Siyazi ukuba kunzima kangakanani ukuphila nesifo sezintso. Phakathi kwabo, ingakumbi abo baphoswa yi-hemodialysis ngenxa yesifo sezintso esingapheliyo, ingxaki enkulu neyicaphukisayo kukurhawuzelelwa. Ngamanye amaxesha oku kurhawuzelelwa kuhlala imini yonke, awukwazi ukulala ebusuku, kwaye uyakrwela ude umzimba wakho ugqunywe kuko. Oku kunokuba yimeko esongela ubomi. Ngoko ke, namhlanje sithetha ngenaliti entsha esetyenziselwa ukunyanga oku kurhawuzelelwa okunganyamezelekiyo. Igama lale yeza yiDifelikefalin (Die-feli-kefa-lin). Ifumaneka kwimarike phantsi kwegama elithi Korsuva .
Yintoni le gonyo ebizwa ngokuba yiDifelikefalin?
Ngamafutshane, le yinaliti ekhethekileyo enikwa ukulawula ukurhawuzelela okuphakathi ukuya kokubi kakhulu kwizigulana ezisebenzisa i-hemodialysis ngenxa yesifo sezintso esihlala ixesha elide. Le ayisiyoyeza lokurhawuzelela okuqhelekileyo. Isebenza nzima ngakumbi. Kukho iindlela ezithile zemithambo-luvo emzimbeni wethu ezibangela ukurhawuzelela. Into eyenziwa yile naliti kukujonga ezo ndlela zemithambo-luvo nokulawula imvakalelo yokurhawuzelela eya engqondweni. Ngoko ke akufani namayeza owanikayo kwi-allergies eziqhelekileyo, isebenza ngendlela eyahlukileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale olu nyango, ngokuqinisekileyo kufuneka uxoxe ngezi zinto nogqirha wakho. Musa ukufihla nantoni na, kuba zibaluleke kakhulu kukhuseleko lwakho.
- Ukuba unezinye izifo: Ingakumbi ukuba unesifo sesibindi , kufuneka usikhankanye ngokuqinisekileyo.
- Ii-Allergies: Xelela ugqirha wakho ukuba unayo nayiphi na i-allergies, kungekuphela nje kwesi sitofu seDifelikefalin, kodwa nakweminye imithi, ukutya, iidayi, okanye izithinteli.
- Ukukhulelwa: Ukuba ukhulelwe okanye uzama ukukhulelwa , qiniseka ukuba uxelele ugqirha wakho.
- Ukuncancisa: Ukuba ungumama oncancisa umntwana wakho , kufuneka wazise ugqirha wakho ngale nto.
Isetyenziswa njani le gonyo?
Eli asiloyeza onokulithatha ekhaya ulizame wedwa.
Olu gonyo lunikwa esibhedlele okanye ekliniki kuphela yingcali yezonyango eqeqeshiweyo. Lunikwa nangokufakwa kwimithambo yegazi.
Ixesha elininzi, uza kunikwa olu tyando ekupheleni kweseshoni yakho ye-dialysis. Ngoko ke akufuneki uze esibhedlele wedwa. Kubaluleke kakhulu ukuya kwiindibano zakho ze-dialysis ngexesha. Ukuba ngesizathu esithile awukwazi ukuza, yazisa isibhedlele okanye iklinikhi kwangaphambili.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ekubeni oku kubonelelwa esibhedlele, amathuba okuba oku kwenzeke mancinci kakhulu. Nangona kunjalo, ukuba ucinga ukuba ngempazamo uthathe eli yeza kakhulu, kufuneka ufowunele iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ziziphi ezinye izinto ezinokusebenzisana nale mithi?
Xa usebenzisa i-Difelikefalin vaccine, iziphumo zayo zisenokutshintsha kwamanye amayeza nezinto ozisebenzisayo. Ngokukodwa, ukozela kunye nesiyezi ezibangelwa lolu vaccine zinokwandiswa ngamanye amayeza. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza emifuno, kunye nezongezo .
Le theyibhile ingezantsi idwelisa ezinye zezinto ekufuneka ziqwalaselwe ngokukodwa.
| Uhlobo lwesiyobisi/lweziyobisi | Inkcazo kunye nezinto ekufuneka uziqaphele |
|---|---|
| Utywala | Utywala bunokunyusa kakhulu ukozela kunye nesiyezi esibangelwa yile mithi. Ngoko ke, phepha utywala ngokupheleleyo ngexesha lonyango. |
| Amayeza okunyanga ii-allergies, ukukhwehlela, kunye nomkhuhlane (ii-Antihistamines) | Amayeza afana ne-piritan anokukwenza ulale. Ukuwasebenzisa ngolu gonyo kunokukwenza ulale unganyamezeleki. |
| Iipilisi zokuthomalalisa kunye neepilisi zokulala | Amayeza okunyanga ixhala okanye ukungalali anokubangela ukozela. Ukusebenzisa la mayeza kunye kunokunciphisa kakhulu ukuphaphama. |
| Amanye amayeza okudakumba | Xelela ugqirha wakho ukuba usebenzisa amayeza anjenge-amitriptyline, i-fluoxetine, okanye i-sertraline. |
| Amayeza okuxhuzula | Kwakhona yazisa ugqirha ukuba usebenzisa amayeza afana nePhenobarbital. |
| Ii-anesthetics kunye ne-muscle relaxants zotyando | Ukuba ucwangciselwe utyando, qiniseka ukuba wazisa ingcali yokubulala iintlungu ukuba usebenzisa iDifelikefalin. |
| IiNarcotics (amayeza eentlungu eziqatha okanye ukukhwehlela) | Ukuba usela amayeza okudambisa iintlungu afana ne-tramadol kunye ne-morphine, nawo ayandisa ukozela. |
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na iyeza, olu gonyo lunokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo. Nangona kunjalo, kubalulekile ukuzazi ezi.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho okanye esibhedlele ngoko nangoko | |
|---|---|
| Iimpendulo Ezinzima Zokwaliwa Yi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, ulwimi okanye umqala (kunokubangela ubunzima bokuphefumla). |
| Ukudinwa kakhulu okanye ukulahlekelwa zingqondo | Uziva unesizungu kangangokuba awukwazi ukuma, amehlo akho ejika abe luhlaza okwesibhakabhaka, uze ulahlekelwe zingqondo uze uwe. |
| Ukudideka | Ukulahlekelwa yingqwalasela ngequbuliso, ukulibala apho ukhoyo, ukungathethi kakuhle, njl. |
| Amanqanaba aphezulu e-potassium egazini | Iintlungu zesifuba, ukubetha kwentliziyo okungaqhelekanga okanye okukhawulezayo, ubuthathaka bemisipha. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga ukuba azinaxhala, kodwa ukuba ziyaqhubeka, kufuneka uxelele ugqirha wakho. | |
| Ukozela/Isiyezi | Esi sisiphumo esiqhelekileyo, yiyo loo nto kucetyiswa ukuba kuphetshwe ukuqhuba. |
| Urhudo | Usenokuziva ngathi uqunjelwe. |
| Intloko ebuhlungu | Intloko ebuhlungu kancinci ingenzeka. |
| Isicaphucaphu | Usenokuziva ufuna ukuhlanza. |
| Ukudinwa | Umzimba usenokuziva udiniwe kwaye udiniwe. |
Umyalezo Wokuya Ekhaya
- I-Difelikefalin (Korsuva) yinaliti ekhethekileyo enikwa ukunyanga ukurhawuzelela okukhulu kwizigulana zezintso ezikwi-hemodialysis. Eli ayiloyeza liqhelekileyo elinikwa wonke umntu.
- Ngaphambi kokuba uqale olu nyango, qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iziyobisi, izongezo, kunye nezinye iimeko zonyango ozisebenzisayo.
- Olu gonyo lunokubangela ukozela kunye nesiyezi . Ngoko ke, kuphephe ukwenza imisebenzi efuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, de imiphumo yeyeza iphele.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokudumba kobuso, ubunzima bokuphefumla, okanye isiyezi esinzima, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ungaphoswa yimihla yakho yokuhlaziya i-dialysis kunye neyokugonywa. Ukuba awukwazi ukuya ngesizathu esithile, nceda wazise isebe elifanelekileyo kwangaphambili.
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