Ngaba unesifo esibizwa ngokuba yi-Inflammatory Bowel Disease (IBD)? Okanye ngaba uneempawu ezinxulumene naso? Ukuba kunjalo, ugqirha wakho usenokuba ukunike iyeza elinikwa nge-rectally. Le yinto esiyibiza ngokuba yi-Hydrocortisone Rectal Enema. Usenokuziva usoyika kwaye udidekile xa usiva eli gama. Kodwa ungacingi nto ngalo. Masithethe ngale yeza, indlela yokulisebenzisa, nayo yonke into ekufuneka uyazi ngendlela elula kakhulu , ngokungathi uthetha nomhlobo.
Kalula nje, yintoni le Hydrocortisone Enema?
I-Hydrocortisone yi -steroid . Umsebenzi wayo ophambili kukunciphisa ukudumba , okukudumba nokudumba emzimbeni. Eli yeza linceda ukulawula ukudumba nokudumba okuye kwenzeka emathunjini akho. Ekubeni linikwa nge-rectum (njenge-enema), iyeza liya ngqo kwindawo enengxaki kwaye liyasebenza. Ke ngoko, ungafumana uncedo ngokukhawuleza. ESri Lanka, eli yeza linokubonwa phantsi kwamagama eempawu ezifana ne-`(Colocort)`.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokusebenzisa eli yeza, kubaluleke kakhulu ukunika ugqirha wakho umfanekiso opheleleyo wemeko yakho yempilo. Kuba kufuneka silumke kakhulu xa sisebenzisa eli yeza kunye nezinye iingxaki zempilo. Ukuba unayo nayiphi na kwezi zilandelayo, ungalibali ukuxelela ugqirha wakho ngalo.
| Iimeko zempilo ezikuchaphazelayo | Kutheni ufanele uxelele? |
|---|---|
| Naluphi na usulelo olukhoyo (ibhaktiriya, intsholongwane, ifungal) | Ii-steroids zinokunciphisa amajoni omzimba kwaye zonyuse usulelo. |
| Isifo seswekile | Oku kunokunyusa amanqanaba eswekile egazini. |
| I-Glaucoma okanye i-cataracts | Inganyusa uxinzelelo lwamehlo okanye iyenze imeko ibe mandundu. |
| Igazi elonyukayo | Uxinzelelo lwegazi lunokunyuka ngakumbi. |
| Iingxaki zesistim somzimba | Ukusebenza kwenkqubo yomzimba yokuzikhusela komzimba kusenokuba buthathaka ngakumbi. |
| Uhlaselo lwentliziyo lwangaphambili | Intliziyo isenokuchaphazeleka. |
| Utyando lwamathumbu lwakutshanje (ileocolostomy) | Inkqubo yokuphiliswa ingachaphazeleka. |
| Ukuvaleka kwe-rectum, ithumba, ukugqobhoka, okanye i-fistula | Ezi meko zisenokuqhubeka zisiba mbi ngakumbi. |
| Ezinye izifo zesisu okanye zamathumbu | Ezinye iimpawu zinokuba mandundu. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa, ukuba ngumama oncancisayo | Ingcebiso kagqirha ibalulekile kuba inokuchaphazela umntwana. |
| Ukunganyamezelani namayeza, ukutya, okanye idayi | Ukuthintela ukusabela kwe-allergy. |
Ungayisebenzisa njani le yeza ngokuchanekileyo?
Ekubeni eli liyeza elingaqhelekanga, kubaluleke kakhulu ukwazi kakuhle indlela yokulisebenzisa. Landela la manyathelo angezantsi.
1.Okubaluleke kakhulu: Eli yeza lifanele lisetyenziswe kuphela nge-rectal . Musa ukulithatha ngomlomo nangasiphi na isizathu.
2. Hlamba izandla zakho kakuhle ngesepha ngaphambi nasemva kokusebenzisa.
3. Lala phantsi ngokukhululeka. Eyona ndlela ilungileyo kukulala ngecala lakho lasekhohlo idolo lakho lasekunene lifakwe esifubeni sakho . Le ndlela ikhulula i-rectum kwaye yenza kube lula ukufaka iyeza.
4. Faka kancinci nangononophelo incam yesixhobo sokufaka kwi-rectum. Emva koko cinezela ibhotile ukuze ukhuphe iyeza.
5. Emva kokufaka iyeza, lala phantsi kwindawo efanayo ubuncinane imizuzu engama-30 . Oku kuya kuvumela iyeza ukuba lihlale ngaphakathi kwaye lisebenze kakuhle.
6. Zama kangangoko unako, gcina eli yeza emzimbeni wakho ubuncinane iyure enye, kwaye ukuba kunokwenzeka, ubusuku bonke . Emva koko ungafumana iziphumo eziphezulu.
7. Musa ukusebenzisa okungaphezulu koko ugqirha akuxelele kona.
Kubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso, nokuba uzive ungcono. Ukwenza njalo kunokubangela impendulo enzulu. Ukuba kufuneka uyeke ukulisebenzisa, yenza njalo kancinci kancinci, njengoko ugqirha wakho ekuxelela.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kusondele ixesha lomthamo wakho olandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini okanye uthathe idosi eyongezelelweyo.
Ezinye izinto ezinokusebenzisana nale mithi
Eli yeza linokunxibelelana namanye amayeza, iivithamini, okanye izongezo ozithathayo. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke into oyithathayo. Ingakumbi ukuba usebenzisa nayiphi na kwezi zilandelayo:
- I-Aspirin kunye nezinye izithomalalisi zentlungu (ii-NSAID) ezifana ne-Ibuprofen kunye ne-Naproxen
- Izinto zokunciphisa igazi ezifana neWarfarin
- Amayeza esifo seswekile
- Amayeza okulwa nesifo sokuwa afana nePhenobarbital, Carbamazepine, nePhenytoin
- Amayeza okulwa nefungus afana ne ketoconazole
- Ii-antibiotics ezifana neClarithromycin, i-Erythromycin, ne-Rifampin
- Iihomoni zabasetyhini, kuquka neepilisi zokulawula ukuzalwa
- Iipilisi zamanzi (i-Diuretics)
- I-Digoxin
- I-Cyclosporine
- Ezinye iintlobo zezitofu zokugonya `(iiToxoids kunye nezitofu zokugonya)`
Olu luhlu aluphelelanga. Ukuba utshaya okanye usela utywala, xelela ugqirha wakho ngaloo nto.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Jonga ugqirha wakho rhoqo: Ndwendwela ugqirha wakho ngeentsuku ezicwangcisiweyo ukuze ujonge ukuba unjani na.
- Ukuba akukho phuculo: Ukuba awuziva phuculo emva kokuyisebenzisa iintsuku ezimbalwa, xelela ugqirha wakho ngayo.
- Iimpawu zesilumkiso: Musa ukusebenzisa eli yeza ukuba unegazi esitulweni sakho. Kwakhona, xelela ugqirha wakho ngoko nangoko ukuba unesifo sokopha esinqeni, iintlungu eziqatha, ukutsha, ukurhawuzelelwa, amadyungudyungu, okanye nantoni na engaqhelekanga.
- Umngcipheko wokosuleleka: Eli yeza linokwenza buthathaka amasosha omzimba wakho kancinci. Oku kuthetha ukuba unokuba sengozini yokugula. Ngoko ke, hlala kude nabantu abanomkhuhlane okanye iflu. Ukuba ukhe wadibana nomntu one-measles okanye i-chickenpox, xelela ugqirha wakho ngayo.
- Iswekile egazini: Eli yeza lingonyusa amanqanaba eswekile egazini. Ukuba unesifo seswekile, buza ugqirha wakho ukuba ufuna ukwenza naluphi na utshintsho kwindlela otya ngayo okanye amayeza akho.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zimbi kakhulu, ezinye ziqhelekile. Kubalulekile ukuzazi ezi zinto.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Isifo seCushing | Amafutha ahlala esiswini, entanyeni, nasemantla emqolo, imicu epinki/mfusa eluswini, kunye nolusu olubhityileyo olukrweleka lula. |
| Ukwanda kweswekile egazini (i-Hyperglycemia) | Ukomela okwandileyo, ukuchama rhoqo, ukudinwa okungaqhelekanga, ukubona izinto ezingaqhelekanga. |
| Uxinzelelo lwegazi olunyukileyo | Intloko ebuhlungu, isiyezi. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, amanxeba angapholiyo. |
| Utshintsho lwengqondo kunye nokuziphatha | Ixhala, ukungazinzi, ukudakumba, iingcinga zokuzibulala. |
| Ukopha kwesisu | Indle emnyama efana negazi okanye itha, kunye nokuhlanza izinto ezifana nekofu. |
| Ukudumba komzimba | Ukudumba kwamaqatha, izandla, okanye iinyawo. |
Izinto omele uzixelele ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza | |
| Ukungonwabi kunye nokudinwa ngokubanzi | Ukungonwabi ngokubanzi emzimbeni. |
| Ukutsha/ukurhawuzelela kwindawo yokufaka isicelo | Ukungakhululeki okuncinci kwerectal. |
| Intlungu emqolo, ukudumba, okanye ukopha | Ukopha okuncinci okanye iintlungu emva kokusebenzisa iyeza. |
Umyalezo Wokuya Ekhaya
- I-enema ye-hydrocortisone liyeza le-steroid elinikwa ukulawula izilonda zamathumbu kunye nokudumba.
- Oku kufanele kusetyenziswe kuphela ngasemva. Ungaze ukuthathe ngomlomo.
- Xelela ugqirha wakho ngezinye izifo onazo kunye nezinye amayeza owasebenzisayo.
- Yisebenzise kanye njengoko ugqirha wakho ekuxelele, ixesha elide. Ungayeki ukuyithatha ngequbuliso, nokuba uzive ungcono.
- Ukuba ufumana ukopha emqolo, iintlungu eziqatha, ukudumba, okanye iimpawu zempendulo yokunganyamezelani, funa ingcebiso kagqirha ngokukhawuleza.
- Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye.
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