So wo duruyɛfo akyerɛw wo aduru a ɛma mogya tu? Ebetumi ayɛ aduru bi a wɔfrɛ no Rivaroxaban. So wotee ehu nka kakra bere a wotee saa din yi? Mma nnsusuw saa. Eyi yɛ aduru a ɛho hia yiye a wɔtaa de ma de bɔ yɛn ho ban fi tebea horow a asiane wom te sɛ komayare ne akisikuru ho. Enti ɛnnɛ, momma yɛnka saa aduru yi a wɔfrɛ no Rivaroxaban ho asɛm, sɛnea wɔde di dwuma, nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho, nea efi mu ba, biribiara wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Rivaroxaban?
Rivaroxaban yɛ aduru a ekum mogya a ɛtwetwe mogya, anaasɛ sɛnea yɛtaa frɛ no no, "mogya a ɛma mogya tu." Nanso, ɛmma mogya no nyɛ teateaa ankasa, esiw mogya a ɛbɛtɔ yɛn nipadua no ntini mu no ano. Saa mogya a ɛtwetwe yi yɛ asiane kɛse. Efisɛ sɛ wotu kwan fa ntini no mu na wɔde wɔn ho hyɛ amemene, koma, anaa ahurututu mu a, wobetumi de tebea horow a emu yɛ den te sɛ akisikuru ne komayare aba.
Wɔde saa aduru yi di dwuma titiriw ma tebea horow a edidi so yi:
- Siw mogya a ɛbɛtɔ no ano anaa sa mogya a ɛtɔ dedaw no yare: Titiriw ma mogya a ɛtwetwe a ɛba nan mu (Deep Vein Thrombosis - DVT) anaa ahurututu mu (Pulmonary Embolism - PE).
- Tew asiane a ɛwɔ hɔ sɛ wobenya akisikuru wɔ nnipa a wɔwɔ Atrial Fibrillation (AFib) mu no so: AFib yɛ koma a ɛbɔ a ɛnteɛ a ɛma asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ koma no mu na akɔ amemene no mu no yɛ kɛse.
- Tew asiane a ɛwɔ hɔ sɛ wɔn a wɔwɔ komayare anaa ntini a ɛwɔ akyi no benya komayare anaa ɔyare a ɛma obi hwe ase no so.
- Siw mogya a ɛbɛtɔ bere a wɔayɛ oprehyɛn a wɔde besi asen anaa kotodwe ananmu akyi no ano.
Wɔ Sri Lanka no, wɔde edin Xarelto frɛ saa aduru yi kɛse. Ebia eyi ne din a wo duruyɛfo kyerɛw maa wo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi ase de rivaroxaban adi dwuma no, ɛho hia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ saa aduru yi tumi ne aduruyɛ mu tebea horow bi di nkitaho. Enti sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Wo tebea no | Dɛn nti na ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Sɛ wowɔ mogyatɔw ho haw anaa ɔhaw ahorow a | Saa aduru yi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no yɛ kɛse, enti sɛ wowɔ ɔhaw a ɛte saa dedaw a, ebetumi ayɛ asiane kɛse. |
| Sɛ wowɔ koma a wɔde ayɛ adwuma a | Wɔnkamfo saa aduru yi nkyerɛ ayarefo a wɔwɔ saa ntini ahorow yi. |
| Sɛ wowɔ mmerɛbo anaa asaabo mu yare a | Esiane sɛ wɔnam saa akwaa yi so yi nnuru fi nipadua no mu nti, sɛ wɔn dwumadi asɛe a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wɔde ma no mu. |
| Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn anaasɛ wɔbɛyɛ wo epidural daakye a | Esiane sɛ ebetumi ayɛ den sɛ wobedi mogya a ɛretu bere a wɔreyɛ oprehyɛn no nti, wo duruyɛfo betu wo fo sɛ gyae aduru no nom nna kakraa bi ansa na wɔayɛ oprehyɛn no. |
| Sɛ wowɔ tebea bi a wɔfrɛ no (Antiphospholipid syndrome - APS) a . | Wɔabɔ amanneɛ sɛ rivaroxaban ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ nnipa a wɔwɔ saa tebea yi mu no yɛ kɛse. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Wɔ nyinsɛn mu no, saa aduru yi betumi de asiane aba sɛ mogya bɛtu ɛna no ne akokoaa no nyinaa. Enti, ɛsɛ sɛ wo ne wo duruyɛfo kasa na osi nea eye ma wo ho gyinae. |
| Sɛ woyɛ ɛna a ɔma nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo susuw ho sɛ ebia aduru no betumi afa nufusu mu akɔ akokoaa no nkyɛn anaa. |
| Sɛ wowɔ aduru yi anaa biribi foforo biara ho akisikuru a | Ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ sɛ wowɔ biribi a ɛma wo ho yɛ wo hyew a. |
Ɔkwan bɛn so ankasa na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi ne ɔfã a ɛho hia sen biara. Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia sɛ wofa sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Mpere wo ho, mma dodow a wɔde ma no nmpa wo ti so: Fa dodow a wɔakyerɛw ama wo no bere a wo duruyɛfo ka kyerɛ wo sɛ fa no pɛpɛɛpɛ. Sɛ wohuw nnuru dodow a wode di dwuma anaasɛ wugyae w’ankasa wo nnuru a, ebetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaasɛ wobɛbɔ akisikuru no ayɛ kɛse. Kɔ so nom w’aduru no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
- So ɛsɛ sɛ wode ka aduan ho anaasɛ wunnya bi?: Eyi gyina nea enti a wɔkyerɛw aduru no maa wo no so.
- Wɔ asen anaa kotodwe oprehyɛn akyi: Wobetumi anom a aduan ka ho anaasɛ wɔmfa nni dwuma.
- Wɔ Atrial Fibrillation (AFib) ho: Fa anwummere biara ka aduan ho.
- Sɛ́ aduru a wɔde sa mogya a ɛtɔ gu nipadua mu no: Fa bere koro mu da biara, fa aduan ho.
- Sɛ wopɛ komayare anaa ntini mu yare a: Fa bere koro mu da biara, bere a wudi anaasɛ wunni bi.
- Sɛ ɛyɛ den ma wo sɛ wobɛmene aduru no a: Sɛ ɛyɛ den ma wo sɛ wobɛmene aduru no a, wubetumi abubu no na wode akutu kakra afra mu. Ɛsɛ sɛ wudi aduan bi bio bere a woanom awie no. Nanso, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woayɛ eyi.
Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mfa saa aduru yi mma obi foforo esiane sɛ ɔwɔ yare no ho sɛnkyerɛnne koro no ara te sɛ wo nti. Ebetumi ayɛ nea asiane wom.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu. Eyi yɛ biribi a ɛnsɛ sɛ wɔtwentwɛn so.
Na sɛ mepa nnuru dodow bi nso ɛ?
Eyi yɛ biribi a ɛto nnipa pii. Nha wo ho. Yɛ eyi.
- Sɛ wonom dodow biako da biara a: Fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no, a ɛkyerɛ sɛ ɛyɛ nnɔnhwerew kakraa bi a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
- Sɛ worenom mprenu da biara de asa mogya a ɛtɔ a: Fa dodow a woayera no bere a wokae ara pɛ. Wɔ eyi mu no, sɛ ɛho hia a, wubetumi anom nnuru abien no nyinaa prɛko pɛ. Afei fa no mprenu da biara sɛnea wotaa yɛ no fi saa da no.
- Sɛ worenom mprenu da biara ama komayare anaa ntini mu yare a: Mfa dodow a woayera no. Twa so na fa dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien mfa nsiesie dodow a wo werɛ afi no.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Rivaroxaban yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho. Enti, ɛsɛ sɛ woka nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nnuru a wɔkyerɛw ma wo, nnuru a wɔde kum ɛyaw a wɔtɔn, vitamin, nhabannuru, ne nhabannuru mpo ka ho.
Nnuru atitiriw a ebetumi ne Rivaroxaban adi nkitaho no bi wɔ ase ha.
| Aduru ko a wɔde yɛ | Nhwɛso ahorow |
|---|---|
| Nnuru afoforo a ɛma mogya yɛ mmerɛw | Nnuru a wɔfrɛ no Warfarin, Apixaban, Dabigatran, Enoxaparin a wɔde di dwuma |
| Nnuru a wɔde kum ɛyaw (NSAID) ne aspirin | Aspirin, Ibuprofen, Naproxen, Diclofenac a wɔde di dwuma |
| Nnuru bi a ekum fungi | Ketoconazole, Itraconazole a wɔde di dwuma |
| Nnuru bi a ekum ɔyare mmoawa | Erythromycin, Clarithromycin, aduru a ɛma mogya tu |
| Nnuru bi a wɔde sa atiridiinini | Carbamazepine, Phenytoin a wɔde yɛ aduru |
| Nnuru bi a wɔde sa adwenemhaw | SSRI ahorow (sɛ nhwɛso no, Fluoxetine, Sertraline) ne SNRI ahorow (sɛ nhwɛso no, Venlafaxine, Duloxetine) . |
| Nneɛma a wɔde nhabannuru yɛ | Ɔhotefo Yohane a ɔyɛ ɔkraman |
Saa list yi nwie pɛyɛ. Enti wofaAde a ahobammɔ wom sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛka wo nnuru nyinaa ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛsɛ sɛ wususuw w’ahobammɔ ho titiriw bere a worenom aduru yi no.
