Koj lossis ib tug neeg uas koj paub puas tau raug kws kho mob hais kom noj tshuaj "ntshav nyias"? Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe ntawd. Tej zaum koj yuav xav tias, "Auj, kuv cov ntshav puas yuav nyias?" Tab sis cov no yog cov tshuaj tseem ceeb heev uas tuaj yeem cawm tau neeg txoj sia yog tias siv kom raug. Niaj hnub no peb tab tom tham txog ib hom tshuaj tshiab, siab heev. Lawv yog Factor Xa Inhibitors.
Hais yooj yim xwb, cov tshuaj Factor Xa Inhibitors no yog dab tsi?
Cov tshuaj Factor Xa Inhibitors yog ib hom tshuaj uas tiv thaiv koj cov ntshav kom tsis txhob txhaws tsis zoo. Peb hu lawv ua "cov tshuaj ua kom cov ntshav nyias." Tab sis cov kws kho mob hu lawv ua "Direct Oral Anticoagulants" lossis "DOACs". Lawv siv tau ntev los kho cov ntshav txhaws uas twb tau tsim lawm, thiab tiv thaiv cov ntshav txhaws yav tom ntej.
Muaj ntau hom tshuaj tseem ceeb uas muaj nyob rau hauv pawg no. Tej zaum koj tus kws kho mob yuav tau sau ib qho ntawm cov no rau koj.
- Apixaban
- Betrixaban
- Edoxaban
- Rivaroxaban
- Fondaparinux (Qhov no tsis yog tshuaj. Nws yog kev txhaj tshuaj rau hauv cov hlab ntsha)
Cov tshuaj no siv rau cov mob twg?
Cov tshuaj no siv los kho thiab tiv thaiv ntau yam mob tseem ceeb heev. Xav txog cov hlab ntsha hauv peb lub cev zoo li cov kav dej uas nqa dej. Yog tias cov ntshav txhaws daig qhov twg hauv cov kav dej no, nws tuaj yeem ua rau muaj teeb meem loj. Qhov ntawd yog qhov uas cov tshuaj no pab tiv thaiv.
Koj tuaj yeem tau txais lub tswv yim zoo txog qhov no los ntawm lub rooj hauv qab no.
| Mob uas tab tom kho/tiv thaiv | Ib qho lus piav qhia yooj yim |
|---|---|
| Txo qhov kev pheej hmoo ntawm mob stroke | Ib txhia neeg uas lub plawv dhia tsis xwm yeem (atrial fibrillation) tuaj yeem tsim cov ntshav txhaws hauv cov hlab ntsha uas mus rau lub hlwb thiab ua rau mob stroke. Cov tshuaj no txo qhov kev pheej hmoo ntawd. |
| Kev Kho Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT) | Qhov no yog ib qho mob uas cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav tob hauv lub cev, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg. Cov tshuaj no pab yaj cov ntshav txhaws ntawd. |
| Kev Kho Mob Pulmonary Embolism (PE) | Qhov mob no tshwm sim thaum cov ntshav txhaws hauv ceg tawg thiab daig rau hauv cov leeg ntshav hauv lub ntsws. Qhov no txaus ntshai heev. Cov tshuaj no kuj yog kev kho rau qhov ntawd thiab. |
| Tiv Thaiv Kab Mob Venous Thromboembolism (VTE) | Qhov no yog lub npe muab rau ob qho tib si DVT thiab PE ua ke. Cov tshuaj no tiv thaiv cov mob no kom tsis txhob rov tshwm sim dua. |
| Txo qhov kev pheej hmoo ntawm kab mob plawv thiab kab mob hlab ntsha | Cov tshuaj no kuj tseem siv tau rau cov neeg uas muaj kab mob plawv thiab kab mob hlab ntsha peripheral. |
| Tom qab phais loj | Tom qab phais hloov lub duav lossis lub hauv caug, koj muaj feem yuav ntshav txhaws ntau dua vim koj yuav tsum pw hauv txaj. Cov tshuaj no yog muab los tiv thaiv qhov no. |
Cov tshuaj no txawv ntawm Warfarin li cas?
Tej zaum koj twb tau hnov txog cov tshuaj Warfarin lawm. Nws kuj yog ib yam tshuaj zoo heev uas tiv thaiv cov ntshav txhaws thiab tau siv ntau xyoo lawm. Tab sis qhov teeb meem loj tshaj plaws rau ib tus neeg uas noj Warfarin yog yuav tsum tau kuaj ntshav ntau zaus . Qhov ntawd txhais tau tias yuav tsum mus rau tsev kho mob ib hlis ib zaug, tej zaum ob zaug hauv ib lub lim tiam, kom muab ntshav thiab kuaj seb cov ntshav txhaws ntev npaum li cas. Raws li cov txiaj ntsig ntawd, tus kws kho mob yuav nce lossis txo qhov koob tshuaj ntawm cov tshuaj.
Ib qho ntawm cov txiaj ntsig loj tshaj plaws ntawm Factor Xa Inhibitors yog tias lawv tsis tas yuav kuaj ntshav ntau zaus, uas ua rau tus neeg mob tsis muaj teeb meem ntau.
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Qhov no yog qhov nthuav heev. Xav txog kev tsim cov ntshav txhaws ua ib qho txheej txheem sib dhos hauv lub Hoobkas. Muaj ntau kauj ruam koom nrog. Cov protein sib sau ua ke los tsim cov ntshav txhaws.
Factor Xa yog ib qho protein uas yog ib tug neeg ua haujlwm tseem ceeb heev hauv "txheej txheem sib dhos." Qhov tshuaj no ua yog cuam tshuam rau txoj haujlwm ntawm cov protein ntawd hu ua Factor Xa.Zoo li so ib pliag ntawm kev ua haujlwm. Tom qab ntawd tag nrho cov txheej txheem ntshav khov rov qab mus rau qhov qub. Qhov ntawd txhais tau tias cov ntshav khov tsis tsim nyog tsis txhob tsim. Koj puas nkag siab?
Koj yuav tau noj cov tshuaj no ntev npaum li cas?
Qhov no nyob ntawm seb yog vim li cas koj thiaj noj tshuaj no. Nws txawv ntawm ib tus neeg mus rau ib tus neeg.
- Yog tias koj lub plawv dhia tsis xwm yeem (atrial fibrillation): Tej zaum koj yuav tsum tau noj cov tshuaj no mus tas koj lub neej.
- Yog koj muaj cov ntshav txhaws hauv cov leeg ntshav (VTE): Feem ntau nws yuav siv sijhawm li ntawm 3 thiab 6 lub hlis.
- Yog koj muaj cov ntshav txhaws hauv koj ceg (DVT) lossis lub ntsws (PE): Nws yuav siv sijhawm li 6 lub hlis.
- Yog tias tom qab phais hloov lub hauv caug: Tsuas yog 12 hnub tom qab phais.
- Tom qab phais hloov lub duav: Nws yuav siv sijhawm li 35 hnub tom qab phais.
Qhov tseem ceeb tshaj plaws yog noj koj cov tshuaj raws nraim li koj tus kws kho mob qhia rau koj. Tsis txhob tsum noj koj cov tshuaj yam tsis tau nug koj tus kws kho mob.
Cov tshuaj no muaj kev pheej hmoo thiab cov kev mob tshwm sim li cas?
Ib yam li lwm yam tshuaj, muaj qee qhov kev pheej hmoo. Vim tias lawv tiv thaiv cov ntshav txhaws, qhov kev pheej hmoo tseem ceeb ntawm cov tshuaj no yog los ntshav ntau dua li qub .
- Kev Los Ntshav Loj: Tsis tshua muaj, kev los ntshav tuaj yeem tshwm sim hauv lub hlwb lossis hauv qhov chaw xws li lub plab lossis txoj hnyuv. Cov no tuaj yeem nyuaj rau tswj. Txawm li cas los xij, tam sim no muaj cov tshuaj tshwj xeeb hu ua "cov neeg sawv cev rov qab" (piv txwv li andexanet alfa) uas tuaj yeem thim rov qab cov teebmeem ntawm cov tshuaj no. Cov kws kho mob siv cov no rau cov xwm txheej uas muaj kev hem thawj rau lub neej.
- Cov kev mob tshwm sim me me:
- Txawm tias koj raug mob me me rau koj lub cev los xij, koj yuav pom cov ntshav (mob qhov txhab) ntau zaus dua.
- Ib txhia neeg yuav muaj pob khaus ntawm daim tawv nqaij .
Qhov tseem ceeb yog, qhov kev pheej hmoo no tsis yog tsuas yog muaj rau cov tshuaj no xwb. Txhua yam tshuaj uas ua rau cov ntshav nyias nyias muaj qhov kev pheej hmoo no. Yog li ntawd, tsis txhob ntshai. Tiam sis, nws yog ib qho tseem ceeb heev uas yuav tsum ceev faj.
Yuav tsum ceev faj li cas thaum noj tshuaj?
Yog koj noj cov tshuaj no, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej kom tsis txhob raug mob thiab raug mob ntau li ntau tau. Txawm tias yog ib qho me me xwb los kuj nyuaj rau kom tsis txhob los ntshav. Nov yog qee cov lus qhia yooj yim los pab koj.
| Yuav ua li cas | Vim li cas qhov ntawd thiaj tseem ceeb? |
|---|---|
| Ceev faj heev thaum siv cov cuab yeej ntse (riam, txiab). | Yog koj txiav koj txhais tes, nws yuav nyuaj rau kom tsis txhob los ntshav. Ceev faj nrog riam thaum ntxuav tais diav. |
| Yog koj txiav plaub hau, siv lub tshuab txiav plaub hau hluav taws xob es tsis txhob siv lub tshuab txiav plaub hau uas muaj hniav. | Qhov kev pheej hmoo ntawm kev txiav koj tus kheej nrog rab riam tuaj yeem txo qis. |
| Hnav hnab looj tes thiab khau thaum ua haujlwm hauv lub vaj. | Txawm tias yog qhov txhab los ntawm ib yam dab tsi zoo li rab hlau los yog ib tug pos kuj tuaj yeem ua rau los ntshav hnyav. |
| Ceev faj txog tej yam yuav ua rau koj plam thiab poob (cov ntaub pua plag, cov xov hlau hauv pem teb) hauv tsev. | Kev raug mob los ntawm kev ntog, tshwj xeeb yog tias koj ntaus koj lub taub hau, tuaj yeem ua rau muaj kev phom sij. |
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum noj cov tshuaj no, hu rau koj tus kws kho mob tam sim ntawd, lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU).
- Los ntshav ntau heev uas tsis tuaj yeem nres: Yog tias los ntshav ntawm qhov txhab, qhov ntswg, qhov ncauj, lossis cov pos hniav tsis tuaj yeem nres.
- Kev Poob: Yog tias koj poob qhov twg, tshwj xeeb tshaj yog tias koj ntaus koj lub taub hau, koj yuav los ntshav sab hauv txawm tias tsis pom kev raug mob los xij.
- Yog tias muaj ntshav nyob rau hauv cov quav (cov quav dub los yog liab tsaus).
- Yog koj ntuav ntshav (xws li cov kas fes av los yog liab).
- Mob hauv siab, mob taub hau, lossis mob plab heev.
- Ua pa nyuaj.
- Mob pob khaus sai sai.
Cov tshuaj no tau pab tau ntau tus neeg vim lawv tsis tas yuav kuaj ntshav ntau npaum li Warfarin. Txawm li cas los xij, cov tshuaj no tsis haum rau txhua tus. Tham nrog koj tus kws kho mob kom txiav txim siab seb cov tshuaj twg zoo tshaj plaws rau koj. Txawm koj noj tshuaj dab tsi los xij, nws yog ib qho tseem ceeb uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Factor Xa Inhibitors yog ib pawg tshuaj tshiab, zoo uas tiv thaiv cov ntshav txhaws.
- Piv rau cov tshuaj qub xws li Warfarin, koj tsis tas yuav kuaj ntshav ntau zaus thaum noj cov no. Qhov ntawd yog qhov yooj yim heev.
- Qhov kev pheej hmoo tseem ceeb ntawm cov tshuaj no yog los ntshav ntau dhau, yog li nws tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej ntawm kev raug mob.
- Tsis txhob pib, tsum, lossis hloov qhov ntau npaum li cas ntawm cov tshuaj yam tsis tau koj tus kws kho mob qhia.
- Yog koj muaj kev los ntshav txawv txawv lossis lwm yam tsos mob txaus ntshai, nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus