Ngaba nawe ugonyelwa isifo sephepha (TB)? Makhe sithethe ngesi sitofu se-Isoniazid (INH)!

Isifo sephepha, okanye njengoko sonke sisazi, isifo sephepha (TB) sisifo esifuna ingqalelo ethile. Ngoko ke, elinye lamayeza aphambili anikezelwayo ngenxa yesi sifo yi-Isoniazid, amanye abizwa ngokuba yi-INH. Ikwabizwa ngokuba yiNydrazid kwimarike. Mhlawumbi nawe unikwe esi sidakamizwa njengonyango. Ukuba kunjalo, eli nqaku liza kubaluleka kakhulu kuwe. Makhe sibone ukuba yintoni ekufuneka uyazi ngale mayeza.

Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndiqalise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa i-Isoniazid, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha okanye umongikazi wakho. Nazi ezinye zeemeko ezinokubangela iingxaki xa usebenzisa eli yeza. Jonga ukuba ezi zinto ziyasebenza na kuwe:

• Ukuba unesifo seswekile.
• Ukuba une-HIV.
• Ukuba usela utywala rhoqo.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba ungondlekanga, oko kuthetha ukuba umzimba wakho awufumani izondlo ezaneleyo.
• Ukuba iminwe neenzwane zakho azinangqondo, okanye sele unesinye isifo semithambo-luvo.
• Ukuba ukhe waba ne-allergy ngaphambili kule mithi ye-isoniazid, elinye iyeza, ukutya, iidayi zokutya, okanye izithinteli.
• Ukuba ukhulelwe okanye unethemba lokukhulelwa.
• Ukuba ungumama oncancisayo.

Ukuba kukho into efana nale, kubaluleke kakhulu ukuxelela ugqirha.

Ndingayisebenzisa njani le yeza?

I-Isoniazid idla ngokufakwa njengenaliti kwisihlunu. Le idla ngokunikezelwa yingcali yezempilo esibhedlele okanye eklinikhi.

Nangona kunjalo, ngamanye amaxesha unokufuna ukusebenzisa olu gonyo ekhaya. Ukuba kunjalo, uya kufundiswa indlela yokululungiselela kunye nendlela yokulufaka. Kufuneka ukwenze kanye njengoko kuyalelwe. Thatha iyeza ngexesha elifanelekileyo, ngomlinganiselo ofanelekileyo. Ungaze uthathe ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.

Nokuba uzive ungcono, musa ukunciphisa okanye ukuyeka ukuthatha amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo. Ukutsiba idosi kunokubangela ukuba isifo sakho sephepha singabi namandla okulwa nala mayeza kunye namanye amayeza. Oku kuthetha ukuba kuya kuba nzima ukunyanga esi sifo.

Enye into ebalulekileyo kukubeka iinaliti zakho ezisetyenzisiweyo kunye neesirinji kwisikhongozeli sezinto ezibukhali. Ungaze uzilahle emgqomeni. Ukuba awunayo, cela enye kwikhemesti yakho okanye kumboneleli wezempilo.

Ukuba unika abantwana eli yeza, kufuneka uthethe nogqirha wakho wabantwana ngalo. Kunokufuneka unonophelo olukhethekileyo.

I-Overdose: Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu elikufutshane okanye igumbi likaxakeka lesibhedlele ngokukhawuleza .

Kwakhona khumbula: Eli yeza lelakho kuphela. Musa ukulinika omnye umntu, nokuba uneempawu ezifanayo nezakho.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo (umzekelo, kusele iiyure ezimbalwa), yeka umthamo ophoswe ngawo uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele umthamo ophoswe ngawo. Ukuba oku kuyenzeka, buza ugqirha wakho.

Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)

Kukho amanye amayeza nezinto ezinokubangela iingxaki xa zisetyenziswa neli yeza, i-Isoniazid, oko kuthetha ukuba kukho ukusebenzisana.

