Ka lāʻau 'Warfarin'. Na Ke Kumu no ka hoʻohana

Ka lāʻau "Warfarin" kauoha no ka hoʻohana pili ia i ka waeʻano o anticoagulants oʻauhau'ēʻaʻe hana. Ka lāʻau 'Ua hiki ke inhibit i ka hoʻololi kemikala o clotting kumumea (wikamina K-e kaukaʻi) e like me kumuʻiʻo C a me S ma ke akepaʻa. Pau e pono ai anticoagulant ole ike i ke kolu paha lima o ka lā ma hope o ka hoʻomaka o ka Inc, a 'ōlelo ma hope o ekolu i elima mau lā ma hope o ka hope mahele lāʻau. Ka lāʻau 'Ua loaʻa ma ka papa palapala.

Ua Ua pono ka wā lawe lapaau "Warfarin"ʻai kŰia ka hola o ka hookahi dala o ka wikamina K i loko o kaʻai

hoike

Ka lāʻau 'Ua hōʻike no ka Kāohiʻana a me ka lapaau ana o thrombosis a me ka thromboembolism. Ma nāʻikepili no ka lāʻau "Warfarin" manual pili thromboembolism a me ka huʻi venous thrombosis, pulmonary embolism, recurrence o myocardial infarction, postoperative thrombosis. Ka hoomakaukau ana ua hoakaka ia no ka hoʻokō 'ia' o ka thromboembolic pōpilikia 'ana aʻoki lāʻau lapaʻau thrombosis (e like me ka hou kumu) no atrial fibrillation (uila cardioversion), relapsing (hou) aa koko thrombosis, embolism i loko o ka pulmonary artery. O ia hoʻi, "Warfarin" manual ia kekahi ma vascular prosthetics a me ka naau kiwikā (i ka mea i 'ae' ia me ka hui 'ana o acetylsalicylicʻakika). Eia kekahi, i ka lāʻau ua hoakakaia no ka thrombosis, cerebral, coronary a me kaʻike ākea arteries, e like me haumāna Kāohiʻana o ka thrombosis a embolism oiai ka blink o ka atrial a ma hope infarction.

Contraindications i ka lāʻau "Warfarin" manual classifies kanaka intolerance,ʻaʻa puʻuwai a hepatic maʻi loa, huʻi hemorrhage, hypertension (kaumahaʻano), exacerbation o ulcers i loko o ka opu a me duodenum, hemorrhagic diathesis, nele o S a me C nā polokina, alcoholism, cerebral hemorrhage,ʻaʻa puʻuwai papa insufficiency, huʻi DIC, thrombocytopenia. Hoonoho i kekahi lāʻau i hāpai keiki.

Ka loa, he pono ole adverse hanana i hooponopono o ka lāʻau "Warfarin" e kahe ana ke koko. Ma pohihihi keia hihia, he mea necrosis o kaʻili, mahuahua ake nā'ūhū, diarrhea, eczema, lauoho poho, vasculitis.

laʻau heluna

Ka lāʻau 'Ua hōʻike no ku una hooponopono. Paipai hookahi palapala noi, i ka ia manawa. Ka loiloi mua mahele lāʻau - elua a me ka hapalua i elima milligrams no ka lā.

Mahope dosing regimen "Warfarin" (INR a prothrombin manawa , i ka wa keia e laweʻia i loko o ka mooolelo) ua nānā 'pākahi. I elua i eha manawa, mai ke kumu pono e hoomahuahua ia prothrombin manawa. Ma keia hihia i ka INR (hoʻonohonoho 'normalized lākiō) e holo nō ia, (ke kaumaha ma muli o ka pathology ka pahiki o ke kahe ana ke koko, thrombosis pilikia) 2.2-4.4.

No ka poʻeʻelemākule hoʻomanawanui iki mai ai i loko o ka hoʻonāwaliwaliʻia ke ano i hoakaka ia ma lalo nā māhele o ka lāʻau "Warfarin".

Mamua o holo mai ana (i loko o ka hihia o ka predisposition i ke kūpono 'ana o thromboembolic complications) Inc hoʻomaka elua a ekolu lā ma mua o ka' uao.

I ka huʻi thrombosis lapaʻau ua lawe mai i loko o ka hui pu ana me ka lāʻau "Heparin" a hiki i ka manawa, i ka wa o ka anticoagulant kanawai uaʻaʻole maopopo hoike (i hookuu ole ma mua o ka kolu a me ka lima o ka lā).

Ka lōʻihi like 'ole o ka Inc hilinaʻi nui ma luna o ka hoʻomanawanui ka kulana.

Ma mua o ka hoʻomaka o ka iapaau ana mea pono e hooholo i ka INR inideka (i kulike ai me ka prothrombin manawa, haawi mai i ka pā lonoaʻili kaʻi lau waiwai thromboplastin).

E like me ia he nui loa nā mea maʻi, ka lapaʻauʻia "Warfarin" mea,ʻaʻole wale nō ka hoʻokō, akā, i ka pono, mai ka mea pono e e lawe wale koke i ka lā. Eia hou kekahi, 'o ia hoʻi ua pono tolerated,ʻaoʻao' ole e pohihihi. Naʻe, ma mua ka hoʻohana 'ana i ka huina hoonui, oe e kukakuka pu me ka hoʻomalu, a me ka heluhelu i ka olelo ao akahele.