Standard VTE tiv thaiv koob tshuaj ntawm DOACs tuaj yeem siv rau cov neeg mob uas rog rog thiab xav tau thromboprophylaxis tom qab phais. Sab nraud ntawm kev sim tshuaj, DOAC qib hauv cov neeg rog rog tsis tau saib xyuas txhua hnub.
Qhov twg yog cov tshuaj tiv thaiv coagulant rau cov neeg mob rog rog?
Any DOAC tuaj yeem siv rau cov neeg mob rog rog nrog BMI < 40 kg/m2. Hauv cov neeg mob uas muaj BMI ntawm 40-50 kg / m 2, warfarin yuav tsum tau siv, tab sis apixaban lossis edoxaban tuaj yeem txiav txim siab. Hauv cov neeg mob rog rog nrog BMI > 50 kg / m 2, warfarin yuav tsum tau siv.
Cov ntshav thinner twg yog qhov zoo tshaj rau cov neeg mob rog?
Txawm hais tias raws li cov pej xeem me me, cov kws sau ntawv xaus lus tias apixaban thiab rivaroxaban yuav raug suav hais tias yog lwm txoj kev rau warfarin hauv cov neeg mob hnyav >120 kg lossis BMI >40 kg / m 2 thaum ceeb toom tawm tsam kev siv dabigatran vim muaj tus lej ntau dua tus mob stroke ntawm DOACs.
Yuav ua li cas siv tau rau cov neeg mob rog?
Cov txiaj ntsig tau pom tias ntawm cov neeg mob rog thiab rog rog, kev siv apixaban tau cuam tshuam nrog qhov pheej hmoo tsawg duantawm rov tshwm sim VTE, MB, thiab CRNM los ntshav piv nrog kev kho warfarin.
Pob rog rog xav tau ntshav nyias?
Kev tshawb fawb nthuav tawm ntawm cov rooj sib tham yog suav tias yog ua ntej kom txog thaum luam tawm hauv phau ntawv xov xwm sib tham. Dr. Gregg Fonarow, tus kws tshaj lij ntawm cardiology ntawm University of California, Los Angeles, tau sau tseg tias lwm cov kev tshawb fawb tau pom tias cov neeg mob rog rog thiab rog xav tau koob tshuaj ntau ntawm warfarin rau cov tshuaj kom ua tau zoo.