Waukulu >> Zambiri Zamankhwala >> Zotsatira zoyipa za Xarelto kwa okalamba ndi ziti?

Zotsatira zoyipa za Xarelto kwa okalamba ndi ziti?

Zotsatira zoyipa za Xarelto kwa okalamba ndi ziti?Zambiri Zamankhwala

Xarelto ndi mtundu wa Rivaroxaban powder. Ndi magazi ochepetsa omwe amathandizira ndikuchepetsa chiopsezo chazigazi zamagazi kwa anthu omwe ali ndimatenda amtima, komanso amathanso kuchepetsa kupwetekedwa sitiroko. Xarelto nthawi zambiri imaperekedwa kwa okalamba koma imatha kuyambitsa mavuto ena okalamba kuposa achikulire. Tiyeni tiwone mozama chifukwa chake magazi ochepetsa magaziwa amaperekedwa komanso zotsatirapo za Xarelto mwa okalamba.

Nchifukwa chiyani magazi opangira magazi amaperekedwa kwa okalamba?

Opaka magazi, omwe amatchedwanso anticoagulants, ndi mankhwala omwe amatalikitsa nthawi yomwe thupi limapanga magazi. Xarelto ndichinthu Xa inhibitor, chomwe ndi mtundu wa anticoagulant womwe umalepheretsa ma enzyme thrombin kuti apange, omwe amathandizira pakupanga magazi. Okalamba nthawi zambiri amakhala ndi chiopsezo chachikulu chotenga magazi, ndipo owonda magazi amakhala ndi mphamvu yothetsera magazi.



Pali zikhalidwe zosiyanasiyana zaumoyo zomwe okalamba atha kukhala nazo zomwe zingawafunse kuti atenge magazi ochepa. Nazi zina mwazomwe zingatsimikizire mankhwala ochepetsa magazi:



  • Kutsekemera kwapadera kosasintha: Mtundu wa fibrillation yamatenda siyimayambitsidwa ndi vuto la valavu yamtima, koma imayambitsa kugunda kwamtima mwachangu komanso mosasinthasintha. Chifukwa chikhalidwechi chimasokoneza kuyenda kwa magazi ndikuwonjezera chiopsezo chotenga magazi, anthu ambiri omwe ali nawo amafunika kuti achepetse magazi, ndipo mayesero azachipatala awonetsa kuti Xarelto ndiotetezeka komanso yothandiza kwa anthu omwe ali ndi matenda a fibrillation.
  • Mitsempha yakuya (DVT): DVT ndimavuto am'magazi omwe amatuluka mkatikati mwa mtsempha, nthawi zambiri m'munsi mwendo kapena ntchafu. Vutoli limatha kuopseza moyo ngati lingayambitse matenda am'mapapo. Anthu omwe ali ndi zizindikilo kapena matenda a DVT atha kutenga magazi ochepetsetsa kuti magazi aziwonjezeka ndikuletsa zatsopano kuti zisapangidwe.
  • Embolism ya pulmonary: KU embolism ya m'mapapo mwanga ndi zomwe zimachitika magazi a DVT akamamasuka kuchokera pomwe adapangidwira ndikusunthira m'mitsempha imodzi yam'mapapu. Izi zitha kupangitsa kupweteka pachifuwa, kupuma movutikira, ndipo zitha kuwopseza moyo ngati sizichiritsidwa ndi opopera magazi kapena njira.
  • Matenda a Coronary (CAD): CAD imadziwika ndi kuchepa kapena kutsekeka kwamitsempha yomwe ili mumtima. Anthu omwe ali ndi CAD amakhala ndi chiopsezo chowonjezereka chotenga magazi omwe angayambitse matenda a stroke kapena matenda a mtima.
  • Matenda a mtsempha wamagazi (PAD): Mofanana ndi CAD, anthu omwe ali ndi matenda a mtsempha wamagazi ali ndi chiopsezo chowonjezeka chotenga magazi ndikumva matenda amtima kapena zilonda chifukwa cha iwo. PAD imadziwika ndi kuchepa kwa mitsempha m'miyendo, mikono, ndi mutu.
  • Kuchita maondo kapena kusintha kwa chiuno: Akuluakulu achikulire nthawi zambiri amafunika kuchitidwa maondo kapena mchiuno nthawi ina atakalamba, ndipo maopaleshoni amtunduwu akhoza kuwonjezera chiopsezo chotenga magazi. Nthawi zina madokotala amapatsa wodwala magazi ngati Xarelto pambuyo pa opaleshoni ya bondo kapena mchiuno.

Zotsatira zoyipa za Xarelto kwa okalamba ndi ziti?

Ochepetsa magazi ngati Xarelto ndiabwino kuchiza ndikupewa kuundana kwamagazi komanso amabwera ndi chiopsezo chokumana ndi zovuta zina. Chifukwa opopera magazi amakhudza makulidwe amwazi, nthawi zambiri amalumikizidwa ndi zovuta zokhudzana ndi magazi. Zimakhudzanso kuchuluka kwa ma cell amwazi, zomwe zimatha kuyambitsa zizindikilo zapadera.

Zotsatira zoyipa

Nazi zotsatira zoyipa kwambiri za Xarelto zomwe okalamba akhoza kukumana nazo:



  • Kuchuluka kwangozi yotaya magazi
  • Kulalata mosavuta
  • Kutaya magazi kwakanthawi chifukwa chodulidwa
  • Kutuluka magazi m'kamwa
  • Ululu wammbuyo
  • Chizungulire
  • Mutu
  • Kutulutsa magazi m'mphuno
  • Kunjenjemera
  • Kulephera kwa matumbo kapena chikhodzodzo
  • Kufooka

Kuyanjana kwa mankhwala osokoneza bongo

Kuopsa kwakukumana nako magazi monga zotsatira zoyipa za Xarelto zidzawonjezeka ngati atamwa nthawi yofanana ndi mankhwala ena. Nawu mndandanda wa mankhwala omwe angayambitse kuyanjana ndi mankhwala osokoneza bongo:

  • Mankhwala ena ophera jakisoni kapena m'kamwa
  • Asipilini
  • Mankhwala osagwiritsa ntchito zotupa (NSAIDs)
  • Mankhwala okhala ndi heparin
  • Warfarin
  • Clopidogrel
  • Ma Platelet inhibitors
  • Kusankha serotonin reuptake inhibitors (SSRIs)
  • Serotonin norepinephrine reuptake inhibitors (SNRIs)

Zotsatira zoyipa

Kutenga Xarelto kungayambitsenso zovuta zina, makamaka kwa okalamba. Muyenera kupeza chithandizo chamankhwala nthawi yomweyo mukakumana ndi zotsatirazi mukamalandira Xarelto:

  • Kutaya magazi kosalamulirika kapena kwachilendo
  • Mkodzo wofiira, pinki, kapena bulauni
  • Zojambula zamagazi
  • Mipando yakuda
  • Kutsokomola magazi
  • Kutsokomola magazi kuundana
  • Kusanza komwe kumawoneka ngati malo a khofi

Ndikofunikira kuti anthu omwe akumutenga Xarelto apite kuchipatala mwachangu ngati akumana ndi zina mwa zotsatirazi chifukwa atha kuwonetsa kuti pali kutuluka magazi mkati , kutuluka magazi m'mimba, kapena kutuluka mwazi muubongo (kupopera magazi mkati). Mitundu yamtunduwu yotuluka magazi imakhala yofala pakati pa okalamba omwe amatenga Xarelto ndipo amatha kukhala pachiwopsezo cha moyo ngati sangayankhidwe nthawi yomweyo. Odwala achikulire omwe amagwa akamatenga Xarelto ayenera adokotala awo adziwe zomwe zachitika ndikuyang'ana zizindikiro zilizonse zakutuluka magazi komwe kumatha kuwonetsa kuti ndi nthawi yoti mupeze upangiri kuchipatala.



Machenjezo ena

Kuphatikiza pa zotsatirazi, Xarelto amabwera ndi chenjezo la bokosi omwe amachenjeza za kuimitsa mankhwala asanakwane chifukwa izi zitha kuonjezera chiwopsezo chotenga magazi otseka mtsempha kapena mtsempha. Malangizo a wopanga akuwonetsa kuti wowonda magazi wosiyana ayenera kumwedwa m'malo mwa Xarelto ngati mankhwala akuyenera kuyimitsidwa pazifukwa zina kupatula zochitika zazikulu zotuluka magazi. Izi zithandizira kuwonetsetsa kuti munthu yemwe amatenga Xarelto samakumana ndi magazi osafunikira komanso owopsa.

Xarelto amabwera ndi chenjezo lachiwiri lomenyera chiopsezo chowonjezeka cha msana / epidural hematomas . Anthu omwe ali ndi zotupa za msana kapena anthu omwe amalandila jakisoni kumsana kapena malo am'mimba ali pachiwopsezo chachikulu chotenga magazi omwe amatha kuyambitsa kufooka kwanthawi yayitali kapena kwamuyaya. Madokotala amayang'anitsitsa odwala awo ngati ali ndi magazi otsekemera, omwe atha kuphatikizira kumangika, kuchita dzanzi, kupweteka msana, kusadziletsa, komanso kufooka kwa minofu. Ngati muli ndi pakhosi, msana, kapena kulandira jakisoni mumsana mwanu ndipo muli ndi zizindikilozi, muyenera kupita kuchipatala nthawi yomweyo.

Momwe mungatengere Xarelto

Kutenga Xarelto moyenera ndikofunikira kuti muwonetsetse kuti ikugwira bwino ntchito momwe zingathere komanso zimayambitsa zovuta zochepa. Mapiritsi a Xarelto amakhala ndi mphamvu zinayi: 2.5mg, 10mg, 15mg, ndi 20mg. Nawa mafayilo a muyezo wokhazikika a Xarelto chifukwa cha matenda osiyanasiyana:



  • Matenda a Atrial osayambitsidwa ndi vuto la valavu yamtima: 15-20 mg amatengedwa kamodzi patsiku ndi chakudya chamadzulo.
  • Mitsempha yakuya (DVT): 15 mg amatengedwa kawiri patsiku ndi chakudya, nthawi imodzimodzi tsiku lililonse.
  • Embolism ya pulmonary: 15 mg amatengedwa kawiri patsiku ndi chakudya, nthawi imodzimodzi tsiku lililonse.
  • Matenda a Coronary (CAD): 2.5 mg amatengedwa kawiri patsiku kapena wopanda chakudya.
  • Matenda a mtsempha wamagazi (PAD): 2.5 mg amatengedwa kawiri patsiku kapena wopanda chakudya.
  • Kuchita maondo m'malo mwa opaleshoni kapena opaleshoni ya chiuno: 10 mg amatengedwa kamodzi patsiku kapena wopanda chakudya.

Zimatenga pafupifupi maola awiri kapena anayi kuti Xarelto ifike pamlingo wochepetsetsa magazi, koma tkuchuluka kwenikweni kwa Xarelto komwe wina amafunika kutenga kumasiyanasiyana malinga ndi matenda awo, mbiri yazachipatala, komanso zaka, chifukwa chake nthawi zonse zimakhala bwino kukambirana ndi dokotala za kuchuluka kwa Xarelto komwe mukuyenera kutenga.

Mukamaliza kukambirana ndi dokotala ndikudziwa kuchuluka kwa Xarelto, muyenera kuyamba kumamwa bola mukangotsatira malangizo aliwonse omwe dokotala wakupatsani. Madokotala ambiri amalimbikitsa kuti odwala amutenge Xarelto usiku ndi chakudya chamadzulo. Izi ndichifukwa choti Food and Drug Administration ( FDA ) adatulutsa zidziwitso zakuti Xarelto ikhoza kukhala yosagwira ntchito ngati singatenge mwanjira imeneyi.



Kuyanjana kwa mankhwala osokoneza bongo

Zakudya ndi zakumwa zambiri ndizabwino kutenga ndi Xarelto, kupatula mowa, zipatso za zipatso, ndi madzi amphesa. Maphunziro awonetsa kuti kumwa mowa mukamamwa Xarelto kumatha kuonjezera chiopsezo chokhala ndi magazi, kuvulala, ndi mutu. Kwa odwala ena, kumwa mowa pang'ono pomutenga Xarelto kumatha kukhala koyenera, koma nthawi zonse ndibwino kufunsa dokotala kuti akhale otetezeka.

Anthu omwe amatenga oonda magazi ngati Xarelto sayenera kudya zipatso zamtengo wapatali kapena kumwa madzi amphesa chifukwa amakhala ndi mankhwala omwe amatha kulumikizana ndi mankhwalawo ndikupangitsa zovuta. Kusintha ku zipatso zina za zipatso monga malalanje kungakuthandizeni kuthana ndi zokhumba zilizonse zomwe mungakhale nazo pa zipatso za citrus ndikuthandizani kuti mukhale otetezeka mukamatenga Xarelto.

Mlingo wosowa

Mukamaliza kusowa mlingo wa Xarelto, ndibwino kuti mutenge mlingo womwe mwaphonya mukangokumbukira tsiku lomwelo. Ngati mukukumbukira kuti mwaphonya mlingo patapita tsiku limodzi, ndiye kuti ndibwino kungotenga mlingo wotsatira womwe mukuyenera kumwa. Xarelto ali ndi theka la moyo pafupifupi Maola 11 mpaka 13 Kwa okalamba, zomwe zikutanthauza kuti zimatenga nthawi yayitali kuti thupi likwaniritse theka la mlingo. Musatenge mlingo wowonjezera wa Xarelto mukaphonya mlingo. Kukhala ndi mankhwala owonjezera m'dongosolo lanu kumatha kuyambitsa zovuta zina. Mankhwala a Xarelto angafunike kuchepetsedwa mwa okalamba omwe ali ndi vuto la mpso.

Momwe mungapewere zovuta za Xarelto

Kutenga Xarelto nthawi yomweyo tsiku lililonse kumathandiza thupi lanu kuti lizolowere mankhwalawo ndipo kukuthandizani kukumbukira nthawi yoyenera kumwa. Izi zithandizanso kuchepetsa mwayi wakukumana ndi zovuta zina. Mukayamba kukhala ndi zovuta mutayamba Xarelto, muyenera kupitiriza kumwa mankhwalawo koma dziwitsani dokotala wanu. Kuyimitsa Xarelto mwadzidzidzi kumatha kukulitsa chiopsezo chopeza sitiroko kapena kukumana ndi zovuta zina zoyipa.

Muyenera kuchotsedwa ku Xarelto kuti musiye kuyigwiritsa ntchito mosamala. Dokotala wanu adzakupangirani pulani ya komwe mungamwe mankhwala ochepa a Xarelto kwakanthawi. Izi zidzakuthandizani kuchepetsa mwayi wanu wokumana ndi zizindikiritso zakutha, zovuta, komanso mavuto a magazi.

Kodi magazi ochepetsetsa kwambiri ndi otani?

Xarelto sikuti ndi magazi okhawo ochepera achikulire. Nawa ena ochepetsa magazi wamba:

Oyera magazi abwino kwambiri kwa okalamba

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