Ingabe ngezinye izikhathi uba nobunzima bokuphefumula, umuzwa wokusinda esifubeni sakho, noma uzizwa uphelelwa amandla ngisho noma ukhathele kancane? Nakuba kunezizathu eziningi zalokhu, ngezinye izikhathi imbangela ingaba ukwanda kwengcindezi emithanjeni yegazi emaphashini. Namuhla sizokhuluma ngomuthi osetshenziselwa ukwelapha isimo esithile esinjalo.
Iyini i-Treprostinil?
Kalula nje, i-Treprostinil umuthi osetshenziselwa ukwelapha isimo esibizwa ngokuthi i-Pulmonary Arterial Hypertension (PAH). Umuthi owuketshezi ophefumulwa njengomhwamuko.
Manje ungase uzibuze ukuthi iyini i-pulmonary arterial hypertension (PAH), ingabe ihlukile yini kumfutho wegazi ojwayelekile? Yebo, ihlukile. Cabanga ukuthi amapayipi amanzi endlini yakho avalekile futhi anciphile. Kunzima kangakanani ukuthi iphampu yamanzi ipompe amanzi ngamapayipi? Iphampu kufanele ithwale isisindo esiningi, akunjalo? Ngendlela efanayo, lapho imithambo yegazi ethwala igazi lisuka enhliziyweni yethu liye emaphashini iba mincane, inhliziyo kufanele isebenze kanzima ukupompa igazi liye emaphashini. Yilokhu esikubiza ngokuthi 'i-Pulmonary Arterial Hypertension (PAH)'.
I-Treprostinil isebenza ngokuphumula nokwandisa imithambo yegazi emincane emaphashini. Lokhu kunciphisa ingcindezi ngaphakathi kwamaphaphu. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni, okuvumela ukuthi ipompe igazi liye kuwo wonke umzimba kalula. Lokhu kwenza kube lula ngawe ukuphefumula futhi kwenza kube lula ukwenza imisebenzi yakho yansuku zonke. Lo muthi utholakala ngaphansi kwamagama omkhiqizo iTyvaso namanye.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Isifo Sesibindi: Uma unesifo sesibindi, qiniseka ukuthi uyasikhuluma, njengoba isibindi sihileleke ngqo enkambisweni yokususa lo muthi emzimbeni.
- Umfutho wegazi ophansi: Uma unengcindezi yegazi ephansi, lo muthi ungase wehlise kakhulu. Lokhu kungabangela isiyezi. Tshela udokotela wakho ngakho.
- Ezinye izifo zokuphefumula: Uma unezinye izifo zokuphefumula ezifana ne-asthma noma i-COPD, sitshele ngazo futhi.
- Ukuphefumula: Uma uzwa umsindo wokukhala kwekhwela lapho uphefumula, kungaba uphawu lokuthi kukhona okuvimbekile endleleni yakho yokuphefumula. Tshela udokotela wakho ngalokho futhi.
- Ukungezwani komzimba: Uma une-allergy kulo muthi, i-Treprostinil, noma yimuphi omunye umuthi, ukudla, noma idayi, sicela usitshele ngakho.
- Ukukhulelwa nokuncelisa:Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kubalulekile ukwazisa udokotela wakho ngaphambi kokuqala lo muthi.
Ungayisebenzisa kanjani imithi?
Lokhu kwenziwa kusetshenziswa i-nebulizer , ithuluzi elidala inkungu. I-nebulizer iguqula umuthi owuketshezi ube inkungu encane (i-aerosol). Ungabe usuphefumula inkungu ngomlomo noma ekhaleni lakho bese uyithumela ngqo emaphashini akho.
Kubaluleke kakhulu: Lo muthi kufanele usetshenziswe kuphela nge-`Tyvaso Inhalation System` ethile. Ungalokothi uhlanganise lo muthi neminye imithi ku-Nebulizer.
Sebenzisa lo muthi kuphela njengoba uyalelwe udokotela wakho, isikhathi esinqunyiwe. Ungayeki ukuthatha lo muthi ngaphandle kweseluleko sikadokotela wakho. Funda imiyalelo ehambisana nalo muthi ngokucophelela. Uma kukhona ongakuqondi, cela udokotela wakho ukuthi aqinisekise ukuthi uyakuqonda.
Kuthiwani uma umthamo ukhushuliwe noma ukhohliwe?
Uma ngephutha uthatha umthamo ongaphezu kobekiwe, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi ingasebenzisana ne-Treprostinil, ngakho tshela udokotela wakho ngakho konke okuthathayo.
