Dziwani zambiri za Treprostinil Injection: Chithandizo cha matenda omwe amakhudza mtima ndi mapapo

Kodi mungaganizire mitsempha yamagazi yomwe imanyamula magazi kuchokera mumtima mwathu kupita m'mapapo pang'onopang'ono ikuchepa, zomwe zimapangitsa kuti kuthamanga kwa magazi kukwere kwambiri? Zili ngati kufinya chitoliro cha madzi ndipo liwiro la madzi limakwera. Izi ndi zomwe timatcha ' Pulmonary Arterial Hypertension' kapena 'PAH' mu zamankhwala. Uwu ndi vuto lomwe ndi losiyana pang'ono ndi kuthamanga kwa magazi kwabwinobwino ndipo limafuna chisamaliro chapadera. Izi zingayambitse zizindikiro monga kupuma movutikira, kupweteka pachifuwa, komanso kutopa kwambiri. Chifukwa chake lero tikambirana za mankhwala apadera omwe amagwiritsidwa ntchito pochiza vutoli, lomwe ndi jakisoni wa Treprostinil.

Kodi Treprostinil ndi mankhwala amtundu wanji?

Mwachidule, Treprostinil (dzina lodziwika bwino: Remodulin) ndi mankhwala omwe amaperekedwa kwa anthu omwe ali ndi matenda oopsa a m'mapapo (PAH) omwe ndatchula kale. Mankhwalawa amagwira ntchito pokulitsa mitsempha yamagazi yopapatiza pang'ono, zomwe zimapangitsa kuti magazi aziyenda mosavuta. Izi zimachepetsa ntchito ya mtima komanso zimathandiza kuwongolera zizindikiro. Zimathandizanso kuchita zinthu za tsiku ndi tsiku mosavuta. Uwu ndi mankhwala ofunikira kwambiri omwe amathandiza kukonza moyo wabwino.

Dokotala wanu angaperekenso mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso okhudza izi, onetsetsani kuti mwafunsa dokotala wanu.

Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwatchula izi makamaka:

• Matenda a impso: Ngati muli ndi vuto lililonse lokhudzana ndi impso.
• Matenda a chiwindi: Ngati pali vuto lililonse pakugwira ntchito kwa chiwindi.
• Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati mwakhala ndi vuto la ziwengo chifukwa cha Treprostinil, Epoprostenol, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
• Mimba: Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu musanayambe kumwa mankhwalawa.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Izi sizili ngati piritsi kapena kapisozi yomwe nthawi zambiri timamwa. Jakisoni wa Treprostinil umaperekedwa m'thupi lanu kudzera mu pampu yaying'ono yomwe imagwira ntchito nthawi zonse (continuous infusion) . Mankhwalawa amalowa m'thupi lanu kudzera mu chubu chopyapyala, chotchedwa catheter, cholumikizidwa ku pampu iyi. Izi zitha kuchitika m'njira ziwiri:

1. Subcutaneous: Catheter imayikidwa pansi pa khungu ndipo mankhwala amaperekedwa.

2. Kudzera m'mitsempha (Yolowetsedwa m'mitsempha):Katheta imayikidwa mwachindunji mu mtsempha wamagazi (mtsempha) ndipo mankhwala amaperekedwa.

Mudzaphunzitsidwa bwino kwambiri kuchipatala momwe mungagwiritsire ntchito izi, momwe mungakonzekerere pampu, komanso momwe mungaikire catheter. Ndikofunikira kwambiri kutsatira malangizo omwe dokotala ndi ogwira ntchito yosamalira anamwino amapereka .

Kodi mumatani ndi singano ndi ma syringe ogwiritsidwa ntchito kale?

Musataye singano ndi ma syringe omwe agwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera (chidebe cha sharpe). Ngati mulibe, funsani dokotala wanu kapena kuchipatala kuti akupatseni chimodzi.

Kodi mankhwalawa ayenera kuperekedwa kwa ana?

Ana angafunike chisamaliro chapadera popereka mankhwalawa, choncho ndikofunikira kukambirana izi ndi dokotala wa ana kuti akupatseni upangiri.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Mankhwala ena omwe mukumwa angagwirizane ndi Treprostinil, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).

Zinthu zofunika kukumbukira mukamamwa mankhwala

• Kuyezetsa pafupipafupi: Lumikizanani ndi dokotala nthawi zonse kuti muwone momwe matenda anu akupitira patsogolo. Pitani kuzipatala nthawi zonse.
• Khungu lozungulira catheter: Yang'anani khungu lozungulira catheter nthawi zonse. Ngati pali kufiira kosazolowereka, kupweteka, kutupa, kapena kutuluka magazi ngati mafinya, dziwitsani gulu lanu lachipatala nthawi yomweyo. Ichi chingakhale chizindikiro cha matenda.
• Ngati vuto lanu likuipiraipira: Nthawi zina vuto lanu likhoza kuipiraipira ngakhale mutamwa mankhwala awa. Ngati mukumva motere, monga ngati mukuvutika kupuma kapena kupweteka pachifuwa, imbani dokotala nthawi yomweyo. Mlingo wanu ungafunike kusinthidwa.

Zotsatirapo zomwe zingachitike chifukwa cha mankhwala

Monga mankhwala ena aliwonse, Treprostinil ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.

Kodi mungasunge bwanji mankhwala?

Kuti mankhwala akhale abwino, ndikofunikira kwambiri kuwasunga bwino.

• Sungani kutali ndi ana ndi ziweto.
• Mabotolo osatsegulidwa: Sungani pamalo otentha pakati pa madigiri 15 ndi 25 Celsius.
• Pambuyo potsegula botolo: Pambuyo pomwa mankhwala oyamba, botolo liyenera kugwiritsidwa ntchito mkati mwa masiku 30.
• Mankhwala otha ntchito: Musagwiritse ntchito pazifukwa zilizonse tsiku lotha ntchito litadutsa.
• Mankhwala omwe ali mu pompu:
• Ngati aperekedwa pansi pa khungu: Mankhwala omwe ali mu sirinji imodzi angagwiritsidwe ntchito kwa maola 72. Pakatha maola 72, tayani mankhwala otsalawo.
• Ngati aperekedwa kudzera m'mitsempha: Mankhwala omwe ali mu sirinji imodzi angagwiritsidwe ntchito kwa maola 48. Tayani mankhwala otsalawo patatha maola 48.