Ingabe uvame ukulala emini? Kungakhathaliseki ukuthi ulala kangakanani ebusuku, usazizwa ukhathele futhi uvilapha emini? Noma wake wazizwa sengathi ulahlekelwa ingqondo ngokuzumayo bese uwela phansi? Namuhla, sizokhuluma ngomuthi okhethekile onegama eliyinkimbinkimbi elinikezwa izinkinga ezihlobene nokulala ezinjengalezi.
Luhlobo luni lomuthi lolu?
Kalula nje, lo umuthi owuketshezi onqunyelwe ukwelapha izimo eziningana ezihlobene nokulala. Ngokukhethekile, odokotela banquma lo muthi we:
- I-Narcolepsy: Lesi yisimo sokulala ngokweqile okungalawuleki emini.
- Idiopathic Hypersomnia: Lesi futhi yisimo sokulala ngokweqile emini, kodwa kunzima ukuthola imbangela ethile.
- I-Cataplexy: Lesi yisimo esingavamile kakhulu. Kwenzeka lapho imisipha yomzimba ilahlekelwa ukusebenza kwayo ngokuzumayo lapho ibhekene nemizwa enamandla , njengokuhleka kakhulu noma ukumangala.
Lo muthi usebenza ngokunciphisa ubuthongo basemini futhi ukusize uthole ubuthongo obuhle ebusuku. Uphinde unciphise imvamisa ye-cataplexy. Lo muthi uyatholakala eSri Lanka ngaphansi kwegama lomkhiqizo elithi `(Xywav)`.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungase uhlangane nezinye izimo zezokwelapha. Uma unezinye zezimo ezibalwe kuthebula elingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo sakho | Kungani kufanele utshele udokotela? |
|---|---|
| Ukucindezeleka noma ezinye izifo zengqondo | Ngoba lo muthi ngezinye izikhathi ungathinta isimo sengqondo. |
| Imicabango yokuzibulala (yakho noma yelungu lomndeni) | Lokhu kubalulekile ukuqaphela le micabango uma uthatha imithi. |
| Ukuluthwa utshwala noma izidakamizwa | Ukuphuza lo muthi notshwala kuyingozi kakhulu. Futhi, lo muthi unobungozi bokulutheka. |
| Isifo sesibindi | Umthamo kungadingeka ulungiswe ngoba isibindi sithinta inqubo yokukhipha imithi emzimbeni. |
| Izifo zokuphefumula (isb., i-asthma, i-COPD) noma i-sleep apnea | Lo muthi ungenza ukuphefumula kube buthaka kancane, ngakho-ke kungaba yingozi uma usuvele unezinkinga zokuphefumula. |
| Isifo sofuzo esibizwa ngokuthi i-succinic semialdehyde dehydrogenase deficiency | Lesi yisifo esingavamile kakhulu. Uma unaso, lo muthi awufaneleki nhlobo. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Ukuthola ukuthi kukhona yini ukungezwani komzimba nomuthi noma ezinye izithako zawo. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Ukucabangela imiphumela engaba khona enganeni ngesikhathi sokukhulelwa kanye nokuncelisa. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Indlela osebenzisa ngayo lo muthi ibaluleke kakhulu. Landela ngqo lokho okushiwo udokotela.
- Ukulinganisa: Sebenzisa isirinji noma inkomishi ekhethekile eza nomuthi ukuze uyilinganise. Ungasebenzisi izipuni zasekhaya noma izipuni zesobho. Ngeke zikunike isilinganiso esinembile.
- Ukuxuba: Hlanganisa umuthi nenani elibekiwe lamanzi njengoba kuqondiswe udokotela, bese uphuza.
- Isikhathi Sokuthatha: Lokhu kufanele kuthathwe esiswini esingenalutho . Okusho ukuthi, okungenani amahora ama-2 ngemva kokudla.
- Ngaphambi kokulala: Lo muthi kufanele uphuzwe ebusuku ngaphambi kokulala, ngemva nje kokulala , ngoba ukuphuza lokhu kuzokusiza ukuthi ulale ngokushesha.
- Umthamo wesibili: Abanye abantu banqunyelwe ukuthatha lokhu kabili ebusuku. Uma kunjalo, thatha umthamo wokuqala bese kuthi owesibili uthathe amahora angu-2.5 kuya kwangu-4 ngemva kokuwuthatha.
- I-MedGuide: Uma unikezwa imithi, uzothola incwajana yemiyalelo ekhethekile ethi ``(MedGuide)`` nayo. Yifunde ngokucophelela njalo. Uma unemibuzo, buza udokotela wakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungalibali.
