Inaliti yeDalteparin

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-dalteparin,
• Inaliti ye-Dalteparin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu, okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Ukuba une-epidural okanye i-spinal anesthesia okanye i-spinal puncture ngelixa usebenzisa 'igazi elincinci' elifana nenaliti ye-dalteparin, usengozini yokuba nefom yegazi okanye ujikeleze umqolo wakho onokubangela ukuba ukhubazeke. Tshela ugqirha wakho ukuba unayo i-catheter ye-epidural eseleyo emzimbeni wakho, ukuba usandul 'i-anesthesia yomgudu (ukulawulwa kweyeza zentlungu kwindawo ejikeleze umlenze), okanye uye wakha waphindaphinda i-epidural okanye i-spinal punctures okanye iingxaki ngalezi iinkqubo, ukukhubazeka komqolo, okanye utyando lomqolo. Xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uthatha enye yezi zinto zilandelayo: anagrelide (Agrylin); apixaban (uEliquis); i-aspirin kunye nezinye iziyobisi ezichasayo (i-NSAIDs) ezinjenge-ibuprofen (Advil, Motrin, abanye), indomethacin (Indocin, Tivorbex), ketoprofen, kunye naproxen (Aleve, Anaprox, abanye); ililostazol; iklopidogrel (iPlavix); dabigatran (Pradaxa); dipyridamole (Persantine, kwiAgrenrenox); edoxaban (Savaysa); heparin; iprasugrel (i-Effient); irivaroxaban powder (Xarelto); ticagrelor (Brilinta); ticlopidine; kunye ne-warfarin (Coumadin, Jantoven). Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: ubuthathaka bemisipha (ngakumbi kwimilenze nasezinyaweni), ukuba ndindisholo okanye ukubetha (ngakumbi kwimilenze yakho), iintlungu zomqolo, okanye ukuphulukana nolawulo lwamathumbu okanye isinyi.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwisitofu se-dalteparin.

Thetha nogqirha wakho malunga nomngcipheko wokusebenzisa inaliti ye-dalteparin.

I-Dalteparin isetyenziswa ngokudibeneyo ne-aspirin ukuthintela iingxaki ezinzulu okanye ezisongela ubomi ezivela kwi-angina (iintlungu zesifuba) kunye nokuhlaselwa sisifo sentliziyo. I-Dalteparin ikwasetyenziselwa ukukhusela i-vein thrombosis enzulu (i-DVT; igazi elixineneyo, elihlala lisemlenzeni), elinokukhokelela kwi-pulmonary embolism (PE; i-clot yegazi emiphungeni), kubantu abakwi-bedrest okanye abane-hip ukutshintshwa okanye ukuhlinzwa esiswini. Isetyenziselwa ukunyanga i-DVT okanye i-PE kwaye iyithintele ukuba ingenzeki kwakhona kubantwana inyanga enye ubudala nangaphezulu, nakubantu abadala abane-DVT okanye i-PE abanomhlaza. I-Dalteparin ikudidi lwamayeza abizwa ngokuba zii-anticoagulants ('izicoci gazi'). Isebenza ngokunciphisa ukubanakho kwegazi.

I-Dalteparin iza njengesisombululo (ulwelo) kwiibhotile kunye neesirinji ezikhethiweyo zokufaka ngenaliti (phantsi kolusu). Xa isetyenziselwa abantu abadala, ihlala inikwa kube kanye ngemini, kodwa inokunikwa kabini ngemini ngeemeko ezithile. Xa isetyenziselwa abantwana, ihlala inikwa kabini ngemini. Ubude bonyango lwakho buxhomekeke kwimeko onayo kunye nendlela ophendula ngayo emzimbeni wakho kunyango. Ukuba usebenzisa i-dalteparin ukukhusela iingxaki ezivela kwi-angina kunye nokuhlaselwa kwentliziyo kuhlala kunikwa iintsuku ezi-5 ukuya kwezi-8. Ukuba usebenzisa i-dalteparin ukukhusela i-DVT emva kotyando, ihlala inikwa ngosuku lotyando, kunye neentsuku ezi-5 ukuya kwezi-10 emva kotyando. . Ukuba usebenzisa i-dalteparin ukukhusela i-DVT kubantu abakwi-bedrest, ihlala inikwa iintsuku ezili-12 ukuya kwezi-14. Ukuba unomdlavuza kunye ne-dalteparin isetyenziselwa ukunyanga nokukhusela i-DVT, kuya kufuneka usebenzise amayeza ukuya kuthi ga kwiinyanga ezi-6.

I-Dalteparin inokunikwa ngumongikazi okanye ngomnye umboneleli wezempilo, okanye unokuxelelwa ukuba utofe iyeza ekhaya. Ukuba uza kusebenzisa i-dalteparin ekhaya, umboneleli wezempilo uya kukubonisa ukuba ungalifaka njani na iyeza, Qiniseka ukuba uyayiqonda le ndlela. Buza umboneleli wakho wezempilo ukuba unayo nayiphi na imibuzo malunga nokuba uphi emzimbeni wakho kufuneka utofe i-dalteparin, indlela yokufaka inaliti, loluphi uhlobo lwesirinji oyisebenzisayo, okanye indlela yokulahla iinaliti kunye neesirinji ezisetyenzisiweyo emva kokuba utofe iyeza. Tofa iyeza malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-dalteparin ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

I-Dalteparin ngamanye amaxesha isetyenziselwa ukunceda ukuthintela imivumbo okanye amahlwili egazi kubantu abane-fibrillation ye-atrial okanye i-flutter (imeko apho intliziyo ibetha ngokungagungqiyo, ikhulisa ithuba lamahlwili akhula emzimbeni, kwaye kunokubangela nemivumbo) abo baphantsi kwe-cardioversion ( Inkqubo yokulungisa isingqi sentliziyo). Ngamanye amaxesha kusetyenziswa ukuthintela amahlwili kubantu abane-prosthetic (efakwe ngotyando) iivelves zentliziyo, okanye ezinye iimeko, xa unyango lwabo lwe-warfarin (Coumadin) lusandula ukuqaliswa okanye luphazamisekile. Ngamanye amaxesha kusetyenziswa ukuthintela amahlwili egazi kwabasetyhini abathile abakhulelweyo nakubantu abafumana ukutshintshwa kwamadolo ngokupheleleyo, uqhaqho lwesinqe esaphukileyo, okanye olunye utyando. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inaliti ye-dalteparin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-dalteparin, i-heparin, iimveliso zehagu, nawaphi na amanye amayeza, okanye naziphi na izithako kwi-dalteparin injection. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukopha kakhulu naphi na emzimbeni wakho ongenakunqunyanyiswa okanye ukuba wakha wanayo okanye wakha wasabela kwi-heparin ebangele inqanaba eliphantsi leeplatelets (uhlobo lweeseli zegazi ezifunekayo ekunqandeni okuqhelekileyo) egazini lakho. Ugqirha wakho unokukuxelela ukuba ungasebenzisi i-dalteparin.
• xelela ugqirha wakho ukuba ukhe okanye wakha wangabinasifo sokopha njengehemophilia (imeko apho igazi lingagugi ngesiqhelo), izilonda okanye ubuthathaka, imithambo yegazi edumbileyo esiswini sakho okanye emathunjini, uxinzelelo oluphezulu lwegazi, i-endocarditis (usulelo intliziyo), ukubetha kwentliziyo okanye i-ministroke (TIA), isifo samehlo ngenxa yoxinzelelo lwegazi okanye isifo seswekile, okanye isibindi okanye isifo sezintso. Xelela ugqirha wakho ukuba ubusandula ukuba nengqondo, umqolo, okanye uqhaqho lwamehlo, okanye ukuba ubusandula ukuphuma egazini okanye emathunjini.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa usebenzisa inaliti ye-dalteparin, tsalela ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa inaliti ye-dalteparin.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Faka isitofu esilahlekileyo ngokukhawuleza nje emva kokuba usikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukujoba idosi ephindwe kabini ukulungiselela eyilahlekileyo.

Inaliti ye-Dalteparin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• impumlo
• ubomvu, iintlungu, ukugruzuka, okanye izilonda kwindawo yenaliti

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu, okanye ezo zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• ukopha okungaqhelekanga okanye ukugruzuka
• amabala amnyama abomvu phantsi kolusu okanye emlonyeni
• ukugabha okanye ukuphalaza igazi okanye izinto ezimdaka ezifana namabala ekofu
• enegazi okanye emnyama, ilindle
• igazi kumchamo
• umchamo obomvu okanye omnyama-mnyama
• ukuphuma kwegazi ngokugqithisileyo
• utywala okanye intloko
• urhashalala, irhashalala
• ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo
• ubunzima bokuginya okanye ukuphefumla

Inaliti ye-Dalteparin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Umboneleli wakho wezempilo uya kukuxelela ukuba uwagcina njani amayeza akho. Gcina amayeza akho njengoko kuyalelwe kubushushu begumbi. Qiniseka ukuba uyayiqonda indlela yokugcina amayeza akho ngokufanelekileyo. Lahla iibhotile zenaliti ye-dalteparin kwiiveki ezi-2 emva kokuvula.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukopha okungaqhelekanga
• igazi kumchamo
• mnyama, ilindle
• ukutyunyuzwa ngokulula
• Igazi elibomvu ilindle
• ukugabha okunegazi okanye okujongeka njengendawo yekofu

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba ufumana inaliti ye-dalteparin.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

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