Inaliti ye-Dalteparin

-Delile

• Ngaphambi kokusebenzisa umjovo we-dalteparin,
• Umjovo we-Dalteparin ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

Uma une-epidural noma i-spinal anesthesia noma i-puncture yomgogodla ngenkathi usebenzisa i-'gner thinner 'efana nomjovo we-dalteparin, usengozini yokuba nefomu le-clot yegazi emgogodleni noma ezungeze umgogodla wakho ongakwenza ukuthi ukhubazeke. Tshela udokotela wakho uma une-catheter ye-epidural esele emzimbeni wakho, uma usanda kuba ne-anesthesia yomgogodla (ukuphathwa kwemithi yezinhlungu endaweni ezungeze umgogodla), noma uke wakwazi ukuphindaphinda ama-punctures we-epidural noma umgogodla noma izinkinga ngalokhu izinqubo, ukukhubazeka komgogodla, noma ukuhlinzwa komgogodla. Tshela udokotela kanye nosokhemisi wakho uma ngabe uthatha noma ikuphi kokulandelayo: i-anagrelide (Agrylin); i-apixaban (i-Eliquis); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye), indomethacin (Indocin, Tivorbex), ketoprofen, ne-naproxen (Aleve, Anaprox, abanye); i-cilostazol; i-clopidogrel (i-Plavix); dabigatran (Pradaxa); i-dipyridamole (i-Persantine, ku-Aggrenox); i-edoxaban (Savaysa); i-heparin; i-prasugrel (i-Effient); i-Rivaroxaban powder (i-Xarelto); i-ticagrelor (Brilinta); i-ticlopidine; kanye ne-warfarin (Coumadin, Jantoven). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ubuthakathaka bemisipha (ikakhulukazi emilenzeni nasezinyaweni), ukuba ndikindiki noma ukuhayiza (ikakhulukazi emilenzeni yakho), ubuhlungu beqolo, noma ukulahlekelwa ukulawula amathumbu noma isinye.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho kumjovo we-dalteparin.

Khuluma nodokotela wakho ngengozi yokusebenzisa umjovo we-dalteparin.

I-Dalteparin isetshenziswa ngokuhlangana ne-aspirin ukuvimbela izinkinga ezinkulu noma ezisongela ukuphila kusuka ku-angina (ubuhlungu besifuba) nokuhlaselwa yinhliziyo. I-Dalteparin ibuye isetshenziselwe ukuvimbela i-vein thrombosis ejulile (i-DVT; i-clot yegazi, imvamisa emlenzeni), engaholela embolism ye-pulmonary embolism (PE; i-clot yegazi emaphashini), kubantu abasembhedeni wombhede noma abane-hip ukukhishwa noma ukuhlinzwa esiswini. Ibuye isetshenziselwe ukwelapha i-DVT noma i-PE futhi iyivimbele ukuthi ingenzeki futhi ezinganeni ezinenyanga eyodwa ubudala nangaphezulu, nakubantu abadala abane-DVT noma i-PE abanomdlavuza. I-Dalteparin isekilasini lemithi ebizwa ngama-anticoagulants (’ama-thinner egazi’). Isebenza ngokunciphisa ikhono lokuvala igazi.

I-Dalteparin iza njengesisombululo (uketshezi) ezitsheni kanye nemijovo ekhethiwe yokujova ngomgogodla (ngaphansi kwesikhumba). Uma isetshenziselwa abantu abadala, ivame ukunikezwa kanye ngosuku, kepha inganikezwa kabili ngosuku ngezimo ezithile. Lapho isetshenziselwa izingane, imvamisa inikezwa kabili ngosuku. Ubude bokwelashwa kwakho buya ngesimo onaso nokuthi umzimba wakho uphendula kahle kanjani emithini. Uma usebenzisa i-dalteparin ukuvimbela izinkinga ezivela ekuhlaselweni i-angina nokuhlaselwa yinhliziyo kuvame ukunikezwa izinsuku ezi-5 kuya kwezi-8. Uma usebenzisa i-dalteparin ukuvimbela i-DVT ngemuva kokuhlinzwa, imvamisa inikezwa ngosuku lokuhlinzwa, nezinsuku ezi-5 kuya kweziyi-10 ngemuva kokuhlinzwa. . Uma usebenzisa i-dalteparin ukuvimbela i-DVT kubantu abasembhedeni, kuvame ukunikezwa izinsuku eziyi-12 kuya kweziyi-14. Uma unomdlavuza kanye ne-dalteparin isetshenziselwa ukwelapha nokuvimbela i-DVT, kungadingeka ukuthi usebenzise umuthi kuze kube izinyanga eziyisithupha.

