Ingabe wena noma othile emndenini wakho une-Multiple Sclerosis (MS)? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukucebisile ukuthi uqale ukuthatha iphilisi elibizwa ngokuthi i-Cladribine. Uma uzwa leli gama, ungase ube nemibuzo eminingi. "Luhlobo luni lomuthi?", "Kuzokwenzekani kulo?", "Ingabe kukhona imiphumela emibi?" Ungase uzibuze. Ungesabi nhlobo. Kulesi sihloko namuhla, sizokhuluma ngala maphilisi e-Cladribine ngendlela elula necacile, njengomngane kuwe.
Kalula nje, iyini i-Cladribine?
I-Cladribine iyiphilisi elisetshenziselwa ukwelapha isimo esibizwa ngokuthi i-multiple sclerosis (MS) . Kodwa-ke, ngokuvamile ayinikezwa wonke umuntu one-MS. Odokotela bavame ukunikeza lo muthi lapho ezinye izindlela zokwelapha zingasebenzi noma lapho kunzima kakhulu ukuzibekezelela.
Ngakho-ke lo muthi usebenza kanjani? Cabanga ngakho, umzimba wethu unesimiso sokuzivikela, siwubiza ngokuthi isimiso sokuzivikela . Umsebenzi wawo ukulwa namagciwane angaphandle nokusivikela ezifweni. Kodwa ezifweni ezifana ne-MS, lesi simiso sokuzivikela siba matasa kakhulu (sisebenza ngokweqile) bese siqala ukuhlasela amangqamuzana amahle omzimba. Lokho okwenziwa amaphilisi e-Cladribine ukwehlisa ijubane lesimiso sokuzivikela somzimba esisebenza ngokweqile kancane bese siwuthulisa.
Yiziphi izinzuzo zalokhu?
- Kumisa noma kubambezele ukuwohloka kwezimpawu.
- Kunciphisa inani lokugqashuka.
Lo muthi uvame ukutholakala eSri Lanka nasemhlabeni jikelele ngaphansi kwegama lomkhiqizo i-MAVENCLAD .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi:
Lena yingxenye ebaluleke kakhulu. I-Cladribine iyisidakamizwa esinamandla kakhulu. Ngakho-ke, kubalulekile ukuthi udokotela wakho azi nganoma yiziphi ezinye izinkinga zempilo ongase ube nazo. Bheka ithebula elingezansi. Uma unezinye zalezi zimo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala umuthi.
| Isimo sakho sempilo | Kungani kufanele utshele udokotela? (Kalula nje) |
|---|---|
| Uma uke waba nomdlavuza noma okwamanje unomdlavuza | Ngenxa yokuthi lo muthi uthinta amasosha omzimba, kufanele kuqashelwe ngokukhethekile mayelana nengozi yomdlavuza. |
| Ukwehluleka kwenhliziyo noma ezinye izinkinga zenhliziyo | Kwabanye abantu, lo muthi ungathinta ukusebenza kwenhliziyo. |
| Izimo ze -HIV noma i-AIDS | I-Cladribine ayifanele ukusetshenziswa ezigulini esezivele zibuthakathaka amasosha omzimba wazo ngenxa yalezi zifo. |
| Izifo ezikhona (isib. isifo sofuba (i-TB), izifo zesikhunta, amagciwane noma amagciwane) | Ngenxa yokuthi i-Cladribine icindezela amasosha omzimba, ukutheleleka okukhona kakade emzimbeni kungaba nzima kakhulu. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi lezi zitho zihilelekile enqubweni yokususa izidakamizwa emzimbeni, izimo zazo zesifo zingashintsha ukusebenza kahle komuthi. |
| Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo | Kuyingozi kakhulu ukuphuza imijovo yegciwane eliphilayo ngalo muthi. |
| Ukungezwani komzimba ne-Cladribine noma eminye imithi, ukudla, noma udayi | Lokhu kubalulekile ukwazi kusenesikhathi uma ungaba ne-allergies. |
| Uma wena noma umlingani wakho nizama ukukhulelwa noma senikhulelwe kakade | Lomuthi ungabangela umonakalo omkhulu enganeni esibelethweni. Lokhu kubaluleke kakhulu. |
| Uma uncelisa ingane yakho (Ukuncelisa) | Umuthi ungadlula ubisi lwebele futhi ulimaze ingane. |
Uwasebenzisa kanjani la maphilisi kahle?
