So wo duruyɛfo akyerɛw wo anaa wo ba aduru bi a wɔfrɛ no Rivaroxaban sɛnea ɛbɛyɛ a mogya antɔ ntini no mu anaasɛ ɛbɛma mogya a ɛbɛtɔ dedaw no apete? Ɛnnɛ yɛreka syrup (oral suspension) a ɛba sɛ nsuo no ho asɛm pɔtee. Wobetumi anya bi wɔ brand din Xarelto ase. Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru yi redi dwuma no. Momma yɛnhwɛ mu nkɔ akyiri.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, rivaroxaban yɛ aduru a ɛma mogya yɛ mmerɛw. Nanso nea ɛyɛ ankasa ne sɛ ɛnyɛ sɛ ɛbɛma mogya no ayɛ teateaa, na mmom ɛbɛma mogya no ansiw ano. Eyi ma mogya a ɛtwetwe a ɛho nhia no ntumi nkɔ yɛn nipadua no ntini mu, na ɛmma mogya a ɛwɔ hɔ dedaw no nso ntumi nyɛ kɛse.
Ebia wo duruyɛfo nso bɛkyerɛw saa aduru yi ama ayaresa tebea afoforo. Enti sɛ wowɔ biribi a ɛhaw wo a, yɛsrɛ wo bisa wo duruyɛfo no ho asɛm.
Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi aduru no ase?
Ansa na wubefi saa aduru yi ase no, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Sɛ wowɔ mogyatɔw ho haw biara a.
- Sɛ woadi kan anya tebea bi te sɛ mogya a ɛretu wo amemene mu a.
- Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a.
- Sɛ wowɔ koma a wɔde ayɛ adwuma a.
- Sɛ wowɔ tebea bi te sɛ antiphospholipid antibody syndrome a.
- Sɛ wo yafunu mu mogya retu esiane yafunu mu akuru nti a.
- Sɛ woayɛ akyi berɛmo anaa epidural oprehyɛn nnansa yi anaasɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo akyi berɛmo mu oprehyɛn a.
- Sɛ worenom nnuru afoforo a wode besiw mogya a ɛbɛtɔ ano anaasɛ wobɛsa a.
- Sɛ wo ho yɛ wo hyew wɔ rivaroxaban anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu a .
Ɔkwan bɛn so na mede saa aduru yi di dwuma pɛpɛɛpɛ?
Sɛnea ɛbɛyɛ na woanya aduru yi mu mfaso kɛse no, ɛho hia yiye sɛ wobɛfa dodow pɔtee a oduruyɛfo no akyerɛ no.
- Ntwa nnuru dodow bi so: Sɛ wugyae nnuru dodow bi anaasɛ wugyae nnuru a wonkɔ wo duruyɛfo nkyɛn a, ebetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no ayɛ kɛse mpofirim.
- Wosow toa no yiye: Wosow toa no yiye bere nyinaa ansa na wode aduru no adi dwuma.
- Susuw yiye:Fa syringe soronko bi a wɔde ano anaasɛ susuw kuruwa susuw aduru no. Worentumi mfa teaspoon nsusuw no pɛpɛɛpɛ wɔ fie. Ɛda adi sɛ wo duruyɛfo bɛma wo mfiri titiriw bi a wode bɛyɛ eyi ne w’aduru no. Anaasɛ, bisa wo duruyɛfo no ho asɛm.
- Fa ka aduan ho: Fa saa aduru yi ka aduan ho bere nyinaa.
- Kenkan akwankyerɛ no: Wo nsa bɛka akwankyerɛ krataa titiriw bi (MedGuide/INSTRUCTIONS FOR USE) a wo aduru no ka ho. Kenkan na te ase yiye bere nyinaa. Sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo anaa nnuruyɛfo kuw no.
Nea ɛho hia sen biara: Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Mma w’ankasa nnnyae nom, sɛ wo ho atɔ wo mpo a.
Bere a wɔde ma mmofra no?
Nnuruyɛfo kamfo aduru yi kyerɛ wɔ tebea horow bi ho, na wofi ase fi mmofra a wɔawo wɔn foforo so. Nanso, ɛsɛ sɛ wodi ahwɛyiye titiriw akyi. Enti, sɛ wode saa aduru yi ma wo ba a, di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital , ntɛm ara , anaa kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo no nkyɛn.
Sɛ wopa nnuru dodow bi a, dɛn na woyɛ?
- Sɛ wonom pɛnkoro da biara a: Fa no bere a wokae ara pɛ, wɔ saa da no mu. Sɛ wokae da a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no sɛnea wotaa yɛ no. Mfa nnuru abien prɛko pɛ.
- Sɛ wonom mprenu da biara a: Fa dodow a woayera no bere a wokae awiabere ara pɛ. Sɛ wo werɛ fi anɔpa dodow a wode ma no a, wubetumi de aka anwummere dodow no ho. Sɛ wo werɛ fi anwummere dodow a wode ma no a, wubetumi anom akyiri yi saa anadwo no.
- Sɛ wonom mprɛnsa da biara a: Sɛ wopa dodow bi a, twa so. Twa so na fa dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a nnuruyɛfo afoforo akyerɛw ama wo, nnuru a wɔtɔn, nnuru a wɔde di dwuma wɔ amanne kwan so, vitamin ahorow) kyerɛ wo duruyɛfo, efisɛ ebia nnuru bi ne eyi bedi nkitaho.
Hwɛ hu sɛ wobɛka akyerɛ yɛn sɛ worenom nnuru a edidi so yi mu biara:
- Defibrotide a wɔde hyɛ nipadua mu
- Aspirin ne nnuru a ɛtete saa
- Nnuru bi a ekum ɔyare mmoawa te sɛ Erythromycin ne Clarithromycin
- Nnuru a ekum fungal te sɛ Ketoconazole ne Itraconazole
- Nnuru a wɔde ko tia akisikuru te sɛ Carbamazepine ne Phenytoin
- Nnuru afoforo a ɛma mogya yɛ mmerɛw te sɛ Warfarin, Enoxaparin, Apixaban
- Nnuru a wɔde kum ɛyaw te sɛ Ibuprofen ne Naproxen a ɛka NSAIDS kuw no ho
- Rifampin (aduru a wɔde sa nsamanwaw) .
- Ritonavir (a wɔde sa HIV) .
- SSRI anaa SNRI a wɔde sa adwenemhaw
- Nneɛma a wɔde nhabannuru yɛ te sɛ St. John’s wort
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom aduru yi
- Kɔ wo duruyɛfo nkyɛn daa: Kɔ wo duruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ mu kɔhwɛ sɛnea wo tebea te. Ebia ɛho behia nso sɛ woyɛ mogya mu nhwehwɛmu.
- Kwati opira: Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo bere a worenom aduru yi no yɛ kɛse. Enti, kwati agumadi ne dwumadi ahorow a ebetumi ama obi ahwe ase na wapirapira. Hwɛ yiye paa bere a wode nneɛma a ano yɛ nnam te sɛ nnade ne nkankyee redi dwuma no. Sɛ wobɔ wo ti nhwi a, ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma. Hwɛ yiye bere a worebɔ wo sẽ na wode nhama abɔ wo sẽ no.
- Hyɛ aduruyɛ ho ID: Ɛboa paa sɛ wode aduruyɛ ho ID abɔso anaa krataa a ɛkyerɛ sɛ worenom saa aduru yi bɛkɔ.
- Ka kyerɛ wo sẽ ho oduruyɛfo: Ka kyerɛ wo sẽ ho oduruyɛfo sɛ worenom saa aduru yi ansa na woayɛ wo sẽ anaa wo sẽ oprehyɛn. Ɛyɛ papa sɛ wubedi nsensan ho haw biara ho dwuma ansa na woafi saa aduru yi ase.
- Ka kyerɛ wo duruyɛfo ansa na woayɛ wo oprehyɛn: Sɛ woreyɛ oprehyɛn anaa aduruyɛ foforo bi a, di kan ka kyerɛ w’aduruyɛfo kuw no sɛ worenom saa aduru yi.
- Kwati sɛ wubenyinsɛn: Kwati sɛ wubenyinsɛn bere a worenom aduru yi. Ebetumi apira akokoaa a ɔhyɛ yafunu mu. Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, wo ne wo duruyɛfo nka ho asɛm.
Dɛn ne nneɛma bɔne a anibere wom a ebetumi afi mu aba?
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara .
| Nsunsuanso bɔne no su | Nsɛnkyerɛnne a ɛsɛ sɛ wuhu |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛretu | Nsu tuntum anaa tarry, mogya a ɛrefe anaa biribi a ɛte sɛ kɔfe a wɔayam, nsu kɔkɔɔ anaa bruu tuntum, nsensanee nketenkete kɔkɔɔ anaa kɔkɔɔ wɔ honam ani, akuru a ɛyɛ soronko anaasɛ mogya tu. |
| Mogya a ɛretu 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 anaasɛ ɛyɛ mmerɛw, kasa a ɛyɛ den. |
| Wɔ mmea fam | Bere a emu yɛ duru. |
Sɛ wowɔ sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, yɛsrɛ sɛ ma wo duruyɛfo nhu.
Ɔkwan bɛn so na wode aduru no sie na wotow gu?
- Nneɛma a Wɔkora So: Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ. Fa sie wɔ dan mu hyew (digrii Celsius 20-25). Mma nnyɛ nwini. Fa sie ade a wɔde gu mu mfiase no mu. Tow aduru biara a aka no gu bere a wode afra nnafua 60 akyi anaasɛ bere a ne bere atwam akyi.
- Nnuru a Wɔtow gu: Ɔkwan a eye sen biara a wobɛfa so atow nnuru a ne bere atwam anaa nea wɔmpɛ agu ne sɛ wode bɛma nhyehyɛe bi a wɔde bɛsan de nnuru agu. Wubetumi abisa wo ayaresabea anaa wo mpɔtam hɔ akwahosan dwumadibea wɔ eyi ho. Sɛ ɛno ntumi nyɛ yiye a, yi aduru no fi toa no mu, fa biribi te sɛ tii nhaban a wɔde adi dwuma, kɔfe a wɔayam, anaa dɔte fra mu, na fa gu kotoku a wɔatoto mu denneennen mu na tow gu nwura mu.
Nkrasɛm a Wɔde Kɔ Fie
- Fa saa aduru yi sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ dodow a wɔakyerɛw ama wo, bere a wɔakyerɛw ama wo, ne aduan ho.
- Mma nntwa nnuru dodow bi a wɔde di dwuma no so. Sɛ wugyae nnuru a wonkɔ wo duruyɛfo nkyɛn a, ebetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no ayɛ kɛse.
- Hwɛ yiye bere nyinaa wɔ sɛnkyerɛnne ahorow te sɛ mogya a ɛtɔ soronko, akuru a emu yɛ duru, ne nsu tuntum a ɛba no ho. Sɛ wuhu eyinom mu bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ansa na wubefi ase anom nnuru foforo biara, ayɛ wo oprehyɛn, anaasɛ wobɛtwe wo sẽ no, hwɛ hu sɛ wobɛka akyerɛ wo nnuruyɛfo sɛ worenom Rivaroxaban.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ saa aduru yi ho a, bisa wo duruyɛfo ma ɔmma wo nkyerɛkyerɛmu.
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