Ukuba wena okanye umntu omaziyo unesifo esibizwa ngokuba yi-'Pulmonary Hypertension', ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiBosentan. Nangona igama lisenokuvakala linzima kancinci, eli yeza lenza umsebenzi obaluleke kakhulu. Ngamafutshane, linceda intliziyo yakho nemiphunga, likuncede usebenze nzima, uhambe, kwaye unciphise ukuphefumla okuncinci. Ngoko ke namhlanje, masithethe ngeli yeza elibizwa ngokuba yiBosentan, indlela yokulisebenzisa, kunye noko kufuneka ukuqaphele.
Luhlobo luni lweyeza iBosentan?
Ngamafutshane, iBosentan liyeza elisetyenziselwa ukunyanga imeko ebizwa ngokuba yiPulmonary Hypertension . Ngoku usenokuba uzibuza ukuba yintoni i-pulmonary hypertension. Luxinzelelo oluphezulu ngendlela engaqhelekanga kwimithambo yegazi ethwala igazi lisuka entliziyweni yethu liye emiphungeni yethu. Kanye njengokuba umbhobho wamanzi uvaliwe, kuba nzima ukuba amanzi ahambe. Xa uxinzelelo olungaphakathi kwezi mithambo yegazi lusanda, intliziyo kufuneka isebenze nzima ukupompa igazi liye emiphungeni.
I-Bosentan isebenza ngokukhulula imithambo yegazi ephantsi koxinzelelo oluphezulu, okwenza kube lula ukuba igazi lihambe. Oku kunciphisa umthwalo womsebenzi entliziyweni, kwenza kube lula ukuphefumla, kwaye kukunika amandla angakumbi okwenza imisebenzi yakho yemihla ngemihla.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba akunike iBosentan, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:
- Ukuba unesifo sesibindi .
- Ukuba unesifo semfuza esibizwa ngokuba yiPhenylketonuria (PKU) (le yimeko engaqhelekanga kakhulu).
- Ukuba une -allergies kwiBosentan okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa. (Oku kubaluleke kakhulu!)
- Ukuba ungumama oncancisayo .
Kubaluleke kakhulu ukuze ukhuseleke ukwabelana ngolu lwazi nogqirha wakho ngaphandle kokulufihla.
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa njengoko kuyalelwe.
- Eli liyeza eliselwayo. Khumbula ukulithatha ngexesha elifanayo yonke imihla , njengoko ugqirha wakho ekuyalele.
- Gcina ipilisi kwiphakheji yayo evaliweyo ude uyisele. Gcina izandla zakho zomile xa usela ipilisi.
- Vula ipakethi ngononophelo uze ukhuphe ipilisi. Ungaze uzame ukuyityhala ipilisi ngefoyile. Ukwenza njalo kunokuyiqhekeza ipilisi. Ukuba ipilisi iyaphuka okanye iyaqhekeka, yilahle uze ufumane ipilisi entsha.
- Eli yeza lipilisi enyibilikayo onokuyinyibilikisa emanzini uze uyisele. Ugqirha uza kukuchazela oku.
- Ungayithatha le nto nokuba utya okanye ungenalo. Nangona kunjalo, ukuba uziva isisu sibuhlungu, kungcono ukuyithatha kunye nokutya.
- Ufanele uqhubeke nokusela eli yeza de ugqirha wakho akuxelele ukuba uyeke. Ungayeki ukulisebenzisa ngequbuliso.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ngamanye amaxesha siyalibala ukusela amayeza ethu. Ukuba oko kuyenzeka, thatha idosi ephosiweyo ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kusondele ixesha ledosi elandelayo, yitsibe idosi ephosiweyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, ungoyiki. Tsalela umnxeba ngokukhawuleza kwiZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo . Okanye, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, oku kubaluleke kakhulu. I-Bosentan inokusebenzisana namanye amayeza. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza emifuno, kunye nezongezo).
| I-Bosentan kunye nezinye iziyobisi | |
|---|---|
| Musa ukuthatha iBosentan kunye nale yeza! | |
| I-Cyclosporine | Iyeza lokulawula inkqubo yomzimba yokuzikhusela. |
| I-Glyburide | Iyeza lesifo seswekile. |
| Iihomoni ze-estrogen kunye ne-progestin | Unyango lweehomoni, kuquka iipilisi zokulawula ukuzalwa. |
| Iingxaki zinokwenzeka ngale mithi - xelela ugqirha wakho | |
| I-Antifungal | Umzekelo: i-fluconazole, i-ketoconazole |
| Amayeza okwehlisa i-cholesterol | Umzekelo: i-atorvastatin, i-simvastatin |
| Amanye amayeza | Ezifana neAmiodarone, Diltiazem, Erythromycin, Rifampin. |
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
Ukukhulelwa kunye nolawulo lokuzalwa
Esi sesona silumkiso sibalulekileyo nesinzulu malunga nale yeza. Ukuba ungumfazi, kufuneka ukuphephe ngokupheleleyo ukukhulelwa ngelixa usebenzisa iBosentan. Eli yeza linokubangela iziphene ezinkulu zokuzalwa kumntwana ongekazalwa. Ke ngoko, ugqirha wakho uya kukuxelela ukuba usebenzise iindlela ezimbini zokulawula ukuzalwa ngaxeshanye. Ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
Uvavanyo lwesibindi kunye negazi
Eli yeza ngamanye amaxesha linokuchaphazela isibindi. Ngoko ke, ugqirha wakho uhlala eyalela uvavanyo lwegazi ukujonga ukusebenza kwesibindi sakho. Kubaluleke kakhulu ukwenza olu vavanyo ngexesha.
Iimpendulo zesikhumba
Nangona kunqabile, abanye abantu banokufumana iimpendulo ezinzulu zesikhumba emva kweeveki ezimbalwa besebenzisa eli yeza.
- Ukuba unezilonda zesikhumba kunye neempawu ezifana nomkhuhlane kunye nomkhuhlane
- Ukuba izilonda zijika zibe bomvu okanye zibe mfusa, emva koko zibe namadyungudyungu kwaye ziqale ukuxobuka,
- Ukuba unezilonda zesikhumba ezinokudumba ebusweni, emilebeni, entanyeni, okanye emakhwapheni
Ukuba ubona into efana nale, yazisa ugqirha wakho ngoko nangoko.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na iyeza, iBosentan inokubangela iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga kunye nento omawuyenze | |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
| Ukwaliwa kakhulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Iimpawu zomonakalo wesibindi | Ukutyheli kwamehlo okanye ulusu, umchamo omnyama, iintlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, kunye nokuziva udiniwe. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukuba nesiyezi, amehlo aluhlaza okwesibhakabhaka, ukuziva ngathi uza kuwa. |
| Ukudumba kwamaqatha, izandla, neenyawo | Kusenokuba luphawu lokugcinwa kolwelo emzimbeni. |
| Izinto eziqhele ukungabi yingozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Intloko ebuhlungu |
| Ukuhlanjwa ngamanzi | Ubuso buvakala bushushu kwaye bujika bube bomvu. |
| Intlungu yamalungu | Intlungu yamalungu. |
| Umqala obuhkungu | Umphimbo obuhlungu okanye ukungakhululeki. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- I-Bosentan liyeza elibalulekileyo loxinzelelo lwegazi oluphezulu emaphaphu. Lithathe kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo, ngedosi efanelekileyo.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka nezo zezinye izifo, iivithamini, kunye namayeza esintu).
- Okubaluleke kakhulu: Kuphephe ukukhulelwa ngokupheleleyo ngelixa usebenzisa la mayeza. Oku kuyingozi kakhulu kumntwana. Thetha nogqirha wakho malunga neendlela zokulawula ukukhulelwa ezinokuthenjwa.
- Ukuba ubona iimpawu zokonakala kwesibindi (ukutyheli kwamehlo, umchamo omnyama) okanye ukusabela okukhulu kwesikhumba (umkhuhlane kunye nolusu oluxobukayo), funa ingcebiso kagqirha ngokukhawuleza.
- Kuphephe ukuyeka amayeza okanye ukutshintsha umthamo ngaphandle kwengcebiso kagqirha wakho.
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