Ingabe wena noma omunye emndenini wakho unesifo sokuwa? Uma kunjalo, udokotela wakho kungenzeka ukuthi ubhale imithi yaso. Namuhla sizokhuluma ngemithi enikezwa ukulawula lokhu kuwa. Sibiza le mithi ngokuthi 'imithi yokulwa nokuwa'. Kungenzeka ukuthi uke wezwa ngayo ngokuthi 'imithi yokulwa nokuwa'. Ngakho ake sibone ukuthi iyini le mithi, isebenza kanjani, nokuthi yini okudingeka siyiqaphele lapho siyisebenzisa.
Kalula nje, yimiphi imithi enikezwayo yalokhu kufaneleka? (Yimiphi Imithi Yokulwa Nokuqunjelwa?)
Lena imithi ekhethekile engasetshenziswa kuphela uma inqunywe udokotela. Umsebenzi wayo oyinhloko ukuvimba nokulawula ukuqala kokuxhuzula.
Cabanga ngobuchopho bethu njengohlelo lukagesi. Amaseli ezinzwa (ama-neurons) akulo athumela ulwazi komunye nomunye esebenzisa izimpawu zikagesi ezincane. Ukuxhuzula kwenzeka lapho umsebenzi kagesi ebuchosheni uphazamiseka ngokuzumayo, okudala isiphepho sikagesi esingalawuleki. Yingakho umuntu onesifo sokuxhuzula elahlekelwa ingqondo, aqale ukunyakazisa, futhi aqale ukubona noma ukuzwa izinto ezingavamile.
Imithi yokuvimbela ukuquleka isebenza ngokulawula lo msebenzi kagesi ongajwayelekile ebuchosheni. Okusho ukuthi, iyathulisa isiphepho sikagesi futhi ibuyisele ukusebenza kobuchopho esimweni esijwayelekile.
Kungani lezi zingabizwa ngokuthi 'imithi yokulwa nokuxhuzula' manje?
Esikhathini esidlule, le mithi yayivame ukubizwa ngokuthi 'i-Anticonvulsants'. 'Ukuquleka' kubhekisela ekuqhumeni kwezitho zomzimba ngesikhathi sokuquleka, noma isimo esifana nokuquleka. Kodwa into ebaluleke kakhulu okudingeka siyazi ukuthi akuwona wonke umuntu oqulekayo obangela ukuquleka.
Kunezinhlobo ezithile zokuquleka lapho ulahlekelwa khona ukugxilisa ingqondo isikhashana, ubheke endaweni eyodwa, noma wenze ngendlela exakile. Kulezi zimo, akukho ukugxumagxuma kwamalungu.
Ngakho-ke, njengoba igama elithi 'i-anticonvulsant' lingahlanganisi zonke izinhlobo zokuquleka, odokotela manje basebenzisa igama elinembile kakhulu lale mithi: 'imithi yokulwa nokuquleka '.
Isetshenziselwani le mithi?
Le mithi inikezwa ikakhulukazi ukulawula ukuquleka okubangelwa yisifo sokuwa nezinye izimbangela. Inikezwa futhi ukuvimbela ukuquleka ngemva kokuhlinzwa kobuchopho.
Kodwa okumangazayo ukuthi le mithi ayisetshenziselwa nje kuphela ukufaneleka. Odokotela bayayinikeza nezinye izimo eziningi. Lokhu sikubiza ngokuthi ukusetshenziswa 'okungekho ku-label'. Okusho ukuthi, yize ekuqaleni lo muthi wawuvunyelwe ukufaneleka, ulwazi luye lwabonisa ukuthi uwusizo nakwezinye izimo, ngakho-ke unikezwa nalezo.
| Ngaphezu kokufaneleka, ezinye izimo zezokwelapha ezinikezwe lo muthi |
|---|
| - Ukukhathazeka |
| - Ukuvimbela i-migraines |
| - Isifo se-Bipolar |
| - Ubuhlungu be-neuropathic - (isib. ukuvuvukala kanye nokuba ndikindiki emilenzeni ngenxa yesifo sikashukela) |
| - I-Fibromyalgia - (ubuhlungu obuvela kuwo wonke umzimba) |
| - Isifo sikaParkinson |
Ngakho-ke ungamangali uma udokotela wakho ekubhalela lo muthi kwesinye isimo esifana nalesi.
