Dabigatran

Zamkati

• Asanatenge dabigatran,
• Dabigatran angayambitse mavuto. Uzani dokotala wanu ngati izi zikuchitika:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Ngati muli ndi matenda a atrial fibrillation (momwe mtima umagunda mosalekeza, kuwonjezera mwayi wam'magazi wopangidwa mthupi, mwinanso kuchititsa zikwapu) ndipo mukumwa dabigatran kuti muteteze sitiroko kapena kuundana kwamagazi, muli pachiwopsezo chachikulu cha kudwala sitiroko mutasiya kumwa mankhwalawa. Osasiya kumwa dabigatran osalankhula ndi dokotala. Pitirizani kumwa dabigatran ngakhale mukumva bwino. Onetsetsani kuti mukudzaza mankhwala anu musanathe mankhwala kuti musaphonye mlingo uliwonse wa dabigatran. Ngati mukufuna kusiya kumwa dabigatran, dokotala wanu akhoza kukupatsani mankhwala ena oletsa magazi ('magazi ochepera magazi') kuti ateteze magazi kuti asapangike ndikupatseni sitiroko.

Ngati muli ndi matenda opatsirana kapena otupa msana kapena kuboola msana mukamamwa 'magazi ochepera magazi' monga dabigatran, muli pachiwopsezo chokhala ndi mawonekedwe a magazi mkati kapena kuzungulira msana kwanu zomwe zingakupangitseni kufooka. Uzani dokotala wanu ngati muli ndi catheter yamatenda yomwe yatsala m'thupi lanu kapena mwakhalapo ndi zotupa zingapo zam'mimba kapena zopindika msana, kuwonongeka kwa msana, kapena opaleshoni ya msana. Uzani dokotala ndi wamankhwala ngati mukumwa izi: anagrelide (Agrylin), aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex), ketoprofen, ndi naproxen (Aleve, Anaprox, ena), cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine), eptifibatide (Integrilin), heparin, prasugrel (Effient), ticagrelor (Brilinta), ticlopidine, tirofiban (Aggrastarin) Coumadin, Jantoven). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kupweteka kwa msana, kufooka kwa minofu (makamaka m'miyendo ndi m'mapazi), kufooka kapena kumva kulira (makamaka m'miyendo), kapena kulephera kuwongolera matumbo kapena chikhodzodzo.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku dabigatran.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi dabigatran ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Dabigatran imagwiritsidwa ntchito pochizira kwambiri vein thrombosis (DVT; magazi, nthawi zambiri mwendo) ndi m'mapapo mwanga embolism (PE; magazi m'mapapo) mwa anthu omwe adalandira mankhwala a jakisoni anticoagulant ('magazi ochepera magazi'). Amagwiritsidwanso ntchito kuchepetsa chiopsezo cha DVT ndi PE kuti zisadzachitikenso mankhwala oyamba akamalizidwa. Dabigatran imagwiritsidwa ntchito kuthandizira kupewa DVT ndi PE mwa anthu omwe achita opaleshoni ya chiuno. Dabigatran imagwiritsidwanso ntchito kuthandizira kupwetekedwa kapena magazi oundana mwa anthu omwe ali ndi matenda a atrial fibrillation (mkhalidwe womwe mtima umagunda mosalekeza, kuwonjezera mwayi wam'mimba wopangidwa mthupi, ndipo mwina kuyambitsa zilonda) popanda matenda a valavu yamtima. Dabigatran ali mgulu la mankhwala a anticoagulant otchedwa direct thrombin inhibitors. Zimagwira ntchito poletsa magazi kuundana kuti asapangike mthupi.

Dabigatran amabwera ngati kapisozi woti amwe pakamwa. Pamene dabigatran imagwiritsidwa ntchito pochiza kapena kupewa DVT kapena PE kapena kupewa kupwetekedwa kapena magazi oundana mwa anthu omwe ali ndi matenda a atrial, amatengedwa kawiri patsiku. Pamene dabigatran imagwiritsidwa ntchito popewera DVT kapena PE pambuyo pa opaleshoni ya m'chiuno nthawi zambiri amatengedwa 1 mpaka 4 maola mutachitidwa opaleshoni, ndiyeno kamodzi patsiku masiku ena 28 mpaka 35. Dabigatran atha kumwedwa kapena wopanda chakudya. Tengani dabigatran mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani dabigatran ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse ndi madzi onse; osagawana, kutafuna, kapena kuwaphwanya. Osatsegula makapisozi ndikuwaza zomwe zili mu chakudya kapena zakumwa.

Dabigatran amathandizira kupewa sitiroko ndi kuundana kwamagazi pokhapokha mutapitiliza kumwa. Pitirizani kumwa dabigatran ngakhale mukumva bwino. Onetsetsani kuti mukudzaza mankhwala anu musanathe mankhwala kuti musaphonye mlingo wa dabigatran. Osasiya kumwa dabigatran osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa dabigatran, chiopsezo choti mudzakhala ndi mkodzo kapena sitiroko chitha kukulirakulira.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Asanatenge dabigatran,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la dabigatran, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a dabigatran. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: dronedarone (Multaq), ketoconazole (Nizoral), ndi rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhala ndi valavu mumtima mwanu yomwe yasinthidwa kapena ngati mwawona posachedwa kuvulaza kapena magazi. Dokotala wanu mwina angakuuzeni kuti musamwe dabigatran.
• Uzani dokotala wanu ngati mwakhala mukudwala kapena kutuluka magazi, kapena zilonda m'mimba kapena m'matumbo; kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga dabigatran, itanani dokotala wanu. Kutenga dabigatran kumachulukitsa chiopsezo choti mudzadwala magazi kwambiri panthawi yobereka.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga dabigatran ngati muli ndi zaka 75 kapena kupitilira apo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa dabigatran.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati mukukumbukira mlingo womwe mwaphonya pasanathe maola 6 tsiku lanu lotsatira lisanakwane, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Dabigatran angayambitse mavuto. Uzani dokotala wanu ngati izi zikuchitika:

• kupweteka m'mimba
• kukhumudwa m'mimba
• kutentha pa chifuwa
• nseru

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kuvulaza kapena kutuluka mwachilendo
• mkodzo wapinki kapena wabulauni
• ofiira kapena akuda, mipando yodikira
• kutsokomola magazi
• kusanza komwe ndi kwamagazi kapena kumawoneka ngati malo a khofi
• Kutuluka magazi m'kamwa
• Kutuluka magazi pafupipafupi
• kutuluka magazi msambo kolemera
• Kutuluka magazi pakucheka komwe kumatenga nthawi yayitali kuposa zachilendo
• kupweteka pamodzi kapena kutupa
• mutu
• chizungulire kapena kumva kukomoka
• kufooka
• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa kapena kulimba
• kutupa kwa nkhope, mmero, lilime, milomo, maso, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi

Dabigatran angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Musasunge dabigatran mu bokosi lamapiritsi kapena wokonza mapiritsi. Sungani pa firiji komanso kutali ndi kutentha kwambiri ndi chinyezi. Tsegulani botolo limodzi lokha la dabigatran nthawi imodzi. Malizitsani botolo lanu la dabigatran musanatsegule botolo latsopano). Tayani mankhwala aliwonse omwe atsala m'chidebe miyezi 4 mutatsegula.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kuvulaza kapena kutuluka mwachilendo
• mkodzo wapinki kapena wabulauni
• ofiira kapena akuda, mipando yodikira
• kusanza komwe ndi kwamagazi kapena kumawoneka ngati malo a khofi
• kutsokomola magazi

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Pradaxa^®