Ngaba unoxinzelelo lwegazi oluphezulu emiphungeni, okanye oko oogqirha bakubiza ngokuba yi-'Pulmonary Arterial Hypertension (PAH)'? Ukuba kunjalo, usenokuba unengxaki yokuphefumla kancinci, ukudinwa nokuba uhamba, kunye nentlungu yesifuba. Kweli nqaku, siza kuthetha ngeyeza elithile elibizwa ngokuba yi-'Iloprost' elisetyenziselwa ukunyanga le meko. Masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Kalula nje, yintoni i-Iloprost?
I-'Iloprost' liyeza elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu lwemithambo yegazi (i-PAH). Ngoku makhe sibone ukuba lenza ntoni emzimbeni.
Khawuthelekelele ukuba imithambo yegazi ethwala igazi emiphungeni yakho ivalekile kwaye inciphile. Emva koko kunzima kakhulu ukuba intliziyo ipompe igazi kule mithambo inciphileyo ize ilithumele emiphungeni. Ngenxa yoku, intliziyo iziva ixinezelekile kakhulu, kwaye uxinzelelo lwegazi emiphungeni nalo luyanda. Yiloo nto siyibiza ngokuba yi-'Pulmonary Arterial Hypertension'.
Ngoko ke, into eyenziwa leli yeza elithi `Iloprost` kukukhulula imithambo yegazi exineneyo nenciphileyo. Kwenzeka ntoni ke ngoko? Intliziyo ingapompa igazi ngokulula ngaphandle kokusebenza nzima. Uxinzelelo ngaphakathi kwemiphunga luyehla. Ngenxa yoko, unokuphefumla lula kwaye ube namandla okusebenza kancinci ngakumbi kunangaphambili.
Eyona nto ibalulekileyo kukuba eli yeza lifanele lisetyenziswe kuphela xa kucetyiswe ngugqirha. Ukusebenzisa iyeza elinikwe omnye umntu kunokuba nemiphumo emibi kakhulu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokusebenzisa eli yeza
Kubalulekile ukuba ugqirha wakho aqaphele imeko yakho yonke yempilo ngaphambi kokuba agqibe ekubeni akunike eli yeza. Ngoko ke, ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngazo.
- Isifo sezintso: Ukuba unesifo sezintso.
- Isifo sesibindi: Ukuba kukho ubuthathaka okanye isifo ekusebenzeni kwesibindi.
- Uxinzelelo lwegazi oluphantsi: Ukuba uxinzelelo lwakho lwegazi luhlala luphantsi.
- Ii-Allergies: Ukuba une-allergy kwi-'Iloprost' okanye naliphi na elinye iyeza, ukutya, iidayi okanye izithinteli.
- Ukukhulelwa: Ukuba ukhulelwe, okanye uceba ukuba nomntwana kungekudala.
- Ukuba ungumama oncancisayo: Ukuba uncancisa umntwana wakho.
Olu lwazi lubaluleke kakhulu kukhuseleko lwakho, kuba lusekelwe kolu lwazi apho ugqirha aya kugqiba khona ngonyango olufanelekileyo kuwe.
Ulisebenzisa njani kanye kanye eli yeza?
Eli liyeza elifanele lisetyenziswe ngendlela ekhethekileyo kancinci. Asinto oyiginyayo njengepilisi.
I-'Iloprost' liyeza eliza ngendlela yolwelo. Kufuneka lifunxwe lingene emiphungeni . Oku kwenziwa kusetyenziswa isixhobo esikhethekileyo esibizwa ngokuba yi-nebulizer . Eli yeza lidla ngokusetyenziswa kuphela nesixhobo esikhethekileyo esibizwa ngokuba yi -'I-neb AAD nebulizer' .
I-nebulizer iguqula amayeza olwelo abe yingxolo encinci (i-aerosol/inkungu). Emva koko ungaphefumla loo nkungu nzulu ngomlomo wakho uye emiphungeni yakho.
Izinto ezimbalwa ekufuneka uzikhumbule:
- Isixhobo esifanelekileyo: Soloko usebenzisa i-nebulizer kuphela ecetyiswe ngugqirha wakho.
- Musa ukudibanisa amayeza: Musa ukudibanisa amanye amayeza ne-'Iloprost' kwigumbi lamayeza le-nebulizer.
- Landela imiyalelo: Sela amayeza rhoqo nangamaxesha axelelwe ngugqirha wakho. Musa ukusebenzisa ngaphezu komlinganiselo omiselweyo.
- Imiyalelo yokusebenzisa: Funda imiyalelo yokusebenzisa eza nale yeza ngononophelo. Ukuba unemibuzo, buza ugqirha wakho.
Kuthekani ukuba uyinika abantwana?
Abantwana banokufuna unonophelo olukhethekileyo xa benika umntwana eli yeza. Ngoko ke, thetha nogqirha wakho ngononophelo malunga nendlela yokunika umntwana wakho eli yeza.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, fowunela ngokukhawuleza iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo, 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 eliqhelekileyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyiphosileyo.
Amanye amayeza anokusebenza kunye nale mayeza
Amanye amayeza owasebenzisayo anokusebenzisana ne-'Iloprost'. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, iimveliso zezityalo, kunye namayeza athengiswa ngaphandle kwemvume kagqirha). Oku kuyinyani ngakumbi ukuba usebenzisa naliphi na kula mayeza alandelayo:
- Amayeza athintela ukujiya kwegazi okanye ukunciphisa igazi: Amayeza afana ne-`Warfarin`, `Aspirin`, `Clopidogrel`, `Apixaban`, `Rivaroxaban`.
- Amayeza oxinzelelo lwegazi oluphezulu: Ezinye iintlobo zamayeza anciphisa uxinzelelo lwegazi.
- Amayeza esifo sentliziyo.
- Amanye amayeza afana ne-`Cilostazol`, `Dipyridamole`, `Pentoxifylline`.
Xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi, njengoko ezi zinto zinokuchaphazela indlela eli yeza elisebenza ngayo.
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
- Ukuhlolwa kwezonyango: Yiya ekliniki rhoqo ngeentsuku ugqirha wakho akuxelele ukuba ujonge imeko yakho. Ukuba iimpawu zakho aziphucuki okanye azibi mandundu, xelela ugqirha wakho .
- Ukudinwa nokulala: Usenokuziva ulele kancinci kwaye unesizungu xa usebenzisa eli yeza. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani.
- Ukutshintsha izikhundla: Musa ukuvuka kwindawo ohleli kuyo okanye uphume ebhedini ngequbuliso. Ukwenza njalo kunokubangela isiyezi kwaye ungawa. Lumka kakhulu ngale nto, ingakumbi ukuba umdala.
- Utywala: Kuphephe ukusela utywala. Utywala bunokutshintsha imiphumo yale yeza.
- Ukopha: Eli yeza linokunyusa kancinci umngcipheko wokopha. Ukuba ufumana nayiphi na imivumbo okanye ukopha okungaqhelekanga, xelela ugqirha wakho.
Iziphumo ebezingalindelekanga zeyeza
Njengalo naliphi na iyeza, i-'Iloprost' inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ngelixa ezinye zixhaphakile. Kubalulekile ukuzazi ngokucacileyo ezi zinto.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| 🚨 Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukopha okungaqhelekanga | Umnyama, indle ehlala ixesha elide, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu okanye omdaka, amabala amancinci abomvu/mfusa eluswini, kunye nokudumba okungachazwanga. |
| Ukukhohlela igazi | Ukukhohlela igazi nge-mucus. |
| Ukubetha kwentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, kakhulu, okanye ngendlela engaqhelekanga. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukutyhafa, amehlo aluhlaza okwesibhakabhaka. |
| Ubunzima bokuphefumla | Ukuba ufumana ubunzima bokuphefumla okanye ukuphefumla emva kokuthatha iyeza. |
| 🩺 Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza | |
| Iingxaki ezahlukeneyo | Intlungu yomqolo, ukukhohlela, ukurhawuzelela, intloko ebuhlungu, iintlungu zemisipha, isicaphucaphu, iintlungu zolwimi, ukungalali, kunye nokuqina kwemisipha yomhlathi kunye nobunzima bokuvula umlomo. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, funa iingcebiso zonyango malunga naloo nto.
Ungayigcina njani imithi?
- Gcina kude nabantwana: Gcina kude nabantwana nezilwanyana zasekhaya.
- Ubushushu: Gcina kubushushu obuqhelekileyo begumbi (phakathi kwama-20-25 Celsius).
- Emva kokuphelelwa lixesha: Lahla nayiphi na imithi esele iphelelwe lixesha. Musa ukuyisebenzisa.
Umyalezo Wokuya Ekhaya
- I-Iloprost liyeza loxinzelelo lwegazi oluphezulu lwemithambo yegazi (i-PAH) oluphefumlwa nge-nebulizer.
- Ngaphambi kokuba uqale eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo.
- Soloko usela amayeza ngomlinganiselo ochazwe ngugqirha wakho, ngexesha elimiselweyo, kwaye kuphela nge-nebulizer ecetyiswayo.
- Lumka xa usenza imisebenzi efuna ingqalelo, efana nokuqhuba, kuba kusenokubakho isiyezi kunye nokuquleka.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokopha, ukungezwani komzimba, okanye ubunzima bokuphefumla obandayo, funa ingcebiso kagqirha ngoko nangoko.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
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