Ungacabanga ngemithambo yegazi ethwala igazi lisuka enhliziyweni yethu liye emaphashini ethu incipha kancane kancane, okwenza umfutho wegazi wande kakhulu? Kufana nokucindezela ipayipi lamanzi bese ijubane lamanzi likhuphuka. Lokhu yilokho esikubiza ngokuthi ' i-Pulmonary Arterial Hypertension' noma 'i-PAH' kwezokwelapha. Lesi yisimo esihlukile kancane kunomfutho wegazi ojwayelekile ophakeme futhi sidinga ukunakwa okukhethekile. Lokhu kungabangela izimpawu ezifana nokuphelelwa umoya, ubuhlungu besifuba, kanye nokukhathala okukhulu. Ngakho-ke namuhla sizokhuluma ngomuthi okhethekile osetshenziselwa ukwelapha lesi simo, okungumjovo we-Treprostinil.
Uhlobo luni lomuthi i-Treprostinil?
Kalula nje, i-Treprostinil (igama lomkhiqizo: i-Remodulin) umuthi onikezwa abantu abane-pulmonary arterial hypertension (PAH) engikhulume ngayo ekuqaleni. Lo muthi usebenza ngokwandisa imithambo yegazi emincane kancane, okwenza kube lula ukuthi igazi ligeleze. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni futhi kusiza ukulawula izimpawu. Kwenza kube lula nokwenza imisebenzi yansuku zonke. Lo muthi ubaluleke kakhulu osiza ukuthuthukisa ikhwalithi yokuphila.
Udokotela wakho angase futhi akunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo ngalokhu, qiniseka ukuthi ubuza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Isifo sezinso: Uma unesifo esihlobene nezinso.
- Isifo sesibindi: Uma kukhona inkinga ngokusebenza kwesibindi.
- Ukungezwani komzimba: Qiniseka ukuthi utshela udokotela wakho uma uke waba nokusabela kokungezwani komzimba ne-Treprostinil, i-Epoprostenol, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele ukhulume nodokotela wakho ngaphambi kokuqala lo muthi.
Ngingawusebenzisa kanjani lo muthi?
Lokhu akufani nephilisi noma i-capsule esivame ukuyithatha. Umjovo we-Treprostinil unikezwa emzimbeni wakho ngephampu encane esebenza njalo (i-continuous infusion) . Umuthi ungena emzimbeni wakho ngepayipi elincane, elibizwa ngokuthi i-catheter, elixhunywe kule phampu. Lokhu kungenziwa ngezindlela ezimbili:
1. Ngaphansi kwesikhumba: I-catheter ifakwa ngaphansi kwesikhumba bese kunikezwa umuthi.
2. Ngokusebenzisa umthambo (Ongena emithanjeni):I-catheter ifakwa ngqo emthanjeni wegazi (emthanjeni) bese kunikezwa umuthi.
Uzonikezwa ukuqeqeshwa okuphelele esibhedlela mayelana nendlela yokusebenzisa lokhu, indlela yokulungisa iphampu, kanye nendlela yokufaka i-catheter. Kubaluleke kakhulu ukulandela imiyalelo enikezwe udokotela kanye nabasebenzi abahlengikazi ngqo .
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi nganoma yisiphi isizathu ngaphandle kokubonisana nethimba lakho lezokwelapha. Ukuwuyeka ngokuzumayo kungenza isimo sakho sibe sibi kakhulu.
Wenzani ngezinaliti ezisetshenzisiwe kanye nezirinji?
Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kufanele zibekwe esitsheni esikhethekile (isitsha sokuhlaba) esinikeziwe. Uma ungenaso, cela udokotela wakho noma isibhedlela ukuthi akunike sona.
Ingabe lo muthi kufanele unikezwe izingane?
Izingane zingadinga ukunakekelwa okukhethekile lapho zinikeza lo muthi, ngakho-ke kubalulekile ukuxoxa ngalokhu nodokotela wezingane ukuze uthole iseluleko.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Eminye imithi oyithathayo ingase ihlangane ne-Treprostinil, ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
| Uhlobo lwesidakamizwa | Izinto okufanele uziqaphele |
|---|---|
| Eminye imithi yokwelapha umfutho wegazi ophakeme | Uma lokhu kuhlanganiswa ne-Treprostinil, umfutho wegazi ungase wehle kakhulu. |
| Isiqeda ukugabha kwegazi | Izibonelo: Imithi efana neWarfarin, i-Enoxaparin, i-Dabigatran, ne-Apixaban. Lokhu kungandisa ingozi yokopha. |
| Imithi yokuhlanza | Kungabangela umfutho wegazi ophansi. |
| Eminye imithi | Imithi efana neGemfibrozil kanye neRifampin ingathinta ukusebenza kahle kwalomuthi. |
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa okuvamile: Hlala uthintana nodokotela wakho njalo ukuze uqaphe inqubekela phambili yesimo sakho. Yiya emitholampilo njalo.
- Isikhumba esizungeze i-catheter: Hlola isikhumba esizungeze i-catheter njalo. Uma kukhona ukubomvu okungajwayelekile, ubuhlungu, ukuvuvukala, noma ukuphuma koketshezi okufana nobomvu, yazisa ithimba lakho lezempilo ngokushesha. Lokhu kungaba uphawu lokutheleleka.
- Uma isimo sakho siba sibi kakhulu: Ngezinye izikhathi isimo sakho singaba sibi kakhulu ngisho nangemva kokuthatha lo muthi. Uma uzizwa ngale ndlela, njengokuthi unenkinga yokuphefumula noma ubuhlungu besifuba, shayela udokotela wakho ngokushesha. Umthamo wakho ungadinga ukushintshwa.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Treprostinil ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa, amaqhubu | Ukuvuvukala kobuso, izindebe, noma ulimi |
| Ubunzima bokuphefumula | Ubuhlungu besifuba |
| Ukushaya kwenhliziyo okusheshayo, ukushaya ngamandla, noma okungajwayelekile | Isicanucanu, isiyezi, kanye nokuwa |
| Umkhuhlane noma ukuzizwa ubanda | Ukudumba, ubuhlungu, noma ukuvuvukala endaweni yokujova |
| Ubuhlungu, ukungazweli, noma ukulahlekelwa yimizwa ezandleni nasezinyaweni | Ubuthakathaka noma ukukhathala okungavamile |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubuhlungu bethambo noma umhlathi | Uhudo |
| Ukuhlanza | Ikhanda elibuhlungu |
| Isicanucanu, ukuhlanza | |
Ungagcina kanjani imithi?
Ukuze kulondolozwe ikhwalithi yomuthi, kubaluleke kakhulu ukuwugcina kahle.
- Gcina kude nezingane nezilwane ezifuywayo.
- Amabhodlela angavulwanga: Gcina endaweni yokushisa ephakathi kuka-15 no-25 degrees Celsius.
- Ngemva kokuvula i-vial: Ngemva kokuthatha umthamo wokuqala womuthi, i-vial kufanele isetshenziswe zingakapheli izinsuku ezingu-30.
- Umuthi ophelelwe yisikhathi: Ungawusebenzisi nganoma yisiphi isizathu ngemva kosuku lokuphelelwa yisikhathi.
- Imithi ephampini:
- Uma unikezwa ngaphansi kwesikhumba: Umuthi osesipini esisodwa ungasetshenziswa kuze kube amahora angu-72. Ngemva kwamahora angu-72, lahla umuthi osele.
- Uma inikezwa ngemithambo: Umuthi osesipini esisodwa ungasetshenziswa kuze kube amahora angu-48. Lahla umuthi osele ngemva kwamahora angu-48.
Umlayezo Wokuya Nawe Ekhaya
- I-Treprostinil umuthi obaluleke kakhulu wokulawula umfutho wegazi ophezulu we-pulmonary arterial (PAH). Kufanele isetshenziswe kuphela njengoba kuqondiswe udokotela wakho.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela nganoma yisiphi isizathu. Kungaba yingozi kakhulu.
- Hlala uqaphile imiphumela emibi efana nokubomvu, ubuhlungu, nokuvuvukala endaweni yokujova, kanye nobuhlungu besifuba kanye nobunzima bokuphefumula. Uma ubona noma yikuphi kwalokhu, yazisa udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukugcina imithi ngendlela efanele nokulahla izinaliti ezisetshenzisiwe ngokuphephile.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment