Dabigatran

Umxholo

• Ngaphambi kokuba uthathe i-dabigatran,
• I-Dabigatran inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba kukho na kwezi mpawu:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Ukuba unayo i-fibrillation ye-atrial (imeko apho intliziyo ibetha ngokungavumelekanga, ukwandisa ithuba lokuqhuma emzimbeni, kwaye mhlawumbi kubangele ukubetha) kwaye uthatha i-dabigatran ukukunceda ukukhusela imivimbo okanye i-clots yegazi, unobungozi obukhulu ukubetha emva kokuyeka ukuthatha la mayeza. Sukuyeka ukuthatha i-dabigatran ngaphandle kokuthetha nogqirha wakho. Qhubeka nokuthatha i-dabigatran nokuba uziva uphilile. Qiniseka ukuba ugcwalisa amayeza akho phambi kokuba uphelelwe ngamayeza ukuze ungaphoswa naliphi na ithamo le-dabigatran. Ukuba ufuna ukuyeka ukuthatha i-dabigatran, ugqirha wakho unokuyalela enye i-anticoagulant ('igazi elincinci') ukunceda ukuthintela i-clot yegazi ekubeni ibumbe kwaye ikwenze ube nesifo.

Ukuba une-epidural okanye i-spinal anesthesia okanye i-spinal puncture ngelixa uthatha 'igazi elincinci' elifana nedabigatran, usengozini yokuba nefom yegazi ngaphakathi okanye ecaleni komqolo onokubangela ukuba ukhubazeke. Tshela ugqirha wakho ukuba unayo i-catheter ye-epidural eseleyo emzimbeni wakho okanye unayo okanye oye waphindaphinda i-epidural okanye i-spinal punctures, ukukhubazeka komgudu, okanye utyando lomgudu. Xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uthatha enye yezi zinto zilandelayo: (Aleve, Anaprox, abanye), cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine), eptifibatide (Integrilin), heparin, prasugrel (Effient), ticagrelor (Brilinta), ticlopidine, tirofiban (Aggrastat) ICoumadin, iJantoven). Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: iintlungu zomqolo, ubuthathaka bemisipha (ngakumbi kwimilenze nasezinyaweni), ukuba ndindisholo okanye ukubetha (ngakumbi kwimilenze yakho), okanye ukuphulukana nolawulo lwamathumbu okanye isinyi.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-dabigatran.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-dabigatran kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Dabigatran isetyenziselwa ukunyanga i-vein thrombosis enzulu (i-DVT; igazi elixineneyo, ngesiqhelo emlenzeni) kunye ne-pulmonary embolism (PE; i-clot yegazi emiphungeni) kubantu abaye baphathwa nge-anticoagulant ('blood thinner') enesitofu. Kukwasetyenziselwa ukunciphisa umngcipheko we-DVT kunye ne-PE ekubeni iphinde yenzeke emva kokuba unyango lokuqala lugqityiwe. I-Dabigatran isetyenziselwa ukunceda ukuthintela i-DVT kunye ne-PE kubantu abaye benza uqhaqho. I-Dabigatran ikwasetyenziselwa ukunceda ukuthintela ukubetha okanye ukuqaqamba kwegazi kubantu abane-atrial fibrillation (imeko apho intliziyo ibetha ngokungagungqiyo, ikhulisa ithuba lamahlwili abumba emzimbeni, kwaye kunokubangela ukubetha) ngaphandle kwesifo sentliziyo. UDabigatran ukwiklasi yamayeza e-anticoagulant abizwa ngokuthe ngqo yi-thrombin inhibitors. Isebenza ngokuthintela amahlwili egazi angangeni emzimbeni.

