Chii chinonzi Rivaroxaban: Zvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Rivaroxaban mushonga unoderedza ropa unobatsira kudzivirira ropa rinotyisa kuti risagadzirike mumuviri wako. Icho chikamu chekirasi itsva yemishonga inonzi direct oral anticoagulants, iyo inoshanda zvakasiyana nemishonga yekare yekuderedza ropa yakaita sewarfarin.

Mushonga uyu unoita basa rakakosha mukudzivirira vanhu vari panjodzi yezvinetso zvakakomba zvakaita se stroke, kurwisa kwemoyo, kana pulmonary embolism. Kunzwisisa kuti rivaroxaban inoshanda sei uye zvekutarisira zvinogona kukubatsira kuti unzwe wakavimbika nezve chirongwa chako chekurapa.

Chii chinonzi Rivaroxaban?

Rivaroxaban i oral anticoagulant iyo inotadzisa zvakananga imwe protein yeropa inonzi Factor Xa. Fungidzira sekumisa mabhureki akapfava pane maitiro ako echisikigo ekugadzirisa ropa.

Kusiyana ne warfarin, iyo inoda bvunzo dzeropa dzakawanda uye zvirambidzo zvekudya, rivaroxaban inopa mhedzisiro inotarisirwa. Yakabvumidzwa neFDA muna 2011 uye kubvira ipapo yakave imwe yemishonga inonyanya kunyorerwa yekuderedza ropa pasi rese.

Mushonga uyu unouya muchimiro chepiritsi uye unotorwa nemuromo, kazhinji kamwe kana kaviri pazuva zvichienderana nemamiriro ako chaiwo. Chiremba wako achasarudza nzira yakakodzera zvichienderana nezvido zvako zveutano.

Chii chinonzi Rivaroxaban chinoshandiswa?

Rivaroxaban inobatsira kudzivirira uye kurapa mamiriro akakomba akabatana neropa. Chiremba wako anogona kuinyora kana uri panjodzi ye stroke, uine mamwe mamiriro emoyo, kana uchida dziviriro mushure mekuvhiyiwa.

Heano mamiriro makuru ayo rivaroxaban inorapa, kutanga neakajairika:

• Kudzivirira sitiroko muvanhu vane atrial fibrillation (kurova kwemoyo kusingaite zvakanaka)
• Kurapa deep vein thrombosis (magwamba eropa mumitsipa yetsoka)
• Kurapa pulmonary embolism (magwamba eropa mumapapu)
• Kudzivirira magwamba eropa mushure mekuvhiyiwa kwegumbo kana ibvi
• Kuderedza njodzi yemagwamba eropa muvanhu vane coronary artery disease
• Kudzivirira magwamba muvanhu vane peripheral artery disease

Imwe neimwe yemamiriro aya inotakura njodzi huru kana ikasabatwa, asi rivaroxaban inogona kuderedza zvakanyanya mikana yako yematambudziko. Mukoti wako wezvehutano achatsanangura kuti ndeupi mamiriro avanenge vachitarisa nekurapa kwako kwakatarwa.

Rivaroxaban Inoshanda Sei?

Rivaroxaban inoshanda nekudzivisa Factor Xa, protein yakakosha inoshandiswa nemuviri wako kuumba magwamba eropa. Nekudzivisa iyi protein, mushonga unoderedza kugona kweropa rako kuita magwamba uchiri kubvumira kupora kwakajairika paunocheka kana kukuvadzwa.

Mushonga uyu unoonekwa seune simba zvishoma pakati pemishonga inotetesa ropa. Iyo yakasimba kupfuura aspirin asi kazhinji ine mhedzisiro inofungidzirwa kupfuura warfarin, zvichiita kuti zvive nyore kubata kune vanhu vazhinji.

Mishonga inotanga kushanda mukati me2-4 maawa ekui tora, uye mhedzisiro yayo inowanzo gara maawa angangoita 24. Iyi yekutanga nekukurumidza uye nguva inofungidzirwa inoita kuti ive inoshanda pakudzivirira magwamba matsva uye kurapa aripo.

Ndingatora Sei Rivaroxaban?

Tora rivaroxaban sezvakanyorwa nachiremba wako, kazhinji kamwe kana kaviri pazuva nechikafu. Kuitora nechikafu kunobatsira muviri wako kutora mushonga zvakanyanya, kunyanya kune madosi akakwirira.

