Ichiza 'Warfarin'. Imiyalelo yokusebenzisa

Ichiza "Warfarin" imiyalelo zokusetyenziswa ibhekisa kudidi anticoagulants of ngqo amanyathelo. Ichiza uyakwazi zinqanda Yindibanisela izinqumisi (vitamin K-oxhomekeke) kwakunye protein C kunye S esibindini. ukusebenza anticoagulant Optimal kwaphawulwa ngomhla wesithathu okanye yesihlanu emva kokuqaliswa unyango kunye ipheliswe emva kweentsuku ezintathu ukuya kwezintlanu emva idosi wokugqibela. Ichiza ifumaneka azipilisi.

Kuyacetyiswa xa ukuthatha amayeza "Warfarin 'yokudla kubandakanya ukugcina malunga isixa esifanayo vitamin K ekutyeni

ubungqina

Ichiza eboniswe nokuthintela kunye nokunyanga thrombosis kunye thromboembolism. Xa wayebonisa ngokuba iziyobisi "Warfarin" umyalelo manual ubalisa thromboembolism kunye thrombosis etsolo lwemithambo, Embolism yemiphunga, ukwenzeka iposi engabalulekanga, thrombosis postoperative. Amalungiselelo imiselwe lokuphumeza ukususwa thromboembolic okanye thrombosis ngotyando (njengendlela ezongezelelweyo) ukwenzela fibrillation atrial (cardioversion yombane), relapsing (re) umthambo thrombosis, Embolism kwi pulmonary. Lithetha "Warfarin" yemiyalezo makwenziwe busebenzisa nemithambo kunye kwemithambo yenhliziyo (leyo uvumelekile nokusetyenziswa odityanisiweyo ka acetylsalicylic acid). Ngaphaya koko, eli chiza omiselwe thrombosis, palsy, nemithambo yenhliziyo neuropathy, kwakunye nokuthintela zasesekondari thrombosis okanye Embolism ngexesha nakusekuqhwanyazeni atrial okanye emva iqhosha.

Izimo kule ncwadi yesikhokelo "Warfarin" umyalelo iziyobisi ngokucalula nokwahlula ukunganyamezelani ngamnye, kwezintso okanye isifo hepatic eziqatha, Ukopha etsolo, lwegazi (uhlobo enzima), exacerbation izilonda esiswini okanye duodenum, ukopha diathesis, ukunqongophala S no C iiprothini, butywala, ukopha ebuchotsheni, sezintso umsebenzi insufficiency, etsolo DIC, thrombocytopenia. Misa iziyobisi ngexesha lokukhulelwa.

Iziganeko zixhaphakileyo egwenxa ngexesha ulawulo ichiza "Warfarin" owophayo. Kwiimeko ezinqabe kakhulu, kukho necrosis ulusu, enzayim zesibindi kakhulu, urhudo, nangokhwekhwe, ilahleko iinwele, vasculitis.

balawule

Ichiza iboniswe lolawulo ngomlomo. Kucetyiswa isicelo esisodwa, ngexesha elifanayo. Ithamo initial - ezimbini ezinesiqingatha ukuya milligrams ezintlanu ngosuku.

abakwisigaba Umthamo elandelayo "Warfarin" (INR okanye ixesha prothrombin xa oku kuthathelwa ingqalelo) uzimisele ngabanye. Kumaxesha ezimbini ukuya kwezine ukusuka yemvelaphi kufuneka kwandiswe ixesha prothrombin. Kulo mzekelo INR (ratio nganye ezinga malungu abantu ngamazwe) mazifike (ngokuxhomekeke ngezifo ngenene ukopha, thrombosis ingozi) 2.2-4.4.

Izigulana abadala okanye imeko buthathaka emiselweyo amathamo asezantsi ichiza "Warfarin".

Ngaphambi kokungena nokusebenza (kwimeko ukuthambekela kuphuhliso iingxaki thromboembolic) unyango iqala iintsuku ezimbini okanye ezintathu ngaphambi kokuba ungenelelo ngoncedo.

Xa unyango thrombosis etsolo oluqhutywa zidityaniswe kunye ichiza "lweeHedfowuni" de kube mzuzu xa isiphumo anticoagulant ayikho kubonakaliswa ngokupheleleyo (ngokuqhelekileyo hayi ngaphambi kosuku lwesithathu kunye eyesihlanu).

Ubude unyango kuxhomekeke imeko yesigulane.

Phambi kokuba ukuqala unyango kuyimfuneko ukumisela isalathisi INR (ngokuhambelana ixesha prothrombin, banikwe uvakalelo ingumlingani thromboplastin).

Ngokutsho izigulane ezininzi, amayeza "Warfarin" asinto nje kakuhle, kodwa kwakhona lula, ekubeni kufuneka zithatyathwe kanye ngosuku kuphela. Ukongeza, ithetha ukuba ukunyamezeleka kakuhle, iziphumo ebezingalindelekanga zinqabile. Noko ke, ngaphambi kokuba usebenzisa imveliso, kufuneka udibane nge oyingcali, uze ufunde le miyalelo ngocoselelo.