Uyazi iphilisi le-Treprostinil elikhishwa isikhathi eside, elisetshenziselwa ukwelapha umfutho wegazi ophezulu we-pulmonary arterial?

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma uzizwa ukhathele kakhulu futhi unesiyezi ngisho nalapho uhamba kancane noma ukhuphuka izitebhisi? Lezi zinto azigcini nje ngokwenzeka. Lokhu kungaba izimpawu zokucindezela okukhulu emithanjeni yegazi emaphashini akho, okuyinto odokotela abayibiza ngokuthi `(Pulmonary Arterial Hypertension)`. Ngakho-ke namuhla sizokhuluma ngephilisi elibizwa ngokuthi `Treprostinil` elisetshenziselwa ukwelapha lesi simo. Lona umuthi ongasiza ekuthuthukiseni amandla akho okuzivocavoca futhi wenze impilo ibe lula kancane.

Uyini ngempela lo muthi obizwa ngokuthi 'i-Treprostinil'?

Kalula nje, i-`Treprostinil` umuthi okhethekile osetshenziselwa ukwelapha umfutho wegazi ophezulu emithanjeni yegazi emaphashini, noma i-`Pulmonary Arterial Hypertension`. Ungawuthola futhi lo muthi ngaphansi kwegama lomkhiqizo elithi `Orenitram`.

Ake sibheke ukuthi iyini i-Pulmonary Arterial Hypertension.

Cabanga nje, sinemithambo yegazi ethwala igazi lisuka enhliziyweni yethu liye emaphashini ethu. Kwenzekani uma leyo mithambo yegazi incipha noma ingcindezi engaphakathi kwayo ikhuphuka? Khona-ke inhliziyo iba nesikhathi esinzima sokupompa igazi liye emaphashini. Yilokho esikubiza ngokuthi `(Pulmonary Arterial Hypertension)` noma umfutho wegazi ophezulu emaphashini. Lokhu kufana nepayipi lamanzi elivalekile futhi kuba nzima ngamanzi ukugeleza. Yilokhu okubangela ubunzima bokuphefumula nokukhathala.

I-Treprostinil isiza kanjani?

Ngakho-ke lokho okwenziwa yilo muthi we-'Treprostinil' ukwandisa imithambo yegazi kulawo maphaphu aminyene, anomfutho ophezulu futhi wenze ukugeleza kwegazi kube lula. Khona-ke umthwalo womsebenzi enhliziyweni uyancipha, uphefumula kalula, futhi ikhono lakho lokuzivocavoca liyakhula. Lokho kusho ukuthi uthola amandla engeziwe okwenza imisebenzi yakho yansuku zonke , futhi ikhwalithi yokuphila kwakho nayo iyathuthuka.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Ngaphambi kokukunikeza leli philisi elithi 'Treprostinil', udokotela wakho uzokubuza imibuzo ethile. Kukhona nezinto okudingeka ucacise ngazo. Ngoba lo muthi awufanele wonke umuntu.

Qiniseka ukuthi utshela udokotela wakho ngalezi zinto:

• Ingabe unesifo samathumbu esifana ne-diverticulosis? (Yilapho kwakheka khona izikhwama ezincane odongeni lwamathumbu akho).
• Ingabe uphuza njalo?
• Ingabe unesifo sesibindi ?
• Wake waba nokusabela kokungezwani komzimba ne-Treprostinil, eminye imithi, ukudla, noma izithasiselo?
• Ukhulelwe ? Noma unethemba lokukhulelwa?
• Ingabe ungumama oncelisayo?

Uma la maqiniso enembile, udokotela anganquma ukuthi lo muthi ukufanele yini, noma cha, noma ukuthi uwunikeza kanjani.

Kufanele ngiwusebenzise kanjani ngempela lo muthi?

Uma ufuna umuthi usebenze kahle, kufanele uwusebenzise ngendlela efanele, akunjalo? Kunezinto ezimbalwa okudingeka uziqaphele uma uthatha i-'Treprostinil'.

Ulithatha kanjani iphilisi?

Kufanele uphuze leli philisi nengilazi yamanzi . Thatha umuthi ngesikhathi esinqunyiwe njengoba udokotela wakho ekutshelile. Into ebaluleke kakhulu ukuthatha leli philisi kanye nokudla.

Qiniseka ukuthi uyakhumbula: Ungaliphuli, ulichoboze, noma ulihlafune leli philisi!

Leli iphilisi "elikhishwa isikhathi eside". Lokhu kusho ukuthi umuthi ukhishwa kancane kancane emzimbeni usuku lonke. Uma uliphula, ulichoboza, noma ulihlafuna, umuthi ungangena emzimbeni wonke ngesikhathi esisodwa futhi ubangele izinkinga ezingafuneki. Ngakho-ke gwinya iphilisi lonke.

