Ngezinye izikhathi ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi imithi yokubulala izinhlungu evamile ayikwazi ukubulawula nhlobo. Cabanga nje ukuthi kunzima kangakanani ukuphila nobuhlungu besikhathi eside, obungapheli ngemva kokuhlinzwa okuthile, ezimweni ezifana nomdlavuza, noma ngezinye izizathu. Ezimweni ezinjalo, lapho yonke eminye imithi yehlulekile noma umzimba ungakwazi ukubekezelela, namuhla sikhuluma ngomuthi okhethekile, onamandla osetshenziswa odokotela. Lowo ngumjovo we-Clonidine.
Kalula nje, iyini i-clonidine?
I-Clonidine umuthi okhethekile osetshenziselwa ukulawula ubuhlungu obukhulu. Isebenza ngokuvimbela izimpawu zobuhlungu ebuchosheni bethu. Ngokuqondile, ilawula ukusebenza kwesimiso sezinzwa esizwela ubuhlungu, inciphise umuzwa wobuhlungu.
Into ebaluleke kakhulu ukuthi lo muthi awuthengwa ekhemisi elivamile futhi usetshenziswe ekhaya. Unikezwa kuphela esibhedlela noma emtholampilo, ngaphansi kokubhekwa okuqinile kodokotela abangochwepheshe.
Uyisebenzisa kanjani le mithi?
Lokhu akuyona injekthi evame ukunikezwa engalweni. I-Clonidine ivame ukunikezwa ngqo esikhaleni esizungeze umgogodla (ukufakwa emgogodleni). Le ndlela ibizwa ngokuthi i-epidural infusion. Ngenxa yalokhu, kufakwa ipayipi elincane (i-catheter) endaweni yomgogodla, bese umuthi ufakwa kancane kancane emzimbeni ngawo. Lonke lolu hlelo lwenzeka esibhedlela, ngenkathi uqashwe njalo.
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni. Ngakho-ke, uma ingane yakho inikezwe lo muthi, khuluma nodokotela wakho ngokucophelela ngakho futhi uqiniseke ukuthi uqonda konke ngokucacile.
Yini okufanele uyenze uma uphuza ngokweqile?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi uthole umuthi omningi kakhulu, kubalulekile ukwazisa ngokushesha iNational Poisons Information Centre eColombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuthi uqale ukwelashwa nge-clonidine, kubalulekile ukutshela udokotela wakho lolu lwazi, njengoba lubaluleke kakhulu empumelelweni yokwelashwa kanye nokuphepha kwakho.
| Isimo okufanele sibikwe | Kungani lokho kubalulekile? |
|---|---|
| Isifo senhliziyo noma isifo semithambo yegazi | I-Clonidine inganciphisa umfutho wegazi kanye nokushaya kwenhliziyo, ngakho-ke uma usuvele unesifo senhliziyo, udokotela wakho kufanele akuqaphele lokhu. |
| Isifo sezinso | Izinso ziyindlela yomzimba yokuqeda imithi. Uma izinso zakho zingasebenzi kahle, umthamo wakho ungadinga ukulungiswa. |
| Uma usanda kuba nokuhlaselwa yinhliziyo noma isifo sohlangothi | Njengoba ukuzinza kwenhliziyo kanye nohlelo lokujikeleza kwegazi kubalulekile ezimweni ezinjalo, kubalulekile ukwazi ngalokhu. |
| Ukungezwani komzimba ne-clonidine noma eminye imithi, ukudla, noma udayi | Uma wake waba nokungezwani komzimba nento ethile esikhathini esidlule, ukukhuluma ngayo kungasiza ekuvimbeleni ukusabela okukhulu kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Lo muthi ungathinta ingane engakazalwa noma ingane encelayo, ngakho qiniseka ukuthi uxoxa ngalokhu nodokotela wakho. |
| Ukutheleleka endaweni yokujova | Uma kukhona ukutheleleka kwesikhumba endaweni yangemuva, i-catheter ayikwazi ukufakwa lapho. |
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi), njengoba eminye imithi ingasebenzisana ne-clonidine futhi ibangele imiphumela engafuneki.
Ikakhulukazi, imithi yokucindezeleka engaphansi kwesigaba sama-MAOI (i-Monoamine Oxidase Inhibitors) (isib. i-Carbex, i-Eldepryl, i-Marplan) akufanele isetshenziswe kanye nalo muthi.
Ngaphezu kwalokho, imithi elandelayo ingasebenzisana ne-clonidine:
- Imithi yohlobo lwe-barbiturate esetshenziselwa ukulala noma isithuthwane.
- Imithi ethile yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, noma ukushaya kwenhliziyo okungajwayelekile.
- Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo.
- Amanye amaphilisi okudambisa izinhlungu anamandla anikezwe udokotela.
Uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, qiniseka ukuthi utshela udokotela wakho ngakho.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Uzohlala uqashwe ngabasebenzi bezokwelapha ngenkathi uthola lokhu kwelashwa, kodwa kubalulekile ukuthi uqaphele lezi zinto.
- Ukozela kanye nesiyezi: Ungase uzizwe ulele, unesiyezi, noma unekhanda elibuhlungu . Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Gwema ukuvuka ngokushesha kakhulu: Ungavuki endaweni yokuhlala noma embhedeni ngokuzumayo. Ikakhulukazi uma usukhulile, vuka kancane. Lokhu kunciphisa ingozi yokuba nesiyezi nokuwa.
- Gwema utshwala: Ukuphuza utshwala kungakwenza uzizwe ulele kakhulu futhi unesiyezi. Ngakho-ke, gwema utshwala ngokuphelele ngesikhathi sokwelashwa.
- Umlomo owomile: Umlomo owomile uvamile. Lokhu kungalawulwa ngokuhlafuna i-gum engenashukela, i-chewing gum, noma ukuphuza amanzi. Uma lesi simo siqhubeka noma siba sibi kakhulu, yazisa umhlinzeki wakho wezempilo.
- Indawo ye-catheter: Uma unobuhlungu, ubomvu, noma ukuvuvukala lapho i-catheter yakho ye-epidural ifakwe khona emhlane wakho, tshela udokotela wakho noma umhlengikazi ngokushesha okukhulu.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-clonidine ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzizwa unesizungu, ukuquleka, ikhanda elibuhlungu, ubunzima bokuphefumula, ukuzizwa ukhathele ngendlela engavamile. |
| Ushintsho esimweni sengqondo | Ukucindezeleka noma ukukhathazeka. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuqunjelwa | Ubunzima bokuya endlini yangasese. |
| Isiyezi | Ukuzizwa unesizungu. |
| Ukozela | Ukulala njalo. |
| Umlomo owomile | Ukuzwa sengathi amathe anamathele emlonyeni. |
Umlayezo Wokuya Nawe Ekhaya
- I-Clonidine umuthi okhethekile onikezwa esibhedlela kuphela ngenxa yobuhlungu obukhulu obungenakulawulwa ngama-painkiller avamile.
- Lokhu kunikezwa ngokufakwa komgogodla , ngaphansi kokuqondisa kukadokotela.
- Ngaphambi kokuqala ukwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Gwema imisebenzi edinga ukuqapha, njengoba ukozela kanye nesiyezi kungase kwenzeke ngesikhathi sokwelashwa.
- Uma uhlangabezana nemiphumela emibi kakhulu efana nokusabela kokungezwani komzimba noma ukwehla kwenhliziyo, funa iseluleko sezokwelapha ngokushesha.
- Uma unenkinga ngalo muthi, ungalokothi unqikaze ukuxoxa ngawo nodokotela wakho.
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