Apixaban, Oral Hwendefa

Zvemukati

• Yambiro dzakakosha
• FDA yambiro
  
• Dzimwe yambiro
• Chii chinonzi apixaban?
• Nei zvichishandiswa
• Inoshanda sei
• Apixaban mhedzisiro
• Zvimwe zvakajairika mhedzisiro
• Yakakomba mhedzisiro
• Apixaban inogona kusangana nemimwe mishonga
• Anticoagulant kana antiplatelet zvinodhaka
• Zvinodhaka zvinodzivisa CYP3A4 uye P-glycoprotein
• Mishonga inokonzera CYP3A4 uye P-glycoprotein
• Apixaban yambiro
• Allergy yambiro
• Yambiro kune vanhu vane mamwe mamiriro ehutano
• Yambiro kune mamwe mapoka
• Nguva yekufonera chiremba
  
• Maitiro ekutora apixaban
• Fomu remishonga uye masimba
• Chipimo chemushonga chekuderedza njodzi yekurohwa uye kugwamba kweropa mune vanhu vane atrial fibrillation
• Chiyero chekuderedza njodzi yekugwamba kweropa muvanhu vachangobva kuvhiyiwa hudyu kana mabvi kutsiva
• Dosage yeakadzika vein thrombosis uye pulmonary embolism
• Chipimo chemushonga chekudzora njodzi yeakadzika mutsinga thrombosis uye pulmonary embolism
• Tora sekurairwa
• Zvakakosha kufunga kwekutora apixaban
• General
• Kuchengetedza
• Refills
• Kufamba
• Kuchengetedzwa kwekliniki
• Kuwanika
• Pamberi pemvumo
• Pane here dzimwe nzira?

Zvakanakira apixaban

1. Apixaban piritsi yemuromo inowanikwa sezita-zita zvinodhaka. Iyo haina generic vhezheni. Zita rezita: Eliquis.
2. Apixaban inongouya sehwendefa raunotora nemuromo.
3. Apixaban inoshandiswa kurapa uye kudzivirira kuwanda kweropa senge yakadzika vein thrombosis uye pulmonary embolism. Izvo zvinobatsira kudzikisa njodzi yekurohwa kana uine atrial fibrillation isina yekuisira moyo vharuvhu.

Yambiro dzakakosha

FDA yambiro

• Mushonga uyu une nhema bhokisi yambiro. Idzi ndidzo yambiro dzakanyanya kubva kuFood and Drug Administration (FDA). Nhema nhema yambiro yambiro vanachiremba nevarwere nezvezvinodhaka zvinodhaka zvinogona kuve nenjodzi.
• Kumisa kurapwa yambiro kwekutanga: Usarega kutora ichi chinodhaka usati wataura nachiremba wako kutanga. Kumisa mushonga kunowedzera mukana wako wekubata sitiroko nekukura kweropa. Mushonga uyu ungangoda kumiswa pamberi pekuvhiya kana nzira yekurapa kana mazino. Chiremba wako anokuudza kuti mira kuitora sei uye paunotanga kuitora zvakare. Ipo mushonga uchinge wamiswa, chiremba wako anogona kunyorera mumwe mushonga kuti ubatsire kuchengetedza ropa kuumbika.
• Spinal kana epidural ropa clot ngozi yambiro: Kana iwe ukatora ichi chinodhaka uye uine mumwe mushonga wakajowa mumuzongoza wako, kana kana iwe uine pena yemuzongoza, unogona kuve panjodzi yekukuvara kweropa kwakanyanya. Iyo musana kana epidural ropa clot inogona kukonzera kuoma mitezo.
  
  Ngozi yako yakakwira kana chubhu nhete inonzi epidural catheter yakaiswa kumusana kwako kuti ikupe mishonga. Yakakwirira kana iwe ukatora nonsteroidal anti-inflammatory drug (NSAIDs) kana anticoagulants. Izvo zvakare zvakakwirira kana iwe uine nhoroondo yeyakaoma kana kudzokororwa epidural kana musana punctures kana nhoroondo yezvinetso nemusana wako, kana kana iwe wakambovhiyiwa musana wako.
  
  Chiremba wako anokucherekedza iwe kune chero zviratidzo zvemuzongoza kana epidural ropa clots. Udza chiremba wako kana iwe uine zviratidzo. Izvi zvinogona kusanganisira kurira, kupera simba, kana kushaya simba kwemhasuru, kunyanya mumakumbo nemakumbo, kana kurasikirwa kwekudzora kwedundira rako kana ura.

Dzimwe yambiro

• Kubuda ropa panjodzi yambiro: Ichi chinodhaka chinowedzera njodzi yako yekubuda ropa. Izvi zvinogona kuve zvakakomba kana kutofa. Izvi zvinodaro nekuti uyu mushonga mushonga-unoonda ropa-unodzikisa njodzi yekugwamba kweropa mumuviri wako. Shevedza chiremba wako kana kuenda kuchimbichimbi mukamuri ipapo kana iwe uine zviratidzo zvekubuda ropa kwakanyanya. Kana zvichidikanwa, mupi wezvehutano anogona kupa kurapwa kudzosera ropa-kutetepa mhedzisiro yeapixaban.
• Zviratidzo zvekubuda ropa zvekutarisa zvinosanganisira:
  • kubuda ropa kusingatarisirwi kana kubuda ropa kunotora nguva yakareba, senge kubuda ropa kazhinji mumhino, kubuda ropa kusingawanzo kubva pamatadza ako, kubuda ropa kwekuenda kumwedzi kunorema kupfuura zvakajairwa, kana kumwe kubuda ropa kwemukadzi
  • kubuda ropa kwakanyanya kana kuti haugone kudzora
  • tsvuku-, pink-, kana shava-ruvara weti
  • kupenya kwakatsvuka- kana zvitema zvine mavara matema zvinoita kunge tara
  • kukosora ropa kana kugwamba kweropa
  • kurutsa ropa kana kurutsa zvinoita kunge kofi nzvimbo
  • kutemwa nemusoro, dzungu, kana kushaya simba
  • kurwadziwa, kuzvimba, kana kutsva kwemvura munzvimbo dzemaronda
• Chakagadzirwa yambiro vharuvhu moyo: Usashandise ichi chinodhaka kana iwe uine yekuisira moyo vharuvhu. Hazvizivikanwe kana mushonga uyu uchizoshanda kwauri.
• Kurapa kana mazino maitiro yambiro yambiro: Ungangoda kumbomira kutora mushonga uyu usati wavhiyiwa kana kurapwa kana mazino maitiro. Chiremba wako anokuudza kuti mira kuitora sei uye paunotanga kuitora zvakare. Ipo mushonga uchinge wamiswa, chiremba wako anogona kunyorera mumwe mushonga kuti ubatsire kuchengetedza kuwanda kweropa kubva pakuumba.

Chii chinonzi apixaban?

Apixaban imishonga yemishonga. Iyo inouya sehwendefa remuromo.

Apixaban inowanikwa sezita rezita-mushonga Eliquis. Haisi kuwanikwa seyakajairika mushonga.

Nei zvichishandiswa

Apixaban inoshandiswa ku:

• dzikisa njodzi yako yekugwamba kweropa uye sitiroko kana iwe uine atrial fibrillation isina yekuisira moyo vharuvhu
• kudzivirira yakadzika mutsinga thrombosis (ropa rinovhara mumakumbo ako) kana pulmonary embolism (ropa rinovhara mumapapu ako) mushure mekuvhiya kwechiuno kana mabvi kutsiva
• kudzivirira kumwe kuitika kweakadzika vein thrombosis (DVT) kana pulmonary embolism (PE) mune vanhu vane nhoroondo kana DVT kana PE
• bata DVT kana PE

Inoshanda sei

Apixaban ndeyekirasi yemishonga inonzi anticoagulants, kunyanya factor Xa blockers. Kirasi yemishonga iboka remishonga inoshanda nenzira yakafanana. Iyi mishonga inowanzo shandiswa kurapa mamiriro akafanana.

Apixaban iropa rakaonda uye inobatsira kudzivirira kugwamba kweropa kubva mukuumbwa mumuviri wako. Inoita izvi nekuvharira chinhu chinhu Xa, icho chinozoderedza huwandu hweiyo enzyme thrombin muropa rako. Thrombin chinhu chinokonzeresa maplatelet muropa rako kunamatira kune mumwe nemumwe, zvichikonzera kugwamba kuumbika. Kana thrombin yadzikira, izvi zvinodzivirira kugwamba (thrombus) kubva pakuumbika mumuviri wako.

Apixaban mhedzisiro

Apixaban piritsi yemuromo haina kukonzera kukotsira, asi inogona kukonzeresa mimwe mhedzisiro.

Zvimwe zvakajairika mhedzisiro

Iyo yakajairika mhedzisiro mhedzisiro inogona kuitika neapixaban inosanganisira:

• Kubuda ropa. Zviratidzo zvinogona kusanganisira:
  • mhino dzemhino
  • kukuvadza zviri nyore
  • kubuda ropa kwakanyanya kumwedzi
  • kubuda ropa mazino ako kana uchikwesha mazino

Kana izvi zvinyoro zvinyoro, zvinogona kuenda mukati memazuva mashoma kana mavhiki mashoma. Kana vakanyanya kuomarara kana vasingaendi, taura nachiremba wako kana wemishonga.

Yakakomba mhedzisiro

Fonera chiremba wako ipapo kana uine zvakakomba mhedzisiro. Fonera 911 kana zviratidzo zvako zvichinzwa kutyisidzira hupenyu kana kana iwe uchifunga kuti une chirwere chekukurumidzira. Yakanyanya mhedzisiro mhedzisiro uye zviratidzo zvavo zvinogona kusanganisira zvinotevera:

• Kubuda ropa kwakakomba. Izvi zvinogona kuuraya, zviratidzo zvinogona kusanganisira:
  • kubuda ropa kusingatarisirwi kana kubuda ropa kunotora nguva yakareba (kusanganisira kubuda kweropa zvisina kujairika kubva pamazino ako, kubuda ropa kwemhino kunoitika kazhinji, kana kubuda ropa kwakanyanya kwekuenda kumwedzi)
  • kubuda ropa kwakanyanya kana kusingadzoreke
  • tsvuku-, pink-, kana shava-ruvara weti
  • dzvuku- kana dema-ruvara, zvigaro zvekugara
  • kukosora ropa kana kugwamba kweropa
  • kurutsa ropa kana kurutsa zvinoita kunge kofi nzvimbo
  • kurwadziwa kusingatarisirwi kana kuzvimba
  • kutemwa nemusoro, dzungu, kana kushaya simba
• Spinal kana epidural ropa clots. Kana iwe ukatora apixaban uye uine mumwe mushonga jekiseni mumuzongoza wako, kana kana iwe uine pena yemuzongoza, unogona kuve panjodzi yemuzongoza kana epidural ropa clot. Izvi zvinogona kutungamira mukusingaperi mitezo. Zviratidzo zvinogona kusanganisira:
  • kurira, kupera simba, kana kushaya simba kwemhasuru, kunyanya mumakumbo nemakumbo
  • kurasikirwa kwekudzora kwako dundira kana ura

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinokanganisa munhu wega wega, hatigone kuvimbisa kuti ruzivo urwu runosanganisira mhedzisiro inogona kuitika. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchikurukura zvinogona kuitika mhedzisiro nemubatsiri wehutano anoziva nhoroondo yako yekurapa.

Apixaban inogona kusangana nemimwe mishonga

Apixaban piritsi yemuromo inogona kusangana nemimwe mishonga, mavitamini, kana mahebhu iwe aunogona kunge uchitora. Kubatana ndiko kana chinhu chinoshandura mashandiro anoita mushonga. Izvi zvinogona kukuvadza kana kudzivirira mushonga kuti usashande zvakanaka.

Kuti ubatsire kudzivirira kusangana, chiremba wako anofanira kubata ese ako mishonga nemazvo. Ive neshuwa yekuudza chiremba wako nezvese mishonga, mavitamini, kana mahebhu iwe auri kutora. Kuti uone kuti uyu mushonga ungabatana sei nechimwe chinhu chauri kutora, taura nachiremba wako kana wemishonga.

Mienzaniso yemishonga inogona kukonzera kudyidzana neapixaban yakanyorwa pazasi.

Anticoagulant kana antiplatelet zvinodhaka

Kushandisa apixaban nemamwe madhiragi kubva mukirasi imwechete kunowedzera njodzi yako yekubuda ropa. Mienzaniso yeiyi mimwe mishonga inosanganisira:

• warfarin
• heparin
• asipurini
• clopidogrel
• nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen kana naproxen

Zvinodhaka zvinodzivisa CYP3A4 uye P-glycoprotein

Apixaban inogadziriswa nemamwe enzymes muchiropa chako (inozivikanwa seCYP3A4) uye vatakuri mumatumbu (anozivikanwa seP-gp). Mishonga inovhara ma enzymes uye vatakuri vanowedzera huwandu hweapixaban mumuviri wako. Izvi zvinokuisa panjodzi huru yekubuda ropa. Kana iwe uchida kutora apixaban nemumwe wemishonga iyi, chiremba wako anogona kudzikisa chipimo chemushonga weapixaban kana kupa mushonga wakasiyana.

Mienzaniso yemishonga iyi inosanganisira:

• ketoconazole
• itraconazole
• ritonavir

Mishonga inokonzera CYP3A4 uye P-glycoprotein

Apixaban inogadziriswa nemamwe enzymes muchiropa chako (inozivikanwa seCYP3A4) uye vatakuri mumatumbu (anozivikanwa seP-gp). Mishonga inowedzera chiitiko cheaya enzyme echiropa uye gut gut anotakura anoderedza huwandu hweapixaban mumuviri wako. Izvi zvinokuisa iwe panjodzi huru yekurohwa kana zvimwe zviitiko zvekuvhara ropa. Iwe haufanire kutora apixaban nemishonga iyi.

Mienzaniso yemishonga iyi inosanganisira:

• rifampin
• carbamazepine
• phenytoin
• Wort St.

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinopindirana zvakasiyana mumunhu mumwe nemumwe, hatigone kuvimbisa kuti ruzivo urwu runosanganisira kusangana kwese kunogona kuitika. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchitaura nemupi wako wezvehutano nezve zvingangoita kudyidzana nezvose zvinodhaka zvinodhaka, mavitamini, mahebhu uye zvinowedzerwa, uye pamusoro-pe-pikisi zvinodhaka zvauri kutora.

Apixaban yambiro

Mushonga uyu unouya neyambiro zhinji.

Allergy yambiro

Ichi chinodhaka chinogona kukonzeresa kukonzeresa kusagadzikana. Zviratidzo zvinogona kusanganisira:

• kurwadziwa pachipfuva kana kuoma
• kuzvimba kwechiso chako kana rurimi
• kunetseka kufema kana kufema
• kunzwa dzungu kana kupera simba

Kana iwe uine allergic reaction, fonera chiremba wako kana nzvimbo yemunharaunda yekudzora chepfu ipapo ipapo. Kana zviratidzo zvako zvakakomba, fonera 911 kana kuenda kune yepedyo emergency kamuri.

Usatore mushonga uyu zvakare kana iwe wakambove neanegiriki maitiro kwairi. Kuitora zvakare kunogona kuuraya (kukonzera rufu).

Yambiro kune vanhu vane mamwe mamiriro ehutano

Kune vanhu vane matambudziko echiropa: Kana uine matambudziko akakomba echiropa, haufanirwe kutora mushonga uyu. Ichi chinodhaka chinogadziriswa nechiropa chako. Kana chiropa chako chisiri kushanda mushe, zvimwe zvinodhaka zvinogona kugara mumuviri wako. Izvi zvinokuisa panjodzi yemamwe mhedzisiro.

Kune vanhu vane matambudziko eitsvo: Kana iwe uine zvinetso zvakakomba zveitsvo, ungangoda muyero wakaderera wechirwere ichi. Kana itsvo dzako dzisiri kushanda nemazvo, zvimwe zvemushonga zvinogona kugara mumuviri wako. Izvi zvinokuisa panjodzi yemamwe mhedzisiro.

Kune vanhu vane ropa rinoshanda: Kana iwe uri kubuda ropa kana kurasikirwa neropa, haufanire kutora uyu mushonga. Inogona kuwedzera njodzi yako yekubuda ropa kwakakomba kana kuuraya.

Yambiro kune mamwe mapoka

Kune vakadzi vane pamuviri: Ichi chinodhaka chikamu chepamuviri B chinodhaka. Izvi zvinoreva zvinhu zviviri:

1. Zvidzidzo zvemushonga mumhuka dzine nhumbu hazvina kuratidza njodzi kumucheche.
2. Iko hakuna zvakakwana zvidzidzo zvinoitwa mumadzimai akazvitakura kuratidza kuti mushonga unoisa njodzi kumucheche.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Mushonga uyu unofanirwa kushandiswa panguva yekuzvitakura kana bhenefiti ingango ruramisa njodzi inogona kuitika.

Kune vakadzi vari kuyamwa: Hazvizivikanwe kana mushonga uyu uchipfuura nemukaka wemukaka. Kana zvikadaro, zvinogona kukonzera zvakakomba mumwana anoyamwa zamu. Iwe nachiremba wako mungangoda kusarudza kana muchizotora mushonga uyu kana kuyamwisa.

Kune vakuru: Sezvo iwe paunenge uchikwegura, muviri wako unogona kusagadzirisa zvinodhaka zvakare sezvaimboita. Izvi zvinogona kuwedzera njodzi yako yemhedzisiro kubva kumushonga uyu.

Zvevana: Mushonga uyu hauna kusimbiswa sewakachengeteka uye unoshanda kuti ushandiswe muvana vari pasi pemakore gumi nemasere.

Kune vanhu vachange vachivhiyiwa: Kana uchironga kuvhiyiwa kana kurapwa kana mazino maitiro, udza chiremba wako kana chiremba wemazino kuti urikutora apixaban. Chiremba wako anogona kumisa kurapwa kwako neapixaban kwenguva. Ipo mushonga uchinge wamiswa, vanogona kunyorera mumwe mushonga kuti ubatsire kuchengetedza ropa kuumbika.

• 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 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 waita, Chiremba wako anokuudza kana zvakanaka kutanga kutora mushonga zvakare.
• 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 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 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 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 uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiita, Chiremba wako anokuudza kana zvakanaka kutanga kutora mushonga zvakare.

Nguva yekufonera chiremba

1. Fonera chiremba wako ipapo ipapo kana ukadonha kana kuzvikuvadza, kunyanya kana ukarova musoro wako. Chiremba wako angangoda kutarisa kana uri kubuda ropa mukati memuviri wako.

Maitiro ekutora apixaban

Ese anokwanisa madosi uye mafomu anogona kunge asiri kuisirwa pano. Yako dosi, fomu, uye kuti unozvitora kangani zvinoenderana ne:

• zera rako
• mamiriro ari kurapwa
• kuoma kwemamiriro ako
• zvimwe zvehutano zvaunazvo
• maitiro aunoita nedosi yekutanga

Fomu remishonga uye masimba

Brand: Eliquis

• Fomu: piritsi remuromo
• Simba: 2.5 mg uye 5 mg

Chipimo chemushonga chekuderedza njodzi yekurohwa uye kugwamba kweropa mune vanhu vane atrial fibrillation

Muyero wevakuru (makore 18-79 makore)

Iyo yakajairwa muyero ndeye 5 mg inotorwa kaviri pazuva.

Chiyero chemwana (mazera 0-17 makore)

Chiyero chakachengeteka uye chinoshanda hachina kusimbiswa chezera rezera iri.

Dhivhosi yepamusoro (makore makumi masere nemasere zvichikwira)

Kana iwe uine zvakakomba itsvo matambudziko kana kuyera zvishoma pane kana zvakaenzana ne132 pondo (60 kg), chiremba wako anogona kudzikisa dosi yako. Kana itsvo dzako dzisiri kushanda nemazvo, zvimwe zvemushonga zvinogona kugara mumuviri wako. Izvi zvinokuisa iwe panjodzi yakakwira yemhedzisiro.

Yakakosha dhizaini kufunga

Kune vanhu vane matambudziko eitsvo: Kana itsvo dzako dzisiri kushanda nemazvo, zvimwe zvemushonga zvinogona kugara mumuviri wako. Izvi zvinokuisa iwe panjodzi yakakwira yemhedzisiro.

• Kana iwe uine zvinetso zvakakomba zveitsvo uye uri pane dialysis, muyero wako unofanirwa kuve 5 mg inotorwa kaviri pazuva.
• Kana iwe uine zera makore makumi masere kana kupfuura kana kana iwe uchiyera isingasviki 132 mapaundi (60 kg), muyero wako unofanirwa kunge uri 2.5 mg inotorwa kaviri pazuva.

Kune vanhu vane huremu hwakaderera hwemuviri: Kana iwe uine huremu hwakaderera pane kana kuenzana ne132 mapaundi (60 kg), uye uine matambudziko eitsvo kana ane makore makumi masere ekuberekwa kana kupfuura, muyero unokurudzirwa ndeye 2.5 mg inotorwa kaviri pazuva.

Chiyero chekuderedza njodzi yekugwamba kweropa muvanhu vachangobva kuvhiyiwa hudyu kana mabvi kutsiva

Dhara revakuru (makore gumi nemasere zvichikwira)

• Iyo yakajairwa muyero ndeye 2.5 mg inotorwa kaviri pazuva.
• Iwe unofanirwa kutora dhizaini yako yekutanga maawa gumi nemana kusvika makumi maviri nemana mushure mekuvhiyiwa.
• Zvekuvhiya muhudyu, kurapwa kwako neapixaban kunotora mazuva makumi matatu nemashanu.
• Nekuvhiyiwa kwemabvi, kurapwa kwako neapixaban kunotora mazuva gumi nemaviri.

Chiyero chemwana (makore 0 kusvika 17 makore)

Chiyero chakachengeteka uye chinoshanda hachina kusimbiswa chezera rezera iri.

Dosage yeakadzika vein thrombosis uye pulmonary embolism

Dhara revakuru (makore gumi nemasere zvichikwira)

Iyo yakajairwa muyero ndeye 10 mg inotorwa kaviri pazuva kwemazuva manomwe. Mushure meizvozvo, iri 5 mg inotorwa kaviri pazuva kwemwedzi mitanhatu.

Chiyero chemwana (makore 0 kusvika 17 makore)

Chiyero chakachengeteka uye chinoshanda hachina kusimbiswa chezera rezera iri.

Chipimo chemushonga chekudzora njodzi yeakadzika mutsinga thrombosis uye pulmonary embolism

Dhara revakuru (makore gumi nemasere zvichikwira)

Iyo yakajairwa muyero ndeye 2.5 mg inotorwa kaviri pazuva. Iwe unofanirwa kutora mushonga uyu mushure memwedzi mitanhatu yekurapwa kweDVT kana PE.

Chiyero chemwana (makore 0 kusvika 17 makore)

Chiyero chakachengeteka uye chinoshanda hachina kusimbiswa chezera rezera iri.

Disiki: Chinangwa chedu ndechekukupa iwe neruzivo rwakanyanya uye rwazvino ruzivo. Nekudaro, nekuti zvinodhaka zvinokanganisa munhu wega wega, hatigone kuvimbisa kuti urwu runyorwa runosanganisira madosi anowanikwa. Ruzivo urwu harusi rwekutsiva yezano rekurapa. Gara uchitaura nachiremba wako kana wemishonga nezve madheji akakukodzera.

Tora sekurairwa

Apixaban piritsi yemuromo inogona kushandiswa pakurapa kwenguva pfupi kana kwenguva refu. Chiremba wako anozofunga kuti unofanira kutora mushonga uyu kwenguva yakareba sei. Usarega kuitora usina kutaura nachiremba wako kutanga.

Apixaban inouya nenjodzi dzakakomba kana ukasaitora sezvakarairwa.

Kana iwe ukarasikirwa nedosi: Kana iwe ukarasikirwa neiyo dose, tora iyo nekukurumidza sezvaunorangarira pazuva rimwe chetero. Wobva wadzokera kuchirongwa chako chenguva dzose. Usatore inopfuura imwechete dhizaini yemushonga panguva imwe kuyedza kugadzira dosi rakarasika.

Kana iwe ukarega kuitora: Kumisa ichi chinodhaka kunogona kuwedzera njodzi yako yesitiroko kana kugwamba kweropa. Ive neshuwa yekuzadza mushonga wako usati wapera. Kana iwe uchironga kuvhiyiwa kana nzira yekurapa kana yemazino, udza chiremba wako kana chiremba wemazino kuti urikutora mushonga uyu. Ungangoda kumbomira kuitora.

Kana iwe ukatora zvakawandisa: Kana iwe ukatora zvinopfuura chiyero chako chakatemwa chemushonga uyu, une njodzi huru yekubuda ropa. Izvi zvinogona kuve zvakakomba uye kunyange kuuraya. Kana iwe uchifunga kuti watora zvakawandisa zvemushonga uyu, fonera chiremba wako kana kuenda kuchimbichimbi mukamuri ipapo.

Maitiro ekuudza mushonga uri kushanda: Paunenge uchishandisa mushonga kudzora njodzi yekugwamba kweropa, unogona kusakwanisa kuudza kana mushonga uri kushanda. Mushonga wakagadzirwa kuti usatombowana mabvunzo enguva dzose kuti uone kana kuri kushanda. Chiremba wako anogona kuita bvunzo kuti aongorore kuwanda kweropa kwechirwere ichi, asi izvi hazvisi zvakajairika.

Nekurapa DVT uye PE, unogona kukwanisa kutaura kuti iri kushanda kana zviratidzo zvako zvikaita nani.

Zvakakosha kufunga kwekutora apixaban

Chengetedza izvi kufunga mupfungwa kana chiremba wako akaraira apixaban kwauri.

General

• Unogona kutora mushonga uyu uine kana usina chikafu.
• Kana iwe usingakwanise kumedza mapiritsi akazara:
  • Mahwendefa eApixaban anogona kupwanywa uye akasanganiswa nemvura, muto weapuro, kana maapurosiuce. Unogona kuvadya nemuromo. Ive neshuwa yekutora mushonga mukati maawa mana ekupwanya mapiritsi.
  • Kana iwe uine nasogastric tube, chiremba wako anogona kupwanya ichi chinwiwa, achiisanganisa mune dextrose mvura mhinduro, uye nekukupa iwe mushonga kuburikidza nehubhu.

Kuchengetedza

• Chengetedza pakushambidzika: 68-77 ° F (20-25 ° C).
• Usachengetedze mushonga uyu munzvimbo dzine hunyoro kana nyorova, senge dzimba dzekugezera.

Refills

Tsamba yemushonga iyi inozadzikiswa. Iwe haufanire kuda mushonga mutsva kuti uyu mushonga uzadziswe. Chiremba wako anonyora huwandu hwesarudzo dzakabvumidzwa pane yako tsamba.

Kufamba

Paunenge uchifamba nemushonga wako:

• Nguva dzose takura mishonga yako newe. Paunenge uchibhururuka, usamboisa mubhegi rakaongororwa. Zvichengete muhomwe yako yekutakura.
• Usatombo kunetseka nezve airport X-ray michina. Havagone kukuvadza mushonga wako.
• Ungangoda kuratidza vashandi vepanhandare yendege chitambi chemishonga yako. Nguva dzose takura mudziyo wepakutanga-wakanyorwa nemudziyo.
• Usaise mushonga uyu mugirovhosi remota yako kana kuusiya mumota. Ive neshuwa yekurega kuita izvi kana mamiriro ekunze ari kupisa kana kutonhora zvakanyanya.

Kuchengetedzwa kwekliniki

Chiremba wako anogona kutarisa zvinotevera panguva yekurapa kwako:

• Itsvo basa. Chiremba wako anogona kuongorora ropa kuti aone kuti itsvo dzako dziri kushanda sei. Kana uine matambudziko eitsvo, muviri wako haugone kubvisa mushonga zvakare. Izvi zvinogona kukonzera kuti yakawanda yemushonga iyi igare mumuviri wako, izvo zvinowedzera njodzi yako yemhedzisiro.
• Chiropa chinoshanda. Chiremba wako anogona kuongorora ropa kuti aone kuti chiropa chako chiri kushanda sei. Kana chiropa chako chisiri kushanda mushe, zvimwe zvinodhaka zvinogona kugara mumuviri wako. Izvi zvinokuisa panjodzi yemamwe mhedzisiro.

Kuwanika

Haasi ese pharmacy anochengetera uyu mushonga. Paunenge uchizadza mushonga wako, ita shuwa yekufonera kumberi kuti uve nechokwadi chekuti chemishonga yako inoitakura.

Pamberi pemvumo

Makambani mazhinji einishuwarenzi anoda kupihwa mvumo yekutanga kwechirwere ichi. Izvi zvinoreva kuti chiremba wako achazoda kupihwa mvumo kubva kukambani yeinishuwarenzi kambani yako yeinishuwarenzi isati yabhadharira mushonga.

Pane here dzimwe nzira?

Kune mimwe mishonga inowanikwa yekurapa mamiriro ako. Zvimwe zvinogona kunge zvakakukodzera iwe kupfuura vamwe. Taura nachiremba wako nezve dzimwe sarudzo dzemushonga dzinogona kukushandira.

Disiki: Healthline yaedza nepese painogona kuti ive nechokwadi chekuti ruzivo rwese rwuri rwechokwadi, rwakazara, uye rwechizvino-zvino. Nekudaro, chinyorwa ichi hachifanirwe kushandiswa sekutsiva ruzivo uye hunyanzvi hweane rezinesi rezvehutano. Iwe unofanirwa kugara uchibvunza chiremba wako kana imwe nyanzvi yehutano usati watora chero mushonga. Ruzivo rwezvinodhaka ruri pano runogona kuchinja uye haruna kuitirwa kufukidza ese mashandisirwo, madhairekitori, chenjedzo, kunyeverwa, kudyidzana kwezvinodhaka, allergic reaction, kana mhedzisiro. Kushaikwa kweyambiro kana rumwe ruzivo rwemushonga wakapihwa hakuratidze kuti mushonga kana musanganiswa wezvinodhaka wakachengeteka, unoshanda, kana wakakodzera kuvarwere vese kana kushandiswa kwese chaiko.