Yu dɔktɔ dɔn gi yu mɛrɛsin lɛk Pradaxa fɔ mek blɔd nɔ klɔt? Ɔ yu fambul ɔ yu padi de yuz dis mɛrɛsin? Dis na wan mɛrɛsin we rili impɔtant we kin rili sev pipul dɛn layf. Bɔt pan di sem tɛm, sɔm tin dɛn de we wi nid fɔ rili tek tɛm wit we wi de yuz am. So tide, lɛ wi tɔk bɔt dis mɛrɛsin, Dabigatran, we dɛn jɔs sabi na wi kɔntri as Pradaxa.
Wetin na Dabigatran (Pradaxa)?
Fɔ tɔk am simpul wan, dis na tin we de mek blɔd tan . pan mεdikal tεm, wi kin kכl dis ``Anticoagulant''. Wi blɔd gɛt sɔntin we de mek i rɔtin. Na dat mek blɔd kin stɔp we injuri de. Bɔt sɔntɛnde, blɔd kin klɔt insay di bɔdi, insay di vein dɛn we nɔ nid. Dis na tin we de mek pɔsin denja.
Dabigatran de wok bay we i de mek di blɔd we dɛn nɔ want nɔ mek. Dɛn kin yuz am mɔ fɔ:
- Fɔ mek yu nɔ gɛt Strɔk: Ridyus di risk fɔ mek blɔd klɔt na di bren ɛn strok pan di wan dɛn we gɛt at bit we nɔ de bit ɔltɛm (Atrial Fibrillation).
- Trit di blɔd we de klɔt: Sɔlv di blɔd we dɔn fɔm na di lכng (Pulmonary Embolism) ɔ dip vein dεm na di leg (Deep Vein Thrombosis - DVT).
- Fɔ mek blɔd nɔ klɔt: Dɛn kin gi dis mɛrɛsin fɔ mek blɔd nɔ klɔt bak afta dɛn dɔn du di ɔpreshɔn, lɛk fɔ chenj in hip, ɔ to pɔsin we bin dɔn gɛt blɔd trade.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu Dabigatran, i rili impɔtant fɔ mek i no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Wɛlbɔdi kɔndishɔn ɔ chans | Wetin mek yu fɔ bisin bɔt am? |
|---|---|
| Di prɔblɛm dɛn we kin apin we pɔsin de blɔd | Dis mɛrɛsin kin mek yu gɛt mɔ blɔd. |
| If yu gɛt mɛkanikal at valv | Dɛn nɔ kin advays dis mɛrɛsin fɔ dɛn kayn sik pipul ya. |
| Kidni sik | Bikɔs dɛn kin pul di mɛrɛsin na di bɔdi tru di kidni dɛn, dɛn kin nid fɔ chenj di we aw dɛn fɔ tek am. |
| If yu dɔn gɛt bɛlɛ blɔd bifo | Di risk fɔ mek i blɔd bak kin bɔku. |
| If yu nɔ tu te yet we dɛn dɔn du ɔ yu de kam fɔ gɛt spɛshal ɔ epidural prosidur | Risk de fɔ mek blɔd kɔmɔt na di spɛshal kɔd. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Insay dɛn kayn tin ya, yu fɔ tɔk to yu dɔktɔ bɔt aw di mɛrɛsin sef. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ no if yu kin gɛt alɛji fɔ dabigatran. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin ɛn fɔ avɔyd ɛni prɔblɛm, i rili impɔtant fɔ yuz am kɔrɛkt wan.
Di tin we impɔtant pas ɔl: Nɔ brok, krɔs, chew, ɔ opin di kapsul ɛn drink wetin de insay dis mɛrɛsin fɔ ɛni rizin. If yu du dat, i kin mek tumɔs mɛrɛsin go insay di bɔdi wan tɛm, ɛn dis kin mek yu blɔd we denja. Di kapsul fɔ swɛla ɔl.
- Aw fɔ tek: Swɛla di mɛrɛsin ɔl wit wan glas wata.
- Fɔ tek wit it: Dɛn kin tek dis bifo ɔ afta yu it. Bɔt if yu gɛt ɛni bɛlɛ at ɔ yu nɔ fil fayn, if yu tek di mɛrɛsin wit yu it, dat kin ɛp fɔ ridyus am.
- Nɔ skip di doz: Tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm, ɛn di rayt doz. If yu nɔ tek di mɛrɛsin ɔ yu stɔp fɔ tek yu mɛrɛsin we yu nɔ gɛt yu dɔktɔ in advays, dat kin mek yu gɛt mɔ blɔd klot ɔ strok wantɛm wantɛm.
- If yu mis fɔ it:If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i nɔ rich 6 awa te 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 dos wan tɛm.
- If yu tek dis mɛrɛsin tumɔs: If yu tink se yu dɔn tek bɔku pan dis mɛrɛsin, nɔ west tɛm ɛn go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Tin dɛn we yu fɔ mɛmba we yu de tek dis mɛrɛsin
Yu nid fɔ tink mɔ bɔt yu sef we yu de tek dis mɛrɛsin.
- Nɔ gɛt injury: Nɔ de fa frɔm spɔt (e.g. rɔgbi, futbɔl) ɛn wok we kin mek yu bɔdi wund. Ivin we yu fɔdɔm smɔl, i kin mek yu blɔd bɔku insay yu bɔdi.
- Shap tul dɛn: Tink tu tɛm bifo yu yuz shap tul dɛn lɛk naif ɛn siza. If yu de sheb, i go fayn fɔ yuz ilɛktrik reza instead fɔ yuz bled.
- Fɔ brus yu tit: Tek tɛm mek yu nɔ wund yu gam we yu de brus ɛn yuz flos.
- Ɔpreshɔn: If yu go gɛt ɔpreshɔn ɔ pul yu tut, mek shɔ se yu tɛl yu dɔktɔ ɔ dɛntist se yu de tek Dabigatran. Dɛn go aks yu fɔ stɔp fɔ tek dis mɛrɛsin sɔm dez bifo di ɔpreshɔn.
- Fɔ go to dɔktɔ: Go na di klinik di de dɛn we dɛn dɔn sɛtul ɛn go to di dɔktɔ. I go wach yu kɔndishɔn ɛn gi yu di advays we yu nid.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Dabigatran kin mek yu gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn. I impɔtant fɔ no bɔt dɛn tin ya.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji Riakshɔn | Skin rash, it, swel na di lip/tɔng/fes, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Blak ɔ blɔd stɔl; dak rɛd ɔ brawn urine; fɔ vɔmit sɔntin we tan lɛk kɔfi grɔn; blɔd we nɔ kɔmɔn frɔm di nos, di gɔm, ɔ di yay; big big brus ɔ rɛd spat dɛn na di bɔdi; blɔd we dɛn nɔ go ebul fɔ stɔp. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Strɔk | Di vishɔn kin chenj wantɛm wantɛm; fɔ tɔk fayn, i nɔ kin izi fɔ tɔk ɔ ɔndastand; ed we kin at bad bad wan; di fes, an ɔ leg we nɔ de wok fayn ɔ we wik; i nɔ izi fɔ waka, diziz. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Chɛst de pen; i nɔ kin izi fɔ yu fɔ blo; pen, swel, ɔ wam na wan leg (especially di lכw leg). |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ nɔ kin fil fayn | Bɛlɛ pen, nɔ de it fayn, nɔs (dis kin ridyus if yu tek di mɛrɛsin wit it). |
Ɔda mɛrɛsin dɛm wae kin intarakt wit Dabigatran
Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, nɔto jɔs di wan dɛn we yu dɔktɔ gi yu, bɔt yu fɔ tɛl yu bak di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen, vaytamɛn dɛn, ɛbul prɔdak dɛn, ɛn ivin Sinhala mɛrɛsin dɛn. Sɔm mɛrɛsin kin intarakt wit Dabigatran ɛn i kin mek yu gɛt mɔ blɔd.
Sɔm men kayn mɛrɛsin dɛn de we yu fɔ tek tɛm wit:
- Aspirin ɛn ɔda drɔgs dɛn we de na dis grup
- Ɔda tin dɛn we de mek blɔd tan (e.g. Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban)
- Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) (e.g. Ibuprofen, Naproxen, Diclofenac) .
- Ɔda tin dɛn we de mek blɔd tan lɛk Klopidogrel
- Sɔm antibayɔtik, lɛk Rifampin (wan mɛrɛsin we dɛn kin yuz fɔ mɛn TB) .
- Antifכngal dεm lεk kεtokonazכl
Dis list nɔ kɔmplit, so i bɛtɛ ɔltɛm fɔ tɛl yu dɔktɔ bɔt ɛnitin we yu de tek .
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva brok, krɔs, ɔ chew Dabigatran (Pradaxa) tablɛt. Swɛla dɛn ɔl.
- Nɔ stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu mis wan doz, nɔ wɔri, jɔs tek di doz we yu mis if i pas 6 awa te yu nɛks doz.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, mɔ di wan dɛn we de mek yu fil pen.
- Tek tɛm as yu ebul fɔ fɔdɔm ɛn wund. Di risk fɔ mek blɔd kɔmɔt de bɔku.
- If yu notis sayn dɛn fɔ blɔd , lɛk blak stɔl ɔ brus we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul in ETU.
- Bifo ɛni ɔpreshɔn ɔ pul yu tut, mɛmba yu dɔktɔ/dɛntist se yu de tek dis mɛrɛsin.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin yuz Ramipril (Ramipril / Altace) tablɛt/kapsul fɔ?
Dis na di ACE Inhibitor blɔd prɛshɔn pil we pipul dɛn lɛk ɛn we dɔn wok fayn pas ɔl na di wɔl! I nɔ jɔs de mek blɔd prɛshɔn go dɔŋ, bɔt dɔktɔ dɛn kin gi am bak fɔ mek dɛn nɔ gɛt ‘at atak ɛn strok’ (di tin dɛn we kin apin to dɛn at) tumara bambay fɔ pipul dɛn we dɔn pas 55 ia, di wan dɛn we gɛt dayabitis/kɔlestrol, ɛn di wan dɛn we gɛt ay risk fɔ gɛt at atak.
💬 Aw we yu tek dis blɔd prɛshɔn pil (Ramipril) de mek yu blɔd prɛshɔn dɔŋ ɛn sev di at?
Wi blɔd vesel dɛn kin smɔl/wik ɛn di prɛshɔn kin go ɔp bikɔs ɔf wan denja kemikal we dɛn kɔl ‘Angiotensin II’! we Ramipril go insay di bכdi, i de blok/klos εn lכk di faktri we de mek da kεmikכl de (ACE εnzym) kכmplit wan! Dɔn ɔl di blɔd vesel dɛn kin lɔs (Vasodilation) ɛn di prɛshɔn kin go dɔŋ. we di prεshכn dכn dכn, i kin izi fכ di at fכ wok/bit, so di risk fכ gεt at sik de rεdכks bay 100%.
💬 Wetin na di anɔynt ɛn denja (Black Box Warning) sayd ɛfɛkt dɛm we yu tek dis mɛrɛsin (Ramipril)?
di big denja we yu fכ no frכm di biginin na dat i striktli prohibit fכ 'Pregnancy' mama dεm (Pregnancy) (deadly to the fetus)! Di ɔda big prɔblɛm na di ‘Dray kɔf’ we kin kam wit we yu tek di mɛrɛsin, if yu nɔ ebul fɔ tinap, yu fɔ chenj to ɔda pil (ARB). Dɔn bak, if sɔm pipul dɛn gɛt ‘Swelling of the face/lips and shortness of breath’ (Angioedema - Blak pipul dɛn kin gɛt ay risk), yu nid fɔ go na ɔspitul wantɛm wantɛm.
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