Ingabe wena noma othile omaziyo uke wanikezwa umuthi obizwa ngokuthi i-Carbamazepine (কা-ব-ম-স-পীন) ngudokotela wakho? Mhlawumbe uwukulawula ukuquleka okunakho, noma ukulawula ubuhlungu obukhulu bemizwa. Ungase ujwayelene nalo muthi obizwa ngegama elithi Tegretol. Ufika ngesimo sesiraphu (ukumiswa) futhi uvame ukunikezwa izingane kanye nabantu abadala. Ngakho-ke, namuhla sizoxoxa kafushane ngalo muthi, ukuthi usebenza kanjani, nokuthi yini okudingeka uyiqaphele.
Kuyini iCarbamazepine?
Kalula nje, i-Carbamazepine umuthi othulisa izinzwa ezisebenza ngokweqile emzimbeni wethu, ikakhulukazi ebuchosheni. Uma izinzwa zethu zishukunyiswa ngokweqile, sibhekana nezimo ezifana nokuquleka. Ngakho-ke lo muthi ulawula lokho kushukunyiswa ngokweqile futhi uthulisa uhlelo lwezinzwa. Uphinde ulawule ubuhlungu kwezinye izinhlungu ezinkulu zemizwa (isibonelo, i-Trigeminal Neuralgia).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezokwelapha ophelele. Lo muthi ungase ungahambisani nezinye izimo zezokwelapha. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho .
| Isimo okufanele sikhathazeke ngaso | Incazelo |
|---|---|
| Izimo zezokwelapha ezazikhona ngaphambili | Isifo senhliziyo, isifo sesibindi, isifo sezinso, umfutho wegazi ophakeme (i-glaucoma), isifo somnkantsha wamathambo, kanye nesifo segazi esibizwa ngokuthi i-porphyria. |
| Izinkinga zegazi | Izimo ezinjengokwehla kwamaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet egazini. |
| Impilo yengqondo | Uma wake waba nemicabango, amacebo noma imizamo yokuzibulala ngaphambilini, noma uma unezinkinga zengqondo. |
| Ukungezwani komzimba | Uma une-allergy ku-carbamazepine noma eminye imithi efana ne-tricyclic antidepressants, i-phenytoin, i-phenobarbital, ukudla, noma izithasiselo. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
| Ukuzalwa Kwamadlozi | Uma ungowozalo lwase-Asia, kubalulekile ukutshela udokotela wakho ngoba usengozini enkulu yokuba nokungezwani komzimba okukhulu kwesikhumba. |
Ngingawusebenzisa kanjani lo muthi?
Njengoba lo umuthi owuketshezi (ukumiswa), kufanele njalo ushukumise ibhodlela kahle ngaphambi kokuthatha umuthi . Lokhu kuzosiza izithako zokwelapha ezikuwo umuthi ukuthi zixubane kahle.
- Isilinganiso esifanele: Linganisa umthamo oqondile oshiwo udokotela wakho, usebenzisa indebe yokulinganisa noma isirinji esinikeziwe. Ungalinganisi ngezipuni zasekhaya noma izipuni, ngoba azinembile.
- Ngesikhathi: Thatha inani elinqunyiwe, ngesikhathi esinqunyiwe. Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Ikakhulukazi uma uthatha umuthi ukuze uhlaselwe yisifo sokuwa, ukuwuyeka ngokuzumayo kungenza isimo sakho sibe sibi kakhulu.
- Uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
- Ukweqisa: Uma ucabanga ukuthi uphuze ngokweqile, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Okubaluleke kakhulu: Lo muthi ungowakho kuphela. Unganiki omunye umuntu lo muthi ngoba nje enezimpawu ezifanayo nezakho.
Eminye imithi engase ihlangane ne-carbamazepine (Ukusebenzisana Kwemithi)
Lo muthi ungase uhlangane neminye imithi, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ungalokothi uthathe i-Carbamazepine nalomuthi! | |
|---|---|
| Ama-MAOI (uhlobo lomuthi osetshenziselwa ukwelapha ukucindezeleka) | I-Delavirdine, i-Nefazodone, i-Oxcarbazepine |
| Eminye imithi ye-HIV/AIDS | Imithi enikezwa nge-Cobicistat |
| Lezi zinto zingadala nezinkinga - buza udokotela wakho | |
| Ijusi le-Grapefruit | I-Acetaminophen (i-Paracetamol), i-Warfarin (into enciphisa igazi) |
| Amaphilisi okuvimbela inzalo, ezinye izinhlobo zama-hormone | Imithi yokugula ngengqondo, umfutho wegazi ophakeme, kanye nomdlavuza |
| Amanye ama-antibiotic kanye nama-antifungal | Amaphilisi okulala, ama-steroid, imithi yama-hormone e-thyroid |
*Lolu hlu aluphelele. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo.*
Izinto okufanele uziqaphele lapho uthatha umuthi
Ukusabela Okukhulu Kwesikhumba
Lokhu kubaluleke kakhulu. Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emasontweni ambalwa ngemva kokuqala lo muthi. Uma uvela ukuqubuka okubomvu noma okunsomi esikhumbeni sakho kanye nomkhuhlane kanye nobuhlungu bomzimba,Uma kuvela amabhamuza emlonyeni wakho noma ezindebeni zakho, noma uma isikhumba sakho siphuka sengathi sishile, yeka ukuthatha umuthi ngokushesha bese ubona udokotela . Futhi, uma une-rash kanye nokuvuvukala kobuso, izindebe, noma amaqhubu amancane entanyeni noma emakhwapheni akho, lokho nakho kuyisibonakaliso esiyingozi.
Ukozela kanye nesiyezi
Uma uqala ukuthatha lo muthi, ungase uzwe ukozela, isiyezi, kanye nokungaboni kahle. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini edinga ukuqapha kuze kube yilapho umzimba wakho ujwayela lo muthi. Ukuphuza utshwala kungenza lokhu kukozela kube kubi nakakhulu. Ngakho-ke, kungcono ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
Amanye amaphuzu abalulekile
- Ukulawula ukubeletha: Amaphilisi okulawula ukubeletha angase angasebenzi kahle ngenkathi ethatha lo muthi, ngakho khuluma nodokotela wakho mayelana nokusebenzisa olunye uhlobo lokulawula ukubeletha.
- Ukuvikelwa elangeni: Lo muthi ungenza isikhumba sakho sizwele elangeni (photosensitivity). Ngakho-ke uma uzoba selangeni, sebenzisa isithako sokuvikela ilanga bese ugqoka izingubo ezimboza umzimba wakho.
- Ukushintsha kwesimo sengqondo: Akuvamile kakhulu, lo muthi ungabangela ushintsho lwesimo sengqondo, okuhlanganisa nemicabango yokuzibulala. Uma uzizwa ukhathazekile kakhulu, ucindezelekile, noma unemicabango emibi ngokuphila, tshela umndeni wakho nodokotela wakho ngokushesha.
Imiphumela emibi yomuthi
| Lezi izimpawu ezinkulu - tshela udokotela wakho ngokushesha! | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi, ubunzima bokuphefumula. |
| Ukusabela okukhulu kwesikhumba | Ukuqubuka okubangelwa umkhuhlane, ukubomvu kwesikhumba, ukuqubuka, kanye nokuqhekeka kwesikhumba (ngisho nangaphakathi emlonyeni). |
| Imiphumela esibindini | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, kanye nomchamo omnyama. |
| Imiphumela egazini (i-Aplastic Anemia) | Ukukhathala okungajwayelekile, ukopha noma ukuklwebheka njalo, izifo ezivame ukwenzeka (umkhuhlane, umphimbo obuhlungu). |
| Ezinye izimpawu ezinkulu | Ukushaya kwenhliziyo okungajwayelekile, ukushintsha kombono, ukucindezeleka, noma imicabango yokuzibulala. |
| Lezi yimiphumela emibi evamile - tshela udokotela wakho uma iqhubeka. | |
| Isiyezi, ukozela | Isicanucanu, ukuhlanza |
| Ukulahlekelwa ibhalansi lapho uhamba | |
Umlayezo Wokuya Nawe Ekhaya
- I-Carbamazepine umuthi obalulekile olawula ukuxhuzula kanye nobuhlungu bemizwa. Sebenzisa njengoba nje udokotela wakho encoma.
- Tshela udokotela wakho ngayo yonke imithi oyiphuzayo kanye nazo zonke izimo zezokwelapha onazo.
- Uma uqubuka isikhumba kanye nomkhuhlane ngesikhathi usebenzisa umuthi, funa iseluleko sikadokotela ngokushesha.
- Gwema ukushayela kanye neminye imisebenzi edinga ukuqaphela ngenkathi uthatha lo muthi, njengoba kungase kube nobuthongo kanye nesiyezi. Gwema utshwala ngokuphelele.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho.
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