Yu dɔktɔ dɔn tɛl sɔmbɔdi na yu famili, ɔ sɔntɛm yu wan spɛshal mɛrɛsin fɔ mek blɔd nɔ klɔt? I kin bi wan drɔg we dɛn kɔl Apixaban. Dis na wan mɛrɛsin we rili impɔtant we de ridyus di risk fɔ gɛt strok, we bɔku tɛm kin kam bikɔs ɔf sɔm chenj dɛn na di at ritm (Atrial Fibrillation), i kin mek blɔd klɔt nɔ kam na di bɔdi, ɛn i kin sɔlv di blɔd we dɔn fɔm. Bɔt sɔm tin dɛn de we wi fɔ rili tek tɛm wit we wi de yuz dis mɛrɛsin. So, tide wi go tok abaut wetin yu nid fo no abaut dis Apixaban.
Fɔ tɔk am simpul wan, wetin na Apixaban?
Apixaban na wan tin we de mek blɔd tan. Bɔku tɛm dɛn kin si am na wi kɔntri ɔnda di brand nem Eliquis. Di men wok we i de du na fɔ mek di blɔd we wi nɔ want nɔ kam na wi blɔd vesel dɛn.
Tink bɔt wi blɔd vesel dɛn lɛk paip dɛn we de kɛr wata. Jɔs lɛk aw blɔd we de na dɛn paip ya kin mek wata nɔ flɔ, na so blɔd kin mek blɔd nɔ flɔ. If dis blɔd klɔt stɔp na wan vein we de go na di bren, i kin mek pɔsin gɛt strok. If i stɔp na wan vein we de go na di lɔng, i kin rili siriɔs bak. So wetin Apixaban de du na fɔ ridyus di risk fɔ gɛt denja blɔd klɔt lɛk dɛn wan ya.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu Apixaban, dɛn go nid fɔ no yu kɔmplit mɛdikal istri. So, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Prɔblɛm fɔ blɔd: If yu gɛt blɔd ɔltɛm na yu nos, yu gam de blɔd, ɔ if ivin smɔl kɔt tek lɔng tɛm fɔ mek yu stɔp fɔ blɔd.
- Antiphospholipid Syndrome (APS): Dis na wan sik wae de mek yu blɔd klɔt.
- If yu de kam fɔ du ɔpreshɔn, epidural, ɔ spaynal tap: I impɔtant fɔ no bɔt dis mɛrɛsin bikɔs di risk fɔ mek yu blɔd bɔku we dɛn de du dɛn tin ya.
- Kidni sik: If yu kidni nɔ de wok fayn, yu go nid fɔ chenj di mɛrɛsin we yu de tek.
- Liva sik: If yu gɛt ɛni liva sik.
- If yu gɛt prɔstɛtik at valv.
- If yu gɛt alɛji fɔ apixaban ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de op fɔ bɔn pikin.
- If yu na mama we de gi pikin in bɛlɛ.
Bay dis infɔmeshɔn, di dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɛn if na so, us doz fɔ gi yu.
Aw ɛksaktɔli a fɔ yuz dis mɛrɛsin?
Dis na tin we rili simpul, bɔt i rili impɔtant.
1. Tek lɛk aw yu dɔktɔ tɛl yu fɔ tek: Tek di doz ɛn di tɛm we yu dɔktɔ tɛl yu fɔ tek. Bɔku tɛm, dɛn kin tɛl yu fɔ tek am tu tɛm insay di de.
2. Tek am di sem tɛm ɛvride: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride, as mɔ as yu ebul. If yu set taim laik 8am and 8pm, yu no go foget.
3. Bifo ɔ afta yu it: Yu kin tek dis mɛrɛsin bifo ɔ afta yu it. Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit it.
4. Nɔ skip mɛrɛsin: Dis na di tin we impɔtant pas ɔl. If yu mis wan doz fɔ mɛrɛsin, yu risk fɔ mek yu blɔd klɔt kin go ɔp wantɛm wantɛm.
Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm fɔ ɛni rizin we yu dɔktɔ nɔ gi yu advays. We yu du dat, dat kin mek yu gɛt strok ɔ yu blɔd we de mek yu gɛt prɔblɛm.
If dɛn gi am to yɔŋ pikin dɛn:
If dɛn gi dis mɛrɛsin to yɔŋ pikin dɛn, di dɔktɔ go disayd di doz bay di pikin in wet. As di pikin de gro ɛn gɛt mɔ wet, dɛn kin nid fɔ chenj di doz. So, i impɔtant fɔ de tɔk to di dɔktɔ ɔltɛm.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu doz wan tɛm, dat na, tu doz.
If pikin vɔmit insay 30 minit afta i tek di mɛrɛsin, gi am di sem doz bak. If di pikin vɔmit afta 30 minit, nɔ gi am ɔda doz. Gi di nɔmal doz na di nɛks tɛm we dɛn dɔn sɛtul. If di pikin kɔntinyu fɔ vɔmit, kɔl di dɔktɔ.
Us ɔda mɛrɛsin dɛn kin miks wit Apixaban?
Dis na pat we rili impɔtant. Apixaban na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɛbul mɛrɛsin).
