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

He rongoā whakaheke toto a Prasugrel e āwhina ana ki te ārai i ngā pūtau toto mōrearea kia kore e hanga i roto i ō uaua. Ka tohua pea tēnei rongoā e tō tākuta mēnā kua pā koe i te whakaeke ngākau, i te mamae pouaka nui rānei, ā, e hiahia ana koe ki tētahi tikanga pēnei i te angioplasty hei whakatuwhera i ngā uaua kua aukatia. Whakaarohia a prasugrel hei āwhina i tō tinana ki te pupuri i te rere o te toto i roto i ngā oko o tō ngākau, e whakaiti ana i te tūponotanga o tētahi atu whakaeke ngākau, i te whiu rānei.

He aha te Prasugrel?

No tētahi rōpū rongoā a Prasugrel e kīia ana ko ngā rongoā antiplatelet, e mahi ana mā te ārai i ngā pūtau toto iti e kīia ana ko ngā platelets kia kore e piri tahi. Ka piri ngā platelets, ka hanga pea e rātou ngā pūtau toto mōrearea e aukati ana i te rere o te toto ki tō ngākau, ki tō roro rānei. I hangaia tēnei rongoā mō te hunga e pā ana ki te mate coronary acute, he mate ngākau nui e uru ana ki ngā whakaeke ngākau me te mamae pouaka kore pūmau.

Ka tohua e tō tākuta a prasugrel me te aspirin hei wāhanga o te mea e kīia ana ko te rongoā antiplatelet rua. E whakarato ana tēnei huinga i te whakamarumaru kaha ake i ngā pūtau toto i tētahi rongoā anake. E whakaarohia ana a Prasugrel he whakaheke toto kaha ake i ētahi atu kōwhiringa, e whai hua ana, engari me mātakitaki tonu.

He aha te Prasugrel e whakamahia ana?

Ko te Prasugrel te mea nui e whakamahia ana hei ārai i ngā pūtau toto i roto i te hunga e pā ana ki te mate coronary acute e haere ana i tētahi tikanga e kīia ana ko te percutaneous coronary intervention (PCI). Ko te PCI he rongoā e whakauru ai ngā tākuta i tētahi pōro iti, i tētahi stent rānei hei whakatuwhera i ngā uaua kua aukatia i tō ngākau. E āwhina ana te rongoā ki te pupuri i ēnei uaua hou kia mārama, ā, e ārai ana i ngā pūtau hou kia kore e hanga.

Ka tohua pea e tō tākuta te prasugrel mēnā kua pā koe i te whakaeke ngākau, i te angina rānei, he mamae nui i te uma ka puta i te wā e kore e nui te toto e tae ana ki te uaua o tō ngākau. Ko te rongoā nei i hangaia mō te hunga e whakamahere ana ki te whai, kua whai rānei i te angioplasty me te whakanoho i te stent. Mā tēnei whakamahi whāinga ka mōhio koe ka whai hua nui koe i te wā e whakaiti ana i ngā tūponotanga e kore e tika.

Me pēhea te mahi a te Prasugrel?

Ka mahi te prasugrel mā te aukati tonu i ngā kaiwhakawhiwhi motuhake i runga i ō platelets e kīia ana ko ngā kaiwhakawhiwhi P2Y12. Kia aukatia ēnei kaiwhakawhiwhi, e kore e taea e ō platelets te whiwhi i ngā tohu matū e kī ana ki a rātou kia piri tahi me te hanga i ngā kōata. Ka mau tēnei mahi aukati mō te roanga o te ora o ō platelets, tata ki te 7 ki te 10 rā.

E kiia ana he kaha rawa tēnei rongoā ki ētahi atu rongoā whakaheke toto pērā i te clopidogrel. Ahakoa te kaha o tēnei ka whai hua rawa ki te ārai i ngā kōata, ko te tikanga hoki ka roa ake te toto ki te kōata mēnā ka tapahia koe, ka whara rānei. Me whakahohe te rongoā e tō ate i mua i te mahi, e puta ana i roto i ngā hāora i muri i te tango i tō horopeta tuatahi.

Me pēhea taku tango i te Prasugrel?

Tangohia te prasugrel i runga i te tohutohu a tō tākuta, te tikanga kotahi i te rā me te kore rānei he kai. Ka taea e koe te tango me te wai, te miraka, te wai rānei, ahakoa te mea e pai ana ki a koe. Ka mahi pai te rongoā ahakoa ka tango koe i runga i te puku kau, me ngā kai rānei, nō reira ka taea e koe te whiriwhiri i te wā tika e pai ana ki tō rā.

He maha ngā tāngata e kite ana he pai ki te tango i te prasugrel i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i ō rātou toto. Mēnā kei te tango hoki koe i te aspirin, ka taea e koe te tango i ngā rongoā e rua tahi, motuhake rānei, ahakoa te mea e tohutohu ana tō tākuta. Kaua e kuru, e ngaungau, e whati rānei i ngā papa, nā te mea ka pā tēnei ki te āhua o te rongoā e uru ana ki tō pūnaha.

Ka tīmata pea tō tākuta i tētahi horopeta uta, he nui ake tēnei i tō rā tuatahi kia tere ai te mahi o te rongoā. Muri iho, ka tango koe i tētahi horopeta tiaki iti ake i ia rā. Ko te horopeta tiaki noa he 10 mg kotahi i te rā, ahakoa ka tohua pea e tō tākuta te 5 mg mēnā kei runga ake koe i te 75 tau te pakeke, he iti iho rānei tō taumaha i te 132 pauna.

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

He rerekē te roa o te maimoatanga prasugrel i runga i tō āhuatanga me ō āhuatanga tūpono. Ko te nuinga o te tangata e tango ana i te rongoā mō te 12 marama i muri i tā rātou mahi i te ngākau, nā te mea ka nui ake te whakamarumaru i tēnei wā ki ngā pūtau kino. Ka whakataurite tō tākuta i ngā painga o te aukati i ngā pūtau ki tō tūponotanga ki te toto kia whakatau ai i te roa tika mō koe.

Ka hiahia pea ētahi tangata ki te tango prasugrel mō te roa ake i te tau, ina koa he nui te tūponotanga o ngā raruraru ngākau ā muri ake nei. Ka mutu pea ētahi i mua atu mēnā ka pūta ngā raruraru toto, ka hiahia rānei ki te pokanga. Ka arotakehia e tō tākuta tō ahunga whakamua, ka whakatika i tō mahere maimoatanga i te mea e tika ana.

Kaua rawa e mutu te tango prasugrel ohorere me te kore e kōrero tuatahi ki tō tākuta, ahakoa e pai ana koe. Ko te mutu ohorere ka piki ake tō tūponotanga ki ngā pūtau toto, ā, ka puta pea he whakaeke ngākau, he whiu rānei. Mēnā me mutu te rongoā mō tētahi take, ka hoatu e tō tākuta ngā tohutohu motuhake mō te pēhea te mahi i tērā i runga i te haumaru.

He Aha ngā Pānga taha o te Prasugrel?

Pērā i ngā rongoā whakaheke toto katoa, ka taea e te prasugrel te whakanui i tō tūponotanga ki te toto, koinei te pānga taha nui hei mātakitaki. Ka taea e tēnei te rerekē mai i te toto iti pērā i te ihu toto, te ngāwari rānei ki te pānga ki te toto nui ake. Ko te māramatanga ki ēnei pānga ka āwhina i a koe ki te mōhio ki te wā ki te rapu āwhina hauora.

Ngā pānga taha noa e pā ana ki te nuinga o te tangata:

• He ngāwari te pānga, he pānga rānei e puta ana me te kore whara
• Ka roa ake te wā ki te whakamutu i te ihu
• Te pānga o te kapia i te parai i ngā niho
• Ngā wāhi iti whero, pāpaka rānei i runga i tō kiri
• Te mamae o te upoko, i ngā wiki tuatahi
• Te whanoke, te mōrearea rānei

Ko ēnei pānga noa he ngawari tonu, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Heoi anō, me kōrero tonu koe ki tō tākuta i ngā wā o ngā arotake auau.

Ko ngā pānga taha nui ake e hiahia ana kia āwhina tonu, kei roto:

• Te pānga nui e kore e mutu i muri i te 10 meneti o te pēhi tika
• Te toto i roto i tō mimi, i tō tūtae rānei, i ngā tūtae pango, tāra rānei
• Te ruaki toto, i ngā mea rānei e rite ana ki te whenua kawhe
• Te mamae nui o te upoko me te rangirua, i ngā huringa rānei i te tirohanga
• Te mamae o te uma, i te poto rānei o te manawa
• Te ngoikore, te ngaro rānei o te taha kotahi o tō tinana

Ko ēnei pānga nui he iti noa iho, engari ka mōrearea te ora. Ki te pā ana koe ki ēnei tohumate, waea atu ki te 911, i te rapu rānei i te āwhina hauora ohorere tonu.

Ko ngā pānga taha onge engari nui ko te āhuatanga e kīia ana ko te thrombotic thrombocytopenic purpura (TTP), e pā ana ki tō toto me ō rātou okana. Ko ngā tohu o te TTP ko te kirika, te ngoikore, ngā huringa o te tae kiri, te rangirua, me te whakaheke i te mimi. E hiahia ana tēnei āhuatanga kia āwhina i te hōhipera tonu, engari ka puta i roto i te iti iho i te 1 i roto i te 100,000 tāngata e tango ana i te prasugrel.

Ko wai kāore e tika kia tango Prasugrel?

Kāore te Prasugrel e tika mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i te rongoā. Ko ngā tāngata me ētahi āhuatanga, i ngā āhuatanga mōrearea rānei, kāore pea e pai mō tēnei rongoā nā te piki ake o ngā mōrearea pānga, i te whakaheke rānei i te whai huatanga.

Kāore koe e tika kia tango prasugrel mēnā kei a koe:

• Te toto kaha ki hea i tō tinana
• He hītori o te whiu, te whakaeke ischemic rangitahi rānei (mini-stroke)
• He mate ate nui
• Ngā mate pāwera mō te prasugrel, ngā rongoā rite rānei
• He pokanga e whakamahere ana i te wā tata

Ko ēnei āhuatanga ka nui ake te tūponotanga o ngā raruraru nui, ka kore te prasugrel e pai mōu.

Ka whakamahi tō tākuta i te tūpato atu mēnā:

• Neke atu i te 75 tau te pakeke
• He iti iho i te 132 pauna te taumaha
• He hītori o ngā mate toto
• E tango ana i ētahi atu rongoā whakaheke toto
• He mate tākihi tōu
• Kua whakaritea mō te pokanga, ngā tikanga niho rānei

Kāore ēnei āhuatanga e aukati ana i a koe ki te tango prasugrel, engari me whakarerekē te horopeta, me mātakitaki pinepine rānei kia noho haumaru ai koe.

Ngā Ingoa Pūtaiao o Prasugrel

Ko te prasugrel te nuinga e wātea ana i raro i te ingoa pūtaiao Effient i te United States. Koinei te putanga pūtaiao taketake i whakawhanakehia e ngā kamupene rongoā i hanga tuatahi i te rongoā. E wātea ana te Effient i roto i ngā papa 5 mg me te 10 mg, ā, e wātea whānuitia ana i te nuinga o ngā whare rongoā.

E wātea ana hoki ngā putanga generic o te prasugrel, kei roto i te whakauru kaha kotahi me te Effient. Ko ēnei kōwhiringa generic te tikanga he iti ake te utu, ā, he rite tonu te whai hua ki te putanga ingoa pūtaiao. Ka pai pea tō inihua ki te putanga generic, ka āwhina i te whakaiti i ō utu mai i te pūtea.