- Hwɛ yiye wɔ asehwe ne opira ho: Sɛ wotwa ade ketewaa bi mpo a, ebetumi ama mogya pii atu wo bere a worenom aduru yi. Enti, kwati agumadi ne dwumadi ahorow a ebetumi ama woahwe ase. Fa no sɛ wotwitwa wo nsa kakra bere a woretwitwa nhabannuru wɔ adididan mu no. Mpɛn pii no, sɛ wode nhyɛso kakra di dwuma a, ɛbɛma mogya no agyae. Nanso, sɛ wɔnom aduru yi a, ebia ebegye bere kakra ansa na mogya no agyae.
- Hwɛ yiye bere a wode nneɛma a ano yɛ nnam redi dwuma no: Susuw ho mprenu ansa na wode nneɛma te sɛ nnade ne nkankyee adi dwuma. Sɛ worebɔ wo ti nhwi a, ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma sen sɛ wode bedi dwuma daa.
- Hwɛ yiye bere a worehohoro wo sẽ no: Nhohoro wo sẽ denneennen bere a worehohoro wo sẽ no. Fa brɔs a ɛyɛ mmerɛw a wɔde sew sẽ di dwuma. Sɛ woreyɛ floss mpo a, hwɛ yiye na woanpira wo sẽ.
- Hwɛ yiye wɔ mogya a ɛtɔ soronko ho: Sɛ wuhu nneɛma te sɛ wo nipadua a ɛredan bruu a ntease biara nnim anaasɛ mogya retu esiane ntwitwiridii nketenkete a ennyae nti a, ka kyerɛ wo duruyɛfo.
- Hyɛ aduruyɛ ho ID: 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.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, Rivaroxaban betumi anya nkɛntɛnso bɔne. Nanso, ɛnyɛ obiara na onya bi. Nea ɛde ba titiriw ne nea ɛsɛ sɛ yɛhaw yɛn ho kɛse ne mogya a ɛtɔ dodo.
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, ntwentwɛn wo nan ase na frɛ wo duruyɛfo anaa kɔ ayaresabea ntɛm ara.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneyɛe a Ɛma Nnipa Ho Yɛ Den | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛtɔ soronko | Nsu tuntum anaa tarry, mogya a ɛfe a ɛte sɛ kɔfe a wɔayam, nsu kɔkɔɔ anaa bruu tuntum, nsensanee nketenkete kɔkɔɔ anaa kɔkɔɔ wɔ honam ani, ɛdan bruu a ntease biara nnim, anaasɛ mogya a ɛtɔ fi kuru a ɛrennyae mu. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya atɔ amemene mu | Tiyɛ a emu yɛ den, kɔn a ɛyɛ den, adwene a ɛyɛ basaa, adwenemhaw, anisoadehu a ɛsakra, anim, nsa anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw, kasa anaa nantew a ɛyɛ den. |
| Wɔ mmea fam | Mogya a ɛtɔ dodo bere a obi rekɔ brayɛ mu. |
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.
Nkrasɛm a Wɔde Kɔ Fie
- Rivaroxaban yɛ aduru a ɛho hia yiye a esiw mogya a ɛbɛtɔ ano. Fa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere ne dodow a wɔakyerɛw ama wo no.
- Nnyae nnuru no nom anaasɛ w’ankasa nnsesa dodow a wɔde ma no. Sɛ wugyae a wunnya wo duruyɛfo afotu a, ebetumi de nsɛnnennen a emu yɛ den te sɛ akisikuru aba.
- Asiane kɛse wɔ hɔ sɛ mogya bɛtu bere a worenom aduru yi, enti hwɛ yiye paa wɔ asehwe ne opira ho.
- Ka nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, ne sɛ ebia wɔbɛyɛ wo oprehyɛn a.
- Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ mogya retu wo ho wɔ ɔkwan soronko so, te sɛ nsu tuntum, mogya a wobɛfe, anaasɛ wobɛdan bruu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ aduru yi ho a, bisa wo duruyɛfo. Nsuro biribiara.
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