Warfarin

Qanacsan

• Kahor qaadashada warfarin,
• Warfarin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Warfarin waxay sababi kartaa dhiigbax daran oo nafta halis gelin kara xitaa dhimasho keeni kara. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dhiig ama dhiig-bax khalkhal gashay; dhibaatooyinka dhiigbaxa, gaar ahaan calooshaada ama hungurigaaga (tuubada ka soo baxda cunaha ilaa caloosha), xiidmaha, kaadi mareenka ama kaadi haysta, ama sambabada; dhiig kar; wadne qabad; angina (xabad xanuun ama cadaadis); cudurka wadnaha; pericarditis (bararka xuubka (kiish) wadnaha); endocarditis (infekshinka hal ama in kabadan wadnaha wadnaha); istaroog ama ministroke; aneurysm (daciifinta ama jeexitaanka halbowlaha ama xididka); dhiig yari (tiro yar oo unugyada dhiigga cas ee dhiigga ku jira); kansarka; shuban joogto ah; ama kelyo, ama beer xanuun. Sidoo kale u sheeg dhakhtarkaaga haddii aad badanaa dhacdo ama aad dhawaan dhaawac halis ah ama qalliin soo gaadhay. Dhiigbaxdu waxay u badan tahay inta lagu jiro daweynta warfarin ee loogu talagalay dadka ka weyn 65 sano, sidoo kale waxay u badan tahay inta lagu jiro bisha ugu horreysa ee daaweynta warfarin. Dhiigbaxu sidoo kale wuxuu u badan yahay inuu ku dhaco dadka qaata xadiga sare ee warfarin, ama qaata daawadan waqti dheer. Khatarta dhiigbaxa inta aad qaadanaysid warfarin sidoo kale waxay ku badan tahay dadka kaqeyb galaya waxqabad ama isboorti oo laga yaabo inay ka dhashaan dhaawac halis ah. U sheeg dhakhtarkaaga iyo farmashiistaha haddii aad qaadanaysid ama qorsheyneyso inaad qaadato daawooyinka dhakhtar qoro ama kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada leh, iyo alaabta dhirta ama dhirta (Fiiri taxaddarrada gaarka ah), maaddaama qaar ka mid ah alaabooyinkan ay kordhin karaan halista dhiig-baxa inta aad qaadanayso warfarin. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: xanuun, barar, ama raaxo-darro, dhiig-bax ka soo goynaya oo aan joogsanaynin waqtiga caadiga ah, sanka oo dhiig ka yimaado ama ciridka dhiig ka yimaado, qufac ama matagid dhiig ama walax taas oo u eg qaxwada, dhiigbax aan caadi ahayn ama nabar, dheecaanka caadada oo kordha ama dhiig baxa siilka, casaan, casaan, ama kaadi madow oo madow, casaan madow ama saxarada oo madow, madax xanuun, wareer,

Dadka qaarkiis waxay uga jawaabi karaan si ka duwan warfarin iyagoo ku saleynaya dhaxalkooda ama hidde ahaan u sameysashadooda. Dhakhtarkaaga ayaa laga yaabaa inuu dalbado baaritaanka dhiigga si looga caawiyo helitaanka qiyaasta warfarin ee adiga kugu habboon.

Warfarin waxay kahortagtaa dhiiga xinjirowga sidaa darteed waxay kugu qaadan kartaa waqti ka dheer sidii caadiga ahayd inaad joojiso dhiig baxa haddii aad goysid ama dhaawacanto. Ka fogow dhaqdhaqaaqyada ama isboortiga halista sare leh ee dhaawaca keena. Wac dhakhtarkaaga haddii dhiigbax aan caadi ahayn ama haddii aad dhacdo oo aad waxyeello gaartid, gaar ahaan haddii aad madaxa garaacdo.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa baaritaanka dhiigga (PT [prothrombin test) oo lagu soo warramey sida INR [qiimaha caalamiga ee caadiga ah] si joogto ah si loo hubiyo jawaabta jirkaaga ee warfarin.

Haddii dhakhtarkaagu kuu sheego inaad joojiso qaadashada warfarin, saameynta daawadani waxay socon kartaa 2 ilaa 5 maalmood kadib markaad joojiso qaadashada.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) marka aad bilowdo daaweynta warfarin iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088578.pdf) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Takhtarkaaga kala hadal halista (halyeeyada) qaadashada warfarin.

Warfarin waxaa loo isticmaalaa in looga hortago xinjirowga dhiigga inuu ku sameysmo ama ku weynaado dhiiggaaga iyo xididdada dhiiggaaga. Waxaa loo qoraa dadka leh noocyo gaar ah oo garaaca wadnaha oo aan joogto ahayn, dadka leh qalab wadnaha oo suuxsan (beddelaad ama makaanik ah), iyo dadka uu ku dhacay wadne qabad. Warfarin waxaa sidoo kale loo isticmaalaa in lagu daaweeyo ama looga hortago xinjirowga dhiigga (barar iyo xinjirowga dhiigga ee xididka) iyo xinjirowga sambabka (xinjirowga dhiigga ee sanbabada). Warfarin waxay ku jirtaa nooc dawooyin ah oo loo yaqaan 'anticoagulants (' thinners blood) '. Waxay ku shaqeysaa iyadoo hoos loo dhigo awoodda xinjirowga dhiigga.

Warfarin waxay u timaadaa sidii kiniin afka laga qaato. Caadi ahaan waxaa la qaataa maalintii hal mar iyadoo la cuno ama aan la cunin. Qaado warfarin waqti isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado warfarin sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray. Isla markiiba wac dhakhtarkaaga haddii aad qaadatid wax ka badan qiyaasta laguu qoray ee ah warfarin.

Dhakhtarkaagu wuxuu kuugu bilaabi doonaa qiyaas yar oo ah warfarin wuxuuna si tartiib tartiib ah u kordhin doonaa ama u yareyn doonaa qiyaastaada iyadoo lagu saleynayo natiijooyinka baaritaanka dhiiggaaga. Hubso inaad fahanto tilmaamaha cusub ee qiyaasta daawada ee dhakhtarkaaga.

