Ngaba uza kunikwa i-Phenytoin Injection? Yazi ke oku ngokuqinisekileyo!

Ukuba unesithuthwane ngequbuliso, okanye mhlawumbi unesithuthwane, okanye ukhe watyandwa ingqondo, ugqirha wakho usenokuba ukunike eli yeza lokuthintela isithuthwane sakho. Libizwa ngokuba yi-phenytoin injection. Ngamafutshane, lisebenza ngokuthomalalisa nokulawula iindawo zenkqubo yemithambo-luvo yomzimba wakho ezithi ngamanye amaxesha zisebenze kakhulu. Ngoko masithethe ngale nto ngokweenkcukacha, akunjalo?

Yintoni iPhenytoin? Masiqonde kakuhle!

I-Phenytoin liyeza eliphambili elisetyenziselwa ukulawula nokuthintela ukuxhuzula . Lisetyenziswa rhoqo kubantu abanesifo sokuxhuzula . Likwanikwa ukunciphisa umngcipheko wokuxhuzula ngexesha nasemva kotyando lobuchopho.

Cinga ngemithambo-luvo esebuchotsheni bethu njengeentambo ezincinci ezithwala imiyalezo yombane. Ngamanye amaxesha ezi "ntambo" zinokuba "neesekethe ezimfutshane" ezincinci. Kulapho ke kuvela khona ukuxhuzula. Ngoko ke, into eyenziwa yiPhenytoin kukuthomalalisa ezo mithambo-luvo zisebenza kakhulu kwaye zinciphise ezo "sekethe ezimfutshane." Oko kukuthi, ilawula imithambo-luvo esebenza kakhulu.

Oogqirha ngamanye amaxesha banokusebenzisa eli yeza kwezinye izinto, ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezemithi.

Zeziphi izinto ekufuneka uzixelele ugqirha ngaphambi kokuba ukunike eli yeza?

Oku kubaluleke kakhulu. Ngaphambi kokuba unikwe iPhenytoin, kubalulekile ukuba iqela lakho lokhathalelo lazi oku kulandelayo:

• Ingaba ukhotyokisiwe butywala? Utywala bunokuchaphazela ukusebenza kakuhle kwale mithi.
• Ingaba ungowomthonyama waseAsia? Abanye abantu abanezakhi zofuzo zaseAsia banokuba nendlela eyahlukileyo yokucubungula eli yeza emizimbeni yabo, ngoko ke kubalulekile ukukwazi oku.
• Ingaba unesifo seswekile (iDiabetes Mellitus)? Eli yeza lisenokuchaphazela amanqanaba eswekile egazini.
• Ngaba unengxaki yentliziyo?
• Ingaba unesifo sesibindi? Eli yeza lisuswa emzimbeni sisibindi. Ngoko ke ukuba unengxaki yesibindi, isenokuchaphazela loo nto.
• Ingaba igazi eliphantsi?
• Ngaba wakha wacinga, waceba, okanye wazama ukuzibulala? Okanye ngaba kukho umntu kusapho lwakho owakha wazenza? Oku kubalulekile ukukukhankanya kuba eli yeza linokuchaphazela imeko yengqondo yabanye abantu.
• Ngaba une-aleji kwi-phenytoin, i-hydantoin, amanye amayeza, ukutya, iidayi, okanye izithinteli?Thetha into ethile, nokuba yinto encinci nje.
• Ngaba ukhulelwe okanye uzama ukukhulelwa?
• Ingaba ungumama oncancisayo?

Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla.

Ulisebenzisa njani eli yeza?

Olu luhlaselo oluya emthanjeni . Oku kuthetha ukuba aluyonto onokuyisebenzisa ekhaya. Ulunikwa ziingcali zonyango esibhedlele okanye eklinikhi .**

Eli yeza lelakho kuphela. Ungaze unike omnye umntu iyeza olinikwe ngugqirha, nokuba baneempawu ezifanayo nezakho.

Ukuba eli yeza linikwa abantwana: Kwezinye iimeko ezikhethiweyo, eli yeza linokunikwa nabantwana. Nangona kunjalo, kukho izinto ezikhethekileyo ekufuneka ziqwalaselwe. Thetha neqela lakho lezonyango ngale nto.

I-overdose: Oku akunakwenzeka kuba inikwa esibhedlele. Nangona kunjalo, ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Kuthekani ukuba ndiphosakele idosi?: Ekubeni le inikwa esibhedlele, akunamsebenzi nokuba uphosakele idosi. Abasebenzi bezonyango baza kuyinyamekela.

