Created at:1/13/2025
I-Dipyridamole iyimithi yokunciphisa igazi esiza ekuvikeleni ukwakheka kwamahlule egazi emithanjeni yakho yegazi. Le mithi isebenza ngokwenza ama-platelet egazi lakho angabi nawo ukubambelela, okunciphisa ithuba lokuthi ahlanganisane ukuze akhe amahlule ayingozi. Ungase uyazi ngegama layo lomkhiqizo elithi Persantine, futhi odokotela bavame ukuyincoma kanye ne-aspirin ukuze banikeze ukuvikelwa okwengeziwe kubantu abasengozini yokushaywa unhlangothi noma izinkinga zenhliziyo.
I-Dipyridamole ingeyeqembu lemithi ebizwa ngokuthi ama-ejenti e-antiplatelet noma izinciphisi zegazi. Empeleni ayenzi igazi lakho libe manzi njengamanzi, kodwa kunalokho ivimbela amaseli akho egazi ukuthi anamathelane lapho kungafanele. Cabanga ngayo njengomqaphi omuhle ogcina igazi lakho ligeleza kahle emithanjeni yakho.
Le mithi isize abantu amashumi eminyaka futhi iza ngezinhlobo ezahlukene. Ungayithatha njengamaphilisi ngomlomo, noma ezimweni ezithile zezokwelapha, udokotela wakho angase akunikeze yona nge-IV emthanjeni wakho. Ifomu lomlomo yilokho abantu abaningi abakusebenzisela ukuvimbela nsuku zonke, kuyilapho ifomu le-IV livame ukusetshenziswa ezibhedlela ekuhlolweni okuthile kwenhliziyo.
I-Dipyridamole isiza ekuvikeleni ukushaywa unhlangothi nezinye izinkinga ezinkulu ezibangelwa amahlule egazi. Udokotela wakho angase akuncome uma usuvele ushaywe unhlangothi noma i-mini-stroke, noma uma unezinkinga ezithile zamavalvu enhliziyo ezikubeka engozini enkulu yama-clots.
Le mithi ilusizo ikakhulukazi kubantu abanama-valve enhliziyo okwenziwa. Lawa ma-valve emishini ngezinye izikhathi angabangela igazi ukuthi lihlangane kalula, ngakho i-dipyridamole inikeza ungqimba olwengeziwe lokuvikela. Iphinde isetshenziswe ngokuhlangana ne-aspirin kubantu abaye baba nokuhlaselwa kwe-ischemic okwesikhashana, okufana nezimpawu zokuxwayisa ngaphambi kokushaywa unhlangothi.
Eziphathini, odokotela ngezinye izikhathi basebenzisa ifomu le-IV ngesikhathi sokuhlolwa okukhethekile kwenhliziyo okubizwa ngokuthi ukuhlolwa kokucindezeleka. Ngesikhathi sokuhlolwa, i-dipyridamole isiza odokotela ukuthi babone ukuthi igazi lihamba kahle kangakanani emsipheni wenhliziyo yakho uma isebenza kanzima.
I-Dipyridamole isebenza ngokuvimba izimpawu ezithile ezitshela ama-platelet egazi lakho ukuthi anamathelane. Ithathwa njenge-blood thinner enamandla amaphakathi, ethambile kunezinye izinketho kodwa isasebenza ekuvikeleni.
Umuthi uthinta ama-platelet akho ngezindlela ezimbili eziyinhloko. Okokuqala, iwavimbela ekutholeni amasiginali amakhemikhali avamile ukubatshela ukuthi bahlangane. Okwesibili, isiza ukugcina imithambo yakho yegazi ithambile kancane, okungathuthukisa ukuhamba kwegazi.
Lesi senzo esiphindwe kabili senza i-dipyridamole ilungele ikakhulukazi ukuvimbela amahlule akheka kancane angabangela ukushaywa unhlangothi. Kuthatha isikhathi ukwakheka ohlelweni lwakho, yingakho udinga ukuyithatha njalo njengoba kunqunywe kunokuba uma nje uzizwa sengathi uyayidinga.
Thatha i-dipyridamole ngendlela enqunywe ngayo ngudokotela wakho, ngokuvamile izikhathi ezintathu noma ezine ngosuku ngengilazi yamanzi egcwele. Ungayithatha nokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza uma ikucasula isisu sakho.
Uma uthatha iphilisi elihlanganisiwe ne-aspirin, ngokuvamile uzolithatha kabili ngosuku. Zama ukuhlukanisa imithamo yakho ngokulinganayo usuku lonke ukuze ugcine amazinga aqhubekayo egazini lakho. Ukuyithatha ngesikhathi esifanayo nsuku zonke kukusiza ukuthi ukhumbule futhi kugcina umuthi usebenza ngokuqhubekayo.
Gwinya amaphilisi wonke ngaphandle kokuwachoboza noma ukuwahlafuna. Uma unenkinga yokugwinya amaphilisi, khuluma nomuthi wakho mayelana nezinketho zakho. Abanye abantu bakuthola kulula ukuthatha umuthi ngobuningi obuncane bokudla okuthambile njenge-applesauce.
Abantu abaningi badinga ukuthatha i-dipyridamole izinyanga noma iminyaka, ngezinye izikhathi impilo yabo yonke. Lokhu kungase kuzwakale kukhathaza, kodwa khumbula ukuthi ukuvimbela ukushaywa unhlangothi nokuhlaselwa yinhliziyo kuwumzamo wesikhathi eside, hhayi ukulungiswa okusheshayo.
Udokotela wakho uzohlola njalo ukuthi wenza kanjani emithini ngokuhlola igazi nokuhlolwa. Bazobheka impilo yakho iyonke, noma yimaphi imiphumela emibi ongase ube nayo, nokuthi umuthi usebenza kahle kangakanani ukukuvikela.
Ungayeki ukuthatha i-dipyridamole ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ama-blood thinners ngokuzumayo kungandisa ingozi yakho yokwakheka kwamahlule, okungaholela ezinkingeni ezinzima. Uma udinga ukuyeka ukuhlinzwa noma ezinye izinqubo zezokwelapha, udokotela wakho uzokunikeza imiyalelo ethile.
Njengayo yonke imithi, i-dipyridamole ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.
Nansi imiphumela emibi ongase uyithole, iqala ngaleyo evame kakhulu:
Le miphumela emibi evamile ngokuvamile iba ngcono emasontweni ambalwa njengoba umzimba wakho ujwayela. Uma ziqhubeka noma zikuphazamisa kakhulu, yazisa udokotela wakho.
Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha:
Ngenxa yokuthi i-dipyridamole ithinta ukuqina kwegazi, okukhathaza kakhulu ukuphuma kwegazi ngokweqile. Qaphela izimpawu ezinjengegazi emchameni wakho noma endleni yakho, ukopha ngamakhala okungami, noma ukuqaqeka okubonakala ngaphandle kokulimala.
I-Dipyridamole ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Abanye abantu banemibandela eyenza lo muthi ube yingozi kakhulu.
Akufanele uthathe i-dipyridamole uma unenkinga yokungezwani nayo noma uke waba nezinkinga ezinkulu zokuphuma kwegazi esikhathini esidlule. Abantu abanezinhlobo ezithile ze-anemia, isifo sesibindi esibi, noma labo abaphuma igazi ngempela kufanele bagweme lo muthi.
Udokotela wakho uzoba nokuqapha okwengeziwe uma unezifo zezinso, umfutho wegazi ophezulu ongagadiwe, noma umlando wezilonda zesisu. Abesifazane abakhulelwe kufanele bathathe i-dipyridamole kuphela uma izinzuzo zicacile ukwedlula izingozi, njengoba ingawela i-placenta iye enganeni.
Abantu abathatha eminye imithi ethile, ikakhulukazi ezinye izinciphisi zegazi, badinga ukuqapha okukhethekile. Udokotela wakho uzobuyekeza yonke imithi yakho ukuze aqinisekise ukuthi isebenza ngokuphepha ndawonye.
I-Dipyridamole itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Persantine iyona eyaziwa kakhulu. Ungase futhi uyibone ihlanganiswe ne-aspirin emuthini obizwa nge-Aggrenox, oqukethe womabili imithi epilini elilodwa.
Izinhlobo ezivamile ze-dipyridamole zitholakala kabanzi futhi zisebenza kahle njengamagama omkhiqizo. Umuthi wakho womuthi angakutshela ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo mayelana nokushintsha phakathi kwemikhiqizo.
Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile kuncike kumshwalense wakho kanye nekhemisi. Into ebalulekile ukuthatha umuthi ngokuqhubekayo, kungakhathaliseki ukuthi ngumuphi umenzi owenza.
Uma i-dipyridamole ingasebenzi kahle kuwe noma idala imiphumela eminingi, udokotela wakho unezinye izinketho eziningi. I-Clopidogrel (Plavix) iyindlela ethandwayo esebenza ngendlela ehlukile kodwa inikeza ukuvikelwa okufanayo ezigulini.
Ezinye izindlela zokwelapha zihlanganisa i-ticagrelor (Brilinta) kanye ne-prasugrel (Effient), nakuba lezi zivame ukuba namandla futhi zisetshenziswa ezimweni ezehlukene. Abanye abantu benza kahle nge-aspirin kuphela, kanti abanye bangase badinge ukwelashwa okuhlanganisiwe.
Udokotela wakho uzokhetha indlela engcono kakhulu yokwelapha ngokusekelwe esimweni sakho esithile, eminye imithi oyithathayo, nokuthi usabele kanjani ekwelashweni esikhathini esidlule. Umgomo uhlala ukuthola umuthi okunikeza ukuvikelwa okungcono kakhulu ngemiphumela emincane.
Kokubili i-dipyridamole ne-clopidogrel ziyizinciphisi zegazi eziphumelelayo, kodwa zisebenza ngezindlela ezehlukile kancane futhi zingcono kubantu abahlukene. Akukho noyedwa
Yebo, i-dipyridamole ngokuvamile iphephile kubantu abanesifo sikashukela futhi ayithinti ngokuqondile amazinga kashukela egazini. Kodwa-ke, abantu abanesifo sikashukela bavame ukuba nengozi enkulu yezinkinga zenhliziyo nokushaywa unhlangothi, ngakho udokotela wakho uzokuqapha eduze.
Uma unesifo sikashukela, kubaluleke kakhulu ukuthatha i-dipyridamole njengoba kunqunyiwe ngoba usuvele unengozi enkulu yezinkinga zenhliziyo nemithambo yegazi. Umuthi ungasiza ukuvikela ezinkingeni ezithile ezingathi sína ezingabangelwa yisifo sikashukela emithanjeni yakho yegazi.
Uma ngengozi uthatha i-dipyridamole eningi kunaleyo enqunyiwe, xhumana nodokotela wakho noma usokhemisi ngokushesha. Ukuthatha okuningi kungakhuphula ingozi yakho yokopha futhi kubangele izimpawu ezinjengobuhlungu bekhanda obukhulu, isiyezi, noma isicanucanu.
Ungabi nokwethuka, kodwa futhi ungakushayi indiva. Uma uthathe okuningi kakhulu kunomthamo wakho ovamile noma uma uhlangabezana nezimpawu ezikhathazayo, shayela udokotela wakho ngokushesha noma uye egumbini eliphuthumayo. Letha ibhodlela lomuthi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe malini.
Uma uphuthelwa umthamo we-dipyridamole, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esivamile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale endleleni.
Yeka kuphela ukuthatha i-dipyridamole uma udokotela wakho ekutshela ukuthi wenze njalo. Abantu abaningi badinga ukuyithatha isikhathi eside ukuze baqhubeke nokuvikela ekuqongekeni kwegazi, futhi ukuyeka kungazelelwe kungakhuphula ingozi yakho yokushaywa unhlangothi noma ukuhlaselwa yinhliziyo.
Udkt wakho uzohlola njalo ukuthi usasidinga yini umuthi ngokusekelwe empilweni yakho yamanje, izinto eziyingozi, kanye nanoma yimaphi imiphumela emibi oyitholayo. Uma ukhathazekile ngokuyithatha isikhathi eside, xoxa ngokukhathazeka kwakho nodokotela wakho kunokuyeka wedwa.
Ungaphuza utshwala ngezikhathi ezithile ngenkathi uthatha i-dipyridamole, kodwa ukulinganisela kubalulekile. Utshwala bungakhuphula ingozi yakho yokopha futhi bungase lenze kube kubi eminye imiphumela emibi efana nesiyezi noma isisu esibuhlungu.
Xoxa nodokotela wakho ngalokho okuphephile kuwe ngokuqondile. Uma uphuza utshwala njalo noma unokukhathazeka ngokusebenzisana, udokotela wakho angakunikeza iseluleko esiqondene nawe ngokusekelwe empilweni yakho yonke neminye imithi oyithathayo.