Ake sifunde ngamaphilisi e-(Cisapride) anikezwa ubuhlungu besifuba sakho?

Ingabe uvame ukuzwa umuzwa oshisayo esifubeni sakho kanye nokunambitheka okumuncu emphinjeni wakho? Siphinde sikubize ngokuthi i-gastritis. Uma sikhuluma iqiniso, lokhu kungase kube ngenxa yesimo esibizwa ngokuthi `(Gastroesophageal Reflux Disease)` noma `(GERD)`. Ngakho-ke, umuthi okhethekile onikezwa izinkinga ezinjalo `(Cisapride)`. Kodwa lo akuwona umuthi onikezwa wonke umuntu futhi ungathengwa kalula ekhemisi. Ngenxa yezingozi ezinkulu ezihilelekile, odokotela bawunikeza kuphela labo ukuvuvukala kwabo esifubeni okungazange kuphele naphezu kokushintsha indlela yokuphila nokusebenzisa eminye imithi. Namuhla, ake sixoxe kabanzi nge `(Cisapride)`.

Uhlobo luni lomuthi `(Cisapride)`?

Kalula nje, i-`(Cisapride)` umuthi osiza ekulawuleni ukusebenza kohlelo lwakho lokugaya ukudla ngezinga elithile . Ngokukhethekile, isetshenziselwa ukwelapha isilungulela, isimo esibangelwa yi-acid reflux evela esiswini, esaziwa ngokuthi i-`(GERD)`.

Kodwa into ebaluleke kakhulu lapha ukuthi ngenxa yemiphumela emibi ethile (ikakhulukazi leyo ethinta ukushaya kwenhliziyo) , lo muthi awusathengiswa obala emakhemisi. Ngemuva kuka-Agasti 2000, lo muthi utholakala kuphela kodokotela ababhalisiwe ngokukhethekile. Lokhu kusho ukuthi udokotela kumele abhaliswe nenkampani ekhiqiza lo muthi futhi ahlangabezane nezindinganiso ezifanele. Ngaphandle kwalokho, akulula ukuwuthola. Lokhu kufanele kukunike umbono wokuthi lo muthi kufanele usetshenziswe ngokucophelela kangakanani.

Odokotela bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, buza udokotela wakho noma usokhemisi.

Igama lomkhiqizo elivamile lalo muthi yi-`(Propulsid)`.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Cisapride, kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ungazifihli lezi zinto, ngoba zingathinta impilo yakho.

• Ingabe unenkinga yokudla? Isibonelo, izimo ezifana nokuthi `(Anorexia)` (ukungadli) noma `(Bulimia)` (ukudla nokuhlanza).
• Ingabe unesifo senhliziyo noma unesifo senhliziyo ?
• Ingabe unezinkinga zesigqi senhliziyo?
• Ingabe unezinkinga ze-valve yenhliziyo ?
• Ingabe unomlando wamazinga aphansi e-calcium, potassium, noma i-magnesium ?
• Unesifo sezinso ?
• Unesifo sesibindi ?
• Unesifo samaphaphu ?
• Ingabe unesifo sokopha esiswini, ukuvaleka, noma izilonda ?
• Ingabe une -allergy ku-Cisapride, eminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo?
• Ukhulelwe? Noma uzama ukukhulelwa?
• Ingabe ungumama oncelisayo?

Uma utshela udokotela wakho zonke lezi zinto, anganquma ukuthi lo muthi ukulungele yini noma cha, nokuthi angawunikeza kanjani.

Ngingawusebenzisa kanjani lo muthi ngqo?

Lo muthi kufanele uphuzwe ngomlomo, uphuzwe nengilazi yamanzi. Landela imiyalelo eselebula lomuthi ngqo.

Okubaluleke kakhulu: Lo muthi kufanele uthathwe esiswini esingenalutho. Okusho ukuthi, okungenani imizuzu eyi-15 ngaphambi kokudla nangaphambi kokulala ebusuku .

Ungathathi okungaphezu kwalokho udokotela akutshele khona.

Uma unikeza izingane lo muthi: Khuluma nodokotela wezingane ngakho. Kungadingeka ukunakekelwa okukhethekile.

Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Sicela uqaphele: Lo muthi ungowakho kuphela. Ungawabelani nabanye, noma ngabe banezimpawu ezifanayo nezakho.

Wenzani uma uphuthelwa umthamo wemithi?

Uma uphuthelwa 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 imithamo emibili ngesikhathi esisodwa.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Nakhu okufanele uqaphele kakhulu. I-Cisapride ingabangela imiphumela emibi kakhulu, ikakhulukazi izinkinga zenhliziyo, uma ithathwa neminye imithi oyithathayo. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, ngisho nezinhlungu zobuhlungu .

