Ugqirha wakho usenokuba ukunike inaliti yokuthintela amahlwili egazi emva kotyando okanye ngenxa yesinye isifo. Igama lale naliti yi-Enoxaparin. Le naliti idla ngokunikwa ekhaya kangangeentsuku okanye iiveki ezimbalwa, ngoko usenokuba noloyiko okanye unomdla kuyo. Ngoko ke ungakhathazeki, namhlanje siza kuthetha ngokulula ngendlela yokusebenzisa le naliti kunye nento ekufuneka uyilumkele.
Yintoni i-Enoxaparin?
Ngamafutshane, i-Enoxaparin liyeza elithintela amahlwili egazi okanye elinceda ekunyibilikiseni amahlwili egazi asele enziwe. La adla ngokubizwa ngokuba zizinto ezinciphisa igazi.
Cinga ngemithambo yegazi yethu njengemibhobho ethwala amanzi. Ukuba ihlwili legazi lenzeka ngaphakathi kwezi mibhobho, lithintela ukuhamba kwegazi. Oku kuyingozi kakhulu, kuba ukuba eli hlwili linamathela, linokuthintela ukuhamba kwegazi ukuya kwizitho ezibalulekileyo ezifana nemiphunga, ingqondo, kunye nentliziyo. Eli yeza libizwa ngokuba yi-Enoxaparin lisebenza ngokuthintela ukwakheka kwala mahlwili egazi. Oko kukuthi, 'liyanciphisa' igazi kancinci kwaye livumele ukuba lihambe lula.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ugqirha wakho kuya kufuneka ayazi imbali yakho epheleleyo yempilo ngaphambi kokuba akunike eli yeza. Ngoko ke, ukuba unenye yezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Imeko yempilo okanye ithuba | Kutheni ufanele ukhathalele? |
|---|---|
| Iingxaki zokopha (umz., i-hemophilia) okanye ukopha kakhulu. | Eli yeza linokunyusa umngcipheko wokopha. |
| Usulelo lwentliziyo okanye iivalvu zentliziyo. | Kwiimeko ezinjalo, idosi yeyeza ingadinga ukutshintshwa. |
| Isifo sezintso okanye sesibindi. | Inkqubo yokususa amayeza emzimbeni ingachaphazeleka. |
| Ukuba ukhe waba nestroke ngaphambili. | Kufuneka kuqatshelwe ngokukodwa ukuba istroke sibangelwa kukopha. |
| Ukuba ivalvu yentliziyo yokufakelwa ifakiwe. | Ezi zigulana zifuna idosi ekhethekileyo. |
| Ekubeni ndisandula utyando okanye ndabeleka. | Kwiimeko ezinjalo, umngcipheko wokopha uphezulu. |
| Izilonda zesisu okanye ezinye izifo zamathumbu (umz. i-Diverticulitis). | Iyandisa umngcipheko wokopha ngaphakathi. |
| Ukuba une-aleji kwi-Enoxaparin, i-Heparin, iimveliso zehagu okanye ezinye iziyobisi/ukutya. | Oku kubalulekile ukuthintela iimpembelelo ezimbi ze-allergy. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. | Kwiimeko ezinjalo, kufuneka uthethe nogqirha wakho malunga nokhuseleko lwamayeza. |
Isetyenziswa njani kanye kanye le gonyo?
Olu gonyo lufakwa phantsi kwesikhumba. Umongikazi esibhedlele okanye ekliniki uza kukubonisa indlela yokulufaka ngokuchanekileyo ngendlela elula. Ngokwesiqhelo, ulusu olusesiswini okanye ngasemva kwengalo engasentla lusetyenziselwa oku.
Eyona nto ibalulekileyo kukuthatha idosi echazwe ngugqirha wakho, ngexesha elifanelekileyo, kangangeentsuku ezifanelekileyo. Ukungafumani nosuku olunye kunokunyusa umngcipheko wakho wokuqhekeka kwegazi. Ngoko ke, qhubeka uthatha eli yeza de ugqirha wakho akuxelele ukuba uyeke.
Wenza ntoni ngeenaliti ezisetyenzisiweyo?
Oku kubaluleke kakhulu. Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma.Ukwenza njalo kunokubangela ingozi kwabanye. Kukho isitya seplastiki esimthubi esikhethekileyo (isitya esibukhali) onokusisebenzisa ukulahla ezi zinto. Zifake kuso kwaye xa sigcwele, usinike esibhedlele okanye ekliniki yakho. Ukuba awunaso, buza ngaso uze usicele.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba ngempazamo uthathe i-overdose, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa yintlanganiso yamayeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Ezinye izinto ezinokusebenzisana nale mithi
Kufuneka ulumke nangamanye amayeza owasebenzisayo xa usebenzisa i-enoxaparin. Amanye amayeza anokuchaphazelana nayo kwaye anyuse umngcipheko wokopha.
| Izinto ekufuneka uzilumkele ngakumbi |
|---|
| I-aspirin kunye namayeza afanayo. |
| Amanye amayeza okunciphisa igazi (umz. iWarfarin, iClopidogrel). |
| Iipilisi zokunciphisa iintlungu kunye namayeza okulwa nokuvuvukala (ii-NSAID). Imizekelo: I-Ibuprofen, i-Naproxen, i-Diclofenac Sodium. |
| Amayeza anjengeDipyridamole. |
Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
Izinto ekufuneka ziqwalaselwe kubomi bemihla ngemihla
- Ziphephe iingozi: Nokuba ukusika okuncinci kunokubangela ukopha okukhulu ngelixa usebenzisa eli yeza. Ngoko ke, hlala kude nemisebenzi enokuquka ukuwa, efana nemidlalo kunye nokusebenzisa izinto ezibukhali.
