Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Clopidogrel? Ungase ukwazi ngegama lomkhiqizo i-Plavix. Lo umuthi obaluleke kakhulu osetshenziselwa ukuvimbela ukuhlaselwa yinhliziyo, ukufa kohlangothi, kanye nokuqhekeka kwegazi emithanjeni yegazi. Kalula nje, uvimba ama-platelet egazini lethu ukuthi anganamatheli ndawonye, ahlangane ndawonye, futhi akhe ihlule legazi. Njengezimoto ezinamathele ndawonye emzileni wezimoto emgwaqweni, ihlule legazi ngaphakathi emthanjeni wegazi liyingozi kakhulu. Ngakho-ke lo muthi unciphisa leyo ngozi.
Yini okufanele ngiyitshele udokotela ngaphambi kokuqala lo muthi?
Ngaphambi kokuqala i-Clopidogrel, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele sempilo yakho. Kubaluleke kakhulu ukubatshela uma unezinye zezimo ezibalwe ngezansi.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Izinkinga zokopha. | Lo muthi wandisa ingozi yokopha, ngakho-ke kungaba yingozi uma usuvele unesifo esinjalo. |
| Uma kukhona ukopha ngaphakathi kobuchopho. | Odokotela kufanele bacabange kabili ngokunikeza lo muthi kubantu abanomlando onjalo. |
| Uma kufanele uhlinzwe noma ukhishwe amazinyo esikhathini esizayo. | Udokotela wakho angase akucebise ukuthi uyeke ukuthatha lo muthi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Ngaphandle kwalokho, kuzoba nzima ukulawula ukopha ngesikhathi sokuhlinzwa. |
| Uma uke waba nokulimala esiswini okubangele ukopha (umlando wokopha esiswini). | I-Clopidogrel ingandisa ingozi yokuphinda kophe ngenxa yezilonda zesisu. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Kulezi zimo, kufanele ukhulume nodokotela wakho ngemiphumela yomuthi bese wenza isinqumo. |
| Uma une-allergies kweminye imithi, ukudla, noma izinto. | Kubalulekile ukwazi ukuthi une-allergy yini ku-Clopidogrel noma kunoma yiziphi izithako zayo. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubaluleke kakhulu ukulandela imiyalelo ngqo.
- Gwinya ithebhulethi ngengilazi yamanzi. Ungalichobozi noma ulihlafune. Ligwinye lonke.
- Ungakuthatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha nokudla.
- Zenze umkhuba ukuphuza imithi yakho cishe ngesikhathi esifanayo nsuku zonke. Ungathathi okungaphezu kwalokho udokotela akutshele kona.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho. Khumbula, abanye abantu bayayeka ukuthatha lo muthi ngaphandle kokubonisana nodokotela wabo ngemva kokuzizwa bengcono. Lokhu kuyingozi kakhulu, ngoba ihlule legazi lingakheka ngokuzumayo futhi lenze kube nzima futhi. Lokhu kuyingozi kakhulu uma une-stent.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Imithi okungafanele isetshenziswe ne-Clopidogrel
I-Clopidogrel umuthi ongasebenzisana neminye imithi. Lokhu kusho ukuthi uma uthathwa nomunye umuthi, imiphumela ye-Clopidogrel ingancipha noma ikhuphuke, noma imiphumela emibi inganda.
Okubalulekile: Lolu hlu aluphelele.Tshela udokotela wakho ngayo yonke imithi oyisebenzisayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa namavithamini, amakhambi, kanye nezithasiselo ozithathayo.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Eminye imithi evimbela ukujiya kwegazi | I-Warfarin, i-Aspirin (ngaphandle kwencwadi kadokotela) |
| Eminye imithi yokwelapha ubuhlungu nokuvuvukala (ama-NSAID) | I-Ibuprofen, i-Naproxen, i-Diclofenac |
| Eminye imithi yokwelapha i-gastritis (Proton Pump Inhibitors) | I-Omeprazole, i-Esomeprazole (lokhu kunganciphisa ukusebenza kwe-Clopidogrel) |
| Eminye imithi yokucindezeleka (SSRIs/SNRIs) | I-Fluoxetine, i-Sertraline, ne-Venlafaxine |
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Clopidogrel ingabangela imiphumela emibi. Abantu abaningi abayitholi. Kodwa abanye abantu bayayithola. Kubalulekile ukuqaphela lokhu.
Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula.
- Ukopha okungavamile:
- Izihlalo ezimnyama, ezihlala isikhathi eside.
- Umchamo obomvu noma onsundu omnyama.
- Ukuhlanza okufana nokudla okucoliwe noma ukuhlanza igazi.
- Ukuvela kwamabala aqinile (imivimbo) esikhumbeni.
- Ukopha njalo emakhaleni nasezinsinini.
- Kuthatha isikhathi eside ukuthi ngisho nesilonda esincane siyeke ukopha.
- Isimo esingavamile kodwa esibi kakhulu esibizwa ngokuthi i-TTP (Thrombotic Thrombocytopenic Purpura):Amabala ansomi esikhumbeni noma ngaphakathi emlonyeni, ukuphuzi kwesikhumba, ukuphuzi kwamehlo amhlophe, ukukhathala okukhulu, umkhuhlane, ukushaya kwenhliziyo okusheshayo, ukudideka, ubunzima bokukhuluma noma ukuhamba.
Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka
- Uhudo
- Ikhanda elibuhlungu
- Isisu esibuhlungu
Qaphela izimpawu ezingaba khona zesifo sohlangothi!
Uma uzwa ubuhlungu obungazelelwe noma ubuthakathaka ebusweni bakho, engalweni noma emlenzeni, ubunzima bokukhuluma, ukungakwazi ukukhuluma kahle, ubunzima bokuhamba, izinguquko embonweni, noma ikhanda elibuhlungu ngenkathi uthatha lo muthi, lokhu kungaba uphawu lokuthi isimo sakho siya siba sibi kakhulu. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
imibuzo ejwayelekile ukubuzwa
Ingabe i-Clopidogrel (Plavix) ikwenza uzizwe ukhathele?
Yebo, abanye abantu bangase bazizwe bekhathele kakhulu futhi bekhathele kunokujwayelekile ngenxa yalo muthi. Uma lokhu kuyinkinga enkulu kuwe, khuluma nodokotela wakho. Kodwa ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
Lo muthi uhlala isikhathi esingakanani emzimbeni?
Ukuhlushwa komuthi kwehla ngesigamu ngemva kwamahora ayisithupha. Umuthi ucishe uphele ngokuphelele emzimbeni ngemva kosuku olulodwa. Kodwa-ke, umphumela womuthi, okungukuthi, umphumela kuma-platelet egazi, ungahlala cishe izinsuku ezi-5. Yingakho ingozi yokopha ikhula ngisho nangemva kwezinsuku ezimbalwa zokuyeka umuthi.
Ingabe i-Clopidogrel (Plavix) iyi-anticoagulant?
Akuyona ngempela. Lona umuthi ovimbela ama-platelet . Ama-anticoagulant (isib. i-Warfarin) asebenza kwezinye izici enqubweni yokujiya kwegazi. I-Clopidogrel isebenza ngokuvimbela ama-platelet ukuthi anamathele ndawonye futhi akhe i-clot. Nakuba izindlela zokusebenza zihlukile, umphumela wokugcina wazo zombili ukuvimbela ukwakheka kwama-blood clot.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uyeke ukuthatha i-Clopidogrel ngaphandle kweseluleko sikadokotela wakho. Lokhu kubaluleke kakhulu uma uke wafakwa i-stent.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ngaphambi kokuhlinzwa noma ukwelashwa kwamazinyo, tshela udokotela wakho noma udokotela wamazinyo ukuthi uthatha i-Clopidogrel.
- Uma ubona noma yiziphi izimpawu zokopha okungajwayelekile (indle emnyama, ukuhlanza okufana nokugayiwe kwekhofi, ukuklwebheka okungajwayelekile), funa iseluleko sezokwelapha ngokushesha.
- Ngenxa yengozi yokopha, qaphela kakhulu uma usebenzisa izinto ezibukhali njengezinsingo futhi uzivikele ekuweni.
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