Abinci, magunguna da kuma karin tasirin warfarin dosages
Idan an bi da ku don mummunan ciwo mai ɓoye , to, zaku iya tsammanin akalla watanni uku na ci gaba da maganin rigakafi ko magani na jini bayan kun bar asibiti.
Rashin ciwon hauka mai tsanani yana da hatsarin gaske inda jikinka ke gudanarwa da jini, yawanci a cikin kafa, wanda zai iya jefa wasu kullun wanda zai iya kwantar da hankalin zuwa ga huhu.
Wannan mummunar abu ne da aka sani da embolism na pulmon. Tare da ci gaba da maganin rigakafin rigakafi bayan ka bar asibiti, ka rage girman hadarin sake gyaran irin wannan jini. Daga bayanin kula, farfadowa da kwayoyin cutar ba wai kawai aka ba shi ba tare da haɗari mai zurfi. Alal misali, idan ana kula da ku a halin yanzu saboda bugun jini ko wasu yanayin hypercoagulable, zaku iya tsammanin rayuwa ta tsauraran kai.
Ana iya kiyaye magunguna da dama da magungunan heparin (subcutaneous injection), fondaparinux (injection subcutaneous) ko masu maganin Xa na tsakiya kamar dabigatran. A cikin wannan labarin, za mu mayar da hankali ga warfarin (Coumadin) wanda aka samuwa a matsayin magani na maganin. Lokacin zabar matakan rigakafi, don Allah ka tuna cewa zaɓuɓɓuka suna wanzu, kuma likitanka zai iya ƙara tattauna waɗannan zabin tare da kai.
Ta yaya Warfarin Works
Warfarin yana shawo kan maganin kutsawa na gurɓata abubuwan da suke da kwayar cutar Kitsin K, saboda haka suna rikitar da tsari na coagulation da hana hana kowane sabon ƙugi.
Har sai ya fara, warfarin yana haɗuwa da iyaye na parenteral ko injectable kamar Lovenox (inoxaparin injection).
Warfarin yana samuwa a cikin shirye-shirye na al'ada da na intravenous - yawancin mutane suna yin maganin guba. An fara mutane a kan kimanin 5 MG na warfarin a rana don kwanakin farko. Ana gyara gyaran Warfarin don tabbatar da matakan INR, matakan yanayin coagulation wanda zan taba a cikin wani bit, warkewa.
Idan sha'awar, shafin yanar gizon www.warfarindosing.org yana bada kyautar calcar din warfarin kyauta.
Wa ke Bukata Mafi Girma?
Za a iya buƙatar hakar warfarin mafi girma ga yawan masu haƙuri:
- Afirka ta Amirka
- Obese
- Hypothyroid
- Barasa dogara
Wa ke Bukata Ƙananan Ƙira?
Hakanan, wa] annan masu yawan marasa lafiya sun kamata su samu asarar warfarin:
- Tsofaffi
- Asian
- Hyperthyroid
- Zuciyar zuciya
- Cutar cutar
- Tarihin manyan tiyata
- Gudanar da kwayoyin halitta a CYP2C9 ko VKORC1 kwayoyin halitta
Bugu da ƙari, yanayin halayen yawan marasa lafiya, wanda aka yi amfani da shi, an gyara gyaran lafiyar ta hanyar dogara da magungunan da kake ciki. Alal misali, phenytoin yana ƙaruwa aikin yakifarin kuma hakan yana rage matakan INR.
Dakin gwajin ƙwarewa na INR (haɗin kai na ƙasashen duniya) ana amfani dashi don sanin matsayin ku na coagulation kuma gyara sashin warfarin. A mafi yawancin mutane, matakan na INR masu dacewa sun kasance daga 0.8 zuwa 1.2. Mutanen da ake fama da warfarin suna yawan kiyayewa ne a matsayi na INR tsakanin 2 da 3, ma'ana waɗannan marasa lafiya sunfi karuwa sosai (suna da jinin jini) fiye da mutane. Yayin da kake karbar magancewar cutar, dole ne likitanka ya kula da matakan INR akai-akai.
Yaya Danyen Abinci ke Shafar Juyawa?
Saboda warfarin shine mai cin gashin kwayar kwayoyin K, mai cin abinci mai gina jiki a bitamin K zai iya rage matakan INR.
Musamman, ƙwayoyin kore da leafy sukan zama high a bitamin K. A gefe guda, dankali, 'ya'yan itatuwa, da hatsi suna da rashin ƙarfi a bitamin K. Zaka iya ci gaba da cin abinci mai gina jiki na kore da kayan lambu, duk da haka, yayi ƙoƙarin kasancewa m a cikin yau da kullum don amfani da matakan INR ba su canzawa ba.
Risks
Rashin mummunar tasirin warfarin suna yawanci iyakance ga tashin hankali, da fuka da sauransu. Duk da haka, warfarin yana ƙaruwa da haɗarin jini ko zub da jini wanda zai iya zama mai tsanani (tunanin kwakwalwar kwakwalwa). Idan akwai ciwon kyamarar cutar saboda magani tare da warfarin, likitoci zasu iya jagorantar bitamin K don taimakawa wajen tattake jini ko kuma yin jini.
Mutane da ke da tarihin cutar jini suyi hankali lokacin shan warwar. Bugu da ƙari kuma, lokacin shan warwar, yana da kyau a yi amfani da gogaggen lantarki da ƙwararraji na lantarki don ƙididdige hadarin launin jini. Har ila yau, tabbatar da sanar da likitan likitanka cewa kana kan warfarin kafin duk aikin aikin hakori ya aikata.
Domin warfarin zai iya hulɗa tare da magungunan ƙwayoyi masu yawa da kuma jefa matakan INR a whack, ya fi kyau ka kauce wa magungunan magungunan magungunan magungunan ko magunguna yayin da kake yin wannan magani.
Idan kai ko ƙaunatacciyar buƙatar ɗaukar warfarin don ciwo mai tsanani, fashewa, ko yanayin hypercoagulable, don Allah a tuna cewa maganin da ake kira anticoagulant tare da wannan magani yana aiki ne. Don kafa da kuma kula da matsakaici na daidaitawa, za ku bukaci yin aiki tare da likitanku kuma zai fi dacewa a matsayin mai cin abinci, kuma. Don Allah a tuna cewa ku kasance masu lura, samun matakan INR da aka bincika a kai a kai, aiki tare da ƙungiyar kiwon lafiyar ku, kuma ku kula da abincin ku.
> Sources:
> FFT PF, Minichiello T. Rashin lafiya na Hemostasis, Thrombosis, & Antithrombotic Far. A cikin: Papadakis MA, McPhee SJ, Rabow MW. eds. Sanarwar Asibiti na Yanzu da Jiyya 2015 . New York, NY: McGraw-Hill; 2014.
> Sanarwar Nazarin Magungunan Masarar Mugaba ta Ma'aikatan Lafiya, Na Biyu Edition. Elsevier a shekarar 2010.