Ungafungidzira here mitsipa yeropa inotakura ropa kubva pamwoyo yedu kuenda kumapapu edu ichidzikira zvishoma nezvishoma, zvichiita kuti BP iwedzere zvakanyanya? Zvakafanana nekudzvanya pombi yemvura uye kumhanya kwemvura kunowedzera. Izvi ndizvo zvatinodaidza kuti ' Pulmonary Arterial Hypertension' kana kuti 'PAH' mukurapa. Ichi chirwere chakasiyana zvishoma neBP yakajairika uye chinoda kutarisirwa kwakakosha. Izvi zvinogona kukonzera zviratidzo zvakaita sekushaya mweya, kurwadziwa pachipfuva, uye kuneta kwakanyanya. Saka nhasi tichataura nezvemushonga unoshandiswa kurapa chirwere ichi, injection yeTreprostinil.
Treprostinil mushonga werudzii?
Muchidimbu, Treprostinil (zita rechiratidzo: Remodulin) mushonga unopiwa vanhu vane pulmonary arterial hypertension (PAH) yandambotaura nezvayo. Mushonga uyu unoshanda nekuwedzera tsinga dzeropa dzakatetepa zvishoma, zvichiita kuti zvive nyore kuti ropa rifambe zvakanaka. Izvi zvinoderedza basa remoyo uye zvinobatsira kudzora zviratidzo. Zvinoitawo kuti zvive nyore kuita mabasa ezuva nezuva. Uyu mushonga unokosha zvikuru unobatsira kuvandudza hupenyu.
Chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere, saka kana uine mibvunzo nezveizvi, iva nechokwadi chekubvunza chiremba wako.
Zvinhu zvekuudza chiremba wako usati watanga mushonga uyu
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekutaura zvinotevera kunyanya:
- Chirwere cheitsvo: Kana uine chirwere chinokonzerwa neitsvo.
- Chirwere chechiropa: Kana paine dambudziko rekushanda kwechiropa.
- Kurwara: Iva nechokwadi chekuudza chiremba wako kana wakamborwara neTreprostinil, Epoprostenol, kana chero mimwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, unofanira kutaura nachiremba wako usati watanga mushonga uyu.
Ndinofanira kushandisa mushonga uyu sei?
Izvi hazvina kufanana nepiritsi kana kapisiro yatinowanzo nwa. Jekiseni reTreprostinil rinopinzwa mumuviri wako kuburikidza nepombi diki inogara ichishanda (continuous infusion) . Mushonga unopinda mumuviri wako kuburikidza nechubhu tete, inonzi catheter, yakabatana nepombi iyi. Izvi zvinogona kuitwa nenzira mbiri:
1. Subcutaneous: Catheter inoiswa pasi peganda uye mushonga unopihwa.
2. Kuburikidza nemutsinga (Inopinzwa mutsinga):Catheter inopinzwa zvakananga mutsinga yeropa (tsinga) uye mushonga wacho unopihwa.
Uchadzidziswa zvakakwana kuchipatara kuti ungashandisa sei izvi, ungagadzira sei pombi, uye ungaisa sei catheter. Zvakakosha kutevedzera mirairo yakapihwa nachiremba nevashandi vekuchengeta varwere nemazvo .
Zvakakosha: Usarega kutora mushonga uyu chero chikonzero chipi zvacho usina kubvunza chiremba wako. Kurega kamwe kamwe kunogona kuwedzera mamiriro ako ezvinhu.
Unoitei netsono nemasirinji akamboshandiswa?
Usambofa wakarasa tsono nemasirinji akamboshandiswa mumarara. Anofanira kuiswa mumudziyo wakagadzirirwa munhu akakosha (mudziyo unopinza). Kana usina, bvunza chiremba wako kana chipatara chako.
Mushonga uyu unofanira kupiwa vana here?
Vana vangada kutarisirwa zvakanyanya pavanenge vachipa mushonga uyu, saka zvakakosha kukurukura izvi nachiremba wevana kuti vakupe mazano.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Mimwe mishonga yauri kutora inogona kupindirana neTreprostinil, saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera).
| Rudzi rwemushonga | Zvinhu zvekuchenjerera |
|---|---|
| Mimwe mishonga yekurapa BP yakakwira | Kana izvi zvikasanganiswa neTreprostinil, BP inogona kudzikira zvakanyanya. |
| Mushonga wekudzivirira ropa | Mienzaniso: Mishonga yakaita seWarfarin, Enoxaparin, Dabigatran, Apixaban. Iyi inogona kuwedzera njodzi yekubuda ropa. |
| Mishonga inobvisa mvura mumuviri | Zvinogona kukonzera kuderera kweBP. |
| Mimwe mishonga | Mishonga yakaita seGemfibrozil neRifampin inogona kukanganisa kushanda kwemushonga uyu. |
Zvinhu zvekurangarira kana uchitora mushonga
- Kuongororwa nguva dzose: Gara uchitaurirana nachiremba wako nguva dzose kuti utarise kufambira mberi kwechirwere chako. Enda kumakiriniki nguva dzose.
- Ganda rakatenderedza catheter: Tarisa ganda rakatenderedza catheter nguva nenguva. Kana paine kutsvuka kusingawanzoitiki, kurwadziwa, kuzvimba, kana kubuda kwakaita sematumbu, zivisa timu yako yehutano nekukasika. Izvi zvinogona kuva chiratidzo chehutachiona.
- Kana mamiriro ako akanyanya kuipa: Dzimwe nguva mamiriro ako anogona kutowedzera kuipa kunyangwe mushure mekutora mushonga uyu. Kana uchinzwa seizvi, sekunge uchinetseka kufema kana kurwadziwa pachipfuva, fonera chiremba wako nekukasika. Dose yako ingangoda kuchinjwa.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, Treprostinil inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kurwara kweganda kwakadai semapundu, kurutsa, mapundu | Kuzvimba kwechiso, miromo, kana rurimi |
| Kuoma kufema | Kurwadziwa kwechipfuva |
| Kurova kwemoyo kusingawanzoitiki, kurova kwemoyo zvakanyanya, kana kuti kurova kwemoyo kusingawanzoitiki | Kusvotwa, dzungu, uye kudonha |
| Fivha kana kunzwa kutonhora | Kukuvara, kurwadziwa, kana kuzvimba panzvimbo yekubaiwa jekiseni |
| Kurwadziwa, kusanzwa, kana kurasikirwa nemanzwiro mumaoko netsoka | Kushaya simba kana kuneta kusingawanzoitiki |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurwadziwa kwemapfupa kana shaya | Manyoka |
| Kushambadza | Musoro |
| Kusvotwa, kurutsa | |
Nzira yekuchengetedza mushonga sei?
Kuti mushonga urambe wakanaka, zvakakosha kuuchengeta zvakanaka.
- Chengeta kure nevana nezvipfuyo.
- Mabhodhoro asina kuvhurwa: Chengeta patembiricha iri pakati pe15 ne25 degrees Celsius.
- Mushure mekuvhura bhodhoro: Mushure mekunge mushonga watorwa kekutanga, bhodhoro rinofanira kushandiswa mukati memazuva makumi matatu.
- Mushonga wapera: Usashandise chero chikonzero mushure mezuva rekupera.
- Mishonga iri mupombi:
- Kana ukapihwa pasi peganda: Mushonga uri musirinji imwe chete unogona kushandiswa kwemaawa anosvika makumi manomwe nemaviri. Mushure memaawa makumi manomwe nemaviri, rasa mushonga wasara.
- Kana ukapihwa nemutsinga: Mushonga uri musirinji imwe chete unogona kushandiswa kwemaawa anosvika makumi mana nemasere. Rasa mushonga wasara mushure memaawa makumi mana nemasere.
Mharidzo Yekuenda Nayo Kumba
- Treprostinil mushonga unokosha zvikuru wekudzivirira BP yemapapu (PAH). Unofanira kushandiswa chete sezvakarairwa nachiremba wako.
- Usati watanga mushonga uyu, udza chiremba wako nezvezvirwere zvako zvese pamwe nemimwe mishonga yauri kutora.
- Usarega kutora mushonga wako usina kupiwa mazano nachiremba chero chikonzero chipi zvacho. Zvinogona kuva nengozi zvikuru.
- Gara uchingwarira migumisiro yakakomba yakadai sekutsvuka, kurwadziwa, uye kuzvimba panzvimbo yekubaiwa jekiseni, pamwe nekurwadziwa muchipfuva uye kuoma kufema. Kana ukaona chimwe cheizvi, zivisa chiremba wako nekukasika.
- Zvakakosha zvikuru kuchengeta mishonga nemazvo uye kurasa tsono dzakashandiswa zvakachengeteka.
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