Ezinye izifo, isibonelo, abantu abanezifo ezifana ne-Thalassemia, kufanele banikeze igazi emzimbeni njalo. Uma sithola igazi isikhathi eside kanje, izinga lensimbi emzimbeni wethu lingakhuphuka ngokungadingekile. Lokhu sikubiza ngokuthi ukugcwala kwensimbi. Le nsimbi ekhulayo ingafakwa ezithweni ezibalulekile njengenhliziyo nesibindi sethu bese izilimaza. Ngakho-ke, umuthi okhethekile osetshenziswa odokotela ukususa le nsimbi eningi emzimbeni ubizwa ngokuthi i-Deferasirox. Ake sixoxe ngalokhu namuhla.
Iyini iDeferasirox? Yini ngempela eyenzayo?
Kalula nje, lo muthi obizwa ngokuthi i-Deferasirox usebenza njengomagnet. Unamathela ezinhlayiyeni zensimbi ezingadingeki, eziningi egazini lethu, uzibambe, futhi uzisize zisuswe emzimbeni. Le nqubo ibizwa ngokuthi i-Chelation kwezesayensi yezokwelapha. Lokhu kuvimbela umonakalo ongabangelwa yi-iron eningi ezithweni zethu ezibalulekile. Lo muthi ungaba ngaphansi kwamagama emikhiqizo afana ne-Jadenu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo:
- Uma unomdlavuza.
- Uma unenkinga yokubona kahle noma unezifo zamehlo.
- Uma unenkinga yokuzwa.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma unesimo esibangela ukwehla kwenani lamaseli amhlophe egazi, ama-platelet, noma amaseli abomvu egazini (inani eliphansi legazi).
- Uma une-allergy kulo muthi we-Deferasirox noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Umuthi kufanele usetshenziswe ngendlela efanele.
Kubaluleke kakhulu ukulandela imiyalelo eqondile yokusebenzisa lo muthi.
- Thatha esiswini esingenalutho: Lo muthi kufanele uthathwe esiswini esingenalutho . Okusho ukuthi, okungenani imizuzu engama-30 ngaphambi kokudla, noma amahora ama-2 ngemva kokudla.
- Yithathe ngesikhathi: Thatha umthamo onqunyiwe ngesikhathi onqunyiwe ngudokotela wakho. Ungathathi ngaphezu kwenani elinqunyiwe lezikhathi ngosuku.
- Ungayeki: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Uma kunikezwa izingane ezincane
Lo muthi unganikezwa izingane ezingaphezu kweminyaka engu-2 ezimweni ezithile ezikhethiwe. Kodwa-ke, lesi sinqumo sizokwenziwa udokotela wengane yakho. Ngakho-ke, uma unikeza ingane lo muthi, landela imiyalelo kadokotela ngqo.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
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.Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Ake sithi uphuze umuthi omningi ngesikhathi esingafanele. Uma lokho kwenzeka, ungesabi bese ushayela ucingo ngokushesha eNational Poison Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane ne-Deferasirox
Lo muthi ungase uhlangane neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Uhlobo lomuthi | Incazelo nezibonelo |
|---|---|
| Izinto okungafanele neze uzithathe ngalo muthi | |
| Izithako zensimbi | Ukuthatha lo muthi kuzosusa insimbi eningi emzimbeni, ngakho-ke ukuthatha amaphilisi ensimbi ngaphandle ngeke kusize. |
| Eminye imithi ye-Hepatitis C | Isb: Dasabuvir, Ombitasvir, Paritaprevir, Ritonavir |
| Eminye imithi engabangela ukusebenzisana (tshela udokotela wakho uma uyisebenzisa) | |
| Ama-antacid | Imithi ye-gastritis equkethe i-aluminium. |
| Ama-Painkiller (ama-NSAID) | Isibonelo: Imithi efana ne-Ibuprofen ne-Naproxen. |
| Amaphilisi okuvimbela inzalo | Lo muthi unganciphisa ukusebenza kahle kwamaphilisi okuvimbela inzalo. |
| Eminye imithi | Eminye imithi eminingi, njengemithi yokwehlisa i-cholesterol (i-Cholestyramine, i-Simvastatin), imithi yokuxhuzula (i-Phenobarbital), imithi yokunciphisa igazi (i-Warfarin), ama-steroids (i-Prednisone), i-Cyclosporine, i-Rifampin, njll. |
Nakekela umzimba wakho ngenkathi uthatha imithi.
Kubaluleke kakhulu ukunaka izinguquko emzimbeni wakho ngenkathi uthatha lo muthi.
Ukusabela Okubi Kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi. Uma uba nokuqubuka okubomvu okunomkhuhlane, ubuhlungu bomzimba, uma kuba nsomi futhi kuba namaqhubu, uma isikhumba siphuma, noma uma uba nokuqubuka okubomvu okunamaqhubu entanyeni noma emakhwapheni , bheka udokotela ngokushesha.
- Ukuhlolwa kwezokwelapha: Udokotela wakho uzohlola ukubona kwakho, ukuzwa, kanye negazi (ikakhulukazi ukusebenza kwezinso nesibindi) ngaphambi kokuba uqale ukuthatha lo muthi nangesikhathi uwuthatha. Ungaweqi lawa mavivinyo.
- Ukopha esiswini: Uma unendle emnyama, ephuzile, noma ukuhlanza okufana nekhofi, kungaba uphawu lokopha okuvela esilondeni esiswini noma emathunjini akho. Uma lokhu kwenzeka, tshela udokotela ngokushesha.
- Isiyezi: Lomuthi ungenza abanye abantu babe nesiyezi. Ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Qaphela lapho uvuka noma uhlala phansi ngokuzumayo.
- Ukuphelelwa amanzi emzimbeni ezinganeni: Uma ingane yakho inikezwa lo muthi futhi inesisu esibuhlungu kakhulu, ihlanza, noma ijuluka kakhulu, tshela udokotela wakho ngokushesha. Ukunikeza lo muthi kungaba yingozi uma umzimba ulahlekelwa amanzi amaningi (ukuphelelwa amanzi emzimbeni).
Imiphumela emibi engase ivele ngalo muthi
Njenganoma yimuphi umuthi, i-Deferasirox ingabangela imiphumela emibi. Eminye yayo iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama, ubuhlungu engxenyeni ephezulu kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukukhathala okukhulu. |
| Izimpawu zokulimala kwezinso | Ukwehla kokukhishwa komchamo, ubunzima bokuchama. |
| Izinguquko embonweni noma ekuzweni | Ukubona okufiphele, ukwehla kokuzwa. |
| Ukopha okungavamile | Ukuphuka okungadingekile kanye nokopha kwesikhumba. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza: | |
| Izinkinga zesistimu yokugaya ukudla | Ubuhlungu besisu, isifo sohudo, isicanucanu, ukuhlanza. |
| Ukungalali | Ubunzima bokulala. |
Umlayezo Wokuya Nawe Ekhaya
- I-Deferasirox umuthi onikezwa ukususa insimbi eningi emzimbeni. Kumele uthathwe njengoba nje udokotela emyalile, esiswini esingenalutho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi imithi yobuhlungu kanye nemithi yokunciphisa i-asidi, njengoba lo muthi ungase uhlangane neminye imithi.
- Uma uhlangabezana nezimpawu ezinkulu njengokuqubuka kwesikhumba, indle emnyama, noma ukuphuzi kwamehlo, bona udokotela ngokushesha.
- Ngesikhathi uthatha lo muthi, qiniseka ukuthi udokotela wakho unikeza ukuhlolwa kwegazi, amehlo, kanye nendlebe.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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