Koj tus kws kho mob puas tau sau tshuaj rau koj xws li Pradaxa los tiv thaiv cov ntshav txhaws? Los yog puas muaj ib tug neeg hauv tsev neeg lossis ib tug phooj ywg siv cov tshuaj no? Qhov no yog ib yam tshuaj tseem ceeb heev uas tuaj yeem cawm tau tib neeg txoj sia. Tab sis tib lub sijhawm, muaj ob peb yam uas peb yuav tsum ceev faj heev thaum siv nws. Yog li hnub no, cia peb tham txog cov tshuaj no, Dabigatran, uas peb tsuas paub hauv peb lub tebchaws tias yog Pradaxa.
Dabigatran (Pradaxa) yog dab tsi?
Hais yooj yim xwb, qhov no yog tshuaj ua kom cov ntshav nyias . Hauv kev kho mob, peb hu qhov no ua "Anticoagulant". Peb cov ntshav muaj cov khoom ua rau cov ntshav txhaws. Yog vim li ntawd ntshav thiaj tsis ntws thaum raug mob. Tab sis qee zaum, cov ntshav txhaws tuaj yeem tsim tsis tsim nyog hauv lub cev, sab hauv cov leeg ntshav. Qhov no yog ib qho mob txaus ntshai.
Dabigatran ua haujlwm los ntawm kev tiv thaiv kev tsim cov ntshav txhaws uas tsis xav tau. Nws feem ntau yog siv rau:
- Tiv Thaiv Kab Mob Stroke: Txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv lub hlwb thiab mob stroke rau cov neeg mob uas muaj lub plawv dhia tsis xwm yeem (Atrial Fibrillation).
- Kho cov ntshav txhaws: Yaj cov ntshav txhaws uas tau tsim hauv lub ntsws (Pulmonary Embolism) lossis cov leeg ntshav tob ntawm ob txhais ceg (Deep Vein Thrombosis - DVT).
- Tiv thaiv cov ntshav txhaws: Cov tshuaj no yog muab los tiv thaiv cov ntshav txhaws kom tsis txhob rov tsim dua tom qab phais, xws li hloov lub duav, lossis rau ib tus neeg uas tau muaj ntshav txhaws yav dhau los.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej pib noj cov tshuaj no
Ua ntej koj tus kws kho mob yuav sau ntawv kom noj Dabigatran, nws yog ib qho tseem ceeb heev uas nws yuav tsum paub txog koj keeb kwm kev noj qab haus huv tag nrho. Nco ntsoov qhia rau koj tus kws kho mob yog tias koj muaj ib qho mob twg hauv qab no.
| Kev noj qab haus huv lossis lub cib fim | Vim li cas koj thiaj yuav tsum tau saib xyuas? |
|---|---|
| Kev mob ntshav | Cov tshuaj no yuav ua rau muaj kev pheej hmoo ntawm kev los ntshav. |
| Yog tias koj muaj lub plawv valve uas siv tshuab ua haujlwm | Cov tshuaj no tsis pom zoo rau cov neeg mob zoo li no. |
| Kab mob raum | Vim tias cov tshuaj raug tshem tawm ntawm lub cev los ntawm lub raum, tej zaum yuav tsum tau hloov kho qhov ntau npaum li cas. |
| Yog tias koj tau muaj ntshav plab ua ntej | Qhov kev pheej hmoo ntawm kev los ntshav dua yuav nce ntxiv. |
| Yog tias koj nyuam qhuav muaj lossis yuav muaj kev phais mob ntawm tus txha caj qaum lossis epidural | Muaj kev pheej hmoo ntawm kev los ntshav hauv tus txha caj qaum. |
| Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis yog niam pub niam mis | Hauv cov xwm txheej no, koj yuav tsum nrog koj tus kws kho mob tham txog kev nyab xeeb ntawm cov tshuaj. |
| Yog tias koj muaj kev tsis haum rau lwm yam tshuaj, khoom noj lossis cov tshuaj | Qhov no yog ib qho tseem ceeb kom paub yog tias koj ua xua rau dabigatran. |
Kuv siv cov tshuaj no li cas?
Yuav kom tau txais txiaj ntsig zoo tshaj plaws ntawm cov tshuaj no thiab zam kev pheej hmoo, nws yog ib qho tseem ceeb heev uas yuav tsum siv nws kom raug.
Qhov tseem ceeb tshaj plaws: Tsis txhob rhuav, tsoo, zom, lossis qhib lub tshuaj ntsiav thiab haus cov tshuaj no rau txhua qhov laj thawj. Ua li ntawd tuaj yeem ua rau cov tshuaj nkag mus rau hauv lub cev ntau dhau ib zaug, uas tuaj yeem ua rau los ntshav txaus ntshai. Yuav tsum nqos lub tshuaj ntsiav tag nrho.
