He aha te Apixaban: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Apixaban he rongoā whakaheke toto i runga i te whakahaunga e āwhina ana ki te ārai i ngā pūkohu toto mōrearea kia kore e hanga i tō tinana. No roto i tētahi akomanga rongoā hou e kīia ana ko ngā anticoagulants waha tika, e mahi rerekē ana i ngā whakaheke toto tawhito pērā i te warfarin. Ka tohua pea e tō tākuta te apixaban mō te hunga e pā ana ki ētahi mate ngākau, e hiahia ana rānei ki te whakamarumaru i ngā pūkohu e pā ana ki te whiu.

He aha te Apixaban?

Ko te Apixaban he rongoā anticoagulant e whakaiti ana i te kaha o tō toto ki te hanga pūkohu. Whakaarohia he kaitiaki haumaru e pupuri ana i tō toto kia rere mārire ana i roto i ō uaua. Kāore i rite ki ētahi whakaheke toto tawhito, ka mahi te apixaban mā te aukati tika i tētahi pūmua pūkohu motuhake e kīia ana ko Factor Xa i roto i tō toto.

Ka tae mai tēnei rongoā i roto i te āhua papa, ā, ka tangohia mā te waha e rua ngā wā ia rā. I hangaia hei whakarato i te whakamarumaru rite tonu puta noa i te rā, kāore he whakamātautau toto auau hei aroturuki i ōna pānga. Kua nui te rangahau i te rongoā, ā, kua whakamatauria he whai hua mō te ārai i ngā raruraru nui mai i ngā pūkohu toto.

He aha te Apixaban e whakamahia ana?

Ka rongoā te Apixaban i ētahi āhuatanga e whakatūpato ana ngā pūkohu toto i te mōrearea hauora nui. Ka tohua e tō tākuta i te wā e nui ake ana ngā painga o te ārai i ngā pūkohu i ngā mōrearea o te whakaheke toto. He tino whai hua te rongoā mō te hunga e pā ana ki ngā raruraru o te manawataki ngākau, te hunga rānei e ora ana i ngā raruraru e pā ana ki te pūkohu.

Koinei ngā āhuatanga matua e āwhina ana te apixaban ki te whakahaere, me te hiahia kia tino mātakitaki te rongoā:

• Te pānga o te atrial fibrillation (te ngākau pōrearea) - e ārai ana i ngā kōpuku e pā ana ki te whiu mai i te hanga i roto i te ngākau
• Te thrombosis uaua hōhonu (DVT) - e rongoā ana i ngā kōpuku toto i roto i ngā uaua waewae, me te ārai i tō rātou hokinga mai
• Te pulmonary embolism - e rongoā ana i ngā kōpuku mōrearea i roto i ngā uaua pūkahukahu
• Te ārai kōpuku i muri i te pokanga - e tiaki ana i ngā tūroro i muri i te pokanga whakakapi hope, turi rānei
• Te ārai whiu tuarua - e whakaiti ana i te tūponotanga o ngā whiu atu i roto i ētahi tūroro

E hiahia ana ia o ēnei āhuatanga ki ngā huarahi rerekē mō te inenga me te aroturuki. Mā tō kaiwhakarato hauora e whakatau te whakamahinga e tika ana i runga i tō āhuatanga hauora motuhake.

Me pēhea te mahi a Apixaban?

E mahi ana a Apixaban mā te aukati i te Factor Xa, he pūmua nui i roto i te tukanga whakaheke toto o tō tinana. Ki te aukatia tēnei pūmua, ka roa ake te wā e hanga ai e tō toto ngā kōpuku, e whakaiti ana i te tūponotanga o ngā aukati mōrearea i roto i ō uaua toto. Nō reira, he rongoā whakaheke toto kaha a apixaban e whakarato ana i te whakamarumaru pono.

Ka tīmata te rongoā ki te mahi i roto i ngā hāora i muri i tō inenga tuatahi, ka eke ki te whai huatanga i roto i te 3-4 hāora. Kāore i rite ki te warfarin, kāore a apixaban e hiahia kia pakaru tō tinana i ngā mea whakaheke toto o nāianei, nō reira ka tīmata te tiaki i a koe i te tere ake. Ka hoki anō tō toto ki te kaha whakaheke toto noa i roto i te 24-48 hāora i muri i te whakamutunga o te rongoā.

Nā tēnei mahi tika ka mōhiotia ake a apixaban i ngā rongoā whakaheke toto tawhito. Kāore koe e hiahia ki ngā whakamātautau toto auau hei tirotiro mēnā e mahi tika ana te rongoā, ahakoa ka aroturukihia tonu tō hauora whānui me te mahi tākihi e tō tākuta.

Me pēhea taku tango i te Apixaban?

Tangohia te apixaban i te tika tonu i te mea i whakaritea, te tikanga e rua ngā wā ia rā i ngā wā kotahi i ia rā. Ka taea e koe te tango me te kore rānei he kai, ahakoa te tango me ngā kai ka āwhina i te whakaiti i te pōrearea o te puku. Horomia ngā papa katoa ki te wai - kaua e kuru, e whati, e ngaungau rānei.

Mēnā he raruraru tō horomia i ngā papa, ka taea e koe te kuru, te whakaranu ki te wai, te wai āporo, te aporo rānei. Whakamahia tēnei ranunga tonu, kaua e penapena mō te wā e haere ake nei. E kitea ana e ētahi tāngata he āwhina te tango apixaban me te parakuihi me te tina hei whakatū i tētahi tikanga rite tonu.

Kaua rawa e rua ō horopeta mēnā ka ngaro tētahi, kaua hoki e mutu te tango apixaban ohorere noa iho me te kore kōrero ki tō tākuta tuatahi. Ko te whakamutu ohorere ka piki ake te tūponotanga o ngā kōpuku toto, ka mōrearea pea te ora i runga i tō āhua.

Kia Pēhea te Roa e Tango Ana ahau i te Apixaban?

Ko te roa o te maimoatanga apixaban e whakawhirinaki ana ki tō āhua hauora me ngā āhuatanga tūpono. E hiahia ana ētahi tāngata i te rongoā mō ētahi marama, i te wā e tango ana ētahi mō ngā tau, mō te ora rānei. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te hiahia tonu koe i te whakamarumaru o te rongoā.

Mō ngā āhua pēnei i te thrombosis uaua hōhonu, i te pulmonary embolism rānei, ka roa te maimoatanga mō te 3-6 marama i te tīmatanga. Mēnā he atrial fibrillation tō, ka hiahia pea koe ki te maimoatanga wā-roa i te wā e mau tonu ana te raruraru o te manawa. Ko ngā tāngata i muri i te pokanga ka tango i te rongoā mō te 2-5 wiki i runga i te momo pokanga me te whakaora.

Ka whakaarohia e tō kaiwhakarato hauora ngā āhuatanga pēnei i tō tūponotanga toto, te mahi tākihi, me te hauora whānui i te whakatau i te roa o te maimoatanga. Ka āwhina ngā hui whai-whai i ngā wā katoa ki te whakarite kei te whiwhi koe i te taurite tika o te aukati i te kōpuku me te tūponotanga toto.

He aha ngā Pānga taha o te Apixaban?

Pērā i ngā rongoā whakaheke toto katoa, ko te tūponotanga nui o te apixaban ko te pikinga o te toto, ahakoa he onge ngā raruraru toto nui. He pai te whakamanawanui o te nuinga o ngā tāngata i te rongoā, engari he mea nui ki te mōhio ki ngā pānga taha noa me ngā pānga taha onge. Kua tohua e tō tākuta te apixaban nā te mea e whakapono ana rātou he nui ake ngā painga i ēnei tūponotanga.

Ngā pānga taha noa ka pā ki a koe:

• He ngāwari te pānga, he pānga rānei e puta ana me te kore take e kitea
• He iti te toto e roa ana te aukati (pēnei i ngā tapahi iti)
• Ngā ihu e puta ana i te nuinga o te wā, e roa ana rānei
• He nui ake ngā wā o te wāhine
• He pōpōrangi puku, he whakapairuaki rānei
• Te whanoke, te māmā rānei

He maha ngā wā ka pai ake ēnei pānga i te wā e whakatikatika ana tō tinana ki te rongoā, ā, he uaua te aukati i te rongoā.

Ko ngā pānga taha nui ake me whai wāhi tonu ki te rongoā, kei roto:

• Ngā tohu o te toto nui - te ruaki toto, ngā tūtae pango, te maremare toto rānei
• He nui te mamae o te upoko, te rangirua, te huringa rānei o te tirohanga (te toto i roto i te roro)
• He ngoikore noa, he kiri mā, he tere rānei te ngākau (ngā tohu o te ngaro nui o te toto)
• Te mamae tahi me te pupuhi (te toto i roto i ngā tahi)
• Te uaua ki te hā, te mamae rānei o te uma

Ahakoa he uaua ēnei pānga taha nui, me whai wāhi tonu ki te rongoā ohorere mēnā ka puta.

Ko ngā pānga onge engari ka kaha te pānga ko ngā urupare pānga ki te kiri, te pupuhi o te kanohi, te korokoro, me te uaua ki te hā. Ka pā te raru o te ate ki ētahi tāngata, ahakoa he tino noa tēnei. Whakapā atu ki tō kaiwhakarato hauora i te wā tonu mēnā ka puta ētahi tohu e pā ana.

Ko wai e kore e tango Apixaban?

Me karo ētahi tāngata i te apixaban nā te pikinga o ngā raru nui. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Mēnā he ētahi o ēnei āhuatanga, kāore pea te apixaban e pai mōu.

Kāore koe e tango apixaban mēnā kei a koe:

• He toto nui, he hītori rānei o ngā mate toto nui
• He mate tākihi nui e hiahia ana ki te dialysis
• Ngā tūāpapa ngākau hanga (ngā tūāpapa prosthetic mechanical)
• He pānga ki te apixaban, ki ngā rongoā rite rānei
• Te mate antiphospholipid (he āhuatanga autoimmune onge)

Ko ēnei āhuatanga e whakanui ana i te tūponotanga o te whakaheke toto, e kore rānei e whai hua te apixaban hei whakamarumaru.

He whakatūpato anō ka whai pānga mēnā he mate tākihi ō te reo, he raruraru ate rānei, kei runga ake rānei i te 80 tau te pakeke. Ka taea tonu e tō tākuta te whakahau i te apixaban engari ka whakamahi pea i te horopeta iti ake, ā, ka mātakitaki tata atu ki a koe. Me whai whakaaro motuhake anō te hapū me te whāngai ū, nā te mea he iti noa ngā raraunga haumaru i ēnei āhuatanga.

Ngā Ingoa Waitohu Apixaban

Ko te apixaban te nuinga e wātea ana i raro i te ingoa waitohu Eliquis i te United States me ētahi atu whenua. Koinei te waitohu taketake i whakawhanakehia e Bristol Myers Squibb me Pfizer. He rerekē pea te ingoa waitohu o te rongoā i ngā whenua rerekē, engari ko te whakauru kaha tonu te mea kotahi.

Kei te wātea ngā putanga whānui o te apixaban i ētahi rohe, ā, he iti ake pea te utu i te putanga ingoa waitohu. Ahakoa ka whiwhi koe i te apixaban ingoa waitohu, whānui rānei, ka mahi te rongoā i te ara kotahi, ā, ka whakarato i te whakamarumaru ōrite ki ngā toto toto.

Ngā Kōwhiringa Apixaban

He maha atu ngā rongoā whakaheke toto ka taea te mahi hei kōwhiringa ki te apixaban mēnā kāore e tika ana mō koe. Ka whakaaro pea tō tākuta i ēnei kōwhiringa i runga i ō hiahia hauora motuhake, te mahi tākihi, me ētahi atu āhuatanga. He painga me ngā whakaaro anō tō ia kōwhiringa.

Ngā rongoā ā-waha tika e rite ana ki te apixaban ko:

• Rivaroxaban (Xarelto) - ka tangohia kotahi ia rā mō te nuinga o ngā āhuatanga
• Dabigatran (Pradaxa) - e hiahia ana kia rua ngā horopeta ia rā pērā i te apixaban
• Edoxaban (Savaysa) - te tikanga ka tangohia kotahi ia rā

E mahi ana ēnei rongoā i te ara rite ki te apixaban engari he rerekē pea ngā hōtaka horopeta, ngā pūkete pānga taha rānei.

Ko ngā rongoā whakaheke toto tuku iho pēnei i te warfarin (Coumadin) he kōwhiringa tonu, inā koa mō ngā tāngata e pā ana ki ētahi āhua o te pūwāhi. Heoi, me whakamātau toto tonu te warfarin, ā, he nui ake ngā pānga ki ngā kai me ngā rongoā atu i te apixaban. Ka whakamahia pea ngā rongoā werohia pēnei i te enoxaparin (Lovenox) mō te rongoā wā poto, mō te wā rānei kāore e tika ana ngā rongoā waha.

He Pai Anei te Apixaban i te Warfarin?

He maha ngā painga o te apixaban i te warfarin mō te nuinga o ngā tāngata e hiahia ana ki te rongoā whakaheke toto. E whakaatu ana ngā rangahau he rite tonu te whai hua o te apixaban ki te warfarin mō te ārai i ngā pūpū toto, me ētahi tohu e kī ana he pai ake pea mō ētahi āhua. E whakawhirinaki ana te kōwhiringa i waenga i a rāua ki tō āhua hauora me ō hiahia.

Ko ngā painga nui o te apixaban ko te kore e hiahia ana ki ngā whakamātau toto auau, he iti ake ngā pānga ki ngā kai me ngā rongoā, me te iti ake o te tūponotanga o te toto i roto i te roro. Ka taea e koe te kai i ngā huawhenua rau kākāriki me te pupuri i tētahi momo oranga noa me te kore e māharahara mō te pānga ki te whai huatanga o te rongoā. Ka tīmata hoki te rongoā ki te mahi tere ake, ā, ka horoia atu i tō pūnaha i te tere ake.

Heoi, ko te warfarin tonu te kōwhiringa pai ake mō ētahi tāngata, inā koa mō te hunga e whai ana i ngā pūwāhi ngākau miihini, i te mate tākihi rānei. He iti ake hoki te utu o te Warfarin, ā, kua whakamahia marie mō ngā tau tekau. Ki te pā mai te toto i a koe i te wā e tango ana i te apixaban, he nui ake te wheako o ngā tākuta ki te whakahaere i ngā raruraru e pā ana ki te toto e pā ana ki te warfarin.

Ka whakaarohia e tō kaiwhakarato hauora ngā āhuatanga pēnei i tō mahi tākihi, ētahi atu rongoā, te oranga, me ngā hiahia whaiaro i te wā e kōwhiri ana i waenga i ēnei kōwhiringa.

Ngā Pātai Auau Mō te Apixaban

He Haumaru Anei te Apixaban mō te Hunga e Mate Tākihi Ana?

Ka taea te whakamahi marie a Apixaban ki te hunga he mate tākihi ngawari ki te pāpaku, engari me whakatika te horopeta me te aroturuki tupato. Ka tirohia e tō tākuta te mahi o ō tākihi i mua i te tīmatanga o te rongoā, ā, i ia wā i a koe e tango ana i te rongoā. Ko te hunga he mate tākihi nui e hiahia ana ki te tātai toto, kaua e tango i te apixaban.

Mena he iti te mahi o ō tākihi, ka tohua pea e tō tākuta he horopeta iti ake hei aukati i te rongoā kia kaua e kohikohi i roto i tō punaha. Ma tenei whakatikatika e mau tonu ai te whai hua i te wa e whakaiti ana i te tupono o te toto. Ko nga whakamātautau toto i nga wa katoa ka awhina i te whakarite kia pai tonu te mahi o ō tākihi i te wa e rongoatia ana.

