Amatshe enyongo ayinkinga yezempilo abantu abaningi ababhekene nayo kulezi zinsuku. Ngezinye izikhathi, kudingeka ukuhlinzwa kulokhu. Kodwa-ke, kunezimo lapho ukuhlinzwa kungadingeki khona futhi la matshe enyongo angancibilikiswa futhi elashwe ngamaphilisi. Ezimweni ezinjalo, umuthi okhethekile osetshenziswa odokotela ubizwa ngokuthi i-Chenodiol. Namuhla, sizokhuluma ngalomuthi ngokucacile, ukuthi usebenza kanjani, nokuthi yini okufanele uyiqaphele ngenkathi uwusebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi wenza izinto ezimbili eziyinhloko.
1. Kumisa ukukhiqizwa kwe-cholesterol: Isizathu esiyinhloko sokwakheka kwamatshe enyongo yi-cholesterol emzimbeni. Lo muthi usebenza ngokunciphisa ukukhiqizwa kwe-cholesterol yisibindi sakho.
2. Uncibilikisa amatshe akhona: Akukhona lokho kuphela, lo muthi usiza futhi ekuncibilikiseni kancane kancane i-cholesterol equkethwe ematsheni asevele akhekile enyongweni yakho bese uwasusa emzimbeni.
Le yindlela lo muthi osiza ngayo ekwelapheni amatshe enyongo ngaphandle kokuhlinzwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokukunikeza i-Chenodiol, udokotela wakho uzokubuza ngezinto ezithile. Kubaluleke kakhulu ukutshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo sakho | Kungani isaziso sibalulekile? |
|---|---|
| Izifo ze-biliary tract | Lezi zimo zingathinta ukusebenza kahle komuthi. |
| Ezinye izifo zenyongo (isib., ukuvaleka kwe-bile duct) | Ukuze umuthi usebenze kahle, akumele kube nokuvaleka kwemisele yenyongo. |
| Isifo sesibindi | Ngenxa yokuthi lo muthi usebenza esibindini, ukuba nesifo sesibindi kungashintsha ukusebenza kahle komuthi. |
| I-Pancreatitis | Kunethuba elincane lokuthi lesi simo sizoba sibi kakhulu ngenxa yemithi. |
| Ukungezwani komzimba ne-Chenodiol noma eminye imithi noma ukudla | Lokhu kubalulekile ukuvimbela ukusabela kwe-allergy. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Akukhuthazwa ukusebenzisa lo muthi ngesikhathi sokukhulelwa. |
| Ukuncelisa ingane | Kufanele ukhulume nodokotela wakho mayelana nokuthi umuthi udlulela enganeni yakho ngobisi lwebele noma cha. |
Uyisebenzisa kanjani kahle le mithi?
- Phuza lo muthi nengilazi yamanzi.
- Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho noma umuthi kadokotela.
- Ungathathi ngaphezu komthamo onqunyiwe noma uyeke ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
- Izingane zingadinga ukunakekelwa okukhethekile lapho zithatha lo muthi, ngakho landela imiyalelo kadokotela wakho ngokucophelela.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Zicabange ukuthi uthathe umuthi ongaphezu komthamo onqunyiwe. Uma lokho kwenzeka, ungesabi. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kubaluleke kakhulu: Lo muthi unikezwe udokotela wakho. Ungalokothi wabelane ngalo muthi nanoma ubani omunye, noma ngabe unezimpawu ezifanayo nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-Chenodiol. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo.
Nazi ezinye zezinto eziyinhloko ezingabangela izinkinga:
- Ama-antacid - Imithi yezilonda zesisu
- Amalahle
- Eminye imithi yokwehlisa i-cholesterol (i-Cholestyramine, i-Clofibrate, i-Fenofibrate, i-Gemfibrozil, i-Colesevelam, i-Colestipol)
- Ama-hormone e-Estrogen noma i-Progestin
- I-Warfarin - umuthi ovimbela ukujiya kwegazi
Lolu hlu aluphelele, ngakho-ke kubalulekile ukuxoxa ngalokhu nodokotela wakho.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Bekezela: Lo muthi ungathatha izinyanga ukukhombisa imiphumela, ngakho ungalindeli imiphumela esheshayo.
- Bona udokotela wakho njalo: Udokotela wakho uzokubheka njalo ukuze abone ukuthi ukwelashwa kwakho kuhamba kanjani. Kungase kudingeke futhi ukuthi kwenziwe amaskeni ukuze kubonakale ukuthi amatshe akho enyongo ayancibilika yini kanye nokuhlolwa kwegazi ukuze kuhlolwe ukusebenza kwesibindi sakho.
- Qaphela izimpawu: Uma isicanucanu, ukuhlanza, noma ubuhlungu besisu buqhubeka noma buba bubi kakhulu, tshela udokotela wakho.
- Icebiso elikhethekile mayelana nama-antacid: Uma uthatha i-antacid yesisu esibuhlungu, ingaphazamisa ukumuncwa kwe-Chenodiol. Ngakho-ke, uma uthatha i-antacid, yithathe ihora elilodwa ngaphambi noma amahora amabili ngemva kokuthatha lo muthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ukukhathala okungavamile. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, ukuqunjelwa, isilungulela, isicanucanu, ukuhlanza, ubuhlungu besisu, ukulahlekelwa yisifiso sokudla. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ngingawugcina kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angama-20 kuya kwangu-25).
- Gcina ibhodlela lemithi livaliwe kahle.
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Chenodiol umuthi oncibilikisa izinhlobo ezithile zamatshe enyongo abangelwa yi-cholesterol.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngomlando wakho wezempilo ophelele kanye nayo yonke eminye imithi oyithathayo.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, isikhathi sonke. Kungathatha izinyanga ukubona imiphumela.
- Shayela udokotela wakho ngokushesha uma uhlangabezana nemiphumela emibi efana nobuhlungu obukhulu besisu, ukuphuzi kwamehlo noma isikhumba, noma ukusabela okukhulu kokungezwani komzimba.
- Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngawo nabanye.
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