Uma wena noma othile emndenini wakho enesifo esifana ne-Multiple Sclerosis (MS), kuvamile ukuzizwa ukhathazekile futhi unelukuluku lapho uqala umuthi omusha. Ikakhulukazi uma ufunda ngomuthi ofana ne-Cladribine, ungase ufune ukwazi ukuthi usebenza kanjani nokuthi yini okufanele uyiqaphele. Ngakho-ke namuhla, ake sixoxe ngalo muthi, njengoba nje ubungakhuluma nomngane.
Kuyini i-Cladribine?
Kalula nje, i-Cladribine umuthi osetshenziselwa ukwelapha abantu abanesifo esibizwa ngokuthi i-Multiple Sclerosis (MS) . Iza ngesimo sephilisi. Ungase ulazi ngegama lomkhiqizo elithi `MAVENCLAD`.
Manje ake sibone ukuthi kwenzekani. I-MS yisifo sesikhathi eside esithinta isimiso sethu sezinzwa. Ngezinye izikhathi, izimpawu zingaba zimbi ngokuzumayo. Lokhu sikubiza ngokuthi ukubuyela emuva. Ngakho-ke lokho okwenziwa yilo muthi we-Cladribine kusiza ukuvimbela lesi sifo ukuthi singabi sibi futhi.
Kodwa kubalulekile ukukhumbula lokhu. I-Cladribine ayilona ikhambi le-MS. Kodwa ingakusiza ukulawula lesi sifo futhi uphile impilo evamile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, udinga ukuba nesithombe esiphelele sesimo sakho sempilo. Lo muthi awufanele wonke umuntu. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi wazisa udokotela wakho ngakho.
- Isimo somdlavuza: Uma unomdlavuza njengamanje noma uke waba nawo esikhathini esidlule.
- I-HIV noma i-AIDS: Izimo ezinciphisa amasosha omzimba.
- Ezinye izinkinga zesimiso somzimba sokuzivikela: Noma yisiphi isimo esinciphisa ikhono lomzimba wakho lokulwa nezifo (ukungavikeleki).
- Ukutheleleka kwamanje: Noma yikuphi ukutheleleka, ikakhulukazi ukutheleleka ngegciwane njenge-chickenpox noma i-herpes.
- Isifo sezinso noma sesibindi: Lezi zitho zinomthwalo wokuhlunga nokususa izidakamizwa emzimbeni, ngakho-ke kubalulekile ukwazi ukuthi kunenkinga yini ngomsebenzi wazo.
- Inani eliphansi lamaseli egazi: Amazinga aphansi amaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet.
- Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
- Uma une-allergy ku-cladribine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lezi zinto.
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lokhu ilula kakhulu.
- Gwinya leli philisi ngengilazi yamanzi.
- Ingathathwa ngaphambi noma ngemva kokudla. Uma uzwa ubuhlungu besisu, kungcono ukuyithatha kanye nokudla.
- Thatha umthamo oqondile njengoba udokotela wakho ewushilo. Ungathathi ngaphezu kwenani elibekiwe.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
Udokotela wakho uzokunikeza incwajana yolwazi ekhethekile (i-MedGuide) ngalo muthi. Sicela uwufunde ngokucophelela uma uwuthola.
Yini okufanele uyenze uma umthamo ukhuphuka?
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, iya e-Emergency Unit (ETU) yesibhedlela ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Akuyona into enhle ukweqa imithamo yalo muthi. Uma wenza kanjalo, khuluma nodokotela wakho ukuze akunike iseluleko ngalokho okufanele ukwenze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
I-Cladribine umuthi ongasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (imithi enqunywe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini).
| Ukusebenzisana neCladribine | |
|---|---|
| Ungathathi nalokhu nhlobo: | |
| Imithi yokugomela igciwane ephilayo | Isibonelo: Isimungumungwane, ukhunta, i-rubella (MMR), umuthi wokugomela i-chickenpox. |
| Kungase kwenzeke nokusabela ngalezi zinto (funa iseluleko sezokwelapha): | |
| Amaphilisi okuvimbela inzalo | Amanye ama-antiviral anikezwa i-HIV noma i-hepatitis |
| Eminye imithi ecindezela amasosha omzimba | Izinhlobo zama-steroid (i-Prednisone, i-Cortisone) |
| I-Rifampicin (umuthi wesifo sofuba) | I-St. John's Wort (umkhiqizo wezitshalo) |
| I-Cyclosporine, i-Curcumin | Neminye imithi eminingi... |
Okubalulekile: Lolu akulona uhlu oluphelele, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
Udinga ukuqaphela impilo yakho kancane ngenkathi uthatha lo muthi.
Ingozi yokuthola izifo
I-Cladribine ingabuthakathaza kancane amasosha omzimba wakho. Lokhu kusho ukuthi unamathuba amaningi okuthola izifo kalula. Ngakho-ke uma unezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela , ungaziphilisi futhi ukhulume nodokotela wakho. Zama ukuhlala kude nabantu abagulayo.
Ingozi yokutheleleka okukhulu okuthinta ubuchopho
Akuvamile kakhulu, ezinye iziguli zingaba nokutheleleka okukhulu kobuchopho (PML - Progressive Multifocal Leukoencephalopathy) ngenxa yalo muthi. Lokhu kungaba yingozi empilweni. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu ezifana nokushintsha kombono, ubunzima bokucabanga, ukukhuluma okungacacile, ubunzima bokuhamba noma ukuma, noma ukulahlekelwa ibhalansi, tshela udokotela wakho ngokushesha. Uma ungakwazi ukumfinyelela, funa olunye usizo lwezokwelapha ngokushesha.
Qaphela ngemithi yokugoma.
Lo muthi ungenza umzimba wakho ungasabeli kahle emigomeni. Uma udinga ukuthola noma yimiphi imigomo, tshela udokotela wakho ukuthi uthatha i-cladribine.
Iseluleko esikhethekile mayelana nokukhulelwa nokuba nezingane
Lokhu kubaluleke kakhulu.
- Abesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga eziyisithupha ngemva kokuyeka umuthi.
- Amadoda: Uma uthatha lo muthi, gwema ukuba nguyise wengane ngenkathi uthatha umuthi futhi izinyanga eziyisithupha ngemva kokuyeka.
Lokhu kungenxa yokuthi lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Cela udokotela wakho ulwazi olwengeziwe ngalokhu.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-cladribine ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izici zesimiso sezinzwa | Ukushintsha kwamehlo, ukudideka, ukulahlekelwa yinkumbulo, ukulahlekelwa yibhalansi. |
| Izimpawu zokutheleleka | Umkhuhlane noma ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi omnyama noma onsundu, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukuphelelwa yisifiso sokudla, isicanucanu. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Ukuhlungu obusemhlane |
| Isicanucanu | Ubuhlungu bamalunga |
| Ukulahlekelwa izinwele | Ukungalali |
Umlayezo Wokuya Nawe Ekhaya
- I-Cladribine iyisidakamizwa esilawula ukukhushulwa kwe-MS, kodwa akuyona ikhambi.
- Tshela udokotela wakho ngayo yonke imininingwane yakho yezempilo kanye nayo yonke eminye imithi oyiphuzayo.
- Ngesikhathi uthatha lo muthi, qaphela kakhulu izimpawu zokutheleleka njengomkhuhlane nokukhwehlela. Uma unezimpawu, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa ngenkathi uthatha imithi kanye nezinyanga eziyisithupha ngemva kokuyeka. Lesi seluleko sisebenza kokubili kwabesifazane nabesilisa.
- Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho. Uma unemibuzo, khuluma nodokotela wakho.
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