- Isilumkiso: Kukhuselekile ukusebenzisa i-razor yombane xa ucheba. Kwakhona, hlamba amazinyo akho ngononophelo ngebrashi yamazinyo ethambileyo.
- Ngaphambi kotyando:Ukuba uza kwenziwa naluphi na utyando (nokuba kukhutshwe izinyo), qiniseka ukuba uxelela ugqirha ukuba usebenzisa i-Enoxaparin.
- Uvavanyo lwegazi: Qiniseka ukuba uyaya kuvavanyo lwegazi nakwiikliniki ezichazwe ngugqirha wakho.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengayo nayiphi na iyeza, i-Enoxaparin inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye zixhaphakile.
| Ukuba unale mpawu, xelela ugqirha wakho ngoko nangoko okanye uye esibhedlele. | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zokopha | Indle emnyama okanye enegazi, ukuhlanza igazi elifana nekofu egayiweyo, umchamo obomvu okanye omdaka, amabala amancinci abomvu okanye amfusa eluswini, ukurhawuzelelwa lula, okanye ukopha okungenakunqandwa. |
| Ezi zihlandlo azibalulekanga kangako, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho. | |
| Kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukudumba okuncinci. |
| Okunye | Ukudumba kwamaqatha, izandla, okanye iinyawo. |
Umyalezo Wokuya Ekhaya
- I-Enoxaparin liyeza elibalulekileyo elithintela ukuqhekeka kwegazi. Lithathe kanye njengoko ugqirha wakho ekuxelele, ngexesha, kwaye ungalitsibi usuku.
- Kukho umngcipheko ophezulu wokopha xa usebenzisa eli yeza. Ngoko ke, lumka kwaye uphephe imisebenzi kunye nemidlalo enokubangela ukwenzakala.
- Ukuba ubona naziphi na iimpawu zokopha, ezinje ngesitulo esimnyama, ukuhlanza igazi, okanye ukukrweleka okuncinci, funa ingcebiso kagqirha ngokukhawuleza.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela oza kuzisebenzisa. Ukuba uza kutyandwa, mxelele kwangaphambili.
- Lahla iinaliti neesirinji ezisetyenzisiweyo ngokukhuselekileyo, kuphela kwisikhongozeli esibukhali esilungiselelwe loo njongo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zisetyenziselwa ntoni iipilisi ze-Isosorbide Dinitrate / Isordil?
Eli liyeza elinamandla kakhulu 'le-vasodilator' elinikwa izigulana zentliziyo! I-Nitroglycerin yinto yokusela xa kukho imeko engxamisekileyo/ukuhlaselwa yintliziyo, akunjalo, eli liyeza elikhuselekileyo elinokuthathwa yonke imihla ukuthintela intlungu ye-angina/ukuhlaselwa yintliziyo kwixesha elizayo kunye nokunceda intliziyo xa intliziyo ibuthathaka (ukusilela kwentliziyo).
💬 Ndingaziphepha njani iintlungu zesifuba/ndingazikhusela njani intliziyo yam ukuba ndithatha ezi pilisi (Isordil) yonke imihla?
Ukuhlaselwa yintliziyo kwenzeka xa umthambo wegazi entliziyweni uncipha kwaye kungekho gazi/oksijini yaneleyo! Xa usela le pilisi, ijika ibe yigesi ebizwa ngokuba yi-'Nitric Oxide (NO)' emzimbeni. Loo gesi ikhulula zonke izihlunu entliziyweni nasemzimbeni kwaye izigcine zibanzi (i-Continuous Vasodilation). Emva koko, igazi lihamba liye entliziyweni ngaphandle kokuphazamiseka, ngoko ke akukho ntlungu esifubeni.
💬 Yintoni ingozi ebulalayo abantu abathatha le pilisi (Isosorbide Dinitrate) abangafanele bayenze?
Umthetho omkhulu nowodwa! Ukuba ungumntu osele iipilisi ezifana ne-'Viagra / Sildenafil / Cialis' ukuze uvuseleleke ngokwesondo, ungaze uthathe le pilisi ye-nitrate kunye nezo pilisi! Ukuba uzithatha zombini kunye, yonke imithambo yegazi iya kukhululeka kakhulu kwaye uxinzelelo lwakho lwegazi luya kwehla luye kwi-zero (Fatal Hypotension) kwaye ungafa kwi-coma! Kwakhona, ukuba uqhubeka nokusela oku, imithambo yegazi iya kuba mikhulu, ngoko ke 'Intloko ebuhlungu' eqhelekileyo iya kuvela ngokuqinisekileyo.
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