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

Ko te Edoxaban he rongoā whakaheke toto e āwhina ana ki te ārai i ngā pūtau toto mōrearea kia kore e hanga i roto i tō tinana. No tētahi akomanga hou o ngā anticoagulants e kīia ana ko ngā anticoagulants waha tika (DOACs) e mahi ana mā te aukati i tētahi pūmua whakaheke toto motuhake i roto i tō toto. Ko tēnei rongoā e tohutohutia ana mō te hunga e mate ana i te atrial fibrillation, i te hunga rānei i pā mai i ngā pūtau toto i ō rātou waewae, i ngā pūkahukahu rānei.

He aha te Edoxaban?

Ko te Edoxaban he rongoā anticoagulant waha e ārai ana i tō toto kia kore e whakaheke toto noa. Whakaarohia he kaitiaki e pupuri ana i tō toto kia rere mārire ana i roto i ō uaua me te kore e hanga pūtau mōrearea. Kāore i rite ki ngā whakaheke toto tawhito pērā i te warfarin, he pai ake te mahi a te edoxaban, ā, kāore e hiahiatia ngā whakamātautau toto auau hei aroturuki i ōna pānga.

Ko tēnei rongoā e aro ana ki te Factor Xa, he pūmua matua i roto i te tukanga whakaheke toto o tō tinana. Mā te aukati i tēnei pūmua, ka āwhina te edoxaban ki te pupuri i te taurite tika i waenga i te ārai i ngā pūtau mōrearea me te tuku i te whakaheke toto noa ina whara koe.

He aha te Edoxaban e whakamahia ana?

Ka rongoā te Edoxaban, ā, ka ārai i ētahi momo pūtau toto kino. Ka tohutohu pea tō tākuta i tēnei rongoā mēnā he atrial fibrillation tō, he mate manawa e whakanui ana i tō tūponotanga ki te whiu. Ka whakamahia hoki hei rongoā i te deep vein thrombosis (ngā pūtau toto i roto i ngā uaua waewae) me te pulmonary embolism (ngā pūtau toto i roto i ngā uaua pūkahukahu).

Ko te hunga e mate ana i te atrial fibrillation e tūpono ana ki te whiu, nā te mea ka taea e te manawataki kōaro te whakapōrearea i te toto me te hanga pūtau. Ka āwhina te Edoxaban ki te whakaiti i tēnei tūponotanga ki te whiu mā te pupuri i te toto kia rere mārire ana. Mō te hunga i pā mai i ngā pūtau toto, ka ārai tēnei rongoā i ngā mea hou kia kore e hanga, i te wā e āwhina ana i tō tinana ki te whakakore i ngā pūtau o nāianei.

I te nuinga o te wā, ka tohua pea e ngā tākuta te edoxaban mō ētahi atu mate pūhi, hei ārai rānei i mua i ētahi pokanga. Mā tō tākuta e whakatau mēnā he pai te edoxaban mō tō āhuatanga motuhake, i runga i tō hītori hauora me ngā āhuatanga tūpono.

Me pēhea te mahi a te Edoxaban?

Ka mahi te Edoxaban mā te aukati i te Factor Xa, he enzyme nui i roto i te pūhi o tō toto. Ko tēnei enzyme te tākaro i tētahi tūāhua i roto i te tauhohenga mekameka e arahi ana ki te hanganga pūhi. Mā te aukati i te Factor Xa, ka aukati te edoxaban i tēnei tukanga i mua i te whanaketanga katoa o ngā pūhi.

E whakaarohia ana he kaha ngawari tēnei rongoā i waenga i ngā rongoā whakaheke toto. He kaha ake i te aspirin engari i te nuinga o te wā he iti ake te tūpono o te toto i ētahi atu rongoā whakaheke toto. He matapae me te rite tonu ngā pānga o te edoxaban, ko te tikanga ka taea e tō tākuta te tohutohu i tētahi horopeta paerewa me te kore e hiahia ki te whakatika i runga i ngā whakamātautau toto auau.

Ka tīmata te rongoā ki te mahi i roto i ngā hāora i muri i te tango, ā, ka roa ōna pānga mō te 24 hāora. Ko tēnei wā-ā-mua matapae ka māmā ake te whakahaere i te whakataurite ki ngā rongoā whakaheke toto tawhito he nui ake ngā pānga rerekē.

Me pēhea taku tango i te Edoxaban?

