Ngaba ugqirha wakho ukunike ipilisi ebizwa ngokuba yiBosentan okanye umntu okwintsapho yakho? Ukuba kunjalo, kuqhelekile ukuba ube nemibuzo emininzi malunga nokuba yintoni le yeza, kutheni isetyenziswa, kwaye kwenzeka ntoni xa ulithatha. Ungakhathazeki. Namhlanje, masithethe ngale yeza ebizwa ngokuba yiBosentan ngendlela elula onokuyiqonda.
Yintoni kanye kanye iBosentan?
Ngamafutshane, iBosentan liyeza elisetyenziselwa ukunyanga isifo esinzima sentliziyo nemiphunga esibizwa ngokuba yiPulmonary Hypertension .
Cinga nje, sinemithambo yegazi ethwala igazi ukusuka entliziyweni yethu ukuya emiphungeni yethu, akunjalo? Xa loo mithambo yegazi incipha kwaye uxinzelelo lwegazi ngaphakathi kuyo luphezulu kakhulu, siyibiza ngokuba yiPulmonary Hypertension. Oku kubangela ukuba intliziyo isebenze nzima ukupompa igazi ukuya emiphungeni. Ekuhambeni kwexesha, oku kunokuba nefuthe elibi kakhulu entliziyweni.
Ngoko ke, into eyenziwa yiBosentan kukwandisa (ukukhulula) imithambo yegazi emincinci, okwenza kube lula ukuba igazi lihambe. Oku kunciphisa umthwalo womsebenzi entliziyweni. Ngenxa yoko, eli yeza likunceda ukuba wonyuse amandla akho okuzilolonga kwaye unciphise ukuphefumla kwakho okuncinci .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale iBosentan, kubalulekile ukuxelela ugqirha wakho olu lwazi lulandelayo.
- Ukuba unesifo sesibindi: Oku kubaluleke kakhulu kuba iBosentan inokuchaphazela isibindi.
- Ukuba uzama ukukhulelwa, ukhulelwe, okanye uncancisa: Eli yeza alikhuthazwa ngexesha lokukhulelwa. Kwakhona, ukuba uceba ukuba nomntwana, kufuneka uthethe nogqirha wakho ngalo mba.
- Ukuba wakha waba ne-allergy kwi-Bosentan okanye nakweyiphi na enye iyeza, ukutya, okanye idayi: Oku kuthetha ukuba wakha waba nokurhawuzelelwa kwesikhumba, ukurhawuzelelwa, okanye ukudumba emva kokusela into ngaphambili, sixelele ngayo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye namayeza esintu (afana namayeza athengiswa ngaphandle kwemvume kagqirha) owasebenzisayo, njengoko amanye amayeza anokuchaphazela iBosentan.
Ulisebenzisa njani kanye kanye eli yeza?
Ukuze ufumane unyango olungcono, kubalulekile ukulusebenzisa ngokuchanekileyo.
1. Landela imiyalelo kagqirha wakho: Sela idosi kanye njengoko ugqirha wakho ekuxelele. Musa ukuyinyusa okanye ukuyinciphisa.
2. Yithathe ngexesha: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla ukuba kunokwenzeka. Ukuba kusasa nangokuhlwa, yithathe ngamaxesha omabini.
3. Nokuba utya okanye awutyanga: Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva isisu sibuhlungu, kungcono ukulisebenzisa kunye nokutya.
4.Yisele ngamanzi: Ginya ipilisi yonke ngeglasi yamanzi.
5. Musa ukuyeka: Musa ukuyeka ukuthatha amayeza de ugqirha wakho akuxelele ukuba wenjenjalo. Ufanele uqhubeke uwathatha nokuba iimpawu zakho ziyancipha.
Kubalulekile: Xa ufumana amayeza akho kwikhemesti, uza kufumana incwadana yolwazi ekhethekileyo (iMedGuide) malunga nale yeza. Qiniseka ukuba uyifunda ngononophelo ngalo lonke ixesha ufumana amayeza akho. Iqulethe ulwazi oluninzi olubalulekileyo.
Kuthekani ukuba ngequbuliso ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye, fowunela iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Kuthekani ukuba ndiphoswa lidosi leyeza?
Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Amanye amayeza anokusebenzisana neBosentan (Ukusebenzisana kwamayeza)
Le yinto ekufuneka uyilumkele kakhulu. Amanye amayeza anokusebenzisana neBosentan aze abangele iziphumo ezibi. Kungoko ke, kubaluleke kakhulu ukwazisa ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Amachiza anokusebenzisana neBosentan | |
|---|---|
| Amayeza angafanele asetyenziswe kunye: | |
| I-Cyclosporine | Iyeza elilawula amajoni omzimba. |
| I-Glyburide | Iyeza lesifo seswekile. |
| Iihomoni ze-estrogen okanye ze-progestin | Amayeza eehomoni, anjengeepilisi zokulawula ukukhulelwa. |
| Kufuneka isetyenziswe ngononophelo,Amayeza okwazisa ugqirha ngawo: | |
| Amanye amayeza okwehlisa i-cholesterol | Umzekelo: iAtorvastatin, iSimvastatin |
| Amayeza okulwa nokungunda | Umzekelo: I-Ketoconazole, i-Fluconazole |
| Amanye amayeza | Amayeza afana ne-Amiodarone, i-Diltiazem, i-Rifampin, ne-Ritonavir. |
Olu luhlu aluphelelanga. Xelela ugqirha wakho malunga namayeza, iivithamini, amayeza esintu, okanye izongezo ozithathayo, kunye nokuba uyatshaya okanye usela utywala .
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
Uvavanyo lwezonyango olucwangcisiweyo
Ugqirha wakho uza kukujonga rhoqo ngelixa usebenzisa iBosentan. Qiniseka ukuba uya ekliniki ngexesha. Kuya kufuneka uhlolwe igazi rhoqo ukuze kuhlolwe umonakalo wesibindi obangelwe liyeza. Oku kubaluleke kakhulu kukhuseleko lwakho.
Ukukhulelwa kunye nokuzala
Le yingxaki ebaluleke kakhulu.
- Ngexesha lokukhulelwa: I-Bosentan inokubangela iziphene ezinkulu zokuzalwa komntwana ongakazalwa. Ngoko ke, kufuneka uphephe ukukhulelwa ngelixa usebenzisa eli yeza. Thetha nogqirha wakho malunga nokusebenzisa ucwangciso lokuzala olufanelekileyo.
- Kumadoda: Eli yeza lisenokuchaphazela ukuzala kwamadoda, oku kuthetha ukuba akwazi ukuba nabantwana. Ukuba uneenkxalabo malunga noku, thetha nogqirha wakho.
Iimpendulo ezinokwenzeka zesikhumba
Nangona kunqabile, abanye abantu banokufumana iimpendulo ezinzulu zesikhumba kwiBosentan. Xelela ugqirha wakho ngoko nangoko ukuba ufumana naziphi na kwezi mpawu:
- Irhashalala ebomvu okanye emfusa eluswini, ehamba nomkhuhlane kunye nokubanda. Isenokuba namadyungudyungu okanye ixobuke kamva.
- Irhashalala ebomvu eluswini kunye nokudumba kobuso, imilebe, okanye ii-lymph nodes entanyeni/emakhwapheni .
Iziphumo ebezingalindelekanga zeyeza
Njengayo nayiphi na iyeza, iBosentan inokubangela iziphumo ebezingalindelekanga. Ezinye zazo zinzima, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko |
|---|
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| Iziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka |
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Umyalezo Wokuya Ekhaya
- I-Bosentan liyeza elikhethekileyo elinikwa imeko enzima ebizwa ngokuba yi-Pulmonary Hypertension. Linceda ekunciphiseni uxinzelelo entliziyweni yakho kwaye lenze ubomi bube lula.
- Kubaluleke kakhulu ukuphepha ukukhulelwa ngelixa usebenzisa eli yeza, kuba linokulimaza kakhulu umntwana.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye namayeza esiSinhala owasebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ubonakalisa iimpawu zokonakala kwesibindi (ukutyheli kwamehlo, umchamo omnyama) okanye ukusabela okunzulu kwesikhumba.
- Musa ukuyeka ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho. Yiya kuvavanyo lwegazi nakwiikliniki ngexesha.
- Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
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