Me aha ahau ki te tango pohehe au i te nui rawa o te Apixaban?

Mena ka tango pohehe koe i te nui rawa o te apixaban i te mea i tohua, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini ranei i te wā tonu, ahakoa kei te pai koe. Ko te tango i te nui rawa ka piki ake te tupono o te toto nui, tera pea ka kore e kitea tonu. Kaua e tatari kia puta mai nga tohu i mua i te rapu awhina.

I te wa e tatari ana koe mo nga tohutohu hauora, titiro mo nga tohu o te toto penei i te maru rereke, te ihu toto, te toto ranei i roto i te mimi, i te kumete ranei. Kaua e mahi i nga mahi ka whara, kaua hoki e tango i etahi atu horopeta kia korero ra ano koe ki te kaiwhakarato hauora. I nga keehi kino, ka hiahiatia pea te rongoa ohorere hei whakatika i nga paanga o te rongoa.

Me aha ahau ki te ngaro au i te horopeta o te Apixaban?

Tangohia tō horopeta i ngaro i te wa e mahara ana koe, engari mena kua iti iho i te 6 haora mai i tō wā kua whakaritea. Mena kua pahemo i te 6 haora, waiho te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā tika. Kaua rawa e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro.

Ko te ngaro i nga horopeta i etahi wa kaore i te kino, engari ngana ki te pupuri i te waarangi rite tonu mo te whakamarumaru pai. Whakaarohia te whakarite i nga whakaoho waea, te whakamahi ranei i te kaiwhakarite pire hei awhina i te mahara ki ō horopeta. Mena ka wareware koe i nga horopeta i nga wa katoa, korero ki tō tākuta mo nga rautaki hei whakapai ake i te piri ki te rongoa.

Āhea ka mutu taku tango Apixaban?

Kaua rawa e mutu te tango apixaban ohorere me te kore e korero tuatahi ki tō tākuta, nā te mea ka nui ake te tūponotanga o te hanga toto. Mā tō kaiwhakarato hauora e whakatau ana i te wā e pai ana ki te whakamutu i te rongoā i runga i tō āhuatanga me tō hauora o nāianei. Ko ētahi tāngata e hiahia ana ki te rongoā mō te roanga o te ora, ētahi atu ka mutu pea i muri i te wā motuhake.

Mēnā me mutu te apixaban mō te pokanga, mō ētahi atu tikanga rānei, ka hoatu e tō tākuta ngā tohutohu motuhake mō te wā. Ka tūtohu pea rātou ki te whakawhiti ki ngā rongoā whakaheke toto e werohia ana, ki te mutu noa rānei mō te wā poto i runga i tō tūponotanga o te hanga toto me te tikanga e mahia ana.

Ka taea e au te inu waipiro i te wā e tango ana au i te Apixaban?

Ko te inu waipiro i te āhua pai te nuinga o te wā ka whakaaetia i te wā e tango ana i te apixaban, engari ko te inu nui rawa ka nui ake te tūponotanga o te toto. Ka pā te waipiro ki te kaha o tō ate ki te tukatuka i te rongoā, ā, ka nui ake pea te tūponotanga o te hinga, o te whara rānei. Kōrerohia tō whakamahi waipiro ki tō tākuta kia whakatau ai i te mea e pai ana mōu.

Mēnā ka whiriwhiri koe ki te inu, whakawhāitihia koe ki te kotahi inu i ia rā mō ngā wāhine, e rua inu rānei i ia rā mō ngā tāne. Mātakihia mō te nui ake o te pānga, te toto rānei i muri i te inu, ā, karo katoa i te inu nui. Ko ētahi tāngata e kite ana ka pōuri rātou i te waipiro, ka kore rānei e tū tika, ka nui ake pea te tūponotanga o te whara i te wā e tango ana i ngā rongoā whakaheke toto.