Ngā Kōwhiringa kē mō Prasugrel

Mēnā kāore te prasugrel i te tika mōu, he maha ētahi atu rongoā antiplatelet ka taea te whakarato i te whakamarumaru rite tonu ki ngā kōpuku toto. Ko te kōwhiringa kē tino noa ko te clopidogrel (Plavix), e mahi ana i te ara rite tonu, engari e kiia ana he iti ake te kaha i te prasugrel. Ka kōwhiria pea e tō tākuta te clopidogrel mēnā he nui ake te tūponotanga o te toto, ētahi atu āhuatanga rānei ka kore ai te prasugrel e tika.

Ko tētahi atu kōwhiringa ko te ticagrelor (Brilinta), he mea huri, ā, kāore e hiahiatia he whakahohenga e tō ate pērā i te prasugrel. E rua ngā wā e tangohia ana te ticagrelor i ia rā, kaua ki te kotahi i ia rā, ā, he pai ake pea i ētahi wā. He painga me ngā tūponotanga o ia kōwhiringa, ā, mā tō tākuta e whakamārama i runga i tō āhuatanga motuhake.

Mō ētahi tāngata, ko te aspirin anake pea e nui ana, inā koa mō te aukati wā-roa i muri i te wā mōrearea tuatahi kua pahure. Ka mahi tō tākuta ki a koe ki te kimi i te rongoā whakaheke toto e whakarato ana i te taurite pai o te aukati i te pūpū me te tūponotanga o te whakaheke toto mō ō āhuatanga takitahi.

He Pai Ake Anei te Prasugrel i te Clopidogrel?

Ko te prasugrel te nuinga he pai ake i te clopidogrel ki te aukati i ngā pūpū toto, engari he nui ake te tūponotanga o te whakaheke toto. Kua whakaatu ngā rangahau e whakaiti ana te prasugrel i te tūponotanga o te whakaeke ngākau, te whiu, me te mate ngākau i te pai ake i te clopidogrel i roto i ngā tāngata e mate ana i te mate coronary acute e haere ana i te PCI. Heoi, ko tēnei pikinga o te whai huatanga ka tae mai me te pikinga o te tūponotanga o te whakaheke toto nui.

Ko te kōwhiri i waenga i ēnei rongoā e whakawhirinaki ana ki ō āhuatanga tūponotanga takitahi. Mēnā he nui tō tūponotanga o ngā pūpū toto me te iti o te tūponotanga o te whakaheke toto, he pai ake pea te prasugrel. Mēnā he nui ake tō tūponotanga o te whakaheke toto, kei runga rānei i te 75 tau te pakeke, he pai ake pea te clopidogrel mōu. Ka whakaaro tō tākuta ki tō tau, tō taumaha, tō hītori rongoā, me ētahi atu āhuatanga hei whakatau i te rongoā e tika ana.

Kāore ētahi tāngata e pai ana ki te clopidogrel nā te rerekētanga ira e pā ana ki te āhua o te tukatuka o tō rātou tinana i te rongoā. He pai ake pea te prasugrel mō ēnei tāngata i te mea kāore i te pā te pānga o ēnei rerekētanga ira. Ka taea e tō tākuta te tono whakamātautau ira mēnā he āwangawanga mō te pai o tō urupare ki te clopidogrel.

Ngā Pātai Auau Mō te Prasugrel

He Haumaru Anei te Prasugrel mō ngā Tāngata e mate huka ana?

Āe, he pai te prasugrel mō te hunga mate huka, ā, he tino whai hua pea mō tēnei rōpū. He nui ake te tūponotanga o te hunga mate huka ki ngā pūtau toto me ngā raruraru o te ngākau, nā reira he mea nui te rongoā antiplatelet whai hua. Kua whakaatu ngā rangahau he whai hua ake te prasugrel i ētahi atu rongoā whakaheke toto mō te hunga mate huka.

Heoi anō, ki te mate huka koe, ka mātakitaki tata atu tō tākuta i a koe nā te mea ka pā te mate huka ki tō tūponotanga ki te toto me te kaha ki te whakaora. Me kōrero ki tō tākuta mō tō whakahaere i te mate huka, tae atu ki ngā rongoā e tango ana koe me te pai o te whakahaere i ō taumata huka toto.

