Chiremba wako akakuudza here kuti une maplatelet mashoma uye uri panjodzi yekubuda ropa ? Ungangove wakanyorerwa mushonga unonzi Elthrombopag wekurapa. Sezvo uyu uri mushonga wakakosha, ungangove nemibvunzo yakawanda nezvawo. Usazvidya moyo, tichataura nezvemushonga uyu nemashoko akareruka, mashandisirwo awo, uye zvekungwarira.
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Zvichitaurwa zviri nyore, chii chinonzi Elthrombopag?
Iyi i suspension , zvinoreva kuti inouya iri muchimiro chemvura. Basa rayo guru nderekuwedzera huwandu hwemaplatelet mumuviri wako.
Funga nezvekuti tinomira sei kubuda ropa kana tikawana ronda mumuviri wedu. Masero madiki aya anonzi maplatelet anobatsira nazvo. Anobatana kuti agadzire ropa rakagwamba uye amise kubuda ropa. Saka kana huwandu hwemaplatelet hukadzikira, kunyange ronda diki rinowanzo kukonzera kubuda ropa kukuru.
Mushonga uyu unonyanya kushandiswa pa:
- Vanhu vane maplatelet mashoma nekuda kwechirwere chechiropa kana chirwere chinonzi immune thrombocytopenia ( ITP ), dambudziko rekudzivirira muviri.
- Inoshandiswawo kurapa chirwere chinonzi aplastic anemia. Mumamiriro ezvinhu aya, mupfupa unoburitsa masero matsva mashoma eropa (masero matsvuku, masero machena, uye maplatelet).
Zvichitaurwa zviri nyore, mushonga uyu unokurudzira mwongo wemapfupa uye unobatsira kuti ugadzire maplatelet akawanda, izvo zvinoderedza njodzi yekubuda ropa zvisina kufanira.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupe mushonga uyu, anofanira kuziva nhoroondo yako yese yehutano . Saka, kana paine chimwe chezvinotevera chinoshanda kwauri, iva nechokwadi chekuudza chiremba wako.
- Mamwe matambudziko ehutano aunawo:
- Kenza
- Chirwere chechiropa kana cheitsvo
- Chirwere chemaziso kana kutadza kuona zvakanaka
- Kana uine nhoroondo yekugwamba kweropa
- Kana chirwatata chakabviswa nekuvhiyiwa
- Zvimwe zvirwere zvinokonzera kudzikira kwemasero eropa (masero machena, masero matsvuku, maplatelet)
- Kurwara: Kana uine allergy yemushonga uyu, Elthrombopag, kana chero mumwe mushonga, chikafu, kana kuchengetedza.
- Kubata pamuviri nekuyamwisa:
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa.
Zvakakosha zvikuru kuti uchengetedzeke kuudza chiremba ruzivo urwu usingavanzi.
Ndinofanira kushandisa mushonga uyu sei chaizvo?
Uyu mushonga unofanirwa kushandiswa nekungwarira. Zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo, sezvakataurwa nachiremba.
1. Maitiro ekutora: Uyu mushonga wemvura. Zunza bhodhoro zvakanaka usati washandisa. Uchapihwa sirinji, tsono, kana chipunu chakanyorwa kuti upime mushonga wacho. Usapime nezvipunu zvemazuva ese zvemumba, sezvo zvisiri zvechokwadi.
2. Nguva yekutora (izvi zvakakosha zvikuru!):
- Mushonga uyu unofanira kutorwa mudumbu risina chinhu .
- Izvi zvinoreva kuti, kwemaminitsi makumi matatu usati wadya kana maawa maviri mushure mekudya .
- Imwe nzira ndeyekunwa izvi nechikafu chine calcium shoma .
3. Hukama necalcium nezvimwe zvicherwa:
- Kutora chikafu, zvinwiwa, kana mavhitamini ane calcium, iron, magnesium, kana zinc panguva imwe chete nemushonga uyu kunoderedza kunwa kwemushonga.
- Zvichitaurwa zviri nyore, kana ukadya chimwe chinhu chakadai semukaka, yogati, kana chizi, ukatora mapiritsi esimbi, kana ukatora mushonga unorwisa asidhi (mvura/mapiritsi echirwere chegastritis), unofanira kusiya mukaha pakati penguva yaunotora mushonga uyu nenguva yaunotora mushonga uyu.
- Mutemo ndewekuti: Unofanira kutora mushonga uyu maawa maviri usati watora kana maawa mana mushure mekutora mishonga yecalcium/iron yataurwa pamusoro apa.
Fungidzira uchinwa girazi remukaka na8am. Wobva watora mushonga uyu mushure me12pm. Kana, kana ukatora mushonga uyu na6am, unogona kunwa girazi remukaka mushure me8am. Taura nachiremba wako uye ronga nguva idzi chaidzo.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, usazvidya moyo. Usadzorere dosi yawakarasikirwa nayo. Ingotora dosi inotevera panguva yakatarwa. Usatore dosi inopfuura yawakarairwa (inopfuura dosi imwe chete) pazuva.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, enda kuEmergency Department (ETU) iri pedyo nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Zvimwe zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Chiremba wako angangokukumbira kuti uongororwe ropa nguva dzose. Kuongororwa uku kuchaongorora kana huwandu hwemaplatelet ako huri padanho rinodiwa uye kana chiropa chako chiri kushanda zvakanaka. Usapotsa bvunzo idzi.
- Kuchinja kwekuona: Vamwe vanhu vanogona kuchinja maonero avo nemushonga uyu. Saka, chiremba wako anogona kukukurudzira kuti uongororwe maziso usati watanga uye paunenge uchitora mushonga wacho. Kana ukaona kuti maziso ako haana kujeka kana kuti ukaona mhete dzakatenderedza mwenje, taurira chiremba wako nekukasika.
- Migumisiro yechiropa: Mushonga uyu unogona kukanganisa chiropa, kunyanya kuvanhu vane Hepatitis C.
- Kuzvidzivirira kubva mukukuvadzwa: Kunyangwe kana huwandu hwemaplatelet ako hukadzokera pahunhu hwakanaka, zvichiri kuchenjera kusaita mitambo ine njodzi uye zviitiko zvinogona kukonzera kukuvara.
Kudonha kukuru kana tsaona zvinogona kukonzera kubuda ropa mukati memuviri kusingaonekwe nekunze. Chenjerera zvakanyanya pakushandisa zvishandiso zvakapinza zvakaita semapanga nechigero. Zviri nani kana uchigona kushandisa reza yemagetsi paunenge uchigera ndebvu. Geza mazino ako nguva dzose. Kana ukaita mavanga kana mavanga matsvuku paganda rako, udza chiremba wako .
- Kubata pamuviri nekuyamwisa: Zvakakosha kushandisa nzira dzekudzivirira pamuviri dzakakwana kudzivirira kubata pamuviri paunenge uchitora mushonga uyu uye kwemazuva manomwe mushure mekurega mushonga. Taura nachiremba wako nezveizvi. Uyewo, usayamwisa paunenge uchitora mushonga uyu.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, mushonga uyu unogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Tafura iri pazasi ichakupa mufananidzo wakajeka weizvi.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu rekumusoro kurudyi, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakachenuruka, weti yero kana yero yakasviba, maziso kana ganda richitsvuka, uye kuneta kwakanyanya. |
| Zviratidzo zvekugwamba kweropa | Kurwadziwa kwemakumbo, kuzvimba kana kudziya, kuoma kufema, kurwadziwa pachipfuva. |
| Kuchinja kwemaonero | Kuona kusina kujeka, kuona magirazi akakomberedza mwenje, kurasikirwa nekuona. |
| Kazhinji hapana chekunetseka nacho (asi udza chiremba wako kana chikaramba chiripo) | |
| Kukuvara kudiki | Kukosora, manyoka (kurutsa), kuneta, fivha, musoro, kuda kurutsa. |
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Zvakakosha zvikuru kuudza chiremba wako nezve mimwe mishonga, mavhitamini, kana mishonga yemiti yauri kutora, sezvo mimwe inogona kukanganisa mushonga uyu.
| Rudzi rwezvinhu zvinogona kukonzera matambudziko | Mienzaniso |
|---|---|
| Mishonga inorwisa asidhi | Zvinwiwa kana mapiritsi anoshandiswa pakurapa gastritis. |
| Zvekuwedzera zvemineral | Mapiritsi kana zvinwiwa zvine calcium, iron, magnesium, zinc, selenium. |
| Mimwe mishonga inoderedza cholesterol | Mishonga yekurapa yakadai seAtorvastatin neRosuvastatin. |
| Mushonga wekudzivirira ropa | Mishonga yakaita seWarfarin, Apixaban, Rivaroxaban. |
| Mishonga yekurwadziwa | Mishonga iri muchikamu che'NSAIDs', yakaita seIbuprofen neNaproxen. |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese yauri kutora.
Mharidzo Yekuenda Nayo Kumba
- Mushonga weElthrombopag unoshandiswa kuwedzera huwandu hwemaplatelet muropa uye kuderedza njodzi yekubuda ropa.
- Mushonga uyu unofanira kutorwa usina chinhu mudumbu . Usautore pamwe chete nechikafu kana mushonga une mamineral akadai secalcium kana iron. Siya nguva yemaawa maviri.
- Inwa mushonga chaiwo panguva yawakanyorerwa. Kana ukarasikirwa nemushonga, ingounwa panguva inotevera yakarongwa.
- Kana ukaona zviratidzo zvisingawanzoitiki, zvakaita semapundu eganda, kutsvuka kwemaziso, kuchinja kwemaonero, kana kuzvimba kwemakumbo, taurira chiremba wako nekukasika.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora.
- Kana muine mimwe mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.
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