Rivaroxaban, monga anticoagulant yatsopano yapakamwa, yakhala ikugwiritsidwa ntchito kwambiri popewa komanso kuchiza matenda a venous thromboembolic.Kodi ndiyenera kulabadira chiyani mukatenga rivaroxaban?
Mosiyana ndi warfarin, rivaroxaban sikutanthauza kuwunika kwa magazi kuundana.Kusintha kwa ntchito ya aimpso kuyeneranso kuwunikiridwa pafupipafupi kuti athandizire kuwunika kwatsatanetsatane kwa dokotala wanu ndikuwunika njira yotsatira yamankhwala anu.
Ndiyenera kuchita chiyani ndikapeza mlingo wophonya?
Ngati mwaphonya mlingo, simukuyenera kugwiritsa ntchito mlingo wowirikiza pa mlingo wotsatira.Mlingo wophonya ukhoza kupangidwa mkati mwa maola 12 kuchokera mulingo womwe mwaphonya.Ngati maola oposa 12 atha, mlingo wotsatira udzatengedwa monga momwe anakonzera.
Ndi zizindikiro ziti za kuchepa kwa anticoagulation kapena overdose panthawi yamankhwala?
Ngati anticoagulation ndi yosakwanira, izi zingayambitse chiopsezo chowonjezeka cha magazi.Ngati mukukumana ndi zizindikiro zotsatirazi panthawi yomwe mukumwa mankhwala, muyenera kuyesedwa mwamsanga kuchipatala chapafupi.
1. Nkhope: dzanzi la nkhope, kusanja, kapena mkamwa mokhota;
2. Malekezero: dzanzi kumtunda, kulephera kugwirana chanza chafulati kwa masekondi 10;
3. Kulankhula: kulankhula mopanda nzeru, kuvutika kulankhula;
4. Kutuluka dyspnea kapena kupweteka pachifuwa;
5. Kutaya masomphenya kapena khungu.
Kodi zizindikiro za anticoagulation overdose ndi ziti?
Ngati pali mankhwala osokoneza bongo a anticoagulation, amatha kuyambitsa magazi.Choncho, ndikofunika kuyang'anitsitsa kutuluka kwa magazi pamene mukumwarivaroxaban.Kwa magazi ang'onoang'ono, monga kutuluka magazi m'kamwa potsuka mano kapena kutuluka magazi pambuyo pa kuphulika kwa khungu, sikoyenera kusiya kapena kuchepetsa mankhwala mwamsanga, koma kuyang'anitsitsa kuyenera kulimbikitsidwa.Kutuluka magazi pang'ono kumakhala kochepa, kungathe kuchira kokha, ndipo nthawi zambiri kumakhala ndi zotsatira zochepa.Kutaya magazi kwambiri, monga kutuluka kwa mkodzo kapena chopondapo kapena kupweteka mutu mwadzidzidzi, nseru, kusanza, chizungulire, ndi zina zotero, ngoziyo ndi yaikulu kwambiri ndipo iyenera kufufuzidwa mwamsanga kuchipatala chapafupi.
Kutuluka magazi pang'ono:kuchuluka kwa mabala a pakhungu kapena mawanga, kutuluka magazi m'kamwa, kutuluka magazi m'mphuno, kutuluka magazi m'mitsempha, kutuluka magazi kwa nthawi yayitali.
Kutuluka magazi kwambiri:mkodzo wofiyira kapena woderapo, chimbudzi chofiira kapena chakuda, mimba yotupa ndi yotupa, kusanza kwa magazi kapena hemoptysis, kupweteka kwa mutu kwambiri kapena kupweteka m'mimba.
Kodi ndiyenera kuyang'ana chiyani pa zomwe ndikukhala komanso zochita za tsiku ndi tsiku ndikamamwa mankhwala?
Odwala omwe amatenga rivaroxaban ayenera kusiya kusuta komanso kupewa kumwa mowa.Kusuta kapena kumwa mowa kungakhudze zotsatira za anticoagulation.Ndibwino kuti mugwiritse ntchito mswachi wofewa kapena floss kuti mutsuke mano anu, ndipo ndi bwino kuti amuna azigwiritsira ntchito lumo lamagetsi kusiyana ndi lumo lamanja pometa.
Kuonjezera apo, ndi machitidwe otani a mankhwala omwe ndiyenera kumvetsera pamene ndikumwa mankhwalawa?
Rivaroxabanalibe kugwirizana kochepa ndi mankhwala ena, koma kuti muchepetse chiopsezo cha mankhwala, chonde dziwitsani dokotala wanu za mankhwala ena onse omwe mukumwa.
Kodi ndingakhale ndi mayeso ena ndikamamwa rivaroxaban?
Ngati mukukonzekera kuchotsa dzino, gastroscopy, fibrinoscopy, ndi zina zotero, mukamamwa anticoagulants, chonde auzeni dokotala kuti mukumwa mankhwala oletsa magazi.
Nthawi yotumiza: Oct-27-2021