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela. Kodwa ake siqaphele ukuthi lo muthi ungasetshenziswa kanjani ngokujwayelekile.
- Leli philisi kufanele liphuzwe ngomlomo kanye nengilazi yamanzi.
- Zama ukuyithatha ngesikhathi esifanayo nsuku zonke.
- Okubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune. Gwinya lonke iphilisi ngesikhathi esisodwa.
- Ungayithatha ngaphambi noma ngemva kokudla, kodwa uma uzwa ubuhlungu besisu, kungcono ukuyithatha kanye nokudla.
- Thatha umuthi njengoba uyalelwe udokotela kuze kube yilapho ekutshela ukuthi uyeke.
'Umjikelezo' wokuthatha imithi
Lo muthi akuyona into oyiphuzayo ngaso sonke isikhathi. Uthathwa 'ngemijikelezo'. Kalula nje, kunezinsuku ezithile lapho uphuza khona umuthi kanye nezinsuku ezithile lapho ungawuphuzi khona. Kubaluleke kakhulu ukulandela lolu hlelo ngqo. Landela imiyalelo kadokotela wakho ngqo. Uma kukhona ongakuqondi, cela udokotela wakho ukuthi akucacisele. Ukuthatha okungaphezu kwenani elibekiwe kungabangela imiphumela emibi kakhulu.
Okubalulekile: Uma uthatha eminye imithi, ungayithathi ngesikhathi esifanayo ne-Cladribine. Buza udokotela wakho ukuthi kufanele uphuze eminye imithi emahoreni amangaki ngemva kokuthatha i-Cladribine.
Qaphela lapho uphatha umuthi.
Ukuphatha lo muthi kufanele kwenziwe ngokucophelela. Geza izandla zakho kahle ngensipho namanzi ngaphambi nangemva kokuphatha iphilisi. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.
Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze 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 umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe.
Yimiphi eminye imithi engasebenzisana ne-Cladribine?
Ukuthatha eminye imithi nge-Cladribine kungaba yingozi.
Ungazisebenzisi lezi kanye ne-Cladribine:
- Imithi yokugomela igciwane eliphilayo: Imithi yokugomela efana nesimungumungwane, ukhunta, i-rubella (MMR), kanye ne-polio yomlomo iwela kulesi sigaba. Ngenxa yokuthi amasosha omzimba aba buthaka uma uthola le mithi yokugomela, usengathola lesi sifo uma uthola eyodwa.
I-Cladribine ingasebenzisana nale mithi:
- Eminye imithi yokulwa namagciwane enikezwa i-HIV noma i-Hepatitis.
- Eminye imithi ecindezela amasosha omzimba (isib., imithi yokulwa nomdlavuza, imithi evimbela ukwenqatshwa kwezitho ezitshalwe kabusha).
Into ebaluleke kakhulu ukunikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini, imithi ye-Ayurvedic noma yamakhambi, kanye nemithi yokubulala izinhlungu). Ngemuva kwalokho angakha uhlelo lokwelapha oluphephile kakhulu kuwe.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
Udinga ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho kuzodingeka akubone njalo. Futhi, kuzodingeka ukuthi uhlolwe igazi njalo ukuze uhlole inani lamaseli akho egazi (ikakhulukazi ama-lymphocyte) ngenkathi uthatha lo muthi.
