Ingabe unomfutho wegazi ophezulu emaphashini, noma lokho odokotela abakubiza ngokuthi 'i-Pulmonary Arterial Hypertension (PAH)'? Uma kunjalo, ungase ube nokuphelelwa umoya, ukukhathala ngisho nalapho uhamba, kanye nobuhlungu besifuba. Kulesi sihloko, sizokhuluma ngomuthi othize obizwa ngokuthi 'i-Iloprost' osetshenziselwa ukwelapha lesi simo. Ake sixoxe ngakho kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Iloprost?
I-'Iloprost' umuthi osetshenziselwa ukwelapha umfutho wegazi ophezulu we-pulmonary arterial (PAH). Manje ake sibone ukuthi yenzani emzimbeni.
Cabanga nje ukuthi imithambo yegazi ethwala igazi emaphashini akho ivalekile futhi inciphile. Bese kuba nzima kakhulu ngenhliziyo ukupompa igazi ngale mithambo emincane bese ilithumela emaphashini. Ngenxa yalokhu, inhliziyo izwa ukucindezeleka okukhulu, futhi umfutho wegazi emaphashini nawo uyakhuphuka. Yilokho esikubiza ngokuthi 'i-Pulmonary Arterial Hypertension'.
Ngakho-ke, lokho okwenziwa yilo muthi 'we-Iloprost' ukukhulula imithambo yegazi emincane nemincane. Kwenzekani-ke? Inhliziyo ingapompa igazi kalula ngaphandle kokusebenza kanzima. Ingcindezi ngaphakathi kwamaphaphu iyancipha. Ngenxa yalokho, ungaphefumula kalula futhi ube namandla okusebenza kancane ngokukhuthele kunangaphambili.
Into ebaluleke kakhulu ukuthi lo muthi kufanele usetshenziswe kuphela ngokunconywa udokotela. Ukusebenzisa umuthi onikezwe omunye umuntu kungaba nemiphumela emibi kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Kubalulekile ukuthi udokotela wakho aqaphele isimo sakho sempilo ngaphambi kokunquma ukukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
- Isifo sezinso: Uma unesifo sezinso.
- Isifo sesibindi: Uma kukhona ubuthakathaka noma isifo ekusebenzeni kwesibindi.
- Umfutho wegazi ophansi: Uma umfutho wegazi wakho uvame ukuba phansi.
- Ukungezwani komzimba: Uma une-allergy ku-'Iloprost' noma kunoma yimuphi omunye umuthi, ukudla, udayi noma izithasiselo.
- Ukukhulelwa: Uma ukhulelwe, noma uhlela ukuba nomntwana maduze.
- Uma ungumama oncelisayo: Uma uncelisa ingane yakho.
Lolu lwazi lubaluleke kakhulu ekuphepheni kwakho, ngoba udokotela uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe kulolu lwazi.
Uyisebenzisa kanjani kahle le mithi?
Lona umuthi odinga ukusetshenziswa ngendlela ekhethekile kancane. Akuyona into oyigwinya njengephilisi.
I-'Iloprost' umuthi oza ngesimo soketshezi. Udinga ukuhogela emaphashini . Lokhu kwenziwa kusetshenziswa idivayisi ekhethekile ebizwa ngokuthi i-nebulizer . Lo muthi uvame ukusetshenziswa kuphela nedivayisi ekhethekile ebizwa ngokuthi i -'I-neb AAD nebulizer' .
I-nebulizer iguqula umuthi owuketshezi ube yinkungu encane (i-aerosol/inkungu). Ungabe usuphefumula inkungu ngokujulile ngomlomo wakho bese ungena emaphashini akho.
Izinto ezimbalwa okufanele uzikhumbule:
- Idivayisi efanele: Sebenzisa njalo i-nebulizer kuphela enconywe udokotela wakho.
- Ungaxubi imithi: Ungaxubi eminye imithi ne-'Iloprost' ekamelweni lemithi le-nebulizer.
- Landela imiyalelo: Thatha umuthi kaningi nangezikhathi udokotela wakho akutshela zona. Ungasebenzisi ngaphezu kwesilinganiso esinqunyiwe.
- Imiyalelo yokusebenzisa: Funda imiyalelo yokusebenzisa ehambisana nalo muthi ngokucophelela. Uma unemibuzo, buza udokotela wakho.
