Uma wena noma othile emndenini wakho enesifo sokuwa noma i-migraine, ungase ube nemibuzo ehlukahlukene futhi mhlawumbe nokwesaba okuncane ngemithi enikezwa yona. Uhlobo luni lomuthi? Ingabe lokhu kulungile emzimbeni? Kufanele uwuthathe isikhathi esingakanani? Ungase uzibuze izinto ezinjengalezi. Ngakho-ke namuhla, ake sixoxe ngemithi enikezwayo yalesi sifo sokuwa, noma ngokwezokwelapha, 'Imithi Yokulwa Nokuhlushwa', ngendlela elula kakhulu, ngolimi ongaluqonda.
Okokuqala, ake sibone, kuyini "ukuquleka"?
Kalula nje, amangqamuzana ethu obuchopho, abizwa ngokuthi ama-neurons, ayaxhumana ngokusebenzisa izimpawu zikagesi ezicashile kakhulu. Ukuquleka kuwukwanda okungazelelwe, okungalawuleki komsebenzi kagesi engxenyeni yobuchopho. Kufana nomjikelezo omfushane ohlelweni lukagesi. Lokhu kungabangela ukuthi leyo ngxenye yobuchopho isebenze ngokweqile, okubangela izimpawu ezahlukahlukene.
- Ngezinye izikhathi kuba nokuthuthumela nokuqhaqhazela kwamalungu (ukudlikizela).
- Ngezinye izikhathi ngilahlekelwa ingqondo.
- Ngesinye isikhathi ubheka (ukupela okubhekayo).
- Ungase uzizwe nemizwa engavamile.
Abantu abaningi bacabanga ukuthi uma uthi "uphilile," kufanele ube nokuquleka. Kodwa akunjalo. Ukuquleka kungenzeka ngaphandle kokuquleka. Yingakho le mithi manje ibizwa ngokuthi "Imithi Yokulwa Nokuquleka" kunegama langaphambilini, "Imithi Yokuquleka."
Yimiphi le mithi?
Kunezinhlobo eziningi zemithi yokwelapha ukuquleka. Udokotela wakho uzokhetha imithi ekufanele kakhulu ngokusekelwe kuhlobo lokwelashwa okukudingayo, iminyaka yakho, nokuthi unezinye izimo zezokwelapha. Le mithi ingahlukaniswa ngezigaba ezimbili eziyinhloko.
| Isigaba sezidakamizwa | Incazelo nezibonelo |
|---|---|
| I-spectrum ebanzi | Lezi zingasetshenziswa ezimweni eziningi zokufaneleka. Odokotela bavame ukuncoma lokhu kuqala uma uhlobo lokufaneleka lungacacile. Isibonelo: I-Levetiracetam, i-Valproate, i-Lamotrigine, i-Topiramate. |
| I-spectrum encane | Lokhu kusetshenziselwa kakhulu izinhlobo ezithile zokuquleka (isb. ukuquleka okugxile). Isibonelo: I-Carbamazepine, i-Gabapentin, i-Pregabalin, i-Ethosuximide. |
Ingabe lo muthi usetshenziselwa ukuqina komzimba kuphela?
Cha. Lokhu kuyinto abantu abaningi abangazi. Imithi yokwelapha ukuxhuzula isetshenziselwa ukwelapha ezinye izimo eziningi ngaphezu kokulawula ukuxhuzula. Iwusizo nakwezinye izimo ngenxa yekhono layo lokuzola isimiso sezinzwa ebuchosheni.
- Ukuvimbela i-migraines
- Ngobuhlungu be-neuropathic
- Izifo zengqondo ezifana ne -Bipolar Disorder
- I-Fibromyalgia (ubuhlungu emzimbeni wonke)
- Izimo zokukhathazeka
- I-Restless Leg Syndrome (ukungakhululeki emilenzeni)
Into ebaluleke kakhulu ukuthi, ungalokothi usebenzise umuthi onikezwe omunye umuntu. Udokotela wakho kuphela okufanele anqume umuthi ofanele kanye nomthamo wesimo sakho.
Lo muthi usebenza kanjani emzimbeni?
Cabanga ngokuguguleka njengesiphepho sikagesi ebuchosheni. Lo muthi wenzani ukuthulisa leso siphepho. Kunezindlela eziningana zokwenza lokho.
1. Ukulawula iziteshi ze-ion: Izimpawu zikagesi kuma-neurons ethu zenziwa ukunyakaza kwama-ion njenge-sodium ne-calcium. Le mithi isebenza ngokunciphisa kancane umsebenzi weziteshi lapho lawo ma-ion ehamba khona. Lokhu kuvimbela ama-neurons ukuthi angabi namandla ngokweqile.
2. Ukwandisa amakhemikhali okuzola (`ama-neurotransmitter`): Ubuchopho bethu ngokwemvelo bunekhemikhali ethulisa ama-neuron athile. Ibizwa ngokuthi 'i-GABA'. Eminye imithi 'yokulwa nokucindezeleka' isebenza ngokwandisa imiphumela yale 'GABA'. Bese ubuchopho buyazola.
Kalula nje, le mithi ilawula ukusebenza kukagesi ngokweqile ebuchosheni futhi ibuyisele esimweni esijwayelekile.
Izingozi ezinkulu nezinto okufanele siziqaphele
Njengayo yonke imithi, le mithi ingaba nemiphumela emibi emincane kanye nezingozi ezinkulu ezingavamile. Akukho okufanele ukhathazeke ngakho, kodwa kubalulekile ukuqaphela lokhu.
Imiphumela emibi evamile
Lokhu kuvame ukwenzeka ekuqaleni kwemithi bese kuyanyamalala njengoba umzimba ujwayela imithi.
- Ikhanda elibuhlungu (ikhanda elibuhlungu)
- Ukozela, ukukhathala
- Isiyezi
- Umbono ofiphele
- Isicanucanu
- Ukwanda noma ukwehla kwesisindo
Uma lokhu kuqhubeka noma kukukhathaza, khuluma nodokotela wakho ngaphandle kokuyeka imithi .
Ubuthi kanye nezimo eziphuthumayo
Ukuthatha imithi eminingi kunaleyo enqunywe udokotela (ngengozi noma ngamabomu) kungaholela ekufakweni ubuthi ngemithi. Lesi yisimo esidinga ukwelashwa okuphuthumayo.
| Isimo Esiphuthumayo! Uma unalezi zimpawu, hamba esibhedlela ngokushesha. | |
|---|---|
| Izici |
|
| Okufanele ngikwenze | Yiya ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Uma kudingeka, ungashayela iNational Poisons Information Centre eColombo National Hospital ukuze uthole ulwazi olwengeziwe. |
Ezinye izingozi ezingavamile kodwa ezinkulu
Lezi izinto ezingabonakali kakhulu.
- I-Stevens-Johnson Syndrome: Isimo esibangela ukushaqeka okukhulu nokuqhekeka kwesikhumba kanye nolwelwesi lwamafinyila (ngaphakathi komlomo kanye nekhala).
- Ukulimala kwesibindi (Ukwehluleka kwesibindi)
- Kuthinta ukukhiqizwa kwamaseli egazi (i-Aplastic Anemia, i-Agranulocytosis)
Ukungezwani komzimba okukhulu njengalokhu akuvamile kakhulu, yingakho udokotela wakho ezohlola igazi lakho njalo futhi akuqaphe lokhu.
Ingabe kuphephile ukusebenzisa lo muthi ngesikhathi sokukhulelwa?
Lo mbuzo ubalulekile kubantu abaningi. Kuyingozi kakhulu ukuyeka ngokuzumayo ukuthatha imithi yesifo sokuwa ngesikhathi sokukhulelwa. Ukwenza kanjalo kungabangela ukuba isifo sokuwa sibuye, okungaba yingozi kumama kanye nomntwana ongakazalwa.
Ngakho-ke, odokotela bavame ukweluleka ukuthi uqhubeke nokusebenzisa umuthi ngesikhathi sokukhulelwa. Kodwa-ke, uma ukhulelwe, kufanele utshele udokotela wakho ngaphambi kokuba ukhulelwe .
Udokotela angakhetha umuthi ophephile kakhulu kanye nomthamo wakho ozonciphisa ingozi enganeni yakho. Eminye imithi (isib. i-'Valproic acid`) ingaba yingozi kakhulu enganeni yakho kuneminye. Ngakho-ke kungcono ukuhlela kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokuvimbela ukuquleka ilawula kuphela ukuqala kokuquleka, hhayi ukwelapha ngokuphelele ukuquleka.
- Kungathatha isikhathi ukuthola umuthi ofanele kanye nomthamo ofanele wena. Bekezela.
- Ungayeki ukuphuza imithi yakho nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi ukuguguleka kube kubi kakhulu futhi.
- Yazisa udokotela wakho nganoma yimiphi imiphumela emibi oyitholayo, noma yimiphi eminye imithi oyithathayo, nokuthi uhlela ukukhulelwa yini.
- Qaphela izimpawu zokusebenzisa ngokweqile. Esimweni esinjalo, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Ngezinye izikhathi lo muthi ungabangela ukucindezeleka kanye nemicabango yokuzibulala (lokhu kuyingozi encane kakhulu). Uma uzizwa kanje, shayela udokotela wakho noma ucingo lukazwelonke losizo lwezempilo yengqondo 1926 ngokushesha.
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