Kukhona uhlu lwemithi okungafanele ithathwe ne-`(Cisapride).` Eminye yayo yile:

• Imithi yokulwa negciwane lengculazi noma ingculazi
• Eminye imithi yokutheleleka kwesikhunta (isb., `(Fluconazole)`, `(Ketoconazole)`, `(Itraconazole)`)
• Ezinye izinhlobo ze-`(Ama-antibiotic)` (isb. `(I-Clarithromycin)`, `(I-Erythromycin)`)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo (isib. i-Haloperidol, i-Pimozide)
• Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile (isib. i-Amiodarone, i-Quinidine, i-Sotalol)
• Eminye imithi yomdlavuza (isib. `(Imatinib)`)
• Ijusi le-Grapefruit (Leli akusilo igilebhisi esilidlayo, liyisithelo esikhethekile esibizwa ngokuthi i-Grapefruit. Lokhu akuvamile eSri Lanka, kodwa kuhle ukukwazi.)
• Eminye imithi enweba isikhathi 'se-QT interval' (okungukuthi, ithinta iphethini kagesi yokushaya kwenhliziyo).

Lolu hlu aluphelele, ngakho-ke kuphephile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Ngaphezu kwalokho, i-Cisapride ingathintana nalokhu okulandelayo:

• Imithi yokuhlanza (imithi ebangela ukwanda kokuchama)
• `(I-insulin)`

Tshela udokotela wakho uma ubhema, uphuza utshwala, noma uphuza ezinye izidakamizwa. Ezinye izinto zingathintana nemithi yakho.

Yiziphi ezinye izinto okufanele ngiziqaphele lapho ngithatha lo muthi?

Bona udokotela wakho njalo ukuze uhlole impilo yakho. Ukuze lo muthi usebenze kahle, kuzodingeka wenze izinguquko ezithile endleleni yakho yokuphila.

• Nciphisa inani lokudla okudlayo ngesikhathi sokudla okukodwa.
• Uma ulele, gcina ikhanda lombhede liphakeme ngamasentimitha angu-6 kuya kwangu-8. Ungasebenzisa umcamelo owengeziwe kulokhu.
• Yehlisa ukudla kwakho okunamafutha, ushokoledi, utshwala, ukubhema, iziphuzo ezine-caffeine njengekhofi, neziphuzo ezine-carbonated (njenge-soda) . Ungadli kakhulu ebusuku bese ulala kusenesikhathi.

Kubaluleke kakhulu: Uma uzizwa unesizungu, unenkinga yokuphefumula, noma uzizwa sengathi ukushaya kwenhliziyo yakho kuyashesha noma akujwayelekile ngenkathi uthatha lo muthi, yeka ukuthatha umuthi ngokushesha bese ubona udokotela.

Ungaphuzi ijusi le-grapefruit ngenkathi uthatha lo muthi. Ijusi le-grapefruit lingandisa ingozi yemiphumela emibi kakhulu evela kulo muthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-Cisapride ingabangela imiphumela emibi.

Imiphumela emibi okufanele ibikwe kudokotela wakho noma kuchwepheshe wezempilo ngokushesha:

• Ubunzima bokuphefumula
• Ukuvuvukala noma ukugoba
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile
• Ukuhlanza

Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha ngoba lokhu kungaba yinto engathi sína.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukuqunjelwa noma ukuqunjelwa
• Ikhanda elibuhlungu (ikhanda elibuhlungu)
• Isicanucanu (ukuzizwa sengathi uhlanza)
• Ubuhlungu besisu
• Ukuminyana kwekhala

Lolu hlu aluhlanganisi yonke imiphumela emibi. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, buza udokotela wakho ngazo.

Ngingawagcina kanjani la maphilisi?

• Yigcine kude nezingane.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30). Vikela ekukhanyeni.
• Lahla imithi ephelelwe yisikhathi.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Lesi sihloko sinikeza isifinyezo somuthi `(Cisapride)` kuphela. Asiqukethe lonke ulwazi. Uma unemibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Khumbula, `(Cisapride)` umuthi okufanele usetshenziswe ngokucophelela okukhulu, kuphela ngokweseluleko sezokwelapha, futhi kuphela uma zonke ezinye izindlela zokwelapha zehlulekile. Isizathu salokhu ukuthi ungabangela imiphumela emibi kakhulu. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi umtshele ngayo yonke eminye imithi oyithathayo. Ukuphepha kwakho kufanele kuze kuqala.

I- Cisapride, i-cisapride, ukuvuvukala kwesifuba, i-GERD, i-gastroesophageal reflux, imiphumela emibi, imithi, izidakamizwa