Nangmah emaw i hriat emaw doctor-in "thisen tithianghlimtu" ei turin a hrilh tawh em? Chu hming i hriat chuan i hlau deuh mai thei. "Aw, ka thisen a thim dawn em?" Mahse hengte hi a takah chuan damdawi pawimawh tak tak, hman dik a nih chuan nunna chhanhim thei an ni. Vawiin hian chutiang damdawi chi thar, hmasawn tak pakhat kan sawi dawn a ni. Factor Xa Inhibitor an ni.
A awlsam zawngin, heng Factor Xa Inhibitor te hi engte nge ni?
Factor Xa Inhibitors hi damdawi chi khat a ni a, i thisen chu a dik lo taka a inzawm loh nan a veng a ni. Colloquial terms-ah chuan "blood thinners" kan ti thin. Mahse doctor-te chuan ``Direct Oral Anticoagulants'' emaw ``DOACs'' emaw an ti thung. Thisen zam lo awm tawh enkawlna atan hun rei tak chhung hman theih a ni a, nakin lawka thisen zam lo awm tur venna atan pawh hman theih a ni bawk.
Hemi zingah hian damdawi chi hrang hrang lian dang engemaw zat a tel bawk. I doctor chuan heng zinga pakhat hi a rawn pe che a ni mai thei.
- Apixaban a ni
- Betrixaban a ni
- Edoxaban a ni
- Rivaroxaban a ni
- Fondaparinux (Hei hi pill a ni lo. Intravenous injection a ni) .
He damdawi hi eng dinhmunah nge hman a nih?
Hetiang damdawi chi hi damdawi lam thil pawimawh tak tak engemaw zat enkawlna leh venna atan hman a ni. Kan taksa chhunga thisen kalna kawng chu tui phurtu pipe angin han ngaihtuah teh. He pipe chhunga khawi emaw laiah thisen zam a tlakbuak chuan harsatna lian tak a thlen thei a ni. Chu chu he damdawi hian a veng thei a ni.
Hemi chungchang hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.
| Condition enkawl/ven mek a ni | A sawifiahna awlsam tak |
|---|---|
| Stroke vei theihna tihziaawmna | Mi thenkhat heartbeat mumal lo (atrial fibrillation) nei te chuan thluak lam panna thisen zam (arteries) ah thisen zam an nei a, stroke an nei thei bawk. He damdawi hian chu hlauhawmna chu a ti tlem a ni. |
| Deep Vein Thrombosis (DVT) natna enkawl dan . | Hei hi taksa chhung thuk tak, a bik takin kea thisen zam (veins)-ah thisen zam (blood clots) a lo awm thinna a ni. He damdawi hian chu clots te chu a tithianghlim thei a ni. |
| Pulmonary Embolism (PE) enkawl dan tur . | Hetiang dinhmun hi kea thisen zam a chhuah a, lung chhunga vein pakhata a tlakbuak hian a awm thin. Hei hi a hlauhawm hle mai. Chu damdawi pawh chu damdawi a ni. |
| Venous Thromboembolism (VTE) venna atana hman tur a ni. | Hei hi DVT leh PE pahnih hming vuah a ni. He damdawi hian heng natna te hi a lo awm leh tawh loh nan a veng a ni. |
| Lung natna leh thisen kalna kawng natna hlauhawmna tihziaawmna | He damdawi hi coronary artery disease leh peripheral artery disease nei tan pawh a tangkai hle. |
| Surgery lian tak a neih hnuah | Hip emaw khup thlak emaw surgery hnuah khumah i inkhung tlat avangin thisen zam i neih theihna a sang zawk. He damdawi hi hei hi ven nan pek a ni. |
Engtin nge he damdawi hi Warfarin nen a danglam?
Warfarin damdawi hi i hre tawh mai thei. Tin, thisen zam vengtu damdawi tha tak a ni bawk a, kum tam tak chhung chu hman a ni tawh bawk. Mahse Warfarin ei thin tan chuan harsatna lian ber chu thisen test neih fo a ngai a ni . Chu chu thla khatah vawi khat, kar khatah vawi hnih pawh ni thei, damdawi ina kal a, thisen pek a, thisen a inzawm hun chhung tehna test neih tihna a ni. Chu result atang chuan doctor chuan damdawi dose chu a tipung emaw, a tihhniam emaw ang.
Factor Xa Inhibitors thatna lian ber pakhat chu thisen test fo a ngai lo a, hei hian damlo tan harsatna nasa takin a tiziaawm a ni.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi a ngaihnawm khawp mai. Factory-a assembly process angin thisen zam (blood clot) siam hi han ngaihtuah teh. Step tam tak a ngai a ni. Protein te hi an inzawm khawm a, thisen zam (blood clot) an siam a ni.
Factor Xa hi chu "assembly process"-a thawktu pawimawh tak protein a ni. He damdawi hian a tih chu chu protein Factor Xa an tih hnathawh a tibuai a ni.. Hnathawh atanga rei vak lo chawlh hahdam ang mai a ni. Tichuan thisen zam zawng zawng chu a pangngaiin a awm leh ta a ni. Chu chu a tul lo taka thisen zam (blood clots) a lo awm tawh lo tihna a ni. Hrethiam e?
He damdawi hi eng chen nge i ei a ngai dawn?
Hei hi damdawi i ei chhanah a innghat a ni. Mi tin a inang lo.
- Lungphun mumal lo (atrial fibrillation) i neih chuan: He damdawi hi i dam chhung zawng i ei a ngai mai thei.
- Vein-a thisen zam (VTE) i neih chuan: A tlangpuiin thla 3 leh thla 6 inkar a ni.
- I ke (DVT) emaw, lung (PE)-ah thisen zam i neih chuan: Thla 6 vel a la ngai ang.
- Khup thlak hnua operation neih zawh a nih chuan: Operation hnu ni 12 chauh.
- Hip replacement surgery hnuah: Operation atanga ni 35 vel a la ngai ang.
A pawimawh ber chu i doctor-in a hrilh ang chiaha i damdawi ei tur a ni. Doctor zawt lovin i damdawi ei kha bansan ngai suh.
Heng damdawi te hian eng nge a hlauhawmna leh a nghawng tha lo?
Damdawi dang ang bawkin, hlauhawmna engemaw zat a awm. Thisen zam an veng avangin heng damdawi te hian a hlauhawm ber chu a tlangpui aia thisen chhuah tam hi a ni .
- Thisen chhuahna nasa tak: A tlem hle a, thluak chhungah emaw, pum emaw, intestines ang hmunah emaw thisen a chhuak thei. Chûngte chu thunun harsa tak a ni thei. Mahse, tunah chuan heng damdawi te nghawng tidanglam thei tur damdawi bik ``reversal agents`` (e.g. andexanet alfa) an awm ta. Doctor-te chuan nunna atana hlauhawm thisen chhuak a awm chuan hengte hi an hmang thin.
- Side effect tenau te:
- I taksaah hliam tenau i nei a nih pawhin thisen zam (bruise) i hmu tam zawk mai thei.
- Mi thenkhat chuan vun natna an nei thei .
A pawimawh ber chu, he risk hi heng damdawi te tan chauh a ni lo. Thisen tithianghlimtu eng pawhin hetiang hlauhawmna hi a nei a ni. Chuvangin hlau suh. Mahse, fimkhur a pawimawh hle.
Damdawi ei hunah engtin nge i fimkhur ang?
He damdawi hi i ei a nih chuan a theih ang anga chetsualna leh hliam laka inven a pawimawh hle. Cut tlemte pawh hi thisen chhuah tihtawp a harsa thei. I tanpui theihna tur tips awlsam tak tak te chu hetiang hi a ni.
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Hmanraw hrual (knife, scissors) i hman hunah fimkhur hle ang che. | I kut i tan chuan thisen chhuah kha tihtawp a harsa thei hle. Dish sil dawnin chemte hmangin fimkhur rawh. |
| I sam i sam a nih chuan razor blade nei hmang lovin electric razor hmang zawk ang che. | Blade hmanga mahni inhnim hrual theihna chu a tlahniam thei a ni. |
| Huana hnathawh hunah kutkawr leh pheikhawk bun tur a ni. | Hling emaw hling emaw ang chi thil atanga hliam pawh hian thisen nasa tak a chhuah thei a ni. |
| In chhunga slip leh fall hlauhawm (rug, wire on the floor) awm thei te chu fimkhur rawh. | Tlu avanga hliam, a bik takin i lu i vuak chuan a hlauhawm thei hle. |
Engtik hunah nge Doctor ka hmuh ang?
He damdawi i ei lai hian a hnuaia symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh hospital emergency room (ETU) hnai ber pan rawh.
- Thisen chhuak nasa tak tihtawp theih loh: Hliam, hnar, hmui, kawr atanga thisen chhuak i tihtawp theih loh chuan.
- Tlu: Khawi hmunah emaw i tlu a, a bik takin i lu i vuak chuan hliam hmuh tur awm lo mahse chhungril lamah thisen a chhuak thei a ni.
- Thlalak chhungah thisen a awm chuan (black or dark red stool).
- Thisen i chhuah chuan (coffee ground emaw red ang chi).
- Chhung, lu, pum na na tak.
- Thâwk harsa.
- A rawn chhuak nghal zat.
He damdawi hian mi tam tak tan a pui nasa hle a, a chhan chu Warfarin angin thisen test neih fo a ngai lo. Mahse, he damdawi hi mi zawng zawng tan a tha lo. I doctor nen inbia la, i tan eng damdawi nge tha ber tih rel rawh. Eng damdawi pawh ei la, doctor thupek dik taka zawm a pawimawh.
Take-Home Thuchah a ni
- Factor Xa Inhibitors hi thisen zam tur venna atana damdawi class thar, tangkai tak a ni.
- Warfarin ang damdawi hlui zawk nena khaikhin chuan hengte hi i ei dawnin thisen test neih fo a ngai lo. Chu chu awlsamna lian tak a ni.
- Heng damdawi te hi a hlauhawm ber chu thisen chhuah tam lutuk hi a ni a, chuvangin hliam laka inven a pawimawh hle.
- I doctor thurawn tel lovin damdawi eng pawh hi tan ngai suh, titawp ngai suh, tidanglam ngai suh.
- Thisen chhuah dan danglam tak emaw, natna lan chhuah dan hlauhawm dang emaw i neih chuan doctor thurawn la nghal rawh.
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