Dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili wan mɛrɛsin we de mek yu blɔd tan? Yu go dɔn yɛri bɔt "blɔd thinners." Dɛn mɛrɛsin ya nɔ kin rili tan di blɔd, dɛn kin jɔs kɔntrol di we aw di blɔd kin klɔt. Tide wi de tɔk bɔt wan rili impɔtant, rili nyu klas fɔ mɛrɛsin we dɛn kɔl Factor Xa Inhibitors.
Fɔ tɔk am simpul wan, wetin na dɛn Factor Xa Inhibitors ya?
Factor Xa Inhibitors na wan kayn mɛrɛsin we de mek wi blɔd nɔ klot tumɔs. Dɔktɔ dɛn kin kɔl dɛn ``Direct Oral Anticoagulants - DOACs''. Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya na mɛrɛsin dɛn we de mek blɔd nɔ klot. Dɛn kin yuz dɛn fɔ trit blɔd we dɔn ɔlrɛdi fɔm, ɛn dɛn kin yuz dɛn bak fɔ trit fɔ lɔng tɛm fɔ mek blɔd nɔ klɔt tumara bambay.
Bɔku men kayn mɛrɛsin dɛn de we de insay dis kategori.
| Di Nem fɔ Drug | Speshal pɔynt dɛn |
|---|---|
| Apixaban we dɛn kɔl Apixaban | Wan kayn we we dɛn kin yuz bɔku tɛm. |
| Rivaroxaban we dɛn kɔl Rivaroxaban | Wan ɔda kayn we dɛn kin yuz bɔku tɛm. |
| Ɛdɔksaban | Dɛn kin yuz am fɔ advays bɔt dɔktɔ dɛn. |
| Fondaparinux we dɛn kɔl fondaparinux | Dis nɔto pil, bɔt na injɛkshɔn we dɛn kin gi insay di bɛlɛ. |
Us kayn mɛrɛsin dɛn kin yuz dɛn tin ya fɔ?
Dɛn kin gi dɛn mɛrɛsin ya fɔ difrɛn rizin dɛn, mɔ:
- Ridyus di risk fɔ gɛt strok: Ɛspɛshali fɔ di wan dɛn we gɛt atrial fibrillation, we na di at bit we nɔ de bit ɔltɛm na di atria.
- Ridyus di risk fɔ mek blɔd klɔt na di vein dɛn (Venous Thrombosis).
- Ridyus di risk fɔ gɛt tin dɛm we kin apin to dɛn at ɛn blɔd vesel pan pipul dɛm we gɛt at ɛn blɔd vesel sik, lɛk korona at sik ɛn periferik at sik.
- Trit di blɔd we de klɔt na dip vein dɛn (Dip Vein Thrombosis - DVT). Dis kin apin bɔku tɛm na di leg dɛn.
- Trit di blɔd we de klɔt na di lכng (Pulmonary Embolism - PE).
- Trit di venɔs tromboɛmbolizm (VTE).
Udat fɔ tek dis mɛrɛsin?
Sɔm pipul dɛn kin tek dɛn mɛrɛsin ya bikɔs dɛn dɔn ɔlrɛdi gɛt blɔd klɔt. Fɔ ɔda pipul dɛn, dɔktɔ dɛn kin gi dɛn fɔ mek dɛn nɔ gɛt dis sik bikɔs dɛn kin gɛt prɔblɛm wit dɛn blɔd.
Imajin se sɔmbɔdi dɔn gɛt wan tɔtal hip riplesmɛnt. Afta di ɔpreshɔn, yu fɔ de na bed fɔ sɔm tɛm, so di blɔd we de flɔ na di vein dɛn na yu leg nɔ go bɔku, ɛn dis kin mek di blɔd klɔt mɔ ɛn mɔ. Na da tɛm de dɔktɔ dɛn kin gi dɛn mɛrɛsin ya. Dɛn kin gi dɛn bak afta dɛn dɔn riples dɛn ni.
Wetin na di difrɛns bitwin Warfarin, we na wan ol drɔg, ɛn dis nyu drɔg?
Bifo Factor Xa Inhibitors kam, di mɛrɛsin we dɛn bin de yuz mɔ fɔ mek blɔd nɔ klɔt na ``Warfarin.`` Warfarin na wan mɛrɛsin we rili wok we dɛn dɔn de yuz fɔ bɔku ia.
Bɔt na di men difrɛns : Pɔsin we de tek Warfarin nid fɔ de du blɔd tɛst ɔltɛm (INR tɛst) fɔ mek shɔ se di doz fɔ di mɛrɛsin de wok fayn fayn wan. Dɛn kin du dis tɛst tu tɛm insay di wik, ɔ wan tɛm insay di mɔnt.
Bɔt pɔsin we de tek Factor Xa Inhibitors nɔ kin nid fɔ du dɛn blɔd tɛst ya ɔltɛm. I inof fɔ tek di doz we dɛn gi yu ɛvride. Dis na big tin we kin izi fɔ di wan dɛn we sik.
Aw dis mɛrɛsin de wok na di bɔdi?
Dis rili izi fɔ ɔndastand. Tink bɔt di we aw blɔd kin klɔt na wi bɔdi lɛk wan layn we dɛn kin gɛda na faktri. Bɔku stɛp dɛn de we gɛt fɔ du wit dɛnsɛf.
"Factor Xa" na wan rili impɔtant wokman na dis prodakshɔn layn. If wi nɔ gɛt am, wi nɔ go ebul fɔ go to di nɛks step. So, wetin wi de du wit dis Factor Xa Inhibitor dכg na fכ stכp da wokman (dat na di protin) we dεn kכl "Factor Xa" fכ wok. Dɔn di layn we de mek di blɔd kin stɔp af-af, we min se di blɔd kin stɔp fɔ mek. I rili simpul, nɔto so?
Aw lɔng a nid fɔ tek dis mɛrɛsin?
Di rizin we mek dɛn gi yu dis mɛrɛsin go sho aw lɔng yu nid fɔ tek am. Yu dɔktɔ go ɛksplen dis to yu. Bɔku tɛm, dis na aw lɔng i go tek.
| Kɔndishɔn/Kɔz | Avrej tɛm fɔ tek mɛrɛsin |
|---|---|
| Hat nɔ de bit ɔltɛm (Atrial Fibrillation) . | Bɔku tɛm insay di wan ol layf. |
| Blɔd we de klɔt na di veins (VTE) . | 3 to 6 mɔnt. |
| Blɔd we de klɔt na di leg (DVT) ɔ di lɔng (PE) . | Na lɛk 6 mɔnt so. |
| Afta dɛn dɔn du ɔpreshɔn fɔ chenj in ni | Na lɛk 12 dez so. |
| Afta dɛn dɔn du ɔpreshɔn fɔ riples di hip | Na lɛk 35 dez so. |
Wetin na di men risk ɛn sayd ɛfɛkt dɛm?
Di men tin we kin mek pɔsin gɛt dɛn mɛrɛsin ya na we pɔsin de blɔd pasmak . Dis na nɔmal tin, bikɔs di ɔl pɔynt fɔ dɛn mɛrɛsin ya na fɔ stɔp blɔd fɔ klɔt. Dis min se ivin smɔl injuri kin mek i blɔd smɔl pas aw i kin kɔmɔt. Di risk we denja pas ɔl na fɔ blɔd insay di bren ɔ na di dijestiv trakt.
Di tin we impɔtant pas ɔl na fɔ tek tɛm as yu ebul fɔ avɔyd aksidɛnt ɛn injuri we yu de yuz dis mɛrɛsin.
Ɔda sayd ɛfɛkt dɛn na:
- I izi fɔ brus (bruiz) pan di bɔdi.
- Rash na di skin.
Pan ɔl we spɛshal mɛrɛsin dɛn de lɛk `(Andexanet Alfa)` we kin rivɛns di ifɛkt dɛn we dɛn mɛrɛsin ya gɛt, dɛn dia ɛn dɛn nɔ kin de na ɔl ɔspitul. So i bɛtɛ lɛ wi tek tɛm.
Tin dɛn we yu kin du fɔ tek tɛm
- Wear glɔv ɛn sus we yu de wok na gadin.
- Tek tɛm bad bad wan we yu de yuz tin dɛn we shap lɛk naif ɛn siza.
- Yuz ilɛktrik reza instead fɔ yuz reza we gɛt bled.
- Yu fɔ no bɔt tin dɛn we kin mek yu slip ɛn fɔdɔm (e.g. loose rugs) na yu os. Ridyus di risk fɔ aksidɛnt frɔm dɛn.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. Sɔntɛnde, i kin impɔtant fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu .
- ebi blɔd we nɔ kin stɔp (e.g. frɔm di nos, di gɔm, ɔ wund).
- Fɔdɔm ɔ fɔ blo tranga wan na di ed (ivin if blɔd nɔ de kɔmɔt na do).
- Siriv ed pen ɔ chɛst pen.
- I nɔ kin izi fɔ yu fɔ blo.
- Wan ɔda kayn rash we nɔ kɔmɔn na di skin.
Dɛn mɛrɛsin ya dɔn fri bɔku pipul dɛn frɔm di prɔblɛm we dɛn kin gɛt we dɛn kin du blɔd tɛst ɔltɛm, lɛk di wan dɛn we di wan dɛn we de tek Warfarin kin yuz. Bɔt dɛn mɛrɛsin ya nɔ fayn fɔ ɔlman. So, tɔk to yu dɔktɔ fɔ disayd us mɛrɛsin go fayn fɔ yu. I nɔ mata us mɛrɛsin yu tek, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn aks fɔ mek dɛn klarify am if ɛnitin de we yu nɔ ɔndastand.
Mɛsej we dɛn kin kɛr go na os
- Factor Xa inhibitors na wan rili impɔtant klas ɔf drɔgs we de mek di blɔd klɔt we de mek di denja nɔ de.
- Ɔltɛm tek di rayt doz, di rayt tɛm, lɛk aw yu dɔktɔ tɛl yu. Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf.
- Wan big bɛnifit fɔ dis mɛrɛsin na dat i nɔ nid fɔ du blɔd tɛst ɔltɛm lɛk Warfarin.
- Bikɔs di men tin we kin mek yu gɛt prɔblɛm na we yu de blɔd, tek tɛm ɔltɛm fɔ mek yu nɔ wund.
- If yu blɔd we nɔ kɔmɔn, yu ed pen bad bad wan, yu chɛst de pen, ɔ yu ed wund bikɔs yu fɔdɔm, go to dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.











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