I-Apixaban, iThebhulethi yomlomo

Umxholo

• Izilumkiso ezibalulekileyo
• Izilumkiso ze-FDA
  
• Ezinye izilumkiso
• Yintoni i-apixaban?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga ze-Apixaban
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• I-Apixaban inokusebenzisana namanye amayeza
• Anticoagulant okanye antiplatelet drug
• Iziyobisi ezithintela i-CYP3A4 kunye ne-P-glycoprotein
• Iziyobisi ezenza i-CYP3A4 kunye ne-P-glycoprotein
• Izilumkiso ze-Apixaban
• Isilumkiso somzimba
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Nini ukubiza ugqirha
  
• Uyithatha njani iapixaban
• Ifom yeziyobisi kunye namandla
• Umthamo wokunciphisa umngcipheko wokubetha kunye nokuqina kwegazi kubantu abane-fibrillation ye-atrial
• Umthamo wokunciphisa umngcipheko wamagqabi egazi kubantu abasandula ukwenza utyando okanye ukutshintsha amadolo
• Umthamo we-vein thrombosis enzulu kunye ne-pulmonary embolism
• Idosi yokunciphisa umngcipheko we-vein thrombosis kunye ne-pulmonary embolism
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-apixaban
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ukufumaneka
• Ngaphambi kogunyaziso
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi apixaban

1. Ithebhulethi yomlomo ye-Apixaban iyafumaneka njengesiyobisi esinegama lophawu. Ayinayo ingxelo yohlobo oluqhelekileyo. Igama lebrand: Eliquis.
2. I-Apixaban iza kuphela njengecwecwe olithathayo ngomlomo.
3. I-Apixaban isetyenziselwa ukunyanga nokukhusela amahlwili egazi afana ne-vein thrombosis kunye ne-pulmonary embolism. Kuyanceda ukunciphisa umngcipheko wokubetha ukuba une-atrial fibrillation ngaphandle kwentliziyo yevali eyenziweyo.

Izilumkiso ezibalulekileyo

Izilumkiso ze-FDA

• Eli chiza linezilumkiso zebhokisi emnyama. Ezi zezona zilumkiso zinzima ezivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Izilumkiso zebhokisi emnyama malunga noogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Ukuyekisa unyango isilumkiso kwangethuba: Sukuyeka ukuthatha eli chiza ungakhange uthethe nogqirha wakho kuqala. Ukuyekisa ichiza kwandisa umngcipheko wokuba ne-stroke kunye nokuphuhlisa amahlwili egazi. Eli chiza linokufuna ukumiswa ngaphambi kotyando okanye inkqubo yonyango okanye yamazinyo. Ugqirha wakho uza kukuxelela ukuba uyeke njani ukuyithatha kwaye ungaqala nini ukuyithatha kwakhona. Ngelixa iyeza limisiwe, ugqirha wakho unokuyalela elinye iyeza ukunceda ukugcina amahlwili egazi ekubeni enziwe.
• Isilumkiso somngcipheko wegazi okanye wesibindi: Ukuba uthatha eli chiza kwaye unelinye iyeza elitofelwe emqolo wakho, okanye ukuba une-spinal punct, unokuba semngciphekweni wokuqina kwegazi. Igazi lomqolo okanye lesifo segazi linokubangela ukukhubazeka.
  
  Umngcipheko wakho uphezulu ukuba ityhubhu encinci ebizwa ngokuba yi-catheter epidural ibekwe emqolo wakho ukuze ikunike amayeza. Kuphezulu ukuba uthatha ii-nonsteroidal anti-inflammatory drug (NSAIDs) okanye ii-anticoagulants. Kukwaphezulu kwakhona ukuba unembali yobunzima okanye ukuphindaphinda okuphindiweyo okanye ukugqabhuka komqolo okanye imbali yeengxaki zomqolo wakho, okanye ukuba uye wenziwa utyando kumqolo wakho.
  
  Ugqirha wakho uyakukujonga ngayo nayiphi na imiqondiso yegazi lomqolo okanye le-epidural. Tshela ugqirha wakho ukuba uneempawu. Oku kunokubandakanya ukurhawuzelela, ukuba ndindisholo, okanye ubuthathaka bemisipha, ngakumbi kwimilenze neenyawo zakho, okanye ukulahleka kolawulo lwesinyi okanye amathumbu akho.

Ezinye izilumkiso

• Isilumkiso somngcipheko wokopha: Eli chiza lonyusa umngcipheko wokopha. Oku kunokuba nzima okanye kubulale. Kungenxa yokuba eli yeza sisiyobisi esinciphisa igazi esinciphisa umngcipheko wamahlwili egazi emzimbeni wakho. Biza ugqirha wakho okanye uye kwigumbi likaxakeka kwangoko ukuba uneempawu zokopha kakhulu. Ukuba kukho imfuneko, umboneleli wezempilo anganyanga unyango lokuguqula iziphumo ze-apixaban.
• Iimpawu zokopha ekubukeleni zibandakanya:
  • ukopha okungalindelekanga okanye ukopha okuhlala ixesha elide, njengokuphuma rhoqo ngeempumlo, ukopha okungaqhelekanga kwiintsini zakho, ukuphuma exesheni okunzima kunokuqhelekileyo, okanye ukopha kwilungu lobufazi
  • Ukopha okunzima okanye ongakwaziyo ukukulawula
  • umchamo obomvu-, pinki, okanye umbala omdaka
  • izitulo ezibomvu ezibomvu okanye ezimnyama ezibonakala ngathi ziitela
  • ukukhohlela igazi okanye amahlwili egazi
  • ukugabha igazi okanye ukugabha okujongeka njengendawo yekofu
  • intloko ebuhlungu, isiyezi, okanye ubuthathaka
  • iintlungu, ukudumba, okanye umsele omtsha kwiindawo ezinenxeba
• Isilumkiso sentliziyo yentliziyo: Sukusebenzisa eli chiza ukuba unevalvu yentliziyo eyenziweyo. Ayaziwa ukuba eli chiza liza kukusebenzela.
• Inkqubo yonyango okanye yamazinyo isilumkiso: Kuya kufuneka uyeke okwethutyana ukuthatha eli chiza ngaphambi kotyando okanye unyango okanye inkqubo yamazinyo. Ugqirha wakho uza kukuxelela ukuba uyeke njani ukuyithatha kwaye ungaqala nini ukuyithatha kwakhona. Ngelixa iyeza limisiwe, ugqirha wakho unokumisela elinye iyeza ukunceda ukugcina amahlwili egazi ekubeni enziwe.

Yintoni i-apixaban?

I-Apixaban sisiyobisi esisemthethweni. Iza njengecwecwe lomlomo.

I-Apixaban iyafumaneka njengesiyobisi segama lophawu UEliquis. Ayifumaneki njengechiza eliqhelekileyo.

Kutheni isetyenziswa

I-Apixaban isetyenziselwa:

• wehlisa umngcipheko wamahlwili egazi kunye nokubetha ukuba une-atrial fibrillation ngaphandle kwentliziyo yevali eyenziweyo
• thintela i-vein thrombosis enzulu (i-clot yegazi emilenzeni yakho) okanye i-pulmonary embolism (i-clot yegazi kwimiphunga yakho) emva kotyando okanye idolo
• thintela okunye ukwenzeka kwe-vein thrombosis (i-DVT) okanye i-pulmonary embolism (PE) kubantu abanembali okanye i-DVT okanye i-PE
• Phatha i-DVT okanye i-PE

Ingaba isebenza kanjani

I-Apixaban yeyiklasi yamachiza abizwa ngokuba zii-anticoagulants, ngakumbi i-Xa blocker. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Apixaban ligazi elincinanana kwaye inceda ukuthintela amahlwili egazi angangeni emzimbeni wakho. Ukwenza oku ngokunqanda into ye-Xa, ethi yona yehlise inani le-enzyme thrombin egazini lakho. I-Thrombin yinto ebangela ukuba iiplatelets egazini lakho zinamathele kwenye, zibangele ukuba amahlwili enze. Xa i-thrombin inciphile, oku kuthintela i-clot (thrombus) ekubeni ibumbe emzimbeni wakho.

