Masifunde ngeepilisi ze-(Cisapride) ezinikwa iintlungu zesifuba sakho?

Ngaba uhlala uziva utshile esifubeni sakho kwaye unencasa emuncu emqaleni wakho? Sikwabiza oku ngokuba yi-gastritis. Ukuchaneka, oku kusenokuba kungenxa yemeko ebizwa ngokuba yi-`(Gastroesophageal Reflux Disease)` okanye `(GERD)`. Ngoko ke, iyeza elikhethekileyo elinikwa iingxaki ezinjalo yi-`(Cisapride)`. Kodwa eli asiloyeza elinikwa wonke umntu kwaye linokuthengwa lula kwikhemesti. Ngenxa yeengozi ezithile ezinzulu ezibandakanyekayo, oogqirha banika eli kuphela abo ukudumba kwabo esifubeni kungazange kuphele nangona benze utshintsho kwindlela yokuphila nokusebenzisa amanye amayeza. Namhlanje, masithethe kancinci nge-`(Cisapride)`.

Loluphi uhlobo lonyango olu `(Cisapride)`?

Ngamafutshane, `(Cisapride)` liyeza elinceda ekulawuleni ukusebenza kwenkqubo yakho yokugaya ukutya ukuya kuthi ga kwinqanaba elithile . Ngokukodwa, lisetyenziselwa ukunyanga isitshiso sentliziyo, imeko ebangelwa yi-acid reflux evela esiswini, eyaziwa ngokuba yi`(GERD)`.

Kodwa eyona nto ibalulekileyo apha kukuba ngenxa yeziphumo ebezingalindelekanga ezinzulu (ingakumbi ezo zichaphazela ukubetha kwentliziyo) , eli yeza alisathengiswa esidlangalaleni kwiikhemesti. Emva kuka-Agasti 2000, eli yeza lifumaneka kuphela koogqirha ababhalisiweyo ngokukodwa. Oku kuthetha ukuba ugqirha kufuneka abhaliswe kwinkampani eyenza eli yeza kwaye ahlangabezane neemfuno ezifanelekileyo. Ngaphandle koko, akulula ukulifumana. Oku kufanele kukunike umbono wokuba eli yeza lifanele lisetyenziswe ngononophelo kangakanani.

Oogqirha banokukunika eli yeza nakwezinye iimeko, ngoko ke ukuba unemibuzo, buza ugqirha wakho okanye ikhemisti.

Igama eliqhelekileyo lemveliso yale yeza yi-`(Propulsid)`.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iCisapride, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Musa ukuzifihla ezi zinto, kuba zinokuchaphazela impilo yakho.

• Ngaba unengxaki yokutya? Umzekelo, iimeko ezifana ne-`(Anorexia)` (ukungatyi) okanye `(Bulimia)` (ukutya nokuhlanza).
• Ngaba unesifo sentliziyo okanye ukusilela kwentliziyo ?
• Ngaba unengxaki yesingqisho sentliziyo?
• Ngaba unengxaki yevalvu yentliziyo ?
• Ngaba unembali yokuba namanqanaba aphantsi e-calcium, potassium, okanye magnesium ?
• Ngaba unesifo sezintso ?
• Ngaba unesifo sesibindi ?
• Ngaba unesifo semiphunga ?
• Ingaba isisu sakho siphuma igazi, sivalekile, okanye sinezilonda ?
• Ngaba une -allergy kwi-Cisapride, amanye amayeza, ukutya, imibala yokwenziwa, okanye izithinteli?
• Ngaba ukhulelwe? Okanye uzama ukukhulelwa?
• Ingaba ungumama oncancisayo?

Xa uxelela ugqirha wakho zonke ezi zinto, unokugqiba ukuba eli yeza likulungele na okanye alikulungele, kwaye angalinika njani.

Ndingayisebenzisa njani le yeza kanye kanye?

Eli yeza lifanele lithathwe ngomlomo, lixutywe neglasi yamanzi. Landela imiyalelo ekwileyibhile yeyeza ngokuchanekileyo.

Okubaluleke kakhulu: Eli yeza lifanele lithathwe ungenanto esiswini. Oko kukuthi, ubuncinane imizuzu eli-15 ngaphambi kokutya nangaphambi kokulala ebusuku .

Musa ukuthatha okungaphezulu koko ugqirha akuxelele kona.

Ukuba unika abantwana eli yeza: Thetha nogqirha wakho wabantwana ngalo. Kunokufuneka unyango olukhethekileyo.

Umthamo ogqithisileyo: Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Nceda uqaphele: Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye, nokuba baneempawu ezifanayo nezakho.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Nantsi into ekufuneka uyilumkele kakhulu. I-Cisapride inokubangela iziphumo ebezingalindelekanga ezinzulu, ingakumbi iingxaki zentliziyo, ukuba ithathwa kunye namanye amayeza. Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, iimveliso zezityalo, kwaneentlungu .

Kukho uluhlu lwamayeza angafanele asetyenziswe kunye ne-`(Cisapride).` Amanye awo ngala:

• Amayeza okulwa nentsholongwane kaGawulayo okanye i-AIDS
• Amanye amayeza osulelo lwefungus (umz., `(Fluconazole)`, `(Ketoconazole)`, `(Itraconazole)`)
• Ezinye iintlobo ze-`(Antibiotics)` (umz. `(Clarithromycin)`, `(Erythromycin)`)
• Amanye amayeza okudakumba, ukuxhalaba, okanye ezinye izifo zengqondo (umz., iHaloperidol, iPimozide)
• Amanye amayeza okunceda ukubetha kwentliziyo ngendlela engacwangciswanga (umz. i-Amiodarone, i-Quinidine, i-Sotalol)
• Amanye amayeza omhlaza (umz. `(Imatinib)`)
• Ijusi yegrapefruit (Le ayisiyo idiliya esiyityayo, sisiqhamo esikhethekileyo esibizwa ngokuba yiGrapefruit. Oku akuqhelekanga eSri Lanka, kodwa kulungile ukwazi.)
• Amanye amayeza andisa ixesha le-`QT interval` (oko kukuthi, achaphazela indlela yombane yokubetha kwentliziyo).

Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo.

Ukongeza, iCisapride inokuchaphazela oku kulandelayo:

• I-Diuretics (amayeza abangela ukwanda kokuchama)
• `(I-insulin)`

Xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usela ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho.

Zeziphi ezinye izinto ekufuneka ndizilumkele xa ndisebenzisa eli yeza?

Bona ugqirha wakho rhoqo ukuze ujonge impilo yakho. Ukuze eli yeza lisebenze kakuhle, kuya kufuneka wenze utshintsho oluthile kwindlela ophila ngayo.

• Nciphisa ukutya okutyayo ngexesha elinye.
• Xa ulele, gcina intloko yebhedi iphakanyisiwe malunga ne-intshi ezi-6 ukuya kwezi-8. Ungasebenzisa umqamelo owongezelelweyo koku.
• Nciphisa ukutya okunamafutha amaninzi, itshokolethi, utywala, ukutshaya, iziselo ezine-caffeine ezifana nekofu, kunye neziselo ezine-carbonated (ezifana ne-soda) . Musa ukutya kakhulu ebusuku kwaye ulale kwangethuba.

Kubaluleke kakhulu: Ukuba uziva unesizungu, unengxaki yokuphefumla, okanye uvakalelwa kukuba ukubetha kwentliziyo yakho kuyakhawuleza okanye akuhambi kakuhle ngelixa usela eli yeza, yeka ukulisebenzisa ngoko nangoko uze ubone ugqirha.

Musa ukusela ijusi yegrapefruit ngelixa usela eli yeza. Ijusi yegrapefruit inokunyusa umngcipheko weziphumo ebezingalindelekanga ezibi ezivela kweli yeza.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, iCisapride inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho okanye kwingcali yezempilo ngoko nangoko:

• Ubunzima bokuphefumla
• Ukudumba okanye ukugoba
• Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
• Ukuziva ubuthathaka okanye udiniwe ngokungaqhelekanga
• Ukuhlanza

Kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza kuba ezi zinto zinokuba yingozi kakhulu.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza):

• Ukuqunjelwa okanye ukuqhinwa
• Intloko ebuhlungu (intloko ebuhlungu)
• Isicaphucaphu (ukuziva ngathi uhlanza)
• Intlungu yesisu
• Ukuxinana kwempumlo

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga, buza ugqirha wakho ngazo.

Ndingazigcina njani ezi pilisi?

• Yigcine kude nabantwana.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius). Khusela ekukhanyeni.
• Lahla amayeza aphelelwe lixesha.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Eli nqaku linika isishwankathelo seyeza `(Cisapride)` kuphela. Alinalo lonke ulwazi. Ukuba unemibuzo malunga neli yeza, thetha nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo.

Khumbula, `(Cisapride)` liyeza elifanele lisetyenziswe ngononophelo olukhulu, kuphela emva kwengcebiso kagqirha, kwaye kuphela xa zonke ezinye iindlela zonyango zingaphumelelanga. Isizathu soku kukuba linokubangela iziphumo ebezingalindelekanga ezinzulu. Ke ngoko, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye umxelele ngazo zonke ezinye iindlela ozisebenzisayo. Ukhuseleko lwakho kufuneka luze kuqala.

I- Cisapride, i-cisapride, ukudumba kwesifuba, i-GERD, i-gastroesophageal reflux, iziphumo ebezingalindelekanga, amayeza, amayeza