabonisa ukuba nokuba ukunciphisa amancinci kwi- systolic blood pressure (njengamaqondo angaphantsi kwama-12) kunokunciphisa umngcipheko wokuphaphaza engqondweni ngo-80%.
Iingcebiso
- Thatha kuphela amayeza anqunywe ngugqirha wakho (u-Coumadin unxibelelana namayeza amaninzi)
- Thatha i-Coumadin yakho ngexesha elifanayo yonke imihla (ngokuqhelekileyo ngaphambi kokulala ngexesha)
- Yidla umlinganiselo ofanayo wevithamini K equle ukutya imihla ngemihla (umzekelo, intlanzi, i-broccoli, isipinashi, iklabishi, i-kale, i-cauliflower)
- Gwema utywala ogqithiseleyo
- Gwema imisebenzi eyenza ukuba iwe
- Ungaze uyeke u-Coumadin ngaphandle kolwazi lwakho logqirha
- Ungalokothi uthathe amanyathelo aphindwe kabini e-Coumadin, ngaphandle kokuba ucelwe ngokugqithiswa ngugqirha wakho ukuba enze njalo
- Biza ugqirha wakho ukuba isitya sakho sitshintshe ngombala
Imithombo:
UBarker Fiebach, kunye neZieve, iMigaqo yeMithi ye-Ambulatory , i-Seventh Edition, iBaltimore, Williams kunye noWilkins.