I-Dalteparin ungayinikwa ngumhlengikazi noma omunye umhlinzeki wezokunakekelwa kwezempilo, noma ungatshelwa ukuthi ujove umuthi ekhaya. Uma uzosebenzisa i-dalteparin ekhaya, umhlinzeki wezokunakekelwa kwezempilo uzokukhombisa ukuthi ungawujova kanjani umuthi, Qiniseka ukuthi uyaziqonda lezi zinkomba. Buza umhlinzeki wakho wezokunakekelwa kwezempilo uma unemibuzo mayelana nokuthi kufanele ujove kuphi i-dalteparin, ukuthi ungawunikeza kanjani umjovo, hlobo luni lomjovo ozolusebenzisa, noma ukuthi ungazilahla kanjani izinaliti ezisetshenzisiwe kanye nemijovo ngemuva kokujova umuthi. Jova umuthi cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-dalteparin njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

I-Dalteparin kwesinye isikhathi isetshenziselwa ukusiza ukuvimbela imivimbo noma amahlule egazi kubantu abane-fibrillation ye-atrial noma i-flutter (isimo lapho inhliziyo ishaya ngokungahambi kahle, ikhulisa amathuba okuba namahlule emzimbeni, futhi mhlawumbe abangele imivimbo) abaphethwe yi-cardioversion ( inqubo yokujwayela isigqi senhliziyo). Kwesinye isikhathi kuyasetshenziswa ukuvimbela amahlule kubantu abane-valves yenhliziyo yokufakelwa (efakwe ngokuhlinzwa), noma ezinye izimo, lapho ukwelashwa kwabo kwe-warfarin (Coumadin) kusanda kuqalwa noma kuphazamisekile. Kwesinye isikhathi kuyasetshenziswa ukuvimbela amahlule egazi kwabesifazane abathile abakhulelwe nakubantu abathola amadolo ngokuphelele, ukuhlinzwa okwephuka okhalweni, noma okunye ukuhlinzwa. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-dalteparin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-dalteparin, i-heparin, imikhiqizo yengulube, noma imuphi omunye umuthi, noma yiziphi izithako zomjovo we-dalteparin. Buza usokhemisi wakho 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uphuma kakhulu emzimbeni noma kuphi emzimbeni ongakwazi ukumiswa noma uma uke wasabela ku-heparin okubangele izinga eliphansi lama-platelets (uhlobo lwamaseli egazi adingekayo ekunqandeni okuvamile) egazini lakho. Udokotela wakho angakutshela ukuthi ungasebenzisi i-dalteparin.
• Tshela udokotela wakho uma uke waba nesifo sokopha noma njenge-hemophilia (isimo lapho igazi lingagcwali ngokwejwayelekile), izilonda noma ezintekenteke, imithambo yegazi evuvukele esiswini sakho noma emathunjini, umfutho wegazi ophakeme, i-endocarditis (isifo inhliziyo), isifo sohlangothi noma i-ministroke (TIA), isifo samehlo ngenxa yomfutho wegazi ophakeme noma isifo sikashukela, noma isifo sesibindi noma sezinso. Phinda utshele udokotela wakho uma usanda kuhlinzwa ubuchopho, umgogodla noma iso, noma ngabe usanda kuphuma igazi esiswini noma emathunjini.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa umjovo we-dalteparin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-dalteparin.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

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.

Umjovo we-Dalteparin ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuphuma kwamakhala
• ububomvu, ubuhlungu, ukulinyazwa, noma izilonda endaweni yomjovo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukopha okungajwayelekile noma ukulinyazwa
• amabala abomvu amnyama ngaphansi kwesikhumba noma emlonyeni
• ukuhlanza noma ukuphalaza igazi noma okokusebenza okusundu okufana nezindawo zekhofi
• ezinegazi noma ezimnyama, izitulo zokulinda
• igazi emchameni
• umchamo obomvu noma onsundu
• ukopha ngokweqile kokuya esikhathini
• isiyezi noma ikhanda elikhanyayo
• isifuba, ukuqubuka
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ubunzima bokugwinya noma ukuphefumula

Umjovo we-Dalteparin ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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).

Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungayigcina kanjani imithi yakho. Gcina imishanguzo yakho njengokuyalelwa ekamelweni lokushisa. Qiniseka ukuthi uyaqonda ukuthi uyigcina kanjani imithi yakho ngokufanele. Lahla izitsha zomjovo we-dalteparin emavikini amabili ngemuva kokuvulwa.

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

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.

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:

• ukopha okungavamile
• igazi emchameni
• emnyama, izitulo zokubambezeleka
• ukulinyazwa okulula
• igazi elibomvu endle
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthola umjovo we-dalteparin.

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.

• UFragmin^®