Cabanga nje, umuntu uzwa ubuhlungu obukhulu esifubeni ngokuzumayo, asole ukuhlaselwa yinhliziyo, bese engeniswa esibhedlela. Ngaleso sikhathi, kunethuba elikhulu lokuthi amahlule egazi azokwakheka ngaphakathi kwemithambo ehambisa igazi enhliziyweni futhi ivimbe leyo mithambo. Namuhla, sizokhuluma ngomjovo onamandla kakhulu, okhethekile odokotela abawusebenzisayo ukuvimbela ukwakheka kwamahlule egazi ezimweni eziphuthumayo nezibucayi kangaka. Lona akuwona umuthi ovame ukusetshenziswa ekhaya, kodwa unikezwa esibhedlela kuphela.
Kalula nje, iyini i-Abciximab?
I-Abciximab (ake siyibize ngokuthi 'i-abciximab') umuthi onamandla kakhulu ovimbela ukujiya kwegazi. Igama layo lomkhiqizo yi-ReoPro. Sinama -platelet, uhlobo lweseli elincane egazini lethu. Ngokuvamile, lapho sithola isilonda, la ma-platelet ayahlangana ukuze akhe i-clot ukuze kumiswe ukuphuma kwegazi. Lokho kuyinto enhle.
Kodwa-ke, uma la ma-platelet eqoqana emithanjeni yegazi yenhliziyo ngesikhathi sokuhlaselwa yinhliziyo futhi akhe amahlule egazi, angavimba ngokuphelele noma ngokwengxenye ukugeleza kwegazi enhliziyweni. Yilokho okuyingozi.
Lo muthi obizwa ngokuthi i-Abciximab uvimba lawo ma-platelet ukuthi anamathele ndawonye futhi akhe amahlule egazi angadingekile.
Lokhu kusetshenziselwa kakhulu:
- Uma kwenzeka ukuhlaselwa yinhliziyo.
- Kulabo abanobuhlungu besifuba obungazinzile (i-angina engazinzile).
- Ngesikhathi nangemva kokufakelwa kwe-coronary artery bypass (i-angioplasty kanye ne-stenting).
Lomuthi unikezwa njengomjovo emthanjeni noma njengomuthi wokufaka, njengosawoti. Lokhu kwenziwa njalo esibhedlela, ngaphansi kokuqondisa okugcwele kodokotela nabahlengikazi.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngenxa yokuthi lesi isidakamizwa esinamandla kakhulu, kubaluleke kakhulu ukwazisa ithimba lakho lezokwelapha nganoma yiziphi ezinye izimo zezokwelapha onazo noma eminye imithi oyiphuzayo. Uma noma yiziphi izinto ezikuthebula elingezansi zisebenza kuwe, qiniseka ukuthi utshela udokotela wakho.
| Isimo noma isenzakalo esidlule | Kungani udinga ukutshela udokotela? |
|---|---|
| Izinkinga zokopha noma yiziphi izimo zegazi ezingavamile. | Lo muthi wandisa ingozi yokopha, okungaba yingozi uma usuvele unesifo esinjalo. |
| Isimo esifana nomdlavuza wobuchopho noma i-aneurysm yemithambo yegazi. | Ingozi yokopha okuvela ezindaweni ezinjalo iyanda. |
| Umfutho wegazi ophakeme ongalawuleki. | Umfutho wegazi ophezulu ungabangela ingozi yokopha ebuchosheni. |
| Uma uke waba nesifo sohlangothi ngaphambili. | Ingozi iphezulu kakhulu uma isifo sohlangothi sibangelwa ukopha. |
| Ingozi noma ukuhlinzwa okukhulu kwamuva nje. | Amanxeba okuhlinzwa angaphinde opha. |
| Uma uke wathatha umuthi wokwehlisa igazi njenge-warfarin ngesonto eledlule. | Kukhona ingozi yokopha ngokweqile ngenxa yokusebenza kwemithi yomibili. |
| Isimo esifana ne-vasculitis (ukuvuvukala kwemithambo yegazi). | Lokhu kungabangela ukuphuma kwegazi okuvela emithanjeni yegazi ebuthaka. |
| Uma uke waba nokusabela kokungezwani komzimba ne-abciximab, eminye imithi, ukudla, noma amaprotheni atholakala emagundwini. | Kubalulekile ukwazisa lokhu ukuze uvimbele ukusabela okukhulu kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Udokotela kufanele acabangele imiphumela engaba khona embungwini noma enganeni encelisayo. |
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, impela. Kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini) ngenkathi uthatha lo muthi. Lo muthi ungase uhlangane nalokhu okulandelayo, ikakhulukazi:
- Ezinye izinto zokunciphisa igazi: Imithi efana ne-Aspirin, i-Clopidogrel, i-Ticlopidine, i-Dipyridamole.