Sii wad inaad qaadato warfarin xitaa haddii aad caafimaad qabtid. Ha u joojin qaadashada warfarin adigoon la hadlin dhakhtarkaaga.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada warfarin,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay warfarin, dawooyinka kale, ama wax ka mid ah maaddooyinka ku jira kiniinnada warfarin. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• ha qaadanin laba ama in kabadan oo daawo ah oo ay kujiraan warfarin waqti isku mid ah. Hubso inaad ka hubiso dhakhtarkaaga ama farmashiistahaaga haddii aadan hubin haddii daawo ay ku jirto warfarin ama soodaryam warfarin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada ee aad qaadanaysid ama qorsheyneyso inaad qaadato, gaar ahaan acyclovir (Zovirax); allopurinol (Zyloprim); alprazolam (Xanax); antibiyootigyada sida ciprofloxacin (Cipro), clarithromycin (Biaxin, in Prevpac), erythromycin (E.E.S., Eryc, Ery-Tab), nafcillin, norfloxacin (Noroxin), sulfinpyrazone, telithromycin (Ketek), iyo tigecycline (Tygacil) daawooyinka xinjirowga lidka ku ah sida argatroban (Acova), dabigatran (Pradaxa), bivalirudin (Angiomax), desirudin (Iprivask), heparin, iyo lepirudin (Refludan); antifungals sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Monistat), posaconazole (Noxafil), terbinafine (Lamisil), voriconazole (Vfend); dawooyinka ka hortagga sida 'cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, in Aggrenox), prasugrel (Effient), iyo ticlopidine (Ticlid); danaysane (Emend); dawooyinka asbiriin ama asbiriin ay ku jiraan iyo dawooyinka kale ee anti-bararka jirka ee aan dawada lahayn sida celecoxib (Celebrex), diclofenac (Flector, Voltaren, in Arthrotec), diflunisal, fenoprofen (Nalfon), ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen , ketorolac, mefenamic acid (Ponstel), naproxen (Aleve, Naprosyn), oxaprozin (Daypro), piroxicam (Feldene), iyo sulindac (Clinoril); bicalutamide; bosentan; dawooyinka antiarrhythmic qaarkood sida amiodarone (Cordarone, Nexterone, Pacerone), mexiletine, iyo propafenone (Rythmol); dawooyinka kaalsiyamka qaarkood ee xannibaadda sida amlodipine (Norvasc, in Azor, Caduet, Exforge, Lotrel, Twynsta), diltiazem (Cardizem, Cartia XT, Dilacor XR, Tiazac) iyo verapamil (Calan, Isoptin, Verelan, in Tarka); dawooyinka qaarkood ee neefta sida montelukast (Singulair), zafirlukast (Accolate), iyo zileuton (Zyflo); dawooyinka qaarkood ee loo isticmaalo daaweynta kansarka sida capecitabine (Xeloda), imatinib (Gleevec), iyo nilotinib (Tasigna); dawooyinka qaarkood ee kolestaroolka sida atorvastatin (Lipitor, in Caduet) iyo fluvastatin (Lescol); dawooyinka qaarkood ee loogu talogalay xanuunnada ku dhaca dheef-shiidka sida cimetidine (Tagamet), famotidine (Pepcid), iyo ranitidine (Zantac); dawooyinka qaarkood ee loogu talagalay infekshanka fayraska difaaca jirka (HIV) sida amprenavir, atazanavir (Reyataz), efavirenz (Sustiva), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir / ritonavir, nelfinavir (Vir) Norvir), saquinavir (Invirase), iyo tipranavir (Aptivus); dawooyinka qaarkood ee loo yaqaan 'narcolepsy' sida armodafinil (Nuvigil) iyo modafinil (Provigil); dawooyinka qaarkood ee suuxdinta sida carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin (Dilantin, Phenytek), iyo rufinamide (Banzel); dawooyinka qaarkood ee lagu daaweeyo qaaxada sida isoniazid (Rifamate, Rifater) iyo rifampin (Rifadin, Rifamate, Rifater); qaar ka mid ah kuwa celiya serotonin reuptake inhibitors (SSRIs) ama serotonin iyo norepinephrine reuptake inhibitors (SNRIs) sida citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetya Proz fluvoxamine (Luvox), milnacipran (Savella), paroxetine (Paxil, Pexeva), sertraline (Zoloft), venlafaxine (Effexor) corticosteroids sida prednisone; cyclosporine (Neoral, Sandimmune); disulfiram (Antabuse); methoxsalen (Oxsoralen, Uvadex); metronidazole (Flagyl); nefazodone (Serzone), ka hortagga uurka ee afka (kiniiniyada ka hortagga uurka); oxandrolone (Oxandrin); pioglitazone (Actos, ee Actoplus Met, Duetact, Oseni); propranolol (Inderal) ama vilazodone (Viibryd). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara warfarin, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Ha qaadanin wax daawo cusub ah ama ha joojin qaadashada wax daawo ah adiga oo aan lahadlin dhaqtarkaaga.
• U sheeg dhakhtarkaaga iyo farmashiistaha waxa dhirta ama dhirta aad ka qaadanayso, gaar ahaan coenzyme Q10 (Ubidecarenone), - Echinacea, toon, Ginkgo biloba, ginseng, goldenseal, iyo St. John’s wort. Waxaa jira waxyaabo kale oo badan oo geedo ah ama botanical ah oo laga yaabo inay saameyn ku yeeshaan jawaabta jirkaaga ee warfarin. Ha bilaabin ama ha joojin qaadashada wax kasta oo dhir ka mid ah adiga oo aan la hadlin dhakhtarkaaga.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto sonkorow. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto infekshan, jirro ku dhaca caloosha iyo caloosha sida shuban, ama buuq (falcelin xasaasiyadeed oo ku timaadda borotiinka laga helo miraha sababa shubanka), ama kateetar la jiifinayo (tuubo caag ah oo jilicsan oo la dhigo kaadiheysta si ay ugu oggolaato kaadida inay daadato).
• U sheeg dhakhtarkaaga haddii aad uur leedahay, ka fikir inaad uur leedahay, ama qorsheyso inaad uur yeelato inta aad qaadanaysid warfarin. Haweenka uurka lihi waa inaysan qaadan warfarin ilaa ay ka heystaan ​​wadnaha mashiinka wadnaha. Takhtarkaaga kala hadal isticmaalka ka hortagga uurka ee waxtarka leh inta aad qaadanaysid warfarin. Haddii aad uur yeelato inta aad qaadanaysid warfarin, isla markiiba wac dhakhtarkaaga. Warfarin waxay waxyeeleyn kartaa uurjiifka.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, ama nooc kasta oo daaweyn ama daaweyn ilko ah, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso warfarin. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad joojiso qaadashada warfarin qalliinka ka hor ama nidaamka ama aad beddesho qiyaastaada warfarin qalliinka ama nidaamka ka hor. Si taxaddar leh u raac tilmaamaha takhtarkaaga oo ballamaha oo dhan lasoco sheybaarka haddii takhtarkaagu amro baaritaannada dhiigga si loo helo qiyaasta ugu wanaagsan ee warfarin adiga kugu habboon.
• Weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee khamriga inta aad qaadanayso warfarin.
• u sheeg dhakhtarkaaga haddii aad isticmaasho waxyaabaha tubaakada laga sameeyo. Sigaar cabidda ayaa yareyn karta waxtarka daawadan.

