Iloprost
-Delile
- Ngaphambi kokuthatha iloprost,
- I-Iloprost ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo esigabeni esikhethekile SOKUQAPHA zinzima noma zingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha iloprost bese uthola ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
I-Iloprost isetshenziselwa ukwelapha izinhlobo ezithile ze-pulmonary arterial hypertension (PAH; umfutho wegazi ophakeme ezitsheni ezihambisa igazi emaphashini, kubanga ukuphefumula, isiyezi, nokukhathala). I-Iloprost ingathuthukisa ikhono lokuzivocavoca futhi yehlise ukwanda kwezimpawu ezigulini ezine-PAH. I-Iloprost isesigabeni semithi ebizwa ngama-vasodilators. Kusebenza ngokuxegisa imithambo yegazi, kufaka phakathi leyo esemaphashini.
I-Iloprost iza njengesisombululo sokuhogela ngomlomo. Kuvame ukuhogela izikhathi eziyisithupha kuya kweziyisishiyagalolunye ngosuku ngesikhathi sokuvuka. Sebenzisa iloprost njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi usisebenzisa kanjani isisombululo se-inhalation se-iloprost nedivayisi yakho yokulethwa. Funda ngokucophelela imiyalelo yomkhiqizi echaza ukuthi ungalungiselela kanjani futhi uhogele umthamo we-iloprost. Qiniseka ukuthi ubuza usokhemisi wakho, udokotela, noma umhlengikazi uma unemibuzo mayelana nokuthi ungayilungisa kanjani noma uyihogele lo muthi. Ngemuva komthamo ngamunye wemithi, lahla noma yisiphi isisombululo esisele kudivayisi yokulethwa bese ulandela ngokucophelela imiyalelo yomkhiqizi yokuhlanza izingxenye zohlelo lokulethwa. Ungahlanganisi eminye imithi nesisombululo se-iloprost.
Ungagwinyi isisombululo se-iloprost. Uma isisombululo se-iloprost singena esikhumbeni sakho noma emehlweni akho, hlambulula isikhumba sakho noma amehlo ngamanzi ngaso leso sikhathi. Qaphela ukuthi ungasebenzisi i-iloprost inhaler esondele kakhulu kwabanye abantu, ikakhulukazi abesifazane abakhulelwe nezinsana, ukuze bangayidonseli phansi le mithi.
Ungayisebenzisi i-iloprost inhaler ngaphezu kwesisodwa njalo emahoreni amabili. Ngoba imiphumela yomuthi kungenzeka ingahlali amahora ama-2, kungadingeka ukuthi ulungise isikhathi semithamo yakho ukumboza imisebenzi yakho ehleliwe.
Isixazululo se-Iloprost sisetshenziswa namadivayisi athile we-inhaler. Qiniseka ukuthi ungathola enye idivayisi yokulethwa ongayisebenzisa ngokushesha uma ngabe idivayisi yakho ingasebenzi nganoma yisiphi isizathu.
I-Iloprost ayitholakali emakhemisi okuthengisa. Imithi yakho izothunyelwa kuwe ngeposi ekhemisi ekhethekile. Buza udokotela wakho uma unemibuzo mayelana nokuthi uzowuthola kanjani umuthi wakho.
I-Iloprost ilawula i-PAH kepha ayiyelaphi. Qhubeka uthathe iloprost noma ngabe uzizwa uphilile. Ungayeki ukuthatha iloprost ngaphandle kokukhuluma nodokotela wakho.
Buza usokhemisi wakho noma udokotela ikhophi yemininingwane yomkhiqizi yesiguli nekhophi yomhlahlandlela womsebenzisi wedivayisi yokuhogela.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha iloprost,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-iloprost, noma imiphi eminye imishanguzo, noma ezinye izithako zesisombululo se-iloprost. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’’ ama-thinner egazi ’’) njenge-warfarin (i-Coumadin); nemithi yokwelapha umfutho wegazi ophakeme noma ezinye izinkinga zenhliziyo.
- Tshela udokotela wakho uma ngabe uke waba nesifo esingapheliyo se-pulmonary disease (COPD), i-asthma, umfutho wegazi ophansi, nesifo sezinso noma sesibindi. Tshela nodokotela wakho uma unesifo emaphashini akho.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha iloprost, shayela udokotela wakho.
- kufanele wazi ukuthi iloprost ingadala isiyezi, ikhanda elikhanyayo, noma ukuquleka, ikakhulukazi lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo noma ngesikhathi somzimba noma sokuzivocavoca umzimba. Ukusiza ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Ungashayeli imoto noma usebenzise amathuluzi noma imishini uze wazi ukuthi lo muthi ukuthinta kanjani. Tshela udokotela wakho uma uqhubeka nokuphelelwa amandla ngenkathi uthola ukwelashwa kwe-iloprost.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Iloprost ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo esigabeni esikhethekile SOKUQAPHA zinzima noma zingapheli:
- ukuqhuma
- ukukhwehlela
- ukungaboni kahle
- isicanucanu
- ukuhlanza
- ikhanda
- ukuqina kwemisipha yomhlathi okwenza kube nzima ukuvula umlomo wakho
- ubunzima bokulala noma ukulala
- ubuhlungu bolimi
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha iloprost bese uthola ukwelashwa okuphuthumayo:
- ukuphefumula kanzima
- ukuqhuma, ukuqhuma, noma ukukhipha umsindo lapho uphefumula
- ukukhwehlela upinki, isikhwehlela esibabayo
- umbala ompunga nohlaza okwesibhakabhaka wezindebe noma isikhumba
I-Iloprost ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).
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.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- ukuquleka
- isiyezi
- ukungaboni kahle
- isicanucanu
- ukuhlanza
- isifo sohudo
- ikhanda
- ukuqhuma
Gcina wonke ama-aphoyintimenti nodokotela wakho.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
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.
- I-Ventavis®
- I-Ciloprost
- I-Iloprost Tromethamine