U-Coumadin, owaziwa nangokuthi i-Warfarin, ungumuthi owawusuka ku-coumarin, ikhemikhali elitholakala kwezinye izitshalo. Iphazamisa ikhono lomzimba lokwenza ama-blood clots, ngokuvimbela umsebenzi we- vitamin K.
UCoumadin noStrokes
I-Coumadin imithi enamandla esetshenziselwa ukuvimbela isifo. I-Coumadin inezici ezinamandla ze-blood thinning (okungukuthi, kuvimbela ukubunjwa okungavamile kwamacimbi egazi emzimbeni).
Isibonelo sesifo lapho ukubunjwa okungavamile kwe-clot yegazi kuholela ekuqothukeni yi -fibrillation e-atrial, isifo lapho ukushaya khona kwenhliziyo okungaqondakali kuholela ekubunjweni kwezingxube zegazi ezingafuneki ngaphakathi kwamagumbi enhliziyo. Ezinye izimo lapho i-Coumadin isetshenziselwa ukuvimbela isifo zihlanganisa:
- Lapho othile enesifo senhliziyo esiphuthele esikhundleni sakhe washaywa nge- valve mechanical prosthetic
- Uma umuntu etholakele ukuba ne-blood clot ngaphakathi kwenhliziyo ngemuva kokuba ahlaselwe isifo senhliziyo
- Uma umuntu etholakele ukuthi une-clot yegazi emithanjeni ejulile emilenzeni (eyaziwa ngokuthi i- thrombosis ejulile noma i- DVT.) I- DVTs ingabangela imivimbo kubantu abanomgodi omncane phakathi kwezinhlangothi ezingakwesokudla nangakwesokunxele zenhliziyo. uyaziwa njenge-patent foramen ovale noma PFO.
- Uma othile enomkhuba ongavamile wokwenza ama-clots wegazi ngenxa yomkhuhlane we-autoimmune, njenge-lupus.
- Uma othile enesifo sokuthi ufuze enze i-blood clots ngenxa yokuntuleka komzimba noma ngaphezulu kwezinto zomzimba ezivame ukuvimbela ukwakheka kwegazi okungavamile.
Ukulinganisa Okujwayelekile Kwamanye amazwe (INR)
Ukweqa i-blood kulinganiswa ngokusebenzisa i-International Normalized Ratio (INR) ebonisa ukubaluleka kwe-1.0 kubantu abanekhono elijwayelekile lokwenza ama-blood clots. Lapho abantu bethatha i-Coumadin, i-INR iyanda, isibonakaliso sokuthi abancani kakhulu ukwenza ama-blood clots.
I-INR efiselekayo yokuvimbela isifo iphakathi kuka 2-3. I-INR ilinganiswa nokuhlolwa kwegazi. Uma i-INR iphezulu kakhulu (ngaphezu kuka-3) lokhu kungabangela ukuphuma okungadingeki. Yingakho abantu abathatha u-Coumadin kumele baphathe igazi labo njalo emva kwamasonto ambalwa noma izinyanga ezimbalwa.
I-Blood Pressure Control
Abantu ababhekene nengcindezi ephakeme yegazi futhi abathatha u-Coumadin ngokuvimbela isifo sohlangothi kufanele bahlale bekhumbula ukuthi ukucindezeleka kwegazi okweqile kwandisa ingozi yemivimbo noma ukushaywa okubangelwa ukuphuma kwegazi ebuchosheni. Njengoba i-Coumadin inciphisa izindlela zomzimba ezivame ukuyeka igazi, abantu abathatha uCoumadin kumele bahlale begcina ukucindezeleka kwegazi. Eqinisweni, ucwaningo luye lwabonisa ukuthi ngisho nokunciphisa okuncane kwe-systolic blood pressure (ngaphansi kwamaphesenti angu-12) kunganciphisa ingozi yokuphuma echosheni ngo-80%.
Amathiphu
- Thatha imithi kuphela enqunywe udokotela wakho (Coumadin usebenzelana nemithi eminingi)
- Thatha i-Coumadin yakho ngesikhathi esifanayo nsuku zonke (ngokuvamile ngaphambi kokulala)
- Yidla isilinganiso esifanayo samavithamini K aqukethe ukudla nsuku zonke (isib. Inhlanzi, i-broccoli, isipinashi, iklabishi, i-kale, i-cauliflower)
- Gwema utshwala ngokweqile
- Gwema imisebenzi engase ibangele ukuba iwe
- Ungalokothi uyeke u-Coumadin ngaphandle kolwazi lomdokotela wakho
- Ungalokothi uthathe amanani aphindwe kabili e-Coumadin, ngaphandle uma ucelwa udokotela wakho ukuba enze njalo
- Shayela udokotela wakho uma isitokisi sakho sishintsha ngombala
Imithombo:
Barker Fiebach, noZieve, Izimiso Zomuthi Wokuxubha, I-Seventh Edition, uBaltimore, Williams noWilkins.