Uncedo lokuphelisa utywala: Masifunde ngeepilisi zeDisulfiram!

Ukuxhomekeka etywaleni ngumceli mngeni abantu abaninzi abajongene nawo. Siyazi ukuba ukuwoyisa akuyonto ilula. Kodwa, awuwedwa. Kukho izinto ezinokukunceda kolu hambo. Namhlanje siza kuthetha ngeyeza elibizwa ngokuba yiDisulfiram elinokunceda. Usenokuba ukhe weva ngalo phantsi kwegama elithi Antabuse .

Luhlobo luni lweyeza iDisulfiram?

Ngamafutshane, iDisulfiram sisiyobisi esinceda abantu abanengxaki yokusebenzisa utywala ukuba bayeke ukusela. Sisebenza ngendlela eyahlukileyo kancinci. Xa usela esi siyobisi, ukuba usela notywala obuncinci, uya kuba namava angathandekiyo . Oko kukuthi, kuya kuba nzima kakhulu emzimbeni wakho. Ke ngoko, kuya kunceda ukunciphisa umnqweno wokusela utywala.

Nangona kunjalo, le ayisiyopilisi yomlingo eya kukwenza uyeke ukusela utywala ngaxeshanye. Yinxalenye ebalulekileyo yenkqubo yokuchacha . Oko kukuthi, kunye nale mayeza, ulwalathiso lwezonyango kunye neengcebiso ngokuqinisekileyo ziyafuneka. Kunzima ukulindela iziphumo ekusebenziseni le ndlela yodwa.

Ngamanye amaxesha oogqirha banokukunika eli yeza kwezinye iimeko, ngoko ke ukuba unemibuzo engaphezulu malunga noku, buza ugqirha wakho okanye ikhemisti.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iDisulfiram, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho yezonyango. Kufuneka ukhankanye nayiphi na kwezi meko zilandelayo:

• Ukuba ukhe wakha wenzakala engqondweni ngaphambili .
• Ukuba unesifo seswekile (iDiabetes Mellitus) .
• Ukuba unesifo sentliziyo .
• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi (oku kubaluleke kakhulu, kuba eli yeza linokuchaphazela isibindi).
• Ukuba unesifo sengqondo .
• Ukuba usandul’ ukusela utywala okanye usebenzise nayiphi na enye imveliso equlethe utywala (oku kubaluleke kakhulu, njengoko ukuthatha eli yeza ngexesha elinjalo kunokubangela impendulo enzima).
• Ukuba unesifo sokuxhuzula .
• Ukuba usebenzisa amayeza anjenge- metronidazole okanye i-paraldehyde .
• Ukuba i-thyroid gland yakho ayisebenzi kakuhle (i-thyroid engasebenzi kakuhle) .
• Usenokuba ne-aleji kwi-disulfiram, izibulali-zinambuzane, iimveliso zerabha, amanye amayeza, ukutya, imibala yokutya, okanye izithinteli zokutya.Ukuba ukhe waba ne-allergy engaqhelekanga ngaphambili.
• Ukuba ukhulelwe, okanye unethemba lokukhulelwa .
• Ukuba ungumama oncancisayo .

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

Ndingayisebenzisa njani le yeza?

Kubaluleke kakhulu ukwazi kakuhle indlela yokusebenzisa eli yeza.

• Ezi pilisi mazithathwe ngomlomo, zixutywe neglasi yamanzi .
• Landela imiyalelo ekwileyibhile yakho kagqirha ngokuchanekileyo . Musa ukuthatha ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.
• Eyona nto ibalulekileyo yile: Ungaze, ungaze ulithathe eli yeza zingadlulanga iiyure ezili-12 emva kokusela utywala. Ukwenza njalo kunokubangela impendulo enzulu kakhulu.
• Ezi pilisi ngamanye amaxesha zinokutyunyuzwa zize zidityaniswe nolwelo olufana namanzi ngaphambi kokuba uzisebenzise. Kodwa qiniseka ukuba ubuza ugqirha wakho okanye ikhemisti ngale nto.
• Sela amayeza ngexesha elifanelekileyo nangexesha elifanelekileyo .
• Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
• Ukuba unika abantwana eli yeza, ngokuqinisekileyo kuya kufuneka uthethe nogqirha wabantwana ngalo. Kunokufuneka unonophelo olukhethekileyo kwiimeko ezinjalo.

