Apixaban

Zvemukati

• Usati watora apixaban,
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Kana iwe uine atrial fibrillation (mamiriro umo moyo unorova zvisina kujairika, uchiwedzera mukana wemachira achiumba mumuviri, uye pamwe zvichikonzera kurohwa) uye uri kutora apixaban kubatsira kudzivirira kurohwa kana kukomba kweropa kwakakomba, uri pangozi yakanyanya kuva nesitiroko mushure mekunge warega kutora mushonga uyu. Usarega kutora apixaban usina kutaura nachiremba wako. Ramba uchitora apixaban kunyangwe uchinzwa mushe. Ive neshuwa yekuzadza mushonga wako usati wapererwa nemishonga kuitira kuti usazopotsa chero madosi eapixaban. Kana iwe uchida kurega kutora apixaban, chiremba wako anogona kunyorera imwe anticoagulant ('ropa rakatetepa') kubatsira kudzivirira kuvhara kweropa kubva pakuumba uye kukukonzera iwe kuita sitiroko.

Kana iwe uine epidural kana musana anesthesia kana musana ponji uchitora 'ropa rakatetepa' senge apixaban, uri panjodzi yekuve neropa fomu fomu mukati kana kutenderedza musana wako izvo zvinogona kukukonzera kuti uome mitezo. Udza chiremba wako kana iwe uine epidural catheter iyo yasara mumuviri wako kana kuti kana wakambove wakadzokororwa epidural kana musana maburi, musana kuremara, kana musana kuvhiyiwa. Udza chiremba wako uye wemishonga kana iwe uri kutora chero cheanotevera: anagrelide (Agrylin); asipurini uye mamwe asiri -steroidal anti-anogumbura (NSAIDs) senge ibuprofen (Advil, Motrin, vamwe), indomethacin (Indocin, Tivorbex), ketoprofen, uye naproxen (Aleve, Anaprox, vamwe); cilostazol (Pletal); clopidogrel (Plavix); dipyridamole (Persantine); eptifibatide (Integrilin); heparin; prasugrel (Kushanda nesimba); ticagrelor (Brilinta); ticlopidine; tirofiban (Aggrastat), uye warfarin (Coumadin, Jantoven). Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro RezveMishonga) paunotanga kurapwa neapixaban uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekutora apixaban.

Apixaban inoshandiswa kubatsira kudzivirira kurohwa kana kugwamba kweropa muvanhu vane atrial fibrillation (mamiriro umo moyo unorova zvisina kujairika, ichiwedzera mukana wemagodo achiumba mumuviri uye pamwe zvichikonzera kurohwa) izvo zvisina kukonzerwa nechirwere chevhavha yemoyo. Apixaban inoshandiswawo kudzivirira yakadzika vein thrombosis (DVT; ropa rakavhara, kazhinji mugumbo) uye pulmonary embolism (PE; ropa rinovhara mumapapu) mune vanhu vari kutora chiuno kutsiva kana kuvhiya mabvi kutsiva. Apixaban inoshandiswawo kurapa DVT uye PE uye inogona kuenderera mberi kudzivirira DVT uye PE kuti zvirege kuitika zvakare mushure mekutanga kurapwa kwapera. Apixaban iri mukirasi yemishonga inonzi factor Xa inhibitors. Inoshanda nekudzivirira chiito chechimwe chinhu chechisikigo chinobatsira kugwamba kweropa kuumba.

Apixaban inouya sehwendefa kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu kaviri pazuva. Apo apixaban inotorwa kudzivirira DVT uye PE mushure mekuvhiyiwa kwechiuno kana mabvi, iyo yekutanga doti inofanirwa kutorwa angangoita maawa gumi nemaviri kusvika makumi maviri nemana mushure mekuvhiyiwa. Apixaban inowanzo kutorwa kwemazuva makumi matatu nemashanu mushure mekuvhiyiwa kwechiuno uye kwemazuva gumi nemaviri mushure mekuvhiyiwa kwemabvi. Tora apixaban panguva dzakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora apixaban chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kana iwe usingakwanise kumedza mapiritsi, unogona kuapwanya uye wosanganisa nemvura, muto weapuro, kana applesauce. Edza musanganiswa uchangogadzirira. Apixaban inogona zvakare kupihwa mune mamwe marudzi ekudyisa machubhu. Kumbira chiremba wako kana iwe uchifanira kutora uyu mushonga mune yako yekudyisa chubhu. Tevedza zvirevo zvechiremba wako zvakanyatsonaka.

Ramba uchitora apixaban kunyangwe uchinzwa mushe. Usarega kutora apixaban usina kutaura nachiremba wako. Kana iwe ukarega kutora apixaban, njodzi yako yekuvhara ropa inogona kuwedzera.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora apixaban,

• udza chiremba wako uye wemishonga kana uri weergoria kune apixaban, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi eapixaban. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); clarithromycin (Biaxin, muPrevpac); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, muRifadin, muRifater); ritonavir (Norvir, muKaletra); inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), uye sertraline (Zoloft); uye serotonin uye norepinephrine reuptake inhibitors (SNRIs) senge duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Fetzima, Savella), uye venlafaxine (Effexor). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neapixaban, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
• iwe unofanirwa kuziva kuti apixaban inogona kusangana nemimwe mishonga ingangoshandiswa kukurapa iwe kana uine sitiroko kana imwe emergency emergency. Kana zvikaitika zvechimbichimbi, iwe kana nhengo yemhuri unofanirwa kuudza chiremba kana vashandi vekamuri rekukurumidzira vanokubata kuti urikutora apixaban.
• udza chiremba wako kana iwe uine yekuisira moyo vharuvhu kana kana uine rakanyanya kubuda ropa chero mumuviri wako risingagone kumiswa. Chiremba wako anogona kukuudza iwe kuti usatora apixaban.
• udza chiremba wako kana iwe wakambove kana chero rudzi rwechinetso chekubuda ropa, antiphospholipid syndrome (APS; mamiriro anokonzera kugwamba kweropa), kana chirwere cheitsvo kana chiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora apixaban, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora apixaban. Chiremba wako anogona kukuudza kuti rega kutora apixaban pamberi pekuvhiya kana maitiro. Kana iwe uchida kurega kutora apixaban nekuti uri kuvhiyiwa, chiremba wako anogona kunyorera imwe mishonga yekudzivirira kuwanda kweropa panguva ino. Chiremba wako anokuudza iwe paunofanira kutanga kutora apixaban zvakare mushure mekuvhiyiwa kwako. Tevera mazano aya zvakanyatsonaka.
• Fonera chiremba wako ipapo ipapo kana ukadonha kana kuzvikuvadza, kunyanya kana ukarova musoro wako. Chiremba wako angangoda kukutarisa.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• maronda anobuda ropa
• mhino dzemhino
• kubuda ropa kunorema
• tsvuku, pink, kana shava weti
• dzvuku kana nhema, zvigaro zvekugara
• kukosora kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo
• kuzvimba kana kurwadza kwemajoini
• musoro
• mapundu
• kurwadziwa pachipfuva kana kuoma
• kuzvimba kwechiso kana rurimi
• kunetseka kufema
• kurira
• kunzwa dzungu kana kupera simba

Apixaban inodzivirira ropa kubva pakuvhara kazhinji, saka zvinogona kutora nguva yakareba kupfuura zvakajairwa kuti iwe umise kubuda ropa kana wakachekwa kana kukuvara. Mushonga uyu unogona zvakare kukonzera iwe kupwanya kana kubuda ropa zviri nyore. Fonera chiremba wako ipapo ipapo kana kubuda ropa kana kupwanya kuri kujairika, kwakakomba, kana kutadza kudzorwa.

Apixaban inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nechiedza, kupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kubuda ropa zvisina kujairika kana kupwanya
• weti tsvuku, shava, kana pinki
• dzvuku kana nhema, zvigaro zvekugara
• kukosora kana kurutsa ropa kana zvinhu zvinoita kunge kofi nzvimbo

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Eliquis^®