Ngaba unikwe eli yeza lesifo sephepha (TB)? Masifunde ngqo malunga (nePyrazinamide, PZA)!

Ngaba wena okanye umntu omaziyo ukhe wafunyaniswa ukuba unesifo sephepha (TB) waza ugqirha wakho wakubhalela iyeza elibizwa ngokuba yiPyrazinamide (PZA)? Okanye unomdla wokwazi ngeli yeza? Namhlanje siza kuthetha ngokuba yintoni kanye kanye iPyrazinamide, indlela yokuyisebenzisa, kunye nento ekufuneka uyazi. Eli liyeza elibaluleke kakhulu, ngoko ke kubaluleke kakhulu ukwazi ukuba liyintoni kanye kanye.

Luhlobo luni lonyango olu?

Ngamafutshane, iPyrazinamide liyeza eliza ngendlela yeepilisi. Lisetyenziswa kakhulu ukuthintela okanye ukunyanga usulelo olubizwa ngokuba yiTB . Ixesha elininzi, eli yeza alinikwa lodwa. Linikwa izigulana kunye nelinye okanye amanye amayeza asetyenziselwa ukunyanga isifo sephepha. Oku kwenzelwa ukwandisa impumelelo yonyango.

Ngamanye amaxesha, oogqirha banokusebenzisa eli yeza (iPyrazinamide) kwezinye iimeko zonyango. Ukuba ufuna ukwazi okungakumbi ngalo, ungabuza ugqirha wakho okanye ingcali yezemithi kwikhemesti apho ufumana khona iyeza.

Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndithathe eli yeza?

Kulungile, ngoku makhe sijonge ezinye zezinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale ukuthatha eli yeza (iPyrazinamide). Ezi zibaluleke kakhulu , kuba olu lwazi luza kusetyenziswa ngugqirha ukugqiba ukuba eli yeza likulungele na okanye alikulungele, kwaye liza kunikelwa njani. Ukufihla olu lwazi kunokuba yingozi kuwe, ngoko ke cacisa yonke into.

• Ukuba unesifo esibizwa ngokuba yi-gout , yimeko apho amalungu omzimba avuvukala aze abe buhlungu.
• Ukuba usela utywala rhoqo , oku kubaluleke kakhulu, njengoko eli yeza lisenokudibana notywala.
• Ukuba unesifo sesibindi okanye ukhe waxelelwa ngugqirha ngaphambili ukuba isibindi sakho sibuthathaka.
• Ukuba wakha waba ne-allergy kule yeza (iPyrazinamide), amanye amayeza, ukutya, iidayi, okanye izithinteli. Oko kukuthi, ukuba wakha waba nerhashalala okanye ubunzima bokuphefumla xa usebenzisa into efana nale ngaphambili.
• Ukuba ukhulelwe okanye uceba ukukhulelwa kungekudala .
• Ukuba sele ungumama oncancisayo .

Ukuba uxelela ugqirha ezi zinto ngqo, angakunyanga ngokukhuselekileyo.

Ndingayisebenzisa njani le yeza?

Eli yeza kufuneka lithathwe neglasi yamanzi. Kufuneka ulithathe kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo, kwaye kwidosi echanekileyo . Musa ukuthatha ngaphezulu okanye ngaphantsi komlinganiselo owuyalele ugqirha wakho nangasiphi na isizathu. Abanye abantu banokunikwa oku kube kanye ngemini, ngelixa abanye banokunikwa amaxesha amaninzi ngemini. Oku kuxhomekeke kwimeko yakho.

Eyona nto ibalulekileyo kukuba, nokuba uzive ungcono kancinci okanye uzive ungcono, ungayeki ukuthatha amayeza de kuphele yonke ikhosi echazwe ngugqirha . Oku kubaluleke kakhulu. Ukuba uyeka ukuwasebenzisa phakathi, iintsholongwane zesifo sofuba zinokungamelani nalo mayeza kuphela, kodwa nakwamanye amayeza asetyenziselwa ukunyanga isifo sofuba. Emva koko isifo siya kuba nzima kakhulu ukunyanga, kwaye sisenokunganyangeki. Ke ngoko, ungaze uyeke ukuthatha amayeza ngaphandle kwengcebiso kagqirha wakho .

Ukuba unika abantwana abancinci eli yeza, ngokuqinisekileyo kufuneka uthethe nogqirha wabantwana kwaye ubanike eli yeza kuphela ngokwemiyalelo yakhe . Kufuneka unonophelo olukhethekileyo xa unika abantwana abancinci eli yeza, njengoko imizimba yabo inokusabela ngendlela eyahlukileyo kweli yeza kunabantu abadala.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?

Khawucinge nje, ubuya kwenza ntoni ukuba ulibele okanye ngempazamo uthathe eli yeza lingaphezulu kunalelo ubulinikwe ngugqirha? Musa ukoyika, kodwa kufuneka wenze ngokukhawuleza. Ukuba oko kuyenzeka , kufuneka ufowunele iziko lokulawula ityhefu ngoko nangoko – eSri Lanka, iZiko loLwazi lweTyhefu leSizwe – okanye igumbi likaxakeka lesibhedlele elikufutshane, okanye uye kwangoko .

Inqaku elibalulekileyo: Eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu nangasiphi na isizathu, nokuba baneempawu ezifanayo nezakho. Kuyingozi ukwabelana ngamayeza ngaphandle kwengcebiso kagqirha.

Kuthekani ukuba ndiphoswa ngamayeza am?

Kubaluleke kakhulu ukuba ungaphoswa lidosi leyeza lakho le-TB. Kodwa ngamanye amaxesha, nabani na angalibala. Ukuba uphoswa lidosi lePyrazinamide, lithathe kwangoko xa ukhumbula . Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo (umzekelo, kwiiyure ezimbalwa), yeka idosi ephosiweyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, oko kukuthi, ungayithathi idosi ephosiweyo kunye nedosi elandelayo kunye . Ukwenza njalo kunokunyusa idosi kwaye kubangele iziphumo ebezingalindelekanga. Ukuba unamathandabuzo, buza ugqirha wakho okanye ikhemisti.

Ziziphi iindlela ezinokwenzeka zokusebenzisana nale mithi?

Ezinye izinto zinokusebenzisana neli yeza, oko kuthetha ukuba zinokuphazamisa ukusebenza kwalo okanye zonyuse iziphumo ebezingalindelekanga.

• Utywala yeyona nto iphambili edibana nale mithi. Kufuneka uphephe ngokupheleleyo utywala xa usebenzisa iPyrazinamide. Kuba ukudibana kotywala nale mithi kwandisa umngcipheko wokonakala kwesibindi.

Olu luhlu lusenokungaphelelanga. Ngoko ke, xelela ugqirha wakho malunga namanye amayeza owasebenzisayo (amiselwe ngugqirha, amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, njl.njl.), amayeza esintu, iimveliso zezityalo, iivithamini, okanye ezinye izongezo zokutya. Kwakhona, wenaUkuba uyatshaya, usebenzisa utywala (njengoko besitshilo ngaphambili), okanye usebenzisa ezinye iziyobisi ezingekho mthethweni, qiniseka ukuba uxelela ugqirha wakho ngaloo nto, kuba ezinye izinto zinokuchaphazela eli yeza.

Ngawaphi amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa usebenzisa eli yeza?

Kukho izinto ezimbalwa ekufuneka uzilumkele xa usebenzisa eli yeza. Ukuzilandela kubalulekile kukhuseleko lwakho kunye nempumelelo yonyango.

• Bona ugqirha wakho rhoqo ukuze ujonge impilo yakho . Ugqirha wakho uya kuyalela uvavanyo lwegazi , ingakumbi ukuze ajonge ukusebenza kwesibindi sakho. Kubalulekile ukuba lwenziwe ngexesha nangexesha.
• Njengoko besitshilo ngaphambili, utywala abulunganga konke konke . Bunokuphazamisa ukusebenza kakuhle kwamayeza kwaye bunokonakalisa nesibindi.
• Eli yeza linokwenza ulusu lwakho lube buthathaka kancinci kwilanga . Oku kuthetha ukuba ulusu lwakho lunokuba bomvu ngokukhawuleza, lutshise, okanye lurhawuzelele xa uphuma elangeni. Ngoko ke, kuphephe ukukhanya kwelanga ngokuthe ngqo kangangoko unako. Nciphisa ixesha lakho ngaphandle ngamaxesha ashushu, njengaphakathi kwentsimbi ye-10 kusasa ne-4 emva kwemini. Ukuba uyaphuma, nxiba impahla ekhanyayo, enemikhono emide egquma ulusu lwakho, nxiba iiglasi zelanga, umnqwazi obanzi, kwaye usebenzise i-sunscreen evunyiweyo ngugqirha . Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths ze-tanning.
• Ukuba uvavanya umchamo wakho ukuze ubone iswekile ngelixa usebenzisa eli yeza, ungafumana iziphumo ezingalunganga zeswekile kumchamo wakho . Oku kuthetha ukuba uvavanyo lunokubonisa ukuba kukho iswekile kumchamo wakho nangona kungekho swekile kuwo. Kufuneka ulumke ngakumbi ukuba unesifo seswekile. Thetha nogqirha wakho ngale nto uze ufumane ingcebiso.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iPyrazinamide inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye ziyingozi kwaye kufuneka ubone ugqirha ngoko nangoko. Ezinye azibi kakhulu kwaye ziya kuphela kwiintsuku ezimbalwa.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uye kugqirha wakho okanye kwisibhedlele esikufutshane ngoko nangoko ngaphandle kokuchitha ixesha .

