Khawuthelekelele, umntu ngequbuliso uva iintlungu eziqatha esifubeni, arhanele ukuba uhlaselwe yintliziyo, aze angeniswe esibhedlele. Ngexesha elinjalo, kukho ithuba elikhulu lokuba amahlwili egazi avele ngaphakathi kwimithambo ehambisa igazi entliziyweni ize ivale loo mithambo. Namhlanje, siza kuthetha ngenaliti enamandla kakhulu, ekhethekileyo esetyenziswa ngoogqirha ukuthintela ukwakheka kwamahlwili egazi kwiimeko ezingxamisekileyo nezinzima. Eli asiloyeza elidla ngokusetyenziswa ekhaya, kodwa linikwa esibhedlele kuphela.
Kalula nje, yintoni iAbciximab?
I-Abciximab (masiyibize ngokuba yi-'abciximab') liyeza elinamandla kakhulu elithintela ukujiya kwegazi. Igama layo lophawu yiReoPro. Sinee -platelets, uhlobo lweseli encinci egazini lethu. Ngokwesiqhelo, xa sisikiwe, ezi platelets ziyahlangana ukuze zenze i-clot ukuze kumiswe ukopha. Yinto entle leyo.
Nangona kunjalo, ukuba ezi platelets ziqokelelana kwimithambo yegazi yentliziyo ngexesha lokuhlaselwa yintliziyo kwaye zenze amahlwili egazi, zinokuthintela ngokupheleleyo okanye kancinci ukuhamba kwegazi ukuya entliziyweni. Yiloo nto iyingozi.
Eli yeza libizwa ngokuba yi-Abciximab lithintela ezo platelet ukuba zinganamatheli ndawonye kwaye zenze amahlwili egazi angafunekiyo.
Oku kusetyenziswa kakhulu kwezi zinto zilandelayo:
- Xa kusenzeka uhlaselo lwentliziyo.
- Kwabo banentlungu yesifuba engaguqukiyo (i-angina engaguqukiyo).
- Ngexesha nasemva kokufakelwa kwe-coronary artery bypass grafting (i-angioplasty kunye ne-stenting).
Eli yeza linikwa nokuba lifakwe inaliti emthanjeni okanye njenge-infusion, njenge-saline. Oku kusoloko kwenziwa esibhedlele, phantsi kweliso elipheleleyo loogqirha kunye nabahlengikazi.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngenxa yokuba eli liyeza elinamandla kakhulu, kubaluleke kakhulu ukwazisa iqela lakho lezonyango malunga nazo naziphi na ezinye iimeko zempilo onazo okanye amanye amayeza owasebenzisayo. Ukuba kukho naziphi na izinto ezikwitheyibhile engezantsi ezikusebenzayo, qiniseka ukuba uxelele ugqirha wakho.
| Imeko okanye isiganeko esidlulileyo | Kutheni kufuneka uxelele ugqirha? |
|---|---|
| Iingxaki zokopha okanye naziphi na iingxaki zegazi ezingaqhelekanga. | Eli yeza lonyusa umngcipheko wokopha, nto leyo enokuba yingozi ukuba sele unayo loo meko. |
| Imeko efana nomhlaza wobuchopho okanye i-aneurysm yemithambo yegazi. | Umngcipheko wokopha kwiindawo ezinjalo uyanda. |
| Uxinzelelo lwegazi oluphezulu olungalawulekiyo. | Uxinzelelo lwegazi oluphezulu lunokubangela umngcipheko wokopha engqondweni. |
| Ukuba ukhe waba nestroke ngaphambili. | Umngcipheko uphezulu ngakumbi ukuba istroke sibangelwa kukopha. |
| Ingozi okanye utyando olukhulu lwakutshanje. | Amanxeba otyando anokuphinda ophe. |
| Ukuba ukhe wathatha iyeza lokunciphisa igazi elifana ne-warfarin kwiveki ephelileyo. | Kukho umngcipheko wokopha kakhulu ngenxa yokusebenza kwamayeza omabini. |
| Imeko efana ne-vasculitis (ukudumba kwemithambo yegazi). | Oku kunokubangela ukopha okuvela kwimithambo yegazi ebuthathaka. |
| Ukuba ukhe waba ne-allergy kwi-abciximab, amanye amayeza, ukutya, okanye iiproteni ezivela kwiimpuku. | Kubalulekile ukwazisa oku ukuze kuthintelwe iimpembelelo ezimbi ze-allergy. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. | Ugqirha kufuneka acinge ngemiphumo enokubakho kwimveku okanye kusana oluncancisayo. |
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, ngokuqinisekileyo. Ufanele uxelele ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (ezibhalwe ngugqirha, ezithengiswa ngaphandle kwemvume kagqirha, iimveliso zemifuno, iivithamini) ngelixa usebenzisa eli yeza. Eli yeza lisenokudibana nezi zinto zilandelayo, ngakumbi:
- Ezinye izinto zokunciphisa igazi: Amayeza afana ne-Aspirin, i-Clopidogrel, i-Ticlopidine, i-Dipyridamole.
- Izithibi zegazi: Amayeza anamandla anikwayo xa kuhlaselo lwentliziyo afana ne-Alteplase, i-Reteplase, kunye ne-Streptokinase.
- Amanye amayeza kunye neepilisi ezinciphisa igazi: Amayeza afana neWarfarin, iEnoxaparin (Clexane), iDalteparin, iArgatroban.
- Iipilisi zokunciphisa iintlungu (ii-NSAID): Amayeza afana ne-Ibuprofen, i-Naproxen, i-Diclofenac.
- Iimveliso zezityalo: Iimveliso eziqulethe izinto ezifana negalikhi, ijinja, iginkgo, i-feverfew.
Ukuba ezi zinto zisetyenziswa kunye, umngcipheko wokopha kakhulu uyanda kakhulu. Ngoko ke kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo.
Zithini iziphumo ebezingalindelekanga ezinokubakho xa usebenzisa amayeza?
Njengalo naliphi na iyeza, i-Abciximab inokubangela iziphumo ebezingalindelekanga. Ekubeni usesibhedlele, abasebenzi baya kuhlala bekujonga ezi zinto. Kodwa ukuba uziva into engaqhelekanga, kufuneka uyixele ngoko nangoko.
| Iimpawu ezinzulu ekufuneka zixelwe kugqirha okanye kumongikazi ngoko nangoko | |
|---|---|
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Iimpawu Zokopha |
|
| Iimpawu zeStroke | Intloko ebuhlungu ngequbuliso, ubunzima bokuthetha, ukudinwa okanye ubuthathaka bobuso, ingalo okanye umlenze ngequbuliso, utshintsho embonweni. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga (kodwa kufuneka zixelwe ukuba ziyaqhubeka) | |
| Umqolo obuhlungu | Isiyezi |
| Intloko ebuhlungu | Ukucaphuka okanye ukungonwabi esiswini |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ungoyiki ukuthetha neqela lakho lezonyango ngazo.
Kuthekani ukuba idosi yeyeza inyusiwe?
Eli yeza linikwa ngononophelo olukhulu ngabasebenzi besibhedlele, ngoko ke akufuneki ukhathazeke ngokugqithisileyo. Baza kukunika idosi echanekileyo. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, yazisa abasebenzi besibhedlele ngoko nangoko. ESri Lanka, ungafowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane iingcebiso ngayo nayiphi na ingxaki enxulumene namayeza. Kwimeko yengxamiseko, uza kuthunyelwa kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Abciximab liyeza elinamandla kakhulu elinikwa esibhedlele kuphela ukuthintela ukuqhekeka kwegazi kwiimeko ezingxamisekileyo ezifana nokuhlaselwa yintliziyo.
- Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo (ingakumbi ezo zinxulumene nokopha), ii-allergies, kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Umngcipheko ophambili wale mithi kukopha. Ngoko ke, ukuba ubona naziphi na iimpawu zokopha, ezifana nokukrweleka okungaqhelekanga, isitulo esimnyama, okanye igazi eligabhayo, yazisa abasebenzi bezonyango ngoko nangoko.
- Uza kubekwa esweni esibhedlele ngexesha lonyango. Ukuba unamathandabuzo okanye imibuzo, ungaze ungathandabuzi ukubuza ugqirha okanye umongikazi wakho.
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