Tuesday, April 26, 2022

Praying For Longevity "long-year Dishes", Not Everyone Can Eat! This Kind Of People Eat Vegetables Be Careful Of Stroke

On New Year's Eve, family members gather around the stove and eat a feast of Man and Han. There will definitely be a plate of "Changnian Cai" (mustard greens) on the table, symbolizing longevity. However, if you have long-term cardiovascular disease and are taking the anticoagulant "Coumarin" (Warfarin), you must be very careful when eating vegetables and do not overdose!

In the past, there was a patient with atrial fibrillation. The doctor prescribed the anticoagulant coumarin for long-term use. Under the condition of regular medication and regular blood collection, the condition and blood concentration of the drug remained stable. After the new year, I went back to the clinic, but found that the blood draw was abnormal. After inquiring, I found out that it was during the Chinese New Year. When she saw the table full of leftovers, she was really reluctant to throw it away, so she had to keep it for herself and eat slowly. One of the soups even contained Full of green vegetables, especially the perennial vegetables and lettuce that are abundant in the season, it is estimated that this may lead to abnormal blood results. After adjusting the eating habits, the blood concentration of the drug tends to be stable.

Qiu Wanjun, a pharmacist at the Pharmacy Department of Chi Mei Medical Center, explained that the anticoagulant coumarin that many patients with atrial fibrillation or pulmonary embolism or deep vein embolism will take is actually a vitamin K inhibitor. The role of vitamin K, and then achieve the effect of prolonging the blood clotting time, so it can prevent the occurrence of blood clots.

However, dark green vegetables commonly found in Chinese New Year dishes, and Chinese herbal medicines such as Angelica sinensis and Salvia miltiorrhiza, which are commonly found in hot pot, may enhance the anticoagulant effect of drugs and increase the risk of bleeding.

Family reunion is the time to face delicacies, sometimes it is not good for people to eat. Qiu Wanjun said that although these delicious Chinese New Year dishes may interact with drugs and affect their efficacy, it is not necessary to stop eating them completely. As long as the amount is appropriate and a stable eating habit is maintained, it is enough not to eat too much suddenly due to the New Year's party. However, if there are symptoms of suspected stroke, such as face crooked, unconsciousness, numbness in one hand and foot, etc., or bleeding symptoms such as blood stasis of unknown cause, blood in urine, bleeding gums, etc., it is recommended to return to the doctor as soon as possible.

◎ Image source/Health 2.0 data photo, provided by Chi Mei Hospital

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