Vim li cas Eliquis tau sau tseg rau tus kabmob coronavirus

2024 Tus sau: James Gerald | [email protected]. Kawg hloov kho: 2023-12-17 14:08

Eliquis yog cov tshuaj tua kab mob muaj zog uas tau sau tseg los tiv thaiv mob stroke thiab muaj peev xwm txaus ntshai ntshav txhaws. Cov chaw tsim khoom Bristol-Myers Squibb paub tseeb tias kev pheej hmoo los ntshav, ib txwm rau cov tshuaj zoo sib xws, thaum nws qis dua. Dab tsi yog Eliquis siv rau tus kabmob coronavirus thiab thaum twg nws tuaj yeem hais qhia?

Nqe lus piav qhia

Eliquis (apixaban) yog daim ntawv tshuaj anticoagulant siv los txo qhov kev pheej hmoo ntawm mob hlab ntsha tawg thiab ntshav txhaws hauv cov neeg uas muaj lub plawv dhia tsis xwm yeem hu ua atrial fibrillation.

Cov kws kho mob tseem sau ntawv tshuaj rau tib neeg tom qab lub hauv caug lossis phais hloov pauv lub cev kom tiv thaiv cov hlab ntshav sib sib zog nqus. Yog tias tsis kho, cov ntshav khov no tuaj yeem mus thiab tsaws hauv cov hlab ntsha los ntawm lub plawv mus rau lub ntsws. Qhov xwm txheej ua rau neeg tuag taus hu ua pulmonary embolism, lossis PE.

Cov tshuaj ua haujlwm los ntawm kev thaiv qhov xa Xa (Stuart-Prower Factor), uas yog lub luag haujlwm tseem ceeb hauv cov txheej txheem ntshav khov.

Cov tshuaj yog tus sawv cev ntawm chav kawm tshiab ntawm anticoagulants. Pawg no tseem suav nrog cov tshuaj Pradaxa (dabigatran etexilate) thiab Xarelto (rivaroxaban). Cov kws tshaj lij ceeb toom tias cov tshuaj no tuaj yeem ua rau muaj ntshav txaus.

Raws li cov lus qhia rau tshuaj, cov txiaj ntsig ntawm kev siv Eliquis kav ntev li 24 teev tom qab txhaj koob tshuaj zaum kawg.

Dosage

Eliquis tuaj yeem hais qhia rau tus kabmob coronavirus. Nws los hauv 2.5 mg thiab 5 mg ntsiav tshuaj hauv qhov ncauj. Tus qauv koob tshuaj rau cov neeg mob atrial fibrillation yog 5 mg 2 zaug ib hnub.

Rau cov neeg mob uas muaj ob yam ntawm cov yam ntxwv hauv qab no, tau qhia kom siv koob tshuaj me dua - ntawm qhov kev txiav txim ntawm 2.5 mg 2 zaug hauv ib hnub:

• yog tias tus neeg mob muaj hnub nyoog 80 xyoo lossis tshaj saud;
• yog tias nws hnyav txog 60 kg lossis tsawg dua;
• qib creatinine hauv cov ntshav yog -1.5 mg / dl lossis siab dua.

Qhov koob tshuaj pom zoo rau cov neeg mob DVT lossis PE yog 10 mg 2 zaug hauv ib hnub rau 7 hnub. Tom qab ntawd, nws tau pom zoo kom txo qhov koob tshuaj mus rau 5 mg 2 zaug hauv ib hnub.

Cov neeg mob uas tau noj Apixaban tsawg kawg 6 lub hlis rau kev kho PE tuaj yeem txuas ntxiv 2.5 mg ntawm cov tshuaj 2 zaug hauv ib hnub kom txo qis kev pheej hmoo ntawm ntshav txhaws. Yog tias, yog vim li cas, koj tsis noj tshuaj raws lub sijhawm teem tseg, sim noj kom sai li sai tau. Tab sis tsis txhob muab koj ob zaug ntxiv yog tias koj plam nws.

Qhov ntau npaum li cas rau tus mob coronavirus thiab lwm yam kab mob yuav tsum txiav txim siab los ntawm kws kho mob nkaus xwb. Nyob rau tib lub sijhawm, nws yuav tsum txiav txim siab qhov kev ncaj ncees ntawm kev siv cov tshuaj zoo li cas. Yog tias Eliquis tseem tau sau tseg, tus neeg mob yuav tsum tsis txhob noj tshuaj yam tsis muaj kev saib xyuas mob nkeeg.

Cov kev mob tshwm sim ntau thiab hnyav

Ntau tshaj li 1% ntawm cov neeg mob noj cov tshuaj hauv kev sim tshuaj qhia tias los ntshav. Hauv qhov no, koj yuav tsum tau sab laj nrog kws kho mob tam sim thiab tsis siv Eliquis.

Cov nqaij me me kuj tuaj yeem ua rau muaj kev phiv me me.

Thaum cev xeeb tub

Cov poj niam cev xeeb tub tsis tau qhia kom noj Apixaban. Cov tshuaj tuaj yeem ua rau muaj kev pheej hmoo los ntshav ntxiv.

Tsis tas li, cov lus qhia qhia tias rau lub sijhawm pub niam mis, koj yuav tsum tau tso tseg GV ib ntus, lossis tsis txhob noj tshuaj.

Nthuav! Cov ntshav siab nyob hauv tus mob coronavirus

Ceeb toom

Cov cai tswj hwm, suav nrog cov ua haujlwm hauv Asmeskas, tau xav kom Bristol-Myers ntxiv 2 cov lus ceeb toom rau ntim cov tshuaj.

Thawj qhov yog qhia txog kev pheej hmoo nce ntshav txhaws hauv tus txha nqaj qaum hauv cov neeg mob uas tab tom ua cov txheej txheem txhaj tshuaj qee yam rau hauv thaj tsam ntawm lub cev. Cov lus ceeb toom hais tias cov ntshav txhaws tuaj yeem ua rau lub sijhawm ntev lossis tuag tes tuag taw tas mus li.

Qhov kev ceeb toom zaum thib ob qhia rau cov neeg mob tias siv Eliquis tuaj yeem ua rau muaj kev pheej hmoo nce ntshav txhaws, mob hlab ntsha tawg, lossis mob ntsws ntsws. Tus kws kho mob pom zoo txiav txim siab lwm txoj kev kho tshuaj tiv thaiv kab mob yog tias lawv thim Apixaban ua ntej qhov kawg ntawm kev kho mob vim li cas lwm yam tsis yog los ntshav.

Kev sib tshuam tshuaj

Qee cov tshuaj tuaj yeem cuam tshuam nrog Eliquis thiab txo nws cov txiaj ntsig, thaum lwm tus tuaj yeem ua rau tus neeg mob muaj kev pheej hmoo los ntshav.

Cov tshuaj uas tuaj yeem ua rau ntshav nce ntxiv thaum noj nrog Apixaban:

• Tshuaj aspirin lossis lwm yam tshuaj uas muaj nws;
• siv sijhawm ntev ntawm cov tshuaj tsis-steroidal anti-inflammatory;
• ib yam tshuaj uas muaj heparin;
• selective serotonin reuptake inhibitors xws li Prozac, Paxil, lossis Zoloft;
• serotonin thiab norepinephrine reuptake inhibitors xws li Cymbalta lossis Effexor;
• cov tshuaj siv los tiv thaiv lossis kho cov ntshav txhaws, suav nrog lwm yam tshuaj tiv thaiv kab mob xws li Coumadin lossis Xarelto.

Analogs

Vim yog qhov kev thov nce hauv koj lub nroog, yuav muaj qhov tsis txaus ntawm Eliquis. Tab sis qhov ncauj ncaj qha Xa inhibitors suav nrog lwm yam tshuaj.

Lub ntsiab analogue yog Rivaroxaban. Qhov no yog ib qho tshuaj tshiab ntawm cov khw muag tshuaj, tab sis, hmoov tsis, nws tus nqi siab - los ntawm 1915 txog 13220 rubles.

Rivaroxaban tau siv rau hauv cov neeg mob txhawm rau tiv thaiv cov hlab ntshav thromboembolism thiab nws txoj kev phom sij rau lub neej. Cov tshuaj raug muag hauv cov chaw muag tshuaj hauv qab lub npe Xarelto.

Nthuav! Tshuaj tiv thaiv kab mob Pfizer

Tsawg molecular hnyav heparins

Tsawg molecular hnyav heparins yog tshuaj tiv thaiv ntshav khov thiab ua haujlwm los ntawm nruab nrab qhov tseem ceeb Xa. Ntawm lawv yog Enoxaparin, Nadroparin thiab Dalteparin.

Vitamin K antagonists

Ntawm cov tshuaj uas yog pab pawg ntawm cov vitamin K antagonists, muaj Acenocoumarol thiab Warfarin. Nws tsim nyog sau cia tias Warfarin yog ib qho uas feem ntau siv tshuaj tiv thaiv kab mob los ntawm cov neeg mob thoob ntiaj teb.

Cov tshuaj uas cuam tshuam ncaj qha cuam tshuam kev ua haujlwm ntawm thrombin

Anticoagulants uas ua los ntawm inhibiting thrombin kev ua haujlwm suav nrog heparin tsis sib xws, qis heparins hnyav molecular, thiab fondaparinux.

Cov tshuaj uas ncaj qha cuam tshuam kev ua haujlwm ntawm thrombin

Txoj hauv kev ntawm kev tswj hwm cov tshuaj tiv thaiv thrombin ncaj qha sib txawv nyob ntawm seb cov khoom xyaw nquag hauv kev npaj. Lepirudin thiab Bivalirudin tsuas yog siv rau niam txiv nkaus xwb, thaum Dabigatran, uas tau muag hauv qab lub npe lag luam Pradaxa, tau siv qhov ncauj.

Cov txiaj ntsig

1. Kev tshawb fawb pom tias cov tshuaj anticoagulant tshiab ua haujlwm zoo ib yam li warfarin. Yog li ntawd, Eliquis thiab nws cov analogues tau sau tseg rau cov neeg kis tus kabmob coronavirus yog tias lawv muaj cov xwm txheej txaus ntshai.
2. Pradaxa thiab Xarelto yog qhov kev daws teeb meem zoo tshaj yog tias yog qee qhov laj thawj koj raug yuam kom nrhiav lwm txoj hauv kev rau Eliquis.
3. Apixaban, ntawm qhov uas Eliquis tau tsim, tau ua nyob rau hauv cov koob tshuaj ruaj khov, tsis xav tau kev tshuaj xyuas prothrombin qhov ntsuas, cuam tshuam me ntsis nrog tshuaj, thiab tsis xav tau kev txwv kev noj zaub mov. Nws nqa qis kev pheej hmoo los ntshav piv rau warfarin.