Ngaba kukhuselekile ukusela utywala ngelixa uthatha abacoci gazi?

Imfundo yezeMpilo Umxube

Ukuba uthatha i-anticoagulant, eyaziwa ngokuba yi-thinner yegazi-yokuthintela isifo, i-fibrillation ye-atrial , i-vein thrombosis enzulu, i-pulmonary embolism, okanye enye yeemeko ezininzi zonyango ezinokuthi, ngendalo, zibangele amahlwili egazi -Uyazi ngokuqinisekileyo ukuba la mayeza anyusa umngcipheko wokopha. Yintoni enye ethambisa igazi lakho kwaye yonyusa umngcipheko wokopha? Ukusela utywala.

Beka ezi zinto zombini kunye nomngcipheko wokopha ukwanda nangakumbi, utshilo uGqirha Holly Alvarado, Pharm.D., Usokhemesti waseklinikhi e Impilo kaDuke owayekade esebenza njengengcali yekhemesti yokuthintela ukopha kwiklinikhi yentliziyo.

Ngaba ndingasela utywala ngelixa ndithatha izicoci gazi?

Ngokubanzi, ndingathi [ukusela ngelixa uthatha ii-anticoagulants] ngumbono ombi, utshilo uGqirha Alvarado. Ndingacebisa ukuba abantu bayeke.

Ukwenza izinto zibe mbi nangakumbi, utshintsho olwenzeka kwisibindi ngelixa usela lunokutshintsha ngokubonakalayo ukusebenza kwegazi, utshilo uJohn Beckner, R.Ph., umlawuli omkhulu wamanyathelo acwangcisiweyo Umbutho weSizwe wooSokhemesti .

Ingenza ukuba iyeza lingasebenzi kakuhle, okanye inokunyusa indlela ethile yokusebenza kwaye ibe neziphumo ezichaseneyo (umzekelo, nokopha okungaphezulu), utshilo u-Beckner, esithi isiphumo sixhomekeke kumntu.

Ngaba ufuna elona xabiso lilungileyo kwi-eliquis?

Bhalisela izilumkiso zamaxabiso e-eliquis kwaye ufumane ukuba amaxabiso atshintsha nini!

Fumana izilumkiso zamaxabiso

Ndiyakwazi ukuxuba nayiphi na ukucoca igazi kunye notywala?

Kulungile, kodwa ungawatshintsha amayeza ukuze ikhuseleke kwi-imbibe? Emva kwayo yonke loo nto, baninzi abacoci gazi kwimarike.

Ngelishwa, hayi-ayinamsebenzi eyiphi anticoagulant oyithathayo. Isilumkiso sisebenza kwiklasi yonke yamachiza, kubandakanya:

• Coumadin ( abaguli abaninzi bathatha i-warfarin , Uhlobo oluqhelekileyo)
• UEliquis (apixaban)
• Imvelaphi (enoxaparin)
• Xarelto (Rivaroxaban ixabiso)
• Pradaxa (dabigatran)
• Savaysa (edoxaban)
• Zonke iinkonzo ze-intanethi (fondaparinux)

Ngale nto ithethwayo, Uvavanyo lwezonyango babonakalise ukuba umngcipheko wokopha onxulunyaniswa neearhente ezintsha ze-anticoagulant, ezinje nge-Eliquis, ayinabungozi kakhulu kunobungozi obunxulunyaniswa nabanye, abanjengoCoumadin, utshilo uGqirha Alvarado. (UEliquis wamkela Ukuvunywa kwe-FDA ngo-2012 ; yayo oogxa bawo bavunyiwe ngasekupheleni konyaka ophelileyo .)Nangona kunjalo, loo nto ayiniki i-Eliquis kunye ne-alcohol combo ukuba idlule-iseyingozi, u-Beckner noGqirha Alvarado bagxininisa (njengoko benjalo bonke abanye).

Iziphumo ebezingalindelekanga zokuxuba isiselo esinxilisayo kunye negazi

Nokuba uyasela okanye awuseli (ngethemba akunjalo, ukhuseleko lwakho) ngelixa uthatha ii-anticoagulants, jonga iimpawu zokopha ngokungaqhelekanga . Funa unyango ukuba unamava:

• Ukuphuma kwempumlo, ngakumbi okungalawulekiyo
• Ukopha okuphezulu kwe-GI, kuboniswe sisihlalo esimnyama / sokulinda
• Ukopha okungaphantsi kwe-GI, kuboniswe ligazi elibomvu eliqaqambileyo esitulweni
• Ukusika kunye nokukhuhla okungayeki ukopha
• Iintsini zokopha
• Ukugruzuka okugqithisileyo / okungaqhelekanga
• Ukudinwa kakhulu
• Intloko, isiyezi, okanye ukudideka emva kokuwa (ngakumbi ukuba ubetha entloko)
• Vomit enegazi okanye ejongeka njengendawo yekofu

Ngamanye amaxesha-ukuba uva iintsini okanye ukopha, umzekelo-ungabiza ugqirha wakho. Ngamanye amaxesha, uhambo olukhawulezileyo oluya kwi-ER okanye umnxeba oya ku-911 luyimfuneko, utshilo uGqirha Alvarado, kuba ezinye iziqendu zokopha zingasongela ubomi.

Ukuba isigulana siwile kwaye sabetha entloko, banokufumana ukopha ngaphakathi kwaye bangakuqondi oko, utshilo. Kwaye xa sele besiba ngathi ‘andiziva kulungile,’ kusenokwenzeka [kushiywe lixesha] ukuyilawula.

Ke, andinakuphinda ndisele kwakhona?

Nangona u-Beckner kunye noGqirha Alvarado bebakhuthaza ngamandla abaguli babo abathatha ii-anticoagulants ukuba bayeke kwaphela utywala, bayavuma ukuba ukusebenzisa okuphakathi, okungaqhelekanga unakho lunga kubantu abathile. Kodwa kuthetha ntoni ukumodareyitha? Ewe, ngelixa IZiko leLizwe leNgcaciso yoTywala kunye noTywala likuchaza njengesiselo esinye ngosuku kubafazi kunye neziselo ezibini ngosuku emadodeni , eso sixa singathathwa njengesibaxekileyo kwaye singakhuselekanga kumntu othatha igazi elincinci. Igama eliphambili apha li-sporadic. Ngamanye amagama, ngoku amaxesha ngamaxesha.

Ukuba bendinesigulana esifana 'nentombi yam iyatshata kwaye ndifuna ukuthatha inxaxheba kwi-toast,' ndingathi mhlawumbi kulungile ukuba unayo iglasi enye, utshilo uGqirha Alvarado. Kodwa ndicinga ukuba kubalulekile kwizigulana ezineglasi enye ukuba ziqonde nje imiqondiso yesilumkiso kwaye [zazi] ukuba zingena entwenini.