Kubalulekile: Eli yeza lenzelwe wena kuphela. Ungaze wabelane ngalo nabanye abantu, nokuba banengxaki efanayo neyakho.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, fowunela iziko lolawulo lwetyhefu elikufutshane okanye igumbi likaxakeka esibhedlele ngoko nangoko. Musa ukuchitha ixesha.

Kuthekani ukuba ndiphoswa ngamayeza am?

Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

I-Disulfiram sisiyobisi esinokudibana namanye amayeza, ukutya, kunye nezinye izinto, ngoko ke kubalulekile ukuba ukwazi oku.

Ungaze uthathe iDisulfiram kunye nala mayeza:

• Utywala okanye nayiphi na imveliso equlethe utywala. Le yeyona nto iphambili.
• I-Amprenavir
• I-cocaine
• I-Lopinavir; I-Ritonavir (lopinavir; ritonavir)
• I-Metronidazole
• Izisombululo zomlomo eziqulethe i-ritonavir okanye i-sertraline
• I-Paclitaxel
• I-paraldehyde
• I-Tranylcypromine

La mayeza anokusebenzisana neDisulfiram:

• I-Isoniazid
• Amayeza athintela ukujiya kwegazi, umzekelo i-warfarin
• I-Phenytoin

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, angagunyaziswanga ngugqirha, imifuno, iivithamini, kunye nezongezo zokutya). Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala (okungavumelekanga ngokupheleleyo ngelixa usebenzisa la mayeza), okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokuchaphazela indlela eli chiza elisebenza ngayo.

Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa eli yeza:

Kukho izinto ezininzi ekufuneka uzazi ngelixa usebenzisa eli yeza ukuqinisekisa ukhuseleko lwakho kunye nempumelelo yeli yeza.

• Bona ugqirha wakho rhoqo ukuze uhlolwe rhoqo. Fumana uvavanyo olucetyiswa ngugqirha wakho.
• Lumka kakhulu ngotywala!
• Ungaze ulisebenzise eli yeza xa usela utywala.
• Yazisa abanye abantu abakwikhaya lakho (amalungu osapho, abantu abahlala kunye) ngale mithi kwaye ubaxelele ukuba benze ntoni xa kukho imeko engxamisekileyo.
• Ukuba usela utywala obuncinci ngelixa usebenzisa eli yeza, unokufumana impendulo enzima kakhulu nengathandekiyo. Le mpendulo ibizwa ngokuba yiDisulfiram-Ethanol Reaction . Kwimeko enjalo, unokufumana intloko ebuhlungu kakhulu, ukurhawuzelela, ukuhlanza, ubuthathaka, kunye nentlungu yesifuba . Kwezinye iimeko ezinzima, ubunzima bokuphefumla, iingxaki zentliziyo, ukuxhuzula, kwanokufa kunokwenzeka. Ke ngoko, kufuneka ulumke kakhulu ngale nto.
• Enye into ebalulekileyo kukuba iziphumo zeDisulfiram zinokuhlala emzimbeni wakho ukuya kuthi ga kwiintsuku ezili-14 emva kokuba usele ipilisi yakho yokugqibela . Oku kuthetha ukuba ukuba usela utywala ngelo xesha, unokufumana impendulo eyingozi echazwe apha ngasentla.

• Kwakhona lumka ngotywala obufihlakeleyo:
• Kuphephe ngokupheleleyo ukusebenzisa kungekuphela nje utywala, kodwa nezinye iimveliso eziqulethe utywala.
• Soloko ufunda ilebheli yeemveliso ozisebenzisayo ngononophelo ukuze ubone ukuba zinotywala na.
• Cinga ngayo, abanyeIisiraphu zokukhwehlela, amayeza okuthomalalisa iintlungu, iitoniki, ii-mouthwashes, ii-aftershave lotions, ii-colognes, ii-liniments ezithile, iiviniga, kunye nezinye iisosi nazo zinokuba notywala. Ke ngoko, kufuneka ulumke kakhulu ngaphambi kokuba usebenzise ezi zinto.

• Nxiba ibheji yokuzazisa:
• Kungumbono olungileyo ukunxiba isongo okanye umgexo obonisa ukuba usebenzisa i-disulfiram.
• Kwakhona, soloko uphethe ikhadi lokuzazisa eliquka igama lakho, igama kunye nomthamo wamayeza owaselayo, igama likagqirha wakho kunye nenombolo yefowuni, kunye nolwazi lomntu onokuqhagamshelana naye xa kukho imeko engxamisekileyo (umz., ilungu losapho). Oku kuya kuba luncedo kakhulu kwabo bakunyangayo xa kukho imeko engxamisekileyo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na imithi, iDisulfiram inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye azibi kakhulu, kodwa kufuneka uzixele kugqirha wakho ngoko nangoko.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko ziquka:

Ukuba ufumana naziphi na kwezi mpawu, yiya kugqirha okanye esibhedlele ngokukhawuleza:

• Iimpendulo ze-allergy ezifana: ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Utshintsho embonweni (umz. ukubona okufipheleyo).
• Ukudideka, ukudideka, ukucaphuka.
• Ukuba umchamo uba mnyama .
• Ukuziva udiniwe kwaye uneempawu ezifana nezomkhuhlane.
• Ukulahlekelwa ngumdla wokutya, isicaphucaphu.
• Ukuziva ungaxhunyiwe kwihlabathi lokwenyani, ukuziva ukwimeko yokungazithembi (ukulahlekelwa kukunxibelelana nenyaniso).
• Ukuba ndindisholo, intlungu okanye ukurhawuzelela kwamalungu omzimba.
• Intlungu yesisu esingentla ngasekunene ( oku kungaba yingxaki yesibindi).
• Ukuba uzive ubuthathaka okanye udiniwe ngendlela engaqhelekanga.
• Ukutyheli kwamehlo okanye ulusu (oku kungaba luphawu lwe-jaundice).

Iziphumo ebezingalindelekanga ezihlala zingadingi nyango, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi zifo zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho.

• Naluphi na utshintsho kwinkanuko okanye ukusebenza ngokwesondo.
• Isiyezi.
• Uyozela, udiniwe.
• Intloko ebuhlungu (hayi intloko ebuhlungu ebangelwa butywala).
• Incasa efana neyentsimbi okanye yegalikhi emlonyeni.
• Isicaphucaphu, ukuhlanza ( hayi ukuhlanza okukhulu okwenzeka xa utywala).

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

Ndingazigcina njani ezi pilisi?

• Gcina eli yeza kude nabantwana kwaye lingafikeleleki kubo .
• Gcina kubushushu begumbi, phakathi kwama-20 nama-25 degrees Celsius (ama-68 nama-77 degrees Fahrenheit). Musa ukuyibeka kwindawo eshushu kakhulu okanye ebandayo.
• Gcina kwisikhongozeli esivalwe ngokuqinileyo nesimelana nokukhanya.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Disulfiram iluncedo kakhulu kwabo bazama ukuyeka utywala. Kodwa khumbula ezi zinto zilandelayo:

• Eli yeza lisebenza ngokukunika amava angathandekiyo kakhulu ukuba usela utywala.
• Esi asisosisombululo esizimeleyo. Le yinxalenye nje yenkqubo iyonke yokulahla utywala. Iingcebiso zonyango kunye neengcebiso zibalulekile.
• Musa ukusela nantoni na enotywala ngelixa usela eli yeza. Oku akubandakanyi utywala kuphela, kodwa nokutya, iziselo, amayeza kunye neziqholo. Funda iilebheli ngononophelo.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo zonke izifo zakho.
• Lumka ngemiphumo emibi. Ukuba ubona into enzulu, xelela ugqirha wakho ngoko nangoko.
• Sela amayeza ngexesha elimiselweyo njengoko ugqirha ewayalele. Musa ukuyeka ngequbuliso.

Uhambo oluya ekuchacheni kwingxaki yokusela utywala lunokuba ngumceli mngeni, kodwa ngenkxaso efanelekileyo kunye nonyango, ungayoyisa. I-Disulfiram sisixhobo esinye esinokukunceda kolo hambo. Vula kwaye uthembeke kugqirha wakho malunga nemibuzo kunye nezinto ezikuxhalabisayo. Ndikunqwenelela ithamsanqa!

I- Disulfiram, i-Antabuse, ukuyeka ukusela utywala, amayeza otywala, impendulo yotywala, ukuyeka iziyobisi, i-Disulfiram Sinhala