Yintoni ekufuneka uyilumkele ngakumbi xa usebenzisa eli yeza?

Xa ufumana olu gonyo, abasebenzi bezonyango baza kujonga imeko yakho ngononophelo olukhulu. Kodwa kulungile ukuba uqaphele ezi zinto:

• Iimpendulo ezinzulu zesikhumba: Oku kubaluleke kakhulu. Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqale ukusebenzisa eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba ufumana irhashalala yesikhumba eneempawu ezifana nomkhuhlane kunye neentlungu zomzimba. Ezi rhashalala zinokuba bomvu okanye zibe mfusa zize emva koko zibe namaqhubu kwaye ziqhekeke. Okanye, ukuba unerhashalala ebomvu kunye nokudumba kobuso, imilebe, okanye ii-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni, xelela ugqirha wakho ngoko nangoko. Oku kunokuba yingxamiseko.
• Ukozela, isiyezi: Usenokuziva ulele kwaye unesiyezi. Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuqwalaselo de wazi ukuba eli yeza likuchaphazela njani. Kuphephe ukuvuka okanye ukuhlala phantsi ngokukhawuleza, ingakumbi ukuba sele ukhulile. Oku kunokukwenza ube nesiyezi uze uwe.
• Utywala: Utywala bunokutshintsha imiphumo yale mithi, ngoko ke kuphephe ukusela utywala ngokupheleleyo.
• Iingcinga zokuzibulala:Eli yeza linokunyusa kancinci umngcipheko wakho weengcinga okanye izenzo zokuzibulala. Ngoko ke nikela ingqalelo ekhethekileyo kwimeko yakho yengqondo nendlela oziva ngayo. Ukuba imeko yakho iba mandundu, uzive ngathi uza kufa, okanye uzive ulusizi okanye uxhalabile ngaphezu kwesiqhelo , xelela iqela lakho lezempilo ngoko nangoko. Musa ukuyifihla loo nto.
• Ukungabikho kweVitamin D kunye ne-folic acid: Eli yeza linokubangela ukwehla kwamanqanaba eVitamin D kunye ne-folic acid emzimbeni. Ngoko ke, thetha neqela lakho lezempilo malunga nokutya okutyayo, iivithamini ozithathayo, kunye nokuthatha izongezo ukuba kuyimfuneko.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Njengayo nayiphi na iyeza, iPhenytoin inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko:

Ukuba unayo nayiphi na kwezi mpawu, xelela ugqirha wakho ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iswekile ephezulu egazini (iHyperglycemia): Ukuziva unxaniwe kakhulu, ufuna ukuchama rhoqo, uzive udiniwe ngendlela engaqhelekanga, umbono ofipheleyo.
• Iimpawu zosulelo: umkhuhlane, ukugodola, ukukhohlela, umphimbo obuhlungu.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu, ukudinwa okungaqhelekanga.
• Intlungu, ukudumba, ukutshintsha kombala oluhlaza okwesibhakabhaka/omfusa, kunye nokusasazeka kwindawo yokutofa.
• Ubuthi bePhenytoin: Iintshukumo zamehlo ezingalawulekiyo, ukulahlekelwa yibhalansi okanye ubunzima bokuhamba, ubunzima bokuthetha, ukudinwa okungaqhelekanga, isicaphucaphu, ukuhlanza.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Ububomvu, ukudumba, ukuxobuka, kwaye ngamanye amaxesha nangaphakathi emlonyeni kunokwenzeka.
• Ukubetha kwentliziyo okucothayo: Ukuziva unesizungu, ukuphelelwa ngamandla, ukudideka, ukuphefumla nzima, ukudinwa okungaqhelekanga.
• Ii-lymph nodes ezidumbileyo entanyeni, emqolo, esifubeni, okanye emakhwapheni.
• Iimvakalelo ezifana neengcinga zokuzibulala, imeko yengqondo eba mandundu, kunye nokudakumba.
• Ukukruquka okanye ukopha okungaqhelekanga.

Iziphumo ebezingalindelekanga ezingeyongozi, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

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

• Ubunzima bokugxila, ukukhumbula, okanye ukuthetha.
• Isiyezi.
• Ukozela.
• Intloko ebuhlungu .

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engekhoyo, thetha nogqirha wakho ngayo.

Ngaba oku kungadibana namanye amayeza? (Ukusebenzisana kwamayeza)

Oku kubaluleke kakhulu. I-Phenytoin inokunxibelelana namanye amayeza amaninzi, iziqholo, kunye neevithamini. Ngoko ke xelela ugqirha wakho ngazo zonke iziqholo ozithathayo (ezibhalwe ngugqirha, ezithengiswa ngaphandle kwemvume kagqirha, iziqholo, iivithamini, kunye nezongezo zokutya). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni.

Ungaze uthathe iPhenytoin kunye nala mayeza:

Ukuba usebenzisa la mayeza, akucetyiswa ukuba usebenzise iPhenytoin. Ngoko ke, kufuneka uthethe nogqirha wakho ngale nto.

• UArtemether
• Amanye amayeza e-antiviral e-HIV okanye i-hepatitis
• Idelalisib
• I-Isavuconazonium
• I-Lonafarnib
• ILorlatinib
• I-Lumefantrine
• I-Lurasidone
• I-Pacritinib
• IPraziquantel
• I-Ranolazine

I-Phenytoin inokunxibelelana namayeza alandelayo:

Olu luhlu lude kancinci, kodwa ukuba usebenzisa nayiphi na kwezi, ungalibali ukuxelela ugqirha wakho.

• I-Albendazole
• Utywala
• I-aspirin kunye namayeza afana ne-aspirin
• I-Bleomycin
• I-Capecitabine
• I-Carboplatin
• Amanye amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
• Amayeza okwehlisa i-cholesterol afana ne-Atorvastatin, i-Fluvastatin, kunye ne-Simvastatin
• Amayeza osulelo lwefungus afana neFluconazole, iItraconazole, iKetoconazole, iMiconazole, iPosaconazole, neVoriconazole
• Amanye amayeza asetyenziselwa ukuxhuzula: Carbamazepine, Ethosuximide, Felbamate, Lacosamide, Lamotrigine, Methsuximide, Oxcarbazepine, Phenobarbital, Topiramate, Valproic acid, Vigabatrin
• Amayeza eengxaki zesisu ezifana nee-antacids, i-cimetidine , i-omeprazole, kunye ne-sucralfate
• Amayeza athintela okanye anyanga amahlwili egazi, anje ngeWarfarin, iApixaban, iDabigatran, iEdoxaban, kunye neRivaroxaban
• I-Chloramphenicol
• I-Chlorpropamide
• ICisplatin
• I-Cyclosporine
• I-Disulfiram
• I-Doxorubicin
• I-Doxycycline ( i-Doxycycline )
• Iihomoni zabasetyhini, umzekelo iipilisi ze-estrogen kunye nezolawulo lokuzalwa
• I-Fluorouracil
• Ifolic acid
• I-Irinotecan
• I-Isoniazid
• Iziphumzi zemisipha ngexesha lotyando
• I-Methadone
• I-Methotrexate
• I-Methylphenidate
• I-Paclitaxel
• IiPhenothiazines (umz. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)
• I-Rifampin
• I-St. John's Wort (le yimifuno)
• Amayeza e-steroid (umz. i-prednisone, i-cortisone)
• I-Sulfadiazine
• I-Sulfamethoxazole
• I-Teniposide
• I-Theophylline
• I-Ticagrelor
• I-Ticlopidine
• I-Tolbutamide
• IVithamin D

Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.

Ungayigcina njani? (Oku kusenokungabi namsebenzi kuwe)

Ekubeni olu gonyo lunikwa esibhedlele okanye ekliniki, akunyanzelekanga ukuba ukhathazeke ngokulugcina. Kodwa kufuneka uqaphele nje:

• Eli yeza lifanele ligcinwe kude nabantwana.
• Kufuneka igcinwe kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius).
• Musa ukusebenzisa amayeza aphelelwe lixesha.

Olu lwazi lubalulekile kubasebenzi besibhedlele.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Kulungile, zezona zinto ziphambili ekufuneka uzazi ngenaliti yePhenytoin. Khumbula, eli liyeza elibalulekileyo lokulawula ukuxhuzula.

Eyona nto ibalulekileyo kukuba ukuba unemibuzo, iinkxalabo, okanye iimpawu ezintsha, thetha nogqirha wakho, umongikazi, okanye ikhemisti. Musa ukufihla nantoni na kuwe. Bakho ukuze bakuncede.

Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Phenytoin, i-Phenytoin, ukuxhuzula, isifo sokuwa, isitofu sokugonya, iziphumo ebezingalindelekanga, utyando lobuchopho