Warfarin

Zvemukati

• Usati watora warfarin,
• Warfarin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Warfarin inogona kukonzera kubuda ropa kwakanyanya uko kunogona kutyisidzira hupenyu uye kutokonzeresa kufa. Udza chiremba wako kana iwe kana wakambove neropa kana kubuda ropa kusagadzikana; matambudziko ekubuda ropa, kunyanya mudumbu rako kana yako esophagus (chubhu kubva pahuro kusvika mudumbu), ura, weti turakiti kana dundira, kana mapapu; kukwirira kweropa; kumira kurova kwemoyo; angina (kurwadziwa kwepfupa kana kumanikidza); chirwere chemoyo; pericarditis (kuzvimba kwetambo (sac) kutenderedza moyo); endocarditis (kutapukirwa kweimwe kana kupfuura mavharuvhu emwoyo); sitiroko kana kushumira; aneurysm (kushayisa simba kana kubvarura tsinga kana tsinga); kupererwa neropa (yakaderera nhamba yemasero matsvuku eropa muropa); gomarara; manyoka asingagumi; kana itsvo, kana chirwere chechiropa. Uyezve udza chiremba wako kana iwe uchidonha kazhinji kana kuti wakambove nekukuvara kwakanyanya kana kuvhiyiwa. Kubuda ropa kunowanzoitika panguva yewarfarin kurapwa kwevanhu vanopfuura makore makumi matanhatu nemashanu ekuberekwa, uye zvakare zvinowanzoitika mukati memwedzi wekutanga wekurapa warfarin. Kubuda ropa kunowanzoitika kune vanhu vanotora mwero wakakura wewarfarin, kana kutora mushonga uyu kwenguva yakareba. Ngozi yekubuda ropa panguva yekutora warfarin zvakare yakakwira kune vanhu vari kutora chikamu muchiitiko kana mutambo uyo unogona kukonzera kukuvara kwakakomba. Udza chiremba wako uye wemishonga kana iwe uri kutora kana kuronga kutora chero mushonga kana isiri yekunyorera mishonga, mavhitaminzi, zvinovaka muviri zvekuwedzera, uye mishonga yemakwenzi kana botanical (Ona ZVINOKOSHA ZVINOKOSHA), sezvo zvimwe zvezvigadzirwa izvi zvinogona kuwedzera njodzi yekubuda ropa paunenge uchitora warfarin. Kana ukasangana nechimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasira: kurwadziwa, kuzvimba, kana kusagadzikana, kubuda ropa kubva pakucheka kusingamire panguva yakajairwa yenguva, kubuda ropa mumhino kana kubuda ropa kubva mumatadza ako, kukosora kana kurutsa ropa kana zvinhu iyo inoratidzika senzvimbo yekofi, kubuda kweropa zvisina kujairika kana kupwanya, kuwedzera kuenda kumwedzi kana kubuda ropa kwemukadzi, pink, tsvuku, kana weti yakasviba weti, tsvuku kana kunonoka kubuda hutumbu, kutemwa nemusoro, dzungu, kana kushaya simba.

Vamwe vanhu vanogona kupindura zvakasiyana newarfarin zvichibva pahunhu hwavo kana magene ekugadzira. Chiremba wako anogona kuraira kuongororwa kweropa kuti ubatsire kuwana iyo yewarfarin yakakunakira iwe.

Warfarin inodzivirira ropa kubva mukugwamba saka zvinogona kutora nguva yakareba kupfuura zvakajairika kuti umise kubuda ropa kana wakachekwa kana kukuvara. Dzivisa zviitiko kana mitambo ine njodzi yakakura yekukuvadza. Fonera chiremba wako kana kubuda ropa kuri kujairika kana ukadonha nekukuvara, kunyanya kana ukarova musoro wako.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira kuongororwa kweropa (PT [prothrombin test] inonzi INR [international normalized ratio] kukosha) nguva nenguva kuti utarise mhinduro yemuviri wako kuwarfarin.

Kana chiremba wako akakuudza kuti rega kutora warfarin, mhedzisiro yemushonga iyi inogona kugara kwemazuva maviri kusvika mashanu mushure mekumira kuitora.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa newarfarin uye nguva yega yega paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi (s) yekutora warfarin.

Warfarin inoshandiswa kudzivirira kugwamba kweropa kubva pakuumba kana kukura kukura muropa rako nemidziyo yeropa. Iyo inonyorerwa kune vanhu vane mamwe marudzi easina kujairika kurova kwemoyo, vanhu vane prosthetic (kutsiva kana michina) mavharuvhu emwoyo, uye vanhu vakatambura chirwere chemwoyo. Warfarin inoshandiswawo kurapa kana kudzivirira venous thrombosis (kuzvimba uye kuvhara ropa mutsinga) uye pulmonary embolism (ropa clot mupapu). Warfarin iri mukirasi yemishonga inonzi anticoagulants ('blood thinner'). Inoshanda nekuderedza kugona kwekuvhara kweropa.

Warfarin inouya sehwendefa kutora nemuromo. Inowanzo kutorwa kamwe chete pazuva kana pasina chikafu. Tora warfarin kwakatenderedza nguva yakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora warfarin chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako. Fonera chiremba wako nekukasira kana iwe ukatora yakawanda kupfuura yako yakatarwa dosi yewarfarin.

Chiremba wako angangotanga iwe padosi yakaderera yewarfarin uye zvishoma nezvishoma kuwedzera kana kudzikisa dosi yako zvichibva pamhedzisiro yekuongororwa kweropa rako. Ita shuwa kuti iwe unonzwisisa chero nyowani dosing mirairo kubva kuna chiremba wako.

Ramba uchitora warfarin kunyangwe iwe uchinzwa zvakanaka. Usarega kutora warfarin usina kutaura nachiremba wako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora warfarin,

• udza chiremba wako uye wemishonga kana iwe uri weergergic kune warfarin, chero mimwe mishonga, kana chero chinhu chinowanikwa mumahwendefa ewarfarin. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• usatore maviri kana anopfuura mishonga ine warfarin panguva imwe chete. Ive neshuwa yekutarisa nachiremba wako kana wemishonga kana iwe usina chokwadi kana mushonga uine warfarin kana warfarin sodium.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora, kunyanya acyclovir (Zovirax); allopurinol (Zyloprim); alprazolam (Xanax); mishonga inorwisa mabhakitiriya yakaita se ciprofloxacin (Cipro), clarithromycin (Biaxin, mu Prevpac), erythromycin (EES, Eryc, Ery-Tab), nafcillin, norfloxacin (Noroxin), sulfinpyrazone, telithromycin (Ketek), uye tigecyilline (Tygaccline) anticoagulants senge argatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, uye lepirudin (Refludan); antifungals senge fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); antiplatelet mishonga yakadai se cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, muAgrenrenox), prasugrel (Effient), uye ticlopidine (Ticlid); aprepitant (Simbisa); maaspirin kana maasipurini-ane zvigadzirwa uye mamwe asiri -steroidal anti-anogumbura zvinodhaka akadai celecoxib (Celebrex), diclofenac (Flector, Voltaren, muArthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprof , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), uye sulindac (Clinoril); bicalutamide; bosentan; mamwe antiarrhythmic mishonga yakadai sa amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, uye propafenone (Rythmol); imwe calcium chiteshi ichivharira mishonga senge amlodipine (Norvasc, muAzor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) uye verapamil (Calan, Isoptin, Verelan, muTarka); mimwe mishonga yeasthma yakadai se montelukast (Singulair), zafirlukast (Accolate), uye zileuton (Zyflo); mimwe mishonga inoshandiswa kurapa gomarara senge capecitabine (Xeloda), imatinib (Gleevec), uye nilotinib (Tasigna); mimwe mishonga yecholesterol yakadai seatorvastatin (Lipitor, muCaduet) uye fluvastatin (Lescol); mimwe mishonga yezvinetso zvekudya zvakaita se cimetidine (Tagamet), famotidine (Pepcid), uye ranitidine (Zantac); mimwe mishonga yehutachiona hwehutachiona hwehutachiwana hweHIV (amp) seamprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Viracept), ritac Norvir), saquinavir (Invirase), uye tipranavir (Aptivus); mimwe mishonga yekurapwa nenjodzi senge armodafinil (Nuvigil) uye modafinil (Provigil); mimwe mishonga yekubatwa senge carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), uye rufinamide (Banzel); mimwe mishonga yekurapa chirwere chetibhii seisoniazid (muRifamate, Rifater) uye rifampin (Rifadin, muRifamate, Rifater); mamwe anosarudza serotonin reuptake inhibitors (SSRIs) kana kusarudza serotonin uye norepinephrine reuptake inhibitors (SNRIs) senge citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, fluvoxamine (Luvox), milnacipran (Savella), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor) corticosteroids senge prednisone; cyclosporine (Neoral, Sandimmune); disulfiram (Antabuse); methoxsalen (Oxsoralen, Uvadex); metronidazole (Flagyl); nefazodone (Serzone), zvekudzivirira pamuromo (mapiritsi ekudzivirira kubereka); oxandrolone (Oxandrin); pioglitazone (Actos, muActoplus Met, Duetact, Oseni); propranolol (Inderal) kana vilazodone (Viibryd). Mimwe mishonga yakawanda inogona zvakare kubatana newarfarin, saka ive shuwa yekuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Usatore chero mishonga mitsva kana kumira kutora chero mishonga usati wataura nachiremba wako.
• udza chiremba wako uye wemishonga izvo zvemishonga kana botanical zvigadzirwa zvauri kutora, kunyanya coenzyme Q10 (Ubidecarenone), Echinacea, garlic, Ginkgo biloba, ginseng, goldenseal, uye St. John's wort. Kune akawanda akawanda mishonga yemakwenzi kana botanical izvo zvinogona kukanganisa mhinduro yemuviri wako kuwarfarin. Usatanga kana kumira kutora chero mishonga yemakwenzi usina kutaura nachiremba wako.
• udza chiremba wako kana iwe kana wakambove nechirwere cheshuga. Uyezve udza chiremba wako kana uine hutachiona, chirwere chemudumbu senge manyoka, kana sprue (zvinopesana neprotein inowanikwa muzviyo zvinokonzeresa manyoka), kana catheter inogara (inochinja ipurasitiki chubhu inoiswa mudundira kubvumira weti kubuda).
• Udza chiremba wako kana iwe uri nepamuviri, funga kuti iwe unogona kunge uine pamuviri, kana kuronga kuve nepamuviri uchitora warfarin. Vakadzi vane nhumbu havafanirwe kutora warfarin kunze kwekunge vaine michina yemoyo vharuvhu. Taura nachiremba wako nezve iko kushandiswa kweanobudirira kudzora pakubata warfarin. Kana iwe ukava nepamuviri uchitora warfarin, dana chiremba wako nekukurumidza. Warfarin inogona kukuvadza fetus.
• udza chiremba wako kana iwe uchiyamwisa.
• kana iwe uri kuvhiyiwa, kusanganisira kuvhiya mazino, kana chero rudzi rwekurapa kana mazino maitiro, udza chiremba kana chiremba wemazino kuti urikutora warfarin. Chiremba wako anogona kukuudza kuti rega kutora warfarin pamberi pekuvhiya kana maitiro kana shandura dosi yako yewarfarin usati wavhiyiwa kana maitiro. Tevedza zvirevo zvechiremba wako zvakanyatsonaka uye chengeta zvese zvakagadzwa nerabhoritari kana chiremba wako akaraira bvunzo dzeropa kuti uwane yakanyanya dhi yewarfarin iwe.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa zvinodhaka paunenge uchitora warfarin.
• udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Kusvuta fodya kunogona kudzora kushanda kwemushonga uyu.

Idya zvakajairwa, zvine hutano kudya. Zvimwe zvekudya nezvinwiwa, kunyanya izvo zvine vhitamini K, zvinogona kukanganisa mashandiro ewarfarin kwauri. Kumbira chiremba wako kana wemishonga kuti uwane rondedzero yezvikafu zvine vhitamini K. Idya zvikafu zvakaenzana zvevhitamini K-zvine chikafu pavhiki nevhiki. Usadye huwandu hwakawanda hwemashizha, miriwo miriwo kana mamwe mafuta emiriwo ane huwandu hwakawanda hwevhitamini K. Iva nechokwadi chekutaura nachiremba wako usati waita chero shanduko mukudya kwako. Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira, kana iri zuva rimwe chetero rawaifanira kutora dosi. Usatore dosi yakapetwa zuva rinotevera kuti uwane imwe yakarasika. Fonera chiremba wako kana ukarasikirwa neiyo dose yewarfarin.

Warfarin inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• gasi
• marwadzo emudumbu
• kuzvimba
• chinja munzira iyo zvinhu zvinonaka
• kurasikirwa nebvudzi
• kunzwa kutonhora kana kuva nechando

Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:

• mikoko
• mapundu
• kuvava
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, rurimi, miromo, kana maziso
• hoarseness
• kurwadziwa pachipfuva kana kumanikidza
• kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
• kupindwa nechando
• hutachiona
• kusvotwa
• kurutsa
• manyoka
• kuneta zvakanyanya
• kushaya simba
• kurasikirwa nenzara
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu
• yero yeganda kana maziso
• furu-kunge zviratidzo

Iwe unofanirwa kuziva kuti warfarin inogona kukonzera necrosis kana gonda (kufa kweganda kana mamwe materu emuviri). Fonera chiremba wako nekukasira kana ukacherekedza ruvara rwepepuru kana rakasviba kuganda rako, shanduko yeganda, maronda, kana dambudziko risinganzwisisike mune chero nzvimbo yeganda rako kana muviri, kana kana uine kurwadziwa kwakanyanya kunoitika kamwe kamwe, kana ruvara kana tembiricha shanduko. munzvimbo ipi neipi yemuviri wako. Shevedza chiremba wako nekukasira kana zvigunwe zvako zvikava zvinorwadza kana kuva nepepuru kana nerima muvara. Ungangoda kurapwa nekukasira kudzivirira kudimurwa (kubviswa) kwenhengo yako yemuviri yakakanganiswa.

Warfarin inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya, hunyoro (kwete muchimbuzi), uye mwenje.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• reropa kana dzvuku, kana kumbomira ura kufamba
• kupfira mate kana kukosora ropa
• kubuda ropa kwakanyanya nekuenda kwako kumwedzi
• pink, tsvuku, kana yakasviba weti
• kukosora kana kurutsa zvinhu zvinoita kunge kofi nzvimbo
• diki, yakati sandara, yakatenderera tsvuku nzvimbo pasi peganda
• kupwanya kusingawanzo kana kubuda ropa
• kuenderera mberi kuchizara kana kubuda ropa kubva mukucheka kudiki

Takura kadhi rekuzivisa kana kupfeka rundarira rinotaura kuti iwe unotora warfarin. Kumbira wemishonga wako kana chiremba kuti ungawana sei kadhi kana bhandi. Nyora zita rako, matambudziko ekurapa, mishonga uye madheji, uye zita rechiremba uye nhamba yefoni pakadhi.

Udza vese vanokupa hutano kuti utore warfarin.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Coumadin^®
• Jantoven^®