Kodi dokotala wanu wakupatsani mankhwala ochepetsa magazi? Akhoza kukhala mankhwala otchedwa Rivaroxaban. Kodi munachita mantha pang'ono mutamva dzinali? Musaganize choncho. Uwu ndi mankhwala ofunikira kwambiri omwe nthawi zambiri amaperekedwa kuti atiteteze ku matenda oopsa monga matenda a mtima ndi sitiroko. Lero, tiyeni tikambirane za mankhwala otchedwa Rivaroxaban, momwe tingagwiritsire ntchito, zinthu zomwe muyenera kusamala nazo, zotsatira zake, chilichonse m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Rivaroxaban ndi chiyani?
Rivaroxaban ndi mankhwala oletsa magazi kuundana, kapena monga momwe timatchulira nthawi zambiri, "ochepetsa magazi." Komabe, sikuti imachepetsera magazi, koma imaletsa mapangidwe a magazi kuundana m'mitsempha ya thupi lathu. Magazi oundana awa ndi owopsa kwambiri. Chifukwa ngati akuyenda m'mitsempha ndikukakamira muubongo, mtima, kapena mapapo, angayambitse matenda oopsa monga sitiroko ndi matenda a mtima.
Mankhwalawa amagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
- Pewani magazi kuundana kapena kuchiza magazi kuundana omwe alipo kale: Makamaka magazi kuundana omwe amapangika m'miyendo (Deep Vein Thrombosis - DVT) kapena m'mapapo (Pulmonary Embolism - PE).
- Chepetsani chiopsezo cha sitiroko mwa anthu omwe ali ndi Atrial Fibrillation (AFib): AFib ndi kugunda kwa mtima kosasinthasintha komwe kumawonjezera chiopsezo cha magazi kuundana mumtima ndikupita ku ubongo.
- Chepetsani chiopsezo cha matenda a mtima kapena sitiroko kwa iwo omwe ali ndi matenda a mitsempha ya mtima kapena matenda a mitsempha ya m'mitsempha.
- Pewani magazi kuundana pambuyo pa opaleshoni yobwezeretsa chiuno kapena bondo.
Ku Sri Lanka, mankhwalawa amadziwika kwambiri ndi dzina la Xarelto . Limeneli likhoza kukhala dzina lomwe dokotala wanu adakulemberani.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa Rivaroxaban, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Izi zili choncho chifukwa mankhwalawa amatha kusokoneza matenda ena. Choncho ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe wanu | N’chifukwa chiyani kuli kofunikira kuuza dokotala? |
|---|---|
| Ngati muli ndi vuto la magazi kapena mavuto | Mankhwalawa amawonjezera chiopsezo cha kutuluka magazi, kotero akhoza kukhala oopsa kwambiri ngati muli kale ndi vuto lotere. |
| Ngati muli ndi valavu ya mtima yopangidwa | Mankhwalawa sakuvomerezeka kwa odwala omwe ali ndi mitundu iyi ya ma valve. |
| Ngati muli ndi matenda a chiwindi kapena impso | Popeza mankhwala amachotsedwa m'thupi kudzera m'ziwalo zimenezi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Ngati mukukonzekera kuchitidwa opaleshoni kapena epidural mtsogolomu | Popeza kutuluka magazi kungakhale kovuta kulamulira panthawi ya opaleshoni, dokotala wanu adzakulangizani kuti musiye kumwa mankhwala masiku angapo opaleshoni isanachitike. |
| Ngati muli ndi vuto lotchedwa (Antiphospholipid syndrome - APS) | Rivaroxaban yanenedwa kuti imawonjezera chiopsezo cha magazi kuundana mwa anthu omwe ali ndi vutoli. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Pa nthawi ya mimba, mankhwalawa akhoza kubweretsa magazi kwa mayi ndi mwana. Chifukwa chake, muyenera kulankhula ndi dokotala wanu kuti akupatseni mankhwala omwe ali abwino kwa inu. |
| Ngati ndinu mayi woyamwitsa | Muyenera kukambirana ndi dokotala wanu ngati mankhwalawo angapite kwa mwana kudzera mu mkaka wa m'mawere. |
| Ngati muli ndi vuto la mankhwala awa kapena china chilichonse | Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati muli ndi vuto lililonse la ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ichi ndiye gawo lofunika kwambiri. Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kumwa monga momwe dokotala wanu wanenera.
- Musafulumire, musaphonye mlingo: Imwani mlingo womwe mwapatsidwa nthawi yomweyo dokotala wanu wakuuzani. Kudumpha mlingo kapena kusiya kumwa mankhwala nokha kungakulitse chiopsezo chanu chokhala ndi magazi ambiri kapena sitiroko. Pitirizani kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti musiye.
- Kodi muyenera kumwa mankhwalawa ndi chakudya kapena ayi?: Izi zimadalira chifukwa chomwe mudapatsidwa mankhwalawo.
- Pambuyo pa opaleshoni ya m'chiuno kapena bondo: Ikhoza kumwedwa ndi chakudya kapena ayi.
- Pa Atrial Fibrillation (AFib): Imwani madzulo aliwonse pamodzi ndi chakudya.
- Monga mankhwala a magazi kuundana: Imwani nthawi yomweyo tsiku lililonse, pamodzi ndi chakudya.
- Kwa matenda a mtima kapena matenda a mitsempha yamagazi: Imwani nthawi yomweyo tsiku lililonse, kaya ndi chakudya kapena ayi.
- Ngati mukuvutika kumeza piritsi: Ngati mukuvutika kumeza piritsi, mutha kuliphwanya ndikusakaniza ndi applesauce pang'ono. Muyenera kudya chakudya china mukatha kumwa. Komabe, ndi bwino kufunsa dokotala wanu musanachite izi.
Chofunika: Mankhwalawa ndi a inu nokha. Musapatse wina mankhwalawa chifukwa chakuti ali ndi zizindikiro zomwezo monga inu. Zingakhale zoopsa.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mukukayikira ngakhale pang'ono kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Ichi ndi chinthu chomwe sichiyenera kuchedwa.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Izi ndi zomwe zimachitikira anthu ambiri. Musadandaule. Chitani izi.
- Ngati mutenga mlingo umodzi patsiku: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, zomwe zikutanthauza kuti ndi mkati mwa maola ochepa, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.
- Ngati mukumwa kawiri patsiku kuti muchiritse magazi kuundana: Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Pankhaniyi, mutha kumwa mapiritsi onse awiri nthawi imodzi ngati pakufunika kutero. Kenako imwani kawiri patsiku monga mwachizolowezi kuyambira tsiku lomwelo kupita mtsogolo.
- Ngati mukumwa kawiri patsiku chifukwa cha matenda a mtima kapena matenda a mitsempha yamagazi: Musamwe mlingo womwe mwaphonya. Dumphani ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Rivaroxaban ndi mankhwala omwe angagwirizane ndi mankhwala ena. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala ena onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa dokotala, mavitamini, mankhwala azitsamba, komanso zowonjezera zitsamba.
Pansipa pali mankhwala ena akuluakulu omwe angagwirizane ndi Rivaroxaban.
| Mtundu wa mankhwala | Zitsanzo |
|---|---|
| Mankhwala ena ochepetsa magazi | Warfarin, Apixaban, Dabigatran, Enoxaparin |
| Mankhwala ochepetsa ululu (NSAIDs) ndi aspirin | Aspirin, Ibuprofen, Naproxen, Diclofenac |
| Mankhwala ena ophera fungicide | Ketoconazole, Itraconazole |
| Maantibayotiki ena | Erythromycin, Clarithromycin |
| Mankhwala ena a mutu waching'alang'ala | Carbamazepine, Phenytoin |
| Mankhwala ena ochizira kuvutika maganizo | Ma SSRI (monga Fluoxetine, Sertraline) ndi ma SNRI (monga Venlafaxine, Duloxetine) |
| Zogulitsa zitsamba | Wort wa St. John |
Mndandanda uwu sunathe. Choncho mumatengaChinthu chotetezeka kwambiri chomwe mungachite ndi kuuza dokotala wanu za mankhwala anu onse.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Muyenera kuganizira makamaka za chitetezo chanu mukamamwa mankhwalawa.
- Samalani ndi kugwa ndi kuvulala: Ngakhale kudula pang'ono kungayambitse kutuluka magazi ambiri mukumwa mankhwalawa. Choncho, pewani masewera ndi zochitika zomwe zingakupangitseni kugwa. Tangoganizani kuti mwadula dzanja lanu pang'ono mukudula ndiwo zamasamba kukhitchini. Nthawi zambiri, kukanikiza pang'ono kudzaletsa kutuluka magazi. Komabe, mukamwa mankhwalawa, zingatenge nthawi yayitali kuti kutuluka magazi kuthe.
- Samalani mukamagwiritsa ntchito zinthu zakuthwa: Ganizirani kawiri musanagwiritse ntchito zinthu monga mipeni ndi lumo. Ngati mukumeta ndevu, ndibwino kugwiritsa ntchito lumo lamagetsi m'malo mwa lumo wamba.
- Samalani mukatsuka mano anu: Musatsuke mano mwamphamvu mukatsuka mano anu. Gwiritsani ntchito burashi yofewa. Ngakhale mukatsuka mano, samalani kuti musavulaze mkamwa mwanu.
- Samalani ndi kutuluka magazi kosazolowereka: Ngati muwona zinthu monga thupi lanu likusintha kukhala labuluu popanda chifukwa kapena kutuluka magazi chifukwa cha mabala ang'onoang'ono omwe sangasiye, uzani dokotala wanu.
- Valani chiphaso cha zachipatala: Kuvala chibangili cha chiphaso cha zachipatala kapena kunyamula khadi lonena kuti mukumwa mankhwala ochepetsa magazi kungakuthandizeni kupulumutsa moyo wanu pakagwa ngozi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Rivaroxaban ikhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Zotsatira zake zazikulu zomwe tiyenera kuziganizira kwambiri ndi kutuluka magazi ambiri.
Ngati mukuona zizindikiro zotsatirazi, musachedwe ndipo imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kutuluka magazi kosazolowereka | Chimbudzi chakuda kapena chokhazikika, kusanza magazi omwe amaoneka ngati khofi wophikidwa, mkodzo wofiira kapena wakuda, madontho ang'onoang'ono ofiira kapena ofiirira pakhungu, kusanduka buluu popanda chifukwa, kapena kutuluka magazi kuchokera pabala lomwe silimatha. |
| Zizindikiro za kutuluka magazi mu ubongo | Mutu waukulu, khosi lolimba, chisokonezo, chizungulire, kusintha kwa masomphenya, dzanzi kapena kufooka pankhope, mkono kapena mwendo, kuvutika kulankhula kapena kuyenda. |
| Kwa akazi | Kutuluka magazi ambiri panthawi ya msambo. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Rivaroxaban ndi mankhwala ofunikira kwambiri omwe amaletsa magazi kuundana. Imwani monga momwe dokotala wanu wakuuzani, panthawiyo komanso mu mlingo womwe waperekedwa.
- Musasiye kumwa mankhwala kapena kusintha mlingo nokha. Kusiya popanda upangiri wa dokotala kungayambitse mavuto aakulu, monga sitiroko.
- Pali chiopsezo chachikulu cha kutuluka magazi mukamwa mankhwalawa, choncho samalani kwambiri mukagwa kapena kuvulala.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, komanso ngati mukufuna kuchitidwa opaleshoni.
- Ngati muwona zizindikiro zilizonse za kutuluka magazi kosazolowereka, monga ndowe zakuda, kusanza magazi, kapena kusanduka buluu, funsani dokotala nthawi yomweyo.
- Ngati muli ndi mafunso kapena kukayikira kulikonse pa mankhwala awa, funsani dokotala wanu. Musaope chilichonse.
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