Udokotela wakho kungenzeka ukuthi ukunike umjovo wokuvimbela amahlule egazi ngemva kokuhlinzwa noma ngenxa yesinye isimo sezokwelapha. Igama lalo mjovo yi-Enoxaparin. Lo mjovo uvame ukunikezwa ekhaya izinsuku ezimbalwa noma amasonto, ngakho-ke ungase wesabe noma ube nesifiso sokwazi ngawo. Ngakho ungakhathazeki, namuhla sizokhuluma kalula ngokuthi ungawusebenzisa kanjani kanye nokuthi yini okudingeka uyiqaphele.
Kuyini i-Enoxaparin?
Kalula nje, i-Enoxaparin umuthi ovimbela amahlule egazi noma osiza ekuncibilikiseni amahlule egazi asevele akhekile. Lawa avame ukubizwa ngokuthi ama-blood thinner.
Cabanga ngemithambo yethu yegazi njengemipayipi ethwala amanzi. Uma kwakheka ihlule legazi ngaphakathi kwala mapayipi, livimba ukugeleza kwegazi. Lokhu kuyingozi kakhulu, ngoba uma leli hlule libhajwa, lingavimba ukugeleza kwegazi ezithweni ezibalulekile njengamaphaphu, ubuchopho, nenhliziyo. Lo muthi obizwa ngokuthi i-Enoxaparin usebenza ngokumisa ukwakheka kwalawo mahlule egazi. Okusho ukuthi, 'wenza igazi libe buthakathaka' kancane futhi ulivumele ligeleze kalula.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sempilo noma ithuba | Kungani kufanele ukhathazeke? |
|---|---|
| Izinkinga zokopha (isb., i-hemophilia) noma ukopha ngokweqile. | Lo muthi ungandisa ingozi yokopha. |
| Ukutheleleka kwenhliziyo noma ama-valve enhliziyo. | Ezimweni ezinjalo, umthamo womuthi ungadinga ukushintshwa. |
| Isifo sezinso noma sesibindi. | Inqubo yokususa imithi emzimbeni ingase ithinteke. |
| Uma uke waba nesifo sohlangothi ngaphambili. | Kufanele kuqashelwe ngokukhethekile uma isifo sohlangothi sibangelwa ukopha. |
| Uma ivalvu yenhliziyo yokufakelwa ifakiwe. | Iziguli ezinjalo zidinga umthamo okhethekile. |
| Njengoba usanda kuhlinzwa noma ubelethe. | Ezimweni ezinjalo, ingozi yokopha iphezulu. |
| Izilonda zesisu noma ezinye izifo zamathumbu (isib. i-Diverticulitis). | Kwandisa ingozi yokopha kwangaphakathi. |
| Uma une-allergy ku-Enoxaparin, i-Heparin, imikhiqizo yengulube noma eminye imithi/ukudla. | Lokhu kubalulekile ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Ezimweni ezinjalo, kufanele ukhulume nodokotela wakho ngokuphepha komuthi. |
Lo muthi wokugoma usetshenziswa kanjani ngempela?
Lo mjovo ufakwa ngaphansi kwesikhumba. Umhlengikazi esibhedlela noma emtholampilo uzokukhombisa ukuthi ungawufaka kanjani ngendlela elula. Ngokuvamile, isikhumba esiswini noma ngemuva kwengalo engenhla sisetshenziselwa lokhu.
Into ebaluleke kakhulu ukuthatha umthamo oshiwo udokotela wakho, ngesikhathi esifanele, izinsuku ezifanele. Ukuphuthelwa ngisho nosuku olulodwa kungandisa ingozi yakho yokuqhekeka kwegazi. Ngakho-ke, qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Wenzani ngezinaliti ezisetshenzisiwe?
Lokhu kubaluleke kakhulu. Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti.Ukwenza kanjalo kungalimaza abanye. Kukhona isitsha sepulasitiki esiphuzi esikhethekile (isitsha esibukhali) ongasisebenzisa ukulahla lezi zinto. Zifake kuso bese uma sesigcwele, usinikeze esibhedlela noma emtholampilo wakho. Uma ungenaso, buza ngaso bese usicela.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze i-overdose ngephutha, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa isikhathi sokubonana nodokotela?