- Yuav noj li cas: Haus cov tshuaj tag nrho nrog ib khob dej.
- Noj nrog zaub mov: Noj tau ua ntej lossis tom qab noj mov. Txawm li cas los xij, yog tias koj mob plab lossis tsis xis nyob, noj tshuaj nrog zaub mov yuav pab txo qhov mob.
- Tsis txhob hla dhau cov tshuaj noj: Noj koj cov tshuaj raws li tau qhia, raws sijhawm, thiab raws li qhov ntau npaum li cas. Kev hla dhau cov tshuaj noj lossis tsum tsis noj koj cov tshuaj yam tsis tau koj tus kws kho mob qhia tuaj yeem ua rau koj muaj feem yuav ntshav txhaws lossis mob hlwb.
- Yog koj tsis nco ib pluag mov:Yog koj tsis nco qab noj ib koob tshuaj, noj sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias nws tsawg dua 6 teev ua ntej koj noj tshuaj tom ntej, hla qhov noj tshuaj uas koj tsis nco qab thiab noj koj cov tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob koob tshuaj ib zaug.
- Yog koj noj cov tshuaj no ntau dhau: Yog koj xav tias koj tau noj cov tshuaj no ntau dhau, tsis txhob nkim sijhawm thiab mus rau lub tsev kho mob ze tshaj plaws Chav Haujlwm Xwm Ceev (ETU) tam sim ntawd. Los yog hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
Tej yam yuav tsum nco ntsoov thaum noj cov tshuaj no
Koj yuav tsum xav txog koj txoj kev nyab xeeb thaum noj cov tshuaj no.
- Tsis txhob raug mob: Tsis txhob ua si nawv (piv txwv li, ntaus pob rugby, ncaws pob) thiab ua haujlwm uas ua rau lub cev raug mob. Txawm tias poob me me los kuj ua rau ntshav sab hauv ntau heev.
- Cov cuab yeej ntse: Xav ob zaug ua ntej siv cov cuab yeej ntse xws li riam thiab txiab. Yog tias koj tab tom txiav plaub hau, nws zoo dua yog siv rab chais hluav taws xob es tsis txhob siv rab riam.
- Txhuam koj cov hniav: Ceev faj tsis txhob ua rau koj cov pos hniav raug mob thaum txhuam thiab siv xov dig hniav.
- Phais Mob: Yog tias koj yuav phais mob lossis rho hniav tawm, nco ntsoov qhia rau koj tus kws kho mob lossis kws kho hniav tias koj tab tom noj Dabigatran. Feem ntau lawv yuav hais kom koj tsum tsis txhob noj cov tshuaj no ob peb hnub ua ntej phais mob.
- Mus ntsib kws kho mob: Mus ntsib kws kho mob raws li hnub teem tseg. Nws yuav saib xyuas koj tus mob thiab muab cov lus qhia tsim nyog rau koj.
Cov kev mob tshwm sim uas yuav tshwm sim los ntawm kev siv tshuaj
Ib yam li lwm yam tshuaj, Dabigatran tuaj yeem ua rau muaj kev phiv. Qee qhov mob hnyav, qee qhov mob tshwm sim ntau. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.
| Cov kev mob tshwm sim loj heev uas xav tau kev kho mob tam sim ntawd | |
|---|---|
| Kev Ua Xua | Tawv nqaij tawm pob, khaus, daim di ncauj/tus nplaig/lub ntsej muag o, ua pa nyuaj. |
| Cov tsos mob ntawm kev los ntshav | Cov quav dub los yog ntshav; cov zis liab tsaus los yog xim av; ntuav ib yam dab tsi zoo li cov av kas fes; los ntshav tsis zoo li qub los ntawm lub qhov ntswg, cov pos hniav, lossis qhov muag; cov qhov txhab loj lossis cov pob liab ntawm lub cev; los ntshav uas tsis tuaj yeem nres. |
| Cov tsos mob ntawm tus mob Stroke | Pom kev hloov pauv sai sai; hais lus tsis meej, hais lus tsis meej lossis nkag siab tsis tau; mob taub hau heev; loog lossis tsis muaj zog ntawm lub ntsej muag, caj npab lossis ceg; nyuaj rau taug kev, kiv taub hau. |
| Cov tsos mob ntawm cov ntshav txhaws | Mob hauv siab; ua pa nyuaj; mob, o, lossis sov so hauv ib ceg (tshwj xeeb tshaj yog ceg qis). |
| Cov kev mob tshwm sim uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau koj tus kws kho mob yog tias lawv tseem muaj | |
| Mob plab tsis xis nyob | Mob plab, mob plab zom mov tsis zoo, xeev siab (qhov no yuav txo tau los ntawm kev noj tshuaj nrog zaub mov). |
Lwm cov tshuaj uas yuav cuam tshuam nrog Dabigatran
Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tsis yog cov uas koj tus kws kho mob sau xwb, tab sis kuj tseem muaj cov tshuaj tua kab mob uas yuav tsis tas yuav muaj ntawv yuav tshuaj, cov vitamins, cov tshuaj ntsuab, thiab txawm tias cov tshuaj Sinhala. Qee cov tshuaj tuaj yeem cuam tshuam nrog Dabigatran thiab ua rau muaj kev pheej hmoo ntawm kev los ntshav.