Cun cunno caafimaad leh oo caadi ah. Cunnooyinka iyo cabitaannada qaarkood, gaar ahaan kuwa ay ku jiraan fitamiin K, waxay saameyn ku yeelan karaan sida warfarin ay adiga kuugu shaqeyso. Weydiiso dhakhtarkaaga ama farmashiistaha liiska cuntooyinka ay kujiraan fitamiin K. Cun cunno tiro isdaba-joog ah oo ah fitamiin K-ay kujirto usbuuc-usbuuc. Ha cunin xaddi badan oo caleen ah, khudradda cagaaran ama saliidaha khudradda qaarkood oo ay ku jiraan xaddi badan oo fitamiin K. Hubso inaad la hadasho dhakhtarkaaga ka hor intaadan isbeddel ku sameyn cuntadaada. Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka iyo cabitaanka casiir canab ah adoo qaadanaya dawadan.

Qaado qiyaasta aad seegtay sida ugu dhakhsaha badan ee aad u xasuusato, haddii ay tahay isla maalinta aad qaadanaysay qiyaasta. Ha qaadan laba jeer qiyaasta maalinta ku xigta si aad u dhammaystirto mid kaa baaqday. Wac dhakhtarkaaga haddii aad seegto qaddarka loo yaqaan 'warfarin'.

Warfarin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• gaaska
• calool xanuun
• dibbiro
• beddel sida ay wax u dhadhamiyaan
• timo lumis
• dareemid qabow ama dhaxan

Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

• finan
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata
• barar wejiga, cunaha, carrabka, bushimaha, ama indhaha
• xabeeb
• xabad xanuun ama cadaadis
• barar gacmaha, cagaha, anqawyada, ama lugaha hoose
• qandho
• caabuq
• lallabbo
• matagid
• shuban
• daal xad dhaaf ah
• tamar la’aan
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• hurdi maqaarka ama indhaha
• astaamaha hargabka oo kale ah

Waa inaad ogaataa in warfarin ay sababi karto necrosis ama gangrene (dhimashada maqaarka ama unugyada kale ee jirka). Isla markiiba wac dhakhtarkaaga haddii aad ku aragto midab khafiif ah ama midab madow ah maqaarkaaga, isbeddelada maqaarka, boogaha, ama dhibaato aan caadi ahayn oo ka jirta meel kasta oo maqaarkaaga ama jidhkaaga ah, ama haddii aad leedahay xanuun daran oo si lama filaan ah u dhaca, ama midab ama isbeddel heerkul ah meel kasta oo jirkaaga ka mid ah. Isla markiiba wac dhakhtarkaaga haddii suulashaadu ay noqdaan kuwo xanuun leh ama midabkoodu noqdo guduud ama madow. Waxaad u baahan kartaa daryeel caafimaad isla markaaba si looga hortago in la jaro (looga saaro) qaybta jirkaaga ee ay waxyeellada ka soo gaadhay.

Warfarin waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku kaydi heerkulka qolka oo ka fog kuleylka badan, qoyaanka (ma aha musqusha), iyo iftiinka.

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• dhiigbax ama casaan, ama saxaro daahay
• tufid ama qufacid dhiig
• dhiigbax culus oo la socda caadadaada
• kaadi casaan, casaan, ama midab madow ah
• qufacid ama matagid wax u eg qaxwo
• dhibco yar yar, fidsan, wareegsanna maqaarka hoostiisa
• nabar ama dhiig bax aan caadi ahayn
• sii soconaya qulqulaya ama dhiigbaxa dhaawacyada yaryar

Qaado kaar aqoonsi ah ama xiro jijin sheegaysa inaad qaadanayso warfarin. Weydii farmashiistahaaga ama dhakhtarkaaga sida loo helo kaarkan ama jijimadan. Ku qor magacaaga, dhibaatooyinkaaga caafimaad, dawooyinkaaga iyo qaadashadaada, iyo magaca dhakhtarka iyo lambarka taleefanka ee kaadhka.

U sheeg dhammaan bixiyeyaashaada daryeelka caafimaadka in aad qaadato warfarin.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Coumadin^®
• Jantoven^®