Okubaluleke kakhulu: Lo muthi unikezwe wena kuphela . Ungalokothi uwuhlanganyele nanoma ubani omunye.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, ungakhathazeki. Khohlwa ngokuphelele ngomthamo ophuthelwe. Thatha umthamo olandelayo njengenjwayelo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane nalo muthi
Lo muthi ungasebenzisana neminye imithi kanye notshwala, ngakho-ke kudingeka uqaphele kakhulu ngalokhu.
| Izinto okungafanele zithathwe ndawonye | |
|---|---|
| Utshwala | Ukuthatha lo muthi notshwala kungabangela ukucindezeleka okukhulu kokuphefumula, ukulahlekelwa ukwazi, ngisho nokufa. Lokhu kuyingozi kakhulu. |
| Amanye amaphilisi okulala | Ukuthatha imithi emibili yohlobo olufanayo kungabangela imiphumela emibi kakhulu njengokulala ngokweqile kanye nobunzima bokuphefumula. |
| Eminye imithi engabangela izinkinga | |
| Imithi yokukhathazeka noma yokulala (isib. i-Benzodiazepines - alprazolam, diazepam) | Kubangela ukozela okukhulu kanye nobunzima bokuphefumula obandayo. |
| Eminye imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine) | Imiphumela yemithi yomibili ingahluka. |
| Izibulali-zinhlungu (ikakhulukazi 'ama-opioid') | Ingozi yokwehluleka kokuphefumula iphezulu kakhulu. |
| Imithi yokungezwani komzimba (ama-antihistamine) | Kungandisa ukozela. |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) .
Izinto okufanele uzicabangele lapho uthatha imithi
- Ukuziphatha okungajwayelekile kokulala: Abanye abantu abasebenzisa lo muthi bangenza izinto ezifana nokuhamba ubuthongo, ukupheka/ukudla, kanye nokwenza izingcingo. Ingxenye eyesabekayo kakhulu ukuthi bangase bangakhumbuli lutho lwalokhu lapho bevuka ekuseni. Uma lokhu kwenzeka kuwe noma elungwini lomndeni, tshela udokotela wakho ngokushesha.
- Ukushintsha kwesimo sengqondo: Lo muthi ngezinye izikhathi ungabangela ukushintsha kwesimo sengqondo, njengokukhathazeka, ukucindezeleka, kanye nemicabango yokuzibulala . Uma ubona ushintsho olusheshayo nolubalulekile ekuziphatheni kwakho noma ekucabangeni kwakho, ungalushayi indiva. Khuluma nodokotela wakho ngokushesha.
- Ukushayela: Ungenzi noma yini edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Ingozi yokulutha: Kukhona ingozi yokulutha lo muthi. Ungathathi ngaphezu komthamo owunikezwe udokotela wakho noma isikhathi eside kunesikhathi esibekiwe.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula okuhamba kancane noma okungajulile, ubunzima bokuphefumula, isiyezi esikhulu, ukulahlekelwa ukwazi. |
| Izinguquko zengqondo nezokuziphatha | Ukuphazamiseka okungavamile, imibono engekho, imicabango yokuzibulala, ukucindezeleka okukhulu. |
| Ukuphefumula komoya ngesikhathi sokulala | Ukuphefumula kanzima kanye nokuhona okukhulu ngesikhathi sokulala. |
| Ukuhamba ngezinyawo ulele | Ukuvuka ebuthongweni nokuhamba noma ukwenza eminye imisebenzi. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Isiyezi | Ikhanda elibuhlungu |
| Isicanucanu/ukuhlanza | Isifiso sokudla |
| Ukuchama Embhedeni | |
Ungayigcina kanjani imithi iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Njengoba lesi kuyisidakamizwa esingasetshenziswa kabi, sigcine endaweni ephephile engavikeleka emaseleni.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Lahla umuthi ophelelwe yisikhathi. Kufanele uphuzwe zingakapheli amahora angama-24 ngemva kokuxubana namanzi. Lahla noma yikuphi okusele.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi njengoba nje udokotela wakho ekutshelile, ngesilinganiso esinqunyiwe.
- Ungayithathi kanye notshwala noma amanye amaphilisi okulala nganoma yisiphi isizathu. Kungaba yingozi empilweni.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nazo zonke izimo zezokwelapha onazo.
- Qaphela imiphumela emibi engathi sína njengokushintsha kwengqondo nokuhamba ulele. Uma kwenzeka into enjalo, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi onikezwe wena kuphela. Gcina endaweni ephephile kude nabanye abantu.
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