Uma uphuthelwa 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 umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi
Kufanele futhi uqaphele ngeminye imithi oyithathayo lapho uthatha i-enoxaparin. Eminye imithi ingathintana nayo futhi yandise ingozi yokopha.
| Izinto okufanele uziqaphele kakhulu |
|---|
| I-aspirini kanye nemithi efanayo. |
| Eminye imithi yokunciphisa igazi (isib. iWarfarin, iClopidogrel). |
| Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID). Izibonelo: I-Ibuprofen, i-Naproxen, i-Diclofenac Sodium. |
| Imithi efana ne-Dipyridamole. |
Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
Izinto okufanele uzicabangele empilweni yansuku zonke
- Gwema ukulimala: Ngisho nokusikeka okuncane kungabangela ukopha okukhulu ngenkathi uthatha lo muthi. Ngakho-ke, gwema imisebenzi engase ihilele ukuwa, njengemidlalo nokusebenzisa izinto ezibukhali.
- Isexwayiso: Kuphephile ukusebenzisa i-razor kagesi uma ushefa. Futhi, xubha amazinyo akho ngokucophelela ngebhulashi lamazinyo elithambile.
- Ngaphambi kokuhlinzwa:Uma uzohlinzwa (ngisho nokukhishwa kwezinyo), qiniseka ukuthi utshela udokotela ukuthi uthatha i-Enoxaparin.
- Ukuhlolwa kwegazi: Qiniseka ukuthi uyaya ezivivinyweni zegazi kanye nemitholampilo enqunywe udokotela wakho.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Enoxaparin ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Uma unalezi zimpawu, tshela udokotela wakho ngokushesha noma uye esibhedlela. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokopha | Indle emnyama noma enegazi, ukuhlanza igazi elifana nekhofi eligayiwe, umchamo obomvu noma onsundu omnyama, amabala amancane abomvu noma onsomi esikhumbeni, ukuphuka kalula, noma ukopha okungenakuvinjelwa. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala okuncane. |
| Okunye | Ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Enoxaparin umuthi obalulekile ovimbela ukuqhekeka kwegazi. Yithathe njengoba nje udokotela wakho ekutshelile, ngesikhathi, futhi ngaphandle kokweqa usuku.
- Kukhona ingozi eyengeziwe yokopha igazi ngenkathi uthatha lo muthi. Ngakho-ke, qaphela futhi ugweme imisebenzi nemidlalo engabangela ukulimala.
- Uma ubona noma yiziphi izimpawu zokopha, njengendle emnyama, ukuhlanza igazi, noma ukuklwebheka, funa iseluleko sikadokotela ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Uma uhlinzwa, mtshele kusenesikhathi.
- Lahla izinaliti ezisetshenzisiwe kanye nezinaliti ngokuphephile, kuphela esitsheni esibukhali esilungiselelwe leyo njongo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Asetshenziselwani amaphilisi e-Isosorbide Dinitrate / Isordil?
Lona umuthi onamandla kakhulu 'we-vasodilator' onikezwa iziguli zenhliziyo! I-Nitroglycerin iyinto okufanele uyithathe uma kwenzeka isimo esiphuthumayo/ukuhlaselwa yinhliziyo, akunjalo, lo umuthi ophephile ongathathwa nsuku zonke ukuvimbela ubuhlungu be-angina/ukuhlaselwa yinhliziyo esikhathini esizayo nokusiza inhliziyo lapho inhliziyo ibuthakathaka (ukwehluleka kwenhliziyo).
💬 Ngingakugwema kanjani ubuhlungu besifuba/ngivikele inhliziyo yami uma ngithatha la maphilisi (i-Isordil) nsuku zonke?
Ukuhlaselwa yinhliziyo kwenzeka lapho umthambo wegazi enhliziyweni uncipha futhi igazi/umoya-mpilo unganele! Uma uthatha leli philisi, liphenduka igesi ebizwa ngokuthi 'i-Nitric Oxide (NO)' emzimbeni. Leyo gesi ikhulula yonke imisipha enhliziyweni nasemzimbeni wethu futhi iyigcine ivulekile (i-Continuous Vasodilation). Ngemuva kwalokho, igazi ligeleza liye enhliziyweni ngaphandle kokuvinjelwa, ngakho-ke akukho ubuhlungu besifuba.
💬 Iyiphi ingozi ebulalayo abantu abaphuza leli philisi (i-Isosorbide Dinitrate) okungafanele 'bayenze'?
Umthetho omkhulu nowukuphela kwawo! Uma ungumuntu ophuze amaphilisi afana ne-'Viagra / Sildenafil / Cialis' ukuze avuselele ucansi, ungalokothi uthathe leli philisi le-nitrate nalawo maphilisi! Uma uwaphuza womabili ndawonye, yonke imithambo yegazi izokhululeka kakhulu futhi umfutho wegazi wakho uzokwehla uye ku-zero (Fatal Hypotension) futhi ungase ufe usesimweni sokulala! Futhi, uma uqhubeka nokuthatha lokhu, imithambo yegazi izokhula ibe mikhulu, ngakho-ke 'ikhanda elibuhlungu' elivamile lizovela nakanjani.
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