Cabanga ngokuzumayo unenkinga yokuphefumula, uzizwa sengathi uyacinana ngenxa yobuhlungu obukhulu esifubeni sakho. Lokhu kungaba yisimo esiyingozi kakhulu ngezinye izikhathi. Esinye sezizathu zalokhu ukuthi ihlule elikhulu legazi libhajwa emthanjeni omkhulu wegazi ohambisa igazi emaphashini. Kwezokwelapha, lokhu sikubiza ngokuthi i-pulmonary embolism. Kulesi simo esisongela ukuphila, kunikezwa umjovo obaluleke kakhulu futhi onamandla obizwa ngokuthi i-Urokinase ukuze kuncibilikiswe ihlule legazi ngokushesha futhi kusindiswe impilo yakho. Ake sixoxe ngalokhu namuhla.
Kalula nje, iyini i-Urokinase?
I-Urokinase iyisidakamizwa esiqeda ukuvaleka kwegazi . Uma sikhuluma iqiniso, lesi sidakamizwa sisiza ukuya ehlwini legazi elakheke ngendlela eyingozi ngaphakathi komthambo wegazi endaweni ethile emzimbeni wethu, silincibilikise, futhi sibuyisele ukugeleza kwegazi.
Lokhu kuvame ukusetshenziswa kuphela ezimweni eziphuthumayo nasezimweni ezimbi kakhulu. Kuvame ukusetshenziswa kakhulu ukuncibilikisa amahlule amakhulu egazi emaphashini (`i-massive pulmonary embolism`) . Lona akuyona imithi okufanele isetshenziswe ekhaya, kodwa inikezwa esibhedlela kuphela, ngaphansi kokuqashwa okuseduze kodokotela nabasebenzi abahlengikazi.
Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokumnika lo muthi?
Ngenxa yokuthi i-Urokinase iyisidakamizwa esinamandla kakhulu, kungaba yingozi ukuyisebenzisa uma unezimo ezithile zezokwelapha emzimbeni wakho. Ngakho-ke, ngaphambi kokunquma ukukunikeza lesi sidakamizwa, kufanele utshele udokotela wakho ngalezi zinto ezilandelayo, ngaphandle kokufihla lutho .
Ukunikeza lolu lwazi kubalulekile ukuze uphephe, njengoba ingozi enkulu yalo muthi ukopha.
| Isimo okufanele sibikwe | Kungani kufanele ngikwazise? (Kalula nje) |
|---|---|
| I-Aneurysm, ukulimala ekhanda, noma isimila sobuchopho. | Esimweni esinjalo, kunengozi enkulu kakhulu yokopha ebuchosheni. |
| Izinkinga zokopha, izinkinga zokujiya kwegazi. | Umuthi ungabangela ukuba ukopha kungalawuleki. |
| Umfutho wegazi ophakeme ongalawuleki. | Umfutho wegazi ophezulu wandisa ingozi yokuqhuma komthambo wegazi nokopha. |
| Ukuhlinzwa kwamuva noma i-biopsy. | Amanxeba okuhlinzwa angaphinde ophe igazi ngokweqile. |
| Izinkinga zamehlo ezibangelwa isifo sikashukela (i-Diabetic Retinopathy). | Ukopha okuvela emithanjeni yegazi ebucayi esweni kungabangela ukulahlekelwa umbono. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo. | Kufanele kuqashelwe ngokukhethekile ngoba lo muthi ungathinta umama kanye nomntwana osesiswini. |
| Uma une-allergy ku-Urokinase noma kunoma yimuphi omunye umuthi noma ukudla. | Lokhu kubalulekile ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
Lo muthi unikezwa kanjani emzimbeni?
Lona akuyona imithi ongayithatha uye nayo ekhaya. Unikezwa esibhedlela nge-cannula (umjovo emthanjeni) . Ukushaya kwenhliziyo yakho, umfutho wegazi, nezinye izimpawu ezibalulekile kuzoqashwa yithimba lezokwelapha kulo lonke ukwelashwa.
Uma lo muthi unikezwa izingane, kufanele kuthathwe ukunakekelwa okukhethekile ngaphansi kweseluleko sikadokotela wezingane.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma kwenzeka, abasebenzi besibhedlela bazokwazisa ngokushesha iNational Poisons Information Centre eColombo National Hospital noma e- Emergency Treatment Unit (ETU) eseduze.
Eminye imithi engase ihlangane ne-Urokinase
Eminye imithi oyithathayo ingasebenzisana ne-Urokinase futhi ibangele imiphumela emibi eyingozi. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi yokunciphisa izinhlungu).Tshela udokotela.
| Ungayithathi i-Urokinase kanye nalomuthi! | |
|---|---|
| I-Aminocaproic acid | I-Tranexamic acid |
| I-Aprotinin | (Lena imithi enikezwa ukuvimba ukopha, ukuze ivimbele ukusebenza kwe-Urokinase) |
| Tshela udokotela wakho ngalokhu futhi (kufanele uqaphele). | |
| I-aspirini nemithi efanayo | Izinto zokunciphisa igazi ezifana neWarfarin ne-Enoxaparin |
| Ama-painkiller (ama-NSAID) njenge-ibuprofen | Izithasiselo ezifana namafutha enhlanzi kanye ne-Ginkgo |
Imiphumela emibi engaba khona lapho uthatha umuthi
Njenganoma yimuphi umuthi, i-Urokinase ingaba nemiphumela emibi. Eminye yayo imbi kakhulu. Ngakho-ke kubaluleke kakhulu ukuqaphela lezi zimpawu.
Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma kumhlengikazi ngokushesha:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi, ubuso.
- Izimpawu zokuphuma kwegazi:
- Indle emnyama noma enegazi.
- Umchamo obomvu noma onsundu omnyama.
- Ukuhlanza into efana nekhofi noma igazi.
- Ukopha okuvela ezinsinini, ekhaleni, noma emehlweni.
- Amabala abomvu esikhumbeni noma ukuklwebheka okungahlosiwe.
- Izimpawu zesifo sohlangothi: ukushintsha kombono, ukudideka, ubunzima bokukhuluma noma ukuqonda, ikhanda elibuhlungu elibi ngokuzumayo, ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni.
- Ukushaya kwenhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Ukushintsha kombala wezindebe noma izinzipho okwesibhakabhaka.
- Ubunzima bokuchama noma ushintsho enanini lomchamo owukhiqizayo.
Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka:
- Isiyezi
- Imfiva
- Isicanucanu nokuhlanza
Okubalulekile: Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, ungesabi ukutshela ithimba lakho lezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Urokinase umuthi onamandla onikezwa esibhedlela kuphela ukuze kuncibilikiswe amahlule egazi ayingozi emaphashini.
- Kubalulekile ukuze uphephe ukutshela udokotela wakho umlando wakho wezokwelapha ophelele kanye nayo yonke imithi oyiphuzayo (kufaka phakathi amavithamini), ngaphandle kokufihla lutho.
- Ingozi enkulu nenkulu kakhulu yalo muthi ukopha . Ngakho-ke, uma ubona noma yini encane, njengokuphuma kwegazi ezinsinini noma ukuklwebheka, yazisa abasebenzi bezokwelapha ngokushesha.
- Gwema ukuthatha imithi yokubulala izinhlungu efana ne-Aspirin ne-Ibuprofen ngaphandle kweseluleko sikadokotela wakho izinsuku ezimbalwa ngemva kokwelashwa.
- Ungalokothi unqikaze ukutshela udokotela noma umhlengikazi wakho nganoma yimiphi imiphumela emibi oyitholayo.
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