Ngaba ugqirha wakho unike umntu okwintsapho yakho amayeza akhethekileyo okuthintela ukuqhekeka kwegazi, okanye mhlawumbi wena? Isenokuba liyeza elibizwa ngokuba yi-Apixaban. Eli liyeza elibaluleke kakhulu elinciphisa umngcipheko westroke, elinokubangelwa lutshintsho oluthile kwisigqi sentliziyo (i-Atrial Fibrillation), lithintela ukwakheka kwamahlwili egazi emzimbeni, kwaye linyibilikisa amahlwili egazi asele ekhona. Kodwa kukho izinto ezimbalwa ekufuneka sizilumkele xa sisebenzisa eli yeza. Ngoko ke, namhlanje siza kuthetha ngento ekufuneka uyazi ngale Apixaban.
Kalula nje, yintoni i-Apixaban?
I-Apixaban sisithambisi segazi esinciphisayo. Sifumaneka rhoqo kwilizwe lethu phantsi kwegama lophawu i-Eliquis. Umsebenzi waso ophambili kukuthintela ukwakheka kwamahlwili egazi angafunekiyo kwimithambo yethu yegazi.
Cinga ngemithambo yegazi yethu njengemibhobho ethwala amanzi. Kanye njengokuba ukuvaleka kwezi mibhobho kunokuthintela ukuhamba kwamanzi, ihlwili legazi linokuthintela ukuhamba kwegazi. Ukuba eli hlwili legazi linamathela emthanjeni okhokelela ebuchotsheni, linokubangela isifo sohlangothi. Ukuba linamathela emthanjeni okhokelela emiphungeni, linokuba yingozi kakhulu. Ngoko ke into eyenziwa yi-Apixaban kukunciphisa umngcipheko wokuba namahlwili egazi ayingozi afana nala.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba ugqirha wakho akunike i-Apixaban, kuya kufuneka azi imbali yakho epheleleyo yezonyango. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Iingxaki zokopha: Ukuba uphuma igazi rhoqo empumlweni, uphuma igazi kwiintsini, okanye nokuba unesilonda esincinci sithatha ixesha elide ukuyeka ukopha.
- I-Antiphospholipid Syndrome (APS): Le yimeko eyonyusa umngcipheko wokuqhekeka kwegazi.
- Ukuba uza kwenziwa utyando, i-epidural, okanye i-spinal tap: Kubalulekile ukuba uqaphele olu nyango njengoko umngcipheko wokopha uphezulu ngexesha lezi nkqubo.
- Isifo sezintso: Ukuba izintso zakho azisebenzi kakuhle, umthamo wamayeza akho unokufuneka ulungiswe.
- Isifo sesibindi: Ukuba unesifo sesibindi.
- Ukuba unevalvu yentliziyo yokufakelwa.
- Ukuba ukhe waba ne-allergy kwi-apixaban okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye ulindele umntwana.
- Ukuba ungumama oncancisayo.
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba eli yeza lifanelekile na kuwe, kwaye ukuba kunjalo, lingakanani idosi omawuyinike.
Ndingayisebenzisa njani kanye kanye le yeza?
Oku kulula kakhulu, kodwa kubaluleke kakhulu.
1. Sela njengoko ugqirha wakho ekuyalele: Sela idosi kunye nexesha ugqirha wakho akuxelele ukuba ulithathe. Ngokwesiqhelo, bakuxelela ukuba ulithathe kabini ngemini.
2. Yithathe ngexesha elifanayo yonke imihla: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla, kangangoko unako. Ukuba ubeke ixesha elifana ne-8am kunye ne-8pm, awuyi kulibala.
3. Ngaphambi okanye emva kokutya: Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukulisebenzisa kunye nokutya.
4. Musa ukulibazisa amayeza: Le yeyona nto ibalulekileyo. Ukuba uphoswa yidosi yamayeza, umngcipheko wakho wokuqhekeka kwegazi unokunyuka ngequbuliso.
Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kwandisa kakhulu umngcipheko wokuba nestroke okanye ukuba negazi eliqhekekileyo eliyingozi.
Ukuba inikwe abantwana abancinci:
Ukuba eli yeza linikwa abantwana abancinci, ugqirha uya kumisela idosi ngokusekwe kubunzima bomntwana. Njengoko umntwana ekhula kwaye etyeba, idosi inokufuneka itshintshwe. Kungoko ke, kubalulekile ukuhlala unxibelelana rhoqo nogqirha.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko . Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, oko kukuthi, idosi ephindwe kabini.
Ukuba umntwana uyahlanza kwimizuzu engama-30 emva kokusela iyeza, mnike kwakhona idosi efanayo. Ukuba umntwana uyahlanza emva kwemizuzu engama-30, musa ukunika elinye idosi. Mnike idosi eqhelekileyo ngexesha elilandelayo elicwangcisiweyo. Ukuba umntwana uyaqhubeka nokuhlanza, tsalela umnxeba ugqirha.
Ziziphi ezinye amayeza anokusebenzisana ne-Apixaban?
Le yinxalenye ebaluleke kakhulu. I-Apixaban sisiyobisi esinokusebenzisana namanye amayeza. Ngoko ke, kufuneka uxelele ugqirha wakho malunga nawo onke amanye amayeza owasebenzisayo (kuquka iivithamini, amayeza emifuno).
Itheyibhile engezantsi idwelisa ezinye zezona ziyobisi ziphambili ezinokusebenzisana ne-Apixaban.
| Uhlobo lweyeza | Inkcazo kunye nemizekelo |
|---|---|
| Amayeza angafanele asetyenziswe | Amayeza anjengeDefibrotide, Factor X, kunye neMifepristone. Ugqirha wakho uya kuzazi ezi zinto. |
| Izibulali-ntlungu | I-Aspirin kunye ne-NSAIDs (umz., i-Ibuprofen, i-Naproxen, i-Diclofenac). Ezi zinyusa umngcipheko wokopha. |
| Ezinye izinto zokunciphisa igazi | Kufuneka ulumke kakhulu xa uyisebenzisa kunye nezinye izinto zokunciphisa igazi ezifana neClopidogrel, iWarfarin, iHeparin, kunye neEnoxaparin. |
| Amayeza okudakumba | Amayeza abizwa ngokuba yi-SSRIs (umz. iSertraline, iFluoxetine) kunye ne-SNRIs (umz. iVenlafaxine, iDuloxetine). |
| Amanye amayeza | Amayeza afana nemithi yokubola (umz. iKetoconazole), amayeza okuxhuzula (umz. iCarbamazepine, iPhenytoin), iRifampin, kunye neRitonavir nawo anokuchaphazela oku. |
Olu luhlu aluphelelanga, ngoko ke ukuba uqala amayeza amatsha, buza ugqirha wakho ukuba kulungile na ukuwasebenzisa kunye ne-Apixaban.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kuya kufuneka wenze utshintsho oluncinci kwindlela ophila ngayo ngelixa usebenzisa i-Apixaban. Ezi zezokhuseleko lwakho.
- Ziphephe izinto ezinokubangela ukwenzakala: Ekubeni zinciphisa igazi, nokuba linxeba elincinci linokubangela ukopha kakhulu. Ngoko ke, lumka kangangoko unako ngemidlalo equka ingxolo enkulu kunye nemisebenzi enokubangela ukuwa.
- Lumka xa usebenzisa izixhobo ezibukhali: Lumka kakhulu xa usika imifuno kwaye ucheba. Sebenzisa i-razor yombane ukuba kunokwenzeka.
- Lumka xa uhlamba amazinyo akho: Musa ukuxubha amazinyo akho ngamandla. Sebenzisa ibhrashi yamazinyo ethambileyo. Lumka ungalimazi iintsini zakho xa uxubha amazinyo.
- Yazisa ngaphambi kokuba wenze naluphi na utyando: Kwanangaphambi kokuba wenze into encinci njengokukhupha izinyo, kufuneka uxelele ugqirha ukuba uthatha i-Apixaban.
- Nxiba i-ID yezonyango: Ukuphatha i-ID yezonyango okanye ikhadi elibonisa ukuba uthatha i-Apixaban kunokuba yinto ebaluleke kakhulu xa kukho imeko engxamisekileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengakweminye imithi, i-Apixaban inokubangela iziphumo ebezingalindelekanga. Ezinye zezi zimbi kakhulu, ezinye azimbi kangako. Into ebalulekileyo kukwazi ezi mpawu kwaye uthathe amanyathelo ngokukhawuleza ukuba ubona naziphi na iimpawu ezibi kakhulu.
| Uhlobo lwesiphumo esibi | Iimpawu ekufuneka uziqaphele |
|---|---|
| Iimpawu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpawu zokopha |
|
| Ukopha engqondweni | Intloko ebuhlungu kakhulu, intamo eqinileyo, ukudideka, utshintsho lombono, ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha. |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Kwabasetyhini | Ukopha kakhulu ngexesha lokuya exesheni. |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| Okunye | Intloko ebuhlungu, ukuhlanza. |
Ndingaligcina njani iyeza?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius). Khusela kubushushu obugqithisileyo kunye nokufuma.
- Musa ukusebenzisa amayeza aphelelwe lixesha.
Xa ulahla amayeza aphelelwe lixesha okanye angasafunekiyo, jonga imiyalelo ekwiphakheji yamayeza ukuze ubone ukuba akhuselekile na ukuwalahla. Ukuba awuqinisekanga, buza ugqirha wakho. Ukuba uyawalahla, khupha iipilisi kwisitya, uzixube nento efana namagqabi eti asetyenzisiweyo okanye i-coffee grounds, uzifake ebhegini, uzivale, uze uzilahle.
Umyalezo Wokuya Ekhaya
- Ungaze uyeke ukuthatha i-Apixaban ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kwandisa kakhulu umngcipheko wakho westroke okanye amahlwili egazi.
- Sela idosi emiselweyo ngexesha elifanayo yonke imihla. Musa ukulibazisa idosi.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (kuquka iintlungu zokuphelisa iintlungu kunye neevithamini).
- Ukuba ubona ukopha okungaqhelekanga (indle emnyama, ukukrweleka okukhulu, ukopha okungapheliyo), funa ingcebiso kagqirha ngokukhawuleza.
- Ziphephe izinto ezinokubangela ukwenzakala kangangoko unako.
- Kubalulekile ukwazisa ugqirha ofanelekileyo ukuba uthatha i-Apixaban ngaphambi kokuba utyando okanye ukhuphe amazinyo.
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