Should I take anticoagulant drugs for abnormal coagulation function

Whether anticoagulant medication is needed for abnormal coagulation function depends on the specific cause. Anticoagulation therapy is mainly used for thrombotic diseases or hypercoagulable states, and patients with obvious bleeding tendencies usually need to avoid using it. Abnormal coagulation function may be related to genetic coagulation factor deficiency, acquired coagulation disorders, drug effects, and other factors. When coagulation dysfunction manifests as an increased risk of thrombosis, such as atrial fibrillation, deep vein thrombosis, or after heart valve replacement surgery, doctors typically recommend the use of anticoagulant drugs. This type of situation requires confirmation of hypercoagulability through laboratory testing, and commonly used drugs include warfarin sodium tablets, rivaroxaban tablets, dabigatran etexil capsules, etc. Anticoagulant therapy requires strict monitoring of coagulation indicators to avoid bleeding complications. If abnormal coagulation function leads to bleeding tendency, such as hemophilia, vitamin K deficiency, or severe liver disease, anticoagulant drugs are contraindicated. These patients may require supplementation of clotting factors, infusion of fresh frozen plasma, or use of hemostatic drugs such as tranexamic acid injection. Self use of anticoagulants without professional evaluation may lead to fatal bleeding, especially in patients with thrombocytopenia or vascular malformations, with a higher risk. Patients with abnormal coagulation function should undergo regular re examination of coagulation parameters and D-dimer levels to avoid strenuous exercise and trauma. Daily diet can moderately increase vegetables rich in vitamin K, such as broccoli and spinach, but patients who are currently using warfarin need to maintain a stable intake of vitamin K. All anticoagulant drugs must be adjusted in dosage under the guidance of a hematologist or cardiovascular doctor. If symptoms such as subcutaneous bruising, nosebleeds, or hematuria occur, immediate medical attention should be sought.