Ingabe udokotela wakho unikeze umuthi okhethekile wokuvimbela ukugoba kwegazi komunye umuntu emndenini wakho, noma mhlawumbe wena? Kungaba umuthi obizwa ngokuthi i-Apixaban. Lo umuthi obaluleke kakhulu onciphisa ingozi yokushaywa yisifo sohlangothi, okungabangelwa izinguquko ezithile emsindweni wenhliziyo (i-Atrial Fibrillation), ovimbela ukwakheka kwama-blood clots emzimbeni, futhi oncibilikisa ama-blood clots akhekile. Kodwa kunezinto ezimbalwa okudingeka siziqaphele kakhulu lapho sisebenzisa lo muthi. Ngakho-ke, namuhla sizokhuluma ngalokho okudingeka ukwazi ngale Apixaban.
Kalula nje, iyini i-Apixaban?
I-Apixaban iyisidakamizwa esinciphisa igazi. Ivame ukutholakala ezweni lethu ngaphansi kwegama lomkhiqizo i-Eliquis. Umsebenzi wayo oyinhloko ukuvimbela ukwakheka kwamahlule egazi angafuneki emithanjeni yethu yegazi.
Cabanga ngemithambo yethu yegazi njengamapayipi athwala amanzi. Njengoba nje ukuvaleka kwala mapayipi kungavimba ukugeleza kwamanzi, ihlule legazi lingavimba ukugeleza kwegazi. Uma leli hlule legazi libhajwa emthanjeni oholela ebuchosheni, lingabangela isifo sohlangothi. Uma libhajwa emthanjeni oholela emaphashini, kungaba yingozi kakhulu. Ngakho-ke lokho okwenziwa yi-Apixaban ukunciphisa ingozi yokuthola amahlule egazi ayingozi njengalawa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike i-Apixaban, kuzodingeka azi umlando wakho wezokwelapha ophelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Izinkinga zokopha: Uma uvame ukuphuma igazi ekhaleni, izinsini ziphuma igazi, noma uma ngisho nokusikeka okuncane kuthatha isikhathi eside ukuyeka ukopha.
- I-Antiphospholipid Syndrome (APS): Lesi yisimo esanda ingozi yokuqhekeka kwegazi.
- Uma usuzohlinzwa, ukuhlinzwa kwe-epidural, noma umpompi womgogodla: Kubalulekile ukuqaphela lo muthi njengoba ingozi yokopha iphezulu phakathi nalezi zinqubo.
- Isifo sezinso: Uma izinso zakho zingasebenzi kahle, umthamo wemithi yakho ungadinga ukulungiswa.
- Isifo sesibindi: Uma unesifo sesibindi.
- Uma une-valve yenhliziyo yokufakelwa.
- Uma uke waba nokusabela kokungezwani komzimba ne-apixaban noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma ulindele umntwana.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini wena nokuthi, uma kunjalo, uzonikeza muphi umthamo.
Kufanele ngiwusebenzise kanjani ngempela lo muthi?
Lokhu kulula kakhulu, kodwa kubaluleke kakhulu.
1. Thatha njengoba udokotela wakho ekuyalele: Thatha umthamo nesikhathi udokotela wakho akutshele ukuthi usithathe. Ngokuvamile, bakutshela ukuthi usithathe kabili ngosuku.
2. Yithathe ngesikhathi esifanayo nsuku zonke: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke, ngangokunokwenzeka. Uma ubeka isikhathi esifana no-8 ekuseni no-8 ebusuku, ngeke ukhohlwe.
3. Ngaphambi noma ngemva kokudla: Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuwuthatha kanye nokudla.
4. Ungayeki imithi: Lena yinto ebaluleke kakhulu. Uma uphuthelwa umthamo wemithi, ingozi yakho yokuqhekeka kwegazi ingakhula ngokuzumayo.
Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kwandisa kakhulu ingozi yokuba nesifo sohlangothi noma ukwakheka kwehlule legazi eliyingozi.
Uma inikezwa izingane ezincane:
Uma lo muthi unikezwa izingane ezincane, udokotela uzonquma umthamo ngokusekelwe esisindweni sengane. Njengoba ingane ikhula futhi ikhula, umthamo ungadinga ukushintshwa. Ngakho-ke, kubalulekile ukuhlala uxhumana nodokotela njalo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa, okungukuthi, umthamo ophindwe kabili.
Uma ingane ihlanza zingakapheli imizuzu engama-30 iphuze umuthi, phinda unikeze umthamo ofanayo. Uma ingane ihlanza ngemva kwemizuzu engama-30, unganikezi omunye umthamo. Nikeza umthamo ojwayelekile ngesikhathi esilandelayo esihleliwe. Uma ingane iqhubeka nokuhlanza, shayela udokotela.
Yimiphi eminye imithi engasebenzisana ne-Apixaban?
Lena yingxenye ebaluleke kakhulu. I-Apixaban umuthi ongasebenzisana neminye imithi. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi).
Ithebula elingezansi libala eminye yemithi eyinhloko engase ihlangane ne-Apixaban.
| Uhlobo lomuthi | Incazelo nezibonelo |
|---|---|
| Imithi okungafanele ithathwe | Imithi efana ne-Defibrotide, i-Factor X, ne-Mifepristone. Udokotela wakho uzokwazi ngalezi zinto. |
| Ama-Painkiller | I-aspirin kanye nama-NSAID (isib., i-Ibuprofen, i-Naproxen, i-Diclofenac). Lokhu kwandisa ingozi yokopha. |
| Ezinye izinto zokunciphisa igazi | Kufanele uqaphele kakhulu uma uyisebenzisa kanye neminye imithi yokwehlisa igazi efana ne-Clopidogrel, i-Warfarin, i-Heparin, ne-Enoxaparin. |
| Imithi yokucindezeleka | Imithi ebizwa ngokuthi ama-SSRI (isib. i-Sertraline, i-Fluoxetine) kanye nama-SNRI (isib. i-Venlafaxine, i-Duloxetine). |
| Eminye imithi | Imithi efana nemithi yokulwa ne-antifungal (isib. i-Ketoconazole), imithi yesifo sokuwa (isib. i-Carbamazepine, i-Phenytoin), i-Rifampin, ne-Ritonavir nayo ingathinta lokhu. |
Lolu hlu aluphelele, ngakho-ke uma uqala umuthi omusha, buza udokotela wakho ukuthi kulungile yini ukuwuthatha ne-Apixaban.
Izinto okufanele uziqaphele lapho uthatha imithi
Kuzodingeka wenze izinguquko ezincane endleleni yakho yokuphila ngenkathi usebenzisa i-Apixaban. Lokhu kungenxa yokuphepha kwakho.
- Gwema izinto ezingabangela ukulimala: Njengoba kunciphisa igazi, ngisho nokusikeka okuncane kungabangela ukopha okuningi. Ngakho-ke, qaphela ngangokunokwenzeka ngemidlalo ehilela imisindo emikhulu kanye nemisebenzi engabangela ukuwa.
- Qaphela lapho usebenzisa amathuluzi abukhali: Qaphela kakhulu lapho usika imifino futhi ushefa. Sebenzisa i-razor kagesi uma kungenzeka.
- Qaphela lapho uxubha amazinyo akho: Ungaxubhi amazinyo akho ngamandla. Sebenzisa ibhulashi lamazinyo elithambile. Qaphela ukuthi ungalimazi izinsini zakho lapho uxubha amazinyo.
- Yazisa ngaphambi kwanoma yikuphi ukuhlinzwa: Ngisho nangaphambi kokwenza into encane njengokukhipha izinyo, kufanele utshele udokotela ukuthi uthatha i-Apixaban.
- Gqoka i-ID yezokwelapha: Ukuphatha isongo se-ID yezokwelapha noma ikhadi elithi uthatha i-Apixaban kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-Apixaban ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, eminye ayibi kakhulu. Into ebalulekile ukuqaphela lezi zimpawu bese uthatha isinyathelo ngokushesha uma ubona noma yiziphi izimpawu eziyingozi.
| Uhlobo lomphumela ongemuhle | Izici okufanele uziqaphele |
|---|---|
| Izimpawu okufanele zibikwe kudokotela wakho ngokushesha | |
| Izimpawu zokuphuma kwegazi |
|
| Ukopha ebuchosheni | Ikhanda elibuhlungu kakhulu, intamo eqinile, ukudideka, izinguquko zombono, ukuba ndikindiki noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Kwabesifazane | Ukopha ngokweqile ngesikhathi sokuya esikhathini. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Okunye | Ikhanda elibuhlungu, ukuhlanza. |
Kufanele uwugcine kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa (phakathi kwama-degrees Celsius angu-20-25). Vikela ekushiseni okukhulu kanye nomswakama.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
Uma ulahla imithi esiphelelwe yisikhathi noma engasadingeki, hlola imiyalelo esephaketheni lemithi ukuze ubone ukuthi iphephile yini ukuyilahla. Uma ungaqiniseki, buza udokotela wakho. Uma uwalahla, khipha amaphilisi esitsheni, uwaxube nento efana namaqabunga etiye asetshenzisiwe noma ikhofi, uwafake esikhwameni, uwavale, bese uwalahla.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uyeke ukuthatha i-Apixaban ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kwandisa kakhulu ingozi yakho yokushaywa yisifo sohlangothi noma ukuqhekeka kwegazi.
- Thatha umthamo onqunyiwe ngesikhathi esifanayo nsuku zonke. Ungawudluli umthamo.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi ama-painkiller namavithamini).
- Uma ubona noma yikuphi ukuphuma kwegazi okungajwayelekile (indle emnyama, ukuklwebheka okukhulu, ukuphuma kwegazi okungapheli), funa iseluleko sezokwelapha ngokushesha.
- Gwema imisebenzi engabangela ukulimala ngangokunokwenzeka.
- Kubalulekile ukwazisa udokotela ofanele ukuthi uthatha i-Apixaban ngaphambi kokuhlinzwa noma ukukhishwa kwamazinyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment