Ingabe wena noma othile emndenini wakho uthola ukwelashwa ngamakhemikhali ngenxa yomdlavuza? Kungenzeka ukuthi uke wezwa ngeqiniso lokuthi amazinga e-uric acid emzimbeni ayanda. Lokhu kungenzeka ngesikhathi sokwelashwa ngamakhemikhali. Ngakho-ke namuhla sizokhuluma ngomjovo okhethekile osetshenziswa odokotela ukulawula lokhu kwanda kwamazinga e-uric acid nokuvimbela umonakalo ongawubangela. Lowo ngumjovo we-Allopurinol.
Kalula nje, iyini i-Allopurinol?
I-Allopurinol iyimithi. Itholakala ngesimo sephilisi futhi njengomjovo emthanjeni. Imithi esikhuluma ngayo namuhla isetshenziselwa kakhulu ukuvimbela nokwelapha ukwanda okungazelelwe kwamazinga e-uric acid emzimbeni womuntu othola ukwelashwa komdlavuza, ikakhulukazi i-chemotherapy.
Manje ungase uzibuze, "Kungani i-uric acid ikhuphuka ngesikhathi se-chemotherapy?" Cabanga ngakho ngale ndlela. Imithi ye-chemotherapy ibulala amangqamuzana omdlavuza ahlukana ngokushesha. Lapho inani elikhulu lamangqamuzana omdlavuza libulawa ngesikhathi esisodwa, izinto ezingaphakathi kwalawo maseli ziqoqana egazini. Umkhiqizo ophumayo walezi zinto yi-uric acid.
Ngokuvamile, izinso zethu zihlunga le uric acid bese ziyikhipha emchameni. Kodwa uma i-uric acid eningi inqwabelana ngokuzumayo, njengangesikhathi sokwelashwa ngamakhemikhali, izinso azikwazi ukuyisusa yonke. Khona-ke izinga le-uric acid egazini liyakhuphuka ngendlela eyingozi.
Uma i-uric acid ikhula ngale ndlela, ingakha amakristalu amancane bese ifakwa emalungeni, okubangela izimo ezifana ne-gout, noma ingafakwa ezinso, izilimaze futhi ibangele amatshe ezinso.
Ngakho-ke, okwenziwa umjovo we-Allopurinol ukunciphisa ukukhiqizwa kwe-uric acid emzimbeni. Lokhu kunciphisa umthwalo ezinso futhi kuvimbele umonakalo obangelwa yi-uric acid.
Izinto udokotela wakho okudingeka azazi ngaphambi kokukunikeza lo muthi
Lokhu kubaluleke kakhulu. Udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele ngaphambi kokuqala lokhu kwelashwa. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
- Isifo sezinso: Kubalulekile ukutshela udokotela wakho uma unesifo sezinso esivele sikhona. Ngenxa yokuthi i-uric acid isuswa emzimbeni yizinso, umthamo ungadinga ukulungiswa noma kungadingeka ukunakekelwa okukhethekile lapho unikeza lo muthi kumuntu onesifo sezinso.
- Isifo sesibindi: Uma unesifo sesibindi, tshela udokotela wakho ngaso.
- Ukungezwani komzimba ne-allopurinol noma ezinye izinto: Wake waba nokusabela kokungezwani komzimba ne-allopurinol? Noma uma unezinye izinto zokungezwani komzimba nanoma yimuphi umuthi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa: Uma ukhulelwe noma uhlela ukukhulelwa maduze nje, kubaluleke kakhulu ukutshela udokotela wakho.
- Uma ungumama oncelisayo (Ukuncelisa): Uma uncelisa ingane, qiniseka ukuthi wazisa udokotela ngakho.
Ngokusekelwe kulolu lwazi, ithimba lezokwelapha lizonquma ukuthi lizokunikeza yini lokhu kwelashwa noma cha, noma ukuthi lizokunikeza kanjani.
Umuthi unikezwa kanjani futhi yini okufanele uyenze uma uthatha kakhulu?
I-Allopurinol ifakwa emthanjeni . Lokhu akuyona into ongayenza ekhaya. Uzolaliswa esibhedlela noma emtholampilo bese unikezwa umjovo ngudokotela noma abahlengikazi abaqeqeshiwe. Ngakho-ke, akukho bungozi bokuphuthelwa umthamo.
Kungadingeka ukunakekelwa okukhethekile lapho kunikezwa lo muthi ezinganeni ezincane. Udokotela wakho uzokwazisa ngalokhu.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Lokhu akunakwenzeka neze ukuthi kwenzeke esibhedlela. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, yazisa ithimba lakho lezokwelapha ngokushesha. Njengoba kunjalo nganoma yikuphi okunye ukweqisa imithi, ezweni lakithi ungashayela iNational Poisons Information Centre eColombo National Hospital . Noma uye esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo. Eminye imithi ingasebenzisana ne-allopurinol, kungaba ukushintsha imiphumela ye-allopurinol noma ukwandisa imiphumela emibi.
Ake sichaze lokhu kabanzi ngethebula elingezansi.
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Ungalokothi usebenzise lo muthi kanye | |
| Imithi ye-HIV | I-Didanosine |
| Eminye imithi engase ihlanganyele | |
| Amanye ama-antibiotic | I-Amoxicillin, i-Ampicillin |
| Eminye imithi yokulwa nomdlavuza | I-Capecitabine, i-Cyclophosphamide, i-Fluorouracil |
| Imithi yokuvimbela amasosha omzimba | I-Azathioprine, i-Cyclosporine, i-Mercaptopurine |
| Imithi yesifo sikashukela | I-Chlorpropamide |
| Eminye imithi ye-gout | I-Probenecid, i-Sulfinpyrazone |
| Ama-diuretics (ama-diuretics / "amaphilisi amanzi") | Imithi yokukhipha isisu ye-Thiazide njenge-hydrochlorothiazide |
| Isiqeda ukugabha kwegazi | I-Warfarin |
Okubalulekile: Lolu hlu aluhlanganisi yonke imithi. Ngakho-ke, kufanele uqaphele konke okuthathayo, okuhlanganisa amavithamini, izithasiselo, imithi yesiSinhala, kanye nemithi ye-Ayurvedic.Tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
Ithimba lezokwelapha lizokuqapha eduze ngenkathi uthola lo muthi wokugomela, kodwa kubaluleke kakhulu ukuthi uqaphele la maqiniso.
Ukusabela Okukhulu Kwesikhumba
Lena yinto ebaluleke kakhulu okufanele uyiqaphele. Abanye abantu abasebenzisa lo muthi bangase babe nokusabela okukhulu kwesikhumba. Into eyingozi kakhulu ukuthi lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi. Uma unezinye zalezi zimpawu, tshela udokotela wakho noma umhlengikazi ngokushesha:
- Umkhuhlane noma ukuqubuka okunomkhuhlane.
- Lezi zilonda ziba bomvu noma zibe nsomi, bese kuba amabala noma ukuqhekeka.
- Ubomvu obuhambisana nokuvuvukala kobuso nezindebe.
- Ama-lymph node avuvukele entanyeni noma emakhwapheni.
Isiyezi kanye nokozela
Lomuthi ungathinta ibhalansi yakho kanye nesikhathi sokusabela. Ngakho-ke, gwema ukushayela, ukusebenza ezindaweni eziphakeme, noma ukusebenzisa imishini edinga ukuqapha uze wazi kahle ukuthi lomuthi uthinta kanjani wena.
Ukuze unciphise ingozi yokuba nesiyezi noma ukuquleka, sukuma uqonde lapho uvuka uhleli noma uphuma embhedeni. Gwema ukuphuza utshwala ngenkathi uthatha lo muthi ngoba kungandisa le miphumela emibi.
Phuza amanzi amaningi.
Leli yicebiso elibaluleke kakhulu. Udokotela wakho uzokweluleka ukuthi uphuze amanzi amaningi emini ngenkathi uthatha lo muthi. Isizathu salokhu ukuthi ukuphuza amanzi amaningi kusiza izinso ukuthi zihlunge i-uric acid emzimbeni kalula futhi ziyikhiphe emchameni. Lokhu kunganciphisa ingozi ye-gout kanye namatshe ezinso.
Okuqhamuka uma udla imishanguzo
Njenganoma yimuphi umuthi, i-Allopurinol ingabangela imiphumela emibi. Eminye iyingozi futhi kufanele ibikwe ngokushesha. Eminye ivamile futhi kufanele ibikwe kuphela uma iqhubeka.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe eqenjini lezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, kanye nokukhathala okukhulu. |
| Izimpawu zokulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni), umkhuhlane, kanye nokuvuvukala kwama-lymph node. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Ukuphuka noma ukuphuma kwegazi okungavamile, ukukhathala okukhulu, isiyezi, ikhanda elibuhlungu, ubunzima bokuphefumula (amangqamuzana abomvu aphansi). |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukuhlanza, uhudo. |
| Ukozela | Ukuzwa ubuthongo obungavamile. |
| Ukungakhululeki endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala lapho kujovwe khona. |
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile noma engavamile ngaphezu kwalokhu, sicela utshele ithimba lakho lezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-Allopurinol inikezwa kakhulu ukulawula ukwanda kwamazinga e-uric acid emzimbeni ngenxa ye-chemotherapy yomdlavuza.
- Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo, yonke imithi oyithathayo (kufaka phakathi imithi yesiSinhala), kanye nanoma yikuphi ukungezwani komzimba onakho ngaphambi kokwelashwa.
- Ngesikhathi uthatha lo muthi, qaphela kakhulu izimpawu ezinkulu zokungezwani komzimba njengomkhuhlane kanye nokuqubuka kwesikhumba. Uma kukhona okusolayo, yazisa ithimba lezokwelapha ngokushesha.
- Phuza amanzi amaningi usuku lonke ukuze usize izinso zakho futhi uvimbele ukwakheka kwamatshe.
- Ngenxa yokuthi lo muthi wokugoma onikezwa yithimba lezokwelapha esibhedlela, akudingeki ukhathazeke ngokugcina umuthi noma umthamo wawo.
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