Kwabaninzi abantu, igama elithi gout lifika engqondweni xa kufikwa kwiintlungu zamadolo neqakala, akunjalo? Mhlawumbi ugqirha wakho unikile iyeza elibizwa ngokuba yiColchicine ukunceda kule ntlungu inganyamezelekiyo okanye ukuthintela ukuba ingabuyi. Xa uthatha eli cebiso, imibuzo emininzi efana nethi, "Kuza kwenzeka ntoni ngale nto? Yintoni endifanele ndikhathazeke ngayo?" mhlawumbi ifika engqondweni yakho. Ngoko ke ungakhathazeki, namhlanje siza kuthetha ngokuba yintoni le mayeza, indlela yokuwasebenzisa, kunye nezinto ekufuneka zixhalatyelwe.
Yintoni iColchicine? Yintoni eyenzayo?
Ngamafutshane, i-colchicine liyeza elisetyenziselwa ukulawula iintlungu kunye nokudumba kwamalungu okubangelwa yi-gout kunye nokuthintela ukuphinda kwe-gout. Kwi-gout, ikhemikhali ebizwa ngokuba yi-uric acid, eveliswa emzimbeni wethu, ifakwa kumalungu, yenze iikristale ezifana nameva, nto leyo ebangela iintlungu ezinkulu kunye nokudumba. Ngoko ke into eyenziwa leli yeza le-colchicine kukunciphisa oko kuvutha kunye nokunciphisa ukuqokelelwa kweekristale ze-uric acid kumalungu.
Ukongeza, eli yeza likwasetyenziselwa ukunyanga izifo ezingaqhelekanga zemfuza ezifana neFamilial Mediterranean Fever (FMF).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqirha wakho akunike iColchicine, kubalulekile ukuba azi ngembali yakho yonke yempilo. Kufuneka uxelele ugqirha wakho ngokukodwa ukuba unenye yezi meko zilandelayo:
- Isifo sezintso : Ukuba ubuthathaka kwizintso zakho .
- Isifo sesibindi: Ukuba kukho ingxaki ekusebenzeni kwesibindi.
- Ii-Allergies: Ukuba wakha waba ne-allergy kwi-Colchicine okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukukhulelwa: Ukuba ukhulelwe okanye ulindele umntwana kungekudala.
- Ukuba ungumama oncancisayo: Ukuba ungumama oncancisayo.
Ngokusekelwe kolu lwazi, ugqirha wakho uya kugqiba idosi efanelekileyo kuwe.
Iyeza lifanele lisetyenziswe ngendlela eyiyo.
Ukuze iyeza lisebenze kakuhle, kubalulekile ukulisebenzisa ngokuchanekileyo.
- Sela le pilisi ngomlomo neglasi yamanzi .
- Sela amayeza akho kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaze uthathe amayeza angaphezu kwalawo akuyaleleyo.
- Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukulisebenzisa kunye nesidlo.
- Abantu abangaphezu kweminyaka engama-65 ubudala banokufuna idosi ephantsi. Kwakhona, nangona eli yeza linikwa abantwana abangaphezu kweminyaka emi-4 ubudala kwiimeko ezithile ezikhethekileyo, kufuneka kuthathwe ingqalelo ekhethekileyo. Konke oku kuya kugqitywa ngugqirha wakho.
Khumbula, eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)
Ukuba unesikrokro sokuba uthathe amayeza amaninzi kunokuba ucinga, musa ukulibazisa. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Yintoni omawuyenze ukuba uphoswe yidosi?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe yidosi uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu.
Amanye amayeza angafanele asetyenziswe neColchicine
I-Colchicine liyeza elinokusebenzisana namanye amayeza. Ngoko ke, yazisa ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, kunye neevithamini.
I-Colchicine inokunxibelelana, ingakumbi ngezi zinto zilandelayo:
- Amanye amayeza e-antiviral e-HIV okanye i-Hepatitis
- Amanye amayeza okubulala iintsholongwane, afana ne-Erythromycin okanye i-Clarithromycin
- Amanye amayeza oxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo
- Amayeza okunciphisa i-cholesterol afana ne-Atorvastatin, iLovastatin, kunye neSimvastatin
- Amayeza anjengeKetoconazole kunye neItraconazole, asetyenziselwa ukunyanga izifo zefungus
- Iyeza iCyclosporine
- Ijusi yegrapefruit okanye igrapefruit
Umzekelo, ukuba usela amayeza e-cholesterol, indlela esebenza ngayo le mithi inokutshintsha ngale Colchicine. Yiyo loo nto kubaluleke kakhulu ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Zithini iziphumo ebezingalindelekanga?
Njengayo nayiphi na imithi, iColchicine inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye ziqhelekile. Into ebalulekileyo kukwazi ezi zinto.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, amanxeba angapholiyo, iintlungu xa uchama. |
| Ukulimala kwemisipha | Ubuthathaka obungaqhelekanga, iintlungu zemisipha, umchamo otyheli okanye omdaka. |
| Ukopha okungaqhelekanga | Amabala aluhlaza okwesibhakabhaka eluswini, ukopha ngamanye amaxesha. |
| Ukungabi nangqondo kwamalungu | Intlungu, ukungaziva, okanye ukurhawuzelela ezandleni okanye ezinyaweni. |
| Ngokwesiqhelo ayisiyongxaki inzulu (kodwa yazisa ugqirha wakho ukuba iyaqhubeka) | |
| Ukungonwabi kwesisu | Urhudo, isicaphucaphu, kunye nokuhlanza zixhaphakile kwiintsuku zokuqala. |
Ezinye izinto ekufuneka uzikhumbule xa usebenzisa iyeza
- IVithamini B12: Ukusela i-colchicine ixesha elide kunokunciphisa amanqanaba akho eVithamini B12. Ngoko ke thetha nogqirha wakho malunga nokutya kwakho kunye neevithamini ozisebenzisayo.
- Umngcipheko wokopha: Eli yeza linokunyusa kancinci umngcipheko wokopha okanye ukukrweleka. Ngoko ke xelela ugqirha wakho ukuba ubona into engaqhelekanga.
- Ukuhlolwa rhoqo: Yiya kwiikliniki ngamaxesha amiselweyo njengoko ugqirha echazile kwaye ujonge imeko yakho. Kwakhona xela ukuba iimpawu zakho aziphucuki okanye azibi mandundu.
Ungayigcina njani imithi ikhuselekile?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwe-15-30 degrees Celsius), kwindawo eyomileyo, kude nokukhanya.
- Gcina isiciko sebhotile yamayeza sivaliwe kakuhle.
- Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Colchicine liyeza elibalulekileyo elinyanga izifo ezifana ne-gout.
- Soloko usela amayeza njengoko ugqirha wakho ekuyalele. Ungaze uthathe ngaphezu komlinganiselo ocetyisiweyo.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Ukuba ufumana iziphumo ebezingalindelekanga ezinzulu (umkhuhlane, ukurhawuzelela kolusu, ukopha okungaqhelekanga), funa ingcebiso kagqirha ngoko nangoko.
- Kuphephe ukuthatha iidiliya okanye ijusi yegrapefruit kunye nale yeza.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
- Ukuba uneengxaki malunga nale mithi, thetha nogqirha wakho ngayo.
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