Di tebul dɔŋ ya de sho sɔm pan di men mɛrɛsin dɛm wae kin intarakt wit Apixaban.
| Tayp fɔ mɛrɛsin | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Mɛrɛsin dɛn we pɔsin nɔ fɔ ɛva tek | Mɛrɛsin dɛn lɛk Defibrotide, Factor X, ɛn Mifepristone. Yu dɔktɔ go no bɔt dɛn tin ya. |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | Aspirin ɛn NSAID dɛn (e.g., Ibuprofen, Naproxen, Diclofenac). Dɛn tin ya kin mek pɔsin gɛt blɔd. |
| Ɔda tin dɛn we de mek blɔd tan | Yu fɔ rili tek tɛm we yu de yuz am togɛda wit ɔda tin dɛn we de mek yu blɔd tan lɛk Klɔpidogrɛl, Wɔfarin, Ɛparin, ɛn Ɛnoxaparin. |
| Mɛrɛsin fɔ pwɛl hat | Mεdikeshכn dεm we dεn kכl SSRI (e.g. Sertraline, Fluoxetine) εn SNRI (e.g. Venlafaxine, Duloxetine). |
| Ɔda mɛrɛsin dɛn | Mεdikeshכn dεm lεk antifכngal (e.g. Ketoconazole), εpilepsy mεdikeshכn (e.g. Carbamazepine, Phenytoin), Rifampin, εn Ritonavir kin afekt dis bak. |
Dis list nɔ kɔmplit, so if yu de bigin fɔ tek nyu mɛrɛsin, aks yu dɔktɔ if i fayn fɔ tek am wit Apixaban.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu go nid fɔ mek sɔm smɔl chenj dɛn na yu layf we yu de tek Apixaban. Dɛn tin ya na fɔ mek yu sef.
- Yu fɔ de fa frɔm tin dɛn we go mek yu wund: Bikɔs i de mek di blɔd tan, ivin we yu kɔt am smɔl, i kin mek yu blɔd bɔku. So, tek tɛm as yu ebul fɔ du spɔt dɛn we gɛt fɔ du wit lawd nɔys ɛn tin dɛn we go mek pɔsin fɔdɔm.
- Tek tɛm we yu de yuz shap tul dɛn: Tek tɛm bad bad wan we yu de kɔt vɛjitebul ɛn sheb. Yuz ilɛktrik reza if i pɔsibul.
- Tek tɛm we yu de brus yu tit: Nɔ brus yu tit tranga wan. Yuz tut brɔsh we saf. Tek tɛm mek yu nɔ wund yu gam we yu de yuz flos.
- Infɔm bifo ɛni ɔpreshɔn: Ivin bifo yu du smɔl tin lɛk fɔ pul yu tut, yu fɔ tɛl di dɔktɔ se yu de tek Apixaban.
- Wear mɛdikal ID: Fɔ kɛr mɛdikal ID breslɛt ɔ kad we se yu de tek Apixaban kin rili impɔtant we ɛnitin apin.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Jɔs lɛk ɛni mɛrɛsin, Apixaban gɛt di pawa fɔ mek i gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs, sɔm nɔ so siriɔs. De impɔtant tin na fɔ no bɔt dɛn sik ya ɛn tek akshɔn kwik kwik wan if yu notis ɛni siriɔs sayn.
| Tayp fɔ di sayd ɛfɛkt | Ficha dɛn we yu fɔ wach fɔ |
|---|---|
| Di sayn dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan | |
| Di sayn dɛn we de sho se pɔsin de blɔd |
|
| Blɔd we de kɔmɔt na di bren | Bɔrku ed pen, stif nɛk, kɔnfyushɔn, chenj wae yu de si, yu fes, yu an, ɔ yu leg nɔr de fil fayn ɔr wik, yu nɔr kin ebul fɔ tɔk. |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Fɔ uman dɛn | Blɔd we de kɔmɔt pasmak we yu de gɛt mɔnt. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Ɔda | Ɛd we de at, we pɔsin kin vɔmit. |
Aw yu fɔ kip di mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Protɛkt frɔm ɔt ɛn mɔs we pasmak.
- Nɔ yuz mɛrɛsin we dɔn pas.
We yu de trowe di mɛrɛsin dɛn we dɔn pas ɔ we yu nɔ nid igen, chɛk di instrɔkshɔn dɛn we de na di mɛrɛsin paket fɔ si if dɛn sef fɔ trowe. If yu nɔ shɔ, aks yu dɔktɔ. If yu de trowe dɛn, pul di pils dɛn na di kɔntena, miks dɛn wit sɔntin lɛk yuz ti lif ɔ kɔfi grɔn, put dɛn insay bag, sial am, ɛn trowe dɛn.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva stɔp fɔ tek Apixaban if yu dɔktɔ nɔ gi yu advays. We yu du dat, dat kin mek yu gɛt strok ɔ blɔd we de rɔtin.
- Tek di doz we dɛn gi yu di sem tɛm ɛvride. Nɔ skip wan doz.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud pen kil ɛn vaytamɛn dɛn).
- If yu notis ɛni blɔd we nɔ kɔmɔn (blak stɔl, ebi ebi brus, blɔd we nɔ go stɔp), go to dɔktɔ wantɛm wantɛm.
- Nɔ du tin dɛn we go mek pɔsin wund as yu ebul.
- I impɔtant fɔ tɛl di dɔktɔ we gɛt fɔ du wit am se yu de tek Apixaban bifo yu du ɛni ɔpreshɔn ɔ pul yu tit.
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