Ubuwazi ngamaphilisi e-Allopurinol? Impumuzo ye-gout namatshe ezinso!

Wake wahlushwa ubuhlungu obukhulu bamalunga noma itshe lezinso? Noma mhlawumbe uke wezwa ukuthi umngane wakho unesifo esibizwa ngokuthi i-gout. I-Allopurinol umuthi odokotela abavame ukuwuncoma ezimweni ezinjalo. Namuhla, ake sixoxe ngokuthi lo muthi uyini, wenzani, nokuthi yini okudingeka uyiqaphele uma uwusebenzisa.

Uhlobo luni lomuthi i-Allopurinol?

Kalula nje, i-Allopurinol umuthi osiza ekunciphiseni izinga le-uric acid emzimbeni wakho. Uma lolu hlobo lwe-uric acid lwanda emzimbeni, kuvame ukuba lapho kuvela khona izinkinga ezifana ne-gout noma amatshe ezinso. Ngezinye izikhathi ngemva kokwelashwa okunikezwa iziguli ezinomdlavuza, okungukuthi, ngemva kwezinto ezifana ne-chemotherapy, izinga le-uric acid emzimbeni lingakhuphuka ngokuzumayo. Ezimweni ezinjalo, i-Allopurinol isetshenziselwa ukulawula izinga le-uric acid. Ngakho-ke, lokho okwenziwa yilo muthi ukunciphisa ukwakheka kwe-uric acid emzimbeni wakho. Elinye lamagama omkhiqizo adumile alokhu yi-Zyloprim. Kodwa noma udokotela wakho ekunika igama elihlukile, kuseyi-Allopurinol efanayo. Ngezinye izikhathi odokotela basebenzisa lo muthi nakwezinye izifo. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma umuntu osekhemisi.

Yini okufanele ngiyitshele udokotela ngaphambi kokusebenzisa lo muthi?

Kulungile, ake sithi udokotela wakho ukunike i-Allopurinol. Kunezinto ezimbalwa okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi. Ngoba akuyona yonke imithi esebenza ngendlela efanayo kuwo wonke umuntu.

• Uma unesifo sezinso . Ngoba lo muthi ukhishwa emzimbeni ngezinso. Ngakho-ke uma unenkinga yezinso, udinga ukwazisa udokotela wakho ngakho.
• Uma unesifo sesibindi . Isibindi siyisitho esibalulekile emzimbeni wethu. Ngakho-ke uma kunenkinga ngaso, sitshele nalokho.
• Uma uke waba nokusabela kokungezwani komzimba ne-allopurinol, noma yimuphi omunye umuthi, ukudla, umbala wokwenziwa, noma izithasiselo , kufanele utshele nodokotela wakho. Abanye abantu bangezwani nezinto ezingaphezu kweyodwa.
• Uma ukhulelwe noma uzama ukukhulelwa , kubalulekile ukwazisa udokotela wakho ngalokhu, njengoba eminye imithi ingathinta ingane phakathi nalesi sikhathi.
• Uma ungumama oncelisayo , kufanele futhi utshele ingane yakho ngemithi ethile, njengoba ingadlula obisini lwebele.

Uma usitshela lezi zinto ngokunembile, udokotela wakho anganquma ukuthi lo muthi ukufanele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.

Uyisebenzisa kanjani le mithi ngendlela efanele?

Leli futhi liphuzu elibaluleke kakhulu. Akwanele ukuphuza umuthi nje, kubalulekile nokuwuthatha ngendlela efanele, akunjalo?

Amaphilisi e-Allopurinol kufanele athathwe ngomlomo kanye nengilazi yamanzi . Kufanele uwaphuze njengoba nje udokotela wakho ekuyalele. Ngezinye izikhathi lo muthi ungazwakala unzima esiswini sakho. Uma lokho kwenzeka, thatha kanye nokudla noma ubisi oluncane . Lokhu kungasiza ekunciphiseni ukucasuka kwesisu.

Into ebaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele . Ungathathi isikhathi esiningi noma uphuze kaningi kunalokho udokotela wakho akutshele khona.

Ingabe lo muthi kufanele unikezwe izingane ezincane?

