I-Edoxaban

-Delile

• Ngaphambi kokuthatha i-edoxaban,
• I-Edoxaban ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-edoxaban bese ufonela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Uma une-fibrillation ye-atrial (isimo lapho inhliziyo ishaya ngokungajwayelekile, ikhulisa amathuba okuba amahlule emzimbeni, futhi mhlawumbe abangele imivimbo) futhi uthatha i-edoxaban ukusiza ukuvimbela imivimbo noma amahlule angathi sína egazini, usengozini enkulu ukushaywa unhlangothi ngemuva kokuyeka ukusebenzisa le mithi. Ungayeki ukuthatha i-edoxaban ngaphandle kokukhuluma nodokotela wakho. Qhubeka uthathe i-edoxaban noma ngabe uzizwa uphilile. Qiniseka ukuthi ugcwalisa kadokotela wakho ngaphambi kokuphelelwa yimithi ukuze ungaphuthelwa yimithamo ye-edoxaban. Uma udinga ukuyeka ukuthatha i-edoxaban, udokotela wakho angahle anikeze enye i-anticoagulant ('' blood thinner '') ukusiza ukuvimbela igazi ukuba lingakhi futhi likwenze ube nesifo sohlangothi.

Uma une-anesthesia ye-epidural noma yomgogodla noma i-puncture yomgogodla ngenkathi uthatha 'igazi elincane' njenge-edoxaban, usengozini yokuba nefomu le-clot yegazi emgogodleni noma ezungeze umgogodla wakho ongakwenza ukuthi ukhubazeke. Tshela udokotela wakho uma une-catheter ye-epidural esele emzimbeni wakho noma uke waba nokuphindaphinda ama-epidural noma umgogodla ophindaphindiwe, ukukhubazeka komgogodla noma ukuhlinzwa komgogodla. Tshela udokotela kanye nosokhemisi wakho uma usebenzisa i-anagrelide (Agrylin); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye), indomethacin (Indocin, Tivorbex), ketoprofen, ne-naproxen (Aleve, Anaprox, abanye); i-cilostazol (i-Pletal); i-clopidogrel (i-Plavix); i-dipyridamole (i-Persantine); i-eptifibatide (i-Integrilin); i-heparin; i-prasugrel (i-Effient); i-ticagrelor (Brilinta); i-ticlopidine; tirofiban (Aggrastat), kanye ne-warfarin (Coumadin, Jantoven). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: izinhlungu zasemhlane, ubuthakathaka bemisipha, ukuba ndikindiki noma ukuncinza (ikakhulukazi emilenzeni), ukwehluleka ukulawula izibilini noma isinye, noma ukungakwazi ukunyakazisa imilenze yakho.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoku-oda ukuhlolwa ukuze uhlole ukuthi izinso zakho zisebenza kahle kangakanani ngaphambi nangemva kokulashwa kwakho nge-edoxaban.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-edoxaban futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/downloads/Drugs/DrugSafety/) noma iwebhusayithi yomkhiqizi ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngengozi yokuthatha i-edoxaban.

I-Edoxaban isetshenziswa ukusiza ukuvimbela imivimbo noma amahlule egazini kubantu abane-fibrillation ye-atrial (isimo lapho inhliziyo ishaya ngokungahambi kahle, ikhulisa ithuba lamahlule akha emzimbeni futhi mhlawumbe abangele imivimbo) engabangelwa yisifo se-valve senhliziyo. I-Edoxaban nayo isetshenziselwa ukuvimbela i-vein thrombosis ejulile (i-DVT; i-clot yegazi, imvamisa emlenzeni) kanye ne-pulmonary embolism (PE; i-clot yegazi emaphashini) kubantu abaphathwe ngomuthi ojova wegazi omncane we-5 kuye ku-10 izinsuku. U-Edoxaban usesigabeni semithi ebizwa nge-factor Xa inhibitors. Isebenza ngokuvimba isenzo sento ethile yemvelo esiza amahlule egazi ukuthi akhe.

I-Edoxaban iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla kanye ngosuku. Thatha i-edoxaban ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-edoxaban njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma ungakwazi ukuwagwinya amaphilisi, uwagaye uwahlanganise nama-ounces amabili kuya kwayi-3 (60 kuya ku-90 ml) wamanzi noma i-appleauce. Thatha ingxube ngokushesha.

Uma uneshubhu lesisu, amaphilisi angachotshozwa ahlanganiswe emanzini bese unikezwa ngepayipi. Buza udokotela wakho noma usokhemisi ukuthi kufanele uyiphuze kanjani le mithi. Landela lezo zinkomba ngokucophelela.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-edoxaban,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-edoxaban, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-edoxaban. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha.Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: amiodarone (Cordarone, Pacerone), atorvastatin (Lipitor, in Caduet, in Liptruzet), cyclosporine (Gengraf, Neoral), digoxin (Lanoxin), dronedarone ( IMultaq), i-erythromycin (i-EES, i-E-Mycin, i-Erythrocin), i-esomeprazole (i-Nexium, eVimovo), i-ketoconazole (i-Nizoral), i-quinidine, i-rifampin (i-Rifadin, e-Rifamate, e-Rifater, i-Rimactane), i-serotonin-reupopake (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), kanye sertraline (Zoloft); i-serotonin – norepinephrine reuptake inhibitors (SNRI) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), ne-venlafaxine (i-Effexor); kanye ne-verapamil (Calan, Covera, Isoptin, Verelan, eTarka). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-edoxaban, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• utshele udokotela wakho uma wopha kakhulu noma yikuphi emzimbeni wakho okungenakuvinjelwa. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-edoxaban.
• Tshela udokotela wakho ukuthi unesisindo esingamakhilogremu ayi-132 (60 kilograms) noma ngaphansi futhi uma uke waba nanoma iyiphi inkinga yenkinga yokopha, i-valve yenhliziyo, i-antiphospholipid syndrome (isifo sokuzivikela komzimba esidala amahlule egazi), umdlavuza wesisu noma amathumbu, noma inhliziyo, isifo sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-edoxaban, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-edoxaban.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje uma uwukhumbula ngosuku olufanayo. Kodwa-ke, uma kuwusuku olulandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa okujwayelekile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Edoxaban ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuqubuka
• ukukhathala okungajwayelekile noma ubuthakathaka
• isiyezi
• isikhumba esiphaphathekile

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, yeka ukuthatha i-edoxaban bese ufonela udokotela wakho ngokushesha:

• izinsini ezophayo
• ukuphuma kwamakhala
• ukopha okusindayo kwesitho sangasese sowesifazane
• umchamo obomvu, obomvana noma onsundu
• okubomvu noma okumnyama, izitulo zokulinda
• ukukhwehlela noma ukuphalaza igazi noma into ebukeka njengezizathu zekhofi

I-Edoxaban ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukopha okungajwayelekile noma ukulinyazwa
• izihlalo ezinegazi, ezimnyama, noma zokulinda
• igazi emchameni
• ukukhwehlela noma ukuphalaza igazi noma into ebukeka njengezizathu zekhofi

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-edoxaban.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Savaysa^®