Isixazululo sokusetshenziswa ngokweqile kwe-iron: Okudingeka ukwazi ngamaphilisi e-Deferasirox!

Inani lensimbi emzimbeni wakho ngezinye izikhathi lingaba ngaphezu kwenani elidingekayo. Lokhu sikubiza ngokuthi insimbi eningi kakhulu. Uma lokhu kwenzeka, kungavela izinkinga ezahlukene zempilo. Ngakho-ke, omunye wemithi ebalulekile enqunywe odokotela ezimweni ezinjalo 'yi-Deferasirox'. Namuhla, sizokhuluma ngalo muthi, ukuthi ungawusebenzisa kanjani, imiphumela emibi, nezinto okufanele uziqaphele.

Uyini lo muthi obizwa ngokuthi iDeferasirox?

Kalula nje, i-Deferasirox umuthi osiza ukususa insimbi eningi egazini lakho. Cabanga ngayo njengomagnet, kodwa idonsela insimbi kuphela. Igama lomkhiqizo elivame kakhulu lalo muthi yi-Exjade. Ungayithola futhi ngaphansi kwamanye amagama omkhiqizo.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Deferasirox, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo:

• Uma unomdlavuza.
• Uma unezinkinga zamehlo noma ukubona.
• Uma unezinkinga zokuzwa.
• Uma uke waba nomlando wezifo zegazi esikhathini esidlule.
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma ukuhlolwa kuthole ukuthi unamaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazini lakho (inani eliphansi legazi).
• Uma uke waba nokusabela kokungezwani komzimba kulo muthi obizwa ngokuthi 'i-Deferasirox', kunoma yimuphi omunye umuthi, ekudleni, kumadayi, noma kuma-preservatives.
• Uma ukhulelwe, "ukhulelwe", uma ulindele umntwana, "uzama ukukhulelwa".
• Uma ungumama oncelisayo.

Uma utshela udokotela wakho lezi zinto, angakwazi ukunquma ukuthi lo muthi ukulungele yini noma cha, nokuthi yiziphi izinyathelo zokuphepha okudingeka uzithathe.

Uyisebenzisa kanjani le mithi?

Kubaluleke kakhulu ukusebenzisa lo muthi ngendlela efanele.

• Leli iphilisi oliphuza ngomlomo. Lithathe njengoba nje kuqondiswe elebula likadokotela owalinikwa udokotela wakho.
• Into ebaluleke kakhulu ukuphuza lo muthi esiswini esingenalutho. Lokho kusho okungenani imizuzu engama-30 ngaphambi kokudla, noma amahora amabili ngemva kokudla. Ungalokothi uwuthathe lo muthi kanye nokudla.
• Zama ukuphuza umuthi cishe ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ungalondoloza ukusebenza okufanayo komuthi.
• Ungaphuzi kakhulu noma ngaphansi kwesilinganiso udokotela wakho akutshela sona.
• Ungayeki ukuthatha lo muthi ngokuzumayo, noma ngabe uzizwa ungcono, kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Ingabe lo muthi kufanele unikezwe izingane ezincane?

Lo muthi unganikezwa izingane ezineminyaka emibili ubudala ngenxa yezimo ezithile ezikhethiwe. Kodwa-ke, kufanele kuxoxwe ngawo nodokotela wezingane futhi kulandelwe ngokucophelela. Kunezinye izinto ezikhethekile okufanele uzicabangele lapho uwunikeza izingane.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi uphuze kakhulu lo muthi ngephutha, shayela isibhedlela esiseduze negumbi lezimo eziphuthumayo noma isikhungo sokulawula ubuthi ngokushesha. Noma uye esibhedlela ngokushesha.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungabelani ngalo muthi nanoma ubani omunye, noma ngabe izimpawu zakhe zifana nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi ungase uphuthelwe umthamo wemithi. Uma kunjalo:

• Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
• Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe.
• Ungathathi imithi emibili ngesikhathi esisodwa nganoma yisiphi isizathu. Ukwenza kanjalo kungabangela imiphumela emibi.

Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)

I-Deferasirox ingasebenzisana neminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho uma uthatha eminye imithi.

Ungasebenzisi i-Deferasirox kanye nale mithi:

• `dasabuvir; ombitasvir, paritaprevir; ritonavir` (lezi ziyinhlanganisela yemithi evame ukunikezwa izifo zesibindi ezifana ne-Hepatitis C)
• Izithasiselo zensimbi (cabanga: I-Deferasirox isusa insimbi eningi emzimbeni. Ngakho-ke uma uphuza amaphilisi ensimbi futhi, ngeke isebenze, akunjalo?)
• `ombitasvir; paritaprevir; ritonavir` (lokhu kuyafana nalokho okungenhla)

I-Deferasirox ingasebenzisana nemithi elandelayo:

Uma usebenzisa noma yimiphi imithi ebhalwe ngezansi, tshela udokotela wakho ngayo futhi :

• Ama-antacid okwelapha ukuvuvukala kwesisu kanye ne-gastritis
• Amaphilisi okuvimbela inzalo
• Eminye imithi yokwehlisa i-cholesterol (isib., `cholestyramine`, `colesevelam`, `colestipol`, `simvastatin`)
• Eminye imithi yokwelapha i-osteoporosis (isb. i-alendronate, i-risedronate)
• Eminye imithi esetshenziswa ukwelapha ukuxhuzula /ukuquleka (isb., i-phenobarbital, i-phenytoin)
• Imithi elawula ukujiya kwegazi (isib. `warfarin`)
• `i-conivaptan`
• `i-cyclosporine` (i-cyclosporine)
• Ama-NSAID ayiqembu lemithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala (isib. i-ibuprofen, i-naproxen)
• I-Paclitaxel (umuthi osetshenziselwa ukwelapha umdlavuza)
• `i-repaglinide` (umuthi wesifo sikashukela)
• `rifampin` (umuthi onikezwa izifo ezifana nesifo sofuba)
• `ritonavir` (i-ritonavir - umuthi osetshenziselwa ukwelapha igciwane lesandulela ngculazi)
• Imithi equkethe ama-steroid (isb. i-prednisone, i-cortisone)
• `theophylline` (umuthi osetshenziselwa ukwelapha izifo zokuphefumula ezifana ne-asthma)

Tshela udokotela wakho nganoma yimiphi eminye imithi, amakhambi, amavithamini, amakhambi, noma izithasiselo zokudla ozithathayo, noma ngabe azikho lapha. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Lokhu kungasebenzisana ne-Deferasirox.

Amaphuzu akhethekile okufanele uwaqaphele lapho uthatha umuthi

Kufanele uqaphele kakhulu ngalokhu okulandelayo lapho uthatha lo muthi:

• Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Ukusabela okukhulu kwesikhumba: Lo muthi ungabangela ukusabela okukhulu kwesikhumba kwabanye abantu. Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi. Funa usizo lwezokwelapha ngokushesha uma unezimpawu ezifana nomkhuhlane, ukubanda, ukuqubuka (ikakhulukazi obomvu noma onsomi) okuphenduka amabhamuza nokuqhekeka kamuva, noma ukuqubuka okubomvu okunokuvuvukala kobuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni .
• Ukuhlolwa: Udokotela wakho uzohlola njalo ukubona kwakho, ukuzwa, kanye namazinga e-iron egazini, kanye nokunye ukuhlolwa kwegazi, ngaphambi nangesikhathi sokuthatha lo muthi.
• Izimpawu zokopha kwangaphakathi: Uma unendle emnyama, ephuzile, noma ukuhlanza okufana nekhofi, kungaba yisilonda esophayo esiswini noma emathunjini akho. Uma lokhu kwenzeka, tshela udokotela wakho ngokushesha.
• Isiyezi: Lo muthi ungakwenza uzizwe unesiyezi noma ulele. Ngakho-ke, kufanele ugweme ukushayela, ukusebenzisa imishini esindayo, noma ukwenza noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Gwema ukuvuka endaweni yokuhlala noma yokuma ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesiyezi.
• Ukuphelelwa amanzi emzimbeni ezinganeni: Uma ingane yakho iphuza lo muthi futhi inesifo sohudo esiqhubekayo, ukuhlanza, isicanucanu, noma ukujuluka ngokweqile, tshela udokotela wakho. Lokhu kungenxa yokuthi kungaba yingozi ukuthatha lo muthi uma kulahleka amanzi amaningi nosawoti emzimbeni (ukuphelelwa amanzi emzimbeni).

Imiphumela emibi engase ivele ngenxa yalo muthi

Njenganoma yimuphi umuthi, i-Deferasirox ingabangela imiphumela emibi.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula.
• Izinguquko embonweni (isib. ukubona okufiphele).
• Ukulahlekelwa ukuzwa noma ukukhala ezindlebeni.
• Umkhuhlane, ukubanda, kanye nomphimbo obuhlungu.
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukubomvu kwesikhumba, ukuqubuka, kanye nokuxebuka kwesikhumba (kungenzeka ngisho nangaphakathi emlonyeni).
• Izimpawu zokopha: Indle emnyama noma enegazi; ukuhlanza into ensundu efana nekhofi.
• Izimpawu zokulimala kwesibindi: Umchamo ophuzi noma onsundu omnyama; umkhuhlane noma indle ekhanyayo; ukuphelelwa yisifiso sokudla; ​​isicanucanu; ubuhlungu engxenyeni engenhla kwesokudla yesisu; ubuthakathaka noma ukukhathala okungavamile; ukuphuzi kwamehlo noma isikhumba.
• Ubunzima bokuchama noma ushintsho enanini lomchamo.
• Ukopha noma ukuklwebheka okungajwayelekile.

Izimpawu ezivame ukungadingi iseluleko sezokwelapha (kodwa tshela udokotela wakho uma ziqhubeka noma zikhathaza):

• Uhudo
• Isicanucanu, ukuhlanza
• Ubuhlungu besisu
• Inkinga yokulala

Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, buza udokotela wakho ngazo futhi.

Uwugcina kanjani umuthi?

• Gcina lo muthi endaweni ephakeme kakhulu lapho izingane zingawufinyeleli khona .
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30; phakathi kwama-degree Fahrenheit angu-59 no-86). Ungabeki endaweni eshisayo noma emanzini amaningi.
• Ungayisebenzisi imithi esidlulile usuku lokuphelelwa yisikhathi olubhalwe ephaketheni lemithi. Yilahle ngendlela efanele.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Ngakho-ke, i-'Deferasirox' umuthi obaluleke kakhulu osiza ukulawula i-iron eningi emzimbeni wakho.

Kodwa qiniseka ukuthi ukhumbula lezi zinto:

* Kubalulekile ukuthatha umuthi njengoba nje udokotela esho, ngenani elifanele, ngesikhathi esifanele.

* Ungakhohlwa ukutshela udokotela wakho nganoma yimiphi eminye imithi oyiphuzayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.

* Hlala uqaphele imiphumela emibi. Uma ubona noma yini engavamile, bona udokotela wakho ngokushesha.

* Lesi sihloko singase sikunike umbono ngalo muthi, kodwa akuyona incazelo ephelele. Uma uneminye imibuzo, sicela ubuze udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Ngikufisela impilo enhle!

I- Deferasirox, i-deferasirox, ukugcwala kwensimbi, imiphumela emibi, i-Exjade, ukugcwala kwensimbi, imiphumela emibi, umuthi