Ngaba ugqirha wakho uninike isiraphu yeRufinamide wena okanye umntwana wakho xa enesifo sokuxhuzula (isifo sokuwa)? Igama lophawu lwale yeza lisenokuba yiBanzel. Namhlanje, siza kuthetha ngendlela elula neyobuhlobo malunga nokuba yintoni le yeza, indlela yokulisebenzisa, kunye nento ekufuneka uyilumkele ngakumbi.
Ngamafutshane, yintoni iRufinamide?
Eli liyeza elinikwa ukuthintela nokulawula ukuxhuzula okanye ukuxhuzula okwenzeka kwisifo sokuxhuzula. Eli yeza lenza ukuzola imithambo-luvo emizimbeni yethu, ingakumbi engqondweni, ekubeni isebenze kakhulu. Xa imithambo-luvo ithomalalisiwe ngale ndlela, ukuqina kwayo kuyalawulwa.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba unike eli yeza, ugqirha wakho uza kukubuza ngezinto ezithile. Nangona kunjalo, ukuba unayo nayiphi na kwezi meko zingezantsi, ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ngayo.
- Ukuba unesifo sesibindi .
- Ukuba utyandwa nge-dialysis ngenxa yesifo sezintso.
- Ukuba unesifo sentliziyo esibizwa ngokuba yiShort QT syndrome .
- Ukuba wena okanye nabani na kusapho lwakho unembali yokudakumba, iingcinga zokuzibulala , okanye ukuzama ukuzibulala (ungoyiki ukuthetha ngale nto, ibaluleke kakhulu kunyango).
- Ukuba ukhe waba ne-allergy kule Rufinamide okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ndingayisebenzisa njani kanye kanye le yeza?
Ukuze ufumane amayeza akho aluncedo kakhulu, kubaluleke kakhulu ukuwasebenzisa ngokuchanekileyo.
- Yithathele nokutya: Soloko uthatha eli yeza xa usitya. Musa ukulithatha ungenanto esiswini.
- Shukumisa ibhotile kakuhle: Soloko ushukumisa ibhotile kakuhle ngaphambi kokuba uthathe iyeza.
- Thatha idosi echanekileyo: Uza kufumana isirinji ekhethekileyo yokulinganisa kunye neyeza. Qiniseka ukuba ulinganisa iyeza ngayo . Musa ukusebenzisa iitisipuni okanye iipunipoyi onazo ekhaya. Aziyi kukunika umlinganiselo ochanekileyo.
- Yithathe ngexesha: Thatha amayeza akho ngexesha elifanayo yonke imihla, ngexesha. Musa ukuthatha ngaphezu kokuba ugqirha wakho ekuxelele.
- Musa ukuyeka ngequbuliso: Le yeyona nto ibalulekileyo. Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokunyusa amathuba okuba uhlaselwe sisifo sokuwa.
Khumbula, eli yeza likwanikwa abantwana abangaphezu konyaka omnye ubudala kwiimeko ezithile ezikhethekileyo. Kodwa ekubeni linemiqathango ekhethekileyo yokhuseleko, landela imiyalelo kagqirha ngokuchanekileyo.
Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, ungoyiki. Into yokuqala omawuyenze kukufowunela iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane ngoko nangoko.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa eli yeza:
Kubaluleke kakhulu ukuqaphela utshintsho emzimbeni wakho ngelixa usebenzisa eli yeza.
Qaphela ukuba kukho iimpembelelo eziqatha ezinokubakho kulusu.
Oku kubaluleke kakhulu. Ngamanye amaxesha, nokuba ziiveki emva kokuqalisa eli yeza, ukusabela okukhulu kwesikhumba okubizwa ngokuba yi-DRESS syndrome kunokwenzeka. Khangela ezi mpawu:
- Ukuqhambuka okubomvu okanye okumfusa emzimbeni, okuhamba neempawu ezinje ngomkhuhlane, iintlungu zomzimba, kunye nokubanda .
- Kamva, irhashalala iba ngamadyungudyungu kwaye ulusu luvakala ngathi luyaxobuka .
- Irhashalala ebomvu enokudumba kobuso, imilebe, kunye nee-lymph nodes entanyeni okanye emakhwapheni .
Ukuba ubona naziphi na kwezi mpawu, yeka ukuthatha amayeza ngoko nangoko uze ubize ugqirha wakho okanye uye esibhedlele.
Nyamekela impilo yakho yengqondo.
Inani elincinci labantu abasebenzisa eli yeza banokufumana iingcinga zokuzibulala okanye ukwanda koxinzelelo. Nangona oku kungaqhelekanga, kubalulekile ukukwazi oku. Ukuba wena okanye umntu omaziyo osebenzisa eli yeza uqaphela naluphi na utshintsho, nceda uqaphele.
- Ukuba uziva ulusizi okanye unesizungu.
- Ukuba uneengcinga zokuphoxeka nokuphoxeka ngobomi.
- Ukuba ubona utshintsho olukhawulezileyo kwindlela oziphethe ngayo okanye kwindlela ovakalelwa ngayo .
Ukuba uvakalelwa ngolu hlobo, nceda uxelele ugqirha wakho okanye ilungu losapho olithembayo ngoko nangoko.
Amanye amanqaku abalulekileyo
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani.
- Iindlela zokulawula ukukhulelwa:Oku kubaluleke kakhulu ukuba abafazi bakuqaphele. Ukuba uthatha iipilisi zokulawula ukuzala eziqulethe ii-hormone ze-estrogen/progestin, iRufinamide inokunciphisa ukusebenza kwezo pilisi. Ke ngoko, ukuba ufuna ukuthintela ukukhulelwa, qiniseka ukuba uthetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lokulawula ukukhulelwa, njengekhondom .
- Utywala: Kuphephe ukusela utywala ngelixa usebenzisa eli yeza. Utywala bunokuphazamisa ukusebenza kakuhle kwamayeza kwaye bunyuse ukozela.
Iziphumo ebezingalindelekanga kunye nokusebenzisana okubangelwa ngamayeza
Njengayo nayiphi na iyeza, iRufinamide inokubangela iziphumo ebezingalindelekanga. Ingadibana nezinye iziyobisi.
| Imiphumela | |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
| Ukwaliwa kakhulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Iimpendulo zesikhumba ezikhankanyiweyo apha ngasentla | Umkhuhlane kunye nokurhawuzelela, amadyungudyungu, ulusu oluxobukayo, ukudumba kolusu. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu. |
| Ukulahlekelwa yibhalansi yomzimba | Ubunzima bokuhamba, ukulahlekelwa yibhalansi okanye ukulungelelana. |
| Utshintsho lwengqondo | Ukudinwa, iingcinga zokuzibulala, ukudandatheka. |
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza. | |
| Iziphumo ebezingalindelekanga ezincinci | Ukudinwa, ukozela, ukudinwa, intloko ebuhlungu, isicaphucaphu. |
Ezinye izinto ezinokusebenzisana nale mithi
Xelela ugqirha wakho malunga neminye imithi, iivithamini, kunye namayeza esintu owasebenzisayo. Ingakumbi utywala kunye namayeza alandelayo anokuchaphazela iRufinamide.
- Utywala
- Amanye amayeza anikwayo xa umntu enesifo sokuxhuzula (umz. iCarbamazepine, iDivalproex, iLamotrigine, iPhenobarbital, iPhenytoin, iPrimidone, iValproic acid)
- Iipilisi zokulawula ukuzala (ii-estrogen okanye ii-progestin hormones)
- Ezinye izinto eziphumza imisipha (umz. iChlorzoxazone)
- Ezinye iipilisi zokulala (umz. iTriazolam)
Umyalezo Wokuya Ekhaya
- I-Rufinamide liyeza elithomalalisa imithambo-luvo engqondweni ukuze ilawule ukuxhuzula (isifo sokuwa).
- Soloko usela eli yeza kunye nokutya , kwaye ulilinganise usebenzisa isirinji enikiweyo kunye neyeza.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngoko nangoko malunga nazo naziphi na iimpawu ezihambisana nomkhuhlane, ezinje ngamaqhuqhuva eluswini , amadyungudyungu, kunye nokudumba kolusu, kunye nosizi okanye ukukhungatheka okuzivayo .
- Iipilisi zokulawula ukukhulelwa zisenokungasebenzi kakuhle xa usebenzisa la mayeza, ngoko ke thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lokulawula ukukhulelwa.
- Kubalulekile ukuxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo. Oku kubalulekile ukuze ukhuseleke.
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