Ungathanda ukwazi ngenaliti ye-methotrexate? Masithethe!

Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiMethotrexate ? Okanye ngaba unike umntu omaziyo eli yeza? Mhlawumbi eli gama livakala liqhelekile. Eli liyeza elinikwa izifo ezahlukeneyo, kwaye lifuna isilumkiso. Ngoko ke, masithethe ngalo ngokweenkcukacha nangokulula namhlanje?

Loluphi uhlobo lonyango olu? (Yintoni iMethotrexate?)

Ngamafutshane, iMethotrexate liyeza elinciphisa kakhulu ukudumba emzimbeni . Uyakhumbula ukuba ngamanye amaxesha xa amalungu akho ebuhlungu kwaye edumba, kungenxa yokudumba ngaphakathi emzimbeni. Yiyo loo nto isetyenziswa rhoqo kwiimeko ezihambisana nokudumba.

Umzekelo:

• I-Arthritis : Oku kukudumba kwamalungu . Oku kubangela iintlungu, ukudumba, kwaye ngamanye amaxesha umonakalo wexesha elide kumalungu. I-Methotrexate inokunciphisa oku kudumba, inciphise iintlungu , kwaye incede ekuthinteleni umonakalo ongakumbi kumalungu.
• I-Psoriasis: Esi sisifo solusu. Abanye abantu banolusu olubomvu noluqhekekileyo, akunjalo? Yiyo loo nto eli yeza linikwa.

Ayipheleli nje apha, kodwa iMethotrexate ikwasetyenziselwa ukunyanga ezinye iintlobo zomhlaza . Eli yeza linceda ekunciphiseni ukukhula kweeseli zomhlaza.

Ngoko ke mhlawumbi uyaqonda ukuba eli asiloyeza elinikwa isifo esinye kuphela. Ugqirha wakho nguye oza kugqiba ukuba uyalidinga na eli yeza okanye hayi, kwaye liza kunikwa imeko enjani. Ngoko ke ukuba unemibuzo eminye, ungoyiki ukubuza ugqirha wakho okanye ingcali yezemithi.

Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndithathe eli yeza?

Ngaphambi kokuba akunike iMethotrexate, ugqirha wakho uza kukubuza imibuzo ethile. Kukwakho nezinto ezimbalwa ekufuneka ubaxelele zona . Eli yeza alilungelanga wonke umntu. Kufuneka ulumke kakhulu xa ulinika abantu abaneemeko ezithile.

Ukuba unayo nayiphi na kwezi zinto, qiniseka ukuba uxelela ugqirha wakho:

• Ukuba kukho ulwelo kwindawo yesisu okanye ulwelo emiphungeni.
• Ukuba usela rhoqo, oku kubaluleke kakhulu.
• Ukuba kukho usulelo emzimbeni, okanye ukuba kukho ubuthathaka kwinkqubo yomzimba yokuzikhusela.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba unenani eliphantsi legazi, njengeeseli ezimhlophe zegazi, iiplatelets, okanye iiseli ezibomvu zegazi, oogqirha bakwabiza oku ngokuthi "linani eliphantsi legazi."
• Ukuba unesifo semiphunga.
• Ukuba usandul’ ukufumana unyango lwe-radiation, okanye ucwangciselwe ukuba nalo kwixesha elizayo.
• Ukuba usandul’ ukufumana isitofu sokugonya, okanye uceba ukusifumana kwixesha elizayo, kufuneka ulumke ngakumbi xa usebenzisa ezinye izitofu zokugonya zentsholongwane eziphilayo.
• Ukuba unezilonda esiswini.
• Ukuba unesifo samathumbu esibangela ukudumba njenge-ulcerative colitis.
• Ukuba ukhe waba ne-allergy kwi-methotrexate ngaphambili, thatha amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba uzama ukukhulelwa okanye ukhulelwe okwangoku, eli linqaku elibaluleke kakhulu .
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha wakho ngezi nyaniso ngaphandle kokuzifihla. Emva koko ugqirha unokukhetha unyango olufanelekileyo kuwe.

Ulisebenzisa njani eli yeza?

I-Methotrexate ayiloyeza elidla ngokuthathwa njengepilisi. Inikwa njengenaliti . Oko kukuthi, ngenaliti.

Kukho iindlela ezahlukeneyo zokwenza oku:

• Ukufunxwa emthanjeni: Ngamanye amaxesha kunikwa njengesicombululo setyuwa, kuxutywe naso, size sifakwe kancinci emthanjeni.
• Faka inaliti kwisihlunu.
• Ukutofa kulwelo lomqolo: Le yinto eyenziwa kwiimeko ezithile ezikhethekileyo.

Eli yeza lidla ngokunikezelwa esibhedlele okanye ekliniki , njengoko kukho amaxesha apho kufuneka ulwalathiso lwezonyango xa ulinikwa.

Nangona kunjalo, kwiimeko ezingaqhelekanga , ugqirha wakho unokukuyalela ukuba uthabathe eli yeza ekhaya. Ukuba kunjalo, uya kufundiswa indlela yokulithatha. Kubaluleke kakhulu ukulithatha kanye njengoko kumiselwe, ngexesha elifanelekileyo . Musa ukuthatha ngaphezu koko ugqirha akuxelele kona, okanye ulithathe rhoqo.

Isikhumbuzo esikhethekileyo:

Ukuba unikwa eli yeza le-arthritis okanye i-psoriasis, lidla ngokuthathwa kube kanye ngeveki. Musa ukulithatha yonke imihla. Oku kubaluleke kakhulu! Landela imiyalelo kagqirha wakho ngokuchanekileyo.

Xa usebenzisa inaliti, kubaluleke kakhulu ukulahla iinaliti kunye neesirinji ezisetyenzisiweyo ngokufanelekileyo . Musa ukuzilahla enkunkuma. Endaweni yoko, zibeke kwisikhongozeli esikhethekileyo se-sharps . Ukuba awunayo, cela i-pharmacist okanye ugqirha wakho akunike yona. Oku kukhuselekile kokusingqongileyo nakwabanye.

Ngaba eli yeza linokunikwa abantwana abancinci?

Ewe, ngamanye amaxesha oogqirha banika abantwana abaneminyaka emi-2 ubudala eli yeza kwiimeko ezithile zempilo. Kodwa kukho izinto ekufuneka uzilumkele xa ulinika umntwana eli yeza, ugqirha uza kukuchazela lona.

Kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngoko nangoko. Musa ukulibazisa.

Enye into: Eli yeza lelakho wedwa. Musa ukunika omnye umntu eli yeza , nokuba baneempawu ezifanayo nezakho. Iyeza elifanelekileyo kunye nomlinganiselo ofanelekileyo kumntu ngamnye wahlukile.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukuba ungaphoswa yidosi emiselweyo yale yeza. Ukuba awukwazi ukugcina idinga lakho okanye ungaphoswa yidosi, fowunela ugqirha wakho okanye iqela lakhe ngoko nangoko.

Ukuba usela amayeza akho ekhaya uze uphoswe yidosi, thetha nogqirha wakho ngayo loo nto. Ungaze uthathe idosi ephindwe kabini okanye idosi eyongezelelweyo ukuze ubuyisele idosi ephoswe yidosi.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi? (Iindlela ezisetyenziswa ngayo)

Le yinxalenye ebaluleke kakhulu. I-Methotrexate liyeza elinokusebenzisana namanye amayeza amaninzi. Oku kuthetha ukuba elinye iyeza olisebenzisayo linokutshintsha indlela esebenza ngayo i-Methotrexate, okanye i-Methotrexate inokutshintsha indlela esebenza ngayo elinye iyeza. Ngamanye amaxesha, iziphumo ebezingalindelekanga zinokunyuka.

Ungaze uthathe i-methotrexate kunye namayeza alandelayo:

• I-Acitretin ( ikwaliyeza lengxaki yolusu)

Kwakhona, la mayeza alandelayo anokusebenzisana neMethotrexate. Ngoko ke qiniseka ukuba uxelela ugqirha wakho ukuba uthatha nayiphi na kwezi:

• I-aspirin okanye iziyobisi ezifana ne-aspirin, iziyobisi ezine-salicylates.
• I-Azathioprine
• Amanye amayeza okubulala iintsholongwaneIintlobo: Umzekelo `(chloramphenicol)`, `(penicillin)`, `(tetracycline)`.
• Amanye amayeza athintela okanye anyanga amahlwili egazi: Umzekelo `(warfarin)`, `(apixaban)`, `(dabigatran)`, `(rivaroxaban)`.
• Amanye amayeza okunyanga isisu esibuhlungu: Umzekelo `(esomeprazole)`, `(omeprazole)`, `(pantoprazole)`.
• I-Cyclosporine
• I-Dapsone
• I-Diuretics ( amayeza asusa amanzi emzimbeni)
• I-folic acid. (Nangona kunjalo, ngamanye amaxesha ugqirha anganika idosi ephantsi ye-folic acid ene-methotrexate ukunciphisa iziphumo ebezingalindelekanga. Oku kuxhomekeke kugqirha.)
• Igolide (enikwe ezinye izifo ze-arthritis)
• I-Hydroxychloroquine
• Izitofu zokugonya iintsholongwane eziphilayo
• Amayeza osulelo: Imizekelo ibandakanya `(acyclovir)`, `(adefovir)`, `(amphotericin B)`, `(bacitracin)`, `(cidofovir)`, `(foscarnet)`, `(ganciclovir)`, `(gentamicin)`, `(pentamidine)`, `(vancomycin)`.
• I-Mercaptopurine
• Ii-NSAID (N.S.A.I.D.) ziziyobisi ezithomalalisa iintlungu kunye neziyobisi ezilwa nokudumba: Umzekelo, i-ibuprofen okanye i-naproxen.
• I-Pamidronate
• I-Pemetrexed
• I-Penicillamine
• I-Phenylbutazone
• I-Phenytoin
• Iprobenecid
• I-Pyrimethamine
• IiRetinoids (ezifana nevithamini A): Imizekelo ibandakanya i-isotretinoin kunye ne-tretinoin.
• Amayeza e-steroid: Umzekelo, i-prednisone okanye i-cortisone.
• IiSulfonamides: Imizekelo iquka `(sulfasalazine)` kunye `(trimethoprim/sulfamethoxazole)`.
• I-Theophylline
• I-Zoledronic acid

Olu luhlu lusenokungaphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha, athengiswa ngaphandle kwemvume kagqirha), amayeza esintu, iivithamini (izongezo zokutya), nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Xa usela i-methotrexate, ungaziva ungakhululekanga kwaye ugula ngakumbi kunesiqhelo.Usenokuvakalelwa. Oku akuqhelekanga. Oku kungenxa yokuba eli yeza, ingakumbi xa linikwa izigulane ezinomhlaza, alinakuchaphazela kuphela iiseli zomhlaza kodwa neeseli ezisempilweni. Ke ngoko, ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Nangona kunjalo, qhubeka uthatha unyango olumiselweyo de ugqirha wakho akuxelele ukuba uyeke, nokuba uzive ungaphili kakuhle.

Ugqirha wakho uza kujonga imeko yakho ngokusondeleyo ngelixa usela eli yeza. Unokwenza naluphi na uvavanyo olufunekayo.

• Kuphephe ukusela utywala. Oku kubaluleke kakhulu kuba utywala bunokunyusa imiphumo yalo mayeza esibindini.
• Eli yeza linokubangela iziphumo ebezingalindelekanga ezinzulu . Ukunciphisa lo mngcipheko, ugqirha wakho angakunika amanye amayeza ngaphambi kokuba uqale ukuthatha i-methotrexate. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Eli yeza lingenza ulusu lwakho lube buthathaka ngakumbi kwilanga . Ngoko ke, nciphisa ukuvezwa kwakho elangeni kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla egquma ulusu lwakho, nxiba iiglasi zelanga, kwaye usebenzise i-sunscreen. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.
• Ungaziva ulele okanye unesizungu . Ngoko ke, de wazi ukuba eli yeza likuchaphazela njani, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuqwalaselo . Kuphephe ukuma okanye ukuhlala phantsi ngokukhawuleza, ingakumbi ukuba sele ukhulile. Oku kunokunciphisa umngcipheko wokuba nesizungu nokuwa.
• Kuya kufuneka wenze uvavanyo lwegazi ngelixa usebenzisa eli yeza. Yenza uvavanyo njengoko ugqirha wakho ekuxelela.
• Ukuba uneempawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, okanye umkhuhlane , fowunela ugqirha wakho ukuze akunike ingcebiso. Musa ukuthatha amayeza wedwa. Eli yeza linokunciphisa amandla omzimba wakho okulwa nosulelo . Ngoko zama ukuhlala kude nabantu abagulayo kangangoko unako.
• Eli yeza linokunyusa umngcipheko wakho wokopha okanye ukukrweleka. Ukuba ubona ukopha okungaqhelekanga (umz. ukopha empumlweni, ukopha kweentsini, indle emnyama), xelela ugqirha wakho ngoko nangoko.
• Lumka kakhulu xa uhlamba amazinyo, ufaka i-floss, okanye usebenzisa i-toothpick. Oku kunokukhokelela ngokulula kwisifo okanye ukopha. Ukuba ufumana naluphi na unyango lwamazinyo, xelela ugqirha wakho wamazinyo ukuba usela eli yeza.
• Ukuba unesifo sorhudo esinzima, isicaphucaphu, ukuhlanza, okanye ukubila kakhulu , thetha nogqirha wakho. Ukuba ulahlekelwa lulwelo oluninzi emzimbeni wakho, kunokuba yingozi kuwe ukusela eli yeza.
• Thetha nogqirha wakho malunga nomngcipheko womhlaza.Kuthiwa ukuba usela eli yeza, umngcipheko wakho wokuba neentlobo ezithile zomhlaza unokwanda kancinci. Ngaphambi kokuba uphakuzele, cela ingcebiso kugqirha wakho.

Lumka ngokukodwa ngexesha lokukhulelwa, ukuncancisa, kunye nokuzala.

Le yingongoma ebaluleke kakhulu.

• Musa ukukhulelwa ngelixa usela eli yeza kwaye emva kweenyanga ezi-6 uyekile ukusebenzisa eli yeza. Ukuba uceba ukukhulelwa okanye ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
• Ukuba indoda isela eli yeza, akufanele ibe nguyise womntwana ngelixa isela eli yeza kwaye kangangeenyanga ezi-3 emva kokuba iyekile ukusebenzisa eli yeza.
• Ingabangela ingozi enkulu kumntwana ongekazalwa. Buza ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.
• Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza kwaye iveki enye emva kokuba uyekile ukusebenzisa eli yeza.
• Eli yeza linokukuchaphazela amandla akho okukhulelwa okanye ukuba nguyise womntwana . Ukuba unemibuzo malunga nokuzala kwakho, thetha nogqirha wakho.

Nangona le miyalelo inde kancinci, yonke ibaluleke kakhulu kukhuseleko lwakho. Ukuba kukho into ongayiqondiyo, buza ugqirha wakho kwakhona.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-methotrexate inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ayingabo bonke abantu abazifumanayo, abanye abantu bayazifumana. Ezinye iziphumo ebezingalindelekanga ziyingozi, kwaye kufuneka uxelele ugqirha wakho ngoko nangoko ukuba ziyenzeka. Ezinye azibi kakhulu, kodwa ukuba ziyaqhubeka okanye ziyakhathaza, kufuneka uxelele ugqirha wakho.

Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela (ii-hives), ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukuqhekeka kwegazi: iintlungu zomlenze, ukudumba, okanye ukufudumala, ubunzima bokuphefumla, iintlungu zesifuba.
• Ukukhohlela okomileyo, ubunzima bokuphefumla, okanye ukuphefumla kancinci.
• Usulelo: Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, amanxeba angapholiyo, intlungu okanye ubunzima bokuchama, ukungonwabi ngokubanzi, kunye nokungaziva kakuhle.
• Ukulimala kwezintso: Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, ukudinwa okanye ubuthathaka obungaqhelekanga.
• Inani eliphantsi leeseli ezibomvu zegazi (i-Anemia): Ukudinwa okanye ubuthathaka obungaqhelekanga, isiyezi, intloko ebuhlungu, ukuphelelwa ngumphefumlo.
• Ubomvu, ukudumba, ukuxobuka, okanye ukuxobuka kwesikhumba nako kunokwenzeka ngaphakathi emlonyeni.
• Ukuxhuzula.
• Ukukruquka okanye ukopha okungaqhelekanga.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Urhudo
• Isiyezi
• Ukulahlekelwa ziinwele (Oku akwenzeki kuwo wonke umntu, kwabanye abantu kuphela. Iinwele zingakhula kwakhona emva kokuyeka ukusebenzisa amayeza.)
• Isicaphucaphu
• Izilonda emlonyeni okanye emqaleni ezinentlungu, ukubomvu, okanye ukudumba.
• Ukuhlanza

Olu luhlu lusenokungazibandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, buza ugqirha wakho ngayo. Ungaxela neziphumo ebezingalindelekanga kwi-FDA, kodwa eSri Lanka, kungcono ukuxelela ugqirha wakho ngokuthe ngqo.

Uligcina phi eli yeza?

Ekubeni eli yeza lidla ngokunikezelwa esibhedlele okanye eklinikhi , akufuneki uligcine ekhaya. Ngoko ke akufuneki ukhathazeke ngalo. Ukuba awunikwa rhoqo ekhaya, ugqirha wakho okanye ikhemisti iya kukuxelela indlela yokuligcina (umzekelo, nokuba uligcine efrijini okanye kude nelanga).

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, mhlawumbi ngoku uyaqonda ukuba iMethotrexate liyeza eliluncedo kakhulu, kodwa elifuna ukulumka.

• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Qiniseka ukuba uyayilandela idosi, ixesha losuku, kunye nosuku lweveki (ingakumbi kube kanye ngeveki xa une-arthritis kunye ne-psoriasis).
• Xelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo, naziphi na ezinye izifo onazo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile .
• Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho. Oku kubaluleke kakhulu.
• Qaphela iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, xelela ugqirha wakho ngoko nangoko.
• Kuphephe ngokupheleleyo utywala.
• Musa ukulibazisa uvavanyo lwegazi olucwangcisiweyo kunye nokubonana nogqirha.
• Ukuba unemibuzo okanye amathandabuzo, ungoyiki ukubuza ugqirha. Unelungelo lokwazi yonke into ngokucacileyo.

Khumbula, eli yeza lenzelwe ukukunceda ulawule imeko yakho. Ngoko ke, masisebenzisane nogqirha size silandele olu nyango ngokuchanekileyo. Sikunqwenelela ukuchacha ngokukhawuleza!

I- Methotrexate, isifo samathambo, i-psoriasis, umhlaza, amayeza, iziphumo ebezingalindelekanga, amayeza, iintlungu zamalungu