Musa ukuzithatha ezi kunye ne-isoniazid:

Musa ukusebenzisa la mayeza ukuba usebenzisa i-Isoniazid:

• I-Entacapone
• Iti eluhlaza (ingakumbi xa isetyenziswa ngobuninzi)
• I-Levodopa
• Amayeza e-MAOI (imizekelo: iCarbex, iEldepryl, iMarplan, iNardil, kunye neParnate)
• I-Procarbazine
• I-Ranolazine
• I-Tolcapone

Iingxaki zinokwenzeka nakule mithi:

La mayeza alandelayo anokusebenzisana ne-Isoniazid, ngoko ke kubalulekile ukuxelela ugqirha wakho ukuba uyawasebenzisa:

• I-Acetaminophen (i-paracetamol njengoko sonke siyayazi)
• Utywala
• Ii-antacids (amayeza okudumba kwesisu kunye ne-gastritis)
• Amayeza esifo seswekile
• Amayeza osulelo lwefungus (umz. iKetoconazole, iItraconazole)
• Amayeza eemeko ezinje ngokuxhuzula (umz. iCarbamazepine, iPhenobarbital, iPhenytoin, iValproic acid)
• I-Theophylline
• I-Zalcitabine

Olu luhlu lusenokungabandakanyi zonke iindlela ezinokwenzeka zokunxibelelana. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iziqholo, amayeza angagunyaziswanga ngugqirha, iivithamini, kunye nezongezo zokutya ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokusebenzisana nalo mayeza.

Izinto ekufuneka uzilumkele xa usebenzisa eli yeza

Kukho izinto ezimbalwa ekufuneka uzilumkele ngakumbi xa usebenzisa eli yeza:

• Bona ugqirha wakho rhoqo ukuze uhlolwe rhoqo. Ugqirha wakho uza kuyalela ukuba kwenziwe uvavanyo lwegazi rhoqo. Oku kubaluleke kakhulu.
• Ngelixa usebenzisa eli yeza, ungacelwa ukuba uthathe izongezo zeevithamini, ingakumbi i-vitamin B6. Thetha nogqirha wakho malunga nokutya okutyayo kunye neentlobo zeevithamini ozithathayo.
• Utywala bunokuphazamisa kakhulu ukusebenza kakuhle kwale mithi kwaye bunokonakalisa nesibindi. Ngoko ke, kuphephe ukusela utywala ngokupheleleyo ngelixa usela le mithi. Eli licebiso elibaluleke kakhulu.
• Ukuba unesifo seswekile, jonga iswekile yakho yegazi rhoqo njengoko ugqirha wakho ekuxelele. Kwakhona, uvavanyo olujonga iswekile kumchamo wakho ngamanye amaxesha lunokunika iziphumo ezingezizo ezilungileyo. Thetha nogqirha wakho ngale nto.
• Eli yeza linokunciphisa amanqanaba akho eVithamin D kunye neVithamin B6. Ke ngoko, kufuneka uqiniseke ukuba ufumana ezaneleyo ezi vithamini ngelixa usela eli yeza. Ukongeza ekutyeni ukutya okunesondlo, thetha nogqirha wakho malunga nokuthatha izongezo zevithamini ukuba kuyimfuneko.

Iziphumo ebezingalindelekanga ezinokubakho ngenxa yale yeza

Njengalo naliphi na iyeza, i-Isoniazid inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zimbi kakhulu, ngoko ke kufuneka uxelele ugqirha wakho ngoko nangoko. Ezinye azimbi kangako, kodwa ukuba ziyakhathaza, kufuneka uxelele ugqirha wakho.

Xelela ugqirha wakho ngoko nangoko ukuba ufumana ezi ziphumo ebezingalindelekanga:

Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, amaqhuqhuva, ukurhawuzelela okukhulu, ukudumba kwemilebe, ulwimi, ubuso okanye umphimbo, ubunzima bokuphefumla.
• Ubunzima bokuphefumla.
• Utshintsho embonweni: ukubona okufipheleyo, intlungu yamehlo.
• Umchamo onombala omnyama (njengombala weti).
• Umkhuhlane, umphimbo obuhlungu, iintlungu zomzimba (ezi zisenokuba ziimpawu zosulelo).
• Ukuphupha izinto ezingekhoyo, okanye ukuziva ulahlekelwe zingqondo.
• Ukulahlekelwa ngumdla wokutya, ukwehla kobunzima bomzimba.
• Iingxaki zememori, ubunzima bokugxila.
• Isicaphucaphu, ukuhlanza (ingakumbi ukuba kuqhubeka).
• Intlungu, ukungaziva, ukurhawuzelelwa, kunye nokulahlekelwa luvakalelo kwimilenze (ezi zinokuba yimiphumo kwimithambo-luvo - i-peripheral neuropathy).
• Ubomvu besikhumba, ukudumba, ukuxobuka kwesikhumba, kunye nezilonda ezifanayo ngaphakathi emlonyeni.
• Iimpawu zesifo sokuwa (Ukuxhuzula).
• Intlungu ebuhlungu yesisu.
• Ukopha okungaqhelekanga (umz. ukopha empumlweni, ukopha iintsini) okanye ukukrweleka kwesikhumba .
• Ukuziva udiniwe kwaye udiniwe ngendlela engaqhelekanga.
• Ukutyheli kwamehlo nolusu (i-Jaundice): Ezi zinokuba ziimpawu eziyingozi zeengxaki zesibindi.

Xelela ugqirha wakho ukuba ezi ziphumo bezingalindelekanga ziyaqhubeka okanye ziyakukhathaza:

Ezi ziphumo bezingalindelekanga azibi kakhulu. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza kangangokuba zingakuthinteli ekwenzeni imisebenzi yakho yemihla ngemihla, xelela ugqirha wakho:

• Ukwanda okanye intlungu yamabele endoda (iGynecomastia).
• Urhudo.
• Intloko ebuhlungu.
• Njengobuhlungu, ukubomvu, kunye nokudumba kwindawo yokutofa.
• Kufana nesisu esibuhlungu, ukungagayi kakuhle kokutya.
• Ukungalali, ukungazinzi.

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga okanye engathandekiyo ukongeza kwezi, ungathandabuzi ukubuza ugqirha wakho ngayo.

Ndingaligcina njani eli yeza?

Eli yeza lifanele ligcinwe kwindawo ekhuselekileyo kude nabantwana.

Ukuba usebenzisa eli yeza ekhaya, uya kufundiswa ngokucacileyo indlela yokuligcina ngokufanelekileyo (umz., kubushushu begumbi, kude nokukhanya nokufuma). Lahla naliphi na iyeza elingasetyenziswanga emva komhla wokuphelelwa kwileyibhile.

Ezona zinto zibalulekileyo ekufuneka uzikhumbule

Isifo sephepha sisifo esinokunyangeka ukuba sinyangwa ngokufanelekileyo. Ngoko ke, i-Isoniazid (INH) liyeza elibaluleke kakhulu elinikezelwayo ngenxa yoku.

• Sebenzisa amayeza kanye njengoko ugqirha wakho ekuxelela, ngalo lonke ixesha lonyango. Musa ukulibazisa idosi okanye uyeke ukuwasebenzisa ngaphandle kwengcebiso kagqirha wakho, nokuba uzive ungcono.
• Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, naziphi na ezinye izifo onazo, kunye nemikhwa yakho (ingakumbi ukusebenzisa utywala).
• Lumka ngemiphumo emibi. Ukuba uneengxaki okanye uziva into engaqhelekanga, ungoyiki ukubuza ugqirha wakho.
• Yiya kwiikliniki ngemihla emiselweyo uze uvavanywe.
• Kuphephe ngokupheleleyo utywala.

Inkxaso yakho ibaluleke kakhulu ukuze unyange esi sifo ngokupheleleyo! Ukuba unemibuzo, ungoyiki ukuthetha nogqirha wakho, umongikazi, okanye ikhemisti.

Isifo sephepha, i-Isoniazid, i-INH, i-TB, amayeza e-TB, ugonyo lwe-INH, iziphumo ebezingalindelekanga