Isisombululo sokuqaqamba kwemisipha yakho? Masifunde ngeekhaphu zeDantrolene!

Ngaba ngamanye amaxesha uziva ngathi izihlunu zakho ziqinile kwaye ziyatsala? Okanye ngaba unesicaphucaphu kwaye uyarhawuzelelwa kwiindawo ezithile zomzimba wakho emva kwestroke, umzekelo? Namhlanje siza kuthetha ngonyango olukhethekileyo olunikwa njengonyango lwesifo esinzima esinokwenzeka emva kotyando oluthile. Igama leli yeza yiDantrolene. Abanye abantu bayayazi ngegama lophawu `(Dantrium)`.

Ngoko ke, yintoni iDantrolene? Yintoni eyenzayo?

Ngamafutshane, iDantrolene liyeza elinceda ekunciphiseni ukuqina kwemisipha kunye nokuqaqamba. Umzekelo, xa abanye abantu benesifo se-`(Multiple Sclerosis)` (isifo senkqubo yemithambo-luvo), `(Cerebral Palsy)` (cerebral palsy), `(Stroke)`, okanye ingozi ye-`(Spine)`, izihlunu zabo ziyaqina kwaye azikwazi ukuhamba kakuhle. Ngamaxesha anjalo, eli yeza linika isiqabu esikhulu.

Akuphelelanga apho, kodwa kukho nenye into ekhethekileyo kakhulu. Ngamanye amaxesha, xa kusenziwa utyando, xa kusenziwa i-anesthesia, kwenzeka imeko esongela ubomi ngequbuliso apho ubushushu bomzimba bunyuka ngokugqithisileyo. Yiloo nto siyibiza ngokuba yi-malignant hyperthermia . Eli yeza, iDantrolene, lisetyenziselwa ukuthintela nokunyanga loo meko iyingozi.

Ngaphandle koku, oogqirha banokukunika eli yeza nakwezinye iimeko zonyango. Ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ikhemisti.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Ngaphambi kokuba uqale ukusebenzisa eli yeza, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ezi zinto, akunjalo? Kuba kusekelwe kolu lwazi ugqirha uya kugqiba ukuba eli yeza likulungele na okanye alikulungele, kwaye lingakanani na ekufuneka akunike lona.

• Ukuba unesifo sentliziyo .
• Ukuba unesifo sesibindi .
• Ukuba unengxaki yemiphunga okanye yokuphefumla (umz. i-asthma).
• Ukuba ukhe waba ne-allergy kwi-Dantrolene, amanye amayeza, ukutya, iidayi ezithile, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa .
• Ukuba ungumama oncancisayo .

Ukuba uzithetha ngokunyaniseka ezi zinto kwaye ungazifihli, ungafumana unyango ngokukhuselekileyo.

Uyisebenzisa njani le mithi ngokuchanekileyo?

Ufanele usele eli yeza neglasi yamanzi. Ufanele ulisele kanye njengoko kuyalelwe kwileyibhile kagqirha, ngexesha elifanelekileyo, kwaye kwidosi efanelekileyo . Akuyongcinga ilungileyo ukuthatha amayeza angaphezu kwalawo ugqirha wakho akuxelele wona, okanye ukuwasela rhoqo.

Kubalulekile:Eli yeza lenzelwe wena kuphela. Musa ukulinika abanye abantu nangasiphi na isizathu, nokuba baneempawu ezifanayo nezakho.

Ukuba unika abantwana eli yeza:

Eli yeza ngamanye amaxesha linikwa abantwana. Kodwa kukho izizathu ezikhethekileyo zoku, kwaye kukho nezinto ekufuneka ziqwalaselwe kakhulu . Ke ngoko, eli yeza kufuneka linikwe abantwana kuphela emva kokuthetha nogqirha wabantwana nokulandela icebiso lakhe.

Kuthekani ukuba usele kakhulu? (Ukusebenzisa idosi egqithisileyo):

Ukuba ucinga ukuba usele kakhulu kweli yeza, okanye ukuba omnye umntu usele kakhulu ngengozi, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka lesibhedlele elikufutshane ngoko nangoko. Musa ukoyika, mamela oko bakuthethayo.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini. Ukwenza njalo kwandisa umngcipheko weziphumo ebezingalindelekanga.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Eli linqaku elibaluleke kakhulu. Xa iDantrolene idityaniswe namanye amayeza owasebenzisayo, iziphumo zaloo mayeza zinokutshintsha okanye iziphumo ebezingalindelekanga zinokwenzeka.

Ufanele ukuphephe ukusebenzisa iDantrolene kunye nala mayeza:

• Amanye amayeza eziyobisi okukhwehlela

Kwakhona, ezi zinto zilandelayo zinokusebenzisana neDantrolene. Ngoko ke xelela ugqirha wakho ngezi zinto:

• Utywala
• Iintlobo zee-antihistamines ze-allergies, ukukhwehlela, kunye nomkhuhlane
• Amanye amayeza okunyanga ixhala okanye ukulala
• Amanye amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• Amanye amayeza asetyenziselwa ukudakumba (umz. i-Amitriptyline, i-Fluoxetine, i-Sertraline)
• Amanye amayeza asetyenziselwa ukuxhuzula (umz., iPhenobarbital, iPrimidone)
• Iihomoni zabasetyhini (umz., iipilisi zokulawula ukuzala, iipatches, iiringi, okanye iinaliti ezinee-estrogens okanye ii-progestins)
• Ii-anesthetics eziqhelekileyo ( umz., iHalothane, i-Isoflurane, iMethoxyflurane, iPropofol)
• Ii-anesthetics zasekuhlaleni ( umz. iLidocaine, iPramoxine, iTetracaine)
• Izinto zokukhulula izihlunu ezinikwayo ngexesha lotyando
• Amayeza eentlungu ezibangela i-narcotic
• IiPhenothiazines(umz. `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)

Olu luhlu lusenokungaphelelanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, imifuno, kunye nezongezo zokutya. Qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Ngelixa usela eli yeza, ugqirha wakho uza kujonga imeko yakho ngokusondeleyo. Kwaye kufuneka uqaphele kancinci ngezi zinto.

• Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Kungoko ke kungcono ukukuphepha ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza eminye imisebenzi efuna ukugxila ude wazi ukuba eli yeza likuchaphazela njani.
• Ukuvuka/ukuhlala phantsi ngokukhawuleza: Xa uphakama ngequbuliso umi kwindawo yokuma, okanye xa uphakama ngequbuliso umi kwindawo yokuhlala, ungaziva unesiyezi okanye ngathi uza kuwa. Lumka ngakumbi ukuba ungumntu omdala. Tshintsha izikhundla rhoqo.
• Utywala: Utywala bunokuphazamisana nemiphumo yalo mayeza, ngoko ke kuphephe ukusela utywala ngokupheleleyo.
• Amanye amayeza akwenza ulale: Ukuba usebenzisa amanye amayeza akwenza ulale (afana namayeza okulwa neentlungu, amanye amayeza okunciphisa iintlungu), ukuwasebenzisa kunye nala mayeza kunokukwenza ulale ngakumbi. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo. Ugqirha wakho uza kukuxelela ukuba mawusele malini. Ungaze uthathe okungaphezulu koko ugqirha wakho akuxelele kona. Ukuba unengxaki yokuphefumla okanye ulala kakhulu, fowunela igumbi likaxakeka ngoko nangoko.
• Uvakalelo lweLanga: Khawuthelekelele ukuba xa uphuma elangeni, amanye amayeza enza ulusu lwakho lutshise ngokukhawuleza, akunjalo? Eli yeza linokubangela uvakalelo oluncinci elangeni (`photosensitivity`). Ngoko ke luphephe ilanga kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla egquma umzimba wakho kakuhle, sebenzisa i-sunscreen. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths ze-tanning.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, iDantrolene inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kubalulekile ukuba uzazi.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho okanye omnye umntu osebenza ngezempilo ngoko nangoko .

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi.
• Iingxaki zokuphefumla.
• Ukuxhuzula okubangelwa kukuxhuzula .
• Iimpawu kunye neempawu zokulimala kwesibindi:
• Umchamo ujika ube mdaka ngombala otyheli okanye omdaka.
• Ukuziva ungaphili kakuhle, umkhuhlane.
• Indle iba nombala okhanyayo (mhlophe okhanyayo).
• Ukutya akunancasa.
• Isicaphucaphu.
• Intlungu kwicala eliphezulu lasekunene lesisu.
• Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga.
• Ukutyheli kwamehlo okanye ulusu (njenge-jaundice).
• Ingxaki yokuginya .
• Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga (oku kungenzeka ngaphandle kwengxaki yesibindi, kodwa xelela ugqirha wakho ).

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi ziphumo bezingalindelekanga azisoloko zimbi. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho.

• Ukuqhinwa
• Urhudo
• Isiyezi
• Isicaphucaphu, ukuhlanza
• Ingxaki yokuthetha

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into engaqhelekanga, thetha nogqirha wakho ngayo.

Ugcina njani amayeza?

Kubaluleke kakhulu ukugcina eli yeza ngokufanelekileyo.

• Yigcine kude nabantwana.
• Gcina kubushushu begumbi, ngaphantsi kwama-40 degrees Celsius (104 degrees Fahrenheit).
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Eyona nto ibalulekileyo ekufuneka uyikhumbule / Umyalezo oya nawo ekhaya

Kulungile, ngoko ke sithethe kakhulu ngeDantrolene, akunjalo? Nazi izinto ezimbalwa ekufuneka uzikhumbule ngokufutshane:

• Eli yeza lisetyenziswa kuphela xa kucetyiswa ngugqirha.
• Qiniseka ukuba uxelela ugqirha wakho ngezinye izifo onazo kunye nezinye amayeza owasebenzisayo.
• Lumka xa usela amayeza , unesizungu, kwaye uvakalelwa kukukhanya kwelanga . Musa ukusela utywala.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, bonana nogqirha ngokukhawuleza.
• Eli yeza lelakho wedwa. Musa ukulinika abanye.
• Ukuba unemibuzo engaphezulu malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho okanye ikhemisti.

Nceda ukhumbule ukuba eli nqaku lenzelwe ulwazi ngokubanzi kuphela. Akufanele lithathwe njengengcebiso kagqirha. Hlala ulandela icebiso likagqirha wakho.

Ndikunqwenelela impilo entle!

I- Dantrolene, Ukuqaqamba kwemisipha, Ukushukuma kwemisipha, I-Hyperthermia ebuhlungu, Iziphumo ebezingalindelekanga, Amayeza, Impilo