Kungani i-Bevyxxa ibhalwe
I-Bevyxxa, eyaziwa nangokuthi i-betrixaban, i- blood thinner evunyelwe yi-Food and Drug Administration ukuze isetshenziswe kwiziguli zezokwelapha ezibhedlela. Ukukhuluma ngokweqile, le mithi i-Factor Xa inhibitor, okusho ukuthi uBexxxa uyalibazisa inqubo yokuqeda igazi ukuvimbela ukuvala.
Kubalulekile empilweni ukuthi igazi lakha ama-clots, kungenjalo sasizofa ngemva kokupheka kwe-papercut engakaze iyeke ukuphuma, noma iphuma emlonyeni wegazi.
Uma igazi lingavaliyo ngeke sisinde ngokulimala okuncane kakhulu, kodwa igazi elivalwe kahle lingabangela nezinkinga ezinkulu.
Izigulane ezibhedlela, ingozi yezindwangu zegazi ngokuvamile ivame kakhulu kunengozi yokugcoba kakhulu. Ngenxa yalesi sizathu, imithi inikezwa ukuba "mncane" igazi bese wenza igazi lithathe isikhathi eside ukuvala. Lokhu kungavimbela ukwakheka kwezindwangu emzimbeni.
Yiziphi i-Bevyxxa
I-Blood thinners isetshenziselwa ukwenza igazi lithathe isikhathi eside ukuze lenze ama-clots, okunganciphisa ingozi yezinkinga ezinzima nezingozi ezisengozini ezibangelwa ama-blood clots. Ngenkathi abantu abaningi bethatha igazi abahamba phambili nsuku zonke ngenxa yesimo senhliziyo esaziwa ukuthi senze ama-clots, i-Bevyxxa isetshenziswa ukuvimbela uhlobo oluhlukile lwe-clot oluvame ukwenza ngesikhathi sokuhlala esibhedlela ukugula.
Lezi zibazi zegazi zivame ukwakha emikhawulweni-ngokuvamile imilenze-isimo esibizwa ngokuthi i- vein thrombosis ejulile (DVT) .
Kwezinye izimo, i-clot eyenziwe emlenzeni noma engalweni iyokhululeka futhi iqale ukuhamba ngegazi, ukulala emaphashini lapho kuba isimo esisongela ukuphila esibizwa ngokuthi i- pulmonary emobolism , noma i-PE.
Izigulane ezibhedlela ezingalindelekile ukuba zenziwe ukuhlinzwa, i-Bevyxxa iboniswe ukuvimbela ama-clots egazi kokubili esibhedlela nasemuva kokukhishwa.
Ngaphambi kokuvunywa kweBexxxa, kwakukhona imithi emibili esetshenziselwa inhloso efanayo, i- Heparin ne- Lovenox (enoxaparin). Zombili lezi mithi ziyasetshenziswa esibhedlela, kodwa zinikezwa njengemijovo ukuze iziguli ziguqulelwe emithini ehlukile yokusetshenziswa ekhaya.
Ngokungafani neHeparin neLovenox, i-Bevyxxa ingasetshenziswa esibhedlela nasemuva kokuphuma ukuze kuvikelwe ama-clots, njengoba imithi ithathwa njengepilisi, kunokuba ibe umjovo.
Kungani i-Bevyxxa isetshenziswa
I-Bevyxxa ivunyelwe yi-FDA ukuthi ikhishwe emphakathini futhi izovela ezibhedlela nasemaphilmeni ukuze isetshenziswe kubantu abasengozini yokwenza i-clot yegazi. Iziguli ezibhedlela zikhona ingozi eyaziwayo yokwenza i-clot yegazi, futhi isiguli isigxile kakhulu. Ngenxa yalesi sizathu, imithi ivame ukunikezwa ukuvimbela ukwakheka kwegazi.
Indlela i-Bevyxxa ehlukile ngayo
Ezifundweni, i-Bevyxxa yayisebenza kangcono kakhulu kunezijovo zikaLovenox (enoxaparin). Umehluko wangempela phakathi kweBexxxa kanye nemithi okwamanje esetshenziswayo yilezi zikhathi zokulinganisa kanye nomzila wokuphatha.
U-Heparin uvame ukuphathwa izikhathi ezimbili noma kathathu ngosuku futhi umjovo. I-Lovenox iphinde ibe nomjovo futhi inikezwa kanye ngosuku.
Ukwengeza, ama-injection awakwazi ukuqhubeka ekhaya futhi isiguli kumele sishintshele emithini ehlukile-inqubo engabangela ukubeletha isikhathi eside kwezinye izimo-ngakho inzuzo yangempela ku-Bevyxxa ukuthi isiguli singayithatha kokubili esibhedlela nasekhaya.
Amanani kule mithi ayengakaze amemezelwe ngo-July 2017, ngakho-ke akucaci ukuthi intengo iyancintisana nezidakamizwa eziphikisanayo eziphuthumayo uHeparin noLovenox. Akungabazeki ukuthi le mithi emisha izoba engabizi kakhulu kuneCoumadin (i-warfarin), etholakala ngokujwayelekile.
Kulindelwe ukuthi i-Bevyxxa izoba intengo yokuncintisana namanye amayeza omusha wegazi omusha athathwa efomini lepilisi ngaphandle kwesilungiselelo esibhedlela, njengo-Eliquis, Pradaxa no-Xarelto.
I-Bevyxxa ithathwa kanjani
I-Bevyxxa ithathwa ngomlomo ngefomu lephilisi, ngokufanele ngokudla, kanye ngosuku. Kungcono ukuthatha le mithi ngesikhathi esifanayo nsuku zonke imiphumela emihle.
Izingozi ze-Bevyxxa
Njengabo bonke abathintekayo begazi, i-Bevyxxa izokwandisa amathuba okuba negazi. Lokhu kungase kusho ukuthi isilonda esivamile, njenge-papercut, siyosakaza isikhathi eside nangaphezulu kunokuba singayithatha ngaphambi kokuthatha le mithi. I-cut encane ngenkathi ukugcoba kungabangela igazi eliningi kunalokho okujwayelekile, futhi kunjalo nokuphuma kwesikhashana noma ukulimala. Lena ingozi eyaziwayo yokuthatha wonke umuntu omncane wegazi futhi akuyona into eqondile ku-Bevyxxa.
I-Bevyxxa ayinayo i-agent eguqukayo, okusho ukuthi ayikho imithi eyaziwayo eyenza imiphumela ye-Bevyxxa ivele ngokushesha lapho kwenzeka ukuphuma. Lokhu kungenza kube nzima ukuyeka ukuphuma kwegazi uma kukhona ukulimala okubuhlungu, ukuphuma kwangaphakathi noma ezinye izinhlobo zezinkinga zokugaya. Uma ukuphuma kwegazi kunzima noma kusongela ukuphila, ukumpontshelwa igazi esikhundleni sokulahlekelwa kwegazi kuyoba yindlela yokwelapha ephumelela kakhulu.
Ukuqhaqhaza kungabuye kubaluleke nakakhulu uma uthatha i-Bevyxxa noma yiluphi uhlobo lweminye imithi yokwehlisa igazi. Okunye ukusabela akuhlobene nokuphuma kwamanzi ngesikhathi sokuhlolwa kwezidakamizwa kule mithi kuhlanganisa:
- Ukutheleleka kwe-Urinary tract (UTI)
- Ukuqokwa
- I-potassium ephansi
- Umfutho wegazi ophezulu
- Izinwele
- I-nausea
- Uhudo
Nini Ukubiza Udokotela Wakho
Ngenkathi ukuphuma kwegazi okuvamile kungokwemvelo ngegazi elincane, akuyona into evamile ukuba negazi esitokisini sakho, isimo esibizwa ngokuthi melena. Akuyona into evamile ukubona igazi emcimbini wakho, esinye isibonakaliso sokuthi ukhipha igazi akumele kube khona. Kanye nalezi zimpawu, ngezansi kukhona ezinye izibonelo zesikhathi sokubona udokotela mayelana nokusetshenziswa kwegazi elincane:
- Izinwele ezinzima
- Ukuzondeka noma ubuthakathaka obungachaziwe
- Ubuhlungu obungabonakali, kuhlanganise nobuhlungu obuhlangene
- Iziphuzo ze-noseble njalo
- Izinsini zokuphuza
Uma uthatha i-Bevyxxa kakhulu, shayela udokotela wakho noma uye ekamelweni eliphuthumayo eliseduzane.
Uma ubona izitshalo ezimnyama noma zokuhlala, uhlanza ubone ukuthi yini efana nezindawo zekhofi, noma ube negazi emcinini wakho (obomvu, obomvu, noma obomvu), kufanele ushayele umnakekeli wakho wezempilo ngokushesha.
Noma yikuphi ukulimala kwekhanda, njengokuwa okuholela ekushaya ikhanda, kufanele kubikwe futhi. Kulula kakhulu ukuba nesiqephu sokuphuluka ebuchosheni uma uthatha lolu hlobo lwemithi, futhi ukwelashwa okusheshayo kuqaliswa ngcono imiphumela yokugcina.
Ngubani ongafanelanga ukuthatha i-Bevyxxa
- Njengazo zonke izidakamizwa zegazi ezincane, i-Bevyxxa akufanele ithathwe yinoma ubani onophephayo.
- Le mithi ayizange ifundwe ukusetshenziswa kweziguli zezingane.
- I-Bevyxxa ayingafundiwe ukusetshenziswa kwabesifazane abakhulelwe noma besifazane abancancisayo. Ukusetshenziswa kwabesifazane abakhulelwe noma abahlengikazi kufanele kucatshangelwe kuphela lapho izinzuzo zokunciphisa igazi zikhulu kunezingozi zokwenza kanjalo. Njengoba i-Bevyxxa ingazange ifundwe ngabesifazane besifuba, kuphephile ukugwema ukutshela usana emithini bese usebenzisa ubisi olungeza esikhundleni.
- Iziguli ezinenkinga yokweqa igazi akufanele zithathe le mithi.
- Iziguli ezinesifo sezinso zingadinga ukwehla kwesilinganiso samalanga onke.
- Abantu abanezifo zesibindi abaziwayo akufanele basebenzise le mithi. Isifo sesibindi singanciphisa ikhono lomzimba lokugqoka futhi kungaholela ezinkingeni ezinkulu uma uthatha le mithi.
- Iziguli ezinamagundane enhliziyo azange zifundwe, ngakho-ke aziwa ukuthi le mithi iphumelela yini kulabo bantu.
- Iziguli eziseBexxxa futhi zizoba ne- anesthesia yomgogodla noma ye-epidural zisengozini ephezulu ye-hematoma, iqoqo elikhulu legazi endaweni yesigcawu. Nakuba lokhu kungase kungabonakali njengenkinga ebalulekile, ezimweni ezimbi lokhu kungabangela umonakalo wezinzwa noma ngisho nokukhubazeka.
- Abesifazane abaneminyaka yobudala bokubeletha kufanele basebenzise le mithi ngokuqapha njengoba ukuphuma esikhathini kungase kubaluleke kakhulu ngale mithi. Abesifazane abanesifo esinzima bangase bahlaselwe i-anemia noma ngisho nokulimaza ngale mithi noma noma yiliphi igazi elincane. Uma uhlela ukukhulelwa, xoza izifiso zakho nodokotela wakho.
- Iziguli ezithatha ezinye izidakamizwa ezaziwa ukuthi zandisa ingozi yokuphuma kwamanzi, njenge-aspirin, imithi ethile yokucindezeleka, ibuprofen kanye ne-naproxen , kanye nezinye izigaxa zegazi zisengozini enkulu yokuthola izinkinga ezinkulu zokugaya igazi.
Ukuzikhethela kwe-Bevyxxa
Ukulinganisa okuvamile kweBexxxa kuyinamba yokuqala ye-160 milligrams (mg) elandelwa umthamo wansuku zonke we-80 mg. Amanani kufanele anciphise iziguli ezinesifo esinzima sezinso. Le mithi isetshenziswe ukusetshenziswa kwamasonto ama-5 kuya kwangu-7, isikhathi eside sokusebenzisa singenzeka, kepha ulwazi alukatholakali.
I-Bevyxxa iyatholakala kumandla angama-40mg noma angu-80 mg. Iziguli ezithatha imithi ejwayelekile elandelayo, eyi-P-glycoprotein inhibitors, izodinga ukulinganisa okuncane kwe-Bevyxxa:
- I-Amiodarone (iCordarone)
- Azythromycin
- I-Clarithromycin
- I-Cyclosporine
- I-Colchicine
- I-Diltiazem
- I-Erythromycin
- Felodipine
- Ketoconazole
- I-Lansoprazole (i-Prevacid)
- I-Omeprazole (Prilosec)
- I-Nifedipine (i-Procardia)
- I-Paroxetine (i-Paxil)
- I-Sertraline (Zoloft)
- Quinidine
- I-Tamoxifen
- I-Verapamil
Uma Ulahlekelwa Umthamo We-Bevyxxa
Uma ungaphuthelwa umthamo walo muthi, kanti umthamo wakho olandelayo amahora ayisishiyagalolunye noma ngaphezulu, thatha umthamo ongabanjwanga. Uma kungenjalo, kufanele weqe umthamo futhi uthathe umthamo wakho olandelayo njengoba uhleliwe.
Izwi elivela
I-Bevyxxa yimizimba emisha yomuthi eyamukelwa yi-FDA ngoJuni ka-2017 ukuze isetshenziswe kwiziguli ezingelapheki esibhedlela ngesikhathi sezokwelashwa nezibhedlela. Ngalesi sikhathi salokhu kubhala, i-Bevyxxa ayitholakali umphakathi jikelele. Ngenkathi imiphumela yokuqala evela ezifundweni ezenziwe kule mithi izethembisayo, ulwazi oluthe xaxa mayelana nokusetshenziswa kwesikhathi eside, imiphumela emibi, izingozi nezinzuzo kuzotholakala njengoba iziguli eziningi zisebenzisa imithi.
Ngalesi sikhathi, ucwaningo lubonisa ukuthi le mithi ivikela izigqoko ezigulini ngesikhathi sokuhlala esibhedlela nasemasontweni okubuyiswa okulandelayo, futhi iyasebenza noma iphumelele kuneminye imithi efanayo.
> Umthombo:
> Bevyxxa. Amaphuzu avelele okuchaza ulwazi. Ukuphathwa Kwezokudla Nezidakamizwa. Kufinyelelwe ngoJuni, 2017. https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/208383s000lbl.pdf