Isivikelo ekuqhekekeni kwegazi enhliziyweni nasebuchosheni! Ake sifunde nge-Ticagrelor?

Wake waba nokuhlaselwa yinhliziyo? Noma ingabe othile omthandayo wake waba nayo? Noma wake wezwa ngesifo sohlangothi? Lezi yizinkinga ezinkulu zempilo, akunjalo? Nokho, ngezinye izikhathi lezi zinkinga zibangelwa ukwakheka kwamahlule egazi emithanjeni yethu yegazi. Namuhla sizokhuluma ngomuthi okhethekile osiza ekumiseni ukwakheka kwamahlule egazi anjalo. Igama lawo yiTicagrelor.

Uhlobo luni lomuthi iTicagrelor?

Kalula nje, i-Ticagrelor iyisidakamizwa esilwa nama-platelet. Manje ungase uzibuze ukuthi ayini ama-platelet. Lawa ngamaseli amancane egazini lethu. Ngokuvamile, lapho silimala, lawa ma-platelet ayahlangana ukuze akhe i-blood clot. Kuhle lokho.

Kodwa-ke, kwabanye abantu, ikakhulukazi labo abanesifo semithambo yegazi, okusho ubuhlungu besifuba, ukuhlaselwa yinhliziyo, noma isifo sohlangothi sangaphambilini noma isifo sohlangothi esincane, lawa ma-platelet angahlangana ndawonye futhi akhe amahlule egazi ngaphakathi kwemithambo yegazi. Lokho kuyingozi kakhulu. Ngoba lawo mahlule egazi anganciphisa noma avimbele ngokuphelele ukugeleza kwegazi enhliziyweni nasebuchosheni. Yilapho-ke izinto ezifana nokuhlaselwa yinhliziyo kanye nesifo sohlangothi zenzeka khona.

Ngakho-ke, okwenziwa yiTicagrelor ukuvimbela ama-platelet ukuthi angahlangani futhi akhe amahlule egazi. Lokhu kungasiza ekunciphiseni ingozi yokuba nesifo senhliziyo noma isifo sohlangothi. Lo muthi ubuye ube ngaphansi kwegama lomkhiqizo i-BRILINTA. Udokotela wakho kungenzeka ukuthi uwunike leli gama.

Lomuthi ungase usetshenziswe nakwezinye izinjongo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa i-Ticagrelor, kunezimo ezithile okufanele utshele udokotela wakho ngazo. Lo muthi awufanele wonke umuntu. Uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho :

• Izinkinga zokopha: Ingabe unesifo esikwenza wophe kalula futhi kunzima ukusiyeka? Isibonelo, ingabe ukopha akupheli ngisho noma unesilonda esincane?
• Wake waba nokopha ebuchosheni? Uma wake waba nako ngaphambili, kufanele ungitshele.
• Ingabe unama-polyp ekholoni? Lawa amahlumela amancane akheka ngaphakathi kwekholoni.
• Ingabe uzohlinzwa maduze? Noma usuqedile?
• Ukushaya kwenhliziyo okungajwayelekile: Wake waba nezikhathi lapho inhliziyo yakho ishaya khona ngokushesha okungajwayelekile, kancane, noma ngokungajwayelekile?
• Wake waba nokopha esiswini? Uma wake waba nokopha esikhathini esidlule, kungaba ngenxa yesilonda esiswini noma nganoma yisiphi esinye isizathu, sitshele ngakho.
• Isifo sesibindi: Ingabe unesifo sesibindi? Ngoba isibindi sisiza ekususeni izidakamizwa emzimbeni.
• Izifo zamaphaphu: Ingabe unazo izifo ezibangela ubunzima bokuphefumula, njenge-asthma noma i-COPD?
• Uke waba nokulimala okukhulu? Ingabe kube nengozi enkulu muva nje?
• I-sleep apnea: Ingabe uzizwa sengathi uyeka ukuphefumula isikhathi esifushane ngenkathi ulele? Ingabe ihambisana nokuhona?
• Izilonda zesisu: Ingabe zikhona izilonda ezihambisana nokuvuvukala kwesisu?
• Ukuhlaselwa yisifo sohlangothi noma i-Transient Ischemic Attack (TIA): Wake waba ne-stroke ngaphambilini noma izimpawu ezifanayo?
• Ingabe uthatha eminye imithi evimbela ukujiya kwegazi? Isibonelo, i-warfarin.
• Uke waba nokusabela kokungezwani komzimba ne-ticagrelor, eminye imithi, ukudla, noma udayi? Izinto ezifana nokuqunjelwa, ukulunywa, nokuvuvukala.
• Ukhulelwe? Noma uzama ukukhulelwa?
• Ingabe ungumama oncelisayo?