Lo muthi usebenza kanjani emzimbeni?
Lokhu kuyinkimbinkimbi kancane, kodwa masikwenze kube lula. Njengoba ngishilo ngaphambili, ukuqina kuwukukhishwa okungalawulwa kwezimpawu zikagesi ezivela kuma-neurons ebuchosheni. Kufana nokuthi wonke umuntu osemgwaqweni ushaya ama-horn akhe ngesikhathi esisodwa.
Imithi yokuvimbela ukuquleka ilawula lesi sifo ngezindlela ezimbili eziyinhloko:
1. Ukulawula amasango kagesi: Amaseli emizwa anamasango amancane awasiza ekwenzeni izimpawu zikagesi. Lawa abizwa ngokuthi iziteshi ze-ion. Eminye imithi isebenza ngokuvala okwesikhashana la masango, ivimbele ukwenziwa kwezibonakaliso zikagesi eziningi ngokweqile.
2. Ukulawula imiyalezo yamakhemikhali: Amaseli emizwa akhuluma wodwa ngemiyalezo yamakhemikhali ebizwa ngokuthi ``ama-neurotransmitters``. Eminye imiyalezo ivuselela amaseli emizwa (itshela ukuthi asebenze kanzima), kanti eminye ivimbela amaseli emizwa (itshela ukuthi azole). Le mithi isebenza ngokwandisa imiyalezo yokuzola (isib. ``GABA``) nokunciphisa ukusebenza ngokweqile ebuchosheni.
Kalula nje, le mithi inciphisa ukusebenza ngokweqile ebuchosheni futhi idale isimo sokuzola.
Ngidinga ukuthatha umuthi isikhathi esingakanani?
Lokhu kuyinto ehlukahluka kumuntu nomuntu. Kunqunywa udokotela wakho. Kunezici eziningana ezithinta lokhu.
- Uhlobo lokulingana olunalo.
- Usebenzisa umuthi ongakanani?
- Sekuyisikhathi esingakanani selokhu waqala ukuthatha imithi ngaphandle kokuquleka?
- Ingabe unezinye izifo zezinzwa?
- Isimo semibiko yakho yokuhlolwa kwe-EEG.
Ungalokothi uqale, uyeke, noma ushintshe umthamo wemithi yakho wedwa. Uma uyeka ukuthatha imithi ngokuzumayo, ukuquleka kwakho kungase kube kubi kakhulu kunangaphambili. Kungaba yingozi empilweni. Ngakho-ke, xhumana nodokotela wakho ngaphambi kokwenza noma yini.
Iyini imiphumela emibi yomuthi?
Njenganoma yimuphi umuthi, le mithi ingaba nemiphumela emibi. Kodwa-ke, ayithinti wonke umuntu. Abanye abantu bayalulama kahle ngaphandle kwemiphumela emibi. Lena eminye yemiphumela emibi evame kakhulu.
- Ikhanda elibuhlungu
- Ukukhathala, ukozela
- Isiyezi
- Umbono ofiphele
- Isicanucanu
- Ukwanda noma ukwehla kwesisindo
- Izinguquko zesimo sengqondo
Uma uhlangabezana nalokhu, ungesabi ukukhuluma nodokotela wakho. Ungase ukwazi ukulawula lesi simo ngokushintsha umthamo wemithi yakho noma ukushintshela komunye umuthi.
Okunye: Eminye imithi yokwelapha ukuquleka ingandisa ingozi ye-osteoporosis uma isetshenziswa isikhathi eside. Ngakho udokotela wakho angakutshela ukuthi uthathe izithasiselo ze-calcium ne-vitamin D.