Medza piritsi rose nemvura pane kuripwanya kana kuritsenga. Kana uine dambudziko rekumedza mapiritsi, taura nemu pharmacist wako nezve nzira dzakabvumidzwa dzekuzviita nyore, senge kusanganisa mapiritsi akapwanyika neapuro sauce.

Edza mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akaenzana muropa rako. Isa chirangaridzo pafoni yako kana kushandisa chirongwa chemishonga kana izvo zvinokubatsira kuyeuka.

Unogona kudya chikafu chako chese zuva rese uchitora rivaroxaban, kusiyana ne warfarin. Zvisinei, deredza kunwa doro uye dzivisa kuita shanduko huru kuchikafu chako usati wataurirana nazvo nachiremba wako.

Ndingatora Rivaroxaban Kwenguva Yakareba Sei?

Kureba kwenguva yekurapa ne rivaroxaban kunosiyana zvakanyanya zvichienderana nemamiriro ako chaiwo uye njodzi. Vamwe vanhu vanoda icho kwemwedzi mishoma chete, asi vamwe vanogona kuitora kwenguva refu kana kunyange zvachose.

Pakurapa ropa rakaumbana, vanhu vazhinji vanotora rivaroxaban kwemwedzi mitatu kusvika gumi nemiviri. Chiremba wako achadzokorora njodzi dzako uye achasarudza kana achienderera mberi zvichienderana nemamiriro ako ega.

Kana uine atrial fibrillation kana mamwe mamiriro ari kuenderera mberi anowedzera njodzi yeropa rakaumbana, ungangoda kutora rivaroxaban kwenguva isingagumi. Iyi nzira yenguva refu inobatsira kupa dziviriro inoramba ichienderera mberi kubva kune sitiroko uye mamwe matambudziko akakomba.

Usambomira kutora rivaroxaban kamwe kamwe usina kubvunza chiremba wako, nekuti izvi zvinogona kuwedzera zvakanyanya njodzi yako yeropa rakaumbana. Mupi wako wehutano achakutungamira kuburikidza nechero shanduko kuronga kwako kurapwa zvakachengeteka.

Ndezvipi Zvakaipa ZveRivaroxaban?

Kufanana nemishonga yese inotetesa ropa, njodzi huru ye rivaroxaban ndeyekuwedzera kubuda ropa. Vanhu vazhinji vanoigamuchira zvakanaka, asi zvakakosha kuziva zvese zvakajairika uye zvakakomba zvakaipa.

Heano zvakajairika zvakaipa zvaungasangana nazvo:

• Kukuvara nyore kana kukuvara kukuru kupfuura zvakajairika
• Kubuda ropa kudiki kunotora nguva yakareba kuti kumire
• Kubuda ropa mumhino
• Mazuva emwedzi akanyanya
• Meno anobuda ropa paunenge uchikwesha mazino
• Kuneta kana kushaya simba
• Dizziness
• Kutemwa nemusoro

Zvinowanzoitika izvi zvinowanzoita sezvo muviri wako uchigadzirisa mushonga. Zvisinei, unofanira kuzvitaurira chiremba wako, kunyanya kana zvichiwedzera kana kukanganisa mabasa ezuva nezuva.

Mhedzisiro yakakomba inoda kutarisirwa kwechimbichimbi, kunyangwe isingawanzoitiki:

• Kubuda ropa kwakanyanya kusingamire
• Ropa mumvura (pinki, tsvuku, kana ruvara rwebrown)
• Stools nhema, tarry, kana yeropa
• Kukosora ropa
• Kurwadziwa kwemusoro kwakanyanya kana kuvhiringidzika
• Kuzvimba kusinganzwisisike kana kurwadziwa
• Kurwadziwa kwakanyanya mudumbu
• Zviratidzo zvekuita allergic (rash, kuoma kufema, kuzvimba kwechiso kana huro)

Kana ukaona chero chimwe chezviratidzo izvi zvakakomba, tsvaga kutarisirwa kwechimbichimbi pakarepo. Kurapa nekukurumidza kunogona kudzivirira matambudziko uye kuona kuchengeteka kwako.

Ndiani Asingafaniri Kutora Rivaroxaban?

Rivaroxaban haina kuchengeteka kumunhu wese, uye mamiriro akati wandei anoita kuti mushonga uyu uve nenjodzi. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuisa.

Haufaniri kutora rivaroxaban kana uine chero mamiriro aya:

• Kubuda ropa kuri kushanda (semuenzaniso, maronda mudumbu kana kuvhiyiwa kwemazuva ano)
• Kusakwana kwakanyanya kwematsvo
• Chirwere chechiropa chine matambudziko ekuita ropa
• Mavharuvhu emoyo ekugadzira
• Allergy ku rivaroxaban kana zvinosanganiswa zvayo
• Kuzvitakura kana kuyamwisa

Mukuwedzera, mamiriro akati wandei anoda kungwarira kwakanyanya uye kuongororwa pedyo:

• Nhoroondo yematambudziko ekubuda ropa
• Kuvhiyiwa kukuru kana trauma
• High blood pressure isina kunyatso kutarisirwa
• Nhoroondo yesitiroko inokonzerwa nekubuda ropa
• Kutora mamwe ma blood thinners kana mishonga yakati wandei
• Zera repamusoro (kupfuura 75)
• Kurema kwemuviri kwakaderera

Mupi wako wehutano achayerera izvi zvinhu zvengozi pamusoro pezvakanakira kurapwa. Mune zvimwe zviitiko, vanogona kukurudzira mamwe mishonga kana kuongororwa kwakawedzerwa kuti vakuchengetedze.

Mazita eRivaroxaban Brand

Rivaroxaban inonyanya kuzivikanwa nezita rayo rekuti Xarelto, rinogadzirwa neBayer naJohnson & Johnson. Iri ndiro zita rekutanga rinonyatsozivikanwa nevakawanda vanachiremba nevarwere.

Mhando dzakajairika dzerivaroxaban dzave kuwanikwa mune dzimwe nyika, kunyangwe kuwanikwa kuchisiyana nenzvimbo. Aya maforamu akajairika ane chinhu chimwe chete chinoshanda uye anoshanda zvakafanana neiyo brand name version.

Nguva dzose tarisa nemu pharmacist wako kana iwe uchichinjwa pakati pemhando uye generic versions, sezvo mahwendefa anogona kutaridzika akasiyana kunyangwe achishanda nenzira imwechete.

Zvimwe Zvinhu Zviri Kutsiva Rivaroxaban

Mamwe ma blood thinners anogona kushanda sezvimwe zvinotsiva rivaroxaban, zvichienderana nezvido zvako. Chiremba wako angatarisa izvi kana rivaroxaban isiri iyo yakakunakira.

Zvimwe zvinonzi direct oral anticoagulants zvinosanganisira:

• Apixaban (Eliquis) - inotorwa kaviri pazuva, inogona kuva nenjodzi shoma yekubuda ropa
• Dabigatran (Pradaxa) - inotorwa kaviri pazuva, ine reversal agent iripo
• Edoxaban (Savaysa) - inotorwa kamwe pazuva, inoda kurapwa kwekutanga kwe heparin

Traditional blood thinners zvakare zvingasarudzwa:

• Warfarin (Coumadin) - inoda nguva dzose bvunzo dzeropa uye zvirambidzo zvekudya
• Heparin kana low molecular weight heparin - inopiwa nejekiseni

Mupi wako wehutano achatarisa zvinhu zvakaita sekushanda kwematsvo ako, mamwe mishonga, mararamiro, uye zvaunofarira paunenge uchisarudza sarudzo yakanakisa kwauri.

Rivaroxaban Ari Nani Kudarika Warfarin Here?

Rivaroxaban inopa zvakanakira zvakawanda pamusoro pe warfarin, kunyangwe mishonga yese iri miviri ichishanda blood thinners. Sarudzo pakati pavo inoenderana nemamiriro ako ezvinhu uye zvaunofarira.

Zvakanakira zvikuru zveRivaroxaban zvinosanganisira kusada bvunzo dzeropa nguva dzose, zvirambidzo zvishoma zvekudya, uye mhedzisiro inotungamira. Unogona kudya chikafu chakakwirira muvhitamini K usina kunetseka, uye haudi kushanya kwelabu kakawanda.

Warfarin yakashandiswa kwenguva refu uye ine tsvakurudzo yakawanda iri shure kwayo. Inewo mishonga inoshanda yekudzosa uye inogona kunge iri nani kune vanhu vane mamiriro emoyo akati wandei.

Mutengo unogona kuve chinhu chakakosha, sezvo warfarin isingadhuri zvakanyanya kudarika rivaroxaban. Zvisinei, kana iwe uchifunga nezvemutengo wekuedzwa kweropa nguva dzose uye kushanya kukiriniki, musiyano unogona kunge uri mudiki kupfuura zvaunoita pakutanga.

Mibvunzo Inowanzo Bvunzwa Nezve Rivaroxaban

Rivaroxaban Yakachengeteka Kune Vanhu vane Chirwere cheItsvo Here?

Rivaroxaban inogona kushandiswa kune vanhu vane chirwere cheitsvo chinyoro kusvika pakati nepakati, asi inoda kugadzirisa dosi uye kunyatso tarisa. Chiremba wako achatarisa kushanda kweitsvo yako nguva dzose kuti ave nechokwadi chekuti mushonga uri kugadziriswa nemazvo.

Vanhu vane chirwere cheitsvo chakakomba vanowanzo kutadza kutora rivaroxaban zvakachengeteka, sezvo mushonga unogona kuvaka kusvika pamatanho ane njodzi muropa. Muzviitiko izvi, chiremba wako achakurudzira mamwe ma blood thinners akachengeteka kune itsvo dzako.

Ndingaita Sei Kana Ndikatora Rivaroxaban yakawandisa netsaona?

Kana iwe netsaona ukatora imwe dosi ye rivaroxaban, taura nachiremba wako kana wemishonga nekukasira kuti uwane gwara. Usaedze "kugadzirisa" kukanganisa nekusvetuka dosi yako inotevera.

Zviratidzo zvekutora zvakawandisa zvinogona kusanganisira kupwanya kusinganzwisisike, kubuda ropa kusingamire, kana kunzwa dzungu uye kusimba. Kana iwe ukaona zviratidzo zvakakomba kana kubuda ropa zvakanyanya, tsvaga rubatsiro rwekurapa nekukasira.

Chengeta activated charcoal uye mamwe marapirwo ekukurumidzira anowanikwa chete kana akakurudzirwa zvakananga nachiremba wako wehutano, sezvo izvi zvinopindira zvinoda kutariswa kwekurapa.

Ndingaita Sei Kana Ndikarasikirwa neDosi yeRivaroxaban?

Kana iwe ukapotsa dosi ye rivaroxaban, itore paunorangarira pazuva rimwe chetero. Kana yasvika nguva yedosi yako inotevera yakarongwa, svetuka dosi yakarasika uye uenderere mberi nehurongwa hwako hwenguva dzose.

Usambofa wakatora zvikamu zviviri panguva imwe chete kuti uzadze chikamu chawakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yako yekubuda ropa. Kana iwe uchikanganwa zvikamu kazhinji, funga kuisa zviyeuchidzo zvefoni kana kushandisa chirongwa chemishonga.

Kukanganwa zvikamu dzimwe nguva kazhinji hakuwanzo kuva nenjodzi, asi edza kuchengeta mazinga akagadzikana muropa rako kuti uwane dziviriro yakanaka kubva kumavhiri eropa.

Ndingamira rini kutora Rivaroxaban?

Mira kutora rivaroxaban chete kana chiremba wako akakuudza zvakananga kuti uite kudaro. Kumira kamwe kamwe kunogona kuwedzera zvakanyanya njodzi yako yemavhiri eropa, sitiroko, kana dzimwe matambudziko akakomba.

Chiremba wako achadzokorora nguva dzose kana uchiri kuda mushonga zvichienderana nemamiriro ako, njodzi, uye chero mhedzisiro yaunowana. Kuongorora uku kunogona kuitika mwedzi mishoma yega yega kana gore negore.

Kana uchida kumira kuvhiyiwa kana mamwe maitiro ekurapa, mupi wako wehutano achakupa mirairo chaiyo yekuti umire rini uye kutangazve mushonga zvakachengeteka rini.

Ndinganwa Doro ndichitora Rivaroxaban?

Unogona kuva nezvinwiwa zvedoro dzimwe nguva uchitora rivaroxaban, asi kudzora kwakakosha. Doro rinogona kuwedzera njodzi yako yekubuda ropa uye rinogona kukanganisa kushanda kwemushonga.

Zvigumise kune chinwiwa chimwe chete pazuva chevakadzi kana zvinwiwa zviviri pazuva zvevarume, uye dzivisa kunwa zvakanyanya zvachose. Kana uine nhoroondo yematambudziko edoro, kurukura izvi pachena nemupi wako wehutano.

Chenjerera kunwa doro kana uchitora mamwe mishonga anogona kuwedzera njodzi yekubuda ropa kana uine matambudziko echiropa.