Ngezinye izikhathi uma uzwa ubuhlungu obukhulu bamalunga, i-asthma iba yimbi ngokuzumayo, noma ukungezwani komzimba okukhulu, udokotela ukutshela ukuthi umjovo, akunjalo? Umuthi ovame kakhulu futhi obaluleke kakhulu onikezwa ngezikhathi ezinjalo yi-dexamethasone. Nakuba lo umuthi uwusizo kakhulu, kubaluleke kakhulu ukwaziswa kahle ngawo. Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.
Iyini i-Dexamethasone?
Kalula nje, i-dexamethasone iwumjovo ongowesigaba semithi ebizwa ngokuthi ama-corticosteroids . Umsebenzi wayo oyinhloko ukunciphisa ukuvuvukala emzimbeni, okusho ukuvuvukala, ukubomvu, nobuhlungu. Yingakho odokotela besebenzisa lo muthi njengokwelapha izifo eziningi.
Nazi ezinye zezindlela ezivame kakhulu zokusebenzisa lo muthi:
- Lawula izimo zokuvuvukala esikhumbeni, emalungeni, emaphashini, nakwezinye izitho zomzimba.
- Uma i-asthma iba nkulu.
- Lawula ukungezwani komzimba okukhulu.
- Ngezifo zamalunga ezifana ne -arthritis .
- Ngezinye izinkinga zegazi.
- Ngezifo zezindlala ze-adrenal.
Udokotela wakho angase futhi akunike lo muthi kwezinye izimo ezingekho kulolu hlu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuba unikezwe umjovo we-dexamethasone, kubalulekile ukunikeza udokotela wakho incazelo ephelele yempilo yakho. Qiniseka ukuthi uyamtshela uma unezinye zezifo noma izimo ezilandelayo:
- Ukutheleleka kwamanje: Uma unezifo ezithathelwanayo njenge-chickenpox, isimungumungwane, i-herpes, noma isifo sofuba.
- Isifo Sikashukela: Lo muthi ungakhuphula amazinga kashukela egazini.
- Umfutho Wegazi Ophakeme noma Isifo Senhliziyo: Uma unesifo senhliziyo noma uke waba nokuhlaselwa yinhliziyo esikhathini esidlule.
- Isifo sezinso noma sesibindi: Uma unezinkinga ngokusebenza kwezinso noma kwesibindi.
- Izinkinga zesisu noma zamathumbu: Izimo ezifana nezilonda zesisu.
- Izinkinga zempilo yengqondo: Uma unezifo zengqondo ezifana nokucindezeleka.
- Ezinye izimo zezokwelapha: I-Glaucoma, i-osteoporosis (ukuncipha kwamathambo), i-myasthenia gravis (ubuthakathaka bemisipha), ukuxhuzula, noma izinkinga ze-thyroid.
- Ukungezwani komzimba:Uma une-allergy ku-dexamethasone noma kwamanye ama-corticosteroids, noma ku-lactose (ushukela wobisi), noma yimuphi omunye umuthi, noma yikuphi ukudla.
- Ukukhulelwa noma ukuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo.
Ukunikeza lolu lwazi ngokunembile kuzokwenza kube lula ngodokotela ukukwelapha ngokuphephile.
Uwuthatha kanjani lo muthi?
I-Dexamethasone iwumjovo ovame ukunikezwa uchwepheshe wezempilo (udokotela noma umhlengikazi) esibhedlela noma emtholampilo. Akuyona imithi ongayithatha uye nayo ekhaya uyijove.
Kuye ngesimo, lo mjovo unganikezwa ngenye yezindlela ezilandelayo:
- ibe yimisipha
- Kungene emthanjeni
- Ku-joint
- Kusilonda
Okubalulekile: Kudingeka ukunakekelwa okukhethekile lapho kunikezwa lo muthi ezinganeni. Ngakho-ke, uma lo muthi unikezwe ingane yakho, xoxa ngawo ngokucophelela nodokotela wezingane.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha, ngakho-ke amathuba okuba lokhu kwenzeke aphansi kakhulu. Kodwa-ke, uma usola ukuthi uphuze ngokweqile noma uhlangabezana nezimpawu ezinkulu zokungezwani komzimba, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho uma uthatha eminye imithi, njengoba eminye imithi ingasebenzisana ne-dexamethasone futhi ibangele imiphumela emibi noma ishintshe indlela imithi esebenza ngayo.
| Uhlobo lomuthi | Incazelo nezibonelo |
|---|---|
| Okungafanele kuthathwe | Imithi yokugomela igciwane ephilayo |
| Ama-Painkiller | I-aspirin kanye nezinye izidakamizwa zokunciphisa ubuhlungu ze-NSAID (isib. i-Ibuprofen, i-Naproxen) |
| Umuthi wesifo sikashukela | I-insulin namanye amaphilisi esifo sikashukela |
| Izinto zokunciphisa igazi | I-Warfarin |
| Imithi yokwelapha isithuthwane | I-Carbamazepine, i-Phenobarbital, i-Phenytoin |
| Ama-antibiotic kanye nemithi yokulwa namagciwane | I-Erythromycin, i-Ketoconazole, i-Rifampin |
| Okunye | I-Digoxin, Ama-Diuretics, Amaphilisi Okulawula Ukuzalwa, i-Thalidomide |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Amasosha omzimba wakho angase abe buthaka kancane ngenkathi uthatha lo muthi, ngakho-ke qaphela ngokukhethekile ukuze uzivikele ezifweni.
- Zivikele ezifweni: Funa iseluleko sezokwelapha ngokushesha uma uba nezimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu. Zama ukuhlala kude nabantu abagulayo.
- Nakekela amazinga kashukela egazini lakho: Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo. Buza udokotela wakho uma udinga ukwenza izinguquko ekudleni kwakho noma emithini yesifo sikashukela, uma kudingeka.
- Ukudla: Uma udokotela wakho ekutshela ukuthi wehlise usawoti ekudleni kwakho, landela leyo miyalelo.
- Ukuhlinzwa: Uma uzobe uhlinzwa noma uhlinzwa amazinyo esikhathini esizayo, tshela udokotela wakho noma udokotela ohlinzayo ukuthi uthathe i-dexamethasone ezinyangeni ezingu-12 ezedlule.
- I-ID Yezokwelapha: Uma usebenzisa ukwelashwa kwe-steroid isikhathi eside, kubalulekile ukugqoka ikhadi lezokwelapha noma isongo elichaza lokho.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-dexamethasone ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ingaba mibi kanti eminye ingaba mnene.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinkinga zesisu | Igazi esitulweni noma indle emnyama, ubuhlungu obukhulu besisu. |
| Izinguquko zengqondo | Ukungaphumuli, ukucasuka, ukukhathazeka okukhulu, imibono engekho. |
| Izimpawu zoshukela ophezulu egazini | Ukoma kakhulu kunokuvamile, indlala, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Ezinye izimpawu ezinkulu | Ukushintsha kombono, ubuhlungu bamehlo, ubuthakathaka bemisipha, ukuvuvukala kweqakala noma unyawo, amanxeba angapholi, ukuklwebheka okungavamile. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| |
Umlayezo Wokuya Nawe Ekhaya
- I-Dexamethasone umuthi onamandla we-corticosteroid osetshenziselwa ukulawula ukuvuvukala kanye nokungezwani komzimba emzimbeni.
- Ngaphambi kokuqala lokhu kwelashwa, kubalulekile ukuthi wazise udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke eminye imithi oyithathayo.
- Njengoba amasosha omzimba wakho engase abe buthaka ngenkathi uthatha lo muthi, qaphela ngokukhethekile ukuze uzivikele ezifweni. Funa iseluleko sezokwelapha ngokushesha uma uba nezimpawu ezifana nomkhuhlane.
- Njengoba lo muthi ungathinta amazinga kashukela egazini kanye nomfutho wegazi, qapha njalo njengoba udokotela wakho ekuqondisile.
- Ungalokothi uyeke ukwelashwa isikhathi eside ngama-steroid ngokuzumayo ngaphandle kweseluleko sikadokotela.
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