Warfarin is anticoagulant yechinhu chisina kujeka, iyo inotora coumarin. Chirwere ichi chinoderedza kushandiswa kwechiropa chechiropa chevhitamin-K chakavimbika. Kuiswa kwezvinhu izvi kwakaderedzwa uye, maererano naizvozvo, ropa coagulability inoderera pasi. Dhani kana uchitora Warfarin inofanira kuva yakarurama chaizvo. Mukuwedzera, varwere vanotora mishonga iyi vanoda nguva dzose kuongororwa ropa kuti vaone INR (ropa count, iyo inoratidzira coagulability). Kunyanya kuderedza kana kusadya zvisina kunaka kwefarfarin kunogona kukonzera kubuda kwemuviri uye zvimwe zvinokonzerwa nekusiyana zvakasiyana, kusvika pamigumisiro inouraya.
Migumisiro Yakashata yeWarfarin
Panguva yekutungamirirwa kwechirwere, zvinotevera zvinogona kuonekwa:
- Kudya-kazhinji kazhinji kunosangana nekushandiswa kweWarfarin side effect. Mune chimiro chinyararire inogona kugadziriswa nekubuda ropa kana kuti kuumbwa kwema hematomas maduku paganda. Muchiitiko chisingawanzoitiki, chirwere chepemheya uye chekuita necrosis ganda rinokonzerwa ne thrombosis rinogona kuitika. Mukati, uye kunyanya chirwere chinotyisa chirwere chisina kuvhara muviri, nekucherechedza maitiro ekutora Warfarin, inowanikwa munenge 1 pa10 000 mhosho, uye inowanzobatanidzwa nehupo hwehutano hwehutano uye zvimwe zvinodhaka.
- Kubva pakugadzirisa chirwere kunogona kuonekwa kusuruvara, kurarisa, kurutsa, kurwadziwa mumimba. Muzviitiko zvisingaiti - kukura kwe jaundice.
- Pamusoro penheyo yenheyo, muzviitiko zvisingawanzoitiki, pangave kuwedzerwa kuneta, kuora musoro, chizungu, uye kunakidza kuvhiringidzika.
- Mune zviitiko zvisingawanzoitiki nekurapa kwenguva refu ne warfarin, pane zvinetso kubva pamhepo yekufema: tracheal kana tracheo-bronchial calcification.
- Nemunhu mumwe munhu anotengesa kana kusagadzikana kwezvinodhaka, kuputika kweganda, kutema, dermatitis, vasculitis , alopecia (bvudzi rinosakara) rinogona kuonekwa.
Overdose Warfarin
Kubudirira pakurapwa kwechirwere chechirwere chiri pamucheto wekubuda ropa, ndicho chikonzero kutarirwa kweNR uye kutarisana nemirairo yakatarwa mukurapa warfarin kune basa rakakura kudaro. Neine madzimai maduku, kazhinji mishonga inodhakwa kana kuti chirwere chakaderedzwa. Kana kuwedzeredza kunobatanidza nekukura kwekubuda ropa kwakanyanya, shandisa vitamin K inopinza (kusagadzirisa zvinokonzerwa neWarfarin), pamwe chete nemvura yakachena yefrima kana coagulation factor concentrates.
Kudzora kweInR paunotora Warfarin
MNO ndiyo inowanikwa pasi rose normalized, chivharo chechigadziro, icho chinoverengerwa kubva ku prothrombin index. Kunze kwechiratidzo ichi chakaderera, ropa rakanyanya uye kune ngozi yakawanda yehutachiza ropa. A high MNO inoratidza ngozi yekubuda ropa. Pakutanga kwekutanga, pakusarudza kudikanwa kwemuviri wezvinodhaka, chiratidzo chinoyera zuva rega rega. Mune ramangwana zvinokurudzirwa kuitisa kuongororwa kamwechete pavhiki, uye kana zviyero zvitatu zvingasara mukati memaitiro anogamuchirwa, kuwedzerwa kweongororo ye INR kunogona kuderedzwa kamwechete mumavhiki maviri. Kuwedzera kuongororwa kweInR kunodiwa pane zvakaitika mukudya, kushungurudzika, nezvimwe zvinhu zvinogona kuchinja chiratidzo.
Zvokudya pakutora Warfarin
Zvokudya zvine zvakawanda zvevhitamini K zvinogona kuderedza kushanda kwechirwere. Chizhinji chevhitamini ichi chinowanikwa mumitsva yakachena, saka mukurapa haafaniri kushungurudzwa nezvinhu zvakadai se:
- avocado;
- kabbage;
- anyanisi;
- cilantro;
- parsley;
- makomkomera (zvichida akacheneswa, sezvo vitamisi inowanika mucheche), chicory;
- mintini;
- kiwi fruit;
- saladhi;
- mafuta omuorivhi;
- peas;
- soya;
- pistachios;
- tsvuku yegungwa;
- sipinashi.
Warfarin nedoro
Doro rinowedzera anticoagulant effect ye warfarin uye somugumisiro, kuitika kwekubuda ropa kusingagoneki kunogona kuitika kunyange nekutambudzika kwakanyanya kwepamba. Kutora doro guru rewaini pamwe ne warfarin yakazara nekukura kwekubuda ropa kwakakomba, kunyanya mudumbu, izvo zvinopisa upenyu.