I-Gout yisimo esingasongela impilo futhi esingabangela ubuhlungu obungabekezeleleki, ukuvuvukala, kanye nokubomvu emalungeni, ikakhulukazi uzwane olukhulu. Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Colchicine ukulawula lobu buhlungu noma ukuvimbela ukuthi buphinde buvele? Ngakho-ke, namuhla sizokhuluma nje ngendlela yokusebenzisa lo muthi, ukuthi ungenzani, nokuthi yini okufanele uyiqaphele.
Kuyini i-Colchicine?
Kalula nje, i-colchicine umuthi osetshenziselwa ukuvimbela ukuqubuka kwe-gout. Ngezinye izikhathi isetshenziswa ukulawula ukuhlaselwa yi-gout uma isiqalile.
Yilokhu okwenzekayo. Lapho umzimba wethu wakha ikhemikhali ebizwa ngokuthi i-uric acid, amakristalu ayo ahlala emalungeni ethu. Yilokhu okubangela ukuvuvukala, ukuvuvukala, kanye nobuhlungu obukhulu emalungeni. I-Colchicine isebenza ngokunciphisa lokho kuvuvukala nokunciphisa ukubekwa kwamakristalu e-uric acid emalungeni. Ilawula izimpawu ze-gout.
Into ebalulekile ukuthi, lokhu akuyona imithi yokuqeda izinhlungu. Kulawula ukuvuvukala okuqondene ne-gout.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ukuze uphephe, kubaluleke kakhulu ukuxoxa ngalezi zinto ngokucacile nodokotela wakho ngaphambi kokuba uqale ukusebenzisa i-colchicine.
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma wake waba nokusabela kokungezwani komzimba ne-colchicine noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe , noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha nokuthi uwunikeza kanjani.
Ngiyisebenzisa kanjani ngempela le mithi?
Khumbula la maphuzu uma usebenzisa lo muthi.
- Thatha lo muthi nengilazi yamanzi .
- Thatha umuthi njengoba nje udokotela wakho ekuyalile, ngenani eliyalelwe . Ungalokothi wandise noma wehlise umthamo ngendlela obona ngayo.
- Ungakuthatha lokhu ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu noma isilungulela ngemva kokuthatha umuthi, thatha kanye nokudla.
- Uma uneminyaka engaphezu kwengu-65 ubudala, imiphumela yomuthi ingaba mikhulu kancane. Ngakho-ke, udokotela wakho angakunikeza umthamo ophansi. Landela imiyalelo kahle.
- Lomuthi ungowakho wedwa . Ungalokothi unike omunye umuntu umuthi owunikezwe wona, noma ngabe unezimpawu ezifanayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi uthathe okungaphezu kwalokho okucabangayo, iya esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Ungakuthathi kalula lokhu, njengoba ukuthatha i-colchicine eningi kungaba yingozi kakhulu.
Ezinye izinto ezingase zihlangane ne-colchicine (Ukusebenzisana)
I-Colchicine umuthi ongasebenzisana neminye imithi kanye nokudla okuthile. Ngakho-ke, uma uthatha lo muthi, kufanele uqaphele kakhulu ngezinto ezilandelayo.
| Izinto ezingase zihlangane ne-colchicine | |
|---|---|
| Izinto okungafanele zithathwe ndawonye | |
| Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis | Lokhu kungandisa amazinga e-colchicine emzimbeni abe amazinga ayingozi. |
| Izinto okufanele uzisebenzise ngokucophelela futhi wazise udokotela ngazo | |
| Ijusi le-Grapefruit noma i-grapefruit | Lokhu kungandisa ngokungadingekile imiphumela ye-colchicine. |
| Amanye ama-antibiotic | Isibonelo: i-Erythromycin, i-Clarithromycin |
| Eminye imithi yokwehlisa i-cholesterol | Isibonelo: Ama-statin afana ne-Atorvastatin ne-Simvastatin |
| Imithi yokulwa nesikhunta | Isibonelo, i-Ketoconazole, i-Itraconazole |
| Eminye imithi yesifo senhliziyo kanye nomfutho wegazi ophezulu | Yazisa udokotela wakho ngalokhu. |
| I-Cyclosporine | Umuthi olawula amasosha omzimba. |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo) . Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Imiphumela emibi engase ivele lapho uthatha umuthi
Njenganoma yimuphi umuthi, i-colchicine ingabangela imiphumela emibi. Eminye mincane, kodwa eminye idinga ukunakekelwa okusheshayo.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukulimala kwemisipha | Ubuthakathaka obungavamile, ubuhlungu bemisipha, umchamo ophuzi omnyama noma onsundu. |
| Ukopha noma ukuklwebheka okungavamile | Ukopha okungayeki ngisho nasenxebeni elincane, kanye namabala aluhlaza okwesibhakabhaka avela esikhumbeni. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi. |
| Izinkinga zemizwa | Ukuba ndikindiki, ubuhlungu, noma ukulahlekelwa umuzwa ezithweni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ubuhlungu besisu, isicanucanu, ukuhlanza, isifo sohudo (isifo sohudo). |
Ezinye izinto okufanele uzicabangele
- I-Vitamin B12: Ukusetshenziswa isikhathi eside kwe-colchicine kunganciphisa ukumuncwa kwe-vitamin B12 emzimbeni. Ngakho-ke, khuluma nodokotela wakho ngokudla ukudla okucebile nge-vitamin B12 (inhlanzi, inyama, ubisi) kanye nokuthatha isithasiselo se-vitamin uma kudingeka.
- Ukuhlolwa okuvamile: Iya emitholampilo ngezikhathi ezithile njengoba kunqunywe udokotela wakho bese uhlola isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Colchicine umuthi olawula ukuvuvukala kwe-gout, hhayi umuthi wokuqeda izinhlungu ojwayelekile.
- Landela njalo umthamo kanye nemiyalelo ebekwe udokotela wakho. Ungalokothi ushintshe umthamo wena ngokwakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi i-cholesterol, ama-antibiotic, kanye nemithi yokukhunta.
- Gwema ukuphuza amagilebhisi noma ijusi lamagilebhisi ngenkathi uthatha lo muthi.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu bemisipha, ukuklwebheka okungajwayelekile, noma umkhuhlane, funa iseluleko sezokwelapha ngokushesha.
- Gcina lo muthi endaweni ephephile, kude nokukhanya nomswakama, kude nezingane nezilwane ezifuywayo.
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