Yebo, kwezinye izimo ezikhethekile, odokotela batusa lo muthi ngisho nasezinganeni ezineminyaka engu-6 ubudala. Kodwa udinga ukunakekelwa okukhethekile . Ngakho-ke uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo ngokucophelela bese ulandela imiyalelo yakhe ngqo.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma lokho kwenzeka, okungukuthi, uma ucabanga ukuthi uphuze umuthi omningi kunalokho obekucabanga, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi . Lokhu akuwona umdlalo, ngakho-ke udinga ukuthatha isinyathelo ngokushesha.

Okubalulekile: Lo muthi ungowakho kuphela!

Udokotela ukunikeze lo muthi. Ngakho-ke, ungalokothi uwunike omunye umuntu lo muthi . Ngoba nje usebenza kuwe, ungase ungasebenzeli omunye umuntu. Bangase babe nezinye izinkinga.

Wenzani uma uphuthelwa isikhathi sakho sokuya emtholampilo?

O, kunezikhathi lapho lokho kwenzeka khona. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula . Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo . Ungalokothi uthathe umthamo ophindwe kabili . Okusho ukuthi, ungaphuzi amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Leli futhi liphuzu elibaluleke kakhulu. Uma uthatha eminye imithi ngenkathi uthatha i-Allopurinol, ingase ihlangane neminye yaleyo mithi. Uma lokho kwenzeka, ungase ubhekane nezinkinga ezahlukahlukene.

Ungazisebenzisi lezi kanye nalomuthi:

• I-Didanosine (ddI) - Lona umuthi osetshenziselwa ukwelapha ukutheleleka nge-HIV.

Le mithi ingasebenzisana ne-Allopurinol:

• Amanye ama-antibiotic, isibonelo i-amoxicillin, i-ampicillin .
• Eminye imithi yokulwa nomdlavuza.
• Eminye imithi ecindezela amasosha omzimba - isibonelo , i-azathioprine, i-cyclosporine, i-mercaptopurine .
• I-Chlorpropamide - Lona umuthi wesifo sikashukela.
• I-Probenecid - Omunye umuthi onikezwa i-gout.
• I-Sulfinpyrazone - Omunye umuthi we-gout.
• Ama-diuretics e-Thiazide (abizwa nangokuthi amaphilisi amanzi) - isibonelo , i-hydrochlorothiazide .
• I-Warfarin - umuthi ovimbela ukujiya kwegazi.

Lolu hlu aluphelele. Kungase kube neminye imithi engase ixhumane nalo muthi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo) . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa . Lezi zingase zixhumane nemithi yakho.

Yiziphi izinyathelo ezikhethekile okufanele zithathwe uma usebenzisa lo muthi?

Kunezinto ezimbalwa okufanele uziqaphele uma uthatha i-allopurinol.

• Bona udokotela wakho njalo ukuze ahlole isimo sakho . Udokotela angabe esebona ukuthi umuthi uyasebenza yini nokuthi kukhona yini izinguquko okudingeka zenziwe.
• Uma uthatha lo muthi we-gout, ungase uzwe ubuhlungu ekuqaleni . Lokhu kusho ukuthi ubuhlungu bamalunga ngeke buphele ngokushesha. Ungakhathazeki ngakho. Qhubeka uthatha umuthi njengoba kuqondiswe . Ubuhlungu buzophela futhi uzoba ngcono emavikini angaba ngu-2 kuya kwangu-6.
• Kufanele uphuze amanzi amaningi ngenkathi uthatha lo muthi . Phuza okungenani izingilazi ezinkulu eziyi-10 kuya kweziyi-12 zamanzi ngosuku. Lokhu kuzosiza ekunciphiseni ukucasuka kwesisu futhi kunciphise ingozi yokuthola i-gout noma amatshe ezinso.

Lapho kufanele ushayele udokotela wakho ucingo ngokushesha:

Uma unesifo sokuvuvukala kwesikhumba futhi ubhekene nokubanda nomkhuhlane, umphimbo obuhlungu, isicanucanu nokuhlanza , igazi emchameni wakho, noma ubunzima bokuchama , kufanele ushayele udokotela wakho ucingo ngokushesha .

• Ukusabela okukhulu kwesikhumba kungenzeka . Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi. Tshela udokotela wakho ngokushesha uma une-rash enomkhuhlane nezimpawu ezifana nomkhuhlane . I-rash ingase ibe bomvu noma ibe nsomi, bese kuba namabala futhi isikhumba singase siqale ukuqhekeka. Noma uma unobuso noma izindebe ezibomvu, ezivuvukele, ama-lymph node avuvukele entanyeni noma emakhwapheni, noma i-rash ebomvu futhi evuvukele.
• Uma uthatha amaphilisi e-vitamin C, ungawathathi ngaphandle kokubonisana nodokotela wakho . Ukuthatha i-vitamin C eningi kakhulu kungandisa ingozi yokuthola amatshe ezinso.
• Ungase uzizwe ulele noma unesizungu . Ngakho-ke linda uze wazi ukuthi lo muthi uthinta kanjani wena.Gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukugxilisa ingqondo. Gwema ukuma noma ukuhlala ngokuzumayo, ikakhulukazi uma usukhulile . Lokhu kuzonciphisa ingozi yokuba nesiyezi nokuwa.
• Utshwala bungakwenza ulale kakhulu futhi ube nesiyezi . Bungabangela nezinkinga zesisu futhi bunyuse inani le-uric acid egazini. Ngakho-ke gwema ukuphuza utshwala .

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-allopurinol ingabangela imiphumela emibi kwabanye abantu, kodwa akubona bonke abantu abayitholayo.

Uma kwenzeka into efana nale, kufanele utshele udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Funa usizo lwezokwelapha ngokushesha uma unenkinga yokuphefumula.
• Ukulimala kwezinso — ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.
• Ukulimala kwesibindi — ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokukhathala okungavamile.
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node .
• Ukubomvu kwesikhumba, amabhamuza, ukuxebuka noma ukukhululeka kwesikhumba, kuhlanganise nomlomo . Lokhu, njengoba sishilo ngaphambili, kungaba yisimo esibi kakhulu.

Imiphumela emibi evame ukuba yinto engenkulu kangako, kodwa uma iqhubeka noma ikhathaza, kufanele utshele udokotela wakho :

• Uhudo
• Ukozela
• Isicanucanu
• Ukuhlanza

Lolu hlu alufaki yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngakho. Ungabika futhi le miphumela emibi ku-FDA (Food and Drug Administration) ngokushayela ku-1-800-FDA-1088.

Ngingawugcina kuphi lo muthi?

Lokhu kubalulekile futhi.

• Gcina kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa, okusho ukuthi phakathi kwama-degree Celsius angu-15 no-25 (ama-degree Fahrenheit angu-59 no-77) .
• Vikela ekukhanyeni nasemswakama . Lokho kusho ukuthi ungayigcini elangeni eliqondile noma ezindaweni ezimanzi njengendlu yokugezela.
• Lahla imithi ephelelwe yisikhathi . Ungayisebenzisi.

Ngakho-ke, ake sizikhumbuze ngalokho esikukhulume ngakho?

I-Allopurinol umuthi onciphisa amazinga e-uric acid emzimbeni, ovame ukunikezwa ezimweni ezifana ne-gout kanye namatshe ezinso.

• Ngaphambi kokuthatha lo muthi , kufanele utshele udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo, noma yikuphi ukungezwani komzimba onakho, nokuthi ukhulelwe noma uncelisa .
• Thatha umthamo, ngaleso sikhathi, futhi njengoba udokotela wakho ekutshelile . Ungawuthatha kanye nokudla noma ubisi uma unesisu esibuhlungu.
• Ungakhohlwa ukuphuza amanzi amaningi .
• Uma uphuza eminye imithi, tshela udokotela wakho ngayo , njengoba eminye imithi ingase ihlangane nalena.
• Uma ubona noma yikuphi ukusabela okukhulu kwesikhumba noma izimpawu zokulimala kwesibindi noma kwezinso, bona udokotela wakho ngokushesha.
• Qaphela ngoba kungabangela ukozela kanye nesiyezi . Ungaphuzi utshwala.
• Gcina umuthi ngendlela efanele . Gcina kude nezingane.

Into ebaluleke kakhulu ukuthi lo muthi unikezwa wena wedwa. Ungenzi lutho ngaphandle kweseluleko sikadokotela wakho. Uma unemibuzo noma ukungabaza, buza udokotela wakho noma umuntu osekhemisi.

Ngiyethemba ukuthi lawa macebiso azokusiza. Hlala uphilile!

I- Allopurinol, I-Gout, Amatshe Ezinso, I-Uric acid, Umuthi, Imiphumela Engemihle