Thatha umuthi njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele. Ungathathi ngaphezu kwesilinganiso esinqunyiwe, noma uwuthathe kaningi. Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela.

Uma unikeza izingane ezincane lo muthi, kufanele ukhulume nodokotela wezingane ngakho futhi ulandele iseluleko sabo. Kungadinga ukunakekelwa okukhethekile.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi ungase ukhohlwe ukuphuza umuthi wakho. Uma lokhu kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Uma uphuthelwa imithamo emibili noma ngaphezulu ilandelana, khuluma nodokotela wakho ukuze ubone ukuthi umthamo wakho udinga ukushintshwa yini.

Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi uphuze umuthi omningi kunalokho ocabanga ngakho, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi.

Khumbula, lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Uma sithatha umuthi owodwa, ungasebenzisana neminye imithi, nokudla, noma nezinye izinto esizithathayo. Lokho kusho ukuthi imiphumela yawo ingashintsha. Lokho kungenzeka nge-`Treprostinil`.

Nazi ezinye izinto ezingase zihlangane ne-`Treprostinil`:

• Eminye imithi yokucindezela kwegazi
• Imithi evimbela ukujiya kwegazi (isibonelo, i-warfarin, i-enoxaparin, i-dalteparin, i-apixaban, i-dabigatran, kanye ne-rivaroxaban)
• Imithi ekhulisa ukuphuma komchamo (i-diuretics)
• Umuthi 'gemfibrozil'
• Umuthi obizwa ngokuthi `rifampin` (lo umuthi ovame ukunikezwa isifo sofuba)

Lolu hlu alufaki konke ukusebenzisana. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (eyanikezwa udokotela, ethengiswa ngaphandle kwemithi kadokotela, eyamakhambi, amavithamini, kanye nezithasiselo zokudla). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye zalezi zinto zingathinta indlela imithi yakho esebenza ngayo.

Ezinye izinto okufanele uzicabangele lapho uthatha imithi

Kunezinto ezimbalwa okudingeka uziqaphele lapho uthatha i-'Treprostinil'.

• Uma izimpawu zakho (njengokukhathala nobuthakathaka) zingathuthuki noma ziba zimbi kakhulu , tshela udokotela wakho.
• Lokhu kungase kubonakale kungavamile, kodwa kubalulekile: Ngemva kokuthatha leli philisi, ungase uqaphele ukuthi igobolondo lethebhulethi liphuma nendle yakho. Lokhu kuvamile, ungakhathazeki. Ngoba indlela la maphilisi "akhululwayo" enziwa ngayo, igobolondo elingenalutho lingaphuma ngaphandle kokuncibilika ngemva kokuba umuthi umuncwe emzimbeni. Lokhu akuthinti ikhwalithi yomuthi nganoma iyiphi indlela.

Yimiphi imiphumela emibi engaba khona?

Njengayo yonke imithi, i-Treprostinil ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

• Ukusabela kokungezwani komzimba: Uma uhlangabezana nezimpawu ezifana nokuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe, noma ulimi, funa iseluleko sikadokotela ngokushesha.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa tshela udokotela wakho uma iqhubeka noma ikhathaza):

• Uhudo
• Ububomvu bobuso, ukushaqeka
• Ikhanda elibuhlungu
• Isicanucanu

Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, khuluma nodokotela wakho ngazo futhi.

Ngingawugcina kanjani umuthi?

Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.

• Yigcine kude nezingane ezincane.
• Ngokuvamile ingagcinwa ekamelweni lokushisa, cishe ama-degree Celsius angu-25 (ama-degree Fahrenheit angu-77). (Yenza kanjalo ngaphandle kokuthi udokotela wakho noma usokhemisi ekunike imiyalelo ekhethekile.)
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, i-'Treprostinil' iwumuthi owusizo kakhulu kubantu abane-hypertension yamaphaphu. Kodwa kufanele uqaphele kakhulu uma uwusebenzisa.

Lesi sihloko sikunikeza umbono ojwayelekile wokuthi lo muthi uyini, kodwa akuyona incazelo ephelele. Uma uneminye imibuzo mayelana nalo muthi, qiniseka ukuthi ukhuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Bazokwazi ukukuchazela ngokuningiliziwe.

Into ebaluleke kakhulu ukuphuza umuthi njengoba nje udokotela wakho ekutshela, ngesikhathi esifanele, nangenani elifanele. Khona-ke uzokwazi ukuthola okuningi kulo muthi futhi wenze impilo yakho ibe lula. Ngikufisela impilo enhle!

I- Treprostinil, Umfutho wegazi ophezulu we-pulmonary arterial, i-Orenitram, Umfutho wegazi ophezulu we-pulmonary, Isifo senhliziyo, Izinkinga zokuphefumula, Imininingwane yemithi