Koj lossis ib tug neeg hauv koj tsev neeg puas tau muaj ib tug kws kho mob sau tshuaj uas ua rau cov ntshav nyias? Tej zaum koj yuav tau hnov txog "cov tshuaj uas ua rau cov ntshav nyias." Cov tshuaj no tsis yog ua rau cov ntshav nyias tiag tiag, lawv tsuas yog tswj cov txheej txheem ntawm kev txhaws xwb. Niaj hnub no peb tab tom tham txog ib hom tshuaj tseem ceeb heev, uas yog hom tshuaj tshiab hu ua 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 peb cov ntshav kom tsis txhob txhaws ntau dhau. Cov kws kho mob hu lawv tias "Direct Oral Anticoagulants - DOACs". Hais yooj yim xwb, cov no yog cov tshuaj uas tiv thaiv cov ntshav txhaws. Lawv siv los kho cov ntshav txhaws uas twb tau tsim lawm, thiab kev kho mob mus sij hawm ntev los tiv thaiv cov ntshav txhaws yav tom ntej.
Muaj ntau hom tshuaj tseem ceeb uas koom nrog pawg no.
| Lub Npe Tshuaj | Cov ntsiab lus tshwj xeeb |
|---|---|
| Apixaban | Ib hom uas siv ntau. |
| Rivaroxaban | Lwm hom uas siv ntau. |
| Edoxaban | Siv raws li cov lus qhia kho mob. |
| Fondaparinux | Qhov no tsis yog tshuaj, tab sis yog kev txhaj tshuaj uas muab rau hauv cov hlab ntsha. |
Cov no siv rau hom mob dab tsi?
Cov tshuaj no yuav raug sau tseg rau ntau yam laj thawj, feem ntau yog:
- Txo qhov kev pheej hmoo ntawm mob stroke: Tshwj xeeb tshaj yog rau cov neeg uas muaj atrial fibrillation, lub plawv dhia tsis xwm yeem hauv atria ntawm lub plawv.
- Txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv cov leeg (Venous Thrombosis).
- Txo qhov kev pheej hmoo ntawm cov teeb meem plawv thiab cov hlab ntsha hauv cov neeg uas muaj kab mob plawv thiab cov hlab ntsha, xws li kab mob plawv thiab kab mob hlab ntsha peripheral.
- Kho cov ntshav txhaws hauv cov leeg ntshav tob (Deep Vein Thrombosis - DVT). Qhov no feem ntau tshwm sim rau ntawm ob txhais ceg.
- Kho cov ntshav txhaws hauv lub ntsws (Pulmonary Embolism - PE).
- Kho cov kab mob venous thromboembolism (VTE).
Leej twg yuav tsum noj cov tshuaj no?
Muaj ib txhia neeg noj cov tshuaj no vim lawv twb muaj ntshav txhaws lawm. Rau lwm tus, cov kws kho mob sau ntawv kom siv los tiv thaiv vim lawv muaj feem yuav muaj ntshav txhaws.
Xav txog ib tug neeg tau hloov lub duav tag nrho. Tom qab phais lawm, koj yuav tsum pw hauv txaj ib pliag, yog li cov ntshav ntws hauv cov leeg ntawm koj ob txhais ceg txo qis, ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. Thaum ntawd cov kws kho mob tau sau cov tshuaj no. Lawv kuj tseem muab tom qab hloov lub hauv caug.
Qhov txawv ntawm Warfarin, ib yam tshuaj qub, thiab cov tshuaj tshiab no yog dab tsi?
Ua ntej muaj cov tshuaj Factor Xa Inhibitors, cov tshuaj uas siv ntau tshaj plaws los tiv thaiv cov ntshav txhaws yog "Warfarin." Warfarin yog ib hom tshuaj zoo heev uas tau siv ntau xyoo lawm.
Tiam sis qhov txawv tseem ceeb yog li no: Ib tug neeg uas noj tshuaj Warfarin yuav tsum tau kuaj ntshav tas li (INR tests) kom paub tseeb tias cov tshuaj no ua haujlwm zoo. Qhov kev kuaj no yuav ua tau ob zaug hauv ib lub lim tiam, lossis ib hlis ib zaug.
Tiam sis ib tug neeg uas noj cov tshuaj Factor Xa Inhibitors feem ntau tsis tas yuav kuaj ntshav ntau zaus. Tsuas yog noj cov tshuaj raws li tau teem tseg txhua hnub xwb ces txaus lawm. Qhov no yog ib qho yooj yim heev rau cov neeg mob.
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Qhov no yooj yim to taub heev. Xav txog cov txheej txheem ntawm kev tsim cov ntshav txhaws hauv peb lub cev zoo li cov kab sib dhos hauv lub Hoobkas. Muaj ntau cov kauj ruam uas sib txuas ua ke.
"Factor Xa" yog ib tug neeg ua haujlwm tseem ceeb heev hauv kab ntau lawm no. Yog tsis muaj nws, peb mus tsis tau rau kauj ruam tom ntej. Yog li, qhov peb ua nrog cov tshuaj Factor Xa Inhibitor no yog kom tiv thaiv tus neeg ua haujlwm ntawd (uas yog cov protein) hu ua "Factor Xa" kom tsis txhob ua haujlwm. Tom qab ntawd kab ntau lawm nres ib nrab, uas txhais tau tias cov ntshav txhaws tsis tsim. Yooj yim heev, puas yog?
