Ngaba ugqirha wakho ukunike iPhenytoin suspension kuwe okanye kumntu osapho lwakho onesifo sokuwa/sokuxhuzula? Eli liyeza elibaluleke kakhulu nelihlala likho elisetyenziswa ukulawula ukuxhuzula eSri Lanka nakwihlabathi liphela. Ngoko ke kubaluleke kakhulu ukuba ulazi ngokupheleleyo eli yeza xa ulisebenzisa. Namhlanje, siza kuthetha ngalo ngokulula nangendlela onokuyiqonda.
Yintoni kanye kanye iPhenytoin?
Ngamafutshane, i-phenytoin liyeza elilawula ukusebenza ngokugqithisileyo kweeseli zemithambo-luvo engqondweni yakho . Ukuxhuzula kubangelwa kukwanda okukhawulezileyo, okungalawulekiyo komsebenzi wemithambo-luvo engqondweni. Ngoko ke eli yeza lisebenza ngokuzolisa loo mithambo-luvo nokuthintela nokulawula ukuxhuzula. Ngamanye amaxesha linokusetyenziswa kwezinye izizathu zonyango. Ugqirha wakho uza kukuchazela oku.
Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?
Ngaphambi kokuba uqale i-phenytoin, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:
- Ukuba ungumntu othanda utywala .
- Ukuba ungowomthonyama waseAsia (ezinye izinto ezibangelwa yimfuza zinokuchaphazela indlela osabela ngayo kwiyeza).
- Ukuba unesifo segazi okanye ingxaki yokujiya kwegazi.
- Ukuba unesifo seswekile .
- Ukuba unesifo sentliziyo okanye iingxaki zentliziyo.
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba unesifo esingaqhelekanga esibizwa ngokuba yiPorphyria .
- Ukuba ufumana unyango lwe-radiation lomhlaza .
- Ukuba uneengcinga zokuzibulala , ukhe wazama ukuzibulala ngaphambili, okanye unembali yosapho lwakho yokwenza njalo.
- Ukuba unesifo se-thyroid .
- Ukuba une -allergy kwi-phenytoin okanye naliphi na elinye iyeza, ukutya, okanye isithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba uncancisa umntwana wakho .
Ukufihla olu lwazi kunokubangela iingxaki ezinkulu. Ngoko ke xoxani ngako konke oku ngokucacileyo nogqirha wakho.
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Ekubeni eli liyeza elingamanzi, kubaluleke kakhulu ukulinganisa idosi echanekileyo.
- Shukumisa kakuhle: Ngaphambi kokusebenzisa ibhotile yeyeza.Hlala ushukumisa kakuhle, njengoko amasuntswana amayeza enokuthi ahlale ezantsi kwebhotile.
- Umlinganiselo ochanekileyo: Sebenzisa kuphela indebe yokulinganisa ekhethekileyo, isirinji, okanye isirinji/icephe/idropha yomlomo enikiweyo ngugqirha wakho okanye ikhemesti ukulinganisa amayeza akho. Musa ukulinganisa ngeetispuni zasekhaya okanye iitispuni. Azichanekanga.
- Ngexesha: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla. Oku kuya kunceda ukugcina amanqanaba amayeza egazini lakho ehambelana.
- Nokuba utya okanye awutyanga: Oku kungenziwa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukukuthatha kunye nokutya .
- Musa ukuyeka: Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo. Ukwenza njalo kwandisa umngcipheko wokuba isifo sibuye.
Ukuba unika abantwana eli yeza, thetha nogqirha wakho ngayo nayiphi na imiyalelo ekhethekileyo.
Owu! Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba ufumene okungaphezulu kunokuba ubucinga, musa ukulibazisa .
Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko. Kwakhona, ukuba kunokwenzeka, fowunela iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Oku kubaluleke kakhulu.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
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 idosi ephindwe kabini .
Ngaba kukho amanye amayeza angahambelaniyo nalo mayeza? (Ukusebenzisana kwamayeza)
Ewe, ngokuqinisekileyo. I-Phenytoin sisiyobisi esinokusebenzisana namanye amayeza amaninzi. Oku kuthetha ukuba xa ithathwa kunye namanye amayeza, ukusebenza kwe-phenytoin kunokuncipha, kwandiswe, okanye iziphumo ebezingalindelekanga zinyuke.
Xelela ugqirha wakho ngazo zonke iimithi ozisebenzisayo (kuquka iivithamini, amayeza esintu, kunye nezongezo) . Apha ngezantsi kukho ezinye iimithi ezinokubangela iingxaki nge-phenytoin.
- Amanye amayeza okulwa neentsholongwane (lawo anikwa i-HIV okanye i-Hepatitis)
- Ii-Antifungals (umz. `(fluconazole)`, `(ketoconazole)`)
- Amanye amayeza okuxhuzula (umz., i-carbamazepine, i-valproic acid)
- Amayeza athintela ukujiya kwegazi (umz. i-warfarin, i-aspirin)
- Amayeza okwehlisa i-cholesterol (umz., i-atorvastatin, i-simvastatin)
- Amayeza okudakumba okanye ukuxhalaba
- Ii-antibiotics (umz. `(doxycycline)`, `(chloramphenicol)`)
- Amayeza okunyanga isisu esibuhlungu/i-gastritis (umz. ii-antacids, i-omeprazole)
- Iipilisi zokulawula ukuzalwa ezineehomoni
- Iintlobo zee-steroids (umz. `(prednisone)`)
- Utywala
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho malunga namayeza owasebenzisayo.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Ugqirha wakho uza kukucela ukuba wenze uvavanyo lwegazi rhoqo. Oku kuza kujonga inqanaba le-phenytoin egazini lakho kwaye kuqinisekise ukuba idosi kufuneka yonyuswe okanye incitshiswe. Musa ukulibazisa olu vavanyo.
- Iimpendulo ezinzulu zesikhumba: Abanye abantu banokuba neempendulo ezinzulu zesikhumba kwiiveki okanye kwiinyanga ezimbalwa emva kokuqalisa eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba unomkhuhlane, iintlungu zomzimba, irhashalala yesikhumba ebomvu okanye emfusa, amadyungudyungu, okanye izilonda emlonyeni wakho, ukudumba kobuso okanye imilebe yakho, okanye irhashalala entanyeni okanye emakhwapheni .
- Ukozela kunye nesiyezi: Eli yeza linokubangela ukozela kunye nesiyezi. Ngoko ke , musa ukuqhuba okanye ukusebenzisa oomatshini de umzimba wakho uqhele iyeza. Lumka xa uvuka ngequbuliso kwindawo ohleli kuyo, ingakumbi ukuba sele ukhulile.
- Iipilisi zokulawula ukukhulelwa: Ukusela i-phenytoin kunokunciphisa ukusebenza kweepilisi zokulawula ukukhulelwa. Ngoko ke ukuba awucebi ukuba nomntwana, thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lokulawula ukukhulelwa (umz., iikhondom).
- Ukudumba kweentsini: Esi sisiphumo esiqhelekileyo se-phenytoin. Iintsini zinokukhula ngendlela engaqhelekanga. Ngoko ke hlamba amazinyo akho kakuhle yonke imihla kwaye ubone ugqirha wamazinyo rhoqo .
- Ukunqongophala kweevithamini: Ukusetyenziswa kwale mithi ixesha elide kunokubangela amanqanaba aphantsi evithamini D kunye ne-folic acid. Ngoko ke, thetha nogqirha wakho malunga nokutya ukutya okunesondlo kunye nokuthatha izongezo zeevithamini ukuba kuyimfuneko.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengayo nayiphi na imithi, i-phenytoin inokubangela iziphumo ebezingalindelekanga. Ezinye zazo ziyingozi, ngelixa ezinye zixhaphakile.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Izinto ekufuneka uzixele kugqirha okanye kwi-ETU ngoko nangoko | |
| Ii-aleji ezinzulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe/ulwimi, ubunzima bokuphefumla. |
| Iimpawu zomonakalo wesibindi | Intlungu esiswini esingaphezulu ngasekunene, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kwamehlo/ulusu, umchamo omnyama. |
| Izifo ezinzulu zesikhumba | Umkhuhlane, ohamba namadyungudyungu abomvu/amfusa eluswini, ulusu oluxobukayo, kunye nezilonda zomlomo. |
| Iimpawu zePhenytoin Poisoning (Ubuthi) | Iintshukumo zamehlo ezingalawulekiyo, ubunzima bokuhamba (ukulahlekelwa yibhalansi), ubunzima bokuthetha, ukozela kakhulu, isicaphucaphu/ukuhlanza. |
| Utshintsho lwengqondo | Iingcinga zokuzibulala, ukwanda koxinzelelo. |
| Ukopha okungaqhelekanga | Ukugruzuka okanye ukopha kolusu ngaphandle kwesizathu. |
| Izinto omele uzixelele ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukozela, isiyezi, intloko ebuhlungu, ubunzima bokugxila. |
Umyalezo Wokuya Ekhaya
- I-Phenytoin liyeza elibaluleke kakhulu elilawula ukulingana. Lithathe kanye njengoko ugqirha wakho ekuxelele, ngedosi efanelekileyo, ngexesha elifanelekileyo.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Ziphephe izinto ezinobungozi xa usebenzisa amayeza kuba zinokubangela ukozela kunye nesiyezi. Ziphephe ngokupheleleyo utywala.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngezilonda eziqatha zesikhumba, izilonda zomlomo, ukutyheli kwamehlo, okanye ukozela kakhulu, funa ingcebiso kagqirha ngokukhawuleza.
- Musa ukuyeka ukuthatha amayeza ngequbuliso okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
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