• Iimpendulo ze-allergy : ukurhawuzelela kwesikhumba ngequbuliso, ukurhawuzelela okanye ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, okanye ulwimi - oku kunokubangela ubunzima bokuphefumla.
• Ukuba uziva kunzima ukuphefumla okanye uxinezelekile esifubeni.
• Ukuba umchamo ujika ube mthubi okanye ube mdaka (umchamo omnyama) .
• Ukuba unomkhuhlane ngaphandle kwesizathu .
• Ukuba uqhubeka uzive ungaphilanga kakuhle, yiba nemvakalelo yokungaphilanga okanye iimpawu ezifana nomkhuhlane.
• Ukuba intlungu ye-gout iyanda, kuvela ukudumba okanye intlungu kumalungu .
• Izitulo ezinombala okhanyayo okanye ezinombala wodongwe .
• Ukuba kukho ukuphelelwa ngumdla rhoqo, isicaphucaphu, okanye ukuhlanza .
• Intlungu ebuhlungu kwisisu esingaphezulu ngasekunene (intlungu yesisu esingaphezulu ngasekunene) – Oku kungaba luphawu lwengxaki yesibindi.
• Ubunzima bokuchama okanye utshintsho olukhulu kubungakanani bomchamo owudlulayo (njengokuchama kancinci okanye ngaphezulu kunangaphambili).
• Ukopha okanye ukukrwela okungaqhelekanga (umz., ukopha iintsini xa uhlamba amazinyo, ukopha impumlo, amabala amancinci abomvu phantsi kolusu).
• Ukuba uqhubeka uziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga .
• Ukutyheli kwamehlo okanye ulusu – Olu luphawu olukhulu lwengxaki yesibindi (njenge-jaundice).

Iziphumo ebezingalindelekanga ezingafuneki ngcebiso kagqirha, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka

Ezi ziphumo bezingalindelekanga azibi kakhulu. Ziya kuphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho.

• Iintlungu zomzimba, ukuqaqamba kwemisipha.
• Ukubonakala okanye ukwanda kwe-acne.
• Ulusu lunovakalelo kwilanga okanye kwimitha ye-ultraviolet (njengoko bekutshiwo ngaphambili).
• Iintlungu zesisu ezihlala zisenzeka okanye ukungakhululeki esiswini.

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga okanye utshintsho emzimbeni wakho, nceda udibane nogqirha wakho. Musa ukuyityeshela nantoni na.

Ndingaligcina phi eli yeza?

Kubaluleke kakhulu ukugcina amayeza ekhuselekile.

• Gcina eli yeza kwindawo ephakamileyo apho abantwana bangenakulifikelela khona .
• Gcina kubushushu begumbi, phakathi kwe-15 kunye ne-30 degrees Celsius (59 kunye ne-86 degrees Fahrenheit), kwindawo eyomileyo, kude nelanga elithe ngqo . Musa ukugcina iyeza kwindawo efumileyo, njengakwigumbi lokuhlambela.
• Gcina umlomo webhotile yamayeza okanye ipakethe ivaliwe kakuhle.
• Musa ukusebenzisa amayeza aphelelwe lixesha kwaye uwalahle ngokukhuselekileyo . Cela imiyalelo kwikhemesti yakho malunga nendlela yokulahla amayeza ngokufanelekileyo.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Kaloku, sithethe kakhulu ngale mithi (iPyrazinamide). Ndiyathemba ukuba olu lwazi lube luncedo kuwe. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Pyrazinamide liyeza elibaluleke kakhulu elisetyenziswa kunyango lwesifo sephepha (TB).
• Sela eli yeza kanye njengoko ugqirha wakho ekuxelele, lonke ixesha elimiselweyo, ngaphandle kokulitsiba idosi enye . Musa ukuyeka ukulisebenzisa nokuba uzive ungcono.
• Qiniseka ukuba uxelela ugqirha wakho ngokucacileyo ngazo naziphi na ezinye izifo onazo (ingakumbi isifo sesibindi, i-gout), zonke ezinye iziyobisi ozisebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla emzimbeni.
• Musa utywala ngokupheleleyo xa usebenzisa eli yeza. Oku kubaluleke kakhulu ekukhuseleni isibindi sakho.
• Lumka kakhulu ulusu lwakho xa uphuma elangeni, kwaye usebenzise isithambisi selanga.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu (ingakumbi ezo zinxulumene nesibindi - ezinje ngokutyheli kwamehlo okanye ulusu, umchamo omnyama, iintlungu kwinxalenye ephezulu ngasekunene yesisu), bona ugqirha wakho ngoko nangoko .
• Ukuba unemibuzo okanye amathandabuzo malunga nale yeza, indlela yokulisebenzisa, okanye iziphumo ebezingalindelekanga, musa ukuligcina kuwe, kodwa buza ugqirha wakho, usokhemesti, okanye umboneleli wezempilo okunyangayo ukuze akucacisele.

Qaphela: Eli nqaku lizame ukukunika ulwazi olusisiseko malunga neyeza (iPyrazinamide). Lisenokungabi nalo lonke ulwazi olupheleleyo. Ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo malunga nemeko yakho yempilo. Ngoko ke, soloko ulandela imiyalelo kagqirha wakho.

I- Pyrazinamide, i-PZA, iSifo sephepha, i-TB, amayeza, iziphumo ebezingalindelekanga, unyango, i-TB, isibindi, i-Gout