Udokotela wakho kungenzeka ukuthi ukunike umuthi wobuhlungu besifuba obungajwayelekile (i-angina). Igama lalowo muthi lingase libe yi-Ranolazine. Lona umuthi okhethekile wenhliziyo osetshenziselwa ukulawula ubuhlungu besifuba besikhathi eside. Ngakho-ke namuhla, ake sixoxe kafushane ngalo muthi obizwa ngokuthi i-Ranolazine, ukuthi ungawusebenzisa kanjani, okufanele uqaphele, kanye nemiphumela emibi engaba khona.
Uhlobo luni lomuthi iRanolazine?
Kalula nje, i-Ranolazine umuthi osetshenziselwa ukuvikela impilo yenhliziyo yakho. Ngokukhethekile, isetshenziselwa ukwelapha ubuhlungu besifuba obuhlala isikhathi eside, isimo esaziwa ngokwezokwelapha ngokuthi "i-Chronic Angina."
Kodwa lokhu kubaluleke kakhulu: Lo muthi ngeke unikeze impumuzo esheshayo yobuhlungu besifuba obungazelelwe, obukhulu (ukuhlasela kwe-Acute Angina). Udokotela wakho kungenzeka ukuthi ubhale omunye umuthi (isibonelo, iphilisi le-GTN) wesimo esiphuthumayo esinjalo. I-Ranolazine umuthi onikezwa kuphela ukulawula lesi sifo isikhathi eside.
Lo muthi ungase ube ngaphansi kwamagama emikhiqizo ehlukahlukene eSri Lanka nakwamanye amazwe. I-'Ranexa' ingenye yamagama emikhiqizo adumile.
Yini okufanele ngiyitshele udokotela ngaphambi kokuqala lo muthi?
Ukuze uphephe, kubalulekile ukuthi wazise udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala lo muthi. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo.
- Ezinye izifo zenhliziyo .
- Ukushaya kwenhliziyo okungajwayelekile .
- Isifo sezinso .
- Isifo sesibindi .
- Uma unezinga eliphansi le-potassium noma i-magnesium egazini lakho.
- Uma une -allergies ku-ranolazine noma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukulungele yini noma ukuthi umthamo udinga ukushintshwa.
Ngingawusebenzisa kanjani lo muthi?
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa njengoba kuqondiswe.
- Indlela yokugwinya: Ginya leli philisi lonke ngengilazi yamanzi. Ungalokothi uliphule, ulichoboze, noma ulihlafune leli philisi. Lawa enzelwe ngokukhethekile ukukhipha umuthi emzimbeni ngokuhamba kwesikhathi (Ukukhululwa Okunwetshiwe). Ngakho-ke, kubaluleke kakhulu ukuligwinya lonke.
- Isikhathi sokuthatha: Njengoba kunqunywe udokotela,Zama ukuwuthatha ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina amazinga afanayo omuthi emzimbeni wakho.
- Ngokudla noma ngaphandle kokudla: Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, abanye abantu bangase babe nokuphazamiseka kwesisu uma bethathwa kanye nokudla.
- Ukuyeka: Ungayeki ukuthatha lo muthi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke.
Izexwayiso ezikhethekile
Ungawuthathi lo muthi kanye nejusi likagrapefruit. Ijusi likagrapefruit lingathinta indlela lo muthi osebenza ngayo emzimbeni.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane ne-Ranolazine
Lokhu kubaluleke kakhulu. I-Ranolazine ingasebenzisana neminye imithi eminingi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
Ungathola umbono omuhle ngalokhu kumathebula amabili angezansi.
| Ungalokothi uthathe i-Ranolazine kanye nalomuthi. | |
|---|---|
| Isigaba sezidakamizwa | Izibonelo |
| Amanye ama-antibiotic | I-Clarithromycin, i-Rifampin |
| Umuthi wokutheleleka kwesikhunta | I-Itraconazole, i-Ketoconazole |
| Imithi yokulwa negciwane lesandulela ngculazi noma i-hepatitis | (Buza udokotela wakho) |
| Eminye imithi yokwelapha isithuthwane (Ukuquleka) | I-Carbamazepine, i-Phenytoin |
| I-St. John's Wort (i-herbal extract) | Gwema ukusebenzisa lokhu. |
| Qaphela kakhulu uma uthatha i-Ranolazine kanye nalo muthi. | |
|---|---|
| Uhlobo/isigaba semithi | |
| Eminye imithi yokwehlisa i-cholesterol (isib. i-Simvastatin, i-Atorvastatin) | |
| Imithi yokucindezeleka noma ukukhathazeka | |
| I-Digoxin, i-Diltiazem, i-Verapamil (eminye imithi yesifo senhliziyo) | |
| I-Metformin (umuthi wesifo sikashukela) | |
| I-Cyclosporine, i-Tacrolimus (izithiyo zokucindezela amasosha omzimba) | |
Lezi zinhlu aziphelele. Ukuze uphephe, tshela udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Ranolazine ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ingaba mibi kakhulu, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi | Yazisa udokotela wakho ngokushesha noma uye esibhedlela. |
| Izinguquko zokushaya kwenhliziyo: ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi esinzima | |
| Umfutho wegazi ophansi: isiyezi, ukuquleka, umbono ofiphele | |
| Ukuvuvukala kwamaqakala, izandla, noma izinyawo | |
| Ukuthuthumela noma ukungazweli emilenzeni | |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isiyezi | Uma lokhu kuqhubeka noma kukhathaza, tshela udokotela wakho. |
| Ikhanda elibuhlungu | |
| Isicanucanu | |
| Ukuqunjelwa | |
Uyivikela kanjani imithi yakho?
- Gcina lo muthi kude nezingane nezilwane ezifuywayo .
- Gcina endaweni eyomile (cishe ama-25°C) ekushiseni kwegumbi.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele. Ngokuvamile kungumqondo omuhle ukuxuba imithi engafuneki nento efana nekhofi esetshenzisiwe noma inhlabathi ngaphambi kokuyibeka emgqonyeni kadoti, uyivale esikhwameni, bese uyilahla. Uma ungaqiniseki ngalokhu, buza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Ranolazine umuthi osetshenziselwa ukulawula ubuhlungu besifuba besikhathi eside (i-Chronic Angina), hhayi umuthi onikeza impumuzo ngokushesha ebuhlungwini besifuba obungazelelwe.
- Gwinya leli philisi lonke ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna.
- Gwema ukuthatha lo muthi kanye nejusi lamagilebhisi ngokuphelele.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma ubhekana nezinguquko ekushayeni kwenhliziyo yakho, isiyezi esinzima, noma izimpawu zokungezwani komzimba.
- Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
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