Iziphumo ebezingalindelekanga ze-Apixaban

I-tablet ye-Apixaban yomlomo ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezinokubakho ngeapixaban zibandakanya:

• Ukopha. Iimpawu zingabandakanya:
  • impumlo
  • ukutyumka ngokulula
  • ukuphuma kwegazi okunzima
  • ukopha kwiintsini zakho xa uhlamba amazinyo

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Ukopha kakhulu. Oku kunokuba yingozi, iimpawu zingabandakanya:
  • ukuphuma ngokungalindelekanga okanye ukuphuma kwegazi okuhlala ixesha elide (kubandakanya ukopha okungaqhelekanga kwiintsini zakho, ukuphuma kwempumlo okwenzeka rhoqo, okanye ukuphuma kakhulu ekuyeni exesheni)
  • ukopha okungathethekiyo okanye okungalawulekiyo
  • umchamo obomvu-, pinki, okanye umbala omdaka
  • obomvu- okanye umbala omnyama, izitulo zokulinda
  • ukukhohlela igazi okanye amahlwili egazi
  • ukugabha igazi okanye ukugabha okujongeka njengendawo yekofu
  • iintlungu ezingalindelekanga okanye ukudumba
  • intloko ebuhlungu, isiyezi, okanye ubuthathaka
• Umgogodla okanye amahlwili egazi. Ukuba uthatha i-apixaban kwaye unelinye iyeza elitofelwe emqolo wakho, okanye ukuba une-spinal punct, unokuba semngciphekweni we-spinal or epidural clot. Oku kunokukhokelela ekukhubazekeni okusisigxina. Iimpawu zingabandakanya:
  • ukubetha, ukuba ndindisholo, okanye ubuthathaka bemisipha, ngakumbi kwimilenze nakwiinyawo zakho
  • ukuphulukana nolawulo lwesinyi okanye amathumbu

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

I-Apixaban inokusebenzisana namanye amayeza

I-tablet ye-Apixaban yomlomo inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye neapixaban zidweliswe apha ngezantsi.

Anticoagulant okanye antiplatelet drug

Ukusebenzisa i-apixaban kunye nezinye iziyobisi ezivela kwiklasi efanayo kwandisa umngcipheko wokopha. Imizekelo yezinye iziyobisi zibandakanya:

• iwarfarin
• heparin
• Iasprini
• clopidogrel
• iziyobisi ezichasayo (ii-NSAID), ezinje nge-ibuprofen okanye i-naproxen

Iziyobisi ezithintela i-CYP3A4 kunye ne-P-glycoprotein

I-Apixaban iqhutywa zii-enzyme ezithile kwisibindi sakho (esaziwa njenge-CYP3A4) kunye nabathuthi emathunjini (aziwa njenge-P-gp). Amayeza athintela ezi enzymes kunye nabathuthi bonyusa inani leapixaban emzimbeni wakho. Oku kukubeka emngciphekweni omkhulu wokopha. Ukuba ufuna ukuthatha iapixaban kwelinye lala machiza, ugqirha wakho angathoba idosi yakho yeapixaban okanye amisele ichiza elahlukileyo.

Imizekelo yala machiza ibandakanya:

• ketoconazole
• itraconazole
• ritonavir

Iziyobisi ezenza i-CYP3A4 kunye ne-P-glycoprotein

I-Apixaban iqhutywa zii-enzymes ezithile kwisibindi sakho (esaziwa njenge-CYP3A4) kunye nabathuthi emathunjini (aziwa njenge-P-gp). Amayeza awonyusa umsebenzi wezi enzymes zesibindi kunye nabathuthi bamathumbu anciphisa inani leapixaban emzimbeni wakho. Oku kukubeka emngciphekweni omkhulu wokubetha okanye ezinye izehlo zokuvala igazi. Akufanele uthathe i-apixaban ngala mayeza.

Imizekelo yala machiza ibandakanya:

• rifampin
• icarbazazepine
• Yenyani
• Wort yaseSt

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye neziyobisi ezingaphaya kwekhawunta ozithathayo.

Izilumkiso ze-Apixaban

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

Eli chiza kunokubangela negazi lakho. Iimpawu zingabandakanya:

• iintlungu esifubeni okanye ukuqina
• ukudumba kobuso okanye ulwimi lwakho
• ingxaki yokuphefumla okanye ukuvutha
• uziva unesiyezi okanye ufe isiqaqa

Ukuba awunampendulo ayichasanga, biza ugqirha wakho okanye indawo yokulawula ityhefu kwangoko. Ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi elingxamisekileyo elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abaneengxaki zesibindi: Ukuba uneengxaki ezinzima zesibindi, akufuneki ukuba uthathe eli chiza. Eli chiza licutshungulwa sisibindi sakho. Ukuba isibindi sakho asisebenzi kakuhle, iyeza elininzi lingahlala emzimbeni wakho. Oku kukubeka emngciphekweni weziphumo ebezingalindelekanga ezingaphezulu.

Kubantu abaneengxaki zezintso: Ukuba uneengxaki zezintso ezinzima, unokufuna idosi esezantsi yeli chiza. Ukuba izintso zakho azisebenzi kakuhle, iyeza elininzi lingahlala emzimbeni wakho. Oku kukubeka emngciphekweni weziphumo ebezingalindelekanga ezingaphezulu.

Kubantu abopha ngokusebenzayo: Ukuba wopha okanye uphulukana negazi, akufuneki uthathe eli chiza. Inokunyusa umngcipheko wokuba wophe kakhulu okanye ubulale.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Eli chiza luluhlobo lokukhulelwa lodidi B. Oko kuthetha izinto ezimbini:

1. Ukufundwa kwesiyobisi kwizilwanyana ezikhulelweyo akubonakalisanga mngcipheko kwimveku engekazalwa.
2. Akukho zifundo zaneleyo zenziwa kwabasetyhini abakhulelweyo ukubonisa ukuba ichiza libeka umngcipheko kwimveku engekazalwa.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Eli chiza kufuneka lisetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa umngcipheko onokubakho.

Kubafazi abancancisayo: Ayaziwa ukuba eli chiza lidlula kubisi lwebele. Ukuba kunjalo, kunokubangela iziphumo ezibi emntwaneni oncanciswa. Wena kunye nogqirha wakho unokufuna ukuba uthathe isigqibo sokuba uza kulithatha eli chiza okanye uncancise.

Kubantu abadala: Njengokuba uneminyaka yobudala, umzimba wakho awunakuqhubekeka neziyobisi njengoko wawukade ukwenzile. Oku kunokunyusa umngcipheko weziphumo ebezingalindelekanga ezivela kweli yeza.

Kubantwana: Eli chiza alifakwanga likhuselekile kwaye lisebenza ukuba lisetyenziswe kubantwana abangaphantsi kweminyaka eli-18.

Kubantu abaza kutyandwa: Ukuba uceba ukwenza utyando okanye unyango okanye inkqubo yamazinyo, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha i-apixaban. Ugqirha wakho angayeka unyango lwakho ngeapixaban okwethutyana. Ngelixa ichiza limisiwe, banokuyalela elinye iyeza ukunceda ukugcina amahlwili egazi angakheki.

• Ukuba wenza naluphi na utyando okanye inkqubo enomngcipheko ophakathi okanye ophezulu wokopha okukhulu, ugqirha wakho uya kuyeka ukuthatha i-apixaban ubuncinci iiyure ezingama-48 ngaphambi kwenkqubo. Ugqirha wakho uya kukuxelela xa kulungile ukuqala ukuthatha ichiza kwakhona.
• Ukuba wenza naluphi na utyando okanye inkqubo enomngcipheko ophantsi wokopha okanye apho ukopha kunokulawulwa khona, ugqirha wakho uya kuyeka ukuthatha i-apixaban ubuncinci iiyure ezingama-24 ngaphambi kwenkqubo. Ugqirha wakho uya kukuxelela xa kulungile ukuqala ukuthatha ichiza kwakhona.

Nini ukubiza ugqirha

1. Biza ugqirha wakho ngoko nangoko ukuba uyawa okanye uzenzakalise, ngakumbi ukuba ubetha entloko. Ugqirha wakho unokufuna ukujonga ukuba wopha ngaphakathi emzimbeni wakho.

Uyithatha njani iapixaban

Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kunye nokuba uyithatha kangaphi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• ubuzaza bemeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Ifom yeziyobisi kunye namandla

Igama lebrand: UEliquis

• Ifom: ithebhulethi yomlomo
• Amandla: 2.5 mg kunye no-5 mg

Umthamo wokunciphisa umngcipheko wokubetha kunye nokuqina kwegazi kubantu abane-fibrillation ye-atrial

Idosi yabantu abadala (iminyaka eyi-18-79 yeminyaka)

Umthamo oqhelekileyo yi-5 mg ethathwa kabini ngemini.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Umthamo okhuselekileyo nosebenzayo awusekelwanga kweli qela leminyaka.

Umthamo omkhulu (iminyaka eyi-80 nangaphezulu)

Ukuba uneengxaki zezintso ezinzima okanye unesisindo esingaphantsi okanye esilingana ne-132 yeekhilogram, ugqirha wakho angathoba idosi yakho. Ukuba izintso zakho azisebenzi kakuhle, iyeza elininzi lingahlala emzimbeni wakho. Oku kukubeka emngciphekweni omkhulu weziphumo ebezingalindelekanga.

Ukuqwalaselwa okhethekileyo kwedosi

Kubantu abaneengxaki zezintso: Ukuba izintso zakho azisebenzi kakuhle, iyeza elininzi lingahlala emzimbeni wakho. Oku kukubeka emngciphekweni omkhulu weziphumo ebezingalindelekanga.

• Ukuba uneengxaki zezintso kwaye ukwi-dialysis, idosi yakho kufuneka ibeyi-5 mg ithathwa amatyeli amabini ngemini.
• Ukuba uneminyaka engama-80 okanye ngaphezulu okanye ukuba unobunzima obungaphantsi kweepawundi ezili-132 (60 kg), idosi yakho kufuneka ibeyi-2.5 mg ethathwa kabini ngemini.

Kubantu abanobunzima obuphantsi bomzimba: Ukuba unobunzima obungaphantsi okanye olingana ne-132 yeekhilogram (60 kg), kwaye uneengxaki zezintso okanye uneminyaka engama-80 okanye nangaphezulu, idosi ekucetyiswa ukuba yenziwe ngu-2.5 mg othathwa kabini ngemini.

Umthamo wokunciphisa umngcipheko wamagqabi egazi kubantu abasandula ukwenza utyando okanye ukutshintsha amadolo

Umthamo wabantu abadala (iminyaka eyi-18 nangaphezulu)

• Umthamo oqhelekileyo yi-2.5 mg ethathwe amaxesha amabini ngosuku.
• Kuya kufuneka uthathe idosi yakho yokuqala kwiiyure ezili-12 ukuya kwezi-24 emva kotyando.
• Utyando lwe-hip, unyango lwakho nge-apixaban luya kuhlala iintsuku ezingama-35.
• Utyando lwedolo, unyango lwakho ngeapixaban luya kuhlala iintsuku ezili-12.

Idosi yomntwana (iminyaka eyi-0 ukuya kwi-17 iminyaka)

Umthamo okhuselekileyo nosebenzayo awusekelwanga kweli qela leminyaka.

Umthamo we-vein thrombosis enzulu kunye ne-pulmonary embolism

Umthamo wabantu abadala (iminyaka eyi-18 nangaphezulu)

Umthamo oqhelekileyo yi-10 mg ethathwa kabini ngemini kangangeentsuku ezisi-7. Emva koko, yi-5 mg ithathwa amatyeli amabini ngemini ubuncinci iinyanga ezi-6.

Idosi yomntwana (iminyaka eyi-0 ukuya kwi-17 iminyaka)

Umthamo okhuselekileyo nosebenzayo awusekelwanga kweli qela leminyaka.

Idosi yokunciphisa umngcipheko we-vein thrombosis kunye ne-pulmonary embolism

Umthamo wabantu abadala (iminyaka eyi-18 nangaphezulu)

Umthamo oqhelekileyo yi-2.5 mg ethathwe amaxesha amabini ngosuku. Kuya kufuneka ulithathe eli chiza emva kweenyanga ezintandathu zonyango lwe-DVT okanye i-PE.

