Ingabe une-gout? Khona-ke cishe uyazi kahle kakhulu ngalobo buhlungu obungazelelwe, obukhulu, obuvuthayo, ukubomvu, kanye nokuvuvukala okwenzeka ozwaneni olukhulu noma kunoma yiliphi elinye ilunga. Ngezinye izikhathi lobu buhlungu bukhulu kangangokuthi ngisho nengubo yombhede ibuhlungu kakhulu ukuyithwala. Ngakho-ke, uma une-arthritis enamandla kangaka ye-gouty, umuthi onamandla odokotela abawusebenzisayo ukuze bawulawule ngokushesha ubizwa ngokuthi i-Colchicine. Kodwa lokhu kunikezwa njengephilisi, futhi kwezinye izimo, njengomjovo. Namuhla sikhuluma ngalo mjovo we-Colchicine.
Uyini ngempela lo muthi wokugomela i-Colchicine?
Kalula nje, i-Colchicine umuthi osetshenziselwa ukwelapha ubuhlungu obungazelelwe, obukhulu bamalunga kanye nokuvuvukala okubangelwa yi-gout. I-Gout yenzeka lapho ikhemikhali ebizwa ngokuthi i-uric acid inqwabelana emzimbeni futhi amakristalu ayo ehlala emalungeni. Lawa makristalu abangela ukuvuvukala emalungeni, okubangela ubuhlungu obukhulu. I-Colchicine isebenza ngokulawula umsebenzi wamaseli amhlophe egazi abangela lokhu kuvuvukala, inciphisa ngokushesha ubuhlungu nokuvuvukala.
Into ebaluleke kakhulu ukuthi lokhu akuyona imithi yokuqeda izinhlungu. Lona umuthi osebenza ngqo kwi-gout. Futhi awuvamile ukunikezwa ngenxa yobuhlungu bamalunga obubangelwa ezinye izimbangela.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokugonywa
Lokhu kubaluleke kakhulu. Ngenxa yokuthi i-colchicine iyisidakamizwa esinamandla, udokotela wakho udinga ukuba nesithombe esiphelele sempilo yakho. Uma unezinye zezimo ezilandelayo, tshela udokotela wakho ngaphandle kokufihla lutho .
| Isimo/inkinga yempilo | Incazelo |
|---|---|
| Izifo ezihlobene negazi | Izimo ezifana ne-anemia, umdlavuza njenge-leukemia noma i-lymphoma, kanye nama-platelet aphansi egazini. |
| Isifo sesibindi noma sezinso | Uma unesifo sesibindi noma sezinso. |
| Isifo senhliziyo | Qaphela noma yiluphi uhlobo lwesifo senhliziyo. |
| Izinkinga zesistimu yokugaya ukudla | Uma unezilonda esiswini noma ezinye izifo zamathumbu. |
| Ukungezwani komzimba | Uma une-allergy ku-colchicine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, lokhu kuyinto okufanele uyisho nakanjani . |
Lo muthi wokugoma unikezwa kanjani?
Lona akuyona imijovo ongayithatha uye nayo ekhaya. Umuthi wokugomela i-Colchicine unikezwa kuphela emthanjeni esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshiwe . Ngakho-ke, awunasibopho sawo.
Kufanele ukhulume nodokotela wezingane mayelana nokunikeza izingane lo muthi, njengoba kungase kudingeke ukunakekelwa okukhethekile.
Kuthiwani uma umthamo womuthi ukhuphuka?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi uphuze umuthi ngokweqile, kufanele uwubike ngokushesha e-National Poisons Information Centre e-Colombo National Hospital noma e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Akuwona wonke umuthi, amavithamini, noma imithi yamakhambi oyithathayo ezosebenzisana ne-colchicine. Eminye imithi ingaba nemiphumela emibi eyingozi uma ithathwa ne-colchicine.
Qaphela kakhulu: I-Colchicine akufanele isetshenziswe nemithi ethile, njenge-itraconazole, esetshenziselwa ukwelapha izifo zesikhunta.
Ngaphezu kwalokho, i-colchicine ingaxhumana nalokhu okulandelayo:
- Utshwala
- Eminye imithi yokwehlisa i-cholesterol (isib. i-atorvastatin)
- I-Cyclosporine
- I-Digoxin
- Ijusi le-Grapefruit noma i-grapefruit
- Amanye ama-antibiotic, njenge-clarithromycin ne-erythromycin
- Eminye imithi ye-HIV
- Eminye imithi yokwelapha umdlavuza
Lolu hlu aluphelele. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Tshela nodokotela wakho uma ubhema noma uphuza utshwala.
Ezinye izinto okufanele uzicabangele lapho uthatha umuthi
- Ukuqashwa kwezokwelapha: Uma unikezwa lo muthi, ithimba lezokwelapha lizoqapha isimo sakho ngokucophelela.
- Utshwala: Ukuphuza utshwala kungenza izinkinga zesisu zibe zimbi kakhulu kanye nobuhlungu be-gout, ngakho-ke gwema utshwala ngokuphelele ngenkathi uthatha lokwelashwa.
- Ukukhulelwa: Lo muthi ungabangela imiphumela emibi kakhulu kowesifazane okhulelwe noma enganeni yakhe engakazalwa. Ngakho-ke uma ukhulelwe noma uhlela ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- I-Vitamin B12: Ukusetshenziswa isikhathi eside kwe-colchicine kungabangela amazinga aphansi e-vitamin B12 emzimbeni. Ngakho-ke, khuluma nodokotela wakho ngokudla kwakho kanye nezinhlobo zamavithamini owathathayo, futhi uma kudingeka, thola iseluleko sokudla ukudla okwengeziwe okuqukethe i-vitamin B12 noma ukuthatha isithasiselo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-colchicine ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Bheka ithebula elingezansi.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Uma uhlangabezana nalezi zimpawu, yazisa udokotela wakho noma umhlengikazi ngokushesha. | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, umphimbo obuhlungu. |
| Ukopha | Ukopha okungajwayelekile kanye nokuphuka kwesikhumba, ngisho noma kubangelwa ukulimala okuncane. |
| Izinkinga zemizwa nemisipha | Ukuba ndikindiki ezithweni zomzimba, ubuthakathaka bemisipha. |
| Ezinye izimpawu ezinkulu | Ukuzizwa ukhathele ngendlela engavamile, ukuhlanza, ubuhlungu endaweni yokujova. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, ubuhlungu besisu, isicanucanu, ukulahlekelwa yisifiso sokudla. |
| Ezinye izici ezincane | Ukulahlekelwa izinwele, ubuhlungu bemisipha. |
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, sicela wazise udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Colchicine umuthi onamandla onikezwa esibhedlela kuphela ngenxa yobuhlungu obukhulu be-gout.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngokuphelele ngazo zonke izimo zezokwelapha onazo (ikakhulukazi isibindi, izinso, inhliziyo, kanye nezifo zegazi) kanye nayo yonke imithi oyithathayo.
- Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuqubuka kwesikhumba, umkhuhlane, ukopha noma ukuklwebheka okungavamile, noma ukungazweli ezithweni zakho.
- Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, kubalulekile ukuthi uxoxe ngalo muthi nodokotela wakho ngaphambi kokuwuthatha.
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