I-Dabigatran iza njengephilisi ukuyithatha ngomlomo. Xa i-dabigatran isetyenziselwa ukunyanga okanye ukuthintela i-DVT okanye i-PE okanye ukuthintela ukubetha okanye amahlwili egazi kubantu abane-atrial fibrillation, ihlala ithathwa kabini ngemini. Xa i-dabigatran isetyenziselwa ukuthintela i-DVT okanye i-PE emva kotyando lotshintsho lwenyonga ihlala ithathwa i-1 ukuya kwiiyure ezi-4 emva kotyando, kwaye kube kanye ngemini ngezinye iintsuku ezingama-28 ukuya kwezingama-35. IDabigatran inokuthathwa kunye okanye ngaphandle kokutya. Thatha i-dabigatran ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-dabigatran ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Gwinya zonke njengezingxobo ngeglasi yonke yamanzi; ungahluleli, ungahlaleli, okanye uzityumze. Musa ukuvula iifomsile kwaye ufefe imixholo kukutya okanye kwiziselo.

I-Dabigatran iyakunceda ukuthintela ukubetha kunye nokugungqa kwegazi kuphela ukuba uqhubeka ukuyithatha. Qhubeka nokuthatha i-dabigatran nokuba uziva uphilile. Qiniseka ukuba ugcwalisa amayeza akho phambi kokuba uphelelwe ngamayeza ukuze ungaphoswa ngamayeza e-dabigatran. Sukuyeka ukuthatha i-dabigatran ngaphandle kokuthetha nogqirha wakho. Ukuba ngequbuliso uyeka ukuthatha i-dabigatran, umngcipheko wokuba uza kuba nehlwili okanye ukubetha kunganyuka.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-dabigatran,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-dabigatran, nawaphi na amanye amayeza, okanye naziphi na izithako kwiifomsile ze-dabigatran. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: dronedarone (Multaq), ketoconazole (Nizoral), kunye ne-rifampin (Rifadin, Rimactane, eRifamate, eRifater). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unayo ivalve entliziyweni yakho yatshintshwa okanye ukuba usandula ukuqaphela nakuphi na ukutyumka okanye ukopha okungaqhelekanga. Mhlawumbi ugqirha wakho uza kukuxelela ukuba ungathathi i-dabigatran.
• xelela ugqirha wakho ukuba ukhe wanengxaki yokopha, ukopha okanye isilonda esiswini okanye emathunjini; okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-dabigatran, tsalela ugqirha wakho. Ukuthatha i-dabigatran kunokunyusa umngcipheko wokuba ufumane ukopha kakhulu ngexesha lokubeleka kunye nokuhanjiswa.
• thetha nogqirha wakho malunga neengozi kunye nezibonelelo zokuthatha i-dabigatran ukuba uneminyaka engama-75 ubudala okanye ngaphezulu.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-dabigatran.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba ukhumbula idosi ephosiweyo ngaphantsi kweeyure ezingama-6 ngaphambi kwethamo lakho elilandelayo elicwangcisiweyo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Dabigatran inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba kukho na kwezi mpawu:

• isisu esibuhlungu
• isisu esimoshakele
• isilungulela
• isicaphucaphu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ukugruzuka okanye ukopha okungaqhelekanga
• umchamo opinki okanye omdaka
• obomvu okanye omnyama, izitulo zokulinda
• ukhohlela igazi
• ukugabha okunento enegazi okanye okufana nekofu
• ukopha kwiintsini
• iimpumlo zeempumlo rhoqo
• ukuphuma kwegazi okunzima
• ukopha kwinxeba elisikiweyo elihlala ixesha elide kunesiqhelo
• iintlungu ezidibeneyo okanye ukudumba
• intloko ebuhlungu
• isiyezi okanye uziva utyhafile
• ubuthathaka
• urhwebo
• irhashalala
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• iintlungu esifubeni okanye ukuqina
• ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi

I-Dabigatran inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Musa ukugcina i-dabigatran kwibhokisi yeepilisi okanye kumququzeleli weepilisi. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma. Vula ibhotile enye yedabigatran ngexesha. Gqibezela ibhotile yakho yedabigatran ngaphambi kokuvula ibhotile entsha). Lahla naliphi na iyeza elishiyeke kwisitya kwiinyanga ezi-4 emva kokuba ulivulile.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• ukugruzuka okanye ukopha okungaqhelekanga
• umchamo opinki okanye omdaka
• obomvu okanye omnyama, izitulo zokulinda
• ukugabha okunento enegazi okanye okufana nekofu
• ukhohlela igazi

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Pradaxa^®