Kubaluleke kakhulu ukutshela udokotela wakho ngalezi zinto. Ngemuva kwalokho anganquma ukuthi kufanelekile yini ukukunikeza lo muthi noma cha, noma ashintshe umthamo.

Kulungile, manje uyisebenzisa kanjani kahle le ndlela?

Lomuthi uza ngesimo samaphilisi. Kufanele uthathwe ngomlomo.

• Iphilisi lingagwinywa liphelele. Gwinya nengilazi yamanzi.
• Uma unenkinga yokugwinya, ungachoboza iphilisi bese ulincibilikisa engilazini yamanzi. Choboza iphilisi, ufake impuphu engilazini yamanzi, uvuselele kahle, bese uliphuza ngokushesha. Bese ufaka amanye amanzi engilazini efanayo, uvuselele futhi, bese uphuza nawo. Ngaleyo ndlela, wonke umuthi uzomuncwa emzimbeni wakho.
• Ungayithatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzizwa uphatheke kabi esiswini, kungcono ukuyithatha nokudla.
• Into ebaluleke kakhulu ukuthatha umthamo ofanele, ngesikhathi esifanele, njengoba nje udokotela wakho ekuyalele. Ungaphuthelwa ngisho nosuku olulodwa.
• Ukweqa imithamo noma ukuyeka imithi ngokuzumayo ngaphandle kokutshela udokotela wakho kungandisa ingozi yakho yokuthola elinye ihlule legazi noma ukuba nesifo sohlangothi. Ngakho qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile ethi ``MedGuide`` nayo. Funda le ncwajana ngokucophelela njalo uma uthola umuthi wakho nalapho uthola ukugcwalisa kabusha. Iqukethe ulwazi oluningi olubalulekile kuwe.

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni, ngakho khuluma nodokotela wakho ngawo.

Isexwayiso: Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi unakho, kufanele uye ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi.

Lomuthi ungowakho kuphela.Ungayiniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma lokhu kwenzeka, thatha umthamo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawutholanga bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Eminye imithi engase ihlangane nalo muthi

Kunemithi ethile engabangela izinkinga uma ithathwa nge-Ticagrelor. Okusho ukuthi, ingase yehlise noma inyuse ukusebenza kahle kwe-Ticagrelor, noma yandise imiphumela emibi.

Imithi elandelayo akufanele ithathwe ne-Ticagrelor:

• I-Avanafil `(Avanafil)`
• I-Defibrotide
• I-Itraconazole (lena iyisidakamizwa sokulwa nezifo, kodwa lena akufanele ithathwe ne-ticagrelor)

Kufanele futhi uqaphele kakhulu lapho uthatha imithi elandelayo nge-Ticagrelor. Qiniseka ukuthi utshela udokotela wakho uma uthatha le mithi:

• I-aspirin (sizoxoxa ngalokhu kamuva)
• Ezinye izinhlobo zama-antibiotic: isibonelo, i-clarithromycin, i-telithromycin, i-rifampin.
• Eminye imithi yokulwa namagciwane esetshenziswa ekwelapheni i-HIV noma i-AIDS: Isibonelo, i-atazanavir, i-indinavir, i-nelfinavir, i-ritonavir, i-saquinavir.
• Eminye imithi esetshenziselwa ukwehlisa i-cholesterol: Isibonelo, i-lovastatin ne-simvastatin. (Lena isebenza kahle kakhulu uma ithathwa ngemithamo engaphezu kuka-40mg.)
• Eminye imithi yokwelapha izifo zesikhunta: Isibonelo, i-ketoconazole ne-voriconazole. (Khumbula, ngishilo ngaphambilini ukuthi ungayithathi nhlobo i-itraconazole.)
• Eminye imithi enikezwa ukwelapha ukuxhuzula: isibonelo, i-carbamazepine, i-phenobarbital, kanye ne-phenytoin.
• I-Digoxin (umuthi wesifo senhliziyo)
• Umuthi wobuhlungu we-opioid.
• I-Nefazodone (lo umuthi wokucindezeleka)

Lolu hlu aluphelele. Kungase kube neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), amakhambi owasebenzisayo, kanye nezithasiselo zokudla ozithathayo. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye zalezi zinto zingase zihlangane nemithi yakho.

