Dabigatran (inowanikwa nemuromo)
Mhando dzinowanikwa
Pradaxa
Nezve mushonga uyu
Dabigatran inoshandiswa kuderedza njodzi yekurova kweropa uye kuumbwa kwema clots muvarwere vane dambudziko guru rekuridza kwemoyo rinonzi nonvalvular atrial fibrillation. Dabigatran inoshandiswawo kurapa uye kudzivirira kuumbwa kwema clots eropa (semuenzaniso, deep vein thrombosis, pulmonary embolism) kuti irege kuitika zvakare muvarwere vakatopa mishonga yakawanda. Inoshandiswawo kudzivirira deep vein thrombosis ne pulmonary embolism mushure mekuvhiyiwa kwehip. Inoshanda nekudzivirira kuumbwa kwema clots anokuvadza muropa. Uyu mushonga unowanikwa chete nechirango chechiremba wako. Chigadzirwa ichi chinowanikwa mumaitiro anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nesachiremba wenyu muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisina kujairika kana chisina kujairika kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisiri zve-prescription, verenga zvinyorwa zvepakiti kana zvinhu zvakanyatsonaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro yedabigatrancapsulesororal pelletsmuvana vane matambudziko emwoyo kana vakaita kuvhiya kwehip. Kwakachengeteka uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo epediatric aizoita kuti kushandiswa kwe dabigatran capsules muvana vane makore 8 ekuberekwa uye vakuru kana dabigatran oral pellets muvana vane makore asingasviki 12 ekuberekwa vane matambudziko ekugwamba ropa. Kwakachengeteka uye kushanda kwakasimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo egeriatric aizoita kuti kushandiswa kwe dabigatran muvakuru. Zvisinei, varwere vakwegura vane mukana wakakura wekuva nekuvhunduka kwenguva refu, kubuda ropa, kana matambudziko eitsvo, izvo zvinoda kungwarira uye kugadziriswa kwehuwandu hwevarwere vanogamuchira dabigatran. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Muzviitiko izvi, chiremba wako angada kuchinja huwandu, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusi kukurudzirwa. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kungave kwakakosha mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa sei imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kengozi yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa sei imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva kana pedyo nenguva yekudya kana kudya marudzi akati akati ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Kuita izvozvo kunogona kuwedzera mukana wezvinhu zvinokanganisa. Uyewo, usarega kushandisa mushonga uyu usati wabvunza nachiremba wako. Mushonga uyu unouya neGwara reMishonga. Zvakakosha kwazvo kuti uverenge uye unzwisise ruzivo urwu. Iva nechokwadi chekubvunza chiremba wako kana uine mibvunzo ipi neipi. Unogona kutora mushonga uyu nechikafu kana usina chikafu. Dya kapusuru yacho yose negirazi guru remvura. Usapwanyisa, kuputsa, kuchema, kana kuivhura. Kana uri kutora mushonga mumwe kuti uderedze ropa, (semuenzaniso, heparin, warfarin, Coumadin®), chiremba wako achakupa mirairo chaiyo nezvekuti ungashandura sei kuenda ku dabigatran. Tevedza mirairo yacho zvakanyatsonaka wobvunza chiremba wako kana uine mibvunzo ipi neipi. Kushandisa mapiritsi emuromo: Kana uri kutora mushonga uyu kanokwana maviri pazuva, tora chikamu chimwe mangwanani nechimwe manheru, kwemaawa anopfuura gumi nemaviri. Tora panguva imwe chete zuva rega rega. Chikamu chemushonga uyu chichava chakasiyana kune varwere vakasiyana. Tevedza mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete avhareji yezvikamu zve mushonga uyu. Kana chikamu chako chakasiyana, usachichinje kunze kwekunge chiremba wako akakuudza kuti uite saizvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba yezvikamu zvaunotora zuva rega rega, nguva inobvumirwa pakati pezvikamu, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana wakanganwa chikamu chemushonga uyu, chitora nekukurumidza sezvinobvira. Zvisinei, kana iri nguva yekutora chikamu chako chinotevera, siya chikamu chawakanganwa wodzoka kune yako rondedzero yekutora mushonga. Usatore zvikamu zviviri kamwechete. Kana uine maawa asingasviki matanhatu usati wasvika panguva yako yakarongwa yekutora mushonga, siya chikamu chawakanganwa wodzoka kune yako rondedzero yekutora mushonga. Kana wakatora chikamu chechikamu chako chemapiritsi emuromo, usatore chimwe chikamu nekukurumidza. Tora chikamu chako chinotevera pane yako rondedzero yekutora mushonga, kwemaawa anopfuura gumi nemaviri gare gare. Chengetera kure nevana. Usachengetere mushonga wakapfuura zuva rake kana mushonga usingachadiwi. Bvunza nyanzvi yehutano hwako kuti ungakanda sei mushonga iwo wauri kusashandisa. Chengeta mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengeta kuti urege kuoma. Chengeta mushonga wako mupakeji yekutanga (pakeji yeblister kana bhodhoro rekapusuru kana bhegi realuminium remapiritsi emuromo) kusvika wagadzirira kuishandisa. Usachengetere makapusuru mubhodhoro ripi neripi (semuenzaniso, mabhokisi emapiro kana vanoronga mapiritsi). Kana wapedza kuvhuvhuta bhodhoro kekutanga, unofanira kutora makapusuru ese mukati memwedzi mina. Kana usati washandisa makapusuru mukati memwedzi mina, unofanira kukanda makapusuru asara uye kutanga bhodhoro idzva. Shandisa pakeji imwe neimwe yemapiritsi emuromo mukati memwedzi mitanhatu yekuvhura bhegi realuminium. Rasa mushonga iwo wauri kusashandisa. Usachengetere uye usashandise musanganiswa wakasara.