Ingxaki abantu abaninzi kweli lizwe lethu abanayo yi-gastritis, okanye ukudumba kwesisu kunye nezilonda. Ngamanye amaxesha imbangela ephambili yoku kusulelwa yintsholongwane ebizwa ngokuba yi-'H. pylori' ehlala esiswini sethu. Ngoko ke ukuba ugqirha wakho unike amayeza okuphelisa olu sulelo, kusenokwenzeka ukuba ufumane indibaniselwano yamayeza aliqela. Namhlanje siza kuthetha ngokudibanisa amayeza amathathu asetyenziswa rhoqo. Lawa yi-Omeprazole, i-Amoxicillin kunye ne-Rifabutin.
Kwenzeka ntoni ngokwenene ngolu hlobo lokudibanisa amayeza?
Le yindibaniselwano yamayeza amathathu. Masibone ukuba kwenzeka ntoni ngeyeza ngalinye.
- I-Omeprazole: Ngamafutshane, oku kusebenza ngokunciphisa ubungakanani be-asidi eveliswa esiswini sakho. Ezi zibizwa ngokuba ngamayeza e-Proton Pump Inhibitor (PPI). Xa i-asidi yesisu inciphile, kwakheka indawo engcono yokuba isilonda esikhoyo siphiliswe. Ikwanciphisa ukudumba.
- I-Amoxicillin kunye neRifabutin: Zombini ezi zii-antibiotics. Umsebenzi ophambili wazo zombini kukutshabalalisa iintsholongwane ezicaphukisayo ze-`H. pylori`. Enye ikwihlobo lwe-`(Penicillin)`, kwaye enye ikwihlobo lwe-`(Rifamycin). Kuphela ukuba le ntsholongwane itshatyalalisiwe ngokupheleleyo, isilonda sesisu siya kuphola ngokupheleleyo ngaphandle kokuphinda sivele.
Ngaba uyaqonda? Nangona elinye iyeza linceda ukulawula i-asidi yesisu nokuphilisa isilonda, amanye amayeza amabini abulala unobangela wokuqala wesilonda, yintsholongwane.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zilandelayo, ingakumbi ukuba unayo:
| Imeko yakho | Kutheni ufanele uxelele? |
|---|---|
| Isifo sezintso | Ngenxa yokuba iyeza lisuswa emzimbeni ngezintso, idosi ingadinga ukulungiswa. |
| Isifo sesibindi | Imiphumo yamayeza ekusebenzeni kwesibindi ingahluka. |
| I-Lupus | Eli yeza ngamanye amaxesha linokwenza iimpawu ze-lupus zibe zimbi ngakumbi. |
| Isifo sephepha (TB) | Iyeza elithi rifabutin linokuba nefuthe kunyango lwesifo sephepha. |
| Ukuba unxiba iilensi zoqhagamshelwano | Eli yeza linokubangela ukukrazuka kombala kunye nokutsha kweelensi zoqhagamshelwano ezihlala zihleli. |
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye izinto | Oku kubaluleke kakhulu ukuba une-allergy kula mayeza okanye amanye amayeza afana ne-penicillin. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Ufanele uthethe nogqirha wakho malunga nokhuseleko lwale mithi ngexesha lokukhulelwa. |
| Ukuba ungumama oncancisayo | Ekubeni amayeza anokudluliselwa kumntwana ngobisi lwebele, kubalulekile ukwazisa ugqirha ngale nto. |
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Njengoko ugqirha esitsho, eyona nto ibalulekileyo kukuthatha idosi efanelekileyo ngexesha elifanelekileyo.
- Sela eli yeza neglasi yamanzi .
- Kungcono ukuyithatha nokutya.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ikhaphu. Yiginye yonke.
- Eyona nto ibalulekileyo kukuthatha yonke imithi oyinikwe ngugqirha wakho. Musa ukuyeka ukuthatha amayeza phakathi, nokuba uzive ungcono kancinci. Ukwenza njalo kunokubangela ukuba iintsholongwane zibuye, endaweni yokuba ziphele ngokupheleleyo.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba ngempazamo uthathe amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
Xa usela eli yeza, amanye amayeza asenokudibana nalo, ngoko ke kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini kunye namayeza esintu.
- Amanye amayeza asetyenziswa ukunyanga i-HIV (umz. i-Atazanavir, i-Rilpivirine) kunye namanye amayeza akufuneki asetyenziswe kunye nale yeza.
- Kwakhona, amayeza amaninzi, anjengeepilisi zokulawula ukuzalwa, amayeza okunciphisa igazi (umz., iWarfarin), amayeza osulelo lwefungus, iipilisi zesinyithi, kunye namanye amayeza esifo sokuwa (umz., iPhenytoin), anokusebenza nala mayeza.
Olu luhlu aluphelelanga. Ngoko ke ukuze ukhuseleke, thetha nogqirha wakho malunga namayeza owasebenzisayo. Uza kukunika ingcebiso echanekileyo.
Izinto ezikhethekileyo ekufuneka uziqaphele xa usebenzisa amayeza
- Urhudo: Abanye abantu banokuba norhudo ngelixa besebenzisa eli yeza. Nangona kunjalo, ukuba urhudo lwakho lunzima kwaye luhlala iintsuku ezingaphezu kwezimbini, musa ukulithatha eli yeza kwikhemesti kwaye utsalele ugqirha wakho umnxeba ngoko nangoko.
- Iimpendulo eziqatha zesikhumba: Nangona zingaqhelekanga, eli yeza linokubangela iimpendulo eziqatha zesikhumba. Ukuba unomkhuhlane, iintlungu zomzimba, amabala abomvu okanye amfusa eluswini lwakho adla ngokuba namaqhubu kamva, kwaye uzive ngathi ulusu lwakho luyaxobuka, kuquka nangaphakathi emlonyeni wakho, funa ingcebiso kagqirha ngokukhawuleza.
- Ulawulo lokuzala: Kubaluleke kakhulu! Ngelixa usebenzisa la mayeza, ukusebenza kakuhle kweepilisi zakho zokulawula ukuzala kunokuncipha. Ke ngoko, ukuba ufuna ukuthintela ukukhulelwa, thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lolawulo lokuzala (umz., iikhondom) ngeli xesha.
- Ukutshintsha kombala wolwelo lomzimba: I-Rifabutin kweli yeza inokubangela ukuba umchamo wakho, ukubila, iinyembezi, kunye namathe kutshintshe umbala ube bomvu-orenji. Oku kuqhelekile kwaye akufanele kube yinto eyoyikisayo.Nangona kunjalo, ukutshintsha kombala kwezi inyembezi kunokubangela amabala angapheliyo kwiilensi ezithambileyo zokunxibelelana. Ngoko ke ukuba unxiba iilensi zokunxibelelana, buza ugqirha wakho ukuba ungazinxiba na ngelixa usebenzisa eli yeza. Kukwakho nokwenzeka kokuba ungcolise amazinyo akho.
- Isifo seswekile: Ukuba unesifo seswekile, uvavanyo lweswekile yomchamo ngelixa usebenzisa eli yeza lunokunika iziphumo ezingezizo ezilungileyo. Thetha nogqirha wakho ngale nto.
Zeziphi iziphumo ebezingalindelekanga ezinokubonwa?
Njengayo nayiphi na imithi, le inokubangela iziphumo ebezingalindelekanga. Nangona uninzi lwayo lungekho nzulu, kukho izinto ekufuneka uzazi.
| Iintlobo zeziphumo ebezingalindelekanga | |
|---|---|
| Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Iimpendulo eziqatha zesikhumba | Ulusu lubomvu, lunamadyungudyungu, luxobuka (nangaphakathi emlonyeni). |
| Umonakalo wezintso | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo. |
| Urhudo oluqatha | Urhudo oluninzi, olunamanzi kunye nomkhuhlane. |
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Urhudo oluqhelekileyo | Urhudo oluncinci olungapheli kwiintsuku ezimbalwa. |
| Okunye | Intloko ebuhlungu, isicaphucaphu, ukuhlanza, iintlungu zesisu. |
Umyalezo Wokuya Ekhaya
- Qiniseka ukuba ugqiba yonke ikhosi yamayeza owanikwe ngugqirha wakho. Ungayeki ukuwasebenzisa nokuba uzive ungcono.
- Sela eli yeza kunye nokutya, neglasi epheleleyo yamanzi. Ginya ikhapsuli yonke.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba kukho ukusabela okunzulu kwesikhumba, urhudo olugqithisileyo, okanye iimpawu zokunganyamezelani komzimba.
- Thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lolawulo lokuzala, njengoko iipilisi zolawulo lokuzala zisenokungasebenzi kakuhle xa usebenzisa eli yeza.
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