Ngaba uyayazi ithebhulethi yeTreprostinil ekhutshwa ixesha elide, esetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu lwemithambo yemiphunga?

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo? Okanye uzive udiniwe kakhulu kwaye unesiyezi nokuba uhamba kancinci okanye unyuka izinyuko? Ezi zinto azizenzeki nje kuphela. Ezi zisenokuba ziimpawu zoxinzelelo oluphezulu kwimithambo yegazi emiphungeni yakho, nto leyo oogqirha bayibiza ngokuba yi-`(Pulmonary Arterial Hypertension)`. Ngoko ke namhlanje siza kuthetha ngepilisi ebizwa ngokuba yi-`Treprostinil` esetyenziselwa ukunyanga le meko. Eli liyeza elinokunceda ukuphucula amandla akho okuzilolonga nokwenza ubomi bube lula kancinci.

Yintoni kanye kanye le yeza ibizwa ngokuba yi-`Treprostinil`?

Ngamafutshane, i-`Treprostinil` liyeza elikhethekileyo elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kwimithambo yegazi emiphungeni, okanye i-`Pulmonary Arterial Hypertension`. Ungalifumana eli yeza phantsi kwegama lophawu elithi `Orenitram`.

Makhe sijonge ukuba yintoni i-Pulmonary Arterial Hypertension.

Khawucinge nje, sinemithambo yegazi ethwala igazi esuka entliziyweni yethu ukuya emiphungeni yethu. Kwenzeka ntoni ukuba loo mithambo yegazi incipha okanye uxinzelelo olungaphakathi kuyo luyanda? Emva koko intliziyo iba nengxaki yokupompa igazi ukuya emiphungeni. Yiloo nto siyibiza ngokuba yi-`(Pulmonary Arterial Hypertension)` okanye uxinzelelo oluphezulu lwegazi emiphungeni. Oku kufana nombhobho wamanzi ovalekileyo kwaye kuba nzima ukuba amanzi ahambe. Yile nto ibangela ubunzima bokuphefumla nokudinwa.

Inceda njani iTreprostinil?

Ngoko ke into eyenziwa leli yeza elithi `Treprostinil` kukwandisa imithambo yegazi kuloo miphunga ixineneyo nexinezelekileyo kwaye yenze ukuhamba kwegazi kube lula. Emva koko umthwalo womsebenzi entliziyweni uyancipha, uphefumla lula, kwaye amandla akho okuzilolonga ayanda. Oko kuthetha ukuba ufumana amandla angakumbi okwenza imisebenzi yakho yemihla ngemihla , kwaye umgangatho wobomi bakho uyaphucuka.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba akunike le pilisi ye-`Treprostinil`, ugqirha wakho uza kukubuza imibuzo ethile. Kukwakho nezinto ekufuneka ucacelwe zizo. Kuba eli yeza alifanelekanga kuye wonke umntu.

Qiniseka ukuba uxelela ugqirha wakho ngezi zinto zilandelayo:

• Ngaba unesifo samathumbu esifana ne-diverticulosis? (Kulapho kwakheka khona iingxowa ezincinci eludongeni lwamathumbu akho).
• Ngaba usela rhoqo?
• Ingaba unayo nayiphi na isifo sesibindi ?
• Ngaba wakha waba ne-allergy kwi-Treprostinil, amanye amayeza, ukutya, okanye izithinteli?
• Ukhulelwe ? Okanye unethemba lokukhulelwa?
• Ingaba ungumama oncancisayo?

Ukuba ezi nyaniso zichanekile, ugqirha unokugqiba ngokuchanekileyo ukuba eli yeza lifanelekile kuwe, okanye akunjalo, okanye indlela yokulinika.

Ndingayisebenzisa njani kanye kanye le yeza?

Ukuba ufuna iyeza lisebenze kakuhle, kufuneka ulisebenzise ngokuchanekileyo, akunjalo? Kukho izinto ezimbalwa ekufuneka uzilumkele xa usebenzisa i-'Treprostinil'.

Uyithatha njani ipilisi?

Ufanele usele le pilisi neglasi yamanzi . Sela amayeza ngexesha elimiselweyo njengoko ugqirha wakho ekuxelela. Eyona nto ibalulekileyo kukuthatha le pilisi kunye nokutya.

Qiniseka ukuba uyakhumbula: Musa ukuphula, ukutyumza, okanye ukuhlafuna le pilisi!

Le yipilisi "ekhutshwayo". Oku kuthetha ukuba iyeza likhutshwa kancinci kancinci emzimbeni imini yonke. Ukuba uyaliqhekeza, ulityumza, okanye ulihlafuna, iyeza lingangena emzimbeni ngaxeshanye lize libangele iingxaki ezingafunekiyo. Ngoko ke ginya ipilisi yonke.

Sela amayeza kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo. Musa ukuthatha ngaphezu komlinganiselo omiselweyo, okanye uwathathe rhoqo. Musa ukuyeka ukuthatha la mayeza ngequbuliso ngaphandle kwengcebiso kagqirha.

Ukuba unika abantwana abancinci eli yeza, kufuneka uthethe nogqirha wabantwana ngalo uze ulandele iingcebiso zakhe. Lisenokufuna ukhathalelo olukhethekileyo.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ngamanye amaxesha ungalibala ukusela amayeza akho. Ukuba oku kuyenzeka, thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yeka idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye. Ukuba uphosa iidosi ezimbini okanye ngaphezulu ngokulandelelana, thetha nogqirha wakho ukuze ubone ukuba idosi yakho kufuneka itshintshwe na.

Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)

Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba kwiziko lokulawula ityhefu.

Khumbula, eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu, nokuba uneempawu ezifanayo nezakho.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Xa sithatha iyeza elinye, linokusebenzisana namanye amayeza, nokutya, okanye nezinye izinto esizithathayo. Oko kuthetha ukuba iziphumo zalo zinokutshintsha. Oko kunokwenzeka nge-`Treprostinil`.

Nazi ezinye izinto ezinokusebenzisana ne-`Treprostinil`:

• Amanye amayeza oxinzelelo lwegazi
• Amayeza athintela ukujiya kwegazi (umzekelo, i-warfarin, i-enoxaparin, i-dalteparin, i-apixaban, i-dabigatran, kunye ne-rivaroxaban)
• Amayeza okunyusa ukuphuma komchamo (i-diuretics)
• Iyeza elithi `gemfibrozil`
• Iyeza elibizwa ngokuba yi-`rifampin` (eli liyeza elidla ngokunikezelwa kwisifo sephepha)

Olu luhlu alubandakanyi zonke iindlela osebenzisana ngazo. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, awemifuno, iivithamini, kunye nezongezo zokutya). Kwakhona, mxelele ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye zezi zinto zinokuchaphazela indlela amayeza akho asebenza ngayo.

Ezinye izinto ekufuneka uziqwalasele xa usebenzisa amayeza

Kukho izinto ezimbalwa ekufuneka uzilumkele xa usebenzisa i-'Treprostinil'.

• Ukuba iimpawu zakho (ezifana nokudinwa nobuthathaka) aziphucuki okanye ziya zisiba mandundu , xelela ugqirha wakho.
• Oku kungabonakala kungaqhelekanga, kodwa kubalulekile: Emva kokuba usele le pilisi, ungaphawula ukuba iqokobhe lepilisi liphuma kunye nendle yakho. Oku kuqhelekile, ungakhathazeki. Ngenxa yokuba indlela ezi pilisi "ezikhutshwayo" zenziwe ngayo, iqokobhe elingenanto lingaphuma ngaphandle kokunyibilika emva kokuba iyeza lifakwe emzimbeni. Oku akuchaphazeli umgangatho weyeza nangayiphi na indlela.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Njengazo zonke iziyobisi, iTreprostinil inokubangela ezinye iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

• Iimpendulo ze-allergy: Ukuba ufumana iimpawu ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi, funa ingcebiso kagqirha ngoko nangoko.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa xelela ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza):

• Urhudo
• Ububomvu bobuso, ukurhawuzelela
• Intloko ebuhlungu
• Isicaphucaphu

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga. Ukuba ufumana ezinye iimpawu ezingaqhelekanga, thetha nogqirha wakho ngazo.

Ndingaligcina njani iyeza?

Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo.

• Yigcine kude nabantwana abancinci.
• Ingagcinwa kubushushu begumbi, malunga nama-25 degrees Celsius (77 degrees Fahrenheit). (Yenza njalo ngaphandle kokuba ugqirha wakho okanye ikhemisti ikunike imiyalelo ekhethekileyo.)
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, i-'Treprostinil' liyeza elinceda kakhulu abantu abane-pulmonary hypertension. Kodwa kufuneka ulumke kakhulu xa ulisebenzisa.

Eli nqaku likunika umbono obanzi wokuba yintoni le yeza, kodwa aliyonkcazelo ipheleleyo. Ukuba unemibuzo engaphezulu malunga nale yeza, qiniseka ukuba uthetha nogqirha wakho, usokhemesti, okanye omnye umboneleli wezempilo. Baya kukwazi ukukuchazela ngokweenkcukacha.

Eyona nto ibalulekileyo kukuthatha amayeza kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo, nangomlinganiselo ofanelekileyo. Emva koko uya kukwazi ukufumana okuninzi kweli yeza kwaye wenze ubomi bakho bube lula. Ndikunqwenelela impilo entle!

I- Treprostinil, Uxinzelelo lwegazi lwe-Pulmonary Arterial, i-Orenitram, Uxinzelelo lwegazi lwe-Pulmonary, Isifo sentliziyo, Iingxaki zokuphefumla, Iinkcukacha zamayeza