Rivaroxaban, Papa ʻallelo waha

Anter

• Ka ʻōlelo aʻoaʻo a FDA
• Nā mea nui no rivaroxaban
• He aha ka rivaroxaban?
• No ke aha e hoʻohana ʻia ai
• Pehea e hana ai
• Nā hopena ʻaoʻao Rivaroxaban
• Nā hopena ʻaoʻao hou aʻe
• Nā hopena hopena koʻikoʻi
• Hiki i ka Rivaroxaban ke launa pū me nā lāʻau ʻē aʻe
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Laau lāʻau Antiplatelet
• ʻAspirin
• ʻ thinʻiliʻili koko
• Nā lāʻau HIV
• Nā lāʻau lapaʻau anttifungal
• Laau Kunu
• Pākuʻi mea kanu
• Lāʻau hopu
• Nā lāʻau ʻē aʻe
• I ka wā hea e kāhea ai i ke kauka
  
• Pehea e lawe ai i rivaroxaban
• ʻAno lāʻau a me nā ikaika
• Nā hana no ka pale ʻana i ka hahau a me nā kahe koko i ka poʻe me ka fibrillation atrial nonvalvular
• Nā hana no ka mālama ʻana i nā DVT a i ʻole nā ​​PE
• Nā hana no ka pale ʻana i ka hoʻi hou o nā DVT a i ʻole nā ​​PE
• Nā hana no ka pale ʻana i nā DVT a i ʻole nā ​​PE i ka poʻe i loaʻa i ka ʻūhā a me ke kuli
• Nā hana no ka hōʻemi ʻana i ka pilikia o nā pilikia puʻuwai nui i ka poʻe me ka maʻi o ke aʻa maʻi (CAD) a i ʻole ka maʻi ākea ākea (PAD)
• Nā ʻōlelo aʻoaʻo a Rivaroxaban
• ʻ Warlelo aʻoaʻo a FDA
  
• Hoʻokaʻaʻike pilikia hele koko
• ʻO ka ʻōlelo aʻoaʻo a ka puʻuwai puʻuwai
• ʻOki kino a me ke kaʻina hana aʻoaʻo
• ʻLelo aʻoaʻo ʻaʻai
• Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino
• Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe
• Lawe e like me ke kuhikuhi
• Nā manaʻo nui no ka lawe rivaroxaban
• Generala
• Waihona
• Hoʻopiha hou
• Huakaʻi
• Nānā lapaʻau
• Loaʻa
• ʻĀpono mua
• Aia kekahi mau koho ʻē aʻe?

Ka ʻōlelo aʻoaʻo a FDA

Nā mea nui no rivaroxaban

1. Loaʻa ka papaha waha ʻo Rivaroxaban ma ke ʻano he lāʻau lapaʻau inoa. ʻAʻole loaʻa ia ma ke ʻano he lāʻau laulaha. Inoa inoa: Xarelto.
2. Hele mai ʻo Rivaroxaban ma ke ʻano he papaha āu e lawe ai ma ka waha.
3. Hoʻohana ʻia ka papaha waha ʻo Rivaroxaban e mālama a pale aku ai i ke kahe o ke koko. Hoʻohana ʻia ia e hōʻemi i ka hopena o ka hahau ʻana i ka poʻe me ka fibrillation atrial me ka ʻole o ka puʻuwai puʻuwai hana. Hoʻohui ʻia, hoʻohana ʻia me ka aspirin e hoʻoliʻiliʻi i ka pilikia o nā pilikia puʻuwai nui i ka poʻe me ka maʻi o ke aʻa maʻi (CAD) a i ʻole ka maʻi ākea ākea (PAD).

He aha ka rivaroxaban?

ʻO Rivaroxaban kahi lāʻau lapaʻau. Hele mai ia me he papa waha.

Loaʻa ka papaha waha ʻo Rivaroxaban ma ke ʻano he lāʻau lapaʻau inoa Xarelto. ʻAʻole loaʻa ia ma ke ʻano he lāʻau laulaha.

No ke aha e hoʻohana ʻia ai

ʻO Rivaroxaban kahi wīwī o ke koko. Hoʻohana ʻia ia:

• pale i ka hahau ʻana i ka poʻe me ka fibrillation atrial nonvalvular
• pale a mālama i nā kīʻaha koko i loko o kāu mau kō koko. Hoʻokumu pinepine kēia mau kahe koko i kekahi mau uaua i kou mau wāwae a kapa ʻia nā thromboses hohonu (DVT). Hiki i kēia mau huʻa ke hele i nā akemāmā, e hoʻoulu ai i nā embolism pulmonary.
• pale iā DVT ma hope o ke kīkala a i ʻole ke kuli
• hoʻemi i ka makaʻu o nā pilikia puʻuwai nui e like me ka puʻuwai puʻuwai a i ʻole ka hahau ʻana i ka poʻe me ka maʻi o ke aʻa maʻi (CAD) a i ʻole ka maʻi ākea ākea (PAD)

Pehea e hana ai

No Rivaroxaban kahi papa o nā lāʻau i kapa ʻia nā anticoagulants, kikoʻī nō nā mea papa Xa (nā mea pale). ʻO kahi papa o nā lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like. Hoʻohana pinepine ʻia kēia mau lāʻau e mālama i nā ʻano like.

