Ingabe udokotela wakho ukunike umuthi wokunciphisa igazi? Kungaba umuthi obizwa ngokuthi i-Rivaroxaban. Uzizwe wesaba kancane lapho uzwa leli gama? Ungacabangi kanjalo. Lo muthi obaluleke kakhulu ovame ukunikezwa ukuze usivikele ezimweni eziyingozi njengesifo senhliziyo nesifo sohlangothi. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi i-Rivaroxaban, ukuthi ungawusebenzisa kanjani, yiziphi izinto okufanele uziqaphele, yimiphi imiphumela emibi, konke ngendlela elula ongayiqonda.
Kalula nje, iyini i-Rivaroxaban?
I-Rivaroxaban iyi -anticoagulant, noma njengoba sivame ukuyibiza kanjalo, "inciphisa igazi." Kodwa-ke, empeleni ayinciphisi igazi, ivimbela ukwakheka kwamahlule egazi emithanjeni yomzimba wethu. Lawa mahlule egazi ayingozi kakhulu. Ngoba uma ehamba emithanjeni futhi ebhajwa ebuchosheni, enhliziyweni, noma emaphashini, angabangela izimo ezibucayi ezifana nesifo sohlangothi kanye nokuhlaselwa yinhliziyo.
Lo muthi usetshenziswa kakhulu kulezi zimo ezilandelayo:
- Vimbela amahlule egazi noma welaphe amahlule egazi akhona: Ikakhulukazi kumahlule egazi akhiwa emilenzeni (Deep Vein Thrombosis - DVT) noma emaphashini (Pulmonary Embolism - PE).
- Nciphisa ingozi yokushaywa yisifo sohlangothi kubantu abane-Atrial Fibrillation (AFib): I-AFIB iwukushaya kwenhliziyo okungajwayelekile okwandisa ingozi yokwakheka kwamahlule egazi enhliziyweni bese eya ebuchosheni.
- Nciphisa ingozi yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi kulabo abanesifo semithambo yenhliziyo noma isifo semithambo engaphandle.
- Vimbela ukuqhekeka kwegazi ngemva kokuhlinzwa kokufakelwa inqulu noma idolo.
ESri Lanka, lesi sidakamizwa saziwa kakhulu ngegama lomkhiqizo i -Xarelto . Leli kungaba igama udokotela wakho akunike lona.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-rivaroxaban, kubalulekile ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi lo muthi ungathintana nezimo ezithile zezokwelapha. Ngakho-ke uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho.
| Isimo sakho | Kungani kubalulekile ukwazisa udokotela? |
|---|---|
| Uma unezinkinga zokopha noma izinkinga | Lo muthi wandisa ingozi yokopha, ngakho-ke kungaba yingozi kakhulu uma usuvele unenkinga enjalo. |
| Uma une-valve yenhliziyo yokufakelwa | Lo muthi awunconywa ezigulini ezinalezi zinhlobo zama-valve. |
| Uma unesifo sesibindi noma sezinso | Njengoba imithi ikhishwa emzimbeni ngalezi zitho zomzimba, uma ukusebenza kwazo kuphazamiseka, umthamo womuthi kungadingeka ulungiswe. |
| Uma uhlelelwe ukuhlinzwa noma i-epidural esikhathini esizayo | Ngenxa yokuthi ukuphuma kwegazi kungaba nzima ukukulawula ngesikhathi sokuhlinzwa, udokotela wakho uzokweluleka ukuthi uyeke ukuthatha imithi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. |
| Uma unesifo esibizwa ngokuthi (i-Antiphospholipid syndrome - APS) | Kubikwe ukuthi i-Rivaroxaban yandisa ingozi yokuqhekeka kwegazi kubantu abanalesi simo. |
| Uma ukhulelwe noma uzama ukukhulelwa | Ngesikhathi sokukhulelwa, lo muthi ungaba yingozi yokopha kumama kanye nengane. Ngakho-ke, kufanele ukhulume nodokotela wakho ukuze anqume ukuthi yikuphi okungcono kuwe. |
| Uma ungumama oncelisayo | Kufanele uxoxe nodokotela wakho ukuthi umuthi ungadluliselwa yini enganeni ngobisi lwebele. |
| Uma une-allergies kulo muthi noma yini enye | Kubaluleke kakhulu ukwazisa udokotela wakho uma kukhona ukungezwani komzimba. |
Kufanele ngiwusebenzise kanjani ngempela lo muthi?
Lena yingxenye ebaluleke kakhulu. Ukuze uthole okuningi kulo muthi, kubalulekile ukuwuthatha njengoba nje udokotela wakho ekuyalele.
- Ungasheshi, ungaphuthelwa yimithamo: Thatha umthamo wakho owunikeziwe ngesikhathi udokotela wakho ekutshela ukuthi wenze kanjalo. Ukweqa imithamo noma ukuyeka imithi yakho wedwa kungandisa ingozi yakho yokuqhekeka kwegazi noma isifo sohlangothi. Qhubeka uthatha imithi yakho kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Ingabe kufanele uwuthathe nokudla noma ngaphandle kokudla?: Lokhu kuncike ekutheni kungani unikezwe umuthi.
- Ngemva kokuhlinzwa kwenqulu noma idolo: Kungathathwa nokudla noma ngaphandle kokudla.
- Nge-Atrial Fibrillation (AFib): Thatha njalo kusihlwa kanye nokudla.
- Njengokwelashwa kwamahlule egazi: Thatha ngesikhathi esifanayo nsuku zonke, kanye nokudla.
- Ngesifo senhliziyo noma isifo semithambo yegazi: Thatha ngesikhathi esifanayo nsuku zonke, noma ngabe ukudla noma cha.
- Uma unenkinga yokugwinya iphilisi: Uma unenkinga yokugwinya iphilisi, ungalichoboza bese ulixuba ne-applesauce encane. Kufanele udle ukudla okwengeziwe ngemva kokulithatha. Kodwa-ke, kungcono ukubonisana nodokotela wakho ngaphambi kokwenza lokhu.
Okubalulekile: Lo muthi ungowakho kuphela. Unganiki omunye umuntu lo muthi ngoba nje enezimpawu ezifanayo nezakho. Kungaba yingozi.
Yini okufanele uyenze uma uphuza ngokweqile?
Uma usola ngisho nokuncane ukuthi uphuze umuthi omningi kunalokho ocabanga, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Lokhu kuyinto okungafanele ihlehliswe.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Lokhu kuyinto eyenzeka kubantu abaningi. Ungakhathazeki. Yenza lokhu.
- Uma uthatha umthamo owodwa ngosuku: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, okusho ukuthi ungakapheli amahora ambalwa, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
- Uma uyithatha kabili ngosuku ukuze welaphe amahlule egazi: Thatha umthamo ongawusebenzisi ngokushesha nje lapho ukhumbula. Kulesi simo, ungawathatha womabili amaphilisi ngesikhathi esisodwa uma kudingeka. Bese uwathatha kabili ngosuku njengokujwayelekile kusukela ngalolo suku kuqhubeke.
- Uma uthatha kabili ngosuku ngenxa yesifo senhliziyo noma isifo semithambo yegazi: Ungathathi umthamo ongawusebenzisi. Yeqa bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Yimiphi eminye imithi engasebenzisana nalo muthi?
I-Rivaroxaban umuthi ongasebenzisana neminye imithi. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi yokwelapha izinhlungu etholakala ngaphandle kwemithi kadokotela, amavithamini, imithi yamakhambi, ngisho nezithasiselo zamakhambi.
Ngezansi kuneminye yemithi eyinhloko engase ihlangane ne-Rivaroxaban.
| Uhlobo lomuthi | Izibonelo |
|---|---|
| Ezinye izinto zokunciphisa igazi | I-Warfarin, i-Apixaban, i-Dabigatran, i-Enoxaparin |
| Ama-Painkiller (ama-NSAID) kanye ne-aspirin | I-Aspirin, i-Ibuprofen, i-Naproxen, i-Diclofenac |
| Ezinye izibulali-zinambuzane | I-Ketoconazole, i-Itraconazole |
| Amanye ama-antibiotic | I-Erythromycin, i-Clarithromycin |
| Eminye imithi yokwelapha ikhanda elibuhlungu | I-Carbamazepine, i-Phenytoin |
| Eminye imithi yokucindezeleka | Ama-SSRI (isib. i-Fluoxetine, i-Sertraline) kanye nama-SNRI (isib. i-Venlafaxine, i-Duloxetine) |
| Imikhiqizo yezitshalo | I-wort kaSt. John |
Lolu hlu aluphelele. Ngakho-ke uthathaInto ephephile ongayenza ukutshela udokotela wakho ngayo yonke imithi yakho.
Izinto okufanele uziqaphele lapho uthatha umuthi
Udinga ukucabanga ikakhulukazi ngokuphepha kwakho ngenkathi uthatha lo muthi.
- Qaphela ukuwa nokulimala: Ngisho nokusikeka okuncane kungabangela ukopha okuningi ngenkathi uthatha lo muthi. Ngakho-ke, gwema ezemidlalo nemisebenzi engabangela ukuba uwe. Cabanga ukuthi usika isandla sakho kancane ngenkathi usika imifino ekhishini. Ngokuvamile, ukufaka ingcindezi encane kuzomisa ukopha. Kodwa-ke, uma uthatha lo muthi, kungathatha isikhathi eside ukuthi ukopha kume.
- Qaphela lapho usebenzisa izinto ezibukhali: Cabanga kabili ngaphambi kokusebenzisa izinto ezifana nemimese nezikele. Uma ushefa, kuphephile ukusebenzisa i-razor kagesi esikhundleni se-razor evamile.
- Qaphela lapho uxubha amazinyo akho: Ungaxubhi ngamandla lapho uxubha amazinyo akho. Sebenzisa ibhulashi lamazinyo elithambile. Ngisho nalapho uxubha nge-floss, qaphela ukuthi ungalimazi izinsini zakho.
- Qaphela ukopha okungajwayelekile: Uma ubona izinto ezifana nomzimba wakho ushintsha ube luhlaza okwesibhakabhaka ngaphandle kwesizathu noma ukopha ngenxa yokusikeka okuncane okungapheli, tshela udokotela wakho.
- Gqoka i-ID yezokwelapha: Ukugqoka isongo se-ID yezokwelapha noma ukuphatha ikhadi elichaza ukuthi uthatha imithi yokunciphisa igazi kungasiza ekusindiseni impilo yakho esimweni esiphuthumayo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Rivaroxaban ingaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Umphumela oyinhloko futhi okufanele sikhathazeke kakhulu ngawo ukopha ngokweqile.
Uma uhlangabezana nezimpawu ezilandelayo, ungalibali bese ushayela udokotela wakho noma uye esibhedlela ngokushesha.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Indle emnyama noma ephuzile, ukuhlanza igazi elifana nekhofi elicwebezelayo, umchamo obomvu noma onsundu omnyama, amabala amancane abomvu noma onsomi esikhumbeni, aphenduka abe luhlaza okwesibhakabhaka ngaphandle kwesizathu, noma ukuphuma kwegazi esilondeni okungapheli. |
| Izimpawu zokuphuma kwegazi ebuchosheni | Ikhanda elibuhlungu kakhulu, intamo eqinile, ukudideka, isiyezi, ukushintsha kombono, ukuba ndikindiki noma ubuthakathaka ebusweni, engalweni noma emlenzeni, ubunzima bokukhuluma noma ukuhamba. |
| Kwabesifazane | Ukopha ngokweqile ngesikhathi sokuya esikhathini. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Rivaroxaban umuthi obaluleke kakhulu ovimbela ukuqhekeka kwegazi. Yithathe njengoba nje udokotela wakho ekutshelile, ngesikhathi kanye nomthamo owubekiwe.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo ngokwakho. Ukuyeka ngaphandle kweseluleko sikadokotela wakho kungabangela izinkinga ezinkulu, njengokuhlaselwa yisifo sohlangothi.
- Kukhona ingozi enkulu yokopha lapho uthatha lo muthi, ngakho-ke qaphela kakhulu ngokuwa nokulimala.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, nokuthi uzohlinzwa yini.
- Uma ubona noma yiziphi izimpawu zokopha okungajwayelekile, njengendle emnyama, ukuhlanza igazi, noma ukushintsha umbala ube luhlaza okwesibhakabhaka, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo noma ukungabaza ngalo muthi, buza udokotela wakho. Ungesabi lutho.
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