Lawe iā warfarin (Coumadin)

ʻO Warfarin kahi lāʻau e hōʻemi iki ai i kou koko. He mea nui ia e lawe i ka warfarin e like me ka mea i haʻi ʻia iā ʻoe. Ke hoʻololi nei i kāu lawe ʻana i kāu warfarin, lawe ʻana i nā lāʻau ʻē aʻe, a me ka ʻai ʻana i kekahi mau meaʻai āpau hiki ke hoʻololi i ke ʻano o ka hana ʻana o warfarin i kou kino. Inā kū kēia, hiki paha iā ʻoe ke hana i kahi ʻōpala a i ʻole nā ​​pilikia kahe ʻana o ke kahe.

ʻO Warfarin kahi lāʻau e hōʻemi iki ai i kou koko. He mea nui paha kēia inā:

• Ua loaʻa ʻoe i ke kahe koko i kou wāwae, lima, puʻuwai, a i ʻole lolo.
• Ke hopohopo nei kāu mea mālama olakino e hiki ke hoʻopili ʻia kahi koko i kou kino. ʻO ka poʻe i loaʻa ka puʻuwai puʻuwai hou, puʻuwai nui, puʻuwai naʻau maʻamau ʻole, a i ʻole nā ​​pilikia puʻuwai e pono paha e lawe warfarin.

Ke lawe nei ʻoe i warfarin, hiki paha ke kahe i ke koko, ʻoiai mai nā hana āu i hana mau ai.

Ke hoʻololi nei i kāu lawe ʻana i kāu warfarin, lawe ʻana i nā lāʻau ʻē aʻe, a me ka ʻai ʻana i kekahi mau meaʻai āpau hiki ke hoʻololi i ke ʻano o ka hana ʻana o warfarin i kou kino. Inā kū kēia, hiki paha iā ʻoe ke hana i kahi ʻōpala a i ʻole nā ​​pilikia kahe ʻana o ke kahe.

He mea nui ia e lawe i ka warfarin e like me ka mea i haʻi ʻia iā ʻoe.

• E lawe wale i ka lāʻau i kauoha ʻia e kāu mea lawelawe. Inā haʻalele ʻoe i kahi lāʻau, e kāhea i kāu mea hoʻolako no nā ʻōlelo aʻo
• Inā ʻokoʻa kāu mau pila i kou kuhikuhi hope loa, e kāhea koke aku i kāu mea lawelawe a kauka paha. ʻO nā papa ʻokoʻa nā kala, kaukaʻi ʻia i ka mahele lāʻau. Kaha ʻia ka mahele lāʻau ma ka pila.

E hoʻāʻo kāu mea hāʻawi i kou koko i nā kipa maʻamau. Kāhea ʻia kēia he hōʻike INR a i kekahi manawa he hōʻike PT. Kōkua ka hōʻike iā ʻoe e lawe ana i ka nui o warfarin e kōkua ai i kou kino.

Hiki i ka waiʻona a me kekahi mau lāʻau ke hoʻololi i ka hana ʻana o warfarin i kou kino.

• Mai inu i ka waiʻona i ka wā e lawe ana ʻoe i warfarin.
• E kamaʻilio me kāu mea hāʻawi ma mua o ka lawe ʻana i nā lāʻau ʻē aʻe āpau loa, nā wikamina, nā mea hoʻopihapiha, nā lāʻau anuanu, antibiotic, a i ʻole nā ​​lāʻau ʻē aʻe.

E haʻi i kāu poʻe lawelawe āu e lawe nei iā warfarin. Hoʻopili kēia i nā kauka, nā kahu hānai, a me kāu kauka niho. I kekahi manawa, pono paha ʻoe e kū a lawe i ka warfarin liʻiliʻi ma mua o ka loaʻa ʻana o kahi kaʻina hana. E kamaʻilio mau i ka mea hoʻolako nāna i kuhikuhi i ka warfarin ma mua o ka hoʻokū a hoʻololi ʻana paha i kāu lāʻau.

E nīnau e pili ana i ke kau ʻana i ka kūpeʻe lima lapaʻau a i ʻole ka lei e ʻōlelo ai e lawe ana ʻoe i warfarin. E ʻae kēia i nā mea hoʻolako e mālama iā ʻoe i kahi wā pilikia e ʻike ʻoe ke lawe nei i kēia lāʻau.

Hiki i kekahi mau meaʻai ke hoʻololi i ke ʻano o ka hana ʻana o warfarin i kou kino. E nānā pono me kāu mea hoʻolako ma mua o ka hoʻololi ʻana i kāu papaʻai.

ʻAʻole pono ʻoe e hōʻalo i kēia mau meaʻai, akā e hoʻāʻo e ʻai a inu i nā mea liʻiliʻi wale nō o lākou. I ka mea liʻiliʻi, mai hoʻololi i ka nui o kēia mau meaʻai a me nā huahana āu e ʻai ai i kēlā me kēia lā a i kēlā me kēia pule.

• Mayonnaise a me kekahi mau aila, e like me canola, ʻoliva, a me nā ʻaila soya
• ʻO Broccoli, ʻōpuʻu ʻo Brussels, a me ke kāpena ʻōmaʻomaʻo maka
• Endive, lettuce, spinach, parsley, watercress, kālika, a me nā scallions (ʻōmaʻomaʻo aniani)
• ʻO Kale, greens collard, greens mustard, a me nā greens turnip
• ʻO ka wai Cranberry a me ka tī ʻōmaʻomaʻo
• Hoʻopiha kaʻaila iʻa, nā mea kanu i hoʻohana ʻia i nā teas lāʻau

No ka mea ma warfarin hiki iā ʻoe ke kahe i ke kahe ma mua o ka maʻamau:

• Pono ʻoe e hōʻalo i nā hana i hiki ke hōʻeha a i ʻole ʻeha hāmama, e like me nā haʻuki pili.
• E hoʻohana i kahi palaki niho palupalu, nā pulupulu niho i hoʻoulu ʻia, a me kahi pahi kahi uila. E akahele pono a puni nā mea ʻoi.

E pale i ka hāʻule i kou home e ka loaʻa ʻana o nā kukui maikaʻi a me ka wehe ʻana i nā kapeta a me nā kaula uila mai nā ala hele. MAI piʻi a piʻi i luna no nā mea i ka lumi kuke. E kau i nā mea i hiki iā ʻoe ke kiʻi maʻalahi iā lākou. Hōʻalo i ka hele wāwae ʻana i ka hau, nā papahele pulu, a i ʻole he mau ʻano paheʻe a kamaʻāina ʻē aʻe paha.

E nānā pono i nā ʻōuli o ke kahe ʻana a i ʻole ka palapū ʻana i kou kino.

• E nānā i ke kahe ʻana o ke kāʻei, ke koko i loko o kou mimi, ka noho koko a ʻeleʻele paha, nā ihu, a i ʻole ke luaʻi o ke koko.
• Pono nā wahine e nānā no ke kahe ʻana o ke kahe i ko lākou wā a i ʻole ma waena o nā wā.
• ʻIke paha he ʻeha ʻulaʻula a ʻeleʻele paha. Inā kū kēia, e kāhea koke i kāu kauka.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka hāʻule koʻikoʻi, a i ʻole inā kuʻi ʻoe i kou poʻo
• ʻEha, hōʻoluʻolu ʻole, ʻōhū ma kahi hoʻouka a i ʻole kahua ʻeha
• Nui ʻeha ma kou ʻili
• Ka nui o ke kahe ʻana o ke kahe (e like me ka nosebleeds a i ʻole ke kahe koko)
• Ka mimi ʻeleʻele a ʻeleʻele paha a i ʻole ka noho
• Headache, dizziness, a nāwaliwali paha
• ʻO ke kuni a i ʻole nā ​​maʻi ʻē aʻe, e laʻa me ka luaʻi, ka palahī, a i ʻole ka maʻi
• Hāpai ʻoe a i ʻole e hoʻolālā ana ʻoe e hāpai

Mālama Anticoagulant; Mālama mālama lahilahi

Jaffer IH, Weitz JI. Nā lāʻau Anticoagulant. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 39.

ʻO Kager L, Evans WE. Pharmacogenomics a me nā maʻi hematologic. I: Hoffman R, Benz EJ, Silberstein LE, Heslop HE, Weitz JI, Anastasi J, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2018: chap 8.

ʻO Schulman S, ʻo Hirsh J. Antithrombotic therapy. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 38.

• ʻOki kino Aortic - invasive minimally
• ʻOki kino Aortic - wehe
• Huʻi koko
• Maʻi maʻi aʻa Carotid
• Trombosis aa hohonu
• Maʻi hohola
• ʻOki kino mitral - invasive minimally
• ʻOki kino Mitral - wehe
• Embolus pulmonary
• Hoʻouka ischemic kuikawa

• Aibrial fibrillation - hoʻokuʻu
• ʻOki kino aʻa Carotid - hoʻokuʻu
• Puʻuwai puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - hoʻokuʻu
• ʻO ke kīpoki puʻuwai puʻuwai - hoʻokuʻu
• Hoʻololi Hip - hoʻokuʻu
• Hoʻololi hui kuʻi - hoʻokuʻu
• Lawe iā warfarin (Coumadin, Jantoven) - he aha e nīnau aku ai i kāu kauka

• Kaʻi Manamana