- Eminye imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo
- `Gemfibrozil` (umuthi wokwehlisa i-cholesterol)
- `Rifampin` (i-antibiotic enikezwa isifo sofuba)
Lolu hlu aluphelele. Ngakho-ke nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa (ezibhalwe ngudokotela kanye nezingathengwa ngaphandle kwemithi kadokotela), amakhambi, amavithamini, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Imiphumela emibi nezinto okufanele uziqaphele
Kubalulekile ukunaka izinguquko emzimbeni wakho ngenkathi uthatha lo muthi.
Izinto okufanele uziqaphele ngokujwayelekile
- Ukuhlolwa njalo kwezokwelapha: Ungayeki ukuya kudokotela wakho. Lokhu kubalulekile ukuze ubone ukuthi wenza kanjani ngokwelashwa kwakho.
- Ukubika izimpawu:Uma izimpawu zakho zingathuthuki noma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
- Ingozi yokopha: Lo muthi ungandisa kancane ingozi yokulunywa nokopha. Ngakho-ke, uma ubona ukulunywa okungavamile, ukopha kwezinsini lapho uxubha amazinyo akho, noma ukopha ngokungazi, yazisa udokotela wakho.
Okuqhamuka uma udla imishanguzo
Ake sihlukanise imiphumela emibi engaba khona yalo muthi ngezigaba ezimbili. Eminye iyingozi futhi idinga ukunakekelwa kwezokwelapha ngokushesha. Eminye ivamile, kodwa kufanele ibikwe uma iqhubeka.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha okungavamile | Igazi elisesihlahleni noma esihlahleni esimnyama, ukuhlanza okufana nokudla kwekhofi, umchamo obomvu/onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, ukuminyana okungavamile. |
| Umfutho wegazi ophansi | Isiyezi esikhulu, ikhanda elikhanyayo, umbono ofiphele. |
| Ukuphefumula kanzima noma ukuphefumula kanzima | Ukushaya ikhwela noma ubunzima bokuphefumula. |
| Imiphumela emibi evame ukuvame, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukukhwehlela | Ukukhwehlela okuncane okubangelwa ukuhogela umuthi. |
| Uhudo | Ukuvuvukala kwesisu. |
| Ikhanda elibuhlungu kanye nesiyezi | Ikhanda elincane noma isiyezi. |
| Ukuhlanza ubuso | Ubuso buyashisa futhi bube bomvu. |
| Umphimbo obuhlungu nekhala | Umphimbo obuhlungu, ikhala eligobhozayo, noma umphimbo obuhlungu. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
Uwugcina futhi uwulahla kanjani umuthi?
- Indawo Yokugcina: Gcina kude nezingane nezilwane ezifuywayo. Gcina iphakethe le-foil elingakavulwa lama-ampoules ezingeni lokushisa legumbi (20-25 degrees Celsius). Uma iphakethe le-foil selivuliwe, ama-ampoules kufanele asetshenziswe zingakapheli izinsuku eziyi-7. Vikela ekukhanyeni. Ungavuli i-ampoule kuze kube yilapho isilungele ukusetshenziswa.
- Imithi Ekwi-Nebulizer: Uma imithi isifakwe kwi-Nebulizer, ungayishiyi emshinini isikhathi esingaphezu kwamahora angama-24. Susa noma yimiphi imithi esele emshinini ekupheleni kosuku.
- Ukulahlwa: Indlela engcono kakhulu yokulahla imithi ephelelwe yisikhathi noma engasadingeki ukuyinikela ezinhlelweni zokuthatha imithi ezitholakala ezibhedlela noma kwamanye amakhemisi. Buza udokotela wakho noma isibhedlela ngalokhu. Uma lokhu kungenzeki, buza udokotela wakho ukuthi ungayilahla kanjani le mithi ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Treprostinil iyindlela ethile yokwelapha umfutho wegazi ophezulu we-pulmonary arterial (PAH). Iphefumulwa nge-vaporizer.
- Lo muthi kufanele usetshenziswe kuphela nge-Tyvaso Inhalation System enqunyelwe wona. Ungawuxubi neminye imithi.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Uma uzwa ukopha okungajwayelekile, isiyezi esinzima, noma izimpawu zokungezwani komzimba, yazisa udokotela wakho ngokushesha.
- Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngawo nabanye.
- Uma unemibuzo noma ukungabaza, khuluma nodokotela wakho ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment