Ngaba nawe usela amayeza okudambisa iintlungu (ii-NSAID)? Emva koko funda ngezi pilisi zeMisoprostol!

Sonke sisebenzisa amayeza okudambisa iintlungu ngaxa lithile ebomini bethu xa sinomzimba obuhlungu, intloko ebuhlungu, izinyo elibuhlungu, okanye ingxaki yamalungu afana ne-arthritis. Kodwa ubusazi na ukuba amanye amayeza okudambisa iintlungu, ingakumbi lawo abizwa ngokuba yi-"NSAIDs" (Amayeza angengo-Steroidal Anti-Inflammatory), anokubangela iingxaki ezincinci esiswini sethu xa siqhubeka nokuwasebenzisa. Ukuchaneka, kukho ithuba elikhulu lokufumana izilonda zesisu. Kulapho oogqirha bethu bacebisa khona eli yeza elibizwa ngokuba yi-"Misoprostol". Ngoko ke, namhlanje siza kuthetha kancinci ngale "Misoprostol", kulungile?

Luhlobo luni lweyeza iMisoprostol?

Ngamafutshane, iMisoprostol liyeza elikhusela ulwelo oluthambileyo lwesisu sakho, oko kukuthi, udonga lwesisu. Xa uqhubeka nokusela amayeza okudambisa iintlungu e-NSAID endikhankanyileyo ngaphambili (afana ne-Ibuprofen, i-Aspirin, kunye ne-Diclofenac), anokunyusa ubungakanani be-asidi eveliswa esiswini kwaye onakalise udonga lwesisu. Into eyenziwa yiMisoprostol kukunciphisa ubungakanani be-asidi, ukunciphisa umonakalo kudonga lwesisu, kunye nokuqinisa ulwelo olukhuselayo lwesisu. Ngale ndlela, eli yeza lisinceda kakhulu ekuthinteleni izilonda zesisu. Eli yeza linokufumaneka nakwiikhemesti phantsi kwegama le-Cytotec. Nangona kunjalo, eli yeza ngamanye amaxesha lisetyenziswa ngoogqirha ngezinye izizathu. Ke ukuba unemibuzo, buza ugqirha wakho okanye ikhemesti.

Ndimele ndimxelele ntoni ugqirha wam ngaphambi kokuba ndithathe eli yeza?

Kulungile, ngoku ngaphambi kokuba ugqirha okanye umongikazi akunike ezi pilisi zeMisoprostol, kufuneka umxelele izinto ezibalulekileyo malunga nempilo yakho. Kuba ayizizo zonke amayeza ezisebenza ngokufanayo kuye wonke umntu. Ezi zinto zicelwa ukhuseleko lwakho. Ukuba unayo nayiphi na kwezi meko, qiniseka ukuba uxelela ugqirha wakho:

• Ukuba unesifo samathumbu esinganyangekiyo njengesifo sikaCrohn .
• Ukuba unesifo sentliziyo.
• Ukuba unesifo sezintso (kuba amayeza amaninzi akhutshwa emzimbeni ngezintso, kufuneka ulumke malunga nomthamo wamayeza xa uneengxaki zezintso).
• Ukuba unemeko ebangela izilonda emathunjini, njenge-ulcerative colitis.
• Ukuba wakha waba ne-allergy (umz., ukurhawuzelela kwesikhumba, ukurhawuzelela , ubunzima bokuphefumla) kwi-misoprostol, ikhemikhali ebizwa ngokuba yi-prostaglandins, naluphi na olunye unyango, ukutya, iidayi zokutya, okanye izithinteli.
• Le yinto ebaluleke kakhulu: Ukuba ukhulelwe, okanye ukuba uzama ukukhulelwa, ngokuqinisekileyo kufuneka uxelele ugqirha wakho. Le yingxaki enzulu kakhulu, kwaye siza kuthetha ngayo ngokweenkcukacha kamva.
• Ukuba ungumama oncancisayo, yazisa ugqirha ukuba uyancancisa.

Wakuba uzicingile ezi zinto, ugqirha wakho unokugqiba ukuba eli yeza likulungele na, okanye lingakanani na idosi.

Ndingayisebenzisa njani le yeza?

Oku akunzima kangako. Ipilisi ye-misoprostol ithathwa ngomlomo.

• Ginya ipilisi yonke ngeglasi yamanzi.
• Sela amayeza kanye njengoko ugqirha ekuxelele wona, ngokwedosi echanekileyo. Ugqirha uza kukuxelela ukuba kangaphi ngemini kwaye zingaphi iipilisi omawuzithathe ngexesha.
• Ngokwesiqhelo, eli yeza kuthiwa lisetyenziswa kunye nokutya. Okanye ungaxelelwa ukuba ulisebenzise emva kokutya. Yenza njengoko ugqirha wakho ekuxelela.
• Zama ukusela amayeza akho ngexesha elifanayo yonke imihla, ngexesha elifanayo yonke imihla. Oku kuya kunceda amayeza asebenze kakuhle emzimbeni wakho.
• Qiniseka ukuba usela amayeza kangangexesha elichazwe ngugqirha wakho. Nokuba uzive ungcono kancinci, ungayeki ukuwasela amayeza ngaphandle kwengcebiso kagqirha wakho.

Ukuba unika abantwana eli yeza, kufuneka uliqaphele ngokukodwa. Thetha nogqirha wakho ngalo kwaye ulandele imiyalelo yakhe ngokuchanekileyo. Into ebalulekileyo ekufuneka uyikhumbule: Ukuba ngequbuliso ucinga ukuba usele eli yeza kakhulu, oko kukuthi, ulisebenzise kakhulu, ungoyiki. Kodwa ngoko nangoko yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu. Kwakhona, eli yeza lelakho kuphela. Ungaze unike abanye amayeza akho, nokuba banengxaki efanayo nawe. Linokuba yingozi.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Owu, inokwenzeka. Wonke umntu uyalibala. Ukuba ulibele ukuthatha idosi, ungakhathazeki, yithathe kwangoko nje ukuba uyakhumbula. Nangona kunjalo, ukuba ikufutshane kakhulu nedosi yakho elandelayo xa uyikhumbula (umzekelo, kwisithuba seyure okanye ezimbini), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, oko kukuthi, idosi ephindwe kabini.Ukuba wenza loo nto, kukho amathuba aphezulu okuba nemiphumo emibi.

Zeziphi izinto ezinokudibana nale mithi?

Kukho amayeza athile, xa esetyenziswa kunye neMisoprostol, anokuchaphazela ukusebenza kwawo okanye anyuse iziphumo ebezingalindelekanga.

• Isiphumo esiqhelekileyo sesokuba ezinye ii-antacids (ingakumbi ezo ziqulethe i-magnesium) ezisetyenziselwa ukudumba kwesisu kunye ne-gastritis zinokunyusa urhudo xa zisetyenziswa kunye nale mayeza.

Ngoko ke, xa uqala ukusebenzisa iMisoprostol, nika ugqirha wakho inkcazo epheleleyo yawo onke amayeza owasebenzisayo ngoku (kungekuphela nje lawo achazwe ngugqirha wakho, kodwa kunye namayeza okudambisa iintlungu, iivithamini, imifuno, kwanamayeza e-Ayurvedic owathengayo kwikhemesti), kunye nazo naziphi na izongezo zokutya ozisebenzisayo. Kwakhona, kubaluleke kakhulu ukwazisa ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Kuba ezinye izinto zinokuchaphazela ukusebenza kweli yeza.

Yintoni endifanele ndiyilumkele ngakumbi xa ndisebenzisa eli yeza?

Kukho izinto ezimbalwa ekufuneka uziqwalasele xa usebenzisa eli yeza. Ezi zezokhuseleko lwakho.

• Kungcono ukunciphisa okanye ukuyeka ngokupheleleyo ukutshaya nokusela utywala ngeli xesha. Zombini ezi zinto zinokucaphukisa ulwelo lwesisu sakho. Amayeza angengo-steroidal anti-inflammatory ( NSAIDs ) afana ne-ibuprofen kunye ne-aspirin nawo anokunyusa umngcipheko wokonakala kwesisu. Xa uzama ukukhusela isisu sakho nge-misoprostol, ezi zinto zinokuphazamisana naso.

• Ngoku sifika kweyona ngongoma ibalulekileyo nebalulekileyo esiza kuthetha ngayo. Le yinto ekufuneka abafazi, ngakumbi, bayikhumbule:

Ukuba ukhulelwe, musa ukusebenzisa iyeza iMisoprostol nangasiphi na isizathu. Liyingozi kakhulu kuwe nakumntwana wakho ongekazalwa. Eli yeza linokubangela ukuba isibeleko sinciphe kakhulu. Oku kunokunyusa umngcipheko wokuphuma kwesisu, ukuzalwa ngaphambi kwexesha, okanye iziphene ezinzulu zokuzalwa komntwana.

Ngoko ke, kufuneka uphephe ukukhulelwa ngelixa usebenzisa iMisoprostol. Kufuneka uphephe nokukhulelwa ubuncinane inyanga emva kokuba uyekile ukusebenzisa iyeza (oko kukuthi, ude ugqibe ngokupheleleyo umjikelo wakho wokuya exesheni).Ukuba ungumfazi osemdala wokuzala, qiniseka ukuba usebenzisa uhlobo oluthembekileyo lokulawula ukuzala ngelixa usela eli yeza. Thetha nogqirha wakho okanye umsebenzi wezempilo wosapho malunga nokuba zeziphi iindlela zokulawula ukuzala ezifanelekileyo kuwe kunye nendlela yokuzisebenzisa. Ukuba nangasiphi na isizathu ukhulelwa ngelixa usela eli yeza, okanye ukuba ukrokrela ukuba ukhulelwe , okanye ukuba ucinga ukuba unokukhulelwa kungekudala, nceda ufowunele ugqirha wakho ngoko nangoko uze ufumane ingcebiso. Asinto yokudlala ngayo le, kulungile? Le yingxaki yobomi nokufa kuwe nakumntwana wakho ongekazalwa.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iMisoprostol inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo, kwaye azichaphazeli wonke umntu ngendlela efanayo. Ezinye iziphumo ebezingalindelekanga ziyingozi, kwaye kufuneka uxelele ugqirha wakho ngoko nangoko ukuba ufumana naziphi na. Ezinye azibi kakhulu, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, kububulumko ukuxelela ugqirha wakho . Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho okanye isibhedlele esikufutshane ngokukhawuleza:

• Iimpawu zempendulo ye-allergy ziquka: ukurhawuzelela kwesikhumba ngequbuliso, ukurhawuzelela okukhulu, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala, ubunzima bokuphefumla, okanye isiyezi. Ukuba oku kuyenzeka, funa uncedo lwezonyango ngokukhawuleza.

Iziphumo ebezingalindelekanga ezidweliswe ngezantsi azisoloko zimbi kakhulu, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza ngokwaneleyo ukuba zikuthintele ekwenzeni imisebenzi yakho yemihla ngemihla, xelela ugqirha wakho:

• Urhudo: Le yeyona miphumo ixhaphakileyo ye-misoprostol. Kwabanye abantu, oku kwenzeka kwiintsuku zokuqala zokusela amayeza aze anciphe kancinci kancinci. Ekubeni amanzi amaninzi ephuma emzimbeni ngexesha lorhudo, sela amanzi amaninzi, usele iziselo ezifana neJeevani, uze utye iporridge. Okanye, ungabuza ugqirha wakho malunga nokusela amayeza okulawula urhudo.
• Isicaphucaphu: Oku kuthetha ukuziva ugula.
• Ukuqaqamba kwesisu: Intlungu evakala ngathi isisu sicinezelwa ngaphakathi.
• Intlungu yesisu: Intlungu yesisu eqhelekileyo.

Olu luhlu alubandakanyi yonke into. Ukuba ufumana naluphi na uvakalelo olungaqhelekanga emzimbeni okanye utshintsho emva kokuthatha eli yeza, nceda udibane nogqirha wakho. Kwilizwe lethu, kungcono ukuxelela ugqirha wakho ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga. Okanye, ungajonga ukuba zikhona na iindlela zokwazisa iGunya loLawulo lwaMayeza leSizwe (i-NMRA).

Ndingawagcina njani amayeza am?

Le yingongoma ebaluleke kakhulu. Ukuba amayeza akagcinwanga kakuhle, umgangatho wawo unokwehla okanye wonakale.

• Gcina amayeza kwindawo ephakamileyo apho abantwana bangenakuwafikelela khona. Lo ngumthetho wokuqala.
• Gcina kubushushu begumbi, ngaphantsi kwama-25 degrees Celsius (77 degrees Fahrenheit). Okubaluleke kakhulu, gcina kwindawo eyomileyo. Khusela eli yeza kumswakama. Ngoko ke, musa ukuligcina kwindawo efumileyo njengegumbi lokuhlambela okanye kwindawo eshushu njengesitovu sasekhitshini.
• Jonga umhla wokuphelelwa kweyeza kwiphakheji okanye ebhotileni. Ungaze usebenzise iyeza eliphelelwe lixesha. Lilahle ngokufanelekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ngoko ke, ngokwezinto esizithethileyo, ndiyathemba ukuba uyiqonda kakuhle le yeza elibizwa ngokuba yiMisoprostol. Khumbula, kweli nqaku sixoxe ngamanqaku aqhelekileyo kuphela, njengesishwankathelo. Ukuba unemibuzo okanye iinkxalabo malunga nale yeza, nceda ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye umboneleli wezempilo okunyangayo.

Ungaze uthathe amayeza ngokusekelwe kwinto oyifundileyo kwi-intanethi okanye kwingcebiso yomnye umntu, okanye uyeke ukuthatha amayeza achazwe ngugqirha wakho okanye utshintshe umthamo. Soloko ulandela imiyalelo kagqirha wakho ngokuchanekileyo. Impilo yakho yeyona nto ixabisekileyo emhlabeni! Luxanduva lwakho ukuyinyamekela.

I-Misoprostol, i-Misoprostol, izilonda zesisu, izilonda zesisu, iintlungu zentlungu, i-NSAID, i-Cytotec, iziphumo ebezingalindelekanga, ukukhulelwa