Siyazi ukuthi kunzima kangakanani ukuphila nesifo sezinso. Phakathi kwabo, ikakhulukazi kulabo abahlinzwa nge-hemodialysis ngenxa yesifo sezinso esingamahlalakhona, inkinga enkulu necasulayo kakhulu yilokhu kuluma. Ngezinye izikhathi lokhu kuluma kuba khona usuku lonke, awukwazi ukulala ebusuku, futhi uyaklwebha kuze kube yilapho umzimba wakho umbozwe yiso. Lokhu kungaba yisimo esisongela impilo. Ngakho-ke, namuhla sikhuluma ngomjovo omusha osetshenziswa ukwelapha lokhu kuluma okungabekezeleleki. Igama lalo muthi yi -Difelikefalin (Die-feli-kefa-lin). Uyatholakala emakethe ngaphansi kwegama elithi Korsuva .
Uyini lo muthi wokugomela obizwa ngokuthi i-Difelikefalin?
Kalula nje, lo umjovo okhethekile onikezwa ukulawula ukusha kwesikhumba okuphakathi kuya kokubi kakhulu ezigulini ezihlinzwa nge-hemodialysis ngenxa yesifo sezinso sesikhathi eside. Lona akuwona umuthi wokusha kwesikhumba okuvamile. Kusebenza ngendlela eyinkimbinkimbi kakhulu. Kunezindlela ezithile ze-neural emzimbeni wethu ezibangela ukusha kwesikhumba. Lokho okwenziwa yilo mjovo ukuqondisa lezo zindlela ze-neural nokulawula umuzwa wokusha kwesikhumba oya ebuchosheni. Ngakho-ke akufani nomuthi owunikezayo we-allergies ejwayelekile, usebenza ngendlela ehlukile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale lokhu kwelashwa, kufanele nakanjani uxoxe ngalezi zinto nodokotela wakho. Ungafihli lutho, ngoba kubaluleke kakhulu ekuphepheni kwakho.
- Uma unezinye izifo: Ikakhulukazi uma unesifo sesibindi , kufanele ukhulume ngaso nakanjani.
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergies, hhayi nje kulo muthi wokugomela i-Difelikefalin, kodwa nanoma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
- Ukukhulelwa: Uma ukhulelwe noma uzama ukukhulelwa , qiniseka ukuthi utshela udokotela wakho.
- Ukuncelisa: Uma ungumama oncelisa ingane yakho , kufanele futhi wazise udokotela wakho ngalokhu.
Lo muthi wokugoma usetshenziswa kanjani?
Lona akuwona umuthi ongawuthatha ekhaya bese uwuzama wedwa.
Lo mjovo unikezwa esibhedlela noma emtholampilo kuphela nguchwepheshe wezokwelapha oqeqeshiwe. Uphinde unikezwe njengomjovo womjovo ngemithambo yegazi.
Esikhathini esiningi, uzonikezwa lo mjovo ekupheleni kweseshini yakho ye-dialysis. Ngakho-ke akudingeki uze esibhedlela ngokwehlukana. Kubaluleke kakhulu ukuya kuma-aphoyintimenti akho e-dialysis ngesikhathi. Uma ngesizathu esithile ungakwazi ukuza, yazisa isibhedlela noma umtholampilo kusenesikhathi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi uphuze kakhulu lo muthi ngengozi, kufanele ushayele ucingo ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yiziphi ezinye izinto ezingasebenzisana nalo muthi?
Uma uthatha umuthi wokugomela i-Difelikefalin, imiphumela yawo ingashintsha ngeminye imithi nezinto ozisebenzisayo. Ikakhulukazi, ukozela kanye nesiyezi okungabangelwa yilo muthi wokugomela kunganda ngeminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyisebenzisayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo .
Ithebula elingezansi libala ezinye zezinto okufanele ziqashelwe ngokukhethekile.
| Uhlobo lwezidakamizwa/izidakamizwa | Incazelo nezinto okufanele uziqaphele |
|---|---|
| Utshwala | Utshwala bungandisa kakhulu ukozela kanye nesiyezi okubangelwa yilo muthi. Ngakho-ke, gwema utshwala ngokuphelele ngesikhathi sokwelashwa. |
| Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) | Imithi efana ne-piritan ingakwenza ulale. Ukuyithatha ngalo muthi wokugomela kungenza ulale ungabekezeleleki. |
| Amaphilisi okulala kanye nemithi yokudambisa ubuthongo | Imithi yokukhathazeka noma yokungalali nayo ingabangela ukozela. Ukusebenzisa lokhu ndawonye kunganciphisa kakhulu ukuqaphela. |
| Eminye imithi yokucindezeleka | Tshela udokotela wakho