Umjovo we-Enoxaparin
-Delile
- Ukujova i-enoxaparin, landela le miyalo:
- Ngaphambi kokuthatha i-enoxaparin,
- I-Enoxaparin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
Uma une-epidural noma i-spinal anesthesia noma i-puncture yomgogodla ngenkathi uthatha 'i-blood thinner' efana ne-enoxaparin, usengozini yokuba nefomu le-clot yegazi emgogodleni noma ezungeze umgogodla wakho ongakwenza ukuthi ukhubazeke. Tshela udokotela wakho uma uthatha amanye ama-anticoagulants ('blood thinner') afana ne-warfarin (Coumadin), anagrelide (Agrylin), i-aspirin noma i-nonsteroidal anti-inflammatory (ibuprofen, naproxen), cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine), eptifibatide (Integrilin), prasugrel (Effient), sulfinpyrazone (Anturane), ticlopidine (Ticlid), futhi tirofiban (Aggrastat).
Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukuba ndikindiki, ukushosholoza, ukuba buthakathaka kwemilenze noma ukukhubazeka, nokuhluleka ukulawula isinye noma amathumbu akho.
Khuluma nodokotela wakho ngengozi yokuthatha i-enoxaparin. Gcina wonke ama-aphoyintimenti nodokotela wakho.
I-Enoxaparin isetshenziselwa ukuvimbela amahlule egazini emlenzeni ezigulini ezisembhedeni noma ezinokushintshwa kwesinqe, ukushintshwa kwedolo noma ukuhlinzwa esiswini. Isetshenziswa ngokuhlangana ne-aspirin ukuvimbela izinkinga ezivela ku-angina (ubuhlungu besifuba) nokuhlaselwa yinhliziyo. Isetshenziswa futhi ngokuhlangana ne-warfarin ukwelapha amahlule egazi emlenzeni. I-Enoxaparin ikusigaba semithi esibizwa ngama-molecular weight heparins. Isebenza ngokumisa ukwakheka kwezinto ezidala amahlule.
I-Enoxaparin iza njengomjovo esirinji ozojovwa ngaphansi kwesikhumba (ngomgogodla) kepha hhayi emisipheni yakho. Imvamisa inikezwa kabili ngosuku. Cishe uzoqala ukusebenzisa lesi sidakamizwa ngenkathi usesibhedlela bese usisebenzisa izinsuku eziyi-10 kuye kwezingu-14. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-enoxaparin njengoba iqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyijoje kaningi kunokuyalelwa ngudokotela wakho.
Qhubeka nokusebenzisa i-enoxaparin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-enoxaparin ngaphandle kokukhuluma nodokotela wakho.
Umhlinzeki wakho wezokunakekelwa kwezempilo uzokufundisa ukuthi ungazinikeza kanjani wena ukuthi utholwe kanjani noma kuzokwenziwa amalungiselelo okuthi omunye umuntu akunikeze isibhamu. I-Enoxaparin ivame ukujova endaweni yesisu. Kufanele usebenzise indawo ehlukile yesisu isikhathi ngasinye lapho udubula. Uma unemibuzo mayelana nokuthi ungasidubula kuphi, buza umhlinzeki wakho wezokunakekelwa kwempilo. Isirinji ngayinye inezidakamizwa ezanele kuyo ngokudubula okukodwa. Ungasebenzisi isirinji nenaliti isikhathi esingaphezu kwesisodwa. Udokotela wakho, usokhemisi, noma umhlinzeki wezokunakekelwa kwempilo uzokutshela ukuthi ungazilahla kanjani izinaliti ezisetshenzisiwe kanye nemijovo yokugwema ukulimala ngengozi. Gcina imijovo nezinaliti lapho izingane zingafinyeleli khona.
Ukujova i-enoxaparin, landela le miyalo:
- Geza izandla zakho nendawo yesikhumba lapho uzodubula khona.
- Bheka isirinji ukuze uqiniseke ukuthi umuthi ucacile futhi awunombala noma uphuzi ophaphathekile.
- Susa ikepisi enaliti. Ungacindezeli noma imuphi umoya noma isidakamizwa ngaphandle kwesirinji ngaphambi kokudubula ngaphandle kwalapho umhlinzeki wakho wezokunakekelwa kwempilo ekutshela.
- Lala phansi bese ucindezela umgoqo wesikhumba phakathi komunwe nesithupha. Cindezela yonke inaliti esikhunjeni bese ucindezela phansi isipontsho ukuze ujove umuthi. Bamba isikhumba sonke isikhathi lapho udubula. Musa ukugcoba isiza ngemuva kokudubula.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-enoxaparin,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-enoxaparin, heparin, noma iziphi ezinye izidakamizwa, noma imikhiqizo yengulube.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela oyisebenzisayo, ikakhulukazi leyo efakwe esigabeni ESIBALULEKILE SEXWAYISO namavithamini.
- Tshela udokotela wakho uma une-valve yenhliziyo yokufakelwa futhi uma uke waba nesifo sezinso noma unesifo sezinso, ukutheleleka enhliziyweni yakho, isifo sohlangothi, isifo sokopha, izilonda, noma inani eliphansi leplatelet.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-enoxaparin, shayela udokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-enoxaparin.
Jova umthamo ophuthelwe ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Musa ukujova umthamo ophindwe kabili ukwenzela okulahlekile.
I-Enoxaparin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isisu esibuhlungu
- imfiva
- ukuthukuthela noma ukushisa endaweni yomjovo
Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- ukopha okungajwayelekile noma ukulinyazwa
- indle emnyama noma enegazi
- igazi emchameni
- amaqakala avuvukile kanye / noma izinyawo
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina lo muthi kude nezingane. Gcina amasirinji ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungasebenzisi isirinji uma ivuza noma uma uketshezi lumnyama noma luqukethe izinhlayiya.
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zebhu ukuqapha ukwelashwa kwakho kwe-enoxaparin.
I-Enoxaparin ivimbela igazi ekunqandeni ngakho-ke kungathatha isikhathi eside kunokujwayelekile ukuthi uyeke ukopha uma unqunyiwe noma ulimele.Gwema imisebenzi enobungozi obukhulu bokubangela ukulimala. Shayela udokotela wakho uma ukuphuma kwegazi kungavamile.
Ungavumeli omunye umuntu asebenzise imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
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