Ngaba unesifo esibizwa ngokuba yi-'Ulcerative Colitis' esibangela iintlungu zesisu, ukurhawuzelelwa rhoqo ukuya kwigumbi lokuhlambela, kwaye ngamanye amaxesha igazi liphuma esitulweni sakho? Ukuba kunjalo, ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yi-'Mesalamine'. Liza phantsi kwamagama eempawu ezahlukeneyo ezifana ne-'Delzicol', 'Asacol', 'Pentasa'. Ngoko ke, namhlanje siza kuthetha ngale mithi, ukuba isebenza njani, indlela yokuyisebenzisa, kunye noko kufuneka ukuqaphele ngendlela elula onokuyiqonda.
Kwenzeka ntoni kanye kanye ngeli yeza libizwa ngokuba yiMesalamine?
Ngamafutshane, i-'Mesalamine' liyeza elinyanga i-'Ulcerative Colitis'. Ukuba unesi sifo, une-inflammation, okanye imeko efana ne-inflammation, yodonga lwangaphakathi lwamathumbu akho amakhulu (indlela yokugaya). Cinga ngayo njengenxeba lolusu, apho indawo ejikeleze yona iba bomvu, idumbe, kwaye ibe buhlungu.
Ngoko ke, into eyenziwa leli yeza le-'Mesalamine' kukulawula nokunciphisa ukudumba . Likudidi lwamayeza abizwa ngokuba yi-'salicylates'. Alilawuli nje kuphela iimpawu zakho, kodwa likwanceda ukuthintela ukudumba emva kokuba isifo siphelile.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale ukusebenzisa iMesalamine, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngempilo yakho. Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Imeko yempilo okanye ingxaki | Kutheni oko kubalulekile? |
|---|---|
| Isifo sezintso | Kuba i-mesalamine ngamanye amaxesha inokuchaphazela izintso. |
| Isifo sesibindi | Eli yeza linokuchaphazela nokusebenza kwesibindi. |
| Ukuvaleka kwamathumbu okanye i-pyloric stenosis | Ukuba kukho ukuvaleka kwesisu okanye amathumbu, iyeza lisenokuvaleka. |
| Ii-aleji kwi-mesalamine, i-aspirin, okanye ezinye iziyobisi/ukutya | Ukuba une-allergy, unokufumana iimpendulo ezinzulu. |
| Ukukhulelwa okanye ukuzama ukukhulelwa | Kubalulekile ukufumana iingcebiso zonyango ngaphambi kokuba uthathe naluphi na unyango ngexesha lokukhulelwa. |
| Ukuncancisa | Inxalenye yeyeza ingadluliselwa ebantwaneni ngobisi lwebele, ngoko ke yazisa ugqirha wakho ngale nto. |
Ndingayisebenzisa njani le mithi?
Ukusebenzisa eli yeza ngokuchanekileyo kubaluleke kakhulu ukuze ufumane iziphumo.
- Ginya ikhapsuli yonke: Musa ukuphula, ukutyumza, okanye ukuhlafuna eli yeza. Ginya lonke ngeglasi yamanzi.
- Yithathe ngexesha: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla kangangoko unako. Oku kuya kunceda ukugcina amanqanaba amayeza emzimbeni wakho ehambelana.
- Ngaphambi okanye emva kokutya?: Oku kungasetyenziswa nokutya okanye ngaphandle kokutya. Nangona kunjalo, ukuba uziva ungakhululekanga esiswini okanye unesitshiso sentliziyo, kungcono ukukuthatha nokutya.
- Musa ukuyeka: Musa ukuyeka ukuthatha amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo. Kubalulekile ukugqiba unyango olumiselweyo, nokuba iimpawu zakho ziyaphucuka.
- Kubantwana abancinci: Eli yeza lingacetyiswa kubantwana abaneminyaka engaphezulu kwemi-5 ubudala kwezinye iimeko. Nangona kunjalo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngalo mba.
Isilumkiso: Ukuba ngequbuliso ucinga ukuba uthathe ngaphezu komlinganiselo omiselweyo wale yeza, fowunela ngokukhawuleza iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo . Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Eli yeza lelokusetyenziswa nguwe kuphela, ungalabelani nabanye.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Izinto ekufuneka uzikhumbule xa usebenzisa iyeza
- Amanye amayeza: Xelela ugqirha wakho ukuba usebenzisa amanye amayeza entlungu, anjenge-NSAIDs (umz., ibuprofen, naproxen), okanye amanye amayeza anjenge-azathioprine okanye i-mercaptopurine. La mayeza anokusebenzisana ne-mesalamine. Kungcono ukuxelela ugqirha wakho ngawo onke amayeza kunye neevithamini ozisebenzisayo.
- Uvavanyo lwezonyango: Ugqirha uza kukujonga rhoqo. Yiya kubo ngamaxesha afanelekileyo. Baxelele ukuba iimpawu zakho ziya zisiba ngcono okanye zimbi. Basenokuyalela ukuba kwenziwe uvavanyo lwegazi.
- Ukutshintsha iiBrand: Musa ukutshintsha uhlobo lweMesalamine oluthathayo ngaphandle kokubonisana nogqirha wakho, njengoko idosi ayifani kuzo zonke iibrand.