- Ingozi yokutheleleka: Njengoba sixoxile ngaphambili, uma uthatha lo muthi, ikhono lomzimba wakho lokulwa nezifo (amasosha omzimba) liyancipha kancane. Ngakho-ke, ungathola kalula izifo. Uma uhlangabezana nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, noma umkhuhlane, ungaziphilisi bese ushayela udokotela wakho ngokushesha. Kuwukuhlakanipha futhi ukuhlala kude nezindawo lapho abantu abagulayo bechitha khona isikhathi esiningi ngangokunokwenzeka.
- Ingozi yomdlavuza: Ucwaningo lukhombisile ukuthi ukuthatha lo muthi kungandisa kancane ingozi yokuba nezinhlobo ezithile zomdlavuza. Ungakhathazeki ngalokhu, kodwa khuluma nodokotela wakho ngale ngozi.
- Ukukhulelwa nokuncelisa (kubaluleke kakhulu):
- Kwabesifazane: Ungawuthathi lo muthi uma uhlela ukukhulelwa, ukhulelwe, noma uncelisa. Kufanele uhlole ukukhulelwa ngaphambi kokuqala lo muthi ukuze uqiniseke ukuthi awukhulelwe. Kufanele usebenzise uhlobo lokuvimbela inzalo olusebenza kahle kakhulu ngenkathi uthatha umuthi kanye nezinyanga eziyisithupha ngemuva kokuthatha iphilisi lokugcina .
- Kwabesilisa: Uma umlingani wakho ekwazi ukukhulelwa, kufanele usebenzise ikhondomu ngesikhathi socansi ngenkathi uthatha lo muthi kanye nezinyanga eziyisithupha ngemuva komthamo wakho wokugcina. Lokhu kuzovimbela umuthi ukuthi udlulele kumlingani wakho ngesidoda futhi ulimaze ingane engakazalwa.
- Ukuncelisa: Ungamncelisi umntwana wakho ngenkathi uthatha lo muthi futhi izinsuku eziyi-10 ngemuva komthamo wokugcina .
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Cladribine ingabangela imiphumela emibi, yize kungewona wonke umuntu oyitholayo. Ngezansi uhlu lwemiphumela emibi engaba khona.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, ubuhlungu lapho uchama, kanye nokungakhululeki komzimba. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwesikhumba noma amehlo. |
| Izici ezihlobene nesimiso sezinzwa | Isiyezi, ukulahlekelwa yibhalansi, ukudideka, nobunzima bokukhuluma. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ukuhlungu obusemhlane |
| Isicanucanu | Umphimbo obuhlungu |
| Impumulo egobhozayo noma evalekile | |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, khuluma nodokotela wakho ngazo futhi.
Uyivikela futhi uyigcina kanjani imithi yakho?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angama-20 kuya kwangu-25).
- Gcina umuthi ebhodleleni noma ephaketheni lokuqala owamukelwe kulo.
- Vikela emswakama. Gcina isivalo sebhodlela sivaliwe kahle.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Buza udokotela wakho ukuthi ungayilahla kanjani ngokuphephile imithi ephelelwe yisikhathi noma engasadingeki.
Umlayezo Wokuya Nawe Ekhaya
- I-Cladribine iwumuthi onamandla osetshenziselwa ukwelapha i-multiple sclerosis (MS). Sebenzisa lokhu njalo ngaphansi kweseluleko sikadokotela.
- Landela isimiso 'somjikelezo' esinikezwe udokotela wakho ngqo. Ungalokothi uthathe okungaphezu kwesilinganiso esinqunyiwe.
- Tshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nayo yonke eminye imithi oyiphuzayo.
- Ngesikhathi uthatha umuthi, qaphela kakhulu izimpawu zokutheleleka njengomkhuhlane nokukhwehlela. Uma uthola noma yiziphi izimpawu ezinjalo, tshela udokotela wakho ngokushesha.
- Qiniseka ukuthi uyalandela iseluleko sokuvimbela ukukhulelwa (kwabesifazane nabesilisa). Lokhu kubaluleke kakhulu.
- Lomuthi ungowakho wedwa. Ungalokothi wabelane ngalo muthi nanoma ubani omunye.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho