I doctor chuan nangmah emaw i fate emaw damdawi Rivaroxaban tih chu thisen kalna kawnga thisen zam lo awm tur venna atan emaw, thisen zam lo awm tawh chu tihthianghlim nan emaw a pe em? Vawiin hian liquid anga lo kal syrup (oral suspension) chungchang chiang takin kan sawi dawn a ni. Brand name Xarelto hmanga lei theih a ni. He damdawi kan hman dawn hian kan fimkhur em em tur thil tlemte a awm a. Chipchiar takin han thlir ila.
Hei hi eng damdawi nge ni?
A awlsam zawngin rivaroxaban hi thisen tithianghlimtu a ni. Mahse a tih tak tak chu thisen tihthianghlim a ni lo va, thisen zam (blood clots) lo awm tur venna a ni. Hei hian kan taksa thisen zam a tul lova thisen zam siam chu a titawp a, thisen zam awmsa chu a lian lehzual loh nan a veng bawk.
I doctor chuan damdawi lam harsatna dang atan pawh he damdawi hi a pe thei bawk. Chuvangin ngaihtuahna i neih chuan i doctor hnenah zawt la.
Damdawi ei tan hmain doctor hnenah eng nge ka hrilh tur?
He damdawi hi i ei tan hmain a hnuaia natna i neih chuan i doctor hnenah hriattir hmasa phawt ang che :
- Thisen chhuahna lama harsatna i neih chuan.
- Tun hmaa thluaka thisen chhuak ang chi natna i neih tawh chuan.
- Kidney natna emaw, thin natna emaw i neih chuan.
- Prosthetic heart valve i neih chuan.
- Antiphospholipid antibody syndrome ang chi natna i neih chuan.
- Pum natna avanga pum thisen chhuak i neih chuan.
- Tun hnaia spinal emaw epidural emaw procedure i neih tawh emaw, tih tura ruahman i nih chuan.
- Thisen zam venna emaw enkawl nan damdawi dang i ei a nih chuan.
- Rivaroxaban emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan .
Engtin nge he damdawi hi ka hman tak tak ang?
He damdawi atanga result tam ber hmuh tur chuan doctor-in a pek angin a dose dik tak ei a pawimawh hle.
- Dose skip suh: Dose skip emaw, doctor rawn hmasa lovin damdawi tihtawp emaw hian thisen zam i neih theihna a tipung nghal thei a ni.
- Bottle chu vawt tha rawh: I hman hmain bottle chu uluk takin vawt hmasa phawt ang che.
- Dik takin teh rawh:Damdawi tehna atan hian special oral syringe emaw measuring cup emaw hmang la. In lamah teaspoon khat hmangin dik takin i teh thei dawn lo. I doctor chuan i damdawi nen he thil atan hian hmanraw bik a pe mai thei che. A nih loh leh, i doctor hnenah a chungchang zawt rawh.
- Chaw ei rualin ei: He damdawi hi chaw ei rualin ei fo ang che.
- Instruction chhiar rawh: I damdawi nen hian special instructions leaflet (MedGuide/INSTRUCTIONS FOR USE) i dawng ang. Ngun takin chhiar la, hrethiam fo ang che. Zawhna i neih chuan i doctor emaw medical team emaw zawt la.
A pawimawh ber: I doctor-in chawlhsan tura a tih hma loh chuan he damdawi hi ei chhunzawm zel ang che. I rilru a hahdam a nih pawhin nangmah chauha ei kha bansan suh.
Naupangte hnena pek a nih hunah?
Doctor-te chuan he damdawi hi natna thenkhatah an rawt a, nau piang thar atanga tan a ni. Amaherawhchu, fimkhurna bik zawm tur a ni. Chuvang chuan he damdawi hi i fa i pek chuan doctor thupek dik takin zawm ang che.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh Emergency Treatment Unit (ETU) hnai ber pan rawh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
- Ni khatah vawi khat ei a nih chuan: I hriatreng veleh, chu ni chhung chuan ei rawh. A tuk i hriatreng chuan missed dose kha skip la, a dawt leh tur chu a hma ang bawkin ei rawh. Vawi khatah vawi hnih ei loh tur.
- Ni khatah vawi hnih ei a nih chuan: Nitin i hriatreng veleh missed dose kha ei nghal rawh. Zing dose i theihnghilh chuan zan dose nen i ei dun thei bawk. Zanlai dose i theihnghilh chuan chumi zan tlai lamah i ei thei ang.
- Ni khatah vawi thum i ei chuan: Dose i ei loh chuan skip rawh. Skip la, a hun ruatah dose dang ei leh rawh. Vawi khatah vawi hnih ei loh tur.
Eng damdawi dang nge he damdawi nen hian inzawm thei?
I damdawi ei zawng zawng (doctor dangin an pek, over-the-counter damdawi, hnam damdawi, vitamin) te chu i doctor hnenah hrilh vek a pawimawh hle a, damdawi thenkhat hian he damdawi nen hian an inzawm thei a ni.
A hnuaia damdawi te hi i ei a nih chuan min hrilh ngei ang che:
- Defibrotide a ni
- Aspirin leh a ang chi damdawi te
- Antibiotics thenkhat Erythromycin leh Clarithromycin te
- Antifungals te chu Ketoconazole leh Itraconazole te an ni
- Antiepileptic damdawi Carbamazepine leh Phenytoin te a ni
- Thisen tithianghlimtu dang Warfarin, Enoxaparin, Apixaban te hi a ni
- Painkiller Ibuprofen leh Naproxen te hi NSAIDS category-ah a tel a ni
- Rifampin (TB natna damdawi) .
- Ritonavir (HIV enkawlna atan) .
- Depression tan SSRI emaw SNRI emaw hman theih a ni
- Thlai chi hrang hrang, St. John’s wort ang chi te
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh.
He damdawi ei huna hriat reng tur thil
- Doctor hmu fo rawh: Ni ruat saah doctor tlawh la, i dinhmun enfiah rawh. Thisen test neih a ngai mai thei bawk.
- Hliam lak loh tur: He damdawi ei lai hian thisen chhuah theihna a sang hle. Chuvangin infiamna leh infiamna, tlu leh hliam thlen thei thil tih hi pumpelh tur a ni. Thil hriam tak tak, chemte leh scissors ang chi i hman hunah fimkhur hle ang che. I sam i sam a nih chuan electric razor hman a him zawk. Ha sil leh floss-naah fimkhur rawh.
- Medical ID vuah: He damdawi hi i ei tih ziakna medical ID bracelet emaw card emaw keng hi a \angkai hle.
- I ha enkawltu hnenah hrilh rawh: Ha lakchhuah emaw, ha zai emaw i tih hmain i ha enkawltu hnenah he damdawi hi i ei tih hrilh hmasa phawt ang che. He damdawi hi i tan hmain ha lama harsatna awm apiang chinfel hmasak a tha ber.
- Operation hmain doctor hnenah hrilh rawh: Surgery emaw, damdawi dang emaw i neih chuan he damdawi hi i ei tih i medical team hnenah hrilh lawk rawh.
- Naupai loh tur: He damdawi ei lai hian naupai loh tur a ni. Nausen piang lo tan pawh a pawi thei hle. Naupai i tum a nih chuan i doctor nen inbia ang che.
Side effect na tak tak awm thei te chu engte nge ni?
A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh .
| Side effect chi hrang hrang | Symptoms hriat tur a awm |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen chhuak | Black or tarry stools, thisen chhuak emaw coffee grounds ang deuh emaw, zun sen emaw dark brown emaw, vunah hmun te te, sen emaw purple emaw, thil danglam tak, hliam emaw thisen chhuak emaw. |
| Thluak ah thisen a chhuak | Lu na na tak, kawr khauh, buai, luak chhuak, mit a danglam, hmai, kut emaw ke emaw a bengchheng emaw chak lo emaw, tawng harsa. |
| Hmeichhia tan | Hun rit tak tak a awm. |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah hriattir rawh.
Engtin nge damdawi chu i dahkhawm leh i paih thin?
- Storage: Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni. Room temperature (20-25 degree Celsius) ah dah tur a ni. Freeze suh. Original container-ah dah tur a ni. Damdawi la awm zawng zawng chu ni 60 chhung chawhpawlh hnuah emaw, a hman zawh hnuah emaw paih vek tur a ni.
- Disposal: Damdawi expired emaw duh loh emaw paih dan tha ber chu medication take-back program-ah donate hi a ni. Hemi chungchang hi i damdawi in emaw, tualchhung health department emaw hnenah i zawt thei ang. Chutiang a nih loh chuan damdawi chu bottle atang chuan hlip la, tea hnah hman tawh, coffee ground emaw, lei emaw ang chi thil nen chawhpawlh la, bag khar nghet takah dah la, bawlhhlawh bawmah paih rawh.
Take-Home Thuchah a ni
- He damdawi hi i doctor-in a hrilh ang chiah khan ei la, a zat tur ruahman angin, a hun ruatah leh ei tur nen ei bawk ang che.
- Damdawi dose khat pawh skip suh. Doctor rawn hmasa lova damdawi ei khap chuan thisen zam i neih theihna a tipung thei a ni.
- Thisen chhuahna danglam tak, hliam na tak, leh bawlhhlawh dum ang chi symptoms te chu fimkhur fo ang che. Chung zinga pakhat tal i hriat chuan doctor hnenah hrilh nghal rawh.
- Damdawi dang i ei hmain, operation i tih hmain, ha lak chhuah hmain, Rivaroxaban i ei tih doctor-te hnenah hriattir hmasa phawt ang che.
- He damdawi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah hriattirna zawt rawh.
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