Sɔntɛnde, blɔd kin klɔt na di blɔd vesel dɛn na wi bɔdi. Dis na tin we rili denja. Bikɔs if dɛn blɔd ya de travul tru di vein dɛn ɛn rich na di bren, at, ɔ lɔng, dɛn kin mek pɔsin gɛt bad bad tin dɛn lɛk strok we kin mek pɔsin in layf de pan denja. Dis risk kin pasmak fɔ pɔrsin wae gɛt atrial fibrillation (Afib), we na at bit we nɔ de bit ɔltɛm. So, yu dɔktɔ kin dɔn gi yu spɛshal mɛrɛsin fɔ ridyus dis risk. Tide, wi de tɔk bɔt Edoxaban, we na wan blɔd tin we dɛn kin gi bɔku pipul dɛn.
Fɔ tɔk am simpul wan, wetin na Ɛdɔksaban?
Edoxaban na mɛrɛsin we dɔktɔ dɛn kin gi fɔ mek blɔd nɔ klɔt. We wi de tɔk ɛvride, wi kin kɔl dɛn tin ya "blɔd tin dɛm." Bɔt wetin kin rili apin na dat, bifo i ridyus di tik we di blɔd tik, i de ambɔg di we aw di blɔd de klɔt.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ:
- Fɔ mek blɔd nɔ klɔt ɛn trit di dip vein dɛn na di bɔdi (espɛshali di leg dɛn) ɛn di lɔng dɛn.
- Ridyus di risk fɔ strok we blɔd kin klɔt na di bren pan pipul dɛm we gɛt atrial fibrillation, we na at bit we nɔ de bit ɔltɛm.
Fɔ tɔk am simpul wan, dis mɛrɛsin tan lɛk layf gad we go ɛp fɔ sev yu layf.
Tin dɛn we yu fɔ rili tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin:
Dis rili impɔtant. Edoxaban nɔto wan saiz-fit-ɔl drɔg. So, i impɔtant fɔ mek yu dɔktɔ no yu kɔmplit mɛdikal istri bifo yu gi yu dis mɛrɛsin. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Yu mɛdikal kɔndishɔn ɔ spɛshal tɛm | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Sik ɔ prɔblɛm dɛn we kin kam wit blɔd | Bikɔs dis na tin we de mek yu blɔd tan, i kin mek yu gɛt mɔ blɔd if yu dɔn ɔlrɛdi de pan denja. |
| Kidni sik | Di drɔg kin kɔmɔt na di bɔdi tru di kidni dɛn. If di kidni nɔ de wok fayn, dɛn kin nid fɔ ajɔst di doz fɔ di mɛrɛsin. |
| Liva sik | Bikɔs di we aw di liva de wok kin afɛkt di we aw di blɔd de klɔt, di dɔktɔ fɔ no bɔt dis. |
| If yu gɛt prɔstɛtik at valv | Edoxaban nɔ kin fayn fɔ dɛn kayn tin ya. Sɔntɛm dɛn go nid ɔda mɛrɛsin dɛn. |
| Antifosfolipid sindrom (APS) . | Dis na wan sik wae de mek yu gɛt mɔr blɔd klɔt ɛn kin nid ɔda tritmɛnt. |
| Kansa ɔ ɔlsa na di bɛlɛ ɔ di insay | Di risk fɔ mek blɔd kɔmɔt na dɛn say ya kin bɔku. |
| If yu dɔn schedul fɔ gɛt spɛshal prɔsidyu lɛk ɔpreshɔn, epidural, ɔ spɛshal tap tumara bambay | Dɛn fɔ stɔp dis mɛrɛsin fɔ sɔm tɛm bifo dɛn du di ɔpreshɔn bikɔs ɔf di risk fɔ mek blɔd kɔmɔt. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | If yu tek dis mɛrɛsin we yu gɛt bɛlɛ, dat kin mek di mama ɛn di pikin blɔd kɔmɔt. |
| If dɛn de gi di pikin in mama in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt if di mɛrɛsin de pas to di pikin tru in mama in milk ɛn if i go gɛt ɛni ifɛkt. |
| If yu gɛt alɛji fɔ ɔda mɛrɛsin, it, ɔ day | Dis impɔtant so dat yu dɔktɔ go ebul fɔ no if yu kin gɛt alɛji fɔ dis mɛrɛsin ɔ ɛni wan pan di tin dɛn we de insay am. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ tek am kɔrɛkt wan.
- Swɛla di pil wit wan glas wata. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
- Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Wae yu dɔn mek dis bi abit, yu nɔr go mis yu doz.
- Yu kin tek dis mɛrɛsin bifo ɔ afta yu it. Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit it.
- Di tin we impɔtant pas ɔl: Fɔ mek shɔ se yu tritmɛnt go bifo, nɔ skip ɛni dos fɔ yu mɛrɛsin fɔ ɛni rizin. If yu stɔp fɔ tek yu mɛrɛsin ɔ skip wan doz, yu risk fɔ gɛt blɔd klot ɔ strok kin go ɔp wantɛm wantɛm. Kɔntinyu fɔ tek dis mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp.
Yu kin gɛt spɛshal infɔmeshɔn liflet (MedGuide) we dɛn gi yu dis mɛrɛsin. I gɛt bɔku impɔtant tin dɛn bɔt dis mɛrɛsin. So mek shɔ se yu tek tɛm rid am.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu gɛt ɛni saspek se yu dɔn tek mɔ pas di doz we dɛn gi yu fɔ dis mɛrɛsin, go wantɛm wantɛm na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Wi ɔl kin fɔgɛt tin, so nɔ wɔri if yu mis wan doz.
- Tek da tɛm de jɔs lɛk aw yu mɛmba.
- Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (fɔ ɛgzampul, if yu nɛks doz fɔ kam insay sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we dɛn dɔn sɛtul.
- Nɔ ɛva it tu it dɛn di sem tɛm. Dat min se nɔ tek tu pils wan tɛm fɔ mek di it we yu mis.
Us ɔda mɛrɛsin dɛn kin miks wit Edoxaban?
Dis na sɔntin bak we wi fɔ rili tek tɛm wit. Edoxaban na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm. Dis kin mek yu gɛt mɔ blɔd ɔ i kin mek di mɛrɛsin nɔ wok fayn.
If yu de yuz dɛn mɛrɛsin ya, i rili impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt dɛn.
| Kategori fɔ drɔgs | Ɛgzampul dɛn ɛn spɛshal not dɛn |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda | |
| Difibrotayd we dɛn kin yuz | If yu tek Edoxaban wit dis mɛrɛsin, dat kin mek yu blɔd bɔku. |
| Ɔda drɔgs dɛn we kin miks wit dɛnsɛf | |
| Ɔda tin dɛn we de mek blɔd tan | Fɔ ɛgzampul: Warfarin, Enoxaparin, Dalteparin, Aspirin. If yu tek dɛn tin ya togɛda, dat kin rili mek yu gɛt blɔd. |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pen (NSAID) . | Fɔ ɛgzampul: Ibuprofen, Naproxen, Diclofenac. Dɛn tin ya kin mek bak di risk fɔ mek pɔsin blɔd kɔmɔt. Paracetamol nɔr kin fayn fɔ tek fɔ smɔl pen, bɔt aks yu dɔktɔ bɔt dat bak. |
| Sɔm mɛrɛsin fɔ pwɛl hat (SSRI/SNRI) . | Fɔ ɛgzampul: Fluoxetine, Sertraline, Venlafaxine. Dɛn tin ya kin afɛkt bak di risk fɔ blɔd. |
| Sɔm antibayɔtik ɛn antifɔngal | Fɔ ɛgzampul: Klaritromaysin, Ɛritromaysin, Kɛtokonazɔl, Itrakonazɔl. Dɛn tin ya kin afɛkt di kayn Edoxaban we de na di bɔdi. |
| Sɔm mɛrɛsin fɔ at sik | Eg: Amiodarone, Dronedarone, Kwinidin, Vɛrapamil. |
| Ɔda mɛrɛsin dɛn | Fɔ ɛgzampul: Sayklɔspɔrin, Rifampin (na mɛrɛsin fɔ TB). |
I rili impɔtant: Dis list nɔ kɔmplit. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn tin dɛn we yu kin it) . Dɔn bak, tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tek tɛm mɔ we yu de tek dis mɛrɛsin:
I rili impɔtant fɔ tink bɔt yu sef we yu de tek dis mɛrɛsin, bikɔs yu de pan blɔd smɔl pas di avɛrej pɔsin.
Nɔ du tin dɛn we denja ɛn fɔdɔm
If yu fɔdɔm ɔ yu gɛt siriɔs aksidɛnt, yu kin gɛt blɔd we de kɔmɔt insay yu bɔdi we yu nɔ go si frɔm do. Dat mek,
- Stay away frɔm spɔt we kin mek aksidɛnt (e.g. rɔgbi, futbɔl).
- Tek tɛm bad bad wan we yu de yuz shap wɛpɔn ɛn nɛf.
- I bɛtɛ fɔ yuz ilɛktrik reza instead fɔ yuz reza.
- Yuz tut brɔsh we gɛt saf brist we yu de brus yu tit. Bi rili ɔmbul we yu de yuz flos.
Bifo dɛn du di ɔpreshɔn ɔ pul di tut
If yu de du ɛni ɔpreshɔn, pul yu tut, ɔ smɔl tin, tɛl yu dɔktɔ ɔ dɛntist bifo tɛm se yu de tek Edoxaban. Bɔku tɛm, dɛn go nid fɔ stɔp dis mɛrɛsin fɔ sɔm dez bifo dɛn du di ɔpreshɔn.
Risk dɛm fɔ di Spinal Prosidyu
Pan ɔl we dis nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt am. if pɔsin we de tek edoxaban gɛt injɛkshɔn na di spayna (e.g., epidural, spinal tap), i rili smɔl risk fɔ mek blɔd klɔt fɔm na di spayna kɔd. Dis kin mek yu gɛt siriɔs prɔblɛm lɛk fɔ paralayz. If yu gɛt bak pen, yu nɔ de fil fayn, ɔ yu nɔ de fil fayn na yu leg, tɛl yu dɔktɔ wantɛm wantɛm.
We yu wɛr ID kad
If yu wɛr mɛdikal ID breslɛt ɔ yu kɛr kad we de sho se yu de tek mɛrɛsin we de mek yu blɔd tan, dat go ɛp fɔ sev yu layf we ɛnitin apin.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Edoxaban kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Pan ɔl we bɔku pan dɛn tin ya na smɔl tin, sɔm tin dɛn de we wi fɔ rili tek tɛm wit.
| Sayd ɛfɛkt we pɔsin kin gɛt | Di sayn dɛm wae yu kin si |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Riakshɔn dɛn we pɔsin kin gɛt we i gɛt alɛji | Skin rash, it, swel na di fes, lip, tong ɔ trot (i kin mek i nɔ izi fɔ blo). |
| Blɔd we de kɔmɔt |
|
| Blɔd we de kɔmɔt na di Bren | Bɔrku ed pen, stif nɛk, kɔnfyushɔn, diziz, chenj di we aw yu de si, yu fes, yu an, ɔ yu leg kin swɛla ɔ wik, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka. |
| Ebi prɛgnɛshɔn na uman dɛn | Blɔd we de kɔmɔt na di mɔnt we kin ebi pas aw i kin bi ɔ we kin las fɔ lɔng tɛm pas aw i kin bi. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Aw yu kin kip ɛn trowe di mɛrɛsin?
- Fɔ kip: Stɔr di tablɛt dɛn na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Kip dɛn na say we sef usay pikin dɛn ɛn animal dɛn we dɛn kin mɛn nɔ go ebul fɔ rich.
- Di mɛrɛsin we dɔn pas: Nɔ yuz mɛrɛsin we dɔn pas.
- Fɔ pul am: .Di bɛst we fɔ trowe di mɛrɛsin dɛn we yu nɔ yuz ɔ we dɔn pas na fɔ gi dɛn to wan program we dɛn kin kɔl drɔgs. Yu kin aks yu ɔspitul ɔ klinik bɔt dis. If dis nɔ pɔsibul, pul di pils dɛn na di kɔntena, miks dɛn wit sɔntin lɛk kɔfi grɔn, dɔti, ɔ pusi dɔti, put dɛn insay bag we dɛn tayt tayt, ɛn trowe dɛn na di dɔti. Nɔ ɛva flush dɛn dɔŋ di tɔylɛt.
Mɛsej we dɛn kin kɛr go na os
- Edoxaban na wan impɔtant mɛrɛsin we de mek blɔd nɔ klɔt ɛn protɛkt yu frɔm siriɔs tin dɛn lɛk strok.
- Nɔ stɔp fɔ tek di mɛrɛsin ɔ skip fɔ it fɔ ɛni rizin if yu dɔktɔ nɔ advays yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
- If yu notis ɛni sayn lɛk blɔd we nɔ kɔmɔn, brus, ɔ ed we de at bad bad wan, tɛl yu dɔktɔ wantɛm wantɛm.
- Tɛl di dɔktɔ se yu de tek dis mɛrɛsin bifo ɛni ɔpreshɔn ɔ tritmɛnt fɔ yu tit.
- If yu gɛt ɛni kwɛstyɔn bɔt yu wɛlbɔdi biznɛs, tɔk bɔt am wit yu dɔktɔ.
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