Idosi yomntwana (iminyaka eyi-0 ukuya kwi-17 iminyaka)

Umthamo okhuselekileyo nosebenzayo awusekelwanga kweli qela leminyaka.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo ye-Apixaban inokusetyenziselwa unyango lwexeshana okanye lwexesha elide. Ugqirha wakho uya kuthatha isigqibo sokuba ulithathe ixesha elingakanani eli chiza. Ungayeki ukuyithatha ngaphandle kokuthetha nogqirha wakho kuqala.

I-Apixaban iza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uphosa idosi: Ukuba uphosa idosi, yithabathe kwangoko xa ukhumbula kwangolo suku lunye. Emva koko buyela kwishedyuli yakho yesiqhelo. Musa ukuthatha ngaphezulu kwedosi enye ngeli chiza ngexesha lokuzama ukwenza idosi ephosiweyo.

Ukuba uyeka ukuyithatha: Ukuyeka eli chiza kunokunyusa umngcipheko wokubetha okanye igazi. Qiniseka ukuba ugcwalisa amayeza akho phambi kokuba uphelelwe. Ukuba uceba ukwenza utyando okanye inkqubo yonyango okanye yamazinyo, xelela ugqirha wakho okanye ugqirha wamazinyo ukuba uthatha eli chiza. Kuya kufuneka uyeke okwethutyana ukuyithatha.

Ukuba uthatha kakhulu: Ukuba uthatha ngaphezulu kwedosi emiselweyo yeli chiza, unengozi enkulu yokopha. Oku kunokuba kubi kwaye kude kubulale. Ukuba ucinga ukuba uthathe kakhulu eli chiza, biza ugqirha wakho okanye uye kwigumbi likaxakeka kwangoko.

Indlela ukuxelela ichiza iyasebenza: Xa usebenzisa iyeza ukunciphisa umngcipheko wamahlwili egazi, usenokungakwazi ukuxelela ukuba ichiza liyasebenza. Amayeza ayenzelwe ukuba kungafuneki ufumane iimvavanyo zesiqhelo ukuze ubone ukuba iyasebenza na. Ugqirha wakho unokwenza uvavanyo ukujonga amanqanaba egazi kweli chiza, kodwa oku akuqhelekanga.

Ukunyanga i-DVT kunye ne-PE, unokukwazi ukuxela ukuba kuyasebenza ukuba iimpawu zakho ziyaphucuka.

Ukuqwalaselwa okubalulekileyo kokuthatha i-apixaban

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-apixaban.

Ngokubanzi

• Ungalithatha eli chiza kunye okanye ngaphandle kokutya.
• Ukuba awukwazi ukuginya iipilisi zonke:
  • Iipilisi ze-Apixaban zinokuchotshozwa kwaye zixutywe namanzi, ijusi yeapile, okanye iapilesauce. Ungazigqiba ngomlomo. Qiniseka ukuba uthatha iyeza ngaphakathi kweeyure ezine zokutyumza iipilisi.
  • Ukuba unayo ityhubhu ye-nasogastric, ugqirha wakho unokulityumza eli chiza, alixube kwisisombululo samanzi se-dextrose, kwaye akunike iyeza ngokusebenzisa ityhubhu.

Ukugcina

• Gcina kubushushu begumbi: 68-77 ° F (20-25 ° C).
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Ugqirha wakho unokujonga oku kulandelayo ngexesha lonyango lwakho:

• Umsebenzi wezintso. Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba zisebenza njani izintso zakho. Ukuba unengxaki yezintso, umzimba wakho awuyi kuba nakho ukulicacisa ichiza. Oku kunokubangela ukuba eli chiza lihlale emzimbeni wakho, oya kuthi wandise umngcipheko weziphumo ebezingalindelekanga.
• Umsebenzi wesibindi. Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba isibindi sakho sisebenza njani. Ukuba isibindi sakho asisebenzi kakuhle, iyeza elininzi lingahlala emzimbeni wakho. Oku kukubeka emngciphekweni weziphumo ebezingalindelekanga ezingaphezulu.

Ukufumaneka

Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba ikhemesti yakho iyayiphatha.

Ngaphambi kogunyaziso

Iinkampani ezininzi zeinshurensi zifuna ukugunyazwa kwangaphambili kwesi siyobisi. Oku kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule amayeza.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.