Dalteparin (indlela yokungenisa ngaphansi kwesikhumba)
Imikhiqizo etholakalayo
Fragmin
Mayelana naleli khambi
UDalteparin isetyenziselwa ukuvimbela i-deep venous thrombosis, isimo lapho ama-blood clots alimazayo enziwa khona emathanjeni egazi ezinyaweni. La ma-blood clots angahamba aye emaphashini futhi angabanjwa emathanjeni egazi emaphusheni, abangele isimo esibizwa ngokuthi yi-pulmonary embolism. Lolu lwemi lusetshenziswa futhi kanye ne-aspirin ukuvimbela ama-blood clots ukuba enziwe emathanjeni egazi kwabaguli abane-unstable angina noma isifo senhliziyo. UDalteparin ubuye usetshenziswe izinsuku ezimbalwa ngemva kokuthi kwenziwe u-abdominal surgery, i-hip replacement surgery, noma ngesikhathi ungakwazi ukuhamba. Kuleso sikhathi lapho ama-blood clots enzeka khona kakhulu. UDalteparin ubuye usetshenziswe ukwelapha ama-blood clots anezimpawu (eg, i-pulmonary embolism noma i-deep vein thrombosis) kubantwana futhi njengokwelashwa okuqhubekayo kwama-blood clots anezimpawu kubantu abadala abanokukhulu. Lolu lwemi lutholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kumele zilinganiswe nezinzuzo ezizokwenza. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-allergy kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo ze-allergies, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-dalteparin yokwelapha ama-blood clots anama-symptom kubantwana abaneminyaka engaphansi kwenyanga. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kwe-dalteparin kubantu abadala. Noma kunjalo, iziguli ezikhulile zingadinga ukulungiswa komthamo, ikakhulukazi labo abasezingozini zokopha igazi noma labo abanesifo sezinso. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Umshula wesibeletho noma omunye ochwepheshe bezempilo oqeqeshwe uzohlinzeka ngale miyeke. Inikezwa njengesiphuzo phansi kwesikhumba sakho (ngokuvamile esiswini, emathangeni, noma emilenzeni). Wena noma umnandi wakho ningaqeqeshwa ukulungiselela nokugcoba imithi ekhaya. Qiniseka ukuthi uyayiqonda indlela yokusebenzisa imithi. Uzoqondiswa izindawo zomzimba lapho lesi siphuzo singanikezwa khona. Sebenzisa indawo ehlukile yomzimba njalo lapho uzigcoba khona. Gcina ulandelela ukuthi unikeza kuphi isiphuzo ngasinye ukuqinisekisa ukuthi uqala izindawo zomzimba. Lokhu kuzosiza ukuvimbela izinkinga zesikhumba ezivela ekugezeni. Uma imithi e-vial (isitsha segalasi) noma i-syringe egcwalisiwe ngaphambili ishintshe umbala, noma uma ubona izinhlayiya kuyo, ungayisebenzisi. Inani lemiyeke lizoba lehlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo elabelini. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale miyeke. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemiyeke oyithatha lixhomeke emandleni emiyeke. Futhi, inani lezingxenye oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa yingxenye yale miyeke, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sokuthola ingxenye yakho elandelayo, suka ingxenye oyiphothile bese ubuyela esikhathini sakho sokuthola imithi. Ungawandisi amanani. Gcina imithi esitsheni esivaliwe ngokushisa kweqembu, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandayi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. Buza ochwepheshe bezempilo bakho ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi. Uma unikezwe ibhodlela lemiyeke ukuba uyisebenzise nge-syringes zakho, kufanele uyisebenzise phakathi nezinsuku eziyi-14 ngemuva kwesiphuzo sokuqala. Lahla noma iyiphi imithi engasetshenzisiwe ngemuva kwezinsuku eziyi-14. Lahla izimpumputhe ezisetshenzisiwe esitsheni esiqinile, esivalekile lapho izimpumputhe zingakwazi ukugwaza khona. Gcina lesi sitsha kude nabantwana nezilwane ezifuywayo.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.