Iziphumo ebezingalindelekanga ze-Eliquis kunye nendlela yokuzikhusela

Ulwazi lweziyobisi

Iziphumo ebezingalindelekanga ze-Eliquis | Incinci xa ithelekiswa nokopha kakhulu | Ukudinwa | Ukunyanga komzimba | Izilumkiso | Unxibelelwano | Ungaziphepha njani iziphumo ebezingalindelekanga | Nini ukubona ugqirha | Ukuphelisa uEliquis | Xarelto vs. UEliquis

UEliquis mzantsi ) ligama elinegama legama elincitshisiweyo elinciphisa umngcipheko wokufa icala okanye amahlwili egazi kubantu abakwimeko eyaziwa ngokuba i-fibrillation ye-atrial (uhlobo lokubetha kwentliziyo ngokungaqhelekanga). Kuyanceda ukunciphisa amahlwili egazi kwabo basandula ukwenziwa utyando lwehiphu okanye idolo. Umboneleli wakho wokhathalelo lwempilo unokuyalela u-Eliquis ukuba anyange okanye akhusele i-pulmonary embolism (PE), engamaqhakuva egazi emiphungeni, okanye i-vein thrombosis (i-DVT) enzulu- amahlwili egazi aqheleke kakhulu emilenzeni. Njengegazi elincinci, uEliquis unxulunyaniswa neziphumo ebezingalindelekanga ezibi. Umboneleli wakho wezempilo uya kugqiba ukuba kulungile kuwe, kodwa nazi ezinye iziphumo ebezingalindelekanga zika-Eliquis ekufuneka uzazi.

Ezinxulumene: Yintoni uEliquis? | Gcina kwii-Eliquis

Iziphumo eziqhelekileyo ezichaphazela uEliquis

U-Eliquis ngu Ivunyiwe yi-FDA amayeza amiselweyo, kodwa ezinye iziphumo ebezingalindelekanga zinokwenzeka. Iziphumo ebezingalindelekanga eziqhelekileyo zinobulali kwaye zisombulula ngokukhawuleza. Nangona kunjalo, kuya kufuneka uthethe nogqirha wakho ukuba ezi ziphumo bezingalindelekanga azipheli:

• Ukukrala ngokulula
• Ukopha okungapheliyo (kwimeko yokuphuma kweempumlo okanye ukusika okuncinci kunye nokukhuhla)
• Isicaphucaphu
• I-anemia, ikwenza uzive udiniwe kwaye ubuthathaka

Iziphumo ebezingalindelekanga ezimandundu zikaEliquis

Ezi zilandelayo ziziphumo ebezingalindelekanga ezimandundu ezifuna unyango, ngokwe umenzi weEliquis Bristol-Myers Squibb ixabiso lembali

• Intloko ebuhlungu
• Ukuba nesiyezi
• Ubuthathaka bemisipha
• Intlungu edibeneyo
• Ukopha okungalawulekiyo, okanye ukopha okungaqhelekanga (iintsini ezophayo, ukuphuma kwempumlo rhoqo, kunzima ukuphuma kwegazi ekuhambeni)
• Amanqanaba asezantsi eeplatelet (thrombocytopenia)
• Ukukhohlela igazi
• Ukuphalaza igazi okanye ukugabha okujongeka njengendawo yekofu
• Isitulo esilubomvu okanye esimnyama esilindileyo
• Umchamo opinki, obomvu, okanye omdaka
• Impendulo ye-Hypersensitivity
• Uxinzelelo lwegazi oluphantsi
• Ukufa isiqaqa
• Umlenze okanye i-epidural clots (hematoma)
• Umngcipheko owandayo wamahlwili egazi okanye ukubetha ukuba uEliquis unqunyanyiswe ngesiquphe

Incinci xa ithelekiswa nokopha kakhulu

Ngenxa yokuba uEliquis akavumeli igazi lakho ukuba lijiye ngokwesiqhelo, kuyinto eqhelekileyo kwizigulana ukopha ngakumbi. Ukopha okuncinci kuhlala kungenabungozi kwaye akufuneki ngonyango olukhawulezileyo. Ukuba unenxeba elisopha ngokuzingisileyo, ungafaka ilaphu elicocekileyo enxebeni kangangemizuzu eli-10 ukuya kweli-15. Ngeempumlo, zama ukuma nkqo ngelixa ucofa iimpumlo zakho kwaye uncike phambili.

Nangona imivumbo ingenabungozi, ayibonisi mdla; unokubenza bangaqapheleki kangako ngokusebenzisa ipakethe yomkhenkce kwindawo echaphazelekayo.

Esinye seziphumo ebezingalindelekanga eziyingozi kakhulu ze-Eliquis kukopha kakhulu, ngakumbi ukuba ukopha kuphakathi emzimbeni. Oku kunokubonisa njengopinki opinki / obomvu / obomdaka obunegazi, isitulo segazi esibomvu / esimnyama, ukugabha okunegazi okanye ukugabha okujongeka njengendawo yekofu, ukukhwehlela igazi, ukuphuma kwegazi ixesha elide (ixesha elingaphezulu kwemizuzu eli-10), kunye nentloko ebuhlungu. Ukuba ufumana naziphi na kwezi mpawu emva kokuthatha i-Eliquis, nxibelelana nogqirha ngokukhawuleza.

Umngcipheko wokuphuma kwegazi uphakame kakhulu ukuba uthatha amayeza athile kunye ne-Eliquis, ezinje ngamachiza angenayo intsholongwane (i-NSAIDs). Oku kubandakanya ukudambisa iintlungu okwexeshana njenge-ibuprofen, aspirin, kunye neaproxen.

Ukudinwa ngokubanzi

Nangona ukudinwa yayingenguye umphumo wecala elichaziweyo ngexesha lovavanyo lweklinikhi, izigulana ezininzi zixela ukunqongophala kwamandla emva kokuthatha iyeza. Ubungqangi bunokwenzeka ngenxa yeminye imiphumo enokubakho ekuthatheni i-Eliquis, enje nge-anemia, ukulahleka kwegazi, okanye isicaphucaphu / ukugabha.

Ukunyanga komzimba

Njengoninzi lwamayeza, inani elincinci lezigulana linokufumana impendulo yokungahambi kakuhle ku-Eliquis. Nangona kunjalo, oku kungaphantsi kwe-1% emiselwe eli yeza. Ezinye zeempawu zokungaziphathi kakuhle ku-Eliquis zezi:

• Ulusu olurhawuzayo okanye olucaphukisayo
• Kushushu
• Urhashalala / irhashalala
• Intlungu yesifuba ngesiquphe / ukuqina
• Ukudumba ngesiquphe kobuso okanye ulwimi
• Ukuziva unesiyezi okanye utyhafile
• Ukukhawuleza
• Ingxaki yokuphefumla

Ubungozi obusongela ubomi obunqabileyo bunqabile kodwa buye kwenzeke. Iziphumo ezibi kakhulu zokungabikho komzimba zifuna unyango olukhawulezileyo.

Izilumkiso zikaEliquis

Nangona i-Eliquis isebenza ngokugqwesileyo, ayilungelanga wonke umntu. Iyeza licetyiswa kuphela kubantu abadala abadala kuneminyaka eyi-18. Phambi kokuthatha i-Eliquis, thetha nomboneleli wakho ukuba:

• Ngaphambili babenempendulo eyoyikisayo ku-Eliquis okanye amanye amayeza afanayo kwixa elidlulileyo
• Yiba nevalve yentliziyo eyenziweyo
• Ngaba ukhulelwe okanye uzama ukukhulelwa umntwana kuba u-Eliquis unobungozi kwiintsana
• Ngaba ukuncancisa okanye ucwangcise ukuncancisa ekubeni kungaziwa ukuba uEliquis udlula kubisi lwebele
• Ufumanise ukuba uneengxaki zesibindi
• Bayachacha kutyando okanye ukwenzakala kwethambo lomqolo
• Yiba nesilonda esivulekileyo okanye ukwenzakala okwangoku kuphuma kakhulu
• Sebenzisa amanye amayeza ukuthintela ukopha kwegazi
• Unesifo se-antiphospholipid syndrome okanye nayiphi na imeko ebangela amahlwili egazi

Ngaba uEliquis ukhuselekile?

U-Eliquis uthathwa njenge iyeza elumkisa kakhulu , Oko kuthetha ukuba kukhuselekile okoko kuthathwe ngokuchanekileyo. Ukuba uphathwe kakubi, unokukhokelela kwimingcipheko emininzi yempilo, kuquka ukubetha kunye nokuphuma kwegazi. Ke ngoko, abantu kufuneka balumke kakhulu xa bethatha i-Eliquis.

I-Eliquis kunye namanye amayeza ambalwa ayinxalenye yothotho lwee-anticoagulants zomlomo ngqo (ii-DOACs). I-DOACs yenzelwe ukuba ibe yenye indlela engcono kunenye iyeza lokucoca igazi, njengeCoumadin ( iwarfarin ) kuba azidingi kuthintelwa ukutya okanye ukubeka esweni.

Nangona kunjalo, kwezinye iisetingi, i-Eliquis, kunye ne-DOACs ezininzi zinokubangela ukopha kakhulu kunokuba kune-warfarin. Khange kubekho zifundo zaneleyo zeklinikhi ukubonisa ithuba leziphumo ebezingalindelekanga ezimandundu kwabo baneemeko ezithile, njengehemodialysis.

Ngaba uEliquis unzima kwizintso?

Kuba kuphela malunga I-25% ye-Eliquis yaphulwe zizintso , Oogqirha abaliqela abaphezulu bentliziyo bathi yeyona ndlela ilunge ngakumbi yokuncipha kwegazi. Ngelixa oku kunokuba ziindaba ezimnandi kwizigulana ezindala ezineengxaki zezintso, i-FDA isakhangele ku-Eliquis ukumisela zonke iziphumo ezinazo kwisibindi kunye nezintso. Jonga i-FDA ngolwazi oluthe kratya lweziyobisi.

Ukudibana kwe-Eliquis

Ukudibana kweziyobisi kunokuthintela ukusebenza kweyeza lakho kunye nokunyusa amathuba okuba neziphumo ebezingalindelekanga ezibi. Uluhlu olungezantsi luqulathe kuphela ukuhlangana okunzulu kweziyobisi kunye no-Eliquis. Ke ukuba uthatha nawaphi na amayeza okanye izongezo ezingadweliswanga apha ngezantsi, zizise kugqirha wakho ukuze banike ingcebiso efanelekileyo.

Unxibelelwano olukhulu

La mayeza anokubangela iziphumo ebezingalindelekanga ezinobungozi xa usiwe ku-Eliquis. Thetha nogqirha wakho ngolwazi oluthe kratya ukuba uthatha:

• Ingcebiso
• Betrixaban
• Abafaki zicelo
• Iziyobisi ezichasayo ezingasebenziyo
• I-Thrombolytics-iziyobisi ezikhusela okanye zinyange ukujiya kwegazi

Unxibelelwano olululo

La mayeza akaze athathwe kunye no-Eliquis. Thetha nogqirha wakho ngolwazi oluthe kratya ukuba uthatha:

• M Mifepristone
• UAlipogene Tiparvovec

Antiplatelets kunye noEliquis

Amachiza e-antiplatelet abangela iikhompawundi ezincinci kwigazi lakho ekuthiwa ziiplatelets ukuba zingancangathi. Nangona omabini la machiza esebenza ukuthintela amahlwili egazi, ukusebenza kwawo ngaphakathi kwahluke kakhulu. Ke ngoko, abaguli abathatha i-Eliquis kunye nee-antiplatelets banokufumana ukopha kakhulu.

Ezinye iziyobisi ezichasene neplatelet zezi:

• I-Aspirin
• Prasugrel (Umdibaniso)
• ITicagrelor (Brilinta)

Izongezo zemifuno kunye noEliquis

Ezinye izongezo zemifuno ziyaziwa ukunciphisa iziphumo ze-Eliquis. I-St John's wort inokunciphisa isixa se-Eliquis kwinkqubo yakho, ekugqibeleni isenze ichiza lingasebenzi kakuhle. Ke ngoko, uninzi loogqirha luyakucebisa ukuba uyeke ukuthatha iSt John's wort ngelixa uthatha uEliquis.

Olunye utyani oluqhelekileyo olunokuthintela iziphumo ezivela ku-Eliquis yi-turmeric. I-Turmeric yinto eyongezelelweyo yemifuno ngenxa yezinto zayo ezichasayo. Kuba amayeza amaninzi okulwa nokudumba anxibelelana kakubi no-Eliquis, oogqirha ngokubanzi bacebisa abaguli ukuba bangazithathi ngelixa besebenzisa iziyobisi.

Utywala kunye no-Eliquis

Ukusela utywala (ngakumbi ukuzinkcinkca ngotywala) kuyingozi enkulu ngelixa uthatha uEliquis. Utywala bunokukhulisa iziphumo ebezingalindelekanga, ezinjengokopha kakhulu, kwaye zikhokelele kwiingxaki zempilo ezibi. Ukusela ngokuphakathi (isiselo esinye ngosuku) ngekhe kubangele nayiphi na imiba. Nangona kunjalo, kucetyiswa ngamandla ukuba ungaseli ngelixa uthatha eli yeza.

Ukusebenzisana kwe-Eliquis kunye nokutya

I-grapefruit: Ukutya ekuphela kokubonakala kunonxibelelwano olubi no-Eliquis sisiqhamo seediliya. Izifundo zibonisa ukuba utya i-grapefruit okanye ijusi yegrapefruit ngelixa uthatha i-Eliquis, unethuba eliphezulu lokufumana ukugruzuka okanye ukopha.

Ukungabikho komdla: Olunye unxibelelwano olubalulekileyo phakathi kwe-Eliquis kunye nokutya yindlela enokunciphisa ngayo kakhulu umdla wakho wokutya. Ukungabikho kwendlala kuhlala kusisiphumo sokukhathazeka sisisu, urhudo, okanye ukudumba. Ukuba uqaphela ukunqongophala kokutya okanye ukunciphisa umzimba emva kokuthatha i-Eliquis, nxibelelana nogqirha wakho ngolwazi oluthe kratya.

Ungaziphepha njani iziphumo ebezingalindelekanga ze-Eliquis

1. Kungcono ukuthatha u-Eliquis ngokweshedyuli ebekwe ngumboneleli wakho wezempilo. Kwiimeko ezininzi, i-Eliquis ithathwa kabini yonke imihla, kunye okanye ngaphandle kokutya.
2. Izigulana zicetyiswa ngamandla ukuba zingatshintshi idosi yazo ngaphandle kokuxelelwa ngugqirha wazo. Utshintsho ngequbuliso kumthamo lunokukhokelela kwiziphumo ebezingalindelekanga ezinobungozi. Fowunela umboneleli wakho wezempilo okanye ujonge kwisikhokelo samayeza ukuba uphoswa yidosi ye-Eliquis ukufumanisa ukuba ungayithatha nini idosi yakho elandelayo.
3. Yazisa usokhemesti wakho kunye nomnikezeli wokhathalelo lwempilo ye-allergies, iimeko zonyango zangaphambili, okanye utyando lwamva nje ngaphambi kokuba uthathe eli yeza. Umboneleli wakho wezempilo unokukwazisa malunga nazo zonke izinto onokuthi uziphephe ngelixa usela la mayeza kwaye zeziphi iimpawu zokulumkisa ekufuneka ujonge ukuba umzimba wakho unempendulo engalunganga kwichiza.

Nini ukubona ugqirha weziphumo ebezingalindelekanga ze-Eliquis

Ngelixa i-Eliquis iyeza elisebenzayo, ezinye iziphumo ebezingalindelekanga ziya kufuna unyango kwangoko. Biza ugqirha wakho ngoko nangoko ukuba ufumana:

• Ukopha ngamandla okungayi kuyeka
• Ukuphuma kweempumlo eziphindaphindayo ezihlala ixesha elide kunemizuzu eli-10
• Umchamo opinki obomvu, obomvu, okanye omdaka
• Isitulo segazi okanye esimnyama sokulinda
• Ukopha ngokungaqhelekanga kwilungu lobufazi
• Igazi okanye ikofu efana nomhlanzo
• Intloko ezinamandla
• Ukuba nesiyezi okanye ukuphelelwa ngamandla
• Ukukhohlela igazi
• Kunzima ukuphefumla

Ukufumana nayiphi na imiphumo echazwe ngasentla kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza kwaye kungabonakalisa ukuba lixesha lokuyeka ukuthatha i-Eliquis kwaye uqwalasele amanye amayeza, njenge-warfarin okanye i-Heparin.

Ungakhe wehle e-Eliquis?

I-Eliquis yenzelwe ukunciphisa umngcipheko wokubetha ngokuthintela amahlwili egazi. Ukuba uyeka ngequbuliso ukuyithatha, usemngciphekweni omkhulu wokufumana ukubethwa yintlungu okanye amahlwili egazi. Ke ngoko, kuya kufuneka unxibelelane nogqirha wakho ngaphambi kokuba uyeke ukuthatha i-Eliquis. Ugqirha wakho uya kuthi amisele elinye iyeza ukunqanda amahlwili egazi.

Ezinye iimeko, njengokuhlinzwa okuzayo okanye inkqubo yamazinyo, inokufuna ukuba uyeke ukuthatha i-Eliquis. Kwimeko apho, ugqirha wakho unokumisela esona sisombululo sisiso sexeshana.

Yeyiphi eyona ikhuselekileyo: Xarelto okanye Eliquis?

Xarelto kunye noEliquis zozibini iindlela zonyango olukhawulezileyo nolusebenzayo kwabo basemngciphekweni wokujiyiswa kwegazi. Nangona kunjalo, kuba basebenza ngokukhawuleza, banxiba ngokukhawuleza, kubangele iingxaki ezinokubakho. IXarelto ifuna idosi enye kuphela ngosuku, apho i-Eliquis ifuna ezimbini, inyusa amathuba edosi ephosiweyo.

Omabini la mayeza abelana ngemiphumo efanayo. Ukufana okuqhelekileyo kukutyumza ngokukhawuleza kunye nokuphuma kwegazi. Nangona kunjalo, uEliquis ubonakala ngathi unomngcipheko ophantsi wokopha ngaphezu kweXarelto. Kuba omabini la mayeza ayizichaso, abelana ngokufanayo kunye nezinye iziyobisi. Ke ngoko, abaguli kufuneka balumke xa bethatha amanye amayeza kunye no-Eliquis no-Xarelto.

Ukufumanisa ukuba yeyiphi na ekhuselekileyo, kuya kufuneka uthethe nonyango. Ngabo kuphela abanokubonelela ngengcebiso efanelekileyo yonyango kwimeko yakho.