Ngaba unikwe iPhenobarbital? Ngoko ke ngokuqinisekileyo ufanele ukwazi oku!

Ngaba ngamanye amaxesha uziva ngathi unesithuthwane okanye unesifo sokuxhuzula? Okanye uziva uxhalabile kakhulu, uloyiko, ngaphandle kwesizathu esicacileyo? Ugqirha wakho usenokuba unike iyeza elibizwa ngokuba yiPhenobarbital kwesi sifo. Ngoko ke, namhlanje siza kuthetha ngokuba yintoni eli yeza, yintoni eliyenzayo, kunye nento ekufuneka siyilumkele ngakumbi xa silisebenzisa.

Lithini eli yeza libizwa ngokuba yiPhenobarbital?

Ngamafutshane, iPhenobarbital liyeza elinceda ukulawula nokuthintela ukuxhuzula kubantu abanesifo sokuxhuzula. Ayipheleli apho, kodwa ngamanye amaxesha inikwa ukunciphisa ixhala nokuzola ingqondo nokwenza uzive ulele kancinci, njengangaphambi kotyando . Cinga ngayo, izinto ezifana nesifo sokuxhuzula zenzeka xa imithambo-luvo engaphakathi kwengqondo yethu isebenza ngakumbi. Eli yeza liyenza ukuzola imithambo-luvo esebenza kakhulu.

Eli yeza linokumiselwa ngoogqirha nakwezinye iimeko, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.

Eli yeza lisebenza njani emizimbeni yethu?

Kulungile, ngoku masibone indlela esebenza ngayo le nto emzimbeni. Ukuvuselela kakhulu, oko kukuthi, ukusebenza kakhulu, kwezinye iimithambo-luvo kwinkqubo yethu yemithambo-luvo yikona okubangela ukuxhuzula kunye nokuxhalaba okugqithisileyo. Eli yeza libizwa ngokuba yiPhenobarbital lisebenza ngokuthomalalisa iimithambo-luvo ezisebenza kakhulu. Oko kukuthi, lilawula imiqondiso engafunekiyo edlula kwiimithambo-luvo kwaye linciphise ukusebenza kwengqondo kancinci. Oku kukunciphisa ukwenzeka kweentlungu kwaye kuthomalalise ingqondo.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iPhenobarbital, kubalulekile ukuxelela ugqirha wakho ngezi zinto. Oku kubaluleke kakhulu kuba olu lwazi luya kunceda ugqirha wakho agqibe ukuba eli yeza likulungele na kwaye angakunika malini.

• Ukuba usela rhoqo: Eli yeza linokubangela iziphumo ebezingalindelekanga xa lisetyenziswa notywala.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba unesifo semiphunga okanye iingxaki zokuphefumla.
• Ukuba unesifo esibizwa ngokuba yi-porphyria: Esi sisifo esibangelwa lufuzo.
• Ukuba ukhe wasebenzisa iziyobisi okanye wakha wasebenzisa iziyobisi ngaphambili (ingxaki yokusebenzisa iziyobisi).
• Ukuba wena okanye umntu kusapho lwakho ukhe wacinga ngokuzibulala, waceba ukuzibulala, okanye wazama ukuzibulala.
• Ukuba une-allergy kwi-phenobarbital, ezinye ii-barbiturates, naluphi na olunye unyango, i-lactose, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ngaphandle kokufihla ezi zinto, akunjalo?

Ulisebenzisa njani kanye kanye eli yeza?

Eli yeza liza ngendlela yeepilisi. Kufuneka uginye ipilisi ngeglasi yamanzi. Landela imiyalelo ekwileyibhile kagqirha wakho njengoko ibhaliwe. Sela iyeza ngexesha elifanelekileyo nangomlinganiselo ofanelekileyo. Musa ukulisela kaninzi okanye ngaphezulu kunokuba ugqirha wakho ekuxelele.

Eyona nto ibalulekileyo kukuba ukuba uqhubeka nokusebenzisa eli yeza, ungaliyeki ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukuba wenza njalo, unokuba semngciphekweni omkhulu wokuxhuzula . Ukuba kuyimfuneko, ugqirha wakho uya kunciphisa kancinci umthamo weyeza.

Ukuba unika abantwana eli yeza: Kufuneka unyamekele ngokukodwa. Ugqirha wakho uza kukuxelela ngale nto.

Abantu abangaphezu kweminyaka engama-65 ubudala: Unokufumana iziphumo ezibi kakhulu ezivela kweli yeza, ngoko ke unganikwa idosi ephantsi.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba oku kuyenzeka, thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ezimbini okanye ezongezelelweyo nangaliphi na ixesha.

Kwenzeka ntoni ukuba uthatha kakhulu? (Ukuthatha kakhulu)

Ukuba ucinga ukuba usele amayeza amaninzi kakhulu, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu ngoko nangoko. Lo asingomdlalo, yinto ekufuneka ithathwe nzulu.

Enye into, eli yeza lelakho wedwa. Ungaze ulinike omnye umntu.

Ngaba kukho amanye amayeza anokusebenza nala mayeza?

Ewe, kukho amayeza anokubangela iingxaki xa esetyenziswa ngePhenobarbital. Ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (iivithamini, iziqholo, kwanamayeza athengiswa ngaphandle kwemvume kagqirha).

Musa ukuthatha iPhenobarbital kunye nala mayeza:

• Amanye amayeza e-HIV okanye i-AIDS anikwa kunye ne-cobicistat.
• Ezinye ii-barbiturates.
• Iyeza elibizwa ngokuba yiPrimidone (eli likwanikwa ne-epilepsy).
• I-Voriconazole liyeza lokulwa nokubola.

I-Phenobarbital inokunxibelelana ne:

• Utywala okanye amayeza ane-alcohol.
• Iintlobo zee-antihistamines (amayeza omkhuhlane kunye nee-allergies).
• Amayeza okudakumba, ixhala, okanye ezinye iingxaki zempilo yengqondo.
• Ezinye iintlungu, umzekelo, iintlungu ezinamandla ezifana neTramadol.
• Amayeza okulala.
• Izinto zokukhulula izihlunu.
• Amayeza e-steroid, umzekelo i-prednisone okanye i-cortisone.

Olu luhlu aluphelelanga, ngoko ke ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni, xelela ugqirha wakho ngaloo nto.

Zeziphi izinto ekufuneka sizilumkele ngakumbi xa sithatha iPhenobarbital?

Bona ugqirha wakho rhoqo ukuze akuhlole rhoqo ukuze ujonge ukuba impilo yakho injani ngelixa usebenzisa eli yeza.

• Iimpendulo ezinzulu zesikhumba: Iimpendulo ezinzulu zesikhumba zinokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba uvela nerhashalala enomkhuhlane kunye neempawu ezifana nomkhuhlane. Irhashalala inokuba bomvu okanye mfusa, ize ibe namadyungudyungu ize ixobuke. Okanye ukuba unerhashalala ebomvu enokudumba kobuso, imilebe, intamo, okanye amakhwapha, kufuneka uxelele ugqirha wakho ngoko nangoko.

• Ukuba usela amayeza okuxhuzula: Kubaluleke kakhulu ukuba nekhadi elichaza ukuba unesifo sokuxhuzula kwaye lidwelise amayeza owaselayo, kwaye unxibe isongo okanye umgexo obonisa ukuba unesifo sokuxhuzula.

• Ukozela okanye isiyezi: Eli yeza linokukwenza uzive ulele okanye unesiyezi. Ngoko ke, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Ingakumbi ukuba umdala, musa ukuma okanye uhlale ngequbuliso. Oku kunokunciphisa amathuba okuba nesiyezi nokuwa.

• Utywala: Ukusela utywala kunokuphazamisa ukusebenza kakuhle kwale mithi. Ngoko ke, kuphephe ukusela utywala.

• Ukuthintela ukukhulelwa:Ukuba uthatha iipilisi zokulawula ukukhulelwa (i-estrogen kunye/okanye i-progestin), ukuthatha i-phenobarbital kunokunciphisa ukusebenza kwazo. Ngoko ke, thetha nogqirha wakho malunga nokusebenzisa uhlobo lwesibini lokuthintela ukukhulelwa, njengokuthintela ukukhulelwa njengekhondom.

• Iingcinga zokuzibulala: Abanye abantu basenokuba neengcinga okanye izenzo ezandileyo malunga nokuzibulala ngelixa besebenzisa eli yeza. Ukuba ufumana utshintsho kwindlela ovakalelwa ngayo, ukuziva uphelelwe lithemba, okanye iingcinga zokufa, kufuneka uxelele ugqirha wakho ngoko nangoko. Oku kubaluleke kakhulu.

• Ngexesha lokukhulelwa: Kukho iinkqubo ezikhethekileyo zabasetyhini abakhulelweyo ngelixa besebenzisa la mayeza (umz., iNorth American Antiepileptic Drug Pregnancy Registry). Ezi zenzelwe ukuqokelela ulwazi malunga nokhuseleko lwamayeza okulwa nesifo sokuwa ngexesha lokukhulelwa. Ugqirha wakho angakuxelela okungakumbi ngale nto.

• Ukunqongophala kweevithamini: Eli yeza linokubangela amanqanaba aphantsi evithamini D kunye ne-folic acid. Ngoko ke, qiniseka ukuba ufumana iivithamini ezaneleyo ngelixa usebenzisa eli yeza. Thetha nogqirha wakho malunga nokutya kunye neevithamini ozisebenzisayo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iPhenobarbital inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Ukuba kwenzeka into efana nale, kufuneka uxelele ugqirha wakho ngokukhawuleza.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukudakumba kwenkqubo yemithambo-luvo ephakathi (CNS depression): Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphaphile.
• Iingcinga zokuzibulala okanye zokuzilimaza, utshintsho lweemvakalelo, kunye neemvakalelo zokudakumba.

Iziphumo ebezingalindelekanga ezingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Isiyezi
• Ukozela
• Intloko ebuhlungu
• Isicaphucaphu

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga, xelela ugqirha wakho ngazo.

Uligcina njani likhuselekile iyeza? Yintoni omawuyenze ukuba kukho amayeza aseleyo?

Gcina eli yeza kude nabantwana nezilwanyana zasekhaya. Gcina eli yeza kwindawo ekhuselekileyo ukuze ulikhusele ekubiweni, kuba lingasetyenziswa gwenxa. Ungaze wabelane ngeli yeza nabanye abantu. Ukuthengisa okanye ukunika abanye eli yeza kuyingozi kwaye akukho mthethweni.

Ukuba umntu omdala, umntwana, okanye isilwanyana sasekhaya sithathe eli yeza ngempazamo, linokuba yingozi. Ngoko ke, ukuba kukho amayeza angasetyenziswanga aseleyo, xuba nento efana nenkunkuma yekati okanye ikofu uze uyilahle kwibhegi evalwe kakuhle okanye kwitini yekofu enesiciko. Musa ukusebenzisa amayeza aphelelwe lixesha.

Gcina iyeza kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius, phakathi kwama-68 nama-77 degrees Fahrenheit). Gcina ibhotile/ipakethi yeyeza ivaliwe kakuhle kwaye ikhuselekile ekukhanyeni.

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

Kaloku, sithethe kakhulu ngePhenobarbital, akunjalo? Ukushwankathela:

• Eli liyeza elisetyenziselwa kakhulu ukulawula isifo sokuwa kunye nokunciphisa ixhala.
• Yithathe kanye njengoko ugqirha etshilo, ngexesha elifanelekileyo, ngomlinganiselo ofanelekileyo.
• Musa ukuyeka ngequbuliso.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo, kuba oku kusenokudibana nezinye iziyobisi.
• Lumka kuba kusenokubakho ukozela kunye nesiyezi. Lumka ngakumbi xa uqhuba okanye usenza imisebenzi efuna ukulumka.
• Musa ukulisebenzisa eli yeza kunye notywala.
• Ukuba ufumana ukusabela okukhulu kwesikhumba okanye iingcinga zokuzibulala, xelela ugqirha wakho ngoko nangoko.
• Ukuba ukhulelwe, unethemba lokukhulelwa, okanye ungumama oncancisayo, qiniseka ukuba uxelele ugqirha wakho.
• Gcina amayeza ngokukhuselekileyo kude nabantwana.

Ndiyathemba ukuba olu lwazi luza kukunceda. Khumbula, ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho. Nguye umntu ofanelekileyo ukukunika ingcebiso.

I- Phenobarbital, isifo sokuwa, ukuxhuzula , ixhala, ii-barbiturates, iziphumo ebezingalindelekanga, ukusetyenziswa kwamayeza