Uma wena noma othile omaziyo enesifo esibizwa ngokuthi 'i-Pulmonary Hypertension', udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Bosentan. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, lo muthi wenza umsebenzi obaluleke kakhulu. Kalula nje, uyasiza inhliziyo namaphaphu akho, ukukusiza ukuthi usebenze kanzima, uhambe, futhi unciphise ukuphefumula okufushane. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi i-Bosentan, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.
Uhlobo luni lomuthi iBosentan?
Kalula nje, iBosentan umuthi osetshenziswa ukwelapha isimo esibizwa ngokuthi i-Pulmonary Hypertension . Manje ungase uzibuze ukuthi iyini i-pulmonary hypertension. Kuyingcindezi ephezulu kakhulu emithanjeni yegazi ethwala igazi lisuka enhliziyweni liye emaphashini ethu. Njengoba nje ipayipi lamanzi livaliwe, kuba nzima ukuthi amanzi ageleze. Lapho ingcindezi engaphakathi kwale mithambo yegazi ikhula, inhliziyo kufanele isebenze kanzima ukupompa igazi liye emaphashini.
I-Bosentan isebenza ngokukhulula imithambo yegazi engaphansi kokucindezeleka okuphezulu, okwenza kube lula ukuthi igazi ligeleze. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni, kwenza kube lula ukuphefumula, futhi kukunika amandla engeziwe okwenza imisebenzi yakho yansuku zonke.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Bosentan, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
- Uma unesifo sesibindi .
- Uma unesifo sofuzo esibizwa ngokuthi i-Phenylketonuria (PKU) (lesi yisimo esingavamile kakhulu).
- Uma une -allergies ku-Bosentan noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa. (Lokhu kubaluleke kakhulu!)
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukuze uphephe ukwabelana ngalolu lwazi nodokotela wakho ngaphandle kokulufihla.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa njengoba kuyalelwe.
- Lona umuthi ophuzwa ngomlomo. Khumbula ukuwuthatha ngesikhathi esifanayo nsuku zonke , njengoba udokotela wakho ekuyalele.
- Gcina iphilisi ephaketheni lalo elivaliwe uze ulithathe. Gcina izandla zakho zomile lapho uthatha iphilisi.
- Vula iphakethe ngokucophelela bese ukhipha iphilisi. Ungalokothi uzame ukusunduza iphilisi ngefoyili. Ukwenza kanjalo kungase kuliphule iphilisi. Uma iphilisi liphuka noma liqhekeka, lilahle bese uthola iphilisi elisha.
- Lomuthi uyiphilisi elihlakazekayo ongalincibilikisa emanzini bese uliphuza. Udokotela uzochaza lokhu kuwe.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukuyithatha nokudla.
- Kufanele uqhubeke uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuwuthatha ngokuzumayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ngezinye izikhathi siyakhohlwa ukuphuza imithi yethu. Uma lokho kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umthamo ongaphezu kobekiwe, ungesabi. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Ngaphandle kwalokho, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, lokhu kubaluleke kakhulu. I-Bosentan ingasebenzisana neminye imithi. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo).
| I-Bosentan nezinye izidakamizwa | |
|---|---|
| Ungayithathi iBosentan kanye nalomuthi! | |
| I-Cyclosporine | Umuthi wokulawula amasosha omzimba. |
| I-Glyburide | Umuthi wesifo sikashukela. |
| Ama-hormone e-estrogen ne-progestin | Ukwelashwa ngama-hormone, okuhlanganisa namaphilisi okuvimbela inzalo. |
| Izinkinga zingavela ngalo muthi - tshela udokotela wakho | |
| I-Antifungal | Isibonelo: i-fluconazole, i-ketoconazole |
| Imithi yokwehlisa i-cholesterol | Isibonelo: i-atorvastatin, i-simvastatin |
| Eminye imithi | Njenge-Amiodarone, i-Diltiazem, i-Erythromycin, ne-Rifampin. |
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
Ukukhulelwa kanye nokulawula ukubeletha
Lesi yisixwayiso esibaluleke kakhulu nesingathi sína ngalo muthi. Uma ungowesifazane, kufanele ugweme ngokuphelele ukukhulelwa ngenkathi uthatha iBosentan. Lo muthi ungabangela ukukhubazeka okukhulu kokuzalwa enganeni engakazalwa. Ngakho-ke, udokotela wakho uzokutshela ukuthi usebenzise izinhlobo ezimbili zokuvimbela inzalo ngesikhathi esisodwa. Uma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.
Ukuhlolwa kwesibindi negazi
Lo muthi ngezinye izikhathi ungathinta isibindi. Ngakho-ke, udokotela wakho uvame uku-oda ukuhlolwa kwegazi ukuze ahlole ukusebenza kwesibindi sakho. Kubaluleke kakhulu ukwenza lokhu kuhlolwa ngesikhathi.
Ukusabela kwesikhumba
Nakuba kungavamile, abanye abantu bangase babe nokusabela okukhulu kwesikhumba emavikini ambalwa ngemva kokusebenzisa lo muthi.
- Uma unezilonda zesikhumba kanye nezimpawu ezifana nomkhuhlane kanye nomkhuhlane
- Uma izilonda ziba bomvu noma zibe nsomi, bese kuba namaqhubu bese ziqala ukuqhekeka,
- Uma unezilonda zesikhumba ezivuvuka ebusweni, ezindebeni, entanyeni, noma emakhwapheni
Uma ubona into efana nale, yazisa udokotela wakho ngokushesha.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, iBosentan ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Imiphumela emibi nokuthi yini okufanele uyenze | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo omnyama, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, kanye nokuzizwa ukhathele. |
| Izimpawu zomfutho wegazi ophansi | Isiyezi, amehlo aluhlaza okwesibhakabhaka, uzizwa sengathi uzowa. |
| Ukuvuvukala kwamaqakala, izandla, nezinyawo | Kungaba uphawu lokugcinwa koketshezi emzimbeni. |
| Izinto ezivame ukungabi yingozi, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu |
| Ukuhlanza | Ubuso buzwakala bushisa futhi buphenduka bubomvu. |
| Ubuhlungu bamalunga | Ubuhlungu bamalunga. |
| Umphimbo obuhlungu | Umphimbo obuhlungu noma ukungakhululeki. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Bosentan iwumuthi obalulekile we-hypertension yamaphaphu. Yithathe njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele, ngomthamo ofanele.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi leyo yezinye izimo, amavithamini, kanye namakhambi endabuko).
- Okubaluleke kakhulu: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi. Lokhu kuyingozi kakhulu enganeni. Khuluma nodokotela wakho ngezindlela zokuvimbela inzalo ezithembekile.
- Uma ubona izimpawu zokulimala kwesibindi (ukuphuzi kwamehlo, umchamo omnyama) noma ukusabela okukhulu kwesikhumba (umkhuhlane kanye nokuqhekeka kwesikhumba), funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuyeka imithi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela wakho.
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