Cabanga ukuthi othile oseduze nawe usegumbini lokunakekelwa okujulile (ICU) ngenxa yengozi, ukuhlinzwa okukhulu, noma ukutheleleka okukhulu. Ngezinye izikhathi, umfutho wegazi ungehla ngendlela eyingozi kulezi zimo. Namuhla, sikhuluma ngomuthi okhethekile, onamandla odokotela abawusebenzisa empini esindisa impilo. Lowo yi-Angiotensin II.
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Iyini ngempela i-Angiotensin II?
Kalula nje, lesi yisidakamizwa esibangela ukuba imithambo yegazi emzimbeni wethu inciphe, noma inciphe. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-vasoconstrictor'. Cabanga ukuthi uma ucindezela ipayipi lamanzi kancane, ingcindezi yamanzi ageleza kulo iyanda, akunjalo? Ngokufanayo, lapho imithambo yegazi incipha, ingcindezi yegazi eligeleza ngaphakathi kuyo, okungukuthi , ingcindezi yegazi, iyanda .
Ngokuvamile isetshenziswa esibhedlela, ikakhulukazi egunjini lokunakekelwa okujulile (ICU), lapho umfutho wegazi wehle wafinyelela ezingeni elisongela ukuphila futhi elingenakulawulwa ngezinye izindlela zokwelapha. Igama lomkhiqizo lalokhu yi-GIAPREZA.
Yini okufanele udokotela ayazi ngaphambi kokunikeza lo muthi?
Nakuba lo umuthi unikezwa esibhedlela ngaphansi kokuqondisa kwethimba lezokwelapha, kubaluleke kakhulu ukuxoxa ngomlando wezokwelapha wesiguli nodokotela. Ikakhulukazi, kufanele baziswe ngamaphuzu alandelayo:
- Ukungezwani komzimba: Uma une-allergy kulo muthi (i-Angiotensin II) noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi, kufanele utshele udokotela wakho.
- Ukukhulelwa: Kubalulekile ukwazisa udokotela uma isiguli sikhulelwe, noma sizama ukukhulelwa.
- Uma ungumama oncelisayo: Uma isiguli singumama oncelisayo, yazisa udokotela.
Ukunikeza lolu lwazi kuzosiza kakhulu ithimba lezokwelapha ukuthi linikeze ukwelashwa okuphephile nokuphumelelayo kakhulu kwesiguli.
Ungayisebenzisa kanjani le mithi?
Lokhu akulona iphilisi oligwinyayo noma umjovo owufaka esikhumbeni sakho. Lona umuthi onikezwa njalo, njengosawoti, emthanjeni. Sikubiza ngokuthi ukumnika emthanjeni. Lokhu kunikezwa uchwepheshe wezempilo oqeqeshiwe esibhedlela. Bazoqapha izinto ezifana nomfutho wegazi wesiguli kanye nokushaya kwenhliziyo futhi balawule ngokucophelela umthamo.
Uyakusebenzisa lokhu kubantwana?
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane. Lezi zinqumo kufanele zenziwe ngeseluleko sikadokotela wezingane.
Kuthiwani uma umthamo ukhuphuka (umthamo oweqile)?
Njengoba lokhu kunikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha, ngokuvamile asikho isidingo sokukhathazeka 'ngokusebenzisa ngokweqile'. Ithimba lezokwelapha lihlala liqapha isiguli. Uma kukhona okusolakala ngokudlula ngokweqile komuthi, isibhedlela sinezindawo zokuthatha izinyathelo ezidingekayo. Uma kwenzeka isimo esiphuthumayo, i-Emergency Treatment Unit (ETU) yesibhedlela kufanele yaziswe ngokushesha. Futhi, nganoma yiluphi ulwazi mayelana nobuthi bezidakamizwa, ungashayela i-National Poisons Information Center e-Colombo National Hospital .
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Uma eminye imithi isetshenziswa ndawonye, ingathinta indlela esebenza ngayo. Lokhu sikubiza ngokuthi 'ukuxhumana kwemithi'. I-Angiotensin II ingasebenzisana neminye imithi, ikakhulukazi eminye imithi yomfutho wegazi noma isifo senhliziyo. Isibonelo:
- Imithi eqenjini elibizwa ngokuthi i-ACE inhibitors: benazepril, candesartan, enalapril, lisinopril, ramipril
- Ama-ARB: irbesartan, losartan, valsartan
Lolu hlu aluphelele. Ngakho-ke, kubalulekile ukunikeza udokotela uhlu oluphelele lwazo zonke izidakamizwa ezithathwa yisiguli (ezibhalwe ngudokotela, ezithengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, izithasiselo zokudla). Futhi, mtshele ngokubhema nokusebenzisa utshwala.
Imiphumela emibi kakhulu okufanele uyiqaphele lapho uthatha imithi
Ithimba lezokwelapha lizoqapha isiguli ngokucophelela ngenkathi linikeza lo muthi. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uzibike kudokotela wakho noma kumhlengikazi ngokushesha. Lezi zingaba izimpawu zemiphumela emibi kakhulu.
| Umphumela/izimpawu ezingemuhle | Izinto okufanele uziqaphele |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu Zegazi Eliqhekekile | Ubunzima bokuphefumula; ukushintsha kombono; ubuhlungu besifuba; ikhanda elibuhlungu ngokuzumayo, elibi; ubuhlungu bomlenze, ukuvuvukala, ukufudumala; ubunzima bokukhuluma; ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze. |
| Ushukela Ophezulu Egazini | Isiyezi ; umlomo owomile; isikhumba esomile; iphunga lomoya elifana nezithelo; isicanucanu; ubuhlungu besisu; indlala noma ukoma okukhulu; ukuchama njalo. |
| Ukwanda kwe-asidi emzimbeni | Ukuphefumula okusheshayo; ukushaya kwenhliziyo okusheshayo; ikhanda elibuhlungu; ukudideka; ukuzizwa ubuthakathaka noma ukhathele; isicanucanu, ukuhlanza. |
| Ukopha okungavamile | Ukuphuka okubonakala noma kuphi emzimbeni ngaphandle kwesizathu noma ukuphuma kwegazi okungayeki ngisho nokulimala okuncane. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uneminye imibuzo mayelana nalokhu, khuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Angiotensin II iwumuthi onamandla kakhulu onikezwa esibhedlela kuphela ukuze unyuse umfutho wegazi uma uphansi kakhulu ngendlela esongela impilo.
- Lokhu kubangela ukuthi imithambo yegazi inciphe futhi umfutho wegazi ukhuphuke.
- Kubalulekile ukwazisa udokotela ngazo zonke izinhlobo zokungezwani komzimba, ukukhulelwa, kanye neminye imithi isiguli esiyithathayo.
- Lona umuthi onikezwa ngemithambo yegazi, ngaphansi kokuqashwa okuseduze kwethimba lezokwelapha.
- Kubalulekile ukuqaphela izimpawu zemiphumela emibi kakhulu, njengokuqhekeka kwegazi kanye nokungezwani komzimba, nokwazisa abasebenzi bezokwelapha ngokushesha uma ubona into efana nale.
- Ngenxa yokuthi lo muthi ungowekhethelo, awuvunyelwe ukuwusebenzisa noma ukuwugcina ekhaya.
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