Ngezinye izikhathi, kunezifo lapho singakwazi ukulawula izitho zethu noma imisipha yobuso, futhi izinto ezinjalo zinyakaza ngokungazi. Cabanga nje, amehlo akho ayanyakaza, umlomo wakho uyanyakaza, noma izitho zakho ziyanyakaza ungazi. Izimo ezimbili ezinjalo yi-'Tardive Dyskinesia' kanye nesifo sika-'Huntington'. Ngakho-ke, umuthi okhethekile odokotela abawunikeza ukulawula ukunyakaza okungalawulwa okunjalo yi-'Deutetrabenazine'. Namuhla, sizoxoxa ngalomuthi ngokuningiliziwe.
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Iyini i-Deutetrabenazine?
Kalula nje, lo umuthi osiza ukulawula ukunyakaza okungazikhetheli, okungazikhetheli emzimbeni wakho. Lo muthi usetshenziswa kakhulu ezimweni ezimbili:
1. I-Tardive Dyskinesia: Lesi yisimo esivame ukwenzeka kubantu asebethathe imithi yezifo ezithile zengqondo isikhathi eside. Kulesi simo, izingxenye zomzimba ezifana nobuso, ulimi, izindebe, kanye nemilenze ziyanyakaza ngokungalawuleki.
2. Isifo sikaHuntington : Saziwa nangokuthi 'i-chorea kaHuntington', lesi yisimo sofuzo esithinta ubuchopho. Siphinde sibangele ukunyakaza okungalawuleki komzimba.
I-Deutetrabenazine isebenza ngokushintsha umsebenzi wamakhemikhali athile (ama-neurotransmitter) ebuchosheni, isiza ekunciphiseni lokhu kunyakaza okungafuneki. ESri Lanka, ungathola lo muthi ngaphansi kwegama lomkhiqizo i-Austedo.
Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?
Kubaluleke kakhulu ukuxoxa nodokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala lo muthi. Kufanele ukhulume ngokukhethekile nganoma yiziphi izimo ezilandelayo:
| Isimo sakho | Kungani kufanele utshele udokotela? |
|---|---|
| Ukuba nesifo senhliziyo noma iphethini yokushaya kwenhliziyo engavamile | Lo muthi ngezinye izikhathi ungathinta isigqi senhliziyo, ngakho-ke kungaba yingozi uma usuvele unesifo senhliziyo. |
| Izifo zesibindi | Njengoba isibindi sibalulekile enkambisweni yokukhipha imithi emzimbeni, umthamo wemithi kungadingeka ushintshwe uma unesifo sesibindi. |
| Ukuba nesifo sengqondo, ukucindezeleka, noma imicabango yokuzibulala | Lokhu kubaluleke kakhulu. Lo muthi ungashintsha isimo sengqondo sabanye abantu noma ubangele imicabango yokuzibulala. |
| Ukuba nomlando womdlavuza webele | Kubalulekile ukuqaphela lokhu, njengoba kungathinta amazinga athile ama-hormone. |
| Ukuzama ukukhulelwa, ukukhulelwa, noma ukuncelisa | Njengoba kungekho datha ephelele yokuthi lo muthi uzothinta yini ingane, kubalulekile ukuxoxa ngawo nodokotela wakho. |
| Ukungezwani neminye imithi, ukudla, noma izinto ezithile | Uma une-allergy ku-Deutetrabenazine, i-Tetrabenazine, noma yini enye, kubalulekile ukutshela udokotela wakho. |
Ngingawusebenzisa kanjani lo muthi?
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
- Thatha kanye nokudla: Lo muthi umuncwa kangcono ngumzimba uma uthathwa kanye nokudla.
- Gwinya ithebhulethi lonke: Gwinya ithebhulethi lonke ngengilazi yamanzi. Ungalokothi uliphule, ulichoboze, noma ulihlafune ithebhulethi. Ukwenza kanjalo kungashintsha indlela umuthi osebenza ngayo.
- Yithathe ngesikhathi: Yenza umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ungaphuzi imithamo eminingi kunalokho udokotela wakho akutshele kona.
- Ungayeki ngokuzumayo: Gwema ukuyeka lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela.
Okubalulekile:Ungathola incwajana yolwazi olukhethekile (MedGuide) evela ekhemisi uma unikezwa lo muthi. Lifunde ngokucophelela isikhathi ngasinye. Liqukethe ulwazi olubalulekile ngalo muthi.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, thatha isinyathelo ngokushesha. Shayela iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nomuthi (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. I-Deutetrabenazine ingasebenzisana neminye imithi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Imithi okungafanele ithathwe ne-Deutetrabenazine | |
|---|---|
| |
| Uhlobo lomuthi/into ethile | Okufanele ukunake ngokukhethekile |
| Utshwala | Ukozela kanye nesiyezi kunganda. |
| Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo | Ukozela nokushintshashintsha kwemizwelo kunganda. |
| Imithi yokungalali | Kungabangela ubuthongo obukhulu. |
| Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (ama-Antihistamine) | Lokhu kungandisa ukozela. |
| Eminye imithi ethinta izinga lokushaya kwenhliziyo (imithi yokwandisa isikhathi se-QT) | Kwandisa ingozi yezinguquko eziyingozi ekushayweni kwenhliziyo. |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-Deutetrabenazine ingabangela imiphumela emibi . Eminye mincane, kanti eminye idinga ukunakekelwa okusheshayo.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Izinguquko zengqondo | Ukucindezeleka okukhulu, ukukhungatheka ngokuphila, noma imicabango yokuzibulala . |
| Izinguquko ku-rhythm yenhliziyo | Ubuhlungu esifubeni, isiyezi, ubunzima bokuphefumula, uzizwa sengathi inhliziyo yakho ishaya ngokushesha. |
| I-Neuroleptic Malignant Syndrome (NMS) | Ukushisa okuphezulu kakhulu, ukujuluka okukhulu, ukuqina kwemisipha, ukudideka, kanye nokushaya kwenhliziyo okungajwayelekile. Lesi yisimo esiyingozi kakhulu. |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Okunye | Ukulahlekelwa yibhalansi yomzimba, ubunzima bokuhamba, ukungaphumuli, ukuthuthumela. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma ikhathaza | |
| Izinto ezivamile ezingenzeka | Ukozela, isiyezi, umlomo owomile, ukukhathala, ukungakwazi ukulala, indle ekhululekile noma ukuqunjelwa. |
Ezinye izinto okufanele uzicabangele lapho uthatha umuthi
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ukushintsha izikhundla: Ukuma noma ukuhlala ngokuzumayo kungabangela isiyezi nokuwa. Ngakho shintsha izikhundla kancane kancane.
- Umlomo owomile: Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
Umlayezo Wokuya Nawe Ekhaya
- I-'Deutetrabenazine' umuthi okufanele uthathwe ngaphansi kokuqondisa kukadokotela. Thatha umthamo onqunyiwe nangesikhathi esinqunyiwe njengoba kunqunywe udokotela.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Uma uhlangabezana nanoma yiziphi izinguquko zemizwa, izimpawu zokucindezeleka, noma imicabango yokuzibulala ngenkathi uthatha lo muthi, tshela udokotela wakho noma ilungu lomndeni ngokushesha.
- Njengoba umuthi ungabangela ukozela, gwema ukushayela kanye neminye imisebenzi edinga ukuqapha uze wazi ukuthi kukuthinta kanjani.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
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