Ingabe ukhona emndenini wakho, noma mhlawumbe wena, okwadingeka ukuthi uhlinzwe esikhundleni sesinqe? Amahlule egazi ngemva kokuhlinzwa okunjalo yinto edinga ukunakwa okukhulu. Esimweni esinjalo, umjovo okhethekile obizwa ngokuthi iDesirudin usetshenziswa odokotela ukunciphisa leyo ngozi. Ngakho-ke namuhla, ake sixoxe ngokuningiliziwe ngalo mjovo weDesirudin, ukuthi wenzani, nokuthi yini okudingeka siyiqaphele.
Kuyini iDesirudin?
Kalula nje, i-Desirudin iyisidakamizwa esivimbela ukujiya kwegazi. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-anticoagulant . Umsebenzi wayo oyinhloko ukunciphisa ingozi yokwakheka kwamahlule egazi emizimbeni yeziguli, ikakhulukazi ngemva kokuhlinzwa kokufakelwa inqulu.
Lona akuyona imithi ongayithola ekhemisi bese uyijova ekhaya. Lona umuthi ojovwa emthanjeni nguchwepheshe wezempilo esibhedlela noma emtholampilo. Sivame ukuwubona ngaphansi kwegama lomkhiqizo i-Iprivask .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokuba unikezwe i-Desirudin, kubalulekile ukuthi udokotela wakho azi kahle ngesimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sakho noma ulwazi | Kungani kufanele unikeze ulwazi? |
|---|---|
| Izinkinga zokopha (isib. i-hemophilia) | Lo muthi ungandisa kakhulu ingozi yokopha. |
| Umfutho wegazi ophakeme | Umfutho wegazi ophakeme ongalawulwayo wandisa ingozi yokopha kwangaphakathi. |
| Isifo sezinso noma sesibindi | Umthamo kungadingeka ushintshwe ngoba uthinta ukukhishwa komuthi emzimbeni. |
| Ukuhlinzwa kwakamuva, ingozi, noma ukubhobozwa kwe-lumbar noma i-anesthesia yomgogodla | Ezimweni ezinjalo, ingozi yokopha iphezulu kakhulu. |
| Izilonda zesisu noma zamathumbu | La manxeba angase ophe futhi. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Kufanele kucatshangelwe ukuthi kungenzeka kube yingozi kumntwana osesiswini noma kumntwana oncelisayo. |
| Ukungezwani komzimba ne-Desirudin, eminye imithi, ukudla, udayi | Lokhu kubalulekile ukuze kugwenywe ukusabela okukhulu kokungezwani komzimba. |
Uma usola ukuthi uphuze lo muthi ngokweqile, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
I-Desirudin umuthi ongasebenzisana neminye imithi, ngakho-ke kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lwesidakamizwa | Izibonelo namanothi |
|---|---|
| Ungayithathi nhlobo iDesirudin nalezi. | |
| Izinto zokunciphisa igazi | Isibonelo: I-Heparin. Ukuthatha lokhu ndawonye kungabangela ukopha ngokweqile. |
| Ezinye izinto zokunciphisa igazi | Isibonelo: i-Warfarin |
| Kungase kube nokusebenzisana nalokhu (tshela udokotela) | |
| I-aspirini nemithi efanayo | Kwandisa ingozi yokopha. |
| Ama-NSAID (ama-painkiller) | Isibonelo: I-Ibuprofen, i-Naproxen, i-Diclofenac. Lokhu kwandisa nengozi yokopha. |
| Eminye imithi | Imithi efana neClopidogrel, iTiclopidine, neDipyridamole. |
Lolu hlu aluphelele. Ngakho-ke, sicela unikeze udokotela wakho incazelo ephelele yayo yonke imithi, amavithamini, ngisho nemithi yamakhambi oyithathayo.
Izinto okufanele uziqaphele uma uthatha i-Desirudin
Kufanele ucabangele kakhulu ukuphepha kwakho ngenkathi uthatha lo muthi.
- Gwema ukulimala: Ake sithi uwile ngesikhathi udlala ikhilikithi ngenkathi uthatha lo muthi. Ngisho noma kungekho ukulimala okubonakalayo, ukuphuma kwegazi ngaphakathi kungenzeka. Ngakho-ke, kubaluleke kakhulu ukuyeka ezemidlalo kanye nomsebenzi onzima ongabangela izingozi phakathi nalesi sikhathi.
- Sebenzisa ngokucophelela: Uma ushefa, kuphephile ukusebenzisa i-razor kagesi . Qaphela kakhulu uma usebenzisa izinto ezibukhali njengemimese ekhishini.
- Uma uxubha amazinyo akho: Yiba mnene kakhulu lapho uxubha futhi uxubha nge-floss. Qaphela ukuthi izinsini zakho ziyavuza yini. Uma lokhu kwenzeka, tshela udokotela wakho.
- Ukuhlolwa kwezokwelapha: Yiya kudokotela wakho ngesikhathi bese wenza ukuhlolwa kwakho. Kungase kudingeke ukuthi kwenziwe ukuhlolwa kwegazi ukuze kuqashwe isimo sakho.
- Umazisi Wezokwelapha: Uma kungenzeka, ukuphatha ikhadi elinemininingwane ngesimo sakho sezokwelapha kanye nemithi oyiphuzayo, noma ukugqoka isongo se-ID yezokwelapha, kungaba usizo kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Desirudin ingadala imiphumela emibi. Eminye yale miphumela iyingozi futhi idinga ukunakekelwa okusheshayo.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma ubona lezi zimpawu, funa iseluleko sezokwelapha ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokopha | Indle emnyama noma enegazi; umchamo onsundu/obomvu omnyama; ukuhlanza into ebukeka njengekhofi eligayiwe; amabala abomvu esikhumbeni; ukuminyana okungavamile; ukuphuma kwegazi ekhaleni, ezinsinini, noma emehlweni. |
| Izimpawu ze-clot yegazi | Ubuhlungu esifubeni; ubunzima bokuphefumula; ubuhlungu emilenzeni, ukuvuvukala, noma ukufudumala. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukushintsha kombono; ukudideka; ubunzima bokukhuluma noma ukuqonda; ikhanda elibuhlungu ngokuzumayo, elibi; ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze; ubunzima bokuhamba; isiyezi. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu, noma ukungakhululeki endaweni yokujova. |
Umlayezo Wokuya Nawe Ekhaya
- I-Desirudin iwumjovo okhethekile ovimbela ukujiya kwegazi futhi unikezwa kuphela uchwepheshe esibhedlela.
- Qiniseka ukuthi wazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (eyalelwe udokotela kanye neyayingavunyelwe udokotela) kanye nanoma yiziphi izimo zezokwelapha onazo.
- Zivikele ezingozini nasekulimaleni ngangokunokwenzeka ngenkathi uthatha lo muthi.
- Uma ubona noma yini efana nokopha okungajwayelekile, ukuphuka, ikhanda elibuhlungu kakhulu, noma izimpawu zokushaya kwenhliziyo, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi unikezwe wena ngqo. Ungalokothi wabelane ngawo nabanye.
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