Coumadin, anonziwo Warfarin, mushonga pakutanga wakabviswa kubva ku coumarin, chemikemikari inowanikwa mune dzimwe mbeu. Icho chinoderedza kukwanisa kwemuviri kuumba ropa, nekudzivirira basa re vitamini K.
Coumadin naStrokes
Coumadin mishonga ine simba inoshandiswa pakudzivirira kurwisa. Coumadin ane simba rekuonda ropa (kureva, rinodzivirira kusagadzikana kwekuvhara ropa muviri).
Chirwere chechirwere chisinganzwisisi ropa rekuvhara ropa chinokonzera kushungurudzika kwehutachiona hwehutachiona, chirwere umo kushungurudzika kwemoyo kunokonzera kuumbwa kwemadivha asina kudiwa mukati memakamuri emwoyo. Mamwe mamiriro ezvinhu umo Coumadin anoshandiswa mukudzivirira kurwisa kunosanganisira:
- Apo mumwe munhu aiva nechiremera chevheti yemwoyo chakatsiviwa nekuvhiya neine mechanical prosthetic valve
- Apo mumwe munhu anowanikwa ane ropa mukati memwoyo shure kwekutambudzika kwepfungwa
- Kana mumwe munhu awanikwa aine ropa rinoputika mumakumbo akadzika mumakumbo (anozivikanwawo sehutachiona hwehutachiona hwakanyanya kana DVT.) DVTs inogona kukonzera kurohwa kune vanhu vane gomba duku pakati pemakona akanaka uye kuruboshwe rwemoyo. inozivikanwa sepentent foramen ovale kana PFO.
- Apo mumwe munhu ane tsika isingajaiki yekuumba ropa rakavhara semugumisiro wehutachiona hwe autoimmune, hwakadai se lupus.
- Apo mumwe munhu ane ruzivo rwechimiro chekuita ropa rinoputika nekuda kwekushayikwa mune imwe kana kupfuura miitiro yemuviri iyo inowanzovharira kusapisa ropa rinogadzirisa maitiro.
International Normalized Ratio (INR)
Kuvhara ropa kunoyerwa kushandisa International Normalized Ratio (INR) iyo inoratidza kukosha kwe1 1.0 kuvanhu vane kodzero yekugadzira ropa. Apo vanhu vanotora Coumadin, INR yavo inowedzera, zvinoratidza kuti havakwanise kuumba ropa.
Izvo zvinoda INR zvekudzivirira chirwere chiri pakati pe 2-3. I INR inoyerwa neropa rekuongorora. Kana INR ichikwirira zvikuru (inopfuura 3) izvi zvinogona kuita kuti ropa risingadi kubuda. Ichi ndicho chikonzero nei vanhu vanotora Coumadin vanofanira kuva neropa ravo rakatorwa masvondo mashoma kana mwedzi.
Ropa Rakamanikidzwa Kudzora
Vanhu vanotambura nehuwandu hwehupfumi uye avo vanotora Coumadin nekudzivirira kurohwa, vanofanira kugara vachifunga mupfungwa dzavo kuti kukwira kweropa kunowedzera njodzi yekurohwa nemarwadzo kana kurohwa kunokonzerwa neropa muuropi. Apo Coumadin inoderedza nzira dzomuviri dzinowanzorega kubuda ropa, vanhu vanotora Coumadin vanofanira kugara vachichengetedza ropa ravo mukutarisa. Ichokwadi, chidzidzo chakaratidza kuti kunyange kuderedzwa kuduku mune systolic yeropa (iyo yakaderera se12 points) kunogona kuderedza dambudziko rekubuda ropa muuropi ne inenge 80%.
Mazano
- Tora mishonga inorayirwa nachiremba wako (Coumadin anoshanda nemishonga yakawanda)
- Tora Coumadin yako panguva imwechete zuva nezuva (kazhinji usati warara)
- Idya huwandu hwevhitamini K dzine zvokudya zuva nezuva (semuenzaniso, hove, broccoli, sipinashi, kabichi, kare, cauliflower)
- Dzivisa kunwisa doro
- Dzivisa mabasa angaita kuti iwe uwe
- Usambofa wakamira Coumadin pasina ruzivo rwechiremba wako
- Usambofa uchitora madhaviri maviri eCoumadin, kunze kwekunge wakabvunzwa chiremba wako kuti aite saizvozvo
- Dana chiremba wako kana chigaro chako chichichinja muvara
Sources:
Barker Fiebach, uye Zieve, Mazano eAmbulatory Medicine , Seventh Edition, Baltimore, Williams naWilkins.