Izingozi nezinto okufanele uziqaphele
Nakuba iningi lale mithi liphephile, kunezingozi ezithile ezinkulu, kodwa ezingavamile kakhulu, okufanele siziqaphele.
Izinkinga ezinkulu kodwa ezingavamile kakhulu
Empeleni lezi azivamile kakhulu, kodwa kuhle ukuzazi.
- I-Stevens-Johnson syndrome: ukungezwani okukhulu kwesikhumba.
- Ukulimala kwesibindi (Ukwehluleka kwesibindi):
- Imiphumela kumaseli egazi (i-Aplastic anemia, i-Agranulocytosis):
Kulesi simo, uma uhlangabezana nezimpawu ezifana nokuqubuka kwesikhumba, umkhuhlane, noma umphimbo obuhlungu, bona udokotela ngokushesha.
Izinkinga ngeminye imithi (Ukusebenzisana Kwemithi)
Lokhu kubaluleke kakhulu. Eminye imithi yokuvimbela ukuquleka, ikakhulukazi imithi emidala, ingasebenzisana neminye imithi esiyithathayo. Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi yezinye izifo, imithi yobuhlungu, amavithamini, imithi yesiSinhala, kanye nemithi ye-Ayurvedic).
Ubuthi bezidakamizwa
Uma uphuza imithi eminingi kunaleyo oyinikeziwe, kungaba ngephutha noma ngamabomu, ingaba yingozi. Lesi yisimo esidinga ukwelashwa okuphuthumayo.
Izimpawu zobuthi:
- Ukudideka okukhulu
- I-Nystagmus (ukungakwazi ukugcina amehlo endaweni eyodwa)
- Ubunzima bokuhamba, ukungakhululeki (i-Ataxia)
- Ukuphefumula kuba kancane futhi kungajulile.
Uma unalezi zimpawu, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole ulwazi olwengeziwe ngalezo zikhathi.
Imicabango yokuzibulala
Ucwaningo lubonise ukuthi abanye abantu (inani elincane kakhulu) abasebenzisa lo muthi bangase babe nengozi eyengeziwe kancane yokucabanga ngokuzibulala. Uma wena noma ingane yakho nicabanga ngale micabango, ningayinaki futhi khuluma nodokotela wakho ngokushesha.
Ingabe lo muthi uphephile ngesikhathi sokukhulelwa?
Lona umbuzo omama abaningi abanawo. Isinqumo sokuthatha imithi yokwelapha ngesikhathi sokukhulelwa kufanele senziwe ngokucophelela okukhulu. Iseluleko sezokwelapha samanje sithi izingozi zokuyeka imithi ngesikhathi sokukhulelwa zidlula izingozi ezithinta ingane esanda kuzalwa zokuthatha imithi .
Ngoba, uma kwenzeka ukuquleka ngesikhathi sokukhulelwa, kungaba yingozi kumama kanye nomntwana ongakazalwa. Ngakho-ke, uma ukhulelwe, khuluma nodokotela wakho ngaphambi kokuba ukhulelwe . Ngemuva kwalokho udokotela wakho angakhetha umuthi noma umthamo ophephile kakhulu kuwe kanye nomntwana. Eminye imithi (isib. i-'Valproic acid`) ingaba yingozi enkulu kumntwana ngesikhathi sokukhulelwa. Ngakho-ke, kungcono ukuhlela kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokuvimbela ukuquleka isebenza ngokulawula ukusebenza kukagesi okungajwayelekile ebuchosheni.
- Ungalokothi uqale, uyeke, noma ushintshe umthamo walo muthi ngaphandle kweseluleko sikadokotela wakho. Kungaba yingozi kakhulu.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Uma kuvela imiphumela emibi, ungesabi ukukhuluma nodokotela wakho.
- Ukweqisa umthamo (Ubuthi) kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma uhlela ukukhulelwa, kubaluleke kakhulu ukuxoxa ngakho nodokotela wakho kusengaphambili.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho