Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Carbamazepine wesifo sokuwa noma ubuhlungu bemizwa? Uma kunjalo, kubaluleke kakhulu ukuba nolwazi oluphelele ngalo muthi. Ngoba, njenganoma yimuphi umuthi, ukuze uwusebenzise kahle, udinga ukuwusebenzisa ngendlela efanele. Ake sixoxe ngalokhu kalula nangokwethembeka namuhla.
Kalula nje, iyini iCarbamazepine?
Lona umuthi othulisa izinzwa emzimbeni wethu. Cabanga nje, izimpawu zikagesi zihamba ngemizwa ebuchosheni nasemzimbeni wethu. Esimweni esifana nokuxhuzula, lezi zimpawu ziyaba ezingalawuleki futhi zisebenze ngokweqile. I-Carbamazepine iyathulisa lezo zinzwa ezisebenza ngokweqile futhi ilawula umsebenzi kagesi ongajwayelekile. Lokhu kulawula ukwenzeka kokuxhuzula. Lo muthi futhi uyasiza ekulawuleni ubuhlungu obukhulu (ubuhlungu bezinzwa) obubangelwa ezinye izinzwa. Ungawuthola lo muthi eSri Lanka ngaphansi kwamagama emikhiqizo afana ne-`Tegretol-XR`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuba udokotela wakho akunike lo muthi, kufanele azi umlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Izimo zezokwelapha ezazikhona ngaphambili | Izimo ezifana nesifo somnkantsha wamathambo, i-glaucoma, isifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile, isifo sezinso, isifo sesibindi, kanye ne-porphyria. |
| Izinkinga zegazi | Izimo ezinjengokwehla kwenani lamaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazi egazini. |
| Impilo yengqondo | Izinkinga zengqondo noma imicabango yokuzibulala, amacebo, noma imizamo (kuwe noma elungwini lomndeni) |
| Imvelaphi yase-Asia | Uma ungowokudabuka e-Asia, kubalulekile ukutshela udokotela wakho ngakho, njengoba usengozini yokuthola ezinye izifo zesikhumba ezinzima. |
| Ukungezwani komzimba | Uma une-allergy kweminye imithi efana ne-carbamazepine, ama-antidepressant e-tricyclic, i-phenytoin, i-phenobarbital, noma ukudla noma izithasiselo. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi uyakusho lokho. |
Ngiyisebenzisa kanjani ngempela le mithi?
Kulesi simo, into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
- Gwinya leli philisi lonke ngengilazi yamanzi.
- Ungaliphuli, ulichoboze, noma ulihlafune. Njengoba lawa kungamaphilisi akhulula isikhathi eside, ukwenza kanjalo kungabangela ukuthi umuthi umunceke emzimbeni ngokushesha kakhulu futhi kubangele imiphumela emibi.
- Hlola amaphilisi. Ungawasebenzisi uma kukhona amaphilisi aphukile noma aqhephukile.
- Ngokuvamile kungcono ukuthatha lo muthi kanye nokudla . Lokhu kungasiza ekunciphiseni imiphumela emibi njengokuphazamiseka kwesisu.
- Thatha umthamo onqunyiwe njengoba unqunyiwe udokotela wakho. Ungawandisi noma unciphise umthamo ngendlela ozizwa ngayo, noma uwuthathe kaningi kunalokho okushiwo.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungandisa ingozi yokuxhuzula.
Ngezinye izikhathi ungase ubone uqweqwe lwethebhulethi luphuma nendle yakho. Ungakhathazeki ngakho. Lokhu kuyinto evamile. Isithako esisebenzayo esikulesi sidakamizwa sesingene emzimbeni wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha noma ushayele iNational Poisons Information Centre eColombo National Hospital . Ungakuthathi kalula lokhu.
Ezinye izinto ezingase zihlangane nalo muthi
I-Carbamazepine ingasebenzisana neminye imithi, ukudla, neziphuzo, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ungazisebenzisi lezi zinto kanye ne-carbamazepine:
- Eminye imithi ye-HIV noma i-AIDS (leyo enikezwa nge-cobicistat)
- I-Delavirdine
- Ama-antidepressant e-MAOI (isib. i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate)
- I-Nefazodone
- I-Oxcarbazepine
Lokhu kungasabela futhi:
Lolu hlu lude kakhulu, ngakho khuluma nodokotela wakho nganoma yimiphi imithi emisha oyithathayo.
