Ingabe udokotela wakho ukunike lo muthi obizwa ngokuthi iPrasugrel? Kungenzeka ukuthi usengozini yokuba nesimo esibucayi njengokuhlaselwa yinhliziyo noma isifo sohlangothi. Lo muthi uvame ukusetshenziselwa ukuvimbela ukuqhekeka kwegazi emizimbeni yethu nokukuvikela ezimweni ezimbi ezibangelwa ukuvaleka kwemithambo yegazi. Ngakho-ke, namuhla sizokhuluma kalula ngokuthi uyini lo muthi, ukuthi usetshenziswa kanjani ngempela, nokuthi yini okudingeka siyiqaphele kakhulu.
Iyini iPrasugrel?
Kalula nje, i-Prasugrel iyisidakamizwa esilwa nama-platelet. Ama-blood clots akheka lapho amaseli abizwa ngokuthi ama-platelet egazini lethu ehlangana ndawonye. Lokhu kuvame ukudingeka ukuze kumiswe ukopha ngemva kokulimala, kodwa ngezinye izikhathi, ngaphandle kwesizathu esibonakalayo, la ma-blood clots angakheka ngaphakathi kwemithambo yegazi, okungaba yingozi kakhulu. Uma la ma-clots evimba ukugeleza kwegazi enhliziyweni noma ebuchosheni, angabangela ukuhlaselwa yinhliziyo noma isifo sohlangothi.
I-Prasugrel isebenza ngokuvimbela ama-platelet ukuthi angahlangani futhi akhe amahlule egazi. Ngakho-ke lo muthi ungakuvikela ekuhlaselweni yinhliziyo, ukufa kohlangothi kanye nezinye izinkinga ezinkulu zemithambo yegazi . I-Effient igama lomkhiqizo elidumile lalo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokusebenzisa i-Prasugrel, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha. Lokhu kungenxa yokuthi ezinye izimo zezokwelapha zingenza kube yingozi ukusebenzisa lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho .
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Izifo zokopha noma ukopha kobuchopho | Lo muthi wandisa ingozi yokopha, okungaba yingozi uma usuvele unesifo esinjalo. |
| Ukuhlaselwa yisifo sohlangothi noma i-ischemic yesikhashana (TIA) | Uma uke waba nesifo sohlangothi ngaphambilini, lo muthi ungandisa ingozi yokopha kobuchopho futhi. |
| Izimo ezifana nezilonda zesisu, ama-polyps emathunjini amakhulu, noma i-diverticulitis | Lezi zimo zingandisa ingozi yokopha emathunjini. |
| Ingozi noma ukuhlinzwa okukhulu kwamuva nje | Ingozi yokopha ngenxa yokulimala noma ukuhlinzwa isivele iphezulu. |
| Isifo sezinso noma sesibindi | Uma lesi sitho singasebenzi kahle, ukususwa kanye nokusebenza kahle komuthi kungashintsha. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Ukuphepha kwalo muthi ngesikhathi sokukhulelwa nokuncelisa kufanele kuxoxwe nodokotela wakho. |
| Ukungezwani komzimba ne-prasugrel noma eminye imithi noma ukudla | Lokhu kubaluleke kakhulu ukuvimbela ukusabela kokungezwani komzimba. |
Ngingawusebenzisa kanjani lo muthi?
- Thatha leli philisi nengilazi yamanzi. Zama ukulithatha ngesikhathi esifanayo nsuku zonke , njengoba udokotela wakho ekuyalele.
- Kubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune leli philisi. Gwinya lonke iphilisi.
- Ungakuthatha lokhu ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha kanye nokudla.
- Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.
- Uma uphuza umuthi omningi kakhulu: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Uma uphuthelwa umthamo:Uma ukhohlwa ukuthatha 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 imithamo emibili ngesikhathi esisodwa.
Eminye imithi engabangela izinkinga nge-Prasugrel
Uma uthatha i-prasugrel, kufanele uqaphele neminye imithi oyithathayo. Eminye imithi ingathintana nayo futhi yandise ingozi yokopha.
Ungasebenzisi umuthi i-Defibrotide nalokhu nhlobo.
Ngaphezu kwalokho, imithi elandelayo ingabangela nezinkinga nge-Prasugrel:
- Eminye imithi evimbela ukujiya kwegazi, njenge-Warfarin.
- Amaphilisi okudambisa ubuhlungu e-opioid.
- Ama-NSAID, njenge-Ibuprofen ne-Naproxen, ayimithi yokuqeda izinhlungu kanye nemithi yokulwa nokuvuvukala.
Lolu akulona uhlu oluphelele, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzinake kakhulu
Kubaluleke kakhulu ukunaka izinguquko emzimbeni wakho ngenkathi uthatha i-Prasugrel.
- Ukuhlinzwa kanye nokwelashwa kwamazinyo: Uma uhlinzwa, njengokukhishwa kwezinyo, noma olunye uhlobo lwezokwelapha, tshela udokotela wakho noma udokotela wamazinyo kusenesikhathi ukuthi uthatha iPrasugrel. Ungase ucelwe ukuthi uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kwenqubo .
- Izimpawu zokopha: Ngesikhathi uthatha lo muthi, ngisho nokusikeka okuncane kungase kophe kakhulu. Kodwa-ke, uma unezinsila ezimnyama, ezihlala isikhathi eside, noma uhlanza into efana nekhofi , kungaba uphawu lokopha okuvela esilondeni sesisu. Uma lokhu kwenzeka, shayela udokotela wakho ngokushesha.
- Isimo esingavamile kodwa esibucayi esibizwa nge-TTP: Ngezinye izikhathi, i-Prasugrel ingabangela isimo esingavamile kodwa esibucayi kakhulu esibizwa nge -Thrombotic Thrombocytopenic Purpura (TTP) . Izimpawu zifaka:
- Amabala ansomi esikhumbeni noma ngaphakathi emlonyeni
- Isikhumba esikhanyayo, ukuphuzi kwamehlo noma isikhumba
- Ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile
- Imfiva
- Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
- Ukudideka, ukushintsha kwamehlo, ubunzima bokukhuluma noma ukuhamba
Uma kuvela noma yiziphi zalezi zimpawu, kuyisimo esiphuthumayo. Funa iseluleko sezokwelapha ngokushesha.
Imiphumela emibi engaba khona yalo muthi
Njengayo yonke imithi, i-Prasugrel ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi. |
| Ukopha okungavamile | Indle emnyama, umchamo onsundu omnyama, ukuhlanza okufana nekhofi elicwebezelayo, amabala abomvu esikhumbeni, ukuphuma kwegazi ezinsinini noma ekhaleni. |
| Izimpawu zesifo sohlangothi | Ukushintsha kokubona, ukudideka, ubunzima bokukhuluma, ukungazizwa kahle noma ubuthakathaka ohlangothini olulodwa lomzimba, ubunzima bokuhamba. |
| Ezinye izimpawu ezinkulu | Ubuhlungu besifuba, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukwehla kokukhishwa komchamo, ukuphuzi kwamehlo noma isikhumba, ukukhathala okungavamile. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ukuphazamiseka kwesisu, isicanucanu, ukuhlanza. |
| Ezinye izici ezijwayelekile | Ubuhlungu bekhanda, umhlane, ingalo kanye nomlenze. |
Ngingawugcina kanjani umuthi?
- Gcina lo muthi kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-20-25), kude nokukhanya nomswakama. Gcina ibhodlela lomuthi livaliwe kahle.
- Ungalisusi iphakethe elincane elingaphakathi ebhodleleni. Yilokhu okugcina umuthi womile futhi ungenamanzi.
- Lahla imithi ephelelwe yisikhathi. Buza udokotela wakho ngezindlela eziphephile zokulahla imithi engafuneki.
Umlayezo Wokuya Nawe Ekhaya
- I-Prasugrel iwumuthi obalulekile ovimbela ukujiya kwegazi futhi uvikele ezimweni ezimbi njengokuhlaselwa yinhliziyo kanye nohlangothi.
- Ungayeki ukuthatha lo muthi nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
- Kubalulekile ukuthi wazise udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zezokwelapha onazo.
- Uma ubona izimpawu zokopha okungajwayelekile, njengendle emnyama, ukuhlanza okufana nekhofi, noma amabala ansomi esikhumbeni, funa iseluleko sezokwelapha ngokushesha.
- Ngaphambi kokuhlinzwa noma ukwelashwa kwamazinyo, yazisa udokotela ukuthi uthatha iPrasugrel.
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