Ukwehlisa isisindo ngezinye izikhathi akulula njengoba sicabanga. Kungakhathaliseki ukuthi silawula kangakanani ukudla kwethu nokuzivocavoca, ngezinye izikhathi asitholi imiphumela esiyifunayo. Ezimweni ezinjalo, udokotela wakho angase akunike umuthi okhethekile ukukusiza. Namuhla sizokhuluma ngomuthi onjalo osiza enqubweni yokwehlisa isisindo.
Luhlobo luni lomuthi lolu?
Umuthi esikhuluma ngawo namuhla uqukethe inhlanganisela yemithi emibili , i-Bupropion ne -Naltrexone . Kalula nje, leli iphilisi elenziwe ngokuhlanganisa imithi emibili. Lingatholakala eSri Lanka nakwamanye amazwe ngaphansi kwegama lomkhiqizo i-Contrave .
Umsebenzi wayo oyinhloko ukukusiza unciphise isisindo, kanye nokudla okunama-calorie aphansi kanye nokuzivocavoca okufanele. Futhi, lo muthi uyakusiza ukuthi ugcine isisindo osinciphile futhi ungasiphindi usithole. Kodwa khumbula, lokhu akuyona nje iphilisi lomlingo lokunciphisa isisindo. Kumane kuyinto ezokunikeza ukwesekwa okuhle emizamweni yakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele ngesimo sakho sempilo. Lokhu kungenxa yokuthi ukusebenzisa lo muthi ezimweni ezithile zezokwelapha kungaba yingozi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi wazisa udokotela wakho.
| Uhlobo lwezimo | Incazelo (Tshela udokotela uma kukhona okusebenzayo kulokhu) |
|---|---|
| Izinkinga zempilo yengqondo | Ukucindezeleka, imicabango yokuzibulala, amacebo noma imizamo (wena noma ilungu lomndeni), ezinye izifo zengqondo. |
| Izinkinga zokudla | Izimo ezifana ne-anorexia noma i-bulimia. |
| Isifo senhliziyo kanye nomfutho wegazi | Umfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, isifo sohlangothi, ukushaya kwenhliziyo okungajwayelekile. |
| Ubuchopho kanye nesistimu yezinzwa | Ukuquleka, ukulimala ekhanda, izimila noma izifo ebuchosheni noma emgogodleni. |
| Ezinye izimo zezokwelapha | Isifo sikashukela, i-glaucoma, isifo sezinso, isifo sesibindi, amazinga aphansi e-sodium egazini. |
| Imikhuba kanye nokungezwani komzimba | Ukusetshenziswa kotshwala noma izidakamizwa, ukungezwani neminye imithi, ukudla, noma udayi. |
| Ukukhulelwa nokuncelisa | Uma uzama ukukhulelwa, ukhulelwe, noma uncelisa. |
| Ukusetshenziswa kweminye imithi | Uma uke wathatha imithi ye-MAOI (isib. i-Carbex, i-Eldepryl) ezinsukwini eziyi-14 ezedlule. |
Ngingawusebenzisa kanjani umuthi?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho uthatha lo muthi.
- Gwinya ithebhulethi lonke ngengilazi yamanzi.
- Ungalokothi uphule, uchoboze, noma uhlafune iphilisi. Ukwenza kanjalo kungashintsha indlela umuthi osebenza ngayo futhi kubangele imiphumela emibi eyingozi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Kubaluleke kakhulu: Ungawuthathi lo muthi kanye nokudla okunamafutha amaningi. Isibonelo, ukuthatha lo muthi kanye nokudla okunamafutha amaningi, njenge-burger noma irayisi elithosiwe, kungandisa ingozi yokuxhuzula.
- Thatha umthamo onqunyiwe kuphela njengoba udokotela ewushilo. Ungawunyusi umthamo ngendlela ozizwa ngayo.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Ake sithi ukhohliwe ukuphuza umuthi wakho wasekuseni. Uma lokho kwenzeka, ungaphindeli ekuwuthatheni ngesikhathi esifanayo okhohliwe ngaso.Yeqa leso sikhathi ngokuphelele bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma umthamo wemithi ukhuphuka?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, thatha isinyathelo ngokushesha. Esimweni esinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha okukhulu. Noma shayela i-National Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko. Lokhu kubaluleke kakhulu, njengoba ukuphuza ngokweqile kungaba yingozi.
Eminye imithi engase ihlangane nalo muthi
Kufanele futhi uqaphele ngeminye imithi oyithathayo ngenkathi uthatha lo muthi. Eminye imithi ingathintana nalo muthi futhi ibangele izinkinga.
Into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
Amathebula amabili angezansi achaza lokhu kabanzi.
| Ungawuthathi lo muthi nanoma yini! | |
|---|---|
| - Ama-antidepressant ohlobo lwe-MAOI (isib. iMarplan, iNardil) | - Imithi ye-opioid esetshenziselwa ubuhlungu noma ukukhwehlela |
| - Eminye imithi equkethe i-bupropion (isib. i-Zyban, i-Wellbutrin) | - I-Linezolid, i-Methylene Blue (efakwa emthanjeni) |
| Kungase kube nezinkinga ngalo muthi (tshela udokotela wakho ). | |
|---|---|
| - Utshwala | - Eminye imithi ye-HIV noma i-Hepatitis |
| - Eminye imithi yokucindezela kwegazi (isib. iMetoprolol) | - Eminye imithi yesifo sikaParkinson |
| - Eminye imithi yokwelapha ukugula kwengqondo | - Eminye imithi esetshenziselwa ukuxhuzula (isib. i-Carbamazepine) |
| - Imithi efana ne-Digoxin, i-Warfarin, i-Clopidogrel | - Amanye amaphilisi okulala |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Qaphela ukushintshashintsha kwemizwelo: Abanye abantu abasebenzisa lo muthi bangase babe nokushintshashintsha kwemizwelo, ukucindezeleka okukhulu, noma imicabango yokuzibulala. Uma uzwa ushintsho oluzumayo esimweni sakho sengqondo (isib. intukuthelo enkulu, ukungahlaliseki, ukucasuka), ikakhulukazi lapho uqala ukuthatha umuthi noma ngemva kokushintsha umthamo wakho, shayela udokotela wakho ngokushesha.
- Ukushintsha kwesikhumba: Akuvamile, abanye abantu bangase babe nokusabela okukhulu kwesikhumba. Funa usizo lwezokwelapha ngokushesha uma uba nezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, ubomvu, isikhumba esinamaxolo, ukusha kwamaqhubu, noma ukuxebuka kwesikhumba.
- Utshwala: Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Ukuhlanganiswa kotshwala nalo muthi kwandisa kakhulu ingozi yokuxhuzula.
- Ukushayela nokusebenzisa imishini: Lo muthi ungakwenza uzizwe ulele futhi ube nenkinga yokugxilisa ingqondo. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini esindayo uze wazi kahle ukuthi umuthi uthinta kanjani wena.
- Ukukhulelwa: Ukwehlisa isisindo ngesikhathi sokukhulelwa akukhuthazwa. Kungaba yingozi enganeni engakazalwa. Uma uhlela ukukhulelwa noma usola ukuthi ukhulelwe, khuluma nodokotela wakho ngalokhu.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| - Ukungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe) | - Umfutho wegazi ophakeme, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile |
| - Ukuquleka | - Ukudideka okukhulu, imibono engekho |
| - Imicabango yokuzibulala noma izinguquko ezinkulu esimweni sengqondo | - Izimpawu zokulimala kwesibindi (umchamo omnyama, ukuphuzi kwamehlo, ubuhlungu ohlangothini oluphezulu lwesokudla lwesisu) |
| - Amabhamuza esikhumba, isikhumba esixebukayo | - Ubunzima bokuphefumula, ukushintsha kombono |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
|---|---|
| - Ukuqunjelwa | - Ukulahlekelwa yisifiso sokudla |
| - Ikhanda elibuhlungu | - Ukungakhululeki esiswini, ukungagayi kahle ukudla |
| - Ukuhlanza | - Ukuthuthumela |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi umane nje uwusizo ohambweni lwakho lokunciphisa isisindo. Ukuze uthole imiphumela emihle kakhulu, kubalulekile ukulawula ukudla kwakho kanye nokuzivocavoca njengoba kunqunywe udokotela wakho.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo. Ungafihli lutho.
- Gwinya iphilisi lonke, ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna. Ungalisebenzisi kanye nokudla okunamafutha amaningi.
- Uma ubona ushintsho olusheshayo esimweni sakho sengqondo noma esikhumbeni, ungalushayi indiva. Tshela udokotela wakho ngokushesha.
- Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngomuthi wakho nabanye.
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