Me pēhea ahau ki te tango nui rawa atu i te Prasugrel?

Ki te tango nui rawa atu koe i te prasugrel i te mea i whakaritea, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei, ahakoa kei te pai koe. Ko te tango nui rawa atu ka nui ake te tūponotanga ki te toto mō ētahi rā. Kaua e ngana ki te whakapōka, ki te tango rānei i ētahi atu rongoā me te kore tohutohu hauora.

Mātakitaki mō ngā tohu o te toto nui, pēnei i te pānga o te kiri, te toto roa mai i ngā tapahi, te toto i roto i tō mimi, i tō kūtae rānei, i ngā mamae nui rānei. Ki te pā mai tētahi toto nui, waea atu ki te 911 tonu. Puritia te pounamu rongoā ki a koe i te wā e rapu ana i te manaaki hauora kia mōhio ai ngā kaiwhakarato hauora ki te aha me te nui i tango koe.

Me pēhea ahau ki te ngaro i tētahi horopeta o te Prasugrel?

Ki te ngaro koe i tētahi horopeta o te prasugrel, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā tika. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka nui ake tō tūponotanga ki te toto.

Whakamātauria te whakatū i tētahi rārangi mahi hei āwhina i a koe ki te mahara ki te tango i ō rongoā i ia rā. E kitea ana e ētahi tāngata he āwhina ki te tango i te prasugrel i te wā kotahi e parai ana rātou i ō rātou niho, e kai parakuihi ana rānei. Ki te wareware pinepine koe ki ngā horopeta, kōrerohia ki tō tākuta mō ngā rautaki hei āwhina i a koe ki te mahara, whakaarohia rānei te whakamahi i tētahi kaiwhakarite pire, i tētahi whakamaharatanga waea rānei.

Āhea Ānei Ka Taea e Au te Kati te Tango Prasugrel?

Me kati anake e koe te tango prasugrel i te wā e kī ana tō tākuta he haumaru ki te mahi i tērā. E whakawhirinaki ana te wā ki tō āhuatanga takitahi, engari te nuinga o te tāngata e tango ana i te rongoā mō te 12 marama i muri i tā rātou mahi i te ngākau. Ka arotakehia e tō tākuta te mōrearea o ngā pūtau toto i te taha ki tō mōrearea o te toto, hei whakatau i te wā tika ki te kati.

Ki te hiahia koe ki te pokanga, ki te mahi niho rānei, ka āhei pea tō tākuta te kati i te prasugrel mō tētahi wā poto hei whakaiti i te mōrearea o te toto. Kaua rawa e kati i te rongoā i runga i a koe anō, ahakoa mō ngā mahi, nā te mea ka piki ake tēnei i tō mōrearea o ngā pūtau toto. Kōrerohia tonu ngā mahi kua whakamaherehia ki tō tākuta ngākau me te tākuta e mahi ana i te mahi.

Ka Āhei Ānei e Au te Inu Waipiro i te Wā e Tango Ana i te Prasugrel?

He pai ake te whakaiti i te inu waipiro i te wā e tango ana i te prasugrel, nā te mea ka piki ake te waipiro i tō mōrearea o te toto. Ko te inu waipiro āhua (kaua e neke atu i te kotahi inu i ia rā mō ngā wāhine me ngā inu e rua i ia rā mō ngā tāne) e whakaarohia ana he pai mō te nuinga o te tāngata, engari me kōrero koe i tēnei ki tō tākuta i runga i tō āhuatanga motuhake.

Ka taea e te inu nui te piki ake i tō mōrearea o te toto, ā, ka raru pea i te pai o te mahi a te prasugrel. Ki te whai hītori koe mō te inu waipiro nui, me kōrero pono koe i tēnei ki tō tākuta, nā te mea ka pā tēnei ki tō mahere maimoatanga. Ka taea e tō tākuta te whakarato i te aratohu whaiaro i runga i tō hauora whānui me ngā āhuatanga mōrearea.