Mukalandira chithandizo cha matenda a mtima, kapena musanachite opaleshoni kapena opaleshoni (monga angioplasty), dokotala wanu angakupatseni mankhwala apadera oletsa magazi kuundana. Bivalirudin ndi imodzi mwa mankhwala otere, omwe amaperekedwa kudzera m'mitsempha motsogozedwa ndi dokotala kuchipatala chokha. Chifukwa chake lero, tiyeni tikambirane za mankhwala awa otchedwa Bivalirudin, zomwe amachita, ndi zomwe tiyenera kusamala nazo tikamamwa.
Kodi Bivalirudin ndi mankhwala otani?
Mwachidule, Bivalirudin ndi mankhwala omwe amaletsa magazi kuundana, kapena amathandiza kuti magazi azichepa . M'mawu azachipatala, timatcha izi kuti "anticoagulant". Amagwiritsidwa ntchito makamaka poletsa mapangidwe a magazi kuundana mkati mwa mitsempha yamagazi.
Tangoganizirani, munthu akatsala pang'ono kudwala matenda a mtima kapena akulandira chithandizo cha mtsempha wamagazi wotsekeka mumtima, ngati magazi oundana mkati mwa mtsemphawo, zinthu zimatha kuipa kwambiri. Pamenepo madokotala amagwiritsa ntchito mankhwalawa. Amapezeka pamsika pansi pa mayina otchuka monga Angiomax.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwalawa
Musanayambe kulandira chithandizo cha Bivalirudin, pali zinthu zingapo zomwe muyenera kuuza gulu lanu lachipatala. Onetsetsani kuti mwatchula izi.
- Ngati muli ndi matenda otuluka magazi .
- Ngati muli ndi vuto lililonse la bivalirudin kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kutengera ndi izi, dokotala adzasankha ngati akupatseni mankhwala awa kapena ayi, ndipo ngati ndi choncho, momwe angakupatseni.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungapite nawo kunyumba. Mukakhala kuchipatala kapena kuchipatala, amaperekedwa ngati mankhwala olowetsedwa m'mitsempha mwanu ndi ogwira ntchito zachipatala ophunzitsidwa bwino. Choncho chilichonse, kuphatikizapo mlingo ndi liwiro la mankhwala, chili m'manja mwawo.
Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana. Dokotala wanu adzakudziwitsani za izi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mopitirira muyeso, muyenera kudziwitsa ogwira ntchito kuchipatala nthawi yomweyo. Ngati pakufunika kutero, adzalumikizana ndi National Poisons Information Centre ku Colombo National Hospital kuti akalandire upangiri, kapena Emergency Treatment Unit (ETU).Kupempha thandizo.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, ndithudi. Popeza bivalirudin ndi mankhwala ochepetsa magazi, chiopsezo chotuluka magazi chimakhala chachikulu kwambiri ngati atengedwa ndi mankhwala ena ochepetsa magazi . Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba.
Bivalirudin ingagwirizane ndi mankhwala otsatirawa makamaka:
- Mankhwala ochepetsa magazi (monga heparin)
- Mankhwala ochepetsa magazi monga Warfarin
- Mifepristone
- Mankhwala ena ochepetsa magazi monga Abciximab, Clopidogrel, Eptifibatide, ndi Tirofiban
- Mankhwala ochepetsa ululu (NSAIDs) monga Ibuprofen ndi Diclofenac
Mndandandawu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
Mudzakhala pansi pa utsogoleri wa dokotala nthawi zonse mukamamwa mankhwalawa. Komanso, dziwani izi.
- Pewani kuvulala: Pewani masewera ndi zochitika zomwe zingayambitse kugwa ndi kuvulala. Kugwa kapena kuvulala kwakukulu kungayambitse kutuluka magazi mkati mwa thupi komwe sikuoneka.
- Chenjezo: Samalani kwambiri mukamagwiritsa ntchito zida zakuthwa ndi mipeni. Ngati mukumeta ndevu, ndi bwino kugwiritsa ntchito lezala lamagetsi.
- Mano ndi Mkamwa: Mukatsuka ndi kutsuka ulusi, tsukani pang'onopang'ono. Samalani kuti mkamwa mwanu musatulutse magazi.
- Mayeso azachipatala: Dokotala wanu nthawi zambiri amakupemphani kuti muyese magazi. Yesani mayesowa pa nthawi yake.
- Maopaleshoni ena: Ngati mukuchitidwa opaleshoni ina iliyonse kapena kuchotsa dzino, onetsetsani kuti mwauza dokotala kuti mukumwa Bivalirudin.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Bivalirudin ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, pomwe zina ndizofala. Dziwani zambiri za izi mu tebulo ili m'munsimu.
| Mtundu wa zotsatira zoyipa | Zinthu zomwe muyenera kudziwa |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro za Kutuluka Magazi | Chimbudzi chakuda kapena chokhazikika; mkodzo wofiira kapena wakuda; kusanza magazi kapena china chake chooneka ngati khofi wophikidwa; madontho ofiira pakhungu; kutuluka magazi kosazolowereka kuchokera m'mphuno, m'kamwa, kapena m'maso; kutuluka magazi kosatha, ngakhale chifukwa cha kudula pang'ono. |
| Zizindikiro za magazi kuundana | Kupweteka pachifuwa; kuvutika kupuma; kupweteka, kutupa, kapena kumva kutentha mwendo. |
| Zizindikiro za Stroke | Kusintha kwa masomphenya; chisokonezo; kuvutika kulankhula kapena kumvetsetsa; mutu waukulu; dzanzi mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo; kuvutika kuyenda; chizungulire. |
| Zinthu zoti mudziwitse dokotala ngati akupitirizabe | |
| Ululu pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa pang'ono pamalo omwe jakisoniyo adabayidwa. |
Uthenga Wopita Nawo Kunyumba
- Bivalirudin ndi mankhwala amphamvu omwe amaletsa magazi kuundana. Amaperekedwa kuchipatala kokha, moyang'aniridwa ndi dokotala.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, ziwengo, ndi mankhwala onse omwe mukumwa.
- Pamene mukulandira chithandizochi, pewani kwathunthu zinthu zomwe zingayambitse kuvulala.
- Ngati muwona kutuluka magazi kosazolowereka, kupweteka pachifuwa, kupuma movutikira, kapena zizindikiro za sitiroko, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Kumbukirani kuti iyi si mankhwala omwe mungapite nawo kunyumba. Chilichonse chimachitika kuchipatala.
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