- I-Acetaminophen
- Amanye ama-antibiotic (njenge-clarithromycin, i-erythromycin)
- Amaphilisi okulawula inzalo (Lo muthi unganciphisa ukusebenza kahle kwamaphilisi okulawula inzalo. Ngakho-ke, khuluma nodokotela wakho ngenye indlela yokulawula inzalo.)
- Ijusi le-Grapefruit
- Imithi yokwelapha izifo zengqondo njenge-Lithium
- Imithi yokucindezela kwegazi
- Ama-antifungal (njenge-fluconazole, i-ketoconazole)
- Izinhlobo zama-steroid
- Izinto zokunciphisa igazi ezifana ne-Warfarin
Lolu akulona uhlu oluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyiphuzayo, uma ubhema, noma uma uphuza utshwala .
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
- Ukusabela okukhulu kwesikhumba: Lokhu kubaluleke kakhulu. Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emavikini ambalwa noma ezinyangeni ezimbalwa ngemuva kokuqala lo muthi. Uma uba nokuqhuma okubomvu okunezimpawu ezifana nomkhuhlane noma ukubanda, uma ukuqhuma kuba nsomi, amabhamuza, noma kuqala ukuqhekeka, noma uma ubona ukuvuvukala kobuso, izindebe, noma iqhubu entanyeni noma emakhwapheni , bheka udokotela ngokushesha.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele, unesiyezi, noma ube nombono ofiphele. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka endaweni yokuhlala noma uhlala phansi ngokuzumayo, ikakhulukazi uma ungumuntu osekhulile. Ukuphuza utshwala kungenza lokhu kukozela kube kubi nakakhulu.
- Naka isimo sakho sengqondo:Nakuba kungavamile, lo muthi ungandisa ingozi yemicabango noma izenzo zokuzibulala. Uma ulahlekelwa umuzwa wenjabulo, isimo sakho sengqondo siba sibi kakhulu, noma uzizwa sengathi uzofa, tshela udokotela wakho noma ilungu lomndeni ngokushesha. Ungagcini kuyimfihlo.
- Ukuzwela kwelanga: Isikhumba sakho singase sizwele kakhulu elangeni ngenkathi uthatha lo muthi. Ngakho-ke uma uzoba selangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa umuthi wokuvikela ilanga.
Imiphumela emibi engase ivele ngenxa yemithi
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-anemia ye-Aplastic | Ukukhathala okungajwayelekile, ubuthakathaka, isiyezi, ubunzima bokuphefumula, ukopha noma ukushayeka kalula. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwesikhumba noma amehlo. |
| Amazinga aphansi e-sodium | Ubuthakathaka bemisipha, ukukhathala, isiyezi, ikhanda elibuhlungu, ukulahlekelwa yinkumbulo. |
| Ezinye izimpawu ezinkulu | Ukushintsha kombono, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, umkhuhlane, ukubanda, umphimbo obuhlungu, ukubomvu, ukusha kwamaqhubu, noma ukuxebuka kwesikhumba, kuhlanganise nangaphakathi emlonyeni. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Imiphumela emibi emincane | Isiyezi, ukozela, ukulahlekelwa yibhalansi, isicanucanu, ukuhlanza. |
Umlayezo Wokuya Nawe Ekhaya
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi le-carbamazepine. Ligwinye lonke.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Lokhu kungandisa ingozi yokuquleka.
- Uma umkhuhlane wakho uhambisana nezilonda zesikhumba ezibomvu neziqhumayo, kungaba uphawu lwesimo esibucayi. Tshela udokotela ngokushesha.
- Uma uzizwa ungenathemba, ucindezelekile, noma unemicabango yokuzibulala, qiniseka ukuthi utshela udokotela wakho noma othile omethembayo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ngisho namavithamini. Gwema ukuphuza ijusi le-grapefruit.
- Lo muthi ungabangela ukozela, ngakho-ke qaphela kakhulu lapho wenza imisebenzi edinga ukunakwa, njengokushayela.
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