Muaj ob peb hom tshuaj tseem ceeb uas yuav tsum tau ceev faj txog:
- Aspirin thiab lwm yam tshuaj hauv pawg no
- Lwm cov tshuaj ua kom cov ntshav nyias (piv txwv li Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban)
- Cov tshuaj loog mob (NSAIDs) (piv txwv li Ibuprofen, Naproxen, Diclofenac)
- Lwm cov tshuaj ua kom cov ntshav nyias, xws li Clopidogrel
- Qee cov tshuaj tua kab mob, xws li Rifampin (tshuaj siv los kho tus kab mob ntsws)
- Cov tshuaj tua kab mob xws li ketoconazole
Daim ntawv teev npe no tsis tiav, yog li nws yog qhov zoo tshaj plaws los qhia rau koj tus kws kho mob txog txhua yam koj noj .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob rhuav, tsoo, lossis zom cov tshuaj Dabigatran (Pradaxa). Nqos tag nrho.
- Tsis txhob tsum noj tshuaj yam tsis tau koj tus kws kho mob qhia. Yog tias koj tsis nco qab noj ib zaug, tsis txhob txhawj, tsuas yog noj cov tshuaj uas koj tsis nco qab yog tias nws ntau tshaj 6 teev ua ntej koj noj tshuaj tom ntej.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tshwj xeeb yog tshuaj tua kab mob.
- Ceev faj li sai tau thaum ntog thiab raug mob. Qhov kev pheej hmoo ntawm kev los ntshav yog siab heev.
- Yog tias koj pom cov cim qhia tias koj los ntshav , xws li cov quav dub lossis cov ntshav liab tsis zoo li qub, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau ETU ntawm tsev kho mob.
- Ua ntej yuav phais lossis rho hniav, nco ntsoov qhia koj tus kws kho mob/kws kho hniav tias koj tab tom noj cov tshuaj no.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj Ramipril (Ramipril / Altace) siv rau kab mob dab tsi?
Qhov no yog cov tshuaj ACE Inhibitor ntshav siab uas nrov tshaj plaws thiab ua tau zoo tshaj plaws hauv ntiaj teb! Nws tsis yog tsuas yog txo cov ntshav siab xwb, tab sis nws kuj tau sau los ntawm cov kws kho mob kom tiv thaiv 'mob plawv thiab mob hlwb' (cov teeb meem plawv) yav tom ntej rau cov neeg hnub nyoog tshaj 55 xyoo, cov neeg uas muaj ntshav qab zib / roj cholesterol, thiab cov neeg uas muaj feem yuav mob plawv.
💬 Noj cov tshuaj ntsuas ntshav siab no (Ramipril) yuav txo cov ntshav siab thiab cawm lub plawv li cas?
Peb cov hlab ntsha nqaim/tsis muaj zog thiab lub siab nce vim yog cov tshuaj lom neeg txaus ntshai hu ua 'Angiotensin II'! Thaum Ramipril nkag mus rau hauv lub cev, nws thaiv/kaw tag nrho thiab xauv lub Hoobkas uas tsim cov tshuaj ntawd (ACE enzyme)! Tom qab ntawd tag nrho cov hlab ntsha yuav xoob (Vasodilation) thiab lub siab poob qis. Thaum lub siab txo qis, nws yooj yim dua rau lub plawv ua haujlwm/ncaws, yog li qhov kev pheej hmoo ntawm kev mob plawv raug txo qis 100%.
💬 Cov kev mob tshwm sim tsis zoo thiab txaus ntshai (Black Box Warning) ntawm kev noj cov tshuaj no (Ramipril) yog dab tsi?
Qhov txaus ntshai tshaj plaws uas yuav tsum paub txog txij thaum pib yog tias nws raug txwv tsis pub rau cov niam 'Cev xeeb tub' (Cev xeeb tub) (tuag taus rau tus menyuam hauv plab)! Lwm qhov teeb meem loj tshaj plaws yog 'Hnoos Qhuav' uas los nrog kev noj tshuaj, yog tias koj tsis tuaj yeem sawv nws, koj yuav tsum hloov mus rau lwm cov tshuaj (ARB). Tsis tas li ntawd, yog tias qee tus neeg tau txais 'O ntawm lub ntsej muag / daim di ncauj thiab ua tsis taus pa' (Angioedema - Cov neeg dub muaj kev pheej hmoo siab dua), koj yuav tsum mus rau tsev kho mob tam sim ntawd.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus