Nthawi zina mungamve ngati mulibe mpweya wokwanira, ngakhale mutakwera masitepe kapena kuyenda mtunda waufupi. Chifukwa chimodzi cha izi chingakhale kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yamagazi yomwe imanyamula magazi kupita ku mapapo anu. Madokotala amatcha vutoli "pulmonary hypertension." Chifukwa chake, ngati dokotala wanu wakupatsani Riociguat (yomwe imagulitsidwa kuti Adempas) ngati chithandizo cha vutoli, ndikofunikira kwambiri kuti mudziwe zonse zokhudza mankhwalawa momveka bwino. Tiyeni tikambirane za izi.
Kodi Riociguat ndi mankhwala amtundu wanji?
Mwachidule, mankhwalawa amagwira ntchito pokulitsa mitsempha yamagazi m'mapapu anu (kuikulitsa), zomwe zimapangitsa kuti magazi aziyenda mosavuta kudzera mwa iwo. Taganizirani ngati kukulitsa msewu wopapatiza kuti muyende mosavuta popanda kuchuluka kwa magalimoto.
Izi zimachepetsa kuthamanga kwa magazi m'mapapu anu, zomwe zikutanthauza kuti mtima wanu uyenera kugwira ntchito molimbika kuti upompe magazi. Zotsatira zake, mumapuma mosavuta ndipo simutopa kwambiri mukamagwira ntchito yopepuka kapena kuchita masewera olimbitsa thupi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa Riociguat, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Izi ndizofunikira kwambiri! Izi zingayambitse mavuto aakulu obadwa nawo mwa mwana wosabadwa. |
| Matenda a impso kapena chiwindi | Popeza mankhwalawo amachotsedwa m'thupi kudzera m'ziwalo zimenezi, mlingo wake ungafunike kusinthidwa. |
| Kuthamanga kwa magazi kotsika | Mankhwalawa amatha kuchepetsa kuthamanga kwa magazi, zomwe zingayambitse chizungulire. |
| Matenda otuluka magazi kapena kumwa mankhwala ochepetsa magazi | Riociguat ingawonjezere pang'ono chiopsezo cha kutuluka magazi. |
| Matenda a mtima | Dokotala wanu adzaona ngati mankhwalawo ndi oyenera matenda a mtima wanu. |
| Kusuta | Kusuta kungapangitse kusintha momwe mankhwala amagwirira ntchito. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kudziwa ngati muli ndi vuto la Riociguat kapena chilichonse mwa zinthu zomwe zili mmenemo. |
| Matenda enaake a m'mapapo (monga PVOD, idiopathic interstitial pneumonias) | Mankhwalawa sangakhale oyenera odwala omwe ali ndi matenda awa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri.
- Imwani mlingo womwe dokotala wanu wakupatsani, monga momwe mwalangizidwira. Mezani piritsi ndi kapu ya madzi.
- Mankhwalawa angatengedwe ndi chakudya kapena ayi . Si vuto limenelo.
- Chofunika kwambiri ndikumwa mankhwala nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, mphamvu ya mankhwala ikhoza kusungidwa pamlingo womwewo m'thupi.
- Musasiye kumwa mankhwalawo pazifukwa zilizonse popanda upangiri wa dokotala . Kuchita zimenezi kungayambitsenso kuti zizindikiro zanu zibwererenso.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira nthawi yanthawi zonse. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala .
Komabe, ngati simungathe kumwa mankhwala kwa masiku atatu kapena kuposerapo, onetsetsani kuti mwalankhula ndi dokotala wanu kuti akupatseni upangiri musanayambenso kumwa mankhwalawo.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) kuchipatala chapafupi.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musagawire mankhwalawa ndi wina aliyense amene ali ndi zizindikiro zomwezo monga inu.
Zinthu zomwe siziyenera kugwiritsidwa ntchito ndi Riociguat ndi zinthu zomwe zingayambitse mavuto
Riociguat ndi mankhwala omwe angagwirizane ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
| Musatenge izi ndi Riociguat! (Zoopsa Kwambiri) | |
|---|---|
| Mankhwala amtundu wa nitrate | Mankhwala ochizira matenda a mtima (monga GTN). Mwachitsanzo: (isosorbide dinitrate, isosorbide mononitrate, nitroglycerin) |
| Zoletsa za PDE5 | Mankhwala owonjezera mphamvu ya amuna kapena kuthamanga kwa magazi m'mapapo. Mwachitsanzo: (sildenafil, tadalafil, vardenafil) |
| Mankhwala ena | Mankhwala monga (Dipyridamole) ndi (Theophylline). |
| Chifukwa: Mankhwalawa akamwedwa ndi Riociguat, kuthamanga kwa magazi kumatha kutsika moopsa, zomwe zimapangitsa kuti munthu asadziwe bwino kapena kufa. | |
| Samalani kwambiri ngati mugwiritsa ntchito izi. | |
| Mankhwala a gastritis yam'mimba | Mankhwala oletsa asidi (monga madzi kapena mapiritsi) angachepetse mphamvu ya Riociguat. Imwani ola limodzi musanagwiritse ntchito kapena mutagwiritsa ntchito. |
| Mankhwala a HIV kapena Edzi | Mankhwala ena oletsa mavairasi. |
| Mankhwala a khunyu | Mwachitsanzo: (carbamazepine, phenobarbital, phenytoin) |
| Mankhwala oletsa bowa ndi maantibayotiki | Mwachitsanzo: (itraconazole, ketoconazole, rifampin) |
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala
Pewani kutenga mimba!
Ichi ndi chinthu chofunikira kwambiri komanso chofunikira kwambiri . Ngati mutenga mimba mukumwa Riociguat, pali chiopsezo chachikulu cha mwana wosabadwayo kukhala ndi vuto lalikulu lobadwa nalo.
- Kwa akazi: Ngati ndinu mkazi wa msinkhu wobereka, muyenera kuyesedwa mimba kuti muwonetsetse kuti mulibe pakati musanayambe kumwa mankhwalawa, mwezi uliwonse mukamamwa mankhwalawa, komanso kwa mwezi umodzi mutasiya kumwa mankhwalawa.
- Muyenera kugwiritsa ntchito njira ziwiri zodalirika zolerera panthawi imodzi mukamamwa mapiritsi komanso kwa mwezi umodzi mutasiya kumwa. Lankhulani ndi dokotala wanu za izi ndipo sankhani njira zomwe zili zoyenera kwa inu.
- Ngati mukukayikira pang'ono kuti muli ndi pakati, dziwitsani dokotala wanu nthawi yomweyo.
- Chifukwa cha chiopsezo ichi, m'maiko ena mankhwalawa amapezeka pokhapokha pansi pa pulogalamu yapadera. Dokotala wanu adzakupatsani chidziwitso chonse chomwe mukufuna. (Pulogalamuyi sikugwira ntchito kwa amuna).
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Riociguat ingayambitse zotsatirapo zina.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma, kupweteka pachifuwa | Izi zitha kukhala zizindikiro za matenda omwe akuipiraipira. |
| Chizungulire chachikulu, kukomoka, kugwa | Kungakhale chizindikiro cha kuthamanga kwa magazi kotsika kwambiri. |
| Kutuluka magazi kosazolowereka kapena kuvulala | Kutuluka magazi m'kamwa, m'mphuno, kapena m'mabala pansi pa khungu. |
| Izi nthawi zambiri sizili zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Mutu | Izi nthawi zambiri zimachepa pamene thupi likusintha malinga ndi mankhwala. |
| Kutsegula m'mimba, nseru, kusanza | Mungapeze mpumulo mwa kudya zakudya zopanda thanzi. |
| Kutupa kwa akakolo, mapazi, manja | Zitha kuchitika chifukwa cha kusunga madzi m'thupi. |
Musaope kulankhula ndi dokotala wanu za zizindikiro zina zilizonse zomwe zikukuvutitsani zomwe sizili pamndandandawu.
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani pamalo otetezeka omwe ana sangafikire .
- Sungani pamalo otentha (pakati pa madigiri 15-30 Celsius). Sungani kutali ndi kutentha kwambiri ndi chinyezi.
- Tayani mankhwala aliwonse omwe atha ntchito popanda kuwagwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Riociguat ndi mankhwala omwe amachiritsa kuthamanga kwa magazi m'mapapo.
- Chofunika kwambiri: Pewani kutenga mimba yonse mukumwa mankhwalawa komanso kwa mwezi umodzi mutasiya. Gwiritsani ntchito njira ziwiri zodalirika zolerera panthawi imodzi.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (makamaka nitrates ndi sildenafil).
- Pewani kusiya kumwa mankhwala popanda upangiri wa dokotala.
- Ngati mukumva chizungulire chachikulu, kupweteka pachifuwa, kapena kutuluka magazi kosazolowereka, funsani upangiri wa dokotala nthawi yomweyo.
- Lankhulani momasuka ndi dokotala wanu za mavuto kapena nkhawa zilizonse zomwe mungakhale nazo.
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