Yu dɔktɔ dɔn gi yu wan mɛrɛsin we de mek yu blɔd tan? I kin bi wan mɛrɛsin we dɛn kɔl Rivaroxaban. Yu bin fil smɔl fred we yu yɛri dis nem? Nɔ tink so. Dis na wan impɔtant mɛrɛsin wae dɛn kin gi bɔrku tɛm fɔ protɛkt wi frɔm denja sik lɛk at sik ɛn strok. So tide, lɛ wi tɔk bɔt dis mɛrɛsin we dɛn kɔl Rivaroxaban, aw fɔ yuz am, us tin fɔ tek tɛm, us sayd ɛfɛkt, ɔltin na wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Rivaroxaban?
Rivaroxaban na wan antikoagulant, ɔ as wi kin kɔl am, na "blɔd thinner." Bɔt i nɔ kin rili tan di blɔd, i de mek blɔd nɔ klɔt na di vein dɛn na wi bɔdi. Dɛn blɔd ya kin rili denja. Bikɔs if dɛn travul along di veins ɛn stɔp na di bren, at, ɔr lɔng, dɛn kin mek dɛn gɛt siriɔs sik lɛk strok ɛn at atak.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ dɛn tin ya:
- Fɔ mek blɔd nɔ klɔt ɔ trit di blɔd we dɔn de: Ɛspɛshali fɔ di blɔd we de klɔt we de fɔm na di leg (Deep Vein Thrombosis - DVT) ɔ di lכng (Pulmonary Embolism - PE).
- Ridyus di risk fɔ strok pan pipul dɛm we gɛt Atrial Fibrillation (AFib): AFib na di at bit we nɔ de bit ɔltɛm we de mek di risk fɔ mek blɔd klɔt fɔm na di at ɛn travul go na di bren.
- Ridyus di risk fɔ gɛt at atak ɔ strok fɔ di wan dɛn we gɛt korona at sik ɔ periferik at sik.
- Nɔ mek blɔd nɔ klɔt afta dɛn dɔn du ɔpreshɔn fɔ chenj yu hip ɔ yu ni.
Insay Sri Lanka, dɛn kin kɔl dis mɛrɛsin mɔ wit di brand nem Xarelto . Dis kin bi di nem we yu dɔktɔ gi yu.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu bigin fɔ tek rivaroxaban, i impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri. Dis na bikɔs dis mɛrɛsin kin miks wit sɔm kayn mɛrɛsin. So if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
| Di tin we de apin to yu | Wetin mek i impɔtant fɔ tɛl di dɔktɔ? |
|---|---|
| If yu gɛt prɔblɛm wit blɔd ɔ prɔblɛm | Dis mɛrɛsin kin mek yu gɛt mɔ blɔd, so i kin rili denja if yu dɔn gɛt dis kayn prɔblɛm. |
| If yu gɛt prɔstɛtik at valv | Dɛn nɔ kin advays dis mɛrɛsin fɔ di wan dɛn we gɛt dɛn kayn valv ya. |
| If yu gɛt liva ɔ kidni sik | Bikɔs dɛn kin pul di mɛrɛsin dɛn na di bɔdi tru dɛn ɔgan dɛn ya, if dɛn nɔ de wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin. |
| If dɛn dɔn plan fɔ du ɔpreshɔn ɔ epidural tumara bambay | Bikɔs i nɔ kin izi fɔ kɔntrol di blɔd we yu de du di ɔpreshɔn, yu dɔktɔ go advays yu fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo dɛn du di ɔpreshɔn. |
| If yu gɛt wan sik we dɛn kɔl (Antiphospholipid syndrome - APS) . | Dɛn dɔn ripɔt se rivaroxaban kin mek di blɔd klɔt pan pipul dɛn we gɛt dis sik. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | We uman gɛt bɛlɛ, dis mɛrɛsin kin mek di mama ɛn di pikin gɛt prɔblɛm wit blɔd. So, yu fɔ tɔk to yu dɔktɔ fɔ disayd wetin bɛtɛ fɔ yu. |
| If yu na mama we de gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ if di mɛrɛsin kin pas to di pikin tru in mama in milk. |
| If yu gɛt alɛji to dis mɛrɛsin ɔ ɛni ɔda tin | I rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni alɛji. |
Aw ɛksaktɔli a fɔ yuz dis mɛrɛsin?
Dis na di pat we impɔtant pas ɔl. Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i impɔtant fɔ tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
- Nɔ rɔsh, nɔ mis di doz: Tek di doz we dɛn dɔn gi yu di rayt tɛm we yu dɔktɔ tɛl yu fɔ tek am. If yu nɔ tek di mɛrɛsin ɔ yu stɔp fɔ tek yu mɛrɛsin yu wan, dat kin mek yu gɛt mɔ blɔd klot ɔ strok. Kɔntinyu fɔ tek yu mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp.
- Yu fɔ tek am wit it ɔ yu nɔ it am?: Dis kin dipen pan di rizin we mek dɛn gi yu di mɛrɛsin.
- Afta dɛn dɔn ɔpreshɔn yu hip ɔ yu ni: Dɛn kin tek am wit it ɔ atɔl am.
- Fɔ Atrial Fibrillation (AFib): Tek ɛvri ivintɛm wit it.
- As tritmɛnt fɔ blɔd we de klɔt: Tek di sem tɛm ɛvride, wit it.
- Fɔ at sik ɔ at sik: Tek am di sem tɛm ɛvride, wit it ɔ yu nɔ it am.
- If yu gɛt prɔblɛm fɔ swɛla di pil: If yu gɛt prɔblɛm fɔ swɛla di pil, yu kin krɔs am ɛn miks am wit smɔl apul sos. Yu fɔ it sɔm mɔ it dɛn afta yu dɔn tek am. Bɔt i go fayn fɔ mek yu go to yu dɔktɔ bifo yu du dis.
Impɔtant: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi dis mɛrɛsin to ɔda pɔsin jɔs bikɔs dɛn gɛt di sem sayn lɛk yu. I kin denja.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
If yu gɛt ivin smɔl saspek se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, 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. Dis na sɔntin we nɔ fɔ delay.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
Dis na sɔntin we kin apin to bɔku pipul dɛn. Nɔ wɔri. Du dis.
- If yu tek wan doz fɔ wan de: Tek di doz we yu mis jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, we min se na insay sɔm awa, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
- If yu de tek am tu tɛm insay di de fɔ trit blɔd we de klɔt: Tek di doz we yu mis jɔs lɛk aw yu mɛmba. If na so i bi, yu kin tek ɔl tu di pils dɛn wan tɛm if nid de. Dɔn tek am tu tɛm insay di de lɛk aw yu kin tek am frɔm da de de.
- If yu de tek am tu tɛm insay di de fɔ at sik ɔ at sik: Nɔ tek di doz we yu nɔ tek. Skip am ɛn tek di nɛks doz na di tɛm we dɛn dɔn sɛtul. Nɔ tek dabl doz fɔ mek di doz we yu dɔn fɔgɛt.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Rivaroxaban 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, lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu kin bay we yu nɔ de sɛl pen, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn ivin di mɛrɛsin dɛn we yu kin yuz fɔ mɛn yu bɔdi.
Dis dɔŋ ya na sɔm pan di men mɛrɛsin dɛm wae kin intarakt wit Rivaroxaban.
| Tayp fɔ mɛrɛsin | Ɛgzampul dɛn |
|---|---|
| Ɔda tin dɛn we de mek blɔd tan | Warfarin, Apixaban, Dabigatran, Ɛnɔksaparin, ɛn ɔda pipul dɛn |
| Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) ɛn aspirin | Aspirin, Ibuprofen, Naproksen, Diklɔfenak |
| Sɔm tin dɛn we dɛn kin yuz fɔ kil fɛns | Ketokonazɔl, Itrakonazɔl |
| Sɔm antibayɔtik dɛn | Ɛritromaysin, Klaritromaysin |
| Sɔm mɛrɛsin fɔ maygren | Kabamazɛpin, Fɛnitɔyn |
| Sɔm mɛrɛsin fɔ pwɛl hat | SSRI dεm (e.g. Fluoxetine, Sertraline) εn SNRI dεm (e.g. Venlafaxine, Duloxetine) . |
| Di tin dɛn we dɛn mek wit ɛbul | Sɛnt Jɔn in wɔt |
Dis list nɔ kɔmplit. So yu tekDi tin we nɔ bad fɔ du na fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin dɛn.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu nid fɔ tink mɔ bɔt yu sef we yu de tek dis mɛrɛsin.
- Tek tɛm fɔ lɛ pɔsin fɔdɔm ɛn wund: Ivin we yu kɔt am smɔl, i kin mek yu blɔd bɔku we yu de tek dis mɛrɛsin. So, nɔ du spɔt ɛn tin dɛn we go mek yu fɔdɔm. Imajin se yu kɔt yu an smɔl we yu de kɔt vɛjitebul dɛn na di kichin. Bɔku tɛm, if yu prɛs am smɔl, i go stɔp di blɔd. Bɔt we yu de tek dis mɛrɛsin, i kin tek smɔl tɛm fɔ lɛ di blɔd stɔp.
- Tek tɛm we yu de yuz tin dɛn we shap: Tink tu tɛm bifo yu yuz tin dɛn lɛk naif ɛn siza. If yu de sheb, i go fayn fɔ yuz ilɛktrik reza instead fɔ yuz reza we yu kin yuz ɔltɛm.
- Tek tɛm we yu de brus yu tit: Nɔ brus tranga wan we yu de brus yu tit. Yuz tut brɔsh we saf. Ivin we yu de yuz flos, tek tɛm mek yu nɔ wund yu gam.
- Yu fɔ no bɔt blɔd we nɔ kɔmɔn: If yu notis tin dɛn lɛk we yu bɔdi de tɔn blu fɔ natin ɔ blɔd we de kɔmɔt frɔm smɔl smɔl kɔt we nɔ go stɔp, tɛl yu dɔktɔ.
- Wear mɛdikal ID: If yu wɛr mɛdikal ID breslɛt ɔ yu kɛr kad we de sho se yu de tek blɔd tin fɔ mek yu nɔ gɛt blɔd, dat go ɛp fɔ sev yu layf we ɛnitin apin.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, Rivaroxaban kin gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Di men sayd ɛfɛkt ɛn wan we wi fɔ wɔri bɔt pas ɔl na we wi de blɔd pasmak.
If yu gɛt dɛn sik ya, nɔ de te ɛn kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji Riakshɔn | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Blɔd we nɔ kɔmɔn | Blak ɔ tar stɔl, vɔmit blɔd we tan lɛk kɔfi grɔn, rɛd ɔ dak brawn urine, smɔl smɔl rɛd ɔ pepul spat na di skin, tɔn blu fɔ natin, ɔ blɔd we de kɔmɔt frɔm wund we nɔ go stɔp. |
| Di sayn dɛn we de sho se blɔd de kɔmɔt na in bren | Bɔrku ed pen, stif nɛk, kɔnfyushɔn, diziz, chenj di we aw yu de si, yu fes, yu an ɔ yu fut kin swɛla ɔ wik, i nɔ kin izi fɔ tɔk ɔ waka. |
| Fɔ uman dɛn | Blɔd we de kɔmɔt pasmak we yu de gɛt mɔnt. |
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.
Mɛsej we dɛn kin kɛr go na os
- Rivaroxaban na wan impɔtant mɛrɛsin we de mek blɔd nɔ klɔt. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm ɛn di doz we dɛn tɛl yu.
- Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf. If yu stɔp we yu nɔ gɛt yu dɔktɔ in advays, dat kin mek yu gɛt siriɔs prɔblɛm dɛn lɛk we yu gɛt strok.
- Risk de fɔ mek yu blɔd kɔmɔt we yu de tek dis mɛrɛsin, so tek tɛm bad bad wan we yu fɔdɔm ɛn wund.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, ɛn if dɛn go du ɔpreshɔn pan yu.
- If yu notis ɛni sayn fɔ blɔd we nɔ kɔmɔn, lɛk blak stɔl, vɔmit blɔd, ɔ tɔn blu, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis mɛrɛsin, aks yu dɔktɔ. Nɔ fred ɛnitin.
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