- Izinto zokunciphisa igazi: Imithi enamandla enikezwa ekuhlaselweni yinhliziyo njenge-Alteplase, i-Reteplase, ne-Streptokinase.
- Eminye imithi namaphilisi okunciphisa igazi: Imithi efana neWarfarin, i-Enoxaparin (Clexane), iDalteparin, i-Argatroban.
- Ama-Painkiller (ama-NSAID): Imithi efana ne-Ibuprofen, i-Naproxen, ne-Diclofenac.
- Imikhiqizo yamakhambi: Imikhiqizo equkethe izinto ezifana negalikhi, ijinja, i-ginkgo, i-feverfew.
Uma lezi zinto zisetshenziswa ndawonye, ingozi yokopha ngokweqile iyanda kakhulu. Ngakho-ke kubaluleke kakhulu ekuphepheni kwakho ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-Abciximab ingabangela imiphumela emibi. Njengoba usesibhedlela, abasebenzi bazohlala bekuqapha ngalezi zinto. Kodwa uma uzizwa ungavamile, kufanele ukubike ngokushesha.
| Izimpawu ezinkulu okufanele zibikwe kudokotela noma kumhlengikazi ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izimpawu Zokopha |
|
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ikhanda elibuhlungu kakhulu ngokuzumayo, ubunzima bokukhuluma, ukungazweli noma ubuthakathaka bobuso, ingalo noma umlenze, ushintsho embonweni. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe uma iqhubeka) | |
| Ukuhlungu obusemhlane | Isiyezi |
| Ikhanda elibuhlungu | Ukucanuzela noma ukungakhululeki esiswini |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ungesabi ukukhuluma nethimba lakho lezokwelapha ngazo.
Kuthiwani uma umthamo womuthi ukhushuliwe?
Lo muthi unikezwa ngokucophelela okukhulu ngabasebenzi besibhedlela, ngakho akudingeki ukhathazeke ngokudlula umthamo. Bazokunikeza umthamo ofanele. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, yazisa abasebenzi besibhedlela ngokushesha. ESri Lanka, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko nganoma iyiphi inkinga ehlobene nemithi. Uma kwenzeka isimo esiphuthumayo, uzothunyelwa ngokushesha e-Emergency Treatment Unit (ETU).
Umlayezo Wokuya Nawe Ekhaya
- I-Abciximab umuthi onamandla kakhulu onikezwa esibhedlela kuphela ukuvimbela amahlule egazi ezimweni eziphuthumayo njengokuhlaselwa yinhliziyo.
- Kubaluleke kakhulu ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi lezo ezihlobene nokopha), ukungezwani komzimba, kanye nayo yonke eminye imithi oyiphuzayo.
- Ingozi enkulu yalo muthi ukopha. Ngakho-ke, uma ubona noma yiziphi izimpawu zokopha, njengokuphuka okungavamile, indle emnyama, noma ukuhlanza igazi, yazisa abasebenzi bezokwelapha ngokushesha.
- Uzoqashwa eduze esibhedlela ngesikhathi sokwelashwa. Uma unokungabaza noma imibuzo, ungalokothi unqikaze ukubuza udokotela noma umhlengikazi wakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment