Ɛtɔ mmere bi a, mogya tu tumi sisi yɛn nipadua mu mogya ntini mu. Eyi yɛ tebea a asiane wom ankasa. Efisɛ sɛ mogya a ɛtwetwe yi fa ntini no mu na ɛkɔ amemene, koma, anaa ahurututu mu a, ebetumi de tebea horow a emu yɛ den paa na ɛde nkwa to asiane mu mpo te sɛ akisikuru aba. Asiane yi yɛ kɛse titiriw ma obi a ɔwɔ atrial fibrillation (Afib), koma a ɛbɔ a ɛnteɛ daa. Enti, ebia wo duruyɛfo ama wo aduru titiriw bi a ɛbɛma asiane yi so atew. Ɛnnɛ, yɛreka Edoxaban, aduru a ɛma mogya tu a wɔkyerɛw ma nnipa pii ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Edoxaban?
Edoxaban yɛ aduru a nnuruyɛfo kyerɛw ma sɛ wɔmfa nsiw mogya a ɛbɛtɔ. Wɔ da biara da kasa mu no, yɛfrɛ eyinom "mogya a ɛma mogya tu." Nanso nea ɛba ankasa ne sɛ, sɛ́ anka ɛbɛtew mogya no mu duru so no, esiw ɔkwan a ɛma mogya tu no kwan.
Wɔde saa aduru yi di dwuma titiriw ma:
- Siw mogya a ɛtɔ wɔ nipadua no ntini a emu dɔ (titiriw nan) ne ahurututu mu no ano na sa.
- Tew asiane a ɛwɔ hɔ sɛ mogya a ɛtɔ wɔ amemene mu wɔ nnipa a wɔwɔ atrial fibrillation, koma a ɛbɔ a ɛnteɛ mu de ba no so.
Sɛ yɛbɛka no tiawa a, saa aduru yi te sɛ nkwagyefo a ebetumi aboa ma woagye wo nkwa.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa ansa na woafi aduru yi ase:
Eyi ho hia paa. Edoxaban nyɛ aduru a wɔde di dwuma biako pɛ. Enti, ɛho hia sɛ wo duruyɛfo hu w’ayaresa ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| W’ayaresa tebea anaa adeyɛ titiriw | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Nyarewa anaa ɔhaw ahorow a mogya tu | Esiane sɛ eyi yɛ aduru a ɛma mogya yɛ mmerɛw nti, sɛ asiane wɔ wo mu dedaw a, ebetumi ama mogya a ɛbɛtɔ wo no ayɛ kɛse. |
| Asaabo mu yare | Wɔnam asaabo so yi aduru no fi nipadua no mu. Sɛ asaabo no ntumi nyɛ adwuma yiye a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ aduru no dodow mu. |
| Mmɛn mu yare | Esiane sɛ mmerɛbo dwumadi ka mogya a ɛtwetwe nti, ɛsɛ sɛ oduruyɛfo no hu eyi. |
| Sɛ wowɔ koma a wɔde ayɛ adwuma a | Ebia edoxaban mfata mma tebea horow yi. Ebia nnuru afoforo ho behia. |
| Antiphospholipid yare (APS) . | Eyi yɛ tebea a ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse na ebia ebehia ayaresa afoforo. |
| Kokoram anaa akuru a ɛwɔ yafunu anaa dwensɔtwaa mu | Asiane a ɛwɔ hɔ sɛ mogya bɛtu afi mmeae yi betumi ayɛ kɛse. |
| Sɛ wɔayɛ nhyehyɛe sɛ wobɛyɛ w’akyi berɛmo mu ayaresa te sɛ oprehyɛn, epidural, anaa akyi berɛmo mu tap daakye a | Ɛsɛ sɛ wogyae saa aduru yi bere tiaa bi ansa na wɔayɛ oprehyɛn esiane asiane a ɛwɔ hɔ sɛ mogya bɛtu nti. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Saa aduru yi a wɔnom bere a wɔyem no betumi de asiane aba sɛ mogya bɛtu ɛna no ne akokoaa no nyinaa. |
| Sɛ wɔma akokoaa no nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa sɛ ebia aduru no nam nufusu so kɔ akokoaa no nkyɛn ne sɛ ebia ebenya nkɛntɛnso bi anaa. |
| Sɛ wo ho yɛ wo hyew wɔ nnuru, nnuan, anaa nnuru afoforo a wɔde yɛ nneɛma ho a | Eyi ho hia sɛnea ɛbɛyɛ a wo duruyɛfo betumi anya adwene wɔ sɛ ebia wo ho yɛ wo hyew wɔ aduru yi anaa nneɛma a ɛwom no bi ho. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wobɛnom no yiye.
- Fa nsu kuruwa mene aduru no. Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Sɛ wode eyi yɛ wo su wie a, ɛnyɛ den koraa sɛ wobɛpa wo dodow a wode ma no.
- Wubetumi anom saa aduru yi ansa na woadidi anaa bere a woadidi awie. Nanso, sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho.
- Nea ɛho hia sen biara: Sɛnea ɛbɛyɛ a w’ayaresa no bɛyɛ yiye no, ntwa w’aduru dodow biara so esiane biribiara nti. Sɛ wugyae w’aduru no nom anaasɛ wuhuw dodow bi a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaasɛ wobɛbɔ akisikuru no betumi ayɛ kɛse mpofirim. Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Ebia wo nsa bɛka nsɛm ho kratasin titiriw (MedGuide) bere a wɔama wo saa aduru yi. Nsɛm pii a ɛho hia wɔ aduru yi ho. Enti hwɛ hu sɛ wobɛkenkan no yiye.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wowɔ adwenem naayɛ bi sɛ woanom aduru yi a ɛboro dodow a wɔakyerɛw ama wo a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Sɛ wopa nnuru dodow bi a, dɛn na woyɛ?
Yɛn nyinaa werɛ fi nneɛma, enti sɛ wopa dose bi a, mma ɛnhaw wo.
- Gye saa bere no bere a wokae ara pɛ.
- Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no (sɛ nhwɛso no, sɛ ɛsɛ sɛ wo dodow a edi hɔ no ba wɔ nnɔnhwerew kakraa bi mu a), twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu.
- Mma nnwe aduan mprenu bere koro mu da. Ɛno kyerɛ sɛ nnom nnuru abien prɛko pɛ mfa nsiesie aduan a woahwere no.
Nnuru afoforo bɛn na ebetumi ne Edoxaban adi nkitaho?
Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Edoxaban yɛ aduru a ebetumi ne nnuru afoforo pii adi nkitaho. Eyi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse anaasɛ ɛbɛtew aduru no a etu mpɔn no so.
Sɛ wode nnuru a edidi so yi redi dwuma a, ɛho hia sɛ woka ho asɛm kyerɛ wo duruyɛfo.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ne nsɛm titiriw a wɔakyerɛw |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔnom bom da | |
| Defibrotide a wɔde hyɛ nipadua mu | Edoxaban a wɔde ka aduru yi ho no ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. |
| Nnuru afoforo a ebia ɛne wɔn ho wɔn ho di nkitaho | |
| Nnuru afoforo a ɛma mogya yɛ mmerɛw | Sɛ nhwɛso no: Warfarin, Enoxaparin, Dalteparin, Aspirin. Sɛ wɔka eyinom bom a, ebetumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse. |
| Nnuru a wɔde kum ɛyaw (NSAID) . | Sɛ nhwɛso no: Ibuprofen, Naproxen, Diclofenac. Eyinom nso ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. Mpɛn pii no, asiane biara nni ho sɛ wobɛnom paracetamol wɔ ɛyaw nketenkete ho, nanso bisa wo duruyɛfo no ɛno nso ho asɛm. |
| Nnuru bi a wɔde sa adwenemhaw (SSRIs/SNRIs) . | Sɛ nhwɛso no: Fluoxetine, Sertraline, Venlafaxine. Eyinom nso betumi aka asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no. |
| Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal ahorow bi | Sɛ nhwɛso no: Klarithromycin, Erythromycin, Ketoconazole, Itraconazole a wɔde di dwuma. Eyinom betumi aka Edoxaban dodow a ɛwɔ nipadua no mu. |
| Nnuru bi a wɔde sa komayare | Sɛ nhwɛso no: Amiodarone, Dronedarone, Quinidine, Verapamil. |
| Nnuru afoforo | Sɛ nhwɛso no: Cyclosporine, Rifampin (aduru a wɔde sa nsamanwaw). |
Nea ɛho hia paa: Saa nsɛm a wɔahyehyɛ yi nni mũ. Ka nnuru a wonom nyinaa (a vitamin, nhabannuru, ne aduannuru ka ho) kyerɛ wo duruyɛfo . Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom aduru yi:
Ɛho hia yiye sɛ wususuw w’ahobammɔ ho bere a worenom aduru yi, efisɛ asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no dɔɔso kakra sen onipa a ɔte ase no.
Kwati nneyɛe a asiane wom ne asehwe
Sɛ wohwe ase anaa wunya akwanhyia a emu yɛ den a, ebia mogya bɛtɔ wo mu a wonhu mfi akyi. Enti,
- Twe wo ho fi agumadi a ebetumi de akwanhyia aba (e.g. rugby, bɔɔlbɔ).
- Hwɛ yiye paa bere a wode akode a ano yɛ nnam ne nnade redi dwuma no.
- Ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma sen sɛ wode ahama bedi dwuma.
- Fa brɔs a wɔde sẽ a ɛyɛ mmerɛw di dwuma bere a worehohoro wo sẽ no. Yɛ brɛoo paa bere a wode floss rebɔ no.
Ansa na wɔbɛyɛ oprehyɛn anaasɛ wɔayiyi wɔn sẽ
Sɛ wɔreyɛ wo oprehyɛn biara, wɔreyi wo sẽ, anaasɛ wɔreyɛ wo oprehyɛn ketewaa bi a, di kan ka kyerɛ wo duruyɛfo anaa wo sẽ ho oduruyɛfo sɛ worenom Edoxaban. Mpɛn pii no, ɛho behia sɛ wogyae saa aduru yi bere tiaa bi nna kakraa bi ansa na wɔayɛ oprehyɛn no.
Asiane a Ɛwɔ Akyi berɛmo mu Nneɛma a Wɔyɛ mu
Ɛwom sɛ eyi ho yɛ na koraa de, nanso ɛho hia sɛ wohu. Sɛ obi a ɔnom edoxaban nya aduru a wɔde twitwiw n’akyi berɛmo mu (sɛ nhwɛso no, epidural, spinal tap) a, asiane ketewaa bi na ɛwɔ hɔ sɛ mogya bɛtɔ akyi berɛmo no mu. Eyi betumi de ɔhaw ahorow a emu yɛ den te sɛ obubuafo aba. Sɛ w’akyi yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wote nka wɔ wo nan mu a, ka kyerɛ wo duruyɛfo ntɛm ara.
Ɔhyɛ ID krataa
Sɛ wohyɛ aduruyɛ ho ID abɔso anaasɛ wokura krataa a ɛkyerɛ sɛ worenom nnuru a ɛma mogya tu a, ebetumi aboa ma woagye wo nkwa wɔ tebea a egye ntɛmpɛ mu.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Edoxaban betumi de ɔhaw ahorow aba nnipa binom so. Ɛwom sɛ eyinom mu dodow no ara yɛ nketewa de, nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
| Nsunsuanso bɔne | Nsɛnkyerɛnne a ebia wubehu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon (ebetumi ama ayɛ den sɛ ɔbɛhome). |
| Mogya a ɛretu |
|
| Mogya a Ɛtu Wɔ Amemene no Mu | Tiyɛ a emu yɛ den, kɔn a ɛyɛ den, adwene a ɛyɛ basaa, adwenemhaw, anisoadehu a ɛsakra, anim, abasa anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, nantew a ɛyɛ den. |
| Bere a emu yɛ duru wɔ mmea mu | Mogya a ɛba brayɛ mu a emu yɛ duru sen sɛnea ɛtaa ba anaasɛ ɛkyɛ sen sɛnea ɛtaa ba. |
Sɛ wunya sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.
Ɔkwan bɛn so na wokora nnuru so na wotow gu?
- Fa sie: Fa aduru no sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam). Fa sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ.
- Nnuru a ne bere atwam: Mfa nnuru a ne bere atwam nni dwuma.
- Yi fi hɔ:Ɔkwan a eye sen biara a wobɛfa so atow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam agu ne sɛ wode bɛma nhyehyɛe bi a wɔboaboa nnuru ano. Wubetumi abisa w’ayaresabea anaa ayaresabea hɔ eyi ho asɛm. Sɛ eyi ntumi nyɛ yiye a, yi nnuru no fi ade no mu, fa biribi te sɛ kɔfe a wɔayam, dɔte, anaa mpataa nwura fra mu, fa gu kotoku a wɔatoto mu denneennen mu, na tow gu nwura mu. Mma nnhohoro wɔn nkɔ tiafi mu da.
Nkrasɛm a Wɔde Kɔ Fie
- Edoxaban yɛ aduru a ɛho hia yiye a esiw mogya a ɛbɛtɔ ano na ɛbɔ wo ho ban fi tebea horow a emu yɛ den te sɛ ɔyare a ɛma obi hwe ase ho.
- Nnyae nnuru no nom anaasɛ nnyae aduan bi esiane biribiara nti a wunnya wo duruyɛfo afotu.
- Ka nnuru afoforo a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
- Sɛ wuhu sɛnkyerɛnne biara te sɛ mogya a ɛtɔ soronko, akisikuru, anaa tiyɛ a emu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Ka kyerɛ oduruyɛfo no sɛ worenom saa aduru yi ansa na woayɛ wo oprehyɛn anaa wo sẽ ayaresa biara.
- Sɛ wowɔ nsɛmmisa bi fa w’akwahosan ho a, wo ne wo duruyɛfo nsusuw ho.
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