Ngaba ugqirha wakho ukunike iyeza lokunciphisa igazi? Lisenokuba liyeza elibizwa ngokuba yiRivaroxaban. Ngaba waziva usoyika kancinci xa usiva eli gama? Musa ukucinga njalo. Eli liyeza elibaluleke kakhulu elihlala linikwa ukuze lisikhusele kwiimeko eziyingozi ezifana nesifo sentliziyo kunye nesifo sohlangothi. Ngoko ke namhlanje, masithethe ngeli yeza elibizwa ngokuba yiRivaroxaban, indlela yokulisebenzisa, izinto ekufuneka uzilumkele, zeziphi iziphumo ebezingalindelekanga, yonke into ngendlela elula kakhulu onokuyiqonda.
Kalula nje, yintoni iRivaroxaban?
I-Rivaroxaban sisithinteli-gazi, okanye njengoko sihlala siyibiza njalo, "isithinteli-gazi." Nangona kunjalo, ayinciphisi igazi, ithintela ukwakheka kwamahlwili egazi kwimithambo yomzimba wethu. La mahlwili egazi ayingozi kakhulu. Kuba ukuba ahamba ngemithambo aze abhajwe engqondweni, entliziyweni, okanye emiphungeni, anokubangela iimeko ezinzulu ezifana nestroke kunye nokuhlaselwa yintliziyo.
Eli yeza lisetyenziswa kakhulu kwezi meko zilandelayo:
- Thintela ukuqhekeka kwegazi okanye unyange amahlwili egazi akhoyo: Ingakumbi kumahlwili egazi aqala emilenzeni (Deep Vein Thrombosis - DVT) okanye emiphungeni (Pulmonary Embolism - PE).
- Nciphisa umngcipheko westroke kubantu abane-Atrial Fibrillation (AFib): I-AFIB yintliziyo engaqhelekanga ebangela ukuba igazi liqhekeke entliziyweni lize liye engqondweni.
- Nciphisa umngcipheko wokuhlaselwa sisifo sentliziyo okanye isifo sohlangothi kwabo banesifo semithambo yegazi okanye isifo semithambo yegazi engaphandle.
- Thintela ukuqhekeka kwegazi emva kotyando lokutshintshwa kwesinqe okanye idolo.
ESri Lanka, eli yeza laziwa kakhulu ngegama lophawu iXarelto . Eli lisenokuba ligama olinikwe ngugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale i-rivaroxaban, kubalulekile ukuba ugqirha wakho azi imbali yakho epheleleyo yempilo. Oku kungenxa yokuba eli yeza linokuchaphazela ezinye iimeko zonyango. Ngoko ke ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelele ugqirha wakho.
| Imeko yakho | Kutheni kubalulekile ukwazisa ugqirha? |
|---|---|
| Ukuba unengxaki yokopha okanye iingxaki | Eli yeza linyusa umngcipheko wokopha, ngoko ke linokuba yingozi kakhulu ukuba sele unengxaki enjalo. |
| Ukuba unevalvu yentliziyo yokufakelwa | Eli yeza alikhuthazwa kwizigulana ezinezi ntlobo zeevalvu. |
| Ukuba unesifo sesibindi okanye sezintso | Ekubeni amayeza esuswa emzimbeni ngala malungu, ukuba ukusebenza kwawo kuyaphazamiseka, umlinganiselo wamayeza unokufuna ukulungiswa. |
| Ukuba ucwangciselwe utyando okanye i-epidural kwixesha elizayo | Ngenxa yokuba ukopha kunokuba nzima ukukulawula ngexesha lotyando, ugqirha wakho uya kukucebisa ukuba uyeke ukusebenzisa amayeza kwiintsuku ezimbalwa ngaphambi kotyando. |
| Ukuba unesifo esibizwa ngokuba yi-(Antiphospholipid syndrome - APS) | Kuye kwaxelwa ukuba iRivaroxaban inyusa umngcipheko wokuqhekeka kwegazi kubantu abanale meko. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ngexesha lokukhulelwa, eli yeza linokubangela umngcipheko wokopha kumama nakumntwana. Ngoko ke, kufuneka uthethe nogqirha wakho ukuze agqibe ukuba yeyiphi ekulungeleyo. |
| Ukuba ungumama oncancisayo | Ufanele uxoxe nogqirha wakho ukuba ingaba iyeza lingadluliselwa na kumntwana ngobisi lwebele. |
| Ukuba une-allergies kweli yeza okanye nantoni na enye | Kubaluleke kakhulu ukwazisa ugqirha wakho ukuba kukho nayiphi na into ebangela ukuba ungabi namdla. |
Ndingayisebenzisa njani kanye kanye le yeza?
Le yeyona nxalenye ibalulekileyo. Ukuze ufumane okuninzi kweli yeza, kubalulekile ukulithatha kanye njengoko ugqirha wakho ekuyalele.
- Musa ukungxama, ungaphoswa ziidosi: Thatha idosi oyimiselweyo kanye xa ugqirha wakho ekuxelela ukuba wenjenjalo. Ukutsiba iidosi okanye ukuyeka amayeza akho wedwa kunokunyusa umngcipheko wakho wokuqhekeka kwegazi okanye isifo sohlangothi. Qhubeka usela amayeza akho de ugqirha wakho akuxelele ukuba uyeke.
- Ngaba ufanele uyithathe nokutya okanye ngaphandle kokutya?: Oku kuxhomekeke kwisizathu sokuba unikwe iyeza.
- Emva kotyando lwesinqe okanye idolo: Ingathathwa kunye nokutya okanye ngaphandle kokutya.
- Kwi-Atrial Fibrillation (AFib): Yithathe yonke imihla ngokuhlwa kunye nesidlo.
- Njengonyango lokuqhekeka kwegazi: Thatha ngexesha elifanayo yonke imihla, kunye nokutya.
- Kwisifo sentliziyo okanye isifo semithambo yegazi: Thatha ngexesha elifanayo yonke imihla, nokuba utya okanye awutyanga.
- Ukuba unengxaki yokuginya ipilisi: Ukuba unengxaki yokuginya ipilisi, ungayityumza uze uyixube ne-applesauce encinci. Ufanele utye ukutya okungakumbi emva kokuyithatha. Nangona kunjalo, kungcono ukubonisana nogqirha wakho ngaphambi kokuba wenze oku.
Kubalulekile: Eli yeza lelakho kuphela. Musa ukunika omnye umntu eli yeza kuba nje eneempawu ezifanayo nezakho. Linokuba yingozi.
Yintoni omawuyenze ukuba ugqithisile?
Ukuba unesikrokro sokuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Le yinto engafanele ilibaziseki.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Le yinto eyenzeka kubantu abaninzi. Sukukhathazeka. Yenza oku.
- Ukuba uthatha idosi enye ngosuku: Thatha idosi ephosiweyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, oko kuthetha ukuba iza kudlula kwiiyure ezimbalwa, yitsibe idosi ephosiweyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
- Ukuba uyithatha kabini ngemini ukunyanga amahlwili egazi: Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Kwimeko enjalo, ungazithatha zombini iipilisi ngaxeshanye ukuba kuyimfuneko. Emva koko uyithathe kabini ngemini njengesiqhelo ukususela ngaloo mini ukuya phambili.
- Ukuba uyithatha kabini ngemini ngenxa yesifo sentliziyo okanye isifo semithambo yegazi: Musa ukuthatha idosi ephosiweyo. Yitsibe uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini ukuze ubuyisele idosi elibalekileyo.
Ngawaphi amanye amayeza anokusebenza kunye nale mithi?
I-Rivaroxaban liyeza elinokusebenzisana namanye amayeza. Ngoko ke, kufuneka uxelele ugqirha wakho ngazo zonke ezinye amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, amayeza emifuno, kwanezongezo zemifuno.
Ngezantsi kukho amanye amayeza aphambili anokusebenzisana neRivaroxaban.
| Uhlobo lweyeza | Imizekelo |
|---|---|
| Ezinye izinto zokunciphisa igazi | I-Warfarin, i-Apixaban, i-Dabigatran, i-Enoxaparin |
| Iipilisi zokunciphisa iintlungu (ii-NSAID) kunye ne-aspirin | I-Aspirin, i-Ibuprofen, iNaproxen, iDiclofenac |
| Ezinye izibulali-zinambuzane | I-Ketoconazole, i-Itraconazole |
| Amanye amayeza okubulala iintsholongwane | I-Erythromycin, iClarithromycin |
| Amanye amayeza e-migraines | ICarbamazepine, iPhenytoin |
| Amanye amayeza okudakumba | Ii-SSRI (umz. iFluoxetine, iSertraline) kunye nee-SNRI (umz. iVenlafaxine, iDuloxetine) |
| Iimveliso zezityalo | I-wort yaseSt. John |
Olu luhlu aluphelelanga. Ngoko ke uthathaEyona nto ikhuselekileyo onokuyenza kukuxelela ugqirha wakho ngayo yonke imithi yakho.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kufuneka ucinge ngokukodwa ngokhuseleko lwakho xa usebenzisa eli yeza.
- Lumka xa uwela okanye wenzakele: Nokuba ukusika kancinci kunokubangela ukopha kakhulu ngelixa usebenzisa eli yeza. Ngoko ke, kuphephe imidlalo kunye nemisebenzi enokubangela ukuba uwe. Khawuthelekelele ukuba usika isandla sakho kancinci ngelixa usika imifuno ekhitshini. Ngokwesiqhelo, ukufaka uxinzelelo oluncinci kuya kuyimisa ukopha. Nangona kunjalo, xa usebenzisa eli yeza, kungathatha ixesha elide ukuba ukopha kume.
- Lumka xa usebenzisa izinto ezibukhali: Cinga kabini phambi kokuba usebenzise izinto ezifana neemela kunye nezikere. Ukuba ucheba, kukhuselekile ukusebenzisa i-razor yombane endaweni ye-razor eqhelekileyo.
- Lumka xa uhlamba amazinyo akho: Musa ukuxubha ngamandla xa uxubha amazinyo akho. Sebenzisa ibhrashi yamazinyo ethambileyo. Nokuba uxubha nge-floss, lumka ungalimazi iintsini zakho.
- Lumka ukopha okungaqhelekanga: Ukuba ubona izinto ezifana nomzimba wakho ujika ube luhlaza okwesibhakabhaka ngaphandle kwesizathu okanye ukopha ngenxa yamanxeba amancinci angayekiyo, xelela ugqirha wakho.
- Nxiba isazisi sezonyango: Ukunxiba isongo sesazisi sezonyango okanye ukuphatha ikhadi elichaza ukuba uthatha amayeza okunciphisa igazi kunokunceda ekusindiseni ubomi bakho xa kukho imeko engxamisekileyo.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengayo nayiphi na iyeza, iRivaroxaban inokuba nemiphumo emibi. Nangona kunjalo, ayinguye wonke umntu oyifumanayo. Isiphumo esiphambili nesinye esifanele sikhathazeke ngaso kukuphuma kwegazi elininzi.
Ukuba ufumana ezi mpawu zilandelayo, musa ukulibazisa kwaye utsalele umnxeba ugqirha wakho okanye uye esibhedlele ngokukhawuleza.
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo | |
|---|---|
| Ukusabela kwi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukopha okungaqhelekanga | Indle emnyama okanye engapheliyo, ukuhlanza igazi elifana nekofu egayiweyo, umchamo obomvu okanye omdaka, amabala amancinci abomvu okanye amfusa eluswini, ajika abe luhlaza okwesibhakabhaka ngaphandle kwesizathu, okanye ukopha kwinxeba elingayekiyo. |
| Iimpawu zokopha kwegazi ebuchosheni | Intloko ebuhlungu kakhulu, intamo eqinileyo, ukudideka, isiyezi, utshintsho lombono, ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni okanye emlenzeni, ubunzima bokuthetha okanye bokuhamba. |
| Kwabasetyhini | Ukopha kakhulu ngexesha lokuya exesheni. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Rivaroxaban liyeza elibaluleke kakhulu elithintela ukuqhekeka kwegazi. Lithathe kanye njengoko ugqirha wakho ekuxelele, ngexesha kunye nomthamo ochaziweyo.
- Musa ukuyeka ukuthatha amayeza okanye utshintshe umthamo ngokwakho. Ukuyeka ngaphandle kwengcebiso kagqirha wakho kunokubangela iingxaki ezinkulu, ezifana nesifo sohlangothi.
- Kukho umngcipheko omkhulu wokopha xa usebenzisa eli yeza, ngoko ke lumka kakhulu xa usiwa okanye wenzakele.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, kwaye ukuba uza kutyandwa.
- Ukuba ubona naziphi na iimpawu zokopha okungaqhelekanga, ezifana nendle emnyama, ukuhlanza igazi, okanye ukujika kube luhlaza okwesibhakabhaka, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba unemibuzo okanye amathandabuzo malunga nale yeza, buza ugqirha wakho. Musa ukoyika nantoni na.
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