- Zikhusele elangeni: Ulusu lwakho lusenokuba novakalelo elangeni ngelixa usela eli yeza. Ngoko ke, ukuba uphuma elangeni, nxiba impahla enemikhono emide kwaye usebenzise i-sunscreen.
- Iqokobhe lethebhulethi elinesitulo: Kwezinye iintlobo zeMesalamine, iqokobhe langaphandle lethebhulethi lisenokunganyibiliki lize liphume kunye nesitulo. Oku kulungile ukuba kwenzeka kube kanye okanye kabini. Kodwa ukuba oku kwenzeka rhoqo , xelela ugqirha wakho ngako.
- Sela amanzi amaninzi: Buza ugqirha wakho ukuba zingaphi iiglasi zamanzi omele uzisele ngosuku. Kubaluleke kakhulu ukuphepha ukuphelelwa ngamanzi emzimbeni.
Iziphumo ebezingalindelekanga ezinokubakho ze-mesalamine
Njengalo naliphi na iyeza, i-'Mesalamine' inokubangela ezinye iziphumo ebezingalindelekanga. Kodwa ungakhathazeki, ayinguye wonke umntu ozifumanayo. Eyona nto ibalulekileyo kukwazi ezi zinto kwaye uxelele ugqirha wakho ngoko nangoko ukuba ubona into enzulu.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Ukulimala kwezintso | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, neenyawo. |
| Ukulimala kwesibindi | Intlungu esiswini esingaphezulu ngasekunene, ukungabi namdla wokutya, ukutyheli kwamehlo/ulusu, umchamo otyheli/omdaka omnyama. |
| I-Myocarditis | Ubunzima bokuphefumla, iintlungu zesifuba, ukudinwa okungaqhelekanga, ukubetha kwentliziyo ngokukhawuleza. |
| Mesalamine ukunganyamezeli syndrome | Intlungu ebuhlungu esiswini, urhudo olunegazi, intloko ebuhlungu, umkhuhlane, iintlungu zemisipha. |
| Iingxaki ezinkulu zesikhumba | Ububomvu, amadyungudyungu, ulusu oluxobukayo (lunokuvela nangaphakathi emlonyeni). |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intlungu yesisu | Urhudo |
| Intloko ebuhlungu | Isicaphucaphu |
| Umqala obuhkungu | Iimpawu ezifana nokubanda |
Ukhusela njani amayeza akho?
Gcina amayeza kude nabantwana nezilwanyana zasekhaya. Kungcono ukuwagcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius). Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle ngokufanelekileyo. Ungaqhagamshelana nogqirha wakho ngale nto.
Umyalezo Wokuya Ekhaya
- I-Mesalamine liyeza elinciphisa ukudumba kwamathumbu okubangelwa yi-Ulcerative Colitis.
- Ginya eli yeza liphelele ngamanzi ungaliqhekezi, ulityumze, okanye ulihlafune .
- Ukuba unesifo sezintso, sesibindi, okanye ezinye izinto ezibangela ukuba ungabi naso isifo , qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale ukusebenzisa amayeza.
- Ukuba ufumana iziphumo ebezingalindelekanga ezinzulu (ezifana neentlungu zesisu, amaqhakuva eluswini, ukuncipha komchamo) , funa ingcebiso kagqirha ngoko nangoko.
- Musa ukuyeka ukuthatha amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo. Ukuba uneengxaki, thetha naye ngazo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zisetyenziselwa ntoni iipilisi zeMesalamine (Mesalamine / Asacol, Lialda)?
Eli lelinye lamayeza asebenzayo (5-Aminosalicylic acid / 5-ASA) ehlabathini anokunyanga iintlungu zesisu ezinganyamezelekiyo, urhudo olunegazi, kunye nezilonda eziqatha emathunjini (Ulcerative Colitis)! Liyanceda ngoko nangoko ukudumba okuqatha kwaye libuyisele umguli kwimeko yesiqhelo.
💬 Ezi pilisi (iMesalamine) zinyanga njani izilonda/ukungonwabi okukhulu kwamathumbu?
Izilonda/ukudumba kwamathumbu kubangelwa ziikhemikhali ezibizwa ngokuba yi-'Prostaglandins/Leukotrienes' eziveliswa emathunjini. Eyona nto ikhethekileyo ngale pilisi kukuba ayifunxwa ngumzimba nasemva kokuba ingene esiswini, iyaqhekeka ngqo emathunjini amakhulu (colon) (isenzo se-Topical). Xa ingena emathunjini, iyayivala/iyayivala ngokupheleleyo yonke i-chemical factory (COX/LOX) edala izilonda. Emva koko ukudumba nokopha kuyayeka apho.
💬 Zeziphi iingozi ekufuneka uziqaphele xa usebenzisa eli yeza lamathumbu (iMesalamine)?
Oku kukhuselekile, kodwa abanye abantu banokufumana 'iMesalamine-induced Acute Intolerance Syndrome', enokubangela iintlungu zesisu, ukopha, kunye norhudo oluqatha! Ukuba ufumana naziphi na ezi mpawu, kufuneka uyeke ukusebenzisa iyeza ngoko nangoko. Kwakhona, ekubeni lenziwe nge-aspirin/salicylate, abantu abane-allergy kwi-aspirin akufuneki bayisebenzise le yeza!
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