Kuthiwani uma uyinika izingane?
Izingane zingadinga ukunakekelwa okukhethekile lapho zinikeza lo muthi. Ngakho-ke, khuluma nodokotela wakho ngokucophelela mayelana nendlela yokunikeza lo muthi ingane yakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, 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 esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-'Iloprost'. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi ethengiswa ngaphandle kwemithi kadokotela). Lokhu kuyiqiniso ikakhulukazi uma uthatha noma yimiphi yale mithi elandelayo:
- Imithi evimbela ukujiya kwegazi noma ukunciphisa igazi: Imithi efana ne-'Warfarin', 'Aspirin', 'Clopidogrel', 'Apixaban', 'Rivaroxaban'.
- Imithi yomfutho wegazi ophezulu: Ezinye izinhlobo zemithi ehlisa umfutho wegazi.
- Imithi yesifo senhliziyo.
- Eminye imithi efana ne-'Cilostazol', 'Dipyridamole', 'Pentoxifylline'.
Tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, njengoba lezi zinto zingathinta indlela lo muthi osebenza ngayo.
Izinto okufanele uziqaphele uma usebenzisa umuthi
- Ukuhlolwa kwezokwelapha: Yiya emtholampilo njalo ngezinsuku udokotela wakho akutshela ukuthi uhlole isimo sakho. Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu, tshela udokotela wakho .
- Ukuzungeza kanye nokozela: Ungase uzizwe ulele kancane futhi uzungezwe yisiyezi lapho uthatha lo muthi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ukushintsha izikhundla: Ungavuki endaweni yokuhlala noma uphume embhedeni ngokuzumayo. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe. Qaphela kakhulu ngalokhu, ikakhulukazi uma usukhulile.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungashintsha imiphumela yalo muthi.
- Ukopha: Lo muthi ungandisa kancane ingozi yokopha. Uma uzwa noma yikuphi ukuklwebheka noma ukopha okungajwayelekile, tshela udokotela wakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-'Iloprost' ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu ngokucacile.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| 🚨 Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Umnyama, indle ephuzile, ukuhlanza okufana nokugayiwe kwekhofi, umchamo obomvu noma onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, kanye nokulunywa okungachazeki. |
| Ukukhwehlela igazi | Ukukhwehlela igazi nge-mucus. |
| Ukushaya kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, kakhulu, noma ngokungajwayelekile. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuphelelwa yithemba, amehlo aluhlaza okwesibhakabhaka. |
| Ubunzima bokuphefumula | Uma ubhekene nobunzima obukhulu bokuphefumula noma ukukhwehlela ngemva kokuthatha umuthi. |
| 🩺 Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Ubunzima obuhlukahlukene | Ubuhlungu emhlane, ukukhwehlela, ukushawa, ikhanda elibuhlungu, izinhlungu zemisipha, isicanucanu, ubuhlungu bolimi, ukuqwasha, kanye nokuqina kwemisipha yomhlathi kanye nobunzima bokuvula umlomo. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, funa iseluleko sezokwelapha ngalokho.
Ungagcina kanjani imithi?
- Gcina kude nezingane: Gcina kude nezingane nezilwane ezifuywayo.
- Izinga Lokushisa: Gcina endaweni yokushisa evamile yegumbi (phakathi kuka-20-25 Celsius).
- Ngemva kokuphelelwa yisikhathi: Lahla noma yimiphi imithi esidlulile usuku lwayo lokuphelelwa yisikhathi. Ungayisebenzisi.
Umlayezo Wokuya Nawe Ekhaya
- I-Iloprost umuthi we-pulmonary arterial hypertension (PAH) ophefumulwa nge-nebulizer.
- Ngaphambi kokuqala lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zempilo kanye neminye imithi oyithathayo.
- Njalo thatha umuthi ngenani elinqunywe udokotela wakho, ngesikhathi esinqunyiwe, futhi kuphela nge-nebulizer enconywayo.
- Qaphela lapho wenza imisebenzi edinga ukunakwa, njengokushayela, njengoba kungase kube nesiyezi kanye nokuquleka.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokopha, ukusabela kokungezwani komzimba, noma ukwanda kobunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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