Ngezinye izikhathi ungase uzizwe uphelelwa umoya, ngisho nalapho ukhuphuka izitebhisi noma uhamba ibanga elifushane. Esinye isizathu salokhu kungaba ukucindezela okukhulu emithanjeni yegazi ethwala igazi emaphashini akho. Odokotela babiza lesi simo ngokuthi "umfutho wegazi ophezulu wamaphaphu." Ngakho-ke, uma udokotela wakho ekunike i-Riociguat (ethengiswa njenge-Adempas) njengokwelashwa kwalesi simo, kubaluleke kakhulu ukuthi wazi konke ngalo muthi ngokucacile. Ake sixoxe ngakho.
Uhlobo luni lomuthi iRiociguat?
Kalula nje, lo muthi usebenza ngokwandisa imithambo yegazi emaphashini akho (ukuyivula), okwenza kube lula ukuthi igazi ligeleze kuyo. Cabanga ngakho njengokwandisa umgwaqo omncane ukuze ukwazi ukuhamba kalula ngaphandle kokuminyana kwezimoto.
Lokhu kunciphisa umfutho wegazi emaphashini akho, okusho ukuthi inhliziyo yakho kufanele isebenze kanzima ukupompa igazi. Ngenxa yalokho, uphefumula kalula futhi uzizwa ungakhathali kakhulu lapho wenza umsebenzi olula noma uvivinya umzimba.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukuthatha i-Riociguat, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezibalwe ngezansi.
| Isimo sakho | Kungani kufanele unikeze ulwazi? |
|---|---|
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lokhu kubaluleke kakhulu! Lokhu kungabangela izinkinga ezinkulu zokuzalwa enganeni engakazalwa. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi umuthi ukhishwa emzimbeni ngalezi zitho zomzimba, umthamo ungadinga ukulungiswa. |
| Umfutho wegazi ophansi | Lo muthi unganciphisa kakhulu umfutho wegazi, okungabangela isiyezi. |
| Izinkinga zokopha noma ukuthatha imithi yokunciphisa igazi | I-Riociguat ingandisa kancane ingozi yokopha. |
| Isifo senhliziyo | Udokotela wakho uzonquma ukuthi umuthi uyafaneleka yini esimweni senhliziyo yakho. |
| Ukubhema | Ukubhema kungashintsha indlela umuthi osebenza ngayo. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Lokhu kubalulekile ukwazi ukuthi une-allergy ku-Riociguat noma kunoma yiziphi izithako zayo. |
| Izimo ezithile zamaphaphu (isb. i-PVOD, i-idiopathic interstitial pneumonias) | Lo muthi ungase ungafaneleki ezigulini ezinalezi zimo ezithile. |
Ngingawusebenzisa kanjani umuthi?
Lokhu kulula kakhulu.
- Thatha umthamo owunikezwe udokotela wakho, njengoba nje uyalelwe. Gwinya iphilisi ngengilazi yamanzi.
- Lomuthi ungathathwa nokudla noma ngaphandle kokudla . Lokho akuyona inkinga.
- Into ebaluleke kakhulu ukuphuza umuthi cishe ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ukusebenza kahle komuthi kungagcinwa ezingeni elifanayo emzimbeni.
- Ungayeki ukuthatha imithi nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho . Ukwenza kanjalo kungabangela izimpawu zakho zibe zimbi kakhulu futhi.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, yeqa umthamo ongawusebenzisi bese uthatha umthamo olandelayo ngesikhathi esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe .
Kodwa-ke, uma ungakwazi ukuthatha umuthi izinsuku ezintathu noma ngaphezulu, qiniseka ukuthi ukhuluma nodokotela wakho ukuze akunike iseluleko ngaphambi kokuqala umuthi futhi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poison Information Centre e-National Hospital , noma uye e-Emergency Treatment Unit (ETU) esibhedlela esiseduze.
Khumbula, lo muthi unikezwe wena kuphela. Ungabelani ngalo muthi nanoma ubani onezimpawu ezifana nezakho.