Tangohia te edoxaban kia rite ki tā tō tākuta i tohutohu ai, te nuinga o te wā kotahi i te rā me te kai, me te kore kai rānei. Ka taea e koe te tango me te wai, te miraka, te wai rānei – kāore te kai e pā nui ki te āhua o te tango a tō tinana i te rongoā. He pai ki te nuinga o ngā tāngata te tango i te edoxaban i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i ō rātou toto.

Kāore koe e hiahia ki te whai i ngā here kai motuhake i te wā e tango ana i te edoxaban, kāore i rite ki te warfarin. Heoi, he pai ki te karo i te nui o te inu waipiro nā te mea ka piki ake tō tūpono o te toto. Ki te raru koe ki te horo i ngā pire, ka taea e koe te kuru i ngā papa edoxaban me te whakaranu ki te wai, ki te aporo rānei, engari me kōrero tuatahi ki tō kai rongoā.

Whakamātauria te whakatū i tētahi rārangi mahi mō te tango i ō rongoā. He maha ngā tāngata e tango ana i te rongoā i te parakuihi, i te hākari rānei hei āwhina i te mahara ki te horopeta o ia rā. Mā te whakatū i tētahi whakamaharatanga waea ka āwhina hoki kia kore koe e ngaro i ngā horopeta.

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

Ko te roa o te maimoatanga edoxaban e whakawhirinaki ana ki tō āhuatanga me ō āhuatanga tūpono. Mō te atrial fibrillation, ka hiahiatia pea e koe te maimoatanga wā-roa kia ārai tonu i te tūponotanga o te whiu. Mō ngā pūpū toto i ō waewae, i ō pūkahukahu rānei, te maimoatanga e toru ki te ono marama te roa, ahakoa ka hiahiatia e ētahi tāngata te rongoā roa ake.

Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te hiahia tonu koe ki te edoxaban i runga i tō āhuatanga, te tūponotanga o te toto, me te hauora whānui. Ko ētahi tāngata e mau ana i ngā āhuatanga tūpono ka hiahiatia pea te maimoatanga mō te roa o te oranga, i te wā e taea ai e ētahi atu te whakamutu i muri i te hekenga o te tūponotanga o te pūpū. Kaua rawa e whakamutu ohorere i te tango i te edoxaban me te kore e kōrero ki tō tākuta, nā te mea ka piki ake tō tūponotanga ki ngā pūpū mōrearea.

Mēnā he maha ngā pūpū toto i a koe, he āhuatanga ira rānei ōu, ka tūtohu pea tō tākuta i te maimoatanga roa atu i te wā-ā-mua. Ka whakatauritehia e rātou ngā painga o te ārai pūpū ki ngā tūponotanga pea o te whakawātea toto wā-roa.

He Aha ngā Pānga taha o te Edoxaban?

Pērā i ngā rongoā whakaheke toto katoa, ko te pānga taha nui o te edoxaban he piki ake te tūponotanga o te toto. He pai te whakamanawanui o te nuinga o ngā tāngata ki tēnei rongoā, engari he mea nui kia mōhio ki ngā mea hei mātakitaki. Ko ngā pānga taha noa he ngawari, he whakahaerehia mā te aroturuki tika.

Anei ngā pānga taha tino noa ka pā ki a koe:

• Ngā pānga ngāwari, ngā pānga rānei e puta mai ana me te kore take mārama
• Te toto iti mai i ngā tapahi e roa ana te mutu
• Ngā ihu toto i ētahi wā
• Ngā wā hēki nui ake i ngā wāhine
• Te pōpōtanga puku ngawari, te whakapairuaki rānei
• Te whanoke, te māmā rānei te mahunga

Ko ēnei pānga noa ka pai ake i te wa e urutau ana tō tinana ki te rongoā. Ko te nuinga o te tangata e haere tonu ana i ā rātou maimoatanga me te kore he raruraru nui.

He onge ngā pānga taha kino ake, engari me whai wāhi tonu ki te rongoā. Kei roto i ēnei ngā tohu o te nui o te toto ka mōrearea te ora:

• He nui te mamae o te upoko, te rangirua rānei (te toto i te roro)
• Te ruaki toto, te mea rānei e rite ana ki te whenua kawhe
• Ngā tūtae pango, tarry rānei, te toto whero kanapa rānei i roto i ngā tūtae
• Te ngoikore rereke, te ngaro rānei
• He nui te mamae o te puku
• Te uaua ki te hā, te mamae rānei o te uma

Mēnā ka pā ki a koe ēnei tohu kino, me rapu tonu i te rongoā ohorere. Ahakoa he onge, me rongoā wawe ēnei raruraru hei aukati i ngā hua kino.

Ko wai kāore e tika kia tango Edoxaban?

Kāore e tika kia tango a Edoxaban e ētahi tāngata nā te nui o te mōrearea o te toto, ētahi atu āhuatanga rānei o te hauora. Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko ngā tāngata e whai ana i ngā mate toto kaha, i ngā wā tata rānei i ngā wāhanga nui o te toto, kāore e taea te whakamahi i te edoxaban.

Anei ngā āhuatanga ka aukati i a koe ki te tango edoxaban:

• Te toto o roto kaha, te toto nui rānei i ngā wā tata
• Te mate tākihi nui, te kore rānei o te tākihi
• Ngā tūāhua ngākau miihini
• Te hapū, te whāngai ū rānei
• Te mate ate nui
• Te mōhiotia o te mate pāwera ki te edoxaban, ki ngā rongoā rite rānei

Ka whakaaro hoki tō tākuta i ō āhuatanga mōrearea o te toto i mua i te whakahau i te edoxaban. Kei roto i ēnei te hītori o ngā whewhe puku, te pokanga tata, ngā āhuatanga rānei e whakanui ana i te mōrearea o te toto.

Me whai aroturuki motuhake, me whakatika rānei i te horopeta ētahi tāngata, kaua ki te karo i te rongoā katoa. Mā tō kaiwhakarato hauora e whakatau te huarahi haumaru rawa atu i runga i tō āhuatanga takitahi me ō hiahia hauora.

Ngā Ingoa Mōhio o Edoxaban

Kei te wātea te Edoxaban i raro i te ingoa waitohu Savaysa i Amerika. I ētahi atu whenua, ka hokona pea i raro i ngā ingoa waitohu rerekē pēnei i te Lixiana. He rite tonu te whakauru kaha ahakoa te ingoa waitohu.

Kei te wātea ngā momo rongoā whānui o te edoxaban i ētahi rohe, ā, ka whai hua pea te penapena utu. Heoi, me kōrero tonu ki tō tākuta, ki te kaimātai rongoā rānei i mua i te huri i waenga i ngā momo waitohu me ngā momo rongoā whānui kia mōhio ai kei te rite tonu te rongoā.

Ngā Kōwhiringa kē mō te Edoxaban

He maha atu ngā rongoā whakaheke toto ka taea te whakamahi hei kōwhiringa kē mō te edoxaban mēnā kāore i te pai mōu. Ko ētahi atu rongoā whakaheke toto waha (DOACs) ko te rivaroxaban (Xarelto), apixaban (Eliquis), me te dabigatran (Pradaxa). He rerekē ngā āhuatanga me ngā hōtaka inenga o ia rongoā.

Kei te noho tonu te warfarin hei kōwhiringa, ina koa mō ngā tāngata e whai ana i ngā tūātae ngākau miihini, i te mate tākihi rānei. Ahakoa me mātakitaki tonu te toto i te warfarin, kua whakamahia marie mō ngā tekau tau, ā, he rongoā patu tōna e wātea ana mō ngā ohorere toto.

Mō ētahi tāngata, ko ngā rongoā antiplatelet pēnei i te aspirin, clopidogrel rānei, he kōwhiringa kē pea, ahakoa he iti ake te whai hua mō te ārai i ngā toto i roto i te atrial fibrillation. Mā tō tākuta e āwhina ki te whiriwhiri i te kōwhiringa pai rawa atu i runga i tō āhuatanga hauora me ngā āhuatanga tūpono.

He Pai Anei te Edoxaban i te Warfarin?

He maha ngā painga o te Edoxaban i te warfarin, ahakoa e ārai ana ngā rongoā e rua i ngā toto. Kāore te Edoxaban e hiahia ana ki ngā whakamātautau toto i ngā wā katoa hei mātakitaki i ōna pānga, e pai ake ai mō te nuinga o ngā tāngata. He iti ake hoki ōna pānga ki te kai me ētahi atu rongoā i te warfarin.

E whakaatu ana ngā rangahau he rite tonu te whai hua o te edoxaban ki te warfarin mō te ārai i te whiu i roto i ngā tāngata e mate ana i te atrial fibrillation. Ka iti ake pea te toto i roto i te roro, koinei tētahi o ngā raruraru tino nui o ngā rongoā whakaheke toto. Heoi, kāore anō he rongoā motuhake mō te edoxaban, engari ka taea te whakahoki i te warfarin ki te huaora K, ki ētahi atu rongoā rānei.

E whakawhirinaki ana te whiriwhiri i waenga i te edoxaban me te warfarin ki ō āhuatanga takitahi. Ko ngā tāngata e haere pinepine ana, he pukumahi, e uaua ana rānei ki ngā here kai o te warfarin, he pai ake te edoxaban. Heoi, he pai ake pea te warfarin mō te hunga e pā ana ki ētahi āhua o te pūkahukahu, ki te mate tākihi nui rānei.

Ngā Pātai Auau mō te Edoxaban

He Haumaru te Edoxaban mō te Hunga e Mate ana i te Mate Tākihi?

Ka taea te whakamahi i te Edoxaban mō te hunga e mate ana i te mate tākihi ngawari ki te āhua, engari he maha ngā wā e tika ana kia whakatikatikahia te horopeta. Ka whakamātau tō tākuta i tō mahi tākihi i mua i te tīmatanga o te rongoā, ā, ka aroturukihia i ngā wā katoa. Ko te hunga e mate ana i te mate tākihi nui, i te ngoikore rānei o te tākihi, kāore i te nuinga o te wā e taea te whakamahi i te edoxaban.

Mēnā ka huri tō mahi tākihi i te wā e tango ana koe i te edoxaban, tērā pea ka hiahia tō tākuta ki te whakatika i tō horopeta, ki te huri rānei i a koe ki tētahi rongoā rerekē. Ka āwhina ngā whakamātautau toto i ngā wā katoa ki te whakarite kia noho haumaru me te whai hua te rongoā mō tō āhuatanga.

Me Pēhea Taku Mahi Mēnā Ka Tango Au i te Nui Rawa o te Edoxaban?

Mēnā ka tango koe i te nui rawa o te edoxaban, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu. Ko te tango i te nui rawa ka nui ake te tūponotanga o te toto. Kaua e ngana ki te utu mā te karo i tō horopeta e whai ake nei, nā te mea ka nui ake tō tūponotanga ki te pūhui.

Kia tūpato ki ngā tohu o te toto, pēnei i te pānga o te pānga, te ihu toto, te toto rānei o ngā kapu. Rapua te manaakitanga hauora ohorere mēnā ka pā koe ki te mamae nui o te upoko, te ruaki toto, ētahi atu tohu rānei o te toto nui. Kia mau ki te pounamu rongoā i a koe e rapu ana i te awhina hauora.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i tētahi Horopeta o te Edoxaban?

Ki te ngaro koe i te horopeta o te edoxaban, tangohia i te wa e mahara ana koe i taua ra ano. Ki te mea kua tae kē ki te rā e whai ake nei, kaua e tango i te horopeta i ngaro, ka tango i tō horopeta i te wā tika. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro.

Ko te ngaro i ngā horopeta i ētahi wā, kāore e puta he raruraru tonu, engari ngana ki te tango i te rongoā i ia rā kia pai ai te tiaki. Mā te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i te pūhui rongoā e āwhina ana i a koe ki te mahara ki tō rongoā.

Āhea e taea ai e au te whakamutu i te tango i te Edoxaban?

Kaua rawa e whakamutu i te tango i te edoxaban me te kore e kōrero tuatahi ki tō tākuta. Ko te whakamutu ohorere ka piki ake te tūponotanga o ngā pūpū toto mōrearea i roto i ngā rā. Mā tō tākuta e whakatau i te wā e haumaru ana ki te whakamutu i runga i tō āhua me ngā āhuatanga tūpono o te pūpū toto.

Mō te hunga e mate ana i te atrial fibrillation, ko te whakamutu i te edoxaban kāore i te tūtohutia, ki te kore te tūponotanga o te toto e nui ake i ngā painga o te ārai i te whiu. Ko te hunga e rongoatia ana mō ngā pūpū toto ka taea te whakamutu i muri i te whakaoti i tā rātou akoranga kua whakaritea, te nuinga e toru ki te ono marama.

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

Ka taea e koe te inu waipiro i te āhua tika i te wā e tango ana i te edoxaban, engari ko te inu nui ka piki ake te tūponotanga o te toto. Whakawhāitihia te waipiro ki te kotahi inu i ia rā mō ngā wāhine, me ngā inu e rua i ia rā mō ngā tāne. Ko te inu nui, te whakamahi rānei i te waipiro i ngā wā katoa, he mōrearea ki ngā rongoā whakaheke toto.

Ki te mea he āwangawanga ō mō te whakamahi waipiro, he hītori rānei ō mō ngā raruraru waipiro, kōrerohia tēnei ki tō tākuta. Mā rātou e āwhina i a koe ki te mārama ki te huarahi haumaru i te wā e tango ana i te edoxaban.