Ngezinye izikhathi kufanele sibhekane nezifo ezingafani nomkhuhlane noma umkhuhlane ovamile, kodwa ezingathi sína, ezisakazeka ngaphakathi emzimbeni. Ikakhulukazi uma ezinye izifo zesikhunta noma izifo zemvubelo zisakazekela ezithweni zangaphakathi zomzimba, imithi evamile ingase inganele ukuyilapha. Namuhla, sikhuluma ngomuthi okhethekile, onamandla osetshenziswa odokotela ezimweni ezinzima kangaka.
Uyini lo muthi obizwa ngokuthi i-Amphotericin B Liposomal?
Kalula nje, umuthi wokulwa nezifo . Lokhu kusho ukuthi ungabulala isikhunta esibangela izifo esingene emzimbeni. Lona akuwona nje umuthi ovame ukuwunikeza ukutheleleka okuncane kwesikhunta esikhumbeni sakho. Usetshenziselwa ukwelapha ukutheleleka kwesikhunta okukhulu nokusongela impilo okusakazekele egazini lakho, emaphashini, ebuchosheni, noma kwezinye izitho zangaphakathi.
Igama elithi "Liposomal" libhekisela endleleni ekhethekile eyenziwe ngayo lo muthi. Kunjengokungathi i-molecule yesidakamizwa igoqwe ngaphakathi kwebhamuza elincane lamafutha (i-liposome). Le ndlela ivumela umuthi ukuthi ufinyelele kalula endaweni yokutheleleka emzimbeni futhi unciphise imiphumela emibi engenzeka ezithweni ezifana nezinso. ESri Lanka, lo muthi utholakala ngaphansi kwegama lomkhiqizo elithi `AmBisome`.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngenxa yokuthi lo muthi unamandla, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala ukwelashwa. Qiniseka ukuthi ukhuluma ngalezi zinto ngokukhethekile.
- Uma unesimiso somzimba esibuthakathaka, isimo esinciphisa ikhono lakho lokulwa nezifo (isib. i-HIV, ukwelashwa komdlavuza).
- Uma unesinye isifo esingamahlalakhona (isib. isifo sikashukela, isifo sezinso).
- Uma wake waba nokusabela kokungezwani komzimba ne-Amphotericin B noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ukunikeza udokotela lolu lwazi kuzomsiza ukuthi akwelaphe ngendlela ephephile ngangokunokwenzeka.
Uyisebenzisa kanjani le mithi?
Leli akulona iphilisi oligwinyayo. I-Amphotericin B Liposomal iwumjovo (i-infusion) ofakwa emzimbeni wakho ngomthambo . Lokhu kuvame ukwenziwa esibhedlela noma emtholampilo, ngaphansi kokuqondisa kwabasebenzi bezokwelapha. Umuthi ufakwa emzimbeni wakho nge-cannula efakwa emthanjeni engalweni yakho, njengebhodlela le-saline.
Akuvamile kakhulu ukuthi ezinye iziguli zelulekwe ukuthi zithathe lokhu kwelashwa ekhaya. Uma kunjalo, uzoqondiswa ngokucophelela ukuthi ungakulungiselela kanjani futhi ukunikeze. Kubalulekile ukuthatha umuthi njengoba nje kuyalelwe, ngesikhathi esifanele . Ungalokothi uthathe okungaphezu noma okungaphansi komthamo onqunyiwe.
Okubalulekile: Uma usebenzisa imijovo ekhaya, ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kufanele zifakwe 'esitsheni esibukhali' esikhethekile . Uma ungenayo, ungayithola kudokotela wakho.
Ingabe lo muthi unganikezwa izingane ezincane?
Yebo, uma kudingeka, lo muthi unganikezwa izingane ngaphansi kokuqondisa kukadokotela wezingane. Kodwa-ke, udinga ukunakekelwa okukhethekile kanye nokubalwa okunembile kwemithamo.
Kuthiwani uma umthamo womuthi ukhuphuka?
Uma ucabanga ukuthi uthathe umthamo ongaphezu konconywayo, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (i-ETU) ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
Uma uthatha lo muthi, kufanele uqaphele neminye imithi oyithathayo. Eminye imithi ingasebenzisana nalo muthi futhi yandise imiphumela emibi.
| Ukusebenzisana Kwezidakamizwa | |
|---|---|
| Imithi okungafanele ithathwe nalo muthi: | |
| - I-Cidofovir (umuthi wokutheleleka ngegciwane) | |
| Eminye imithi engabangela izinkinga futhi okufanele ibikwe kudokotela: | |
| |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye nemithi ye-Ayurvedic) . Tshela nodokotela wakho uma ubhema noma uphuza utshwala.
Imiphumela emibi engaba khona ngesikhathi sokwelashwa
Isimo sakho sizoqashwa eduze ngabasebenzi bezokwelapha ngenkathi uthatha lo muthi. Kodwa-ke, kungase kube nemiphumela emibi. Eminye yayo imbi kakhulu, kanti eminye incane.
| Umphumela Ongemuhle | Okufanele ngikwenze? |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela noma kumhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe/umlomo/ulimi/umphimbo | Funa iseluleko sezokwelapha ngokushesha. |
| Ubunzima bokuphefumula noma ukuqina kwesifuba | |
| Imiphumela ezinso (ushintsho enanini noma umbala womchamo) | |
| Ukungalingani kwesigqi senhliziyo, izinguquko ezingavamile ekucindezelweni kwegazi | |
| Umkhuhlane omkhulu, ukubanda, nokuthuthumela | |
| Ukuphuka okungavamile, ukuphuma kwegazi | |
| Ukukhathala okukhulu, ukuquleka, ukulahlekelwa ukwazi | |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu, ubuhlungu bomzimba | Uma lokhu kuqhubeka noma kukukhathaza, yazisa udokotela wakho. |
| Isicanucanu, ukuhlanza, ubuhlungu besisu, isifo sohudo | |
| Ukubomvu kwesikhumba (ukushawa), ubuhlungu lapho kufakwe khona i-cannula | |
| Ukukhwehlela, ubunzima bokulala | |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Amphotericin B Liposomal (LAmB) iwumjovo onamandla wokulwa nezifo ezibangelwa amagciwane onikezwa ngemithambo yegazi, hhayi njengephilisi. Isetshenziselwa ukwelapha izifo ezinzima nezihambisana nomzimba.
- Ngaphambi kokuqala ukwelashwa, kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yeSinhala).
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukungezwani komzimba okukhulu, noma izinguquko ekuchameni, yazisa abasebenzi bezokwelapha ngokushesha.
- Lo muthi unikezwa esibhedlela ngaphansi kokuqashwa ngudokotela. Ungashintshi umthamo onqunyiwe noma weqe umthamo nganoma yisiphi isizathu.
- Uma uneminye imibuzo mayelana nalomuthi, khuluma nodokotela wakho.
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