Eliquis vs Warfarin: Umehluko Omkhulu nokufana
Izidakamizwa Vs. UmnganiKungenzeka uke wezwa nge-Eliquis (apixaban) ne-warfarin uma uke watholakala unesimo esivumela ukusetshenziswa kwe-anticoagulant. Ngaphandle kwalokho kwaziwa njengabanciphisi begazi, i-Eliquis ne-warfarin kungasetshenziswa ukuvimbela ukwakheka kwamahlule egazi. Ngokuvimbela amahlule egazi, le mithi inganciphisa ubungozi bezimo ezinjenge-vein thrombosis (i-DVT) ejulile kanye nokushaywa unhlangothi ku-atrial fibrillation. Ngenkathi yomibili le mithi inemisebenzi efanayo, nayo iyahluka ngezindlela eziningana.
U-Eliquis
U-Eliquis (Yini u-Eliquis?) Igama lomkhiqizo le-apixaban. Isebenza njenge-inhibitor ekhethiwe ye-factor Xa, into ebalulekile ekwakhekeni kwamahlwili. Ngokuvimbela ngqo le ngxenye, kunciphisa ukukhula kweplatelet ne-thrombus okugcina kunciphise ukujiya kwegazi.
I-Eliquis ikhonjisiwe ukunciphisa ubungozi bokushaywa unhlangothi nokufakwa embotsheni okuhleliwe ezigulini ezine-nonvalvular atrial fibrillation. Ingasetshenziswa futhi ukuvimbela nokwelapha i-vein thrombosis (DVT) ejulile kanye ne-pulmonary embolism (PE) kubantu abathile.
I-Eliquis ingalawulwa njenge-2.5 mg kanye ne-5 mg amaphilisi omlomo. Njengamanje, ayikho ithebhulethi yomlomo ejwayelekile etholakalayo. Umthamo onconywayo uyahlukahluka kuye ngesimo eselashwa. Kungakhathaleki ukuthi unamandla kangakanani, kuvamise ukwenziwa idosi kabili nsuku zonke. Ukuqapha amanani webhu ne-INR akudingeki njalo ngalo muthi.
Ukulungiswa kokulinganisa kudinga ukwenziwa kulabo okungenani abanezici ezilandelayo: ubudala beminyaka engama-80 ubudala nangaphezulu, isisindo somzimba esingaphansi kuka-60 kg (cishe ama-132 lbs), noma i-serum creatinine noma ngaphezulu kuka-1.5 mg / dL . Ukusetshenziswa kwe-Eliquis akunconywa ezigulini ezikhulelwe noma kulabo abanokukhubazeka okukhulu kwesibindi.
Ufuna intengo engcono ku-Eliquis?
Bhalisela izaziso zentengo ze-Eliquis bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
I-Warfarin
IWarfarin (Yini iWarfarin?) Igama elejwayelekile likaCoumadin. Kuvimbela ukujiya kwegazi ngokusebenza njengomphikisi kavithamini K. UVitamin K uyinto ebalulekile edingekayo kanye nezinye izinto ukwakha amahlule emzimbeni. Ngokuvimbela uvithamini K, amahlule amasha awakwazi ukwakhiwa.
I-Warfarin ikhonjisiwe ukwelapha nokuvimbela ama-DVT nama-PE kakhulu njenge-Eliquis. Ibuye isetshenziselwe ukwelapha nokuvimbela izingqinamba ezijiyayo ezingavela nge-atrial fibrillation kanye nokushintshwa kwe-valve yenhliziyo. Ngokwengeziwe, i-warfarin inganciphisa ubungozi besikhathi esizayo bokuhlaselwa yinhliziyo nokushaywa unhlangothi ngemuva kokuhlaselwa yinhliziyo kokuqala.
Ngokungafani ne-Eliquis, i-warfarin iyatholakala njengomuthi ojwayelekile kumathebulethi womlomo ngamandla we-1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, no-10 mg. I-Warfarin dosing iyahlukahluka kakhulu ngokuya ngenkomba yokwelashwa. Ngenxa yamandla anhlobonhlobo wamandla atholakalayo, i-warfarin dosing iyahlukahluka futhi ihlukile kakhulu.
I-INR, noma isilinganiso esijwayelekile samazwe omhlaba, kufanele siqashwe njalo lapho uthatha lo muthi njengoba lawa mazinga ezwela ekushintsheni kokudla, kokudla, nezinye izinto. Ibanga elijwayelekile lokwelashwa le-INR liphakathi kuka-2.0 no-3.0.
Thola ikhadi lesaphulelo sekhemisi
Eliquis vs Warfarin Side by Side Ukuqhathanisa
I-Eliquis ne-warfarin kungama-anticoagulants amabili anezinkomba ezifanayo. Banokuhlukahluka okuningana kokuthi basebenza kanjani futhi basebenzisane kanjani nezinye izidakamizwa. Lokhu kufana nokwehluka kungabhekwa ngezansi.
U-Eliquis | I-Warfarin |
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Okumiselwe i | |
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Ukuhlukaniswa Kwezidakamizwa | |
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Umkhiqizi | |
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Imiphumela emibi ejwayelekile | |
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Ingabe kukhona okujwayelekile? | |
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Ngabe ihlanganiswe ngumshwalense? | |
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Amafomu Esikali | |
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Inani lentengo emaphakathi | |
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Intengo Yesaphulelo Esingabodwa | |
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Ukusebenzisana Kwezidakamizwa | |
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Ngingakwazi ukusebenzisa ngenkathi ngihlela ukukhulelwa, ngikhulelwe, noma ngincelisa ibele? | |
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Isifinyezo
I-Eliquis ne-warfarin yimithi emibili ye-anticoagulant esebenza ngezindlela ezahlukene. U-Eliquis usebenza njenge-factor Xa inhibitor ngenkathi i-warfarin ingumphikisi ka-vitamin K. Yize behlukene ngezindlela zokusebenza, empeleni bakhiqiza umphumela ofanayo wokuncipha kwamahlule egazi.
Kokubili i-Eliquis ne-warfarin zinezinkomba ezifanayo zokwelapha nokuvimbela i-thrombosis (i-DVTs ne-PEs). Ngenkathi u-Eliquis engavimbela izinkinga ezivela ekufakweni kwe-atrial fibrillation, i-warfarin ingaphatha futhi ivimbele izinkinga ezivela ku-atrial fibrillation kanye / noma ukushintshwa kwe-valve yenhliziyo. IWarfarin nayo ivunyelwe yi-FDA ukuvimbela ukufa kwenhliziyo, isifo sohlangothi nokuhlaselwa yinhliziyo kulabo asebeke bahlaselwa yisifo senhliziyo.
I-Eliquis ingancanyelwa umuntu ongafuni ukubhekwa njalo kumalebhu we-INR. Ngokwesilingo se-ARISTOTLE, u-Eliquis ubuye wakhonjiswa ukuthi unokwehla okukhulu ebungozini bokushaywa unhlangothi, engcupheni yokopha kakhulu, futhi wehlise nokufa okuphelele uma kuqhathaniswa ne-warfarin. Okubi kakhulu ku-Eliquis inani eliphakeme ngenxa yokuntuleka kwamanje kwefomula ejwayelekile etholakala emakethe.