Masifunde ngeepilisi ze-Ondansetron. Le ngxoxo imalunga nalo mayeza anikwa isicaphucaphu nokuhlanza!

Ngamanye amaxesha siziva sinesicaphucaphu size sifune ukuhlanza, akunjalo? Le meko ixhaphake kakhulu emva kotyando olukhulu okanye xa sithatha amayeza omhlaza (afana ne-chemotherapy okanye unyango lwe-radiation). Ngoko ke, kukho amayeza akhethekileyo esiwanikwa ngoogqirha ukuze asincede ngamaxesha anje. Namhlanje siza kuthetha ngelinye lamayeza anjalo, i-Ondansetron.

Luhlobo luni lweyeza i-Ondansetron?

Ngamafutshane, i-Ondansetron liyeza elithintela isicaphucaphu nokuhlanza. Ngokwezonyango silibiza eli gama ngokuthi "i-Antietic" . Usenokukhumbula ukuba kwabanye abaguli, kuqhelekile ukuba nesicaphucaphu nokuhlanza emva kwe-chemotherapy, unyango lwe-radiation, okanye utyando. Eli yeza lisetyenziselwa kakhulu ukunciphisa ukungakhululeki okunjalo. Khawucinge ngendlela onokucaphuka ngayo xa usebenzisa i-chemotherapy, kwaye ngelo xesha, iyeza elinje liluncedo kakhulu.

Eli yeza lisebenza njani emizimbeni yethu?

Ivakala ilula kakhulu, kodwa kukho isayensi encinci kuyo. Kukho iikhemikhali ezithile emizimbeni yethu ezithumela imiqondiso engqondweni yethu ethi, "Ndiziva ndinesicaphucaphu, lungiselela ukuhlanza." Oko kwenziwa leli yeza, i-Ondansetron, kukuthintela ukusebenza kwezo khemikhali (ingakumbi, i-neurotransmitter ebizwa ngokuba yi-serotonin) . Ukuchaneka, iyayithintela loo miqondiso ukuba ingangeni engqondweni nasemathunjini. Emva koko isicaphucaphu nokuhlanza kuyalawulwa kakhulu. Uyayazi?

Ngaba kukho amanye amagama ale yeza athengiswayo?

Ewe, kusenokwenzeka ukuba ukhe walibona eli yeza phantsi kwegama lophawu `(Zofran)`. Elo ligama eliqhelekileyo kakhulu. Nangona kunjalo, jonga iresiphi enikwa ngugqirha wakho, uze ukwazi ngokuqinisekileyo. Ngamanye amaxesha eli yeza linokufumaneka phantsi kwamanye amagama.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Le ngongoma ibaluleke kakhulu, ungayilibali . Ngaphambi kokuba uqale ukusebenzisa i-Ondansetron, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Kuba eli yeza lisenokungahambelani nezinye iimeko zempilo, okanye unokufuna unonophelo olukhethekileyo.

Nazi ezo zinto:

• Ngaba unesifo sentliziyo ? (Umzekelo, ukusebenza kwentliziyo ebuthathaka, njengokubetha kwentliziyo okukhawulezayo).
• Ngaba wakha waba nentliziyo engaqhelekanga ? Oku kuthetha ukuba intliziyo yakho ibetha ngendlela engaqhelekanga, ngamanye amaxesha ikhawuleza, ngamanye amaxesha icotha, okanye ngendlela yokutsiba.
• Ngaba unesifo sesibindi ?
• Ngaba ugqirha wakhe wakuxelela ukuba unezinga eliphantsi le-magnesium okanye i-potassium ? Ezi ziiminerali ezibaluleke kakhulu emizimbeni yethu.
• Ngaba wakha waba ne-allergy kule yeza, i-Ondansetron, i-Granisetron ( ekwaliyeza elifanayo), naluphi na olunye unyango, ukutya, idayi, okanye isigcini?
• Ukhulelwe ? Okanye unethemba lokukhulelwa?
• Ingaba ungumama oncancisayo?

Ukuba uxelela ugqirha wakho ngezi zinto ngokucacileyo, angakunyanga ngeyona ndlela ifanelekileyo. Oku kungenxa yokhuseleko lwakho.

Ndingayisebenzisa njani le yeza?

Eli yeza lidla ngokuza likwimo yeepilisi. Linokunikwa njengelwelo okanye njengeepilisi ezinyibilikayo ngomlomo.

• Le pilisi mayithathwe neglasi yamanzi. (Ukuba yipilisi enyibilikisayo, yibambe emlonyeni wakho uze uyivumele inyibilike yodwa.)
• Khumbula ukuthatha amayeza kanye njengoko ugqirha wakho ekuyalele, ngaxeshanye, nangomlinganiselo ofanayo.
• Sela amayeza akho ngexesha elifanelekileyo, ngamaxesha afanelekileyo . Musa ukuthatha ngaphezu kokuba ugqirha wakho ekuxelele, okanye uwathathe rhoqo. Umzekelo, ukuba uxelelwe ukuba uwathathe kathathu ngemini, kungcono uwathathe amaxesha ahlukeneyo malunga neeyure ezisi-8.

Ufanele nini ukunika abantwana abancinci eli yeza?

Ewe, ngamanye amaxesha oogqirha bacebisa eli yeza kubantwana abancinci. Nangona kunjalo, lifuna unonophelo olukhethekileyo . Ugqirha ugqiba idosi ngokusekelwe kwizinto ezifana nobudala bomntwana kunye nobunzima bakhe. Ke ngoko, ukuba unika umntwana eli yeza, qiniseka ukuba uthetha nogqirha ngalo. Ungaze unike umntwana omncinci inani elifanayo nelomntu omdala.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba oko kuyenzeka, oko kukuthi, ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ubucinga, yiya kwangoko kwicandelo likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lolwazi ngetyhefu (eSri Lanka, ungatsalela umnxeba ku-1926). Musa ukuchitha ixesha.

Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngeli yeza nomhlobo okanye ilungu losapho, nokuba baneempawu ezifanayo nezakho. Iyeza elifanelekileyo kumntu ngamnye linokwahluka.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba oku kuyenzeka, thatha idosi ongayithathanga ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo (oko kukuthi, kwiiyure ezimbini ukuya kwezintathu), yeka idosi ongayithathanga uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ('idosi ephindwe kabini'). Ukwenza njalo kunokunyusa ubungakanani beyeza kwaye kubangele iziphumo ebezingalindelekanga.

Zeziphi ezinye izinto ezinokudibana (ukungqubana) nale yeza?

Oku kukwayinto ekufuneka uyilumkele kakhulu. Kukho amayeza athile anokubangela iingxaki xa esetyenziswa ne-Ondansetron. Ke ngoko,Kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo (kungekuphela nje leyo uyinikwe ngugqirha wakho, kodwa naleyo uyithengayo kwikhemesti, iivithamini, amayeza esintu, kunye neemveliso zezityalo). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni.

Kucetyiswa kakhulu ukuba ungayithathi i-Ondansetron kunye namayeza alandelayo:

• I-Apomorphine (iyeza lesifo sikaParkinson)
• Amanye amayeza osulelo lwefungus (umz., i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole)
• I-Cisapride
• I-Dronedarone (iyeza lesifo sentliziyo)
• I-Pimozide (iyeza lokugula ngengqondo)
• I-Thioridazine (iyeza lokugula ngengqondo)

Ukongeza, kukho amanye amayeza anokubangela iziphumo ebezingalindelekanga nge-Ondansetron. Nazi imizekelo embalwa:

• I-Carbamazepine (iyeza lokuxhuzula)
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
• I-Fentanyl (iyeza elinamandla lokubulala iintlungu)
• I-Linezolid (i-antibiotic)
• Amayeza e-MAOI (umz. iCarbex, iEldepryl) (iyeza elidala elisetyenziselwa ukudakumba)
• I-Methylene blue (iyeza elinikwa ngemithambo yegazi)
• Amanye amayeza anokubangela ukungasebenzi kakuhle kwesantya sentliziyo (amayeza andisa ixesha le-QT - umz. i-dofetilide, i-ziprasidone)
• I-Phenytoin (iyeza lokuxhuzula)
• I-Rifampicin (iyeza lesifo sephepha)
• I-Tramadol (iyeza lokuthomalalisa iintlungu)

Olu luhlu aluphelelanga. Yiyo loo nto sicebisa ukuba uxelele ugqirha wakho yonke into oyithathayo ukuze akwazi ukukunika amayeza ngokukhuselekileyo.

Yintoni esifanele siyilumkele ngokukodwa xa sisebenzisa eli yeza?

Ukuba ufumana naziphi na iimpawu ze-allergy ngelixa usebenzisa eli yeza, ezinje ngokurhawuzelela eluswini, ukurhawuzelela, ukuba bomvu kwesikhumba, ukudumba kobuso, imilebe, ulwimi, okanye umqala, bona ugqirha ngokukhawuleza. Oku kungaba yingxamiseko.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-ondansetron inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye ziyingozi, ezinye azibi yingozi kangako.

Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka ufune iingcebiso zonyango ngokukhawuleza :

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kwemilebe, ubuso, ulwimi, umqala, ubunzima bokuphefumla.
• Iimpawu zokuvaleka kwamathumbu (`ukuvaleka kwamathumbu`): Intlungu ebuhlungu yesisu, ukudumba, ukungakwazi ukukhupha indle okanye ukuphuma umoya, ukungabi namdla wokutya, ukuhlanza.
• Intlungu yesifuba (`Angina`): Ukuziva intlungu, ukuqina, okanye ukuqina esifubeni, entanyeni, emqolo, okanye ezingalweni.
• Utshintsho lwesingqi sentliziyo: Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba, kunye nobunzima bokuphefumla.
• I-Serotonin Syndrome inokuthi ibonakale ngoku: ukungazinzi, ukudideka, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuqina kwemisipha, ukuxhuzula kwemisipha, ukubila okugqithisileyo, umkhuhlane ophezulu, ukuxhuzula, ukubanda, ukuhlanza, kunye norhudo. Ukuba kukho iimpawu ezingaphezulu kwesinye ngexesha elinye, isenokuba yi-Serotonin Syndrome. Yimeko eyingozi.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka):

Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Ukuthintela
• Urhudo
• Ukungonwabi kunye nokudinwa ngokubanzi
• Intloko ebuhlungu

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into, thetha nogqirha wakho ngayo.

Ndingaligcina njani eli yeza?

• Yigcine kude nabantwana abancinci kunye nezilwanyana zasekhaya . Oku kubaluleke kakhulu. Amayeza akangomdlalo wethoyizi.
• Eli yeza lifanele ligcinwe phakathi kwe-2 kunye ne-30 degrees Celsius (36 kunye ne-86 degrees Fahrenheit). Oko kuthetha ukuba kubushushu begumbi, kungabi shushu kakhulu okanye kubande kakhulu. Kuphephe ukuligcina kwiindawo ezimanzi, njengegumbi lokuhlambela.
• Musa ukusebenzisa amayeza aphelelwe lixesha . Wase kwikhemesti uze ubuze malunga nokulahla amayeza ngendlela efanelekileyo.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-Ondansetron liyeza eliluncedo kakhulu ekulawuleni isicaphucaphu nokuhlanza, ingakumbi kwabo bafumana unyango olufana ne-chemotherapy, unyango lwe-radiation, kunye notyando. Nangona kunjalo, kubaluleke kakhulu ukulandela imiyalelo kagqirha xa usebenzisa eli yeza, kwaye uxelele ugqirha ngezinye izifo onazo kunye namanye amayeza owasebenzisayo. Emva koko ungazuza ngokukhuselekileyo nangokuphumelelayo kweli yeza. Ukuba uneengxaki okanye iziphumo ebezingalindelekanga, ungathandabuzi ukuthetha nogqirha wakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

I - Ondansetron, i-Ondansetron, isicaphucaphu, ukuhlanza, unyango lomhlaza, i-chemotherapy, unyango lwemitha, utyando, iziphumo ebezingalindelekanga, i-Zofran, i-antiemetic, amayeza