Masifunde ngeekhaphu zamayeza asetyenziselwa ukunyanga isifo sephepha (i-Isoniazid; i-Rifampin)

Ugqirha wakho usenokuba ukuxelele ukuba usenokuba unesifo sephepha (TB). Enye yeepilisi ezikhethekileyo ezisetyenziselwa ukunyanga esi sifo ibizwa ngokuba yi-'Isoniazid; Rifampin'. Ngamafutshane, le yi-'Antibiotic' ebulala iintsholongwane zesifo sephepha. Kodwa khumbula, ayizukunyanga izifo ezibangelwa ziintsholongwane ezifana nomkhuhlane okanye umkhuhlane.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubaluleke kakhulu ukunika ugqirha wakho umfanekiso ocacileyo ngempilo yakho. Kuba ezinye iimeko zinokutshintsha indlela osebenzisa ngayo eli yeza, okanye unokufuna ukuba ulumke ngakumbi. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Isifo seswekile: Ukuba amanqanaba eswekile egazini lakho aphezulu.
• I-Gout : Imeko apho amalungu avuvukala aze abe buhlungu ngenxa yokwanda kwe-uric acid.
• Iimeko ze-HIV okanye ze-AIDS: Ezi ziimeko ezichaphazela inkqubo yomzimba yokuzikhusela.
• Ukuba usela rhoqo: Utywala bunokuba yingozi kwisibindi xa budityaniswa nale mithi.
• Isifo sezintso: Ukuba izintso azisebenzi kakuhle.
• Isifo sesibindi: Ukuba kukho ingxaki ngesibindi.
• Ukutya okungondleki kakuhle: Oku kuthetha ukuba awufumani izondlo ozifunayo.
• Ukuphazamiseka kwemithambo-luvo, njengokungaziva mnandi kwiminwe: Ukuba unama-automatic kwimilenze, okanye ezinye iingxaki ezinxulumene nemithambo-luvo.
• Ukuba unxiba iilensi zokunxibelelana: Eli yeza lisenokufuna ukuba utshintshele kwiiglasi. Thetha nogqirha wakho ngale nto.
• Ukuba ukhe waba ne-allergy kule yeza ngaphambili (i-Isoniazid, i-Rifampin), okanye kwenye iyeza, ukutya, okanye idayi, efana ne-``Rifabutin''.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Ngokuxelela ugqirha wakho ezi zinto, angaceba unyango olukufaneleyo.

Ulisebenzisa njani kanye kanye eli yeza?

Kubaluleke kakhulu ukusebenzisa eli yeza ngokuchanekileyo ukuze uphile ngokukhawuleza . Kufuneka ulithathe ngexesha elifanelekileyo, ngomlinganiselo ofanelekileyo, njengoko ugqirha esitsho.

• Ufanele uyisele ngomlomo: Ginya iyeza ngeglasi yamanzi.
• Yithathe ngexesha elifanayo yonke imihla: Kungcono ukusela amayeza akho ngexesha elifanayo yonke imihla, kanye njengoko ugqirha wakho ekuyalele.
• Yitya isisu esingenanto:Le yeyona nto ibalulekileyo. Ufanele usele eli yeza ubuncinane iyure ngaphambi okanye iiyure ezimbini emva kokutya. Kulapho ke iyeza liza kutsalwa kakuhle khona. Umzekelo, ukuba utya ngo-8 kusasa, thatha eli yeza ngaphambi kwentsimbi yesi-7 kusasa okanye emva kwentsimbi ye-10 kusasa.
• Sebenzisa ixesha elimiselweyo: Kufuneka uthathe eli yeza ude ugqirha athi, "Kwanele, yeka." Nokuba uzive ungcono emva kweentsuku ezimbalwa, ungayeki ukulisebenzisa . Ukuba wenza njalo, intsholongwane yesifo sephepha ayizukupheliswa ngokupheleleyo, isifo sisenokuphinda sibe mandundu, kwaye intsholongwane inokutshintsha ibe yingxaki yokunganyangeki liyeza. Oko kuyingozi.
• Ukuba uthatha amayeza okuthintela i-asidi: Ukuba uthatha amayeza okuthintela i-asidi xa unesifo sentliziyo okanye isifo se-gastritis, musa ukuwathatha ngaxeshanye nala mayeza e-TB. Kungcono ukuthatha amayeza okuthintela i-asidi ubuncinci iyure enye emva kokuba uthabathe amayeza e-TB.
• Ukuba inikwa abantwana: Oogqirha banika abantwana abaneminyaka engaphezu kwe-15 ubudala eli yeza kwiimeko ezithile ezikhethekileyo. Kodwa kukho izinto ekufuneka uzilumkele. Ngoko ke, ukuba unika umntwana eli yeza, thetha nogqirha wakho ngononophelo kwaye ufumane ingcebiso.
• Ukugqithisa amayeza: Ukuba ucinga ukuba usele amayeza amaninzi, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba kwiziko lokulawula ityhefu.
• Eli yeza lelakho kuphela: Ugqirha ukunike eli yeza kuwe kuphela. Musa ukunika omnye umntu iyeza lakho, nokuba unesifo esifana nesakho.

Khumbula, isifo sephepha asisosifo sokudlala ngaso. Ngoko ke, kubalulekile ukuba ubomi buthathe amayeza kanye njengoko ugqirha etshilo, ixesha elimiselweyo!

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Owu, kunokwenzeka. Wonke umntu uyalibala. Thatha amayeza akho kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo (umzekelo, kwiiyure ezimbalwa), yeka umthamo ophosiweyo kwaye uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, okanye uthathe ngaphezulu kwedosi ecetyiswayo. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga.

Ngawaphi amanye amayeza ekungafanele asetyenziswe kunye nale mithi, okanye endifanele ndilumke ngawo?

Le yingongoma ebaluleke kakhulu. Amanye amayeza anokubangela iingxaki xa edibene ne-'Isoniazid; Rifampin'. Akulunganga ukuyithatha kunye namanye amayeza kwaphela . Amanye amayeza anjalo ngala:

• `Artemether; lumefantrine` (iyeza lemalariya)
• 'I-Atomoxetine'
• Amanye amayeza e-antiviral e-HIV okanye i-hepatitis
• `Elagolix`
• `Idelalisib`
• `Isavuconazonium`
• `Lonafarnib`
• `ILorlatinib`
• `Lurasidone`
• `I-Praziquantel`
• `I-Ranolazine`
• `IVoriconazole`

Kusenokuba kukho amanye amayeza angekho kolu luhlu. Ngoko ke, xa uqala la mayeza e-TB, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo ngoku (amiselwe ngugqirha wakho, athengwe kwikhemesti, amayeza esintu, iivithamini, yonke into).

Kwakhona, kukho amanye amayeza ekufuneka ulumke kakhulu xa uwasebenzisa kunye nala mayeza esifo sephepha. Nazi imizekelo embalwa:

• I-Acetaminophen (iParacetamol)
• Ii-antacids (zithathe kamva njengoko bekutshiwo ngaphambili)
• Amanye amayeza oxinzelelo lwegazi , isifo sentliziyo, kunye neengxaki zesingqisho sentliziyo
• Amanye amayeza okudakumba, ixhala, okanye isifo sengqondo
• Amanye amayeza esifo seswekile (umz. i-glipizide, i-glyburide)
• Amanye amayeza osulelo lwefungus (umz., i-fluconazole, i-itraconazole)
• Amanye amayeza asetyenziswa ukunyanga isifo sokuwa (umz. i-carbamazepine, i-phenytoin)
• Amanye amayeza akunceda ulale
• Amayeza athintela ukujiya kwegazi (umz. i-warfarin)
• Iintlobo zeehomoni, kuquka iipilisi zokulawula ukuzalwa
• Amayeza ohlobo lwe-steroid (umz., i-prednisolone)

Olu luhlu aluphelelanga. Xelela ugqirha wakho malunga neminye imithi, imifuno, iivithamini, okanye izongezo ozithathayo, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokudibana nale mithi.

Yintoni omele uyilumkele xa usebenzisa eli yeza?

Kungcono ukuqaphela utshintsho olusemzimbeni wakho ngelixa usebenzisa amayeza.

• Ukuba iimpawu aziphucuki okanye azibi mbi: Ukuba uvakalelwa kukuba iimpawu zakho aziphucuki nangona usela amayeza, okanye ziya ziba mbi, xelela ugqirha wakho ngoko nangoko.
• Urhudo: Ukuba urhudo kangangeentsuku ezingaphezu kwezimbini, okanye ukuba indle yakho inamanzi amaninzi, musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha. Thetha nogqirha wakho ngoko nangoko.
• Iimpendulo ezinzulu zesikhumba: Le yinto ekufuneka ixhalatyelwe. Oku kungenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise amayeza. Ukuba uvela irhashalala enomkhuhlane, ukuba irhashalala iba bomvu okanye ibe mfusa ize emva koko iphuke kwaye ulusu luqhekeke, okanye ukuba uvela irhashalala ebomvu ene-lymph nodes ezivuvukileyo ebusweni bakho, emilebeni, entanyeni, okanye emakhwapheni, kufuneka uxelele ugqirha wakho ngoko nangoko.
• Umsebenzi wegazi: Ugqirha wakho uza kuyalela uvavanyo lwegazi oluninzi ukujonga inani legazi lakho ngelixa usela eli yeza. Qiniseka ukuba uyaligqiba.
• Utshintsho embonweni: Umbono wakho ungajongwa ngaphambi kokuba uqale ukusebenzisa amayeza kwaye ngelixa uwasebenzisa. Ukuba ubona naluphi na utshintsho embonweni wakho (njengokubona okufipheleyo, ukungacaci kakuhle), xelela ugqirha wakho ngoko nangoko.
• Ulawulo lokuzala: Ukuba usebenzisa iipilisi zokulawula ukuzala, zisenokungasebenzi kakuhle xa usebenzisa la mayeza. Ngoko ke, thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lolawulo lokuzala.
• IVithamini B6 kunye neVithamini D: Ngelixa usebenzisa eli yeza, kufuneka uqiniseke ukuba ufumana iVithamini B6 kunye neVithamini D eyaneleyo. Thetha nogqirha wakho malunga nokutya kunye neevithamini ozithathayo. Ugqirha wakho unokucebisa ukuba usele ezi vithamini ukongeza.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Kodwa ayinguye wonke umntu onokubangela ezo ziphumo. Ezinye zazo zimbi kakhulu kwaye kufuneka uxelele ugqirha wakho ngoko nangoko. Ezinye zazo ziqhelekile kwaye ziya kuphela kwiintsuku ezimbalwa.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, nomqala.
• Ukopha: Umnyama, indle ehlala ixesha elide, ukugabha ikofu egayiweyo, umchamo obomvu okanye omdaka, amabala amancinci abomvu/mfusa eluswini, ukukrweleka okanye ukopha ngokulula.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli/omdaka omnyama, ukutyheli kwamehlo/ulusu, ukudinwa kakhulu.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Ububomvu, ukudumba, ukuxobuka, kunye nokuxobuka kwesikhumba (nakwiindawo apho kuginywa khona amathe).
• Urhudo oluqatha, umkhuhlane.
• Ubunzima bokuphefumla.
• Imeko ebizwa ngokuba yi-TTP (Thrombotic Thrombocytopenic Purpura): amabala amfusa eluswini okanye ngaphakathi emlonyeni, ulusu oluphaphathekileyo, ukutyheli kwamehlo/ulusu, ukudinwa kakhulu, umkhuhlane, ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, ukudideka, utshintsho lombono, ubunzima bokuthetha/ukuhamba.

Ukuba ubona into efana nale , bonana nogqirha ngokukhawuleza.

Iziphumo ebezingalindelekanga azibalulekanga kangako, kodwa ukuba ziyaqhubeka, kufuneka uxelele ugqirha wakho :

• Ukutshintsha kombala wolwelo lomzimba olufana nomchamo, amathe, kunye nokubila (kusenokuba bomvu-orenji, into eqhelekileyo, ungakhathazeki).
• Ukudideka.
• Isiyezi.
• Ukozela.
• Ukudinwa.
• Igesi esiswini.
• Intloko ebuhlungu .
• Isitshiso sentliziyo.
• Ukulahlekelwa yintliziyo.
• Isicaphucaphu.
• Intlungu, ukungaziva, okanye ukurhawuzelela kwamalungu omzimba.
• Ukuhlanza.

Ukuba ezi zinto ziyaqhubeka, okanye ukuba ziyakukhathaza, xelela ugqirha wakho.

Uligcina njani iyeza ngokufanelekileyo? Ulilahla njani xa ligugile?

Kubalulekile nokuba ugcine amayeza akho ngokufanelekileyo.

• Gcina kude nabantwana kunye nezilwanyana zasekhaya.
• Gcina kubushushu begumbi (25 degrees Celsius / 77 Fahrenheit). Gcina kude nokufuma okugqithisileyo.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle.

Indlela yokulahla amayeza amadala okanye angasafunekiyo:

• Eyona nto ingcono onokuyenza kukubuza ikhemesti okanye iarhente yogcino-mthetho uze uyinike indawo enenkqubo yokubuyisela amayeza.
• Ukuba akunjalo, jonga ipakethi yamayeza okanye incwadana engaphakathi ukuze ubone ukuba angalahlwa na enkunkuma okanye ahlanjwe kwindlu yangasese. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemisti.
• Ukuba ungayilahla enkunkuma, khupha iyeza epakethini, ulixube nento efana nenkunkuma yekati, umhlaba, okanye ikofu, ulifake ebhegini okanye kwisikhongozeli esivalekayo, uze ulilahle enkunkuma.

Umyalezo Wokuya Ekhaya

Kulungile, masiphinde sikukhumbuze ngezona ngongoma zibalulekileyo koko sithethe ngako.

I-Isoniazid; I-Rifampin sisibulali-ntsholongwane esinikwa isifo sephepha.

Kanye njengoko ugqirha esitsho, kubalulekile ukulithatha eli yeza ungenanto esiswini, ngexesha elifanelekileyo, kwaye ngexesha elifanelekileyo .

Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo kunye nezinye izifo onazo.

Lumka ngemiphumo emibi, ingakumbi ukuba ubona ukusabela okukhulu kwesikhumba, iingxaki zesibindi, okanye ukopha, kwaye ubone ugqirha ngokukhawuleza.

Musa ukuyeka ukuthatha amayeza phakathi. Ukuze uphile ngokupheleleyo, thatha amayeza kangangoko ugqirha ekuxelela kona.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wakho okanye ikhemisti. Ndikunqwenelela impilo entle!

I- Isoniazid, i-Rifampin, iSifo sePhepha, i-TB, ii-antibiotics, isifo sephepha, ii-antibiotics, amayeza, iziphumo ebezingalindelekanga