Yini okufanele uyiqaphele kakhulu lapho uthatha i-`(Ticagrelor)`?

Kunezinto ezimbalwa okudingeka uziqaphele kakhulu uma uthatha lo muthi.

• Bona udokotela njalo:Xhumana nodokotela wakho njalo ukuze ubone ukuthi isimo sakho sinjani nokuthi imithi isebenza kahle yini. Ungaphuthelwa ama-aphoyintimenti akho.
• Ingozi eyengeziwe yokopha nokuklwebheka: Lo muthi ungakwenza uklwebheke kalula futhi ubangele ukopha okwengeziwe ngisho nangokulimala okuncane. Tshela udokotela wakho ngokushesha uma ubona noma yikuphi ukopha okungajwayelekile (isib. ukopha ekhaleni, ukopha kwezinsini, umchamo onegazi, noma indle emnyama).
• Gwema ezemidlalo nemisebenzi engabangela ukulimala: Ngesikhathi uthatha lo muthi, uma uthola isilonda esikhulu, ukuphuma kwegazi ngaphakathi kungase kwenzeke, futhi kungase kungabonakali ngaphandle. Ngakho-ke, gwema ezemidlalo nemisebenzi engabangela ukuwa nokulimala.
• Qaphela lapho usebenzisa amathuluzi abukhali: Qaphela kakhulu lapho usebenzisa izinto ezifana nemimese nezikele. Uma ushefa, sebenzisa i-razor kagesi uma kungenzeka.
• Qaphela lapho uxubha futhi uxubha nge-floss: xubha kancane ukuze ugweme ukulimaza izinsini zakho.
• Uma ubona noma yimaphi amanxeba, imihuzuko, noma amabala abomvu esikhumbeni sakho, tshela udokotela wakho .
• Uma uzohlinzwa noma olunye uhlobo lwezokwelapha, qiniseka ukuthi utshela udokotela/udokotela wakho ukuthi uthatha lo muthi. Bangase bakucele ukuthi uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
• Tshela udokotela wamazinyo : Uma uzokwelashwa ngamazinyo noma ngokuhlinzwa kwamazinyo, tshela udokotela wamazinyo ukuthi uthatha lo muthi. Ukuhlinzwa okukhulu kwamazinyo akuvamile ukwenziwa ngenkathi uthatha lo muthi. Uma kungenzeka, hlola amazinyo akho futhi ulungise noma yiziphi izinkinga ngaphambi kokuqala lo muthi. Nakekela amazinyo akho kahle ngenkathi uthatha lo muthi futhi ubone udokotela wamazinyo njalo.
• I-aspirin: Udokotela wakho angakutshela ukuthi uthathe iphilisi le-aspirin nsuku zonke kanye ne-ticagrelor. Kodwa-ke, ungaphuzi ngaphezu kwama-milligram ayi-100 (100mg) e-aspirin ngosuku. Thatha kuphela inani udokotela wakho akutshela ukuthi ulithathe.
• Gqoka i-ID yezokwelapha: Kungakhathaliseki ukuthi isongo esihlakaleni sakho noma iketanga elizungeze intamo yakho, phatha ikhadi elinemininingwane ngesimo sakho sezokwelapha kanye nemithi oyiphuzayo. Kungaba usizo kakhulu esimweni esiphuthumayo.

Ingabe ikhona imiphumela emibi? Iyini?

Njenganoma yimuphi umuthi, i-Ticagrelor ingabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa ingenzeka.

Imiphumela emibi kakhulu okufanele uyitshele udokotela wakho ngokushesha:

Lezi zimbi kakhulu, ngakho-ke kufanele ufune iseluleko sezokwelapha ngokushesha uma ubona into efana nale:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, noma ukuqubuka; ukuvuvukala kobuso, izindebe, noma ulimi.
• Ukopha:
• Indle ephuzi enegazi noma emnyama.
• Umchamo obomvu noma onsundu omnyama.
• Ukuhlanza into ensundu, njengegazi noma ikhofi eligayiwe.
• Amabala abomvu esikhumbeni.
• Ukopha noma ukuphuka okungavamile noma okuvamile okuvela emehlweni, ezinsinini, noma ekhaleni.
• Izinguquko ekushayweni kwenhliziyo: ubunzima bokuphefumula; ubuhlungu besifuba; isiyezi; ukushaya kwenhliziyo okungajwayelekile; ukuquleka, isiyezi.
• Ubunzima bokuphefumula, ikakhulukazi ngesikhathi sokulala: ukuphefumula okusheshayo okulandelwa ukuphefumula kancane; ukuphumula okufushane phakathi kokuphefumula; ukuhogela okukhulu.

Imiphumela emibi evamile, kodwa okufanele ibikwe kudokotela uma iqhubeka:

Lokhu kungase kungabi kubi kakhulu futhi ngokuvamile kuzophela ezinsukwini ezimbalwa. Kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho :

• Uhudo
• Ikhanda elibuhlungu (lapha "" kufanele kusetshenziswe) - Ikhanda elibuhlungu
• Isicanucanu
• Ukukhathala

Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile ngaphezu kwale, buza udokotela wakho ngayo.

Ungawugcina kanjani umuthi ngokuphephile?

• Gcina lo muthi kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25 / 68 no-77 degrees Fahrenheit).
• Vikela ekukhanyeni. Gcina ibhodlela/iphakethe lemithi livaliwe kahle.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Uyilahla kanjani imithi engasetshenziswanga, ephelelwe yisikhathi?

Lokhu kubalulekile futhi. Ukuyilahla nje emgqonyeni kadoti noma ukuyihlanza endlini yangasese akufaneleki kuyo yonke imithi.

• Ziyise ezindaweni ezinezinhlelo zokuthatha imithi. Ungathola ngezindawo ezinjalo ekhemisi lakho noma emaphoyiseni.
• Uma kungekho ndlela yokuyibuyisela, hlola ilebula lomuthi noma iphakethe ukuze ubone ukuthi linemiyalelo yokuthi ungawulahla kanjani umuthi kudoti noma uwukhiphe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ithi kuphephile ukulahla udoti, khipha umuthi ephaketheni noma ebhodleleni bese uwuxuba nento engasizi ngalutho, njengodoti wekati osetshenzisiwe, inhlabathi, ikhofi eligayiwe, njll. Bese ubeka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyiphonsa kudoti.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu nge-Ticagrelor, akunjalo? Empeleni lo muthi obalulekile osiza ekuvikeleni inhliziyo yakho nobuchopho bakho ekuqhekekeni kwegazi.

Kalula nje, ukusebenzisa lo muthi ngendlela efanele kunganciphisa kakhulu amathuba akho okuhlaselwa yinhliziyo noma isifo sohlangothi.

Kodwa khumbula,

• Thatha umuthi wakho njengoba nje udokotela ekutshela, ngesikhathi, futhi ungaphuthelwa ngisho nosuku olulodwa.
• Ungayeki ukuthatha imithi ngaphandle kokubonisana nodokotela wakho.
• Tshela udokotela wakho ngayo yonke eminye imithi namakhambi owasebenzisayo.
• Qaphela noma yiziphi izimpawu zokopha , futhi uma ubona into efana naleyo, tshela udokotela wakho ngokushesha.
• Qaphela umsebenzi ongabangela ukulimala.
• Ngaphambi kokuhlinzwa, tshela udokotela ukuthi uthatha lo muthi.

Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho noma usokhemisi. Bazokusiza. Into ebaluleke kakhulu ukunakekela impilo yakho!

I- Ticagrelor, i-Brilinta, amahlule egazi, ukuhlaselwa yinhliziyo, isifo sohlangothi, i-anti-platelet, isifo semithambo yenhliziyo, impilo yenhliziyo, imithi