Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiTolmetin leentlungu zamalungu, ukudumba, okanye isifo samathambo? Eli liyeza elinikwa abantu abaninzi kwilizwe lethu kwiintlungu ezahlukeneyo. Ngoko ke, njengomsebenzisi wale yeza, kubaluleke kakhulu kukhuseleko lwakho ukwazi yonke into ngalo. Namhlanje, siza kuthetha nje ngale yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa.
Yintoni kanye kanye iTolmetin?
Ngamafutshane, iTolmetin sisithomalalisi sentlungu. Ngokwezonyango, ikwiqela lamayeza abizwa ngokuba yiNSAID (Non-Steroidal Anti-Inflammatory Drug) . Olu hlobo lwamayeza lulawula ikakhulu iintlungu, ukudumba, kunye nokudumba emzimbeni. Eli yeza linokubonelela ngoncedo kwizinto ezifana neentlungu zamalungu, iintlungu zemisipha, kunye nokungonwabi okubangelwa yi-arthritis.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Oku kubaluleke kakhulu. Ngaphambi kokuba unike iTolmetin kuwe, kubalulekile ukuba ugqirha wakho azi kakuhle imeko yakho yempilo. Qiniseka ukuba uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo:
- Isifo sentliziyo okanye iingxaki zenkqubo yokujikeleza kwegazi: Ukuba unesifo segazi esiphezulu, isifo sentliziyo, ukungasebenzi kakuhle kwentliziyo, okanye usandul' ukwenza utyando lwe-bypass (Coronary Artery Bypass Graft - CABG).
- Iingxaki zokopha: Ukuba unengxaki yokujiya kwegazi okanye ezinye iingxaki zokopha.
- Iingxaki zesisu namathumbu: Ukuba sele ukhe waba nezilonda zesisu okanye ukopha esiswini.
- Isifo sezintso okanye sesibindi: Ukuba unesifo sezintso okanye sesibindi.
- Iingxaki zokuphefumla: Ukuba unezifo zemiphunga ezifana ne-asthma.
- Ezinye izinto: Ukuba usela kakhulu, uyatshaya , unezinga eliphantsi leeseli ezibomvu zegazi, uphelelwe ngamanzi emzimbeni, okanye uthatha ii-steroids (umz., i-prednisone).
- Ii-Allergies: Ukuba une-allergy kwi-Tolmetin, ezinye ii-NSAID zokunciphisa iintlungu (umz. i-aspirin, i-ibuprofen), amanye amayeza, ukutya okanye izithinteli.
- Ukukhulelwa nokuncancisa: Kubaluleke kakhulu ukwazisa ugqirha wakho ukuba uzama ukukhulelwa, ukhulelwe, okanye uncancisa .
Ukuthetha nogqirha wakho ngaphandle kokufihla olu lwazi akuyi kukunceda nje kuphela uhlale ukhuselekile, kodwa kuya kukunceda ufumane okuninzi kumayeza akho.
Ndingayisebenzisa njani le mithi?
Ukuze iyeza lisebenze kakuhle, kufuneka lisetyenziswe ngokuchanekileyo.
- Landela imiyalelo kagqirha wakho: Sela idosi oyinikwe ngugqirha wakho, ngexesha elimiselweyo. Landela imiyalelo kagqirha njengoko itshilo.
- Ginya ikhaphu yonke: Musa ukuyiqhekeza, ukuyityumza, okanye ukuyihlafuna le khaphu. Ginya yonke ngeglasi yamanzi.
- Ngaphambi okanye emva kokutya: Eli yeza lingcono ukulisela ungenanto esiswini . Oko kukuthi, ubuncinane imizuzu engama-30 ngaphambi kokutya, okanye iiyure ezi-2 emva kokutya .
- Ukuba unesisu esibuhlungu: Abanye abantu banokufumana ukurhawuzelelwa sisisu okanye ukungakhululeki xa besebenzisa eli yeza. Ukuba oku kuyenzeka, ungabuza ugqirha wakho malunga nokulisebenzisa kunye neyeza elifanelekileyo lokuthintela i-asidi.
- Ukuba uneminyaka engaphezu kwama-65 ubudala: Abantu abadala banokuziva iziphumo zale yeza zinamandla ngakumbi. Ngenxa yoko, banokufuna idosi ephantsi. Ugqirha wakho naye uya kugqiba ngale nto.
- Kubantwana: Nangona eli yeza linokunikwa abantwana abaneminyaka engaphezulu kwemi-2 ubudala kwiimeko ezithile ezikhethekileyo, kufuneka amanyathelo akhethekileyo okuzikhusela.
Yintoni omawuyenze ukuba uphoswe yidosi okanye uthatha kakhulu?
Ukuba uphoswe yidosi: Thatha idosi oyiphosileyo ngokukhawuleza 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.
Umthamo ogqithisileyo: Le yimeko engxamisekileyo. Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiSebe leNgxamiseko elikufutshane (i-ETU) ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Amanye amayeza angafanele asetyenziswe kunye neli yeza kwaye anokuchaphazela nalo
Ukuba usebenzisa iTolmetin, kufuneka ulumke kakhulu xa usebenzisa amanye amayeza. Inokuba nobudlelwane obukhulu namanye amayeza.
| Ukusebenzisana kwamayeza kunye neTolmetin | |
|---|---|
| Amayeza angafanele asetyenziswe kunye | |
| I-Cidofovir | I-Methotrexate |
| Amanye amayeza kunye nezinto ezinokubangela ukusabela kwaye kufuneka zixelwe kugqirha | |
| Utywala | I-Aspirin kunye namanye amayeza ane-aspirin |
| Ezinye ii-NSAID (umz., i-Ibuprofen, i-Naproxen) | Amayeza oxinzelelo lwegazi |
| I-Diuretics (amayeza asusa amanzi emzimbeni) | I-Lithium |
| Iintlobo ze-steroids (i-Prednisone, i-Cortisone) | Amayeza okuthintela ukuqhekeka kwegazi (umz. iWarfarin) |
Olu luhlu aluphelelanga, ngoko ke xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) .
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
Qaphela izilonda zesisu kunye nokopha.
Eli yeza lingonakalisa ulwelo lwesisu, libangele izilonda zesisu kunye nokopha. Ngamanye amaxesha oku kunokwenzeka ngaphandle kwesilumkiso . Ukutshaya, ukusela utywala, ukuba mdala, kunye nokuba nempilo embi kwandisa umngcipheko wakho. Ukuba unentlungu enkulu esiswini, hlanza igazi (njengekofu), okanye uphume indle emnyama okanye enegazi , funa ingcebiso kagqirha ngoko nangoko .
Ukuhlaselwa yintliziyo kunye nomngcipheko westroke
Ukusetyenziswa ixesha elide kwee-NSAID ezifana neTolmetin kunokunyusa kancinci umngcipheko wakho wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi. Lo mngcipheko uphezulu nangakumbi ukuba sele unesifo sentliziyo. Ukuba uthatha i-aspirin ukuthintela ukuhlaselwa sisifo sentliziyo, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba usebenzise iTolmetin.
Iimpendulo eziqatha zesikhumba ezinokubakho
Abanye abantu banokuba nokusabela okukhulu kwesikhumba kwiiveki ezimbalwa emva kokuqalisa eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba unomkhuhlane, iintlungu zomzimba, irhashalala yesikhumba ebomvu okanye emfusa edla ngokuphuma amadyungudyungu kwaye ixobuke kamva, okanye ukudumba kobuso okanye imilebe, kunye ne-lymph nodes ezivuvukileyo.
Ukuba ukhulelwe kwaye ulindele umntwana
Ukusela eli yeza phakathi kweeveki ezingama-20 ukuya kwezingama-30 zokukhulelwa kunokulimaza umntwana ongekazalwa. Ke ngoko, ukuba usela eli yeza ngelo xesha, kufuneka ube phantsi kweliso elibukhali likagqirha. Musa ukulisebenzisa eli yeza emva kweeveki ezingama-30 zokukhulelwa. Kwakhona, eli yeza linokuba nefuthe elithile ekuzaleni.
Ukozela kunye nesiyezi
Eli yeza lingakwenza uzive ulele okanye unesizungu. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba iyeza likuchaphazela njani. Ingakumbi ukuba umdala, musa ukuvuka ngequbuliso uhleli. Sukuma kancinci.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, iTolmetin inokubangela iziphumo ebezingalindelekanga. Ezinye zazo zinokuba yingozi, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ezinokubakho zeTolmetin | |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela; ukudumba kobuso, imilebe, ulwimi. |
| Iimpawu zokopha | Indle emnyama okanye enegazi; umchamo obomvu okanye omdaka; ukuhlanza okufana nekofu egayiweyo; amabala abomvu eluswini; ukopha okungaqhelekanga kwiintsini okanye empumlweni. |
| Iimpawu zehlwili legazi | Intlungu esifubeni; ubunzima bokuphefumla; intlungu, ukudumba, okanye ukufudumala emlenzeni. |
| Isifo sentliziyo/ukusilela kwentliziyo | Ubunzima bokuphefumla; iintlungu okanye ukuqina esifubeni, entanyeni, okanye ezingalweni; ukudinwa okungaqhelekanga; ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo; ukunyuka kobunzima ngequbuliso; ukudumba kwamaqatha neenyawo. |
| Iimpawu zeStroke | Ukutshintsha kombono; ukudideka; ubunzima bokuthetha okanye ukuqonda; intloko ebuhlungu; ukudinwa okanye ubuthathaka ngequbuliso bobuso, ingalo, okanye umlenze. |
| Iimpawu zomonakalo wezintso/wesibindi | Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo; umchamo otyheli/omdaka omnyama; ukutyheli kwamehlo okanye ulusu; iintlungu kwinxalenye ephezulu ngasekunene yesisu; ukungabi namdla wokutya. |
| Iziphumo ebezingalindelekanga eziqhele ukuvela, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Isiyezi, intloko ebuhlungu | Igesi edlulayo |
| Isitshiso sentliziyo, iintlungu zesisu | Ukukhala ezindlebeni |
| Urhudo, isicaphucaphu, ukuhlanza | |
Umyalezo Wokuya Ekhaya
- I-Tolmetin liyeza elifanele lithathwe kuphela phantsi kwengcebiso kagqirha. Thatha idosi emiselweyo, njengoko kumiselwe.
- Xelela ugqirha wakho ngazo zonke iingxaki zempilo onazo (ingakumbi iingxaki zentliziyo, zezintso, zesisu) kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngentlungu yesisu, isitulo esimnyama, iintlungu zesifuba, ubunzima bokuphefumla, okanye amaqhuqhuva esikhumba aqatha.
- Xa usebenzisa eli yeza, musa ukusebenzisa ezinye izithomalalisi zentlungu ezifana ne-Aspirin kunye ne-Ibuprofen ngaphandle kwemvume kagqirha wakho.
- Musa ukusela utywala xa usebenzisa iTolmetin. Iyandisa umngcipheko wokopha esiswini.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba usebenzise eli yeza.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi/iikhaphu zeTolmetin/Tolectin ziyindlela enamandla kakhulu yokwelapha isifo esinjani?
Le ayisiyoPanadol yakho eqhelekileyo (iParacetamol)! Le yiyeza elinamandla kakhulu, elingeyo-steroidal anti-inflammatory (NSAID) elibonelela ngolawulo olupheleleyo lokudumba, ukudumba kunye neentlungu zamathambo ezibangelwa yi-osteoarthritis, i-rheumatoid arthritis kunye ne-juvenile rheumatoid arthritis (JIA).
💬 Xa amalungu akho evuvukile kwaye ebuhlungu, ungayiphelisa njani ngokupheleleyo intlungu ngokuthatha ezi pilisi (iTolmetin)?
Xa ilungu lonzakele, umzimba wethu uvelisa ikhemikhali ebizwa ngokuba yi-'Prostaglandins' ukuze ibangele iintlungu kunye nokudumba/ububomvu kuloo ndawo. Elo khemikhali lenziwa yi-enzyme/umatshini obizwa ngokuba yi-'COX (Cyclooxygenase)'! Kwangoko nje eli yeza lingena emzimbeni, livala/livala ngokupheleleyo kwaye livale zonke ezo matshini ze-COX (COX-1 kunye ne-COX-2). Emva koko, umzimba awukwazi ukwenza iiProstaglandins, kwaye ukudumba kunye nentlungu emalungeni kuyaphiliswa ngoko nangoko.
💬 Zeziphi 'iingozi ezibulalayo' (Isilumkiso seBlack Box) ekufuneka abantu abasebenzisa le pilisi yokubulala iintlungu enamandla (iTolmetin) baziqaphele?
Intlungu ayisekho, kodwa iingozi zinkulu kakhulu! Eyona ngozi inkulu kukuba xa usela le, amathumbu/isisu sakho sinokugqobhoka ngaphandle kwesilumkiso sangaphambili, ungahlanza igazi (Ukopha kwamathumbu/izilonda) uze ufe! Enye into eyingozi kakhulu kukuba umngcipheko 'wokuhlaselwa yintliziyo ngequbuliso' kunye nokubetha kwentliziyo (iziganeko ze-Cardiovascular thrombotic events) uyanda nge-100%, ingakumbi izigulana zentliziyo akufuneki zisele ezi!
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