Kōkua ʻo Rivaroxaban i ka pale ʻana i nā huʻa o ke koko mai ka pale ʻana i kahi mea i ʻike ʻia ma ke ʻano Xa. Ke kāohi ʻia ka mea Xa, hoʻemi ia i ka nui o kahi enzyme i kapa ʻia thrombin i kou kino. ʻO Thrombin kahi mea i loko o kou koko e pono ai e hana i nā clots. Ke hoʻemi ʻia ka thrombin, pale kēia i ka hāʻule ʻana o kahi ʻōpala.

ʻO ka puʻuwai puʻuwai, ka hahau ʻana, a me nā pilikia puʻuwai nui ʻē aʻe e hiki i ka hopena o ke koko. Ma muli o ka hoʻohaʻahaʻa ʻana o kēia lāʻau i ka makaʻu o ke kūkulu ʻana i kahi koko, hōʻemi nō ia i ka pilikia o kēia mau pilikia.

Nā hopena ʻaoʻao Rivaroxaban

Hiki i ka papa ʻōlelo waha ʻo Rivaroxaban ke kumu i nā hopena ʻoluʻolu a koʻikoʻi paha. Loaʻa i ka papa inoa aʻe kekahi o nā hopena ʻaoʻao nui i hiki ke hana ʻia i ka wā e lawe ana i rivaroxaban. ʻAʻole pili kēia papa inoa i nā hopena ʻē aʻe āpau.

No ka ʻike hou aku e pili ana i ka hopena o ka rivaroxaban, a i ʻole nā ​​ʻōlelo aʻoaʻo e pili ana i ka hopena o ka hopena pilikia, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena ʻaoʻao hou aʻe

ʻO nā hopena ʻē aʻe i hiki ke hana me rivaroxaban pū me:

• kahe ana ke koko, me nā ʻōuli e like me:
  • ʻoi hou ka maʻalahi
  • ke kahe ʻana o ke kahe e lōʻihi ana ke kū

Inā akahai kēia mau hopena, hele paha lākou i loko o kekahi mau lā a i ʻole ʻelua mau pule.Inā ʻoi aku ke koʻikoʻi a i ʻole hele aku, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena hopena koʻikoʻi

Kāhea koke i kāu kauka inā loaʻa nā hopena koʻikoʻi. Kāhea iā 911 inā manaʻo kou mau hōʻailona i ka hoʻoweliweli ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino. Hiki i nā hopena ʻē aʻe a me kā lākou mau hōʻailona ke hoʻohui i kēia:

• Kahe nui ke koko. Hiki i nā ʻōuli ke hoʻohui pū:
  • kahe ʻole a kahe paha ka lōʻihi o ka manawa, e like me ka nosebleeds pinepine, kahe ʻole o ke kahe ʻana mai kāu gums, ke kahe ʻana o ka menstrual ʻoi aku ke kaumaha ma mua o ka maʻamau, a i ʻole ke kahe koko
  • kahe nui ke kahe a i ʻole hiki ʻole iā ʻoe ke kaohi
  • mimi ʻulaʻula, ʻulaʻula, a i ʻole miki ʻeleʻele
  • ʻōniʻoniʻo ʻulaʻula a ʻeleʻele paha e like me ke tar
  • ke kuʻi nei i ke koko a i ʻole ke koko
  • luaʻi i ke koko a i ʻole ka luaʻi e like me nā papa kope
  • ka ʻeha, ka pehu ʻana, a i ʻole ke kahe hou ma nā wahi ʻeha
• Huʻi ke koko ʻōiwi a i ʻole epidural. ʻO ka poʻe i lawe i ka rivaroxaban a loaʻa ka lāʻau ʻē aʻe i injected i loko o ko lākou iwi kuamoʻo a me nā wahi epidural, a i ʻole he puncture hoʻi o ka iwi kuamoo, he makaʻu paha lākou i ka hana ʻana i ka huʻi koko koʻikoʻi. Hiki i kēia ke kumu i ka paralysis lōʻihi a mau loa paha. Hiki i nā ʻōuli ke hoʻohui pū:
  • ʻeha, ʻūlū ʻana, a i ʻole numbness
  • nāwaliwali o nā mākala, keu hoʻi i kou mau wāwae a me kou mau wāwae
  • incontinence (nalo o ke kaohi o nā ʻōpū a i ʻole pākuʻi)

Hiki i ka Rivaroxaban ke launa pū me nā lāʻau ʻē aʻe

Hiki i ka papa ʻōlelo waha ʻo Rivaroxaban ke launa pū me nā lāʻau ʻē aʻe. Hiki i nā launa like ʻole ke kumu i nā hopena like ʻole. ʻO kahi laʻana, hiki i kekahi ke hoʻopilikia i ka maikaʻi o ka hana ʻana o ka lāʻau, ʻoiai ʻo kekahi e hoʻonui i nā hopena ʻē aʻe.

Ma lalo ka papa inoa o nā lāʻau e hiki ke launa me rivaroxaban. ʻAʻole i loko o kēia papa inoa nā lāʻau āpau e launa pū me rivaroxaban.

Ma mua o ka lawe ʻana i rivaroxaban, e ʻike pono e haʻi aku i kāu kauka a me ka kauka lāʻau e pili ana i nā kauka, over-the-counter, a me nā lāʻau ʻē aʻe āu e lawe ai. E haʻi pū iā lākou e pili ana i nā wikamina, nā mea kanu, a me nā mea hoʻopiha āu e hoʻohana ai. Hiki ke kōkua i ka hāʻawi ʻana i kēia ʻike iā ʻoe e hōʻalo i nā launa ʻole.

Inā he mau nīnau kāu e pili ana i nā launa lāʻau e hoʻopili iā ʻoe, e nīnau i kāu kauka a kauka paha.

Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)

E akahele i ka lawe ʻana i rivaroxaban me NSAIDs. ʻO ka lawe pū ʻana i kēia mau lāʻau i hiki ke hoʻonui i kou makaʻu i ke kahe ʻana, no ka mea, pale lāua ʻelua i kou koko mai ka hui ʻana. Eia kekahi laʻana o kēia mau lāʻau:

• halehua
• ʻ etodolac
• fenoprofen
• flurbiprofen
• ibuprofen
• indomethacin
• ketoprofen
• ketorolac
• ʻakika mefenamic
• meloxicam

Laau lāʻau Antiplatelet

E akahele i ka lawe ʻana klopidogrel me rivaroxaban. Hana kēia mau lāʻau ʻelua e hōʻemi i kou koko mai ka hoʻopili ʻana. Inā ʻoe e launa pū, hiki paha ke kahe i ke kahe.

ʻAspirin

E akahele i ka lawe ʻana i ka aspirin me rivaroxaban. Hana kēia mau lāʻau ʻelua e hōʻemi i kou koko. Inā ʻoe e hui pū iā lākou, e lahilahi paha kou koko, a he ʻoi aku paha kou i ke kahe ʻana o ke kahe.

ʻ thinʻiliʻili koko

Mai lawe i ka rivaroxaban me nā mea lahilahi o ke koko. Hana nā lāʻau Anticoagulant a me ka rivaroxaban e hōʻemi i kou koko. Inā ʻoe e lawe pū i kēia mau lāʻau, e lahilahi paha kou koko, a ʻoi aku paha ke kahe o ke kahe.

Eia kekahi laʻana o kēia mau lāʻau:

• Warfarin
• heparin
• enoxaparin

Nā lāʻau HIV

Mai lawe i ka rivaroxaban me nā lāʻau HIV i kāhea ʻia nā mea hoʻohiwahiwa protease. Hiki i kēia mau lāʻau ke hoʻonui i ka nui o rivaroxaban i kou kino. Inā hoʻonui ʻia kou kiʻekiʻe o ke koko, ʻoi aku paha ke kahe o ke kahe.

Eia kekahi laʻana o kēia mau lāʻau:

• atazanavir
• darunavir
• fosamprenavir
• indinavir
• lopinavir / ritonavir
• nelfinavir
• ritonavir
• saquinavir
• tipranavir

Nā lāʻau lapaʻau anttifungal

Lawe i nā lāʻau antifungal me rivaroxaban hiki ke hoʻonui i ka nui o rivaroxaban i kou kino. Māmā paha kēia i kou koko, a ʻoi aku paha ke koko. Mai lawe i kēia mau lāʻau me rivaroxaban.

Eia kekahi laʻana o kēia mau lāʻau:

• ketoconazole
• itraconazole

Laau Kunu

Mai lawe i rivaroxaban me kēia mau lāʻau. ʻO ka hana ʻana pēlā e hōʻemi ai i ka nui o rivaroxaban i kou kino a hoʻoliʻiliʻi pono ia. Eia kekahi laʻana o kēia mau lāʻau:

• rifampin
• rifabutin
• rifapentine

Pākuʻi mea kanu

Mai lawe i rivaroxaban me ka wort o St. ʻO ka hana ʻana pēlā e hōʻemi ai i ka nui o rivaroxaban i kou kino a hoʻoliʻiliʻi pono ia.

Lāʻau hopu

Mai lawe i kēia mau lāʻau me rivaroxaban. ʻO ka hana ʻana pēlā e hōʻemi ai i ka nui o rivaroxaban i kou kino a hoʻoliʻiliʻi pono ia. Eia kekahi laʻana o kēia mau lāʻau:

• carbamazepine
• ʻonotona
• fosphenytoin
• phenytoin
• phenobarbital

Nā lāʻau ʻē aʻe

ʻAʻole pono e lawe i kēia mau lāʻau me rivaroxaban inā loaʻa ʻole iā ʻoe ka hana hakuʻala maikaʻi ʻole, ke ʻole ʻoi aku ka nui o ka pōmaikaʻi ma mua o ka hoʻonui ʻana o ka kahe o ke kahe. E hoʻoholo kāu kauka inā palekana kēia mau lāʻau iā ʻoe e lawe me rivaroxaban. Eia kekahi laʻana o kēia mau lāʻau:

• erythromycin
• diltiazem
• verapamil
• ʻO dronedarone

I ka wā hea e kāhea ai i ke kauka

• Kāhea koke i kāu kauka inā hāʻule ʻoe a hōʻeha iā ʻoe iho, keu hoʻi inā ku ʻoe i kou poʻo. Pono paha kāu kauka e nānā iā ʻoe no ke kahe ʻana o ke kahe e hiki mai ana i loko o kou kino.
• Inā ʻoe e hoʻolālā e hana i kahi ʻoki a i ʻole ka lāʻau lapaʻau a i ʻole kahi kaʻina hana niho, e haʻi i kāu kauka a kauka niho paha e lawe ana ʻoe i kēia lāʻau. E hoʻomaha paha ʻoe i ka lawe ʻana i kēia lāʻau no kekahi manawa pōkole. E haʻi aku kāu kauka iā ʻoe i ka manawa e hōʻoki ai i ka lawe ʻana i ka lāʻau a i ka wā e hoʻomaka ai ʻoe e lawe hou. Kauoha paha lākou i kahi lāʻau ʻē aʻe e kōkua i ka pale ʻana i nā clots koko mai ka hana ʻana.

Pehea e lawe ai i rivaroxaban

ʻO ka rivaroxaban kauka a kāu kauka e kuhikuhi ai e hilinaʻi ʻia i nā kumu he nui. Pākuʻi ʻia kēia mau mea:

• ke ʻano o ke ʻano āu e hoʻohana nei i ka rivaroxaban e mālama ai
• kou mau makahiki
• nā kūlana olakino ʻē aʻe i loaʻa iā ʻoe, e like me ka hōʻino ʻana o ka hakuʻala

ʻO ka maʻamau, e hoʻomaka kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa a hoʻomaʻamaʻa iā ia i ka manawa e hiki i ke ana pono kūpono iā ʻoe. Na lākou e kuhikuhi i ka mea liʻiliʻi loa e hāʻawi i ka hopena i makemake ʻia.

Hōʻike ka ʻikepili aʻe i nā lāʻau i hoʻohana pinepine ʻia a koi ʻia paha. Eia nō naʻe, e mālama pono i nā lāʻau a ke kauka i kuhikuhi ai nāu. E hoʻoholo kāu kauka i ke ana ʻoi loa e kūpono i kāu mau pono.

ʻAno lāʻau a me nā ikaika

Brand: Xarelto

• Palapala: papa waha
• Nā ikaika: 2.5, 10 mg, 15 mg, 20 mg

Nā hana no ka pale ʻana i ka hahau a me nā kahe koko i ka poʻe me ka fibrillation atrial nonvalvular

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: 20 mg hoʻokahi i kēlā me kēia lā me ka ʻaina ahiahi.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nā manaʻo hana kūikawā

• No ka poʻe me ka lōkahi a i ʻole nā ​​pilikia ʻino koʻikoʻi: E lawe ʻia paha kāu ana ma 15 mg i hoʻokahi lā i kēlā me kēia lā me kāu pāʻina ahiahi.
• No ka poʻe me nā pilikia puʻuwai koʻikoʻi loa: ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau.

Nā hana no ka mālama ʻana i nā DVT a i ʻole nā ​​PE

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: 15 mg ʻelua mau manawa i kēlā me kēia lā me ka meaʻai no 21 mau lā, a ukali ʻia e 20 mg hoʻokahi manawa i kēlā me kēia lā me ka meaʻai no ke koena o ka mālama.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nā manaʻo hana kūikawā

• No ka poʻe me nā pilikia puʻuwai koʻikoʻi: ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau.

Nā hana no ka pale ʻana i ka hoʻi hou o nā DVT a i ʻole nā ​​PE

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: 10 mg i kēlā me kēia lā me ka ʻai a me ka ʻole o ka meaʻai, ma hope o 6 mau mahina o ka maʻamau anticoagulation (hoʻoliʻiliʻi koko).

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nā manaʻo hana kūikawā

• No ka poʻe me nā pilikia puʻuwai koʻikoʻi. ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau.

Nā hana no ka pale ʻana i nā DVT a i ʻole nā ​​PE i ka poʻe i loaʻa i ka ʻūhā a me ke kuli

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Ma hope o kahi hakahaka pani: Lawe iā 10 mg i hoʻokahi manawa i kēlā me kēia lā me ka ʻole a me ka ʻole o ka meaʻai no 35 mau lā.
• Ma hope o ke kuli pani: Lawe iā 10 mg hoʻokahi i kēlā me kēia lā me ka ʻole a me ka ʻole o ka meaʻai no 12 mau lā.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nā manaʻo hana kūikawā

• No ka poʻe me nā pilikia puʻuwai koʻikoʻi. ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau.

