Koj puas xav txog cov hlab ntsha uas nqa cov ntshav los ntawm peb lub plawv mus rau peb lub ntsws maj mam nqaim, ua rau cov ntshav siab nce siab heev? Nws zoo li nias ib lub yeeb nkab dej thiab qhov ceev ntawm cov dej nce siab. Qhov no yog qhov peb hu ua ' Pulmonary Arterial Hypertension' lossis 'PAH' hauv kev kho mob. Qhov no yog ib qho mob uas txawv me ntsis ntawm cov ntshav siab ib txwm muaj thiab xav tau kev saib xyuas tshwj xeeb. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li ua tsis taus pa, mob hauv siab, thiab qaug zog heev. Yog li hnub no peb yuav tham txog ib yam tshuaj tshwj xeeb uas siv los kho qhov mob no, uas yog Treprostinil txhaj tshuaj.
Treprostinil yog hom tshuaj dab tsi?
Hais yooj yim xwb, Treprostinil (lub npe lag luam: Remodulin) yog ib yam tshuaj uas muab rau cov neeg uas muaj mob ntshav siab hauv lub ntsws (PAH) uas kuv tau hais ua ntej. Cov tshuaj no ua haujlwm los ntawm kev nthuav cov hlab ntsha nqaim me ntsis, ua rau cov ntshav ntws tau yooj yim dua. Qhov no txo qhov kev ua haujlwm ntawm lub plawv thiab pab tswj cov tsos mob. Nws kuj ua rau nws yooj yim dua rau kev ua cov haujlwm txhua hnub. Qhov no yog ib yam tshuaj tseem ceeb heev uas pab txhim kho lub neej zoo.
Koj tus kws kho mob kuj tseem yuav sau cov tshuaj no rau lwm yam mob, yog li ntawd yog tias koj muaj lus nug txog qhov no, nco ntsoov nug koj tus kws kho mob.
Tej yam yuav tsum qhia rau koj tus kws kho mob ua ntej pib noj cov tshuaj no
Ua ntej pib noj cov tshuaj no, nws yog ib qho tseem ceeb heev uas yuav tsum piav qhia tag nrho koj tus mob rau koj tus kws kho mob. Nco ntsoov hais txog cov hauv qab no:
- Kab mob raum: Yog tias koj muaj mob ntsig txog raum.
- Kab mob siab: Yog tias muaj teeb meem nrog kev ua haujlwm ntawm lub siab.
- Kev Ua Xua: Nco ntsoov qhia rau koj tus kws kho mob yog tias koj tau muaj kev ua xua rau Treprostinil, Epoprostenol, lossis lwm yam tshuaj, khoom noj, lossis xim.
- Cev Xeeb Tub: Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis, koj yuav tsum nrog koj tus kws kho mob tham ua ntej pib siv cov tshuaj no.
Kuv yuav tsum siv cov tshuaj no li cas?
Qhov no tsis zoo li cov tshuaj ntsiav lossis cov tshuaj ntsiav uas peb feem ntau noj. Cov tshuaj txhaj Treprostinil raug muab rau hauv koj lub cev los ntawm lub twj me me uas khiav tas li (kev txhaj tshuaj tas li) . Cov tshuaj nkag mus rau hauv koj lub cev los ntawm ib lub raj nyias nyias, hu ua catheter, txuas nrog lub twj no. Qhov no tuaj yeem ua tau ob txoj hauv kev:
1. Subcutaneous: Muab lub catheter tso rau hauv qab daim tawv nqaij thiab muab tshuaj rau.
2. Los ntawm cov leeg ntshav (Intravenous):Muab lub catheter ntxig ncaj qha rau hauv cov hlab ntsha (vein) thiab muab cov tshuaj rau.
Koj yuav tau txais kev cob qhia kom zoo heev ntawm tsev kho mob txog kev siv qhov no, yuav ua li cas npaj lub twj tso kua mis, thiab yuav ua li cas ntxig lub catheter. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia uas tus kws kho mob thiab cov neeg ua haujlwm saib xyuas neeg mob tau muab .
Tseem ceeb heev: Tsis txhob tsum noj cov tshuaj no rau txhua qhov laj thawj yam tsis tau sab laj nrog koj pab neeg kho mob. Kev tsum nws tam sim ntawd tuaj yeem ua rau koj tus mob hnyav dua.
Koj ua dab tsi nrog cov koob txhaj tshuaj thiab cov koob txhaj tshuaj uas siv lawm?
Tsis txhob muab cov koob txhaj tshuaj thiab cov koob txhaj tshuaj uas siv lawm pov tseg rau hauv lub thoob khib nyiab. Yuav tsum muab tso rau hauv lub thawv tshwj xeeb (lub thawv ntse) uas tau muab rau koj. Yog tias koj tsis muaj, nug koj tus kws kho mob lossis tsev kho mob kom muab ib qho rau koj.
Puas yuav tsum muab cov tshuaj no rau cov menyuam yaus?
Cov menyuam yaus yuav xav tau kev saib xyuas tshwj xeeb thaum muab cov tshuaj no, yog li nws yog ib qho tseem ceeb uas yuav tsum tau tham txog qhov no nrog kws kho mob menyuam yaus kom tau txais lus qhia.
Yog tias kuv noj tshuaj ntau dhau lawm ne?
Yog koj xav tias koj tau noj tshuaj ntau dhau lawm, hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo tam sim ntawd. Los yog mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no (Kev Sib Cuam Tshuam Tshuaj)
Lwm cov tshuaj uas koj noj yuav cuam tshuam nrog Treprostinil, yog li qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins, tshuaj ntsuab, thiab cov tshuaj ntxiv).
| Hom tshuaj | Tej yam yuav tsum tau saib xyuas |
|---|---|
| Qee cov tshuaj rau kev ntshav siab | Thaum cov no muab ua ke nrog Treprostinil, cov ntshav siab yuav poob qis dhau. |
| Tshuaj tiv thaiv kev coagulation | Piv txwv li: Cov tshuaj xws li Warfarin, Enoxaparin, Dabigatran, Apixaban. Cov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav. |
| Cov tshuaj diuretic | Tej zaum yuav ua rau cov ntshav siab qis. |
| Lwm cov tshuaj | Cov tshuaj xws li Gemfibrozil thiab Rifampin yuav cuam tshuam rau qhov ua tau zoo ntawm cov tshuaj no. |
Tej yam yuav tsum nco ntsoov thaum noj tshuaj
- Kev kuaj mob tsis tu ncua: Sib txuas lus nrog koj tus kws kho mob tsis tu ncua kom saib xyuas koj tus mob kom zoo. Mus rau cov chaw kho mob tsis tu ncua.
- Tawv nqaij nyob ib puag ncig lub catheter: Tshawb xyuas tawv nqaij nyob ib puag ncig lub catheter tsis tu ncua. Yog tias muaj qhov liab, mob, o, lossis kua tawm zoo li kua qaub, qhia rau koj pab neeg saib xyuas kev noj qab haus huv tam sim ntawd. Qhov no yuav yog ib qho cim qhia txog kev kis kab mob.
- Yog tias koj tus mob hnyav zuj zus tuaj: Qee zaum koj tus mob yuav hnyav zuj zus tuaj txawm tias tom qab noj cov tshuaj no lawm los xij. Yog tias koj xav li no, xws li yog tias koj ua pa nyuaj lossis mob hauv siab, hu rau koj tus kws kho mob tam sim ntawd. Tej zaum yuav tsum tau hloov koj cov tshuaj noj.
Cov kev mob tshwm sim uas yuav tshwm sim los ntawm kev siv tshuaj
Ib yam li lwm yam tshuaj, Treprostinil tuaj yeem ua rau muaj kev phiv. Qee qhov ntawm cov no yog qhov hnyav, thaum lwm tus yog qhov tshwm sim ntau.
| Kev faib tawm ntawm cov kev mob tshwm sim | |
|---|---|
| Cov kev mob tshwm sim uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd | |
| Kev ua xua xws li ua pob khaus ntawm daim tawv nqaij, khaus, ua pob khaus | O ntawm lub ntsej muag, daim di ncauj, lossis tus nplaig |
| Ua pa nyuaj | Mob hauv siab |
| Lub plawv dhia ceev ceev, dhia nrawm, lossis lub plawv dhia tsis xwm yeem | Xeev siab, kiv taub hau, thiab ntog |
| Kub taub hau los yog txias | Mob nqaij ntuag, mob, lossis o ntawm qhov chaw txhaj tshuaj |
| Mob, loog, lossis tsis hnov mob hauv tes thiab taw | Tsis muaj zog lossis qaug zog txawv txawv |
| Cov kev mob tshwm sim uas feem ntau tsis loj heev, tab sis yuav tsum tau qhia rau tus kws kho mob yog tias lawv tseem muaj | |
| Mob pob txha los yog mob puab tsaig | Mob raws plab |
| Flushing | Mob taub hau |
| Xeev siab, ntuav | |
Yuav khaws cov tshuaj li cas?
Yuav kom cov tshuaj zoo, nws yog ib qho tseem ceeb heev uas yuav tsum khaws cia kom zoo.
- Khaws cia kom deb ntawm cov menyuam yaus thiab cov tsiaj.
- Cov vials tsis tau qhib: Khaws cia rau ntawm qhov kub ntawm 15 thiab 25 degrees Celsius.
- Tom qab qhib lub raj mis: Tom qab noj thawj koob tshuaj, yuav tsum siv lub raj mis tsis pub dhau 30 hnub.
- Cov tshuaj tas sij hawm: Tsis txhob siv rau txhua qhov laj thawj tom qab hnub tas sij hawm.
- Cov tshuaj hauv lub twj tso kua mis:
- Yog tias muab tshuaj rau hauv qab daim tawv nqaij: Cov tshuaj hauv ib lub koob txhaj tshuaj siv tau txog li 72 teev. Tom qab 72 teev, pov tseg cov tshuaj seem.
- Yog muab tshuaj rau hauv cov hlab ntsha: Cov tshuaj uas nyob hauv ib lub koob txhaj tshuaj siv tau txog li 48 teev. Pov tseg cov tshuaj seem tom qab 48 teev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Treprostinil yog ib yam tshuaj tseem ceeb heev rau kev tswj tus kab mob ntshav siab hauv lub ntsws (PAH). Yuav tsum siv nws raws li koj tus kws kho mob qhia xwb.
- Ua ntej pib noj cov tshuaj no, qhia rau koj tus kws kho mob txog tag nrho koj cov mob thiab txhua yam tshuaj uas koj noj.
- Tsis txhob tsum noj koj cov tshuaj yam tsis tau kev qhia los ntawm kws kho mob txawm yog vim li cas los xij. Nws tuaj yeem ua rau muaj kev phom sij heev.
- Yuav tsum ceev faj txog tej yam tshwm sim loj xws li liab, mob, thiab o ntawm qhov chaw txhaj tshuaj, nrog rau mob hauv siab thiab ua pa nyuaj. Yog tias koj pom ib qho ntawm cov no, qhia rau koj tus kws kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum khaws cov tshuaj kom zoo thiab pov tseg cov koob txhaj tshuaj uas siv lawm kom zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus