Cabanga nje, uma umuntu ezwa ubuhlungu obukhulu esifubeni ngokuzumayo futhi esola ukuthi uhlaselwe yinhliziyo ... Kunemithi eminingi ebalulekile odokotela abayisebenzisayo esibhedlela ukusindisa izimpilo esimweni esiphuthumayo kangaka. Omunye wemithi enjalo yiTirofiban. Lona umjovo ofakwa emthanjeni. Ake sixoxe ngalo muthi obalulekile ngendlela elula namuhla.
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Iyini iTirofiban? Isebenza kanjani?
Kalula nje, igazi lethu liqukethe uhlobo lweseli elincane elibizwa ngokuthi ama-platelet . Umsebenzi walo oyinhloko ukuhlangana ndawonye lapho silimala, linamathele endaweni, futhi limise ukuphuma kwegazi . Lokho kuyinto enhle kakhulu emzimbeni.
Kodwa-ke, ngezinye izikhathi lawa ma-platelet angahlangana ngendlela engafanele futhi akhe amahlule egazi emithanjeni yenhliziyo, enikeza igazi enhliziyweni. Uma ihlule legazi livimba ngokuphelele umthambo wegazi, lingabangela ukuhlaselwa yinhliziyo.
I-Tirofiban isebenza ngokuvimba okwesikhashana ama-platelet ukuthi anganamatheli ndawonye futhi yakhe amahlule egazi. Lokhu kusiza ukuvimbela isimo ukuba singabi sibi kakhulu kubantu abaye bahlaselwa yinhliziyo noma ubuhlungu obukhulu besifuba ( i-angina engazinzile). Iphinde isetshenziswe ukuvimbela izinkinga ezingase zenzeke ngesikhathi sokwelashwa okuthile ukuvula imithambo yegazi evalekile (njenge-angioplasty).
Izinto okufanele udokotela wakho azazi ngaphambi kokukunikeza lo muthi
Ngenxa yokuthi lo muthi unamandla kakhulu, kubalulekile ukuthi wazise udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi wokugoma. Kufanele ukhulume ngokukhethekile noma yiziphi izimo ezilandelayo onazo:
| Isimo sempilo noma inkinga | Incazelo elula |
|---|---|
| I-Aneurysm (ukuvuvuka kodonga lomthambo wegazi) | Uma udonga lomthambo wegazi emzimbeni lubuthakathaka futhi luvuvukele njengebhaluni. |
| Izinkinga zokopha noma zokubopha igazi | Uma uphuka kalula, unenkinga yokumisa ukopha, noma unezinye izinkinga zegazi. |
| Ukulimala kwamehlo okubangelwa isifo sikashukela (i-Diabetic Retinopathy) | Uma i-retina yamehlo yonakele ngenxa yesifo sikashukela. |
| Ukulimala ekhanda noma isimila | Uma uke waba nokulimala okukhulu ekhanda muva nje noma esikhathini esidlule noma uma unesimila ebuchosheni. |
| Umfutho Wegazi Ophakeme | Uma une-high blood pressure engalawuleki. |
| Isifo sohlangothi | Uma uke waba nesimo sokukhubazeka ngaphambilini. |
| Inani lamaplatelet elinciphile | Uma utholakale une-platelet count ephansi. |
| Ingozi noma ukuhlinzwa okukhulu kwamuva nje | Uma ube nengozi enkulu noma ukuhlinzwa okukhulu emasontweni ambalwa edlule. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukungezwani komzimba | Uma une-allergy ku-tirofiban noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
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Lona akuwona umuthi ongawuthatha ekhaya. I-Tirofiban inikezwa esibhedlela noma emtholampilo kuphela. Inikezwa ngokujova emthanjeni ( ukujova emthanjeni) ngudokotela noma umhlengikazi oqeqeshiwe.
Ngesikhathi uthatha lo muthi, izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuzoqashwa njalo.
Kuthiwani uma umthamo ukhuphuka?
Njengoba lo muthi unikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela, amathuba okuthi umthamo uphuthelwe aphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile nganoma iyiphi indlela, kufanele wazise abasebenzi bezokwelapha ngokushesha. Uma kudingeka, ungaxhumana ne -National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane ne-tirofiban
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, kanye namavithamini nemikhiqizo yamakhambi, ngoba eminye imithi ingasebenzisana ne-tirofiban futhi yandise ingozi yokopha.
- I-aspirini neminye imithi equkethe i-aspirini.
- Eminye imithi evimbela ukujiya kwegazi, njengeWarfarin ne-Enoxaparin .
- Ama-painkiller (ama-NSAID) njenge -ibuprofen .
- Imikhiqizo yamakhambi efana ne -Ginkgo .
- Imithi efana ne -dipyridamole .
Nikeza udokotela wakho uhlu lwazo zonke izidakamizwa, amavithamini, kanye namakhambi owaphuzayo. Qiniseka ukuthi uyamtshela uma ubhema noma uphuza utshwala.
Izimpawu okufanele uziqaphele lapho uthatha umuthi
Ngesikhathi unikezwa lo muthi, ungase ube nezimpawu ezithile ezisheshayo ezibonisa ukuthi isimo sakho siya siba sibi kakhulu. Uma lokhu kwenzeka , kufanele wazise udokotela wakho noma umhlengikazi wakho ngokushesha.
- Ubunzima bokuphefumula
- Izinguquko zombono (njengokubona okufiphele ngokuzumayo)
- Ikhanda elibuhlungu elinzima, elingazelelwe
- Ubunzima bokukhuluma, ukungingiza
- Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni
- Ubuhlungu, ukuvuvukala, kanye nomuzwa wokufudumala emlenzeni
Lokhu kungaba izimpawu zesimo esibucayi esibangelwa ukuqhekeka kwegazi.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-tirofiban ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, eminye ayibi kakhulu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu Zokopha | Indle emnyama noma enegazi, umchamo obomvu noma onsundu omnyama, ukuhlanza okusanhlamvu kwekhofi, ukuphuma kwegazi okungavamile ekhaleni noma ezinsinini, amabala abomvu esikhumbeni, kanye nokulunywa okulula. |
| Ezinye izimpawu ezinkulu | Ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, umkhuhlane, ukubanda, ukuvuvukala kwamaqakala, izinyawo, noma izandla. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| Imiphumela emibi emincane | Ikhanda elibuhlungu, isicanucanu noma ukuhlanza, ukujuluka, ukuquleka. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho noma umhlengikazi.
Umlayezo Wokuya Nawe Ekhaya
- I-Tirofiban iwumjovo onamandla onikezwa esibhedlela kuphela ukuvimbela ukuqhekeka kwegazi ezimweni eziphuthumayo njengokuhlaselwa yinhliziyo kanye nobuhlungu obukhulu besifuba.
- Ngaphambi kokuthatha lo muthi, kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi izinkinga zokopha, umfutho wegazi ophakeme, isifo sohlangothi) kanye nayo yonke eminye imithi oyithathayo.
- Ngesikhathi uthatha umuthi, qaphela kakhulu izimpawu zokopha (indle emnyama, umchamo obomvu, ukushaqeka okungavamile). Uma ubona into efana nale, yazisa abasebenzi bezokwelapha ngokushesha.
- Lona akusiwo umuthi olaliswa esibhedlela, futhi zonke izindlela zokwelapha zenziwa ngaphansi kokuqondisa kukadokotela.
- Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma ngokukhululekile nodokotela wakho noma abasebenzi abahlengikazi.
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