Izinto okungafanele zisetshenziswe ne-Riociguat nezinto ezingabangela izinkinga
I-Riociguat umuthi ongasebenzisana neminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo).
| Ungalokothi uthathe lezi neRiociguat! (Kuyingozi Kakhulu) | |
|---|---|
| Imithi yohlobo lwe-nitrate | Imithi yokwehluleka kwenhliziyo (njenge-GTN). Isibonelo: (isosorbide dinitrate, isosorbide mononitrate, nitroglycerin) |
| Izithibi ze-PDE5 | Imithi yokuthuthukisa abesilisa noma umfutho wegazi ophezulu emaphashini. Isibonelo: (i-sildenafil, i-tadalafil, i-vardenafil) |
| Eminye imithi | Imithi efana ne-(Dipyridamole) kanye ne-(Theophylline). |
| Isizathu: Uma le mithi ithathwa nge-Riociguat, umfutho wegazi ungehla ngendlela eyingozi, okuholela ekulahlekelweni yingqondo noma ngisho nasekufeni. | |
| Qaphela kakhulu uma usebenzisa lezi zinto. | |
| Imithi yokwelapha i-gastritis yesisu | Ama-antacid (isib., uketshezi noma amaphilisi) anganciphisa ukusebenza kwe-Riociguat. Thatha ihora elilodwa ngaphambi noma ngemva kwalokho. |
| Imithi ye-HIV noma i-AIDS | Eminye imithi yokulwa namagciwane. |
| Imithi yokwelapha ukuxhuzula | Isibonelo: (i-carbamazepine, i-phenobarbital, i-phenytoin) |
| Ama-antifungal kanye nama-antibiotic | Isibonelo: (i-itraconazole, i-ketoconazole, i-rifampin) |
Amaphuzu akhethekile okufanele uwaqaphele lapho uthatha umuthi
Gwema ukukhulelwa!
Lena yinto ebaluleke kakhulu futhi ebaluleke kakhulu okufanele uyiqaphele . Uma ukhulelwa ngenkathi uthatha i-Riociguat, kunobungozi obukhulu bokuzalwa kwengane yakho engakazalwa.
- Kwabesifazane: Uma ungowesifazane osekhulile ekuzaleni, kufanele uhlolwe ukukhulelwa ukuze uqiniseke ukuthi awukhulelwe ngaphambi kokuqala lo muthi, njalo ngenyanga ngenkathi uwuthatha, kanye nenyanga eyodwa ngemuva kokuyeka umuthi.
- Kufanele usebenzise izindlela ezimbili zokuvimbela inzalo ezithembekile ngesikhathi esisodwa ngenkathi uthatha iphilisi kanye nenyanga eyodwa ngemva kokuyeka. Khuluma nodokotela wakho ngalokhu bese unquma ukuthi yiziphi izindlela ezifanele wena.
- Uma usola kancane ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha.
- Ngenxa yale ngozi, kwamanye amazwe lo muthi utholakala kuphela ngaphansi kohlelo olukhethekile. Udokotela wakho uzokunikeza lonke ulwazi oludingayo. (Lolu hlelo alusebenzi kwabesilisa).
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Riociguat ingabangela imiphumela emibi.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula, ubuhlungu besifuba | Lokhu kungaba izimpawu zesifo esibi kakhulu. |
| Ukuzumeka okukhulu, ukuquleka, ukuwa | Kungaba uphawu lomfutho wegazi ophansi kakhulu. |
| Ukopha noma ukuklwebheka okungavamile | Ukopha okuvela ezinsinini, ekhaleni, noma emanxebeni ngaphansi kwesikhumba. |
| Lokhu ngokuvamile akulona ingozi, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Ikhanda elibuhlungu | Lokhu kuvame ukuncipha njengoba umzimba ujwayela imithi. |
| Uhudo, isicanucanu, ukuhlanza | Ungathola impumuzo ngokudla ukudla okungenamsoco. |
| Ukuvuvukala kwamaqakala, izinyawo, izandla | Kungenzeka ngenxa yokugcinwa koketshezi emzimbeni. |
Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi ezinye izimpawu ezikukhathazayo ezingekho kulolu hlu.
Ngingawugcina kanjani umuthi?
- Yigcine endaweni ephephile kude nezingane .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15-30). Gcina kude nokushisa okukhulu kanye nomswakama.
- Lahla noma yimuphi umuthi ophelelwe yisikhathi ngaphandle kokuwusebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Riociguat umuthi owelapha umfutho wegazi ophezulu emaphashini.
- Okubaluleke kakhulu: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi futhi inyanga eyodwa ngemva kokuyeka. Sebenzisa izindlela ezimbili zokuvimbela inzalo ezithembekile ngesikhathi esisodwa.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (ikakhulukazi ama-nitrate kanye ne-sildenafil).
- Gwema ukuyeka imithi ngaphandle kweseluleko sikadokotela wakho.
- Uma uzwa isiyezi esikhulu, ubuhlungu besifuba, noma ukopha okungavamile, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izinkinga noma ukukhathazeka ongase ube nakho.
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