Ngamanye amaxesha, amahlwili egazi anokwenzakala kwimithambo yegazi yomzimba wethu. Le yimeko eyingozi kakhulu. Kuba ukuba la mahlwili egazi ahamba ngemithambo aze afikelele kwingqondo, entliziyweni, okanye emiphungeni, anokubangela iimeko ezinzulu kakhulu nezisongela ubomi ezifana nestroke. Lo mngcipheko uphezulu kakhulu kumntu one-atrial fibrillation (Afib), ukubetha kwentliziyo okungahambelaniyo. Ngoko ke, ugqirha wakho usenokuba ukunike iyeza elikhethekileyo lokunciphisa lo mngcipheko. Namhlanje, sithetha nge-Edoxaban, i-blood thinner enikwa abantu abaninzi.
Ngamafutshane, yintoni i-Edoxaban?
I-Edoxaban liyeza elinikwa oogqirha ukuthintela ukuqhekeka kwegazi. Kwintetho yemihla ngemihla, sibiza ezi "zinciphisi zegazi." Kodwa okwenzekayo ngokwenene kukuba endaweni yokunciphisa ukujiya kwegazi, iphazamisana nenkqubo yokwakheka kwamahlwili egazi.
Eli yeza lisetyenziswa kakhulu kwezi zinto zilandelayo:
- Thintela kwaye unyange amahlwili egazi kwimithambo enzulu yomzimba (ingakumbi imilenze) kunye nemiphunga.
- Nciphisa umngcipheko westroke obangelwa kukuqhekeka kwegazi ebuchotsheni kubantu abane- atrial fibrillation, ukubetha kwentliziyo okungahambelaniyo.
Ngamafutshane, eli yeza lifana nomlindi wobomi onokukunceda usindise ubomi bakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza:
Oku kubaluleke kakhulu. I-Edoxaban ayiloyeza elifanele bonke abantu. Ke ngoko, kubalulekile ukuba ugqirha wakho azi imbali yakho epheleleyo yezonyango ngaphambi kokuba akunike eli yeza. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Imeko yakho yempilo okanye umcimbi okhethekileyo | Kutheni ufanele uxelele ugqirha? |
|---|---|
| Izifo okanye iingxaki zokopha | Ekubeni oku kukunciphisa igazi, kunokunyusa umngcipheko wokopha ukuba sele usemngciphekweni. |
| Isifo sezintso | Eli yeza likhutshwa emzimbeni ngezintso. Ukuba ukusebenza kwezintso akulunganga, umthamo weyeza unokufuneka ulungiswe. |
| Isifo sesibindi | Ekubeni ukusebenza kwesibindi kuchaphazela ukujiya kwegazi, ugqirha kufuneka azi ngale nto. |
| Ukuba unevalvu yentliziyo yokufakelwa | I-Edoxaban isenokungafaneleki kwezi meko. Kusenokufuneka amanye amayeza. |
| Isifo se-Antiphospholipid (APS) | Le yimeko eyonyusa umngcipheko wokuqhekeka kwegazi kwaye ingadinga olunye unyango. |
| Umhlaza okanye izilonda esiswini okanye emathunjini | Umngcipheko wokopha kwezi ndawo unokwanda. |
| Ukuba ucwangciselwe ukwenziwa utyando lomqolo olufana notyando, i-epidural, okanye i-spinal tap kwixesha elizayo | Eli yeza kufuneka limiswe okwethutyana ngaphambi kotyando ngenxa yomngcipheko wokopha. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ukusela eli yeza ngexesha lokukhulelwa kunokubangela umngcipheko wokopha kumama nakumntwana. |
| Ukuba umntwana uncanciswa | Ufanele uthethe nogqirha wakho malunga nokuba iyeza lidlula ebantwaneni ngobisi lwebele na kwaye nokuba liza kuba nemiphumo na. |
| Ukuba une-allergy kwezinye amayeza, ukutya, okanye iidayi | Oku kubalulekile ukuze ugqirha wakho akwazi ukufumana umbono wokuba ingaba unokuba ne-allergy na kweli yeza okanye naziphi na izithako zalo. |
Ndingayisebenzisa njani kanye kanye le yeza?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Ginya ipilisi ngeglasi yamanzi. Yisele kanye njengoko ugqirha wakho ekuyalele.
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla. Wakuba ukwenze oku umkhwa, akuyi kuba lula ukuliphosa idosi yakho.
- Ungalithatha eli yeza ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukulithatha kunye nokutya.
- Okubaluleke kakhulu: Ukuqinisekisa impumelelo yonyango lwakho, musa ukulibazisa nayiphi na idosi yamayeza akho nangasiphi na isizathu. Ukuba uyeka ukuthatha amayeza akho okanye ulilebazisa idosi, umngcipheko wakho wokuqhekeka kwegazi okanye isifo sohlangothi unokunyuka ngequbuliso. Qhubeka uthatha la mayeza de ugqirha wakho akuxelele ukuba uyeke.
Unokufumana incwadana yolwazi ekhethekileyo (iMedGuide) xa unikwa eli yeza. Liqulethe ulwazi oluninzi olubalulekileyo malunga neli yeza. Ngoko ke qiniseka ukuba ulifunda ngononophelo.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba unesikrokro sokuba uthathe ngaphezu komlinganiselo omiselweyo wale mithi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Sonke siyalibala izinto, ngoko ke ungakhathazeki ukuba uphoswe yidosi.
- Zinike elo xesha ngokukhawuleza xa ukhumbula.
- Nangona kunjalo, ukuba sele kuza kufuneka idosi yakho elandelayo (umzekelo, ukuba idosi yakho elandelayo iza kufuneka emva kweeyure ezimbalwa), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo.
- Ungaze utye izidlo ezibini ngexesha elinye. Oko kuthetha ukuba ungaze utye iipilisi ezibini ngexesha elinye ukuze ubuyisele isidlo osiphosileyo.
Ngawaphi amanye amayeza anokusebenzisana ne-Edoxaban?
Oku kukwayinto ekufuneka uyilumkele kakhulu. I-Edoxaban sisiyobisi esinokudibana nezinye amayeza amaninzi. Oku kunokunyusa umngcipheko wokopha okanye kunciphise ukusebenza kwesiyobisi.
Ukuba usebenzisa la mayeza alandelayo, kubalulekile ukuba uxelele ugqirha wakho ngawo.
| Udidi lweziyobisi | Imizekelo kunye namanqaku akhethekileyo |
|---|---|
| Amayeza angafanele asetyenziswe kunye | |
| I-Defibrotide | Ukusebenzisa i-Edoxaban kunye nale mithi kwandisa kakhulu umngcipheko wokopha. |
| Ezinye iziyobisi ezinokusebenzisana | |
| Ezinye izinto zokunciphisa igazi | Umzekelo: I-Warfarin, i-Enoxaparin, i-Dalteparin, i-Aspirin. Ukuzithatha kunye kunokunyusa kakhulu umngcipheko wokopha. |
| Iipilisi zokubulala iintlungu (ii-NSAID) | Umzekelo: I-Ibuprofen, iNaproxen, iDiclofenac. Ezi zikwanyusa umngcipheko wokopha. I-Paracetamol idla ngokukhuseleka ukuyisebenzisa xa kukho iintlungu ezincinci, kodwa buza ugqirha wakho ngaloo nto. |
| Amanye amayeza okudakumba (ii-SSRI/ii-SNRI) | Umzekelo: iFluoxetine, iSertraline, iVenlafaxine. Ezi zinokuchaphazela nomngcipheko wokopha. |
| Amanye amayeza okubulala iintsholongwane kunye ne-antifungal | Umzekelo: iClarithromycin, iErythromycin, iKetoconazole, iItraconazole. Ezi zinokuchaphazela ubungakanani be-Edoxaban emzimbeni. |
| Amanye amayeza esifo sentliziyo | Umzekelo: Amiodarone, Dronedarone, Quinidine, Verapamil. |
| Amanye amayeza | Umzekelo: iCyclosporine, iRifampin (iyeza lesifo sephepha). |
Kubaluleke kakhulu: Olu luhlu aluphelelanga. Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini, amayeza esintu, kunye nezongezo zokutya) . Kwakhona, xelela ugqirha wakho ukuba utshaya okanye usela utywala.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa eli yeza:
Kubaluleke kakhulu ukucinga ngokhuseleko lwakho ngelixa usela eli yeza, kuba usemngciphekweni ophezulu kancinci wokopha kunomntu oqhelekileyo.
Ziphephe izenzo eziyingozi kunye nokuwa
Ukuba uyawa okanye wenza ingozi enkulu, unokufumana ukopha ngaphakathi okungabonakaliyo ngaphandle.
- Ziphephe imidlalo enokubangela iingozi (umz. iragbi, ibhola ekhatywayo).
- Lumka kakhulu xa usebenzisa izixhobo ezibukhali kunye neemela.
- Kukhuselekile ukusebenzisa i-razor yombane endaweni ye-razor.
- Sebenzisa ibhrashi yamazinyo ethambileyo xa uhlamba amazinyo akho. Yiba nobubele kakhulu xa uhlamba amazinyo akho ngefloss.
Ngaphambi kotyando okanye ukukhutshwa kwamazinyo
Ukuba utyando, ukukhupha amazinyo, okanye utyando oluncinci, xelela ugqirha wakho okanye ugqirha wamazinyo kwangaphambili ukuba uthatha i-Edoxaban. Eli yeza lidla ngokufuna ukuyekiswa okwethutyana kwiintsuku ezimbalwa ngaphambi kotyando.
Iingozi zeNkqubo zoMgogodla
Nangona oku kunqabile kakhulu, kubalulekile ukukwazi. Ukuba umntu othatha i-edoxaban ufumana inaliti emgogodleni (umz., i-epidural, i-spinal tap), kukho umngcipheko omncinci wokuba igazi liqhekeke emgogodleni. Oku kunokubangela iingxaki ezinkulu ezifana nokukhubazeka. Ukuba ufumana iintlungu zomqolo, ukungaziva, okanye ukuphelelwa yimvakalelo emilenzeni yakho, xelela ugqirha wakho ngoko nangoko.
Ukunxiba ikhadi lesazisi
Ukunxiba ibracelet yesazisi sezonyango okanye ukuphatha ikhadi elichaza ukuba uthatha amayeza okunciphisa igazi kunokunceda ekusindiseni ubomi bakho xa kukho imeko engxamisekileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-Edoxaban inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona uninzi lwazo zincinci, kukho izinto ezithile ekufuneka sizilumkele kakhulu.
| Imiphumela | Iimpawu onokuzibona |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala (kunokubangela ubunzima bokuphefumla). |
| Ukopha |
|
| Ukopha eBongo | Intloko ebuhlungu kakhulu, intamo eqinileyo, ukudideka, isiyezi, utshintsho lombono, ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni, okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba. |
| Ukuya esikhathini okunzima kwabasetyhini | Ukopha okungaphezulu kunesiqhelo okanye okuhlala ixesha elide kunesiqhelo. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Ugcina kwaye ulahla njani amayeza?
- Indawo yokugcina: Gcina iipilisi kubushushu begumbi (phakathi kwama-20-25 degrees Celsius). Zigcine kwindawo ekhuselekileyo kude nabantwana kunye nezilwanyana zasekhaya.
- Amayeza aphelelwe lixesha: Musa ukusebenzisa amayeza aphelelwe lixesha.
- Ukususwa:Eyona ndlela ilungileyo yokulahla amayeza angasetyenziswanga okanye aphelelwe lixesha kukuwanikela kwinkqubo yokuqokelela amayeza. Ungabuza isibhedlele okanye ikliniki yakho ngale nto. Ukuba oku akunakwenzeka, susa iipilisi kwisikhongozeli, uzixube nento efana nekofu egayiweyo, umhlaba, okanye inkunkuma yeekati, uzifake kwibhegi evalwe kakuhle, uze uzilahle kwinkunkuma. Ungaze uzihlambe endlwini yangasese.
Umyalezo Wokuya Ekhaya
- I-Edoxaban liyeza elibaluleke kakhulu elithintela ukuqhekeka kwegazi kwaye likukhusela kwiimeko ezinzulu ezifana nestroke.
- Musa ukuyeka ukuthatha amayeza okanye ungatyi nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka iivithamini kunye namayeza esintu).
- Ukuba ubona naziphi na iimpawu ezinje ngokopha okungaqhelekanga, ukukrweleka, okanye intloko ebuhlungu kakhulu, yazisa ugqirha wakho ngoko nangoko.
- Xelela ugqirha ukuba usela eli yeza ngaphambi kokuba utyando okanye unyango lwamazinyo.
- Ukuba unemibuzo malunga nempilo yakho, yixoxe nogqirha wakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment