Kwabaningi, igama elithi gout lifika engqondweni uma kukhulunywa ngobuhlungu bamadolo namaqakala, akunjalo? Mhlawumbe udokotela wakho ubhale umuthi obizwa ngokuthi i-Colchicine ukusiza ngalezi zinhlungu ezingabekezeleleki noma ukuvimbela ukuthi zingabuyi. Uma uthola lo muthi, imibuzo eminingi efana nokuthi, "Kuzokwenzekani ngalokhu? Yini okufanele ngikhathazeke ngayo?" mhlawumbe ifika engqondweni yakho. Ngakho ungakhathazeki, namuhla sizoxoxa ngokuthi lo muthi uyini, ukuthi usetshenziswa kanjani, nokuthi yiziphi izinto okufanele uzikhathazeke ngazo.
Iyini i-Colchicine? Isebenza kanjani?
Kalula nje, i-colchicine umuthi osetshenziselwa ukulawula ubuhlungu nokuvuvukala kwamalunga okubangelwa yi-gout nokuvimbela ukuphinda kwe-gout. Ku-gout, ikhemikhali ebizwa ngokuthi i-uric acid, ekhiqizwa emzimbeni wethu, ifakwa emalungeni, yakhe amakristalu afana nameva, okubangela ubuhlungu obukhulu nokuvuvukala. Ngakho-ke lokho okwenziwa yilo muthi we-colchicine ukunciphisa lokho kuvuvukala nokunciphisa ukunqwabelana kwamakristalu e-uric acid emalungeni.
Ngaphezu kwalokho, lo muthi usetshenziselwa ukwelapha izifo ezingavamile zofuzo njenge-Familial Mediterranean Fever (FMF).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike i-Colchicine, kubalulekile ukuthi azi umlando wakho wezempilo ophelele. Kufanele utshele udokotela wakho ikakhulukazi uma unezinye zezimo ezilandelayo:
- Isifo sezinso : Uma unesifo sezinso .
- Isifo sesibindi: Uma kunenkinga yokusebenza kwesibindi.
- Ukungezwani komzimba: Uma wake waba nokungezwani komzimba ne-Colchicine noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa: Uma ukhulelwe noma ulindele umntwana maduze.
- Uma ungumama oncelisayo: Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma umthamo ofanele kakhulu kuwe.
Umuthi kufanele usetshenziswe ngendlela efanele.
Ukuze umuthi usebenze kahle, kubalulekile ukuwusebenzisa ngendlela efanele.
- Phuza leli philisi ngomlomo nengilazi yamanzi .
- Thatha umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ungalokothi uthathe okungaphezu kwalokho okuyalelwe.
- Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuwuthatha kanye nokudla.
- Abantu abangaphezu kweminyaka engama-65 bangadinga umthamo ophansi. Futhi, yize lo muthi unikezwa izingane ezingaphezu kweminyaka emi-4 kwezinye izimo ezikhethekile, kufanele kuthathwe ukunakekelwa okukhethekile. Konke lokhu kuzonqunywa udokotela wakho.
Khumbula, lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Uma usola ngisho nokuncane ukuthi uphuze umuthi omningi kunalokho okucabangayo, ungazindeli. Shayela ngokushesha iNational Poison Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo?
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. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Eminye imithi okungafanele isetshenziswe ne-Colchicine
I-Colchicine umuthi ongasebenzisana neminye imithi. Ngakho-ke, yazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, namavithamini.
I-Colchicine ingasebenzisana, ikakhulukazi ngalokhu okulandelayo:
- Eminye imithi yokulwa namagciwane ye-HIV noma i-Hepatitis
- Amanye ama-antibiotic, njenge-Erythromycin noma i-Clarithromycin
- Eminye imithi yokwelapha umfutho wegazi ophakeme kanye nesifo senhliziyo
- Imithi yokwehlisa i-cholesterol efana ne-Atorvastatin, i-Lovastatin, ne-Simvastatin
- Imithi efana neKetoconazole ne-Itraconazole, esetshenziselwa ukwelapha izifo zesikhunta
- Isidakamizwa i-Cyclosporine
- Ijusi le-Grapefruit noma i-grapefruit
Isibonelo, uma uthatha imithi ye-cholesterol, indlela esebenza ngayo imithi ingashintsha ngale Colchicine. Yingakho kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, i-Colchicine ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile. Into ebalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, ubuhlungu lapho uchama. |
| Ukulimala kwemisipha | Ubuthakathaka obungavamile, ubuhlungu bemisipha, umchamo ophuzi omnyama noma onsundu. |
| Ukopha okungavamile | Amabala aluhlaza okwesibhakabhaka esikhumbeni, ukuphuma kwegazi ngezikhathi ezithile. |
| Ukuba ndikindiki ezithweni zomzimba | Ubuhlungu, ukungazweli, noma ukuqaqamba ezandleni noma ezinyaweni. |
| Ngokuvamile akuyona into embi kangako (kodwa yazisa udokotela wakho uma iqhubeka) | |
| Ukungakhululeki kwesisu | Uhudo, isicanucanu, nokuhlanza kuvamile ezinsukwini zokuqala. |
Ezinye izinto okufanele uzikhumbule lapho uthatha umuthi
- I-Vitamin B12: Ukuthatha i-colchicine isikhathi eside kunganciphisa amazinga akho e-vitamin B12. Ngakho-ke khuluma nodokotela wakho ngokudla kwakho kanye namavithamini owathathayo.
- Ingozi yokopha: Lo muthi ungandisa kancane ingozi yokopha noma ukuklwebheka. Ngakho-ke tshela udokotela wakho uma ubona noma yini engavamile.
- Ukuhlolwa okuvamile: Iya emitholampilo ngezikhathi ezihleliwe njengoba kunqunywe udokotela bese uhlola isimo sakho. Bika futhi uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu.
Ungayigcina kanjani imithi iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni eyomile, kude nokukhanya, endaweni efudumele (phakathi kuka-15-30 degrees Celsius).
- Gcina isivalo sebhodlela lemithi sivaliwe kahle.
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Colchicine iwumuthi obalulekile owelapha izifo ezifana ne-gout.
- Njalo thatha umuthi njengoba nje udokotela wakho ekuyalele. Ungalokothi uthathe ngaphezu komthamo onconywayo.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Uma uhlangabezana nemiphumela emibi kakhulu (umkhuhlane, ukuqubuka kwesikhumba, ukuphuma kwegazi okungavamile), funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuthatha amagilebhisi noma ijusi lamagilebhisi kanye nalomuthi.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Uma unenkinga mayelana nalo muthi, xoxa ngakho nodokotela wakho.
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