Kuv yuav tsum noj cov tshuaj no ntev npaum li cas?
Vim li cas koj thiaj li tau txais cov tshuaj no yuav txiav txim siab seb koj yuav tsum noj nws ntev npaum li cas. Koj tus kws kho mob yuav piav qhia qhov no rau koj. Qhov no feem ntau yog nws yuav siv sijhawm ntev npaum li cas.
| Mob/Ua rau | Lub sijhawm nruab nrab rau kev noj tshuaj |
|---|---|
| Lub plawv dhia tsis xwm yeem (Atrial Fibrillation) | Feem ntau thoob plaws lub neej. |
| Cov ntshav txhaws hauv cov leeg (VTE) | 3 txog 6 lub hlis. |
| Ib qho ntshav txhaws hauv ceg (DVT) lossis lub ntsws (PE) | Kwv yees li 6 lub hlis. |
| Tom qab phais hloov pob txha | Kwv yees li 12 hnub. |
| Tom qab phais hloov lub duav | Kwv yees li 35 hnub. |
Cov kev pheej hmoo tseem ceeb thiab cov kev mob tshwm sim yog dab tsi?
Qhov kev pheej hmoo tseem ceeb ntawm cov tshuaj no yog los ntshav ntau dhau . Qhov no yog ib txwm muaj, vim tias lub ntsiab lus tseem ceeb ntawm cov tshuaj no yog kom tsis txhob muaj ntshav txhaws. Qhov no txhais tau tias txawm tias qhov raug mob me me tuaj yeem ua rau los ntshav ntau dua li qub. Qhov kev pheej hmoo txaus ntshai tshaj plaws yog los ntshav hauv lub hlwb lossis hauv txoj hnyuv.
Qhov tseem ceeb tshaj plaws yog yuav tsum ceev faj li sai tau kom tsis txhob muaj xwm txheej thiab raug mob thaum siv cov tshuaj no.
Lwm cov kev mob tshwm sim muaj xws li:
- Mob bruising yooj yim (mob bruising) rau ntawm lub cev.
- Mob pob khaus ntawm daim tawv nqaij.
Txawm hais tias muaj cov tshuaj tshwj xeeb xws li '(Andexanet Alfa)' uas tuaj yeem thim rov qab cov teebmeem ntawm cov tshuaj no, lawv kim heev thiab tej zaum yuav tsis muaj nyob rau hauv txhua lub tsev kho mob. Yog li nws yog qhov zoo tshaj plaws kom ceev faj.
Tej yam koj ua tau kom ceev faj
- Hnav hnab looj tes thiab khau thaum ua haujlwm hauv lub vaj.
- Ceev faj heev thaum siv cov khoom ntse xws li riam thiab txiab.
- Siv lub tshuab txiav plaub hau hluav taws xob es tsis txhob siv lub tshuab txiav plaub hau uas muaj hniav.
- Ceev faj txog tej yam uas yuav ua rau koj lub tsev plam thiab poob (piv txwv li cov ntaub pua plag xoob). Txo qhov kev pheej hmoo ntawm kev raug mob los ntawm lawv.
Thaum twg yuav tsum mus ntsib kws kho mob tam sim ntawd
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd. Qee zaum, nws yog ib qho tseem ceeb uas yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws .
- Los ntshav ntau heev uas tsis tuaj yeem nres (piv txwv li los ntawm lub qhov ntswg, cov pos hniav, lossis qhov txhab).
- Poob los yog raug ntaus hnyav rau lub taub hau (txawm tias tsis muaj ntshav sab nraud los xij).
- Mob taub hau hnyav los yog mob hauv siab.
- Ua pa nyuaj.
- Muaj pob khaus txawv txawv ntawm daim tawv nqaij.
Cov tshuaj no tau tso ntau tus neeg dim ntawm kev ntxhov siab ntawm kev kuaj ntshav ntau zaus, zoo li cov uas cov neeg mob noj Warfarin siv. Txawm li cas los xij, cov tshuaj no tsis haum rau txhua tus. Yog li ntawd, 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 thiab nug kom meej yog tias muaj dab tsi koj tsis nkag siab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Factor Xa inhibitors yog ib pawg tshuaj tseem ceeb heev uas tiv thaiv kev tsim cov ntshav txhaws txaus ntshai.
- Noj tshuaj raws li qhov ntau npaum li cas, raws li lub sijhawm, raws li koj tus kws kho mob tau hais. Tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas ntawm koj tus kheej.
- Ib qho txiaj ntsig loj ntawm cov tshuaj no yog tias nws tsis tas yuav kuaj ntshav ntau zaus zoo li Warfarin.
- Vim tias qhov kev pheej hmoo tseem ceeb yog los ntshav, yuav tsum ceev faj kom tsis txhob raug mob.
- Yog tias muaj kev los ntshav txawv txawv, mob taub hau heev, mob hauv siab, lossis raug mob taub hau los ntawm kev poob, nrhiav kev kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
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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