Chiremba wenyu akakunyorerai mushonga unonzi Rivaroxaban here kana kuti wekudzivirira kuumbwa kweropa mutsinga kana kunyungudutsa ropa rakatoumbwa? Nhasi tiri kutaura nezve sirapu (mushonga wemuromo) unouya semvura. Unowanikwa pasi pezita rekuti Xarelto. Pane zvinhu zvishoma zvatinofanira kungwarira pakushandisa mushonga uyu. Ngatizviongororei zvakadzama.
Mushonga werudzii uyu?
Zvichitaurwa zviri nyore, rivaroxaban inoderedza ropa. Asi zvainoita hazvisi zvekudzikisa ropa, asi kudzivirira kuumbwa kweropa rakagwamba. Izvi zvinomisa kuumbwa kweropa rakagwamba mutsinga dzemuviri wedu, uye zvinodzivirirawo kuti ropa rakagwamba rikure.
Chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere. Saka kana uine zvinokunetsa, ndapota bvunza chiremba wako nezvazvo.
Chii chandinofanira kuudza chiremba ndisati ndatanga mushonga?
Usati watanga mushonga uyu, iva nechokwadi chekuzivisa chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Kana uine chero dambudziko rekubuda ropa.
- Kana wakambova nedambudziko rakadai sekubuda ropa muuropi.
- Kana uine chirwere cheitsvo kana chirwere chechiropa.
- Kana uine vharuvhu yemwoyo yakagadzirwa.
- Kana uine chirwere chakadai se antiphospholipid antibody syndrome.
- Kana uchibuda ropa mudumbu nekuda kwemaronda emudumbu.
- Kana wachangobva kuvhiyiwa kana kurongerwa kuitwa oparesheni yemusana kana epidural.
- Kana uri kutora mimwe mishonga yekudzivirira kana kurapa kuumbwa kweropa.
- Kana uine allergy yekutora rivaroxaban kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa .
Ndingashandisa sei mushonga uyu chaizvo?
Kuti uwane mhedzisiro yakakwana kubva pamushonga uyu, zvakakosha zvikuru kutora mushonga chaiwo sezvakarairwa nachiremba.
- Usapotsa mushonga: Kusiya mushonga kana kurega kushandisa mushonga usina kubvunza chiremba wako kunogona kuwedzera njodzi yekugwamba kweropa kamwe kamwe.
- Zunza bhodhoro zvakanaka: Zunza bhodhoro zvakanaka nguva dzose usati washandisa mushonga.
- Chiyero nemazvo:Shandisa sirinji yekunwa kana kapu yekuyera kuti upime mushonga wacho. Hauzokwanisi kuuyera nemazvo nechipunu kumba. Chiremba wako angangokupa mudziyo wakakosha wekushandisa mushonga wako. Kana, bvunza chiremba wako nezvazvo.
- Tora mushonga uyu panguva yekudya: Nguva dzose tora mushonga uyu panguva yekudya.
- Verenga mirairo: Uchagamuchira pepa remirayiridzo yakakosha (MedGuide/MIYIRIDZO YEKUSHANDISA) pamwe chete nemushonga wako. Gara uchiverenga uye unzwisise nokungwarira. Kana uine mibvunzo, bvunza chiremba wako kana timu yezvekurapa.
Chinonyanya kukosha: Ramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti urege. Usarega kuutora wega, kunyangwe uchinzwa zviri nani.
Kana ikapihwa vana?
Vanachiremba vanokurudzira mushonga uyu kune mamwe mamiriro ezvinhu, kutanga nevana vachangoberekwa. Zvisinei, matanho akakosha anofanira kutevedzerwa. Saka, kana ukapa mwana wako mushonga uyu, tevera mirairo yachiremba nemazvo.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) iri pedyo.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
- Kana uchitora kamwe chete pazuva: Itore nekukurumidza sezvaunoyeuka, mukati mezuva iroro. Kana uchiyeuka zuva rinotevera, siya mushonga wausina kutora wotora mushonga unotevera semazuva ese. Usatore mishonga miviri panguva imwe chete.
- Kana ukatora kaviri pazuva: Inwa mushonga wakarasika nekukurumidza paunenge uchiyeuka masikati. Kana ukakanganwa mushonga wemangwanani, unogona kuutora pamwe chete nemushonga wemanheru. Kana ukakanganwa mushonga wemanheru, unogona kuutora gare gare husiku ihwohwo.
- Kana ukatora mushonga uyu katatu pazuva: Kana ukarasikirwa nedosi, siya. Siya wotora mushonga unotevera panguva yakatarwa. Usatore mishonga miviri panguva imwe chete.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorerwa nevamwe vanachiremba, mishonga inotengeswa kunze kwemutero, mishonga yechivanhu, mavhitamini), sezvo mimwe mishonga inogona kukanganisa iyi.
Iva nechokwadi chekutiudza kana uri kutora chero ipi yemishonga inotevera:
- Kubvisa mafibroid
- Aspirin nemishonga yakafanana nayo
- Mimwe mishonga inorwisa mabhakitiriya yakaita seErythromycin neClarithromycin
- Mishonga inorwisa fungus seKetoconazole neItraconazole
- Mishonga yekudzivirira pfari yakaita seCarbamazepine nePhenytoin
- Mimwe mishonga inobvisa ropa yakaita seWarfarin, Enoxaparin, Apixaban
- Mishonga inouraya marwadzo yakaita seIbuprofen neNaproxen, iyo iri muchikamu cheNSAIDS
- Rifampin (mushonga weTB)
- Ritonavir (yekurapa HIV)
- SSRIs kana SNRIs yekuderedza kushungurudzika
- Mishonga yemiti yakaita seSt. John's wort
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvese zvaunotora.
Zvinhu zvekurangarira kana uchitora mushonga uyu
- Ona chiremba wako nguva dzose: Shanyira chiremba wako pamazuva akarongwa kuti utarise mamiriro ako ezvinhu. Ungangodawo kuongororwa ropa.
- Dzivisa kukuvara: Pane njodzi yakakura yekubuda ropa paunenge uchitora mushonga uyu. Saka, dzivisa mitambo nezvimwe zvinhu zvinogona kukonzera kudonha nekukuvara. Chenjerera zvakanyanya paunenge uchishandisa zvinhu zvakapinza zvakaita semapanga nechigero. Kana ukaveura ndebvu, zviri nani kushandisa reza yemagetsi. Chenjerera paunenge uchikwesha mazino ako ne floss.
- Pfeka chitupa chekurapa: Zvinobatsira zvikuru kutakura chitupa chekurapa kana kadhi rinotaura kuti uri kutora mushonga uyu.
- Udza chiremba wemazino: Udza chiremba wemazino kuti uri kutora mushonga uyu usati wabviswa mazino kana kuvhiyiwa mazino. Zvakanaka kugadzirisa chero matambudziko emazino usati watanga mushonga uyu.
- Udza chiremba wako usati wavhiyiwa: Kana uri kuvhiyiwa kana mamwe maitiro ekurapa, udza chikwata chako chekurapa pachine nguva kuti uri kutora mushonga uyu.
- Dzivisa kubata pamuviri: Dzivisa kubata pamuviri paunenge uchitora mushonga uyu. Unogona kukuvadza mwana asati aberekwa. Kana uchironga kubata pamuviri, taura nachiremba wako nezvazvo.
Ndezvipi zvinogona kukonzera migumisiro yakaipa?
Kana ukaona chimwe chezviratidzo zvinotevera, zivisa chiremba wako nekukasika .
| Rudzi rwemhedzisiro yakaipa | Zviratidzo zvekuziva |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kubuda ropa | Tsvina nhema kana kuti yakanonoka, kurutsa ropa kana chimwe chinhu chinoita sekofi yakakuyiwa, weti tsvuku kana dema, mavanga madiki matsvuku kana epepuru paganda, mavanga asina kujairika kana kubuda ropa. |
| Kubuda ropa muuropi | Musoro wakanyanya, mutsipa wakaoma, kuvhiringidzika, dzungu, kuchinja kwekuona, kusanzwa kana kushaya simba pachiso, ruoko kana gumbo, kuoma kutaura. |
| Vakadzi | Nguva dzinorema. |
Kana muine zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, ndapota zivisai chiremba wenyu.
Munochengeta uye munorasa sei mushonga wacho?
- Kuchengetera: Chengeta kure nevana nezvipfuyo. Chengeta patembiricha yemumba (20-25 degrees Celsius). Usaomese. Chengeta mumudziyo wekutanga. Rasa mushonga wasara mushure memazuva makumi matanhatu ekusanganisa kana mushure mezuva rekupera.
- Kurasa: Nzira yakanakisisa yekurasa mishonga yapera kana isingadiwi ndeyekupa kune chirongwa chekutora mishonga zvakare. Unogona kubvunza kuchipatara chako kana bazi rezvehutano remunharaunda nezveizvi. Kana izvozvo zvisingaite, durura mushonga mubhodhoro, usanganise nechimwe chinhu chakaita semashizha etii akamboshandiswa, kofi yakakuyiwa, kana ivhu, woisa mubhegi rakavharwa zvakasimba worikanda mumarara.
Mharidzo Yekuenda Nayo Kumba
- Inwa mushonga uyu sezvawaudzwa nachiremba wako, muchiyero chawakarairwa, panguva yakatarwa, uye pamwe chete nechikafu.
- Usarega kushandisa mushonga mumwe chete. Kurega kushandisa mushonga usina kubvunza chiremba wako kunogona kuwedzera njodzi yekugwamba kweropa.
- Gara uchiziva zviratidzo zvakaita sekubuda ropa kusingawanzoitiki, maronda akawandisa, uye tsvina nhema. Kana ukaona chimwe cheizvi, taurira chiremba wako nekukasika.
- Usati watanga mimwe mishonga, kuvhiyiwa, kana kubviswa mazino, iva nechokwadi chekuzivisa vanachiremba vako kuti uri kutora Rivaroxaban.
- Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, bvunzai chiremba wenyu kuti akutsanangurirei.
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