Nā hana no ka hōʻemi ʻana i ka pilikia o nā pilikia puʻuwai nui i ka poʻe me ka maʻi o ke aʻa maʻi (CAD) a i ʻole ka maʻi ākea ākea (PAD)

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: Lawe iā 2.5 mg ʻelua manawa i kēlā me kēia lā, a me ka aspirin (75 a 100 mg) hoʻokahi i kēlā me kēia lā. Lawe me ka ʻai ʻole.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki. ʻAʻole pono e hoʻohana ʻia i nā keiki ma mua o 18 mau makahiki.

Nā ʻōlelo aʻoaʻo a Rivaroxaban

ʻ Warlelo aʻoaʻo a FDA

• He mau ʻōlelo aʻoaʻo a ka pahu ʻeleʻele. ʻO kēia nā ʻōlelo aʻoaʻo koʻikoʻi nui loa mai ka Food and Drug Administration (FDA). Hoʻomaʻamaʻa ka pahu ʻeleʻele i nā kauka a me nā mea maʻi e pili ana i nā hopena lāʻau e weliweli paha.
• Ka ʻōlelo aʻoaʻo no ka hoʻōki ʻana i ka lāʻau: Mai hōʻoki i ka lawe ʻana i kēia lāʻau me ke kamaʻilio ʻole mua ʻana me kāu kauka. Ke kū nei ʻoe i ka lawe ʻana i kahi wīwī o ke koko, e hana paha ʻoe i kahi ʻōpala a i ʻole loaʻa i kahi hahau.
• Pākuʻi ka iwi kuamoʻo a epidural (hematoma) ʻO ka poʻe e lawe i kēia lāʻau a loaʻa i kahi lāʻau ʻē aʻe i injected i loko o ko lākou iwi kuamoo a i ʻole loaʻa i kahi kuʻi kuʻi i ka makaʻu o ka hana ʻana i kahi kōkō koko koʻikoʻi. Hiki i kēia ke kumu i ka paralysis lōʻihi a mau loa paha. ʻOi aku ka kiʻekiʻe o kāu pilikia o kēia pilikia inā he paipu lahilahi (catheter epidural) kau ʻia i kou kua e hāʻawi i ka lāʻau iā ʻoe. ʻOi aku ka kiʻekiʻe inā ʻoe e lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a i ʻole kekahi lāʻau e pale aku ai i kou koko mai ka hoʻopili ʻana. Hoʻohui ʻia, ʻoi aku ka kiʻekiʻe o kāu makaʻi inā he moʻolelo kāu o ka epidural a i ʻole ke kuʻi ʻōiwi, a i ʻole ka moʻaukala o ke kuamoʻo a i ʻole nā ​​pilikia me kou kuamoʻo.
• Inā ʻoe e lawe i kēia lāʻau a loaʻa i ka anesthesia ʻōiwi a i ʻole ka puncture ʻōiwi, pono ke kauka iā ʻoe e nānā no nā ʻōuli o ke koloka a i ʻole ke kō. E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha, ʻūlū ʻana, a me ka helu ʻole, a i ʻole ka nalowale ʻana o ka kaohi o kou ʻōpū a i ʻole ka waiū. E haʻi aku hoʻi i kāu kauka inā he nāwaliwali kou i nāʻiʻo, ʻoi aku i kou mau wāwae a me kou mau wāwae.

Hoʻokaʻaʻike pilikia hele koko

Hoʻonui ka lāʻau i kou makaʻu i ke kahe. Hiki ke koʻikoʻi a make make paha kēia. ʻO kēia no ka mea, ʻo kēia lāʻau lapaʻau he lāʻau lapaʻau koko e hoʻohaʻahaʻa i ka makaʻi o ke kōkō koko i loko o kou kino.

Kāhea i kāu kauka a hele i ka lumi pilikia inā loaʻa iā ʻoe nā ʻōuli o ke kahe koʻikoʻi. Inā pono, hiki i kahi mea mālama ola ke lawelawe i kahi lāʻau e hoʻohuli i nā hopena lahilahi o ke koko o rivaroxaban. Nā ʻōuli o ke kahe ʻana e kiaʻi no:

• kahe ʻole a kahe paha ka lōʻihi o ka manawa, e like me ka nosebleeds pinepine, kahe ʻole o ke kahe ʻana mai kāu gums, ke kahe ʻana o ka menstrual ʻoi aku ke kaumaha ma mua o ka maʻamau, a i ʻole ke kahe koko
• kahe nui ke kahe a i ʻole hiki ʻole iā ʻoe ke kaohi
• mimi ʻulaʻula, ʻulaʻula, a i ʻole miki ʻeleʻele
• ʻōniʻoniʻo ʻulaʻula a ʻulaʻula paha e like me ke kalo
• ke kuʻi nei i ke koko a i ʻole ke koko
• luaʻi i ke koko a i ʻole ka luaʻi e like me nā papa kope
• ʻeha poʻo, lōlō, a nāwaliwali paha
• ka ʻeha, ka pehu ʻana, a i ʻole ke kahe hou ma nā wahi ʻeha

Inā loaʻa kou kahe kaohi ʻole i ka hoʻohana ʻana i rivaroxaban, loaʻa kahi lāʻau i kuhikuhi ʻia i kapa ʻia ʻo Andexxa e hoʻohuli i nā hopena o rivaroxaban. Inā makemake ʻia ʻo Andexxa, hāʻawi ʻia ia e kahi mea lawelawe olakino ma o ka laina intravenous (IV), i hele i kou aa. No ka ʻike hou aku e pili ana i kēia lāʻau, nīnau i kāu kauka.

ʻO ka ʻōlelo aʻoaʻo a ka puʻuwai puʻuwai

Mai lawe i kēia lāʻau inā loaʻa iā ʻoe kahi valves puʻuwai (prosthetic) puʻuwai. ʻAʻole i aʻo ʻia kēia lāʻau i loko o ka poʻe me nā ʻāpana puʻuwai puʻuwai.

ʻOki kino a me ke kaʻina hana aʻoaʻo

Pono paha ʻoe e hōʻoki i ka lawe ʻana i kēia lāʻau no kekahi manawa ma mua o ke kaʻoki ʻana a i ʻole ke kauka a me nā hana niho. E haʻi aku kāu kauka iā ʻoe i ka manawa e hōʻoki ai i ka lawe ʻana i ka lāʻau a i ka wā e hoʻomaka ai ʻoe e lawe hou. Kauoha paha kāu kauka i kekahi lāʻau ʻē aʻe e kōkua i ka pale ʻana i nā clots koko mai ka hana ʻana.

ʻLelo aʻoaʻo ʻaʻai

Hiki i kēia lāʻau ke kumu i ka hopena maʻi ʻaʻai koʻikoʻi. Hiki i nā ʻōuli ke hoʻohui pū:

• pilikia hanu
• pehu o kou puʻu a me kou alelo

Inā loaʻa ʻoe i kahi hopena maʻi ʻaʻa, e kāhea koke aku i kāu kauka a i ʻole kikowaena kikowaena lāʻau ʻona kūloko. Inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele i kahi lumi pilikia kokoke loa.

Mai lawe hou i kēia lāʻau inā loaʻa iā ʻoe kahi hopena maʻi iā ia. Lawe hou ia he mea make (kumu make).

Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino

No ka poʻe me nā pilikia koko: Inā loaʻa iā ʻoe ke kahe koko ʻole, mai lawe i kēia lāʻau. ʻOi aku ka lahilahi o kēia lāʻau a hoʻonui i kou makaʻu i ke kahe nui. E kamaʻilio me kāu kauka inā loaʻa ʻoe i ke kahe koko ʻole i ka wā e lawe ana i kēia lāʻau.

No ka poʻe me nā pilikia o ke ake. ʻAʻole pono ʻoe e lawe i kēia lāʻau inā loaʻa ka maʻi kaulike a paʻakikī i ke ake a i ʻole nā ​​maʻi ate e pili ana i nā pilikia kahe. Inā pilikia ʻoe i ke ake, ʻaʻole hiki i kou kino ke hoʻomaʻemaʻe maikaʻi i kēia lāʻau mai kou kino. Hiki i kēia ke hana i ka lāʻau i loko o kou kino, e hoʻokau iā ʻoe i ke kahe o ke kahe.

No ka poʻe me nā pilikia puʻupaʻa: Pono ʻoe i kahi lāʻau haʻahaʻa o kēia lāʻau, a i ʻole ʻaʻole hiki iā ʻoe ke lawe iā ia āpau. Inā ʻaʻole holo pono kāu mau puʻupaʻa, ʻaʻole hiki i kou kino ke hoʻomaʻemaʻe i ka lāʻau. Hiki i kēia ke hana i ka lāʻau i loko o kou kino, e hoʻokau iā ʻoe i ke kahe o ke kahe.

No ka poʻe me nā valves puʻuwai hana: Mai lawe i kēia lāʻau inā loaʻa iā ʻoe kahi valves puʻuwai (prosthetic) puʻuwai. ʻAʻole i aʻo ʻia kēia lāʻau i loko o ka poʻe me nā ʻāpana puʻuwai puʻuwai.

Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe

No nā wahine hāpai: Ua hōʻike ʻia ka noiʻi ʻana i nā holoholona i nā hopena maikaʻi ʻole i ka fetus ke lawe ka makuahine i kēia lāʻau. Eia nō naʻe, ʻaʻole lawa ka nui o nā noiʻi i hana ʻia i loko o nā kānaka e maopopo ai pehea ka hopena o ka lāʻau i ka fetus kanaka.

Pono e hoʻohana i kēia lāʻau me ke akahele i nā wahine hāpai. Hiki iā ia ke kumu i ke kahe nui a me ka lawe manawa ʻole. Pono e hoʻohana i kēia lāʻau i ka wā hāpai wale nō inā hōʻoia ka hopena kūpono i ka makaʻu kūpono.

Inā lawe ʻoe i kēia lāʻau i ka wā hāpai, e haʻi koke aku i kāu kauka inā loaʻa ke kahe ʻana a i ʻole nā ​​hōʻailona o ke kahe o ke koko.

E haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i kēia lāʻau, e kāhea koke aku i kāu kauka.

No nā wahine e hānai ana i nā waiū: Hōʻalo kēia lāʻau i ka waiū umauma. Pono ʻoe a me kāu kauka e hoʻoholo inā e lawe ʻoe i kēia lāʻau a i ʻole ka umauma.

No ka poʻe ʻelemākule: Hoʻonui ka makaʻu o ka hahau a me ke kahe ʻana o ke kahe me ka makahiki, akā ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kēia lāʻau i ka poʻe ʻelemakule ma mua o nā pilikia.

No nā keiki: ʻAʻole i hoʻokumu ʻia kēia lāʻau lapaʻau e like me ka palekana a me ka maikaʻi i ka poʻe ʻōpio ma mua o 18 mau makahiki.

Lawe e like me ke kuhikuhi

Hoʻohana ʻia ka papaha waha ʻo Rivaroxaban no ka mālama lāʻau lā wā pōkole a me ka wā lōʻihi. E hoʻoholo kāu kauka i ka lōʻihi o kou lawe ʻana iā ia. Hele mai kēia lāʻau me nā pilikia nui inā ʻaʻole ʻoe e lawe e like me ke kauoha.

Inā kū ʻoe i ka lawe ʻana i ka lāʻau a mai lawe iki paha: Mai hōʻoki i ka lawe ʻana i kēia lāʻau me ke kamaʻilio ʻole mua ʻana me kāu kauka. Ke kū nei ʻoe i ka lawe ʻana i kahi wīwī o ke koko, e hana paha ʻoe i kahi ʻōpala a i ʻole loaʻa i kahi hahau.

E mālama pono i ka pau ʻole o kēia lāʻau. Hoʻopiha hou i kāu kuhikuhi ma mua o kou holo ʻana i waho.

Inā ʻoe e nalo i nā lāʻau a mai lawe ʻole i ka lāʻau i ka papa kuhikuhi. ʻAʻole holo pono paha kāu lāʻau a oki paha i ka hana holoʻokoʻa. No ka hana maikaʻi ʻana o kēia lāʻau, pono i loko o kou kino i kekahi nui i nā manawa āpau.

Inā lawe nui ʻoe: Inā ʻoe e lawe i nā mea hou aʻe ma mua o kāu lāʻau i kauoha ʻia o kēia lāʻau, ʻoi aku ka nui o kāu makaʻu i ke kahe ʻana, a he mea make ia.

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau, e kāhea i kāu kauka a i ʻole e ʻimi i ke alakaʻi mai ka ʻAmelika Hui Pū ʻIa Poison Control ma 800-222-1222 a i ʻole ma o kā lākou mea pono pūnaewele. Akā inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

He aha e hana ai inā e ʻike ʻoe i kahi mahele lāʻau: Inā lawe ʻoe i kēia lāʻau:

• ʻElua manawa i kēlā me kēia lā: Lawe iā ia ke hoʻomanaʻo koke ʻoe i ka lā like. Hiki paha iā ʻoe ke lawe i ʻelua mau lāʻau i ka manawa like e pani no ka mahele i hala. E lawe i kāu kau ma hope aʻe i kāna manawa i hoʻonohonoho pinepine ʻia.
• I hoʻokahi manawa i kēlā me kēia lā: Lawe iā ia ke hoʻomanaʻo koke ʻoe i ka lā like. E lawe i kāu kau ma hope aʻe i kāna manawa i hoʻonohonoho pinepine ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻāʻo e pani no ka mahele hala.

Pehea e haʻi ai inā e holo nei ka lāʻau: ʻO kāu mau hōʻailona mai kahi DVT a i ʻole PE e hele a hoʻomaikaʻi paha:

• No kahi DVT, pono e hoʻomaikaʻi ka pehu, ʻeha, mahana, a me ka ʻulaʻula.
• No kahi PE, kou pōkole o ka hanu a me ka ʻeha o ka umauma ke maikaʻi ka hanu.
• Inā he CAD a PAD paha kāu a ke lawe nei i kēia lāʻau e pale aku ai i nā pilikia nui o ka puʻuwai, ʻaʻole paha hiki iā ʻoe ke haʻi inā hana kēia lāʻau.

Nā manaʻo nui no ka lawe rivaroxaban

E hoʻomanaʻo i kēia mau noʻonoʻo inā kuhikuhi kāu kauka iā rivaroxaban nāu.

Generala

• Lawe i nā papa 15-mg a me 20-mg me ka meaʻai. Hiki iā ʻoe ke lawe i ka papaha 2.5-mg a me ka 10-mg me ka ʻai ʻole.
• Inā loaʻa ʻole ka fibrillation atrial nonvalvular a lawe i kēia lāʻau e pale aku ai i ka hahau a me ke koko, pono ʻoe e lawe me kāu pāʻina ahiahi.
• Hiki iā ʻoe ke haki i ka papa. Inā ʻoe e ʻānai, hui me kahi ʻāpala liʻiliʻi. ʻAi i ka ʻōpala, a laila ʻai i kāu pāʻina ma hope pono.

Waihona

• Hale kūʻai rivaroxaban ma 77 ° F (25 ° C).
• Mai mālama i kēia lāʻau i nā wahi pulu a pulu hoʻi, e like me ka lua.

Hoʻopiha hou

Hoʻopiha hou kahi kuhikuhi no kēia lāʻau. ʻAʻole pono ʻoe i kahi palapala hou no kēia lāʻau e hoʻopiha hou. E kākau kāu kauka i ka helu o nā hoʻopihapiha i ʻae ʻia ma kāu kauka.

Huakaʻi

Ke hele pū me kāu lāʻau:

• Lawe mau i kāu lāʻau. Ke lele nei, mai hoʻokomo i loko o kahi ʻeke i hōʻoia. E mālama iā ia i loko o kāu ʻeke lawe.
• Mai hopohopo e pili ana i nā mīkini X-ray kahua mokulele. ʻAʻole hiki iā lākou ke hōʻino i kāu lāʻau.
• Pono paha ʻoe e hōʻike i nā limahana mokulele i ka lepika lāʻau lapaʻau no kāu lāʻau. Lawe mau i ka ipu palapala inoa i kuhikuhi ʻia me ʻoe.
• E ʻike pono ua lawa kāu lāʻau ma mua o kou haʻalele ʻana i kāu huakaʻi. He paʻakikī paha e hoʻopiha i kēia kuhikuhi no ka mea ʻaʻole mālama nā lāʻau lapaʻau iā ia i nā waihona.
• Mai hoʻokomo i kēia lāʻau i loko o ka pahu lima o kāu kaʻa a waiho paha i loko o ke kaʻa. E hōʻalo pono i ka hana ʻana i kēia ke wela a anuanu loa ke aniau.

Nānā lapaʻau

I ka wā o ka mālama ʻana me rivaroxaban, hiki i kāu kauka ke nānā:

• Inā loaʻa iā ʻoe ke kahe koko. Inā loaʻa iā ʻoe kahi hōʻailona o ke kahe ʻana, hana paha kāu kauka i kekahi mau hoʻokolohua e ʻike ai inā ke kahe nei ʻoe i ke kahe.
• ʻO kāu hana hakuʻala.Inā ʻaʻole holo pono kāu mau puʻupaʻa, ʻaʻole hiki i kou kino ke hoʻomaʻemaʻe i ka lāʻau. ʻO kēia ke kumu o ka noho ʻana o ka lāʻau i loko o kou kino, e hoʻokau iā ʻoe i ke kahe o ke kahe. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau o kēia lāʻau a hoʻololi iā ʻoe i kahi lahilahi koko ʻokoʻa.
• ʻO kāu hana ate. Inā loaʻa iā ʻoe nā pilikia o ke ake, ʻaʻole e hana maikaʻi ʻia ka rivaroxaban e kou kino. ʻO kēia ke kumu o ka piʻi ʻana o nā lāʻau i kou kino, e hoʻokau iā ʻoe i ke kahe o ke kahe. Hiki i kāu kauka ke hoʻololi iā ʻoe i ka mea lahilahi koko ʻokoʻa.

Loaʻa

ʻAʻole nā ​​lāʻau kūʻai lāʻau āpau i kēia lāʻau. Ke hoʻopiha nei i kāu kauka, e kelepona pono i mua e hōʻoia i ka lawe ʻana o kāu lāʻau lapaʻau.

ʻĀpono mua

Nui nā ʻoihana ʻinikua e koi i kahi ʻae mua no kēia lāʻau. Pono kēia e ʻae ʻia kāu kauka mai kāu ʻoihana inikua ma mua o ka uku ʻana o kāu ʻoihana ʻinikua no ka ʻōlelo kauoha.

Aia kekahi mau koho ʻē aʻe?

Loaʻa nā lāʻau ʻē aʻe e mālama i kou ʻano. Kūpono paha kekahi iā ʻoe ma mua o nā poʻe ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā koho lāʻau ʻē aʻe e pono iā ʻoe.

Hoʻolaha: Ua hana ʻo Healthline i nā hana āpau e hōʻoia i ka pololei o ka ʻike āpau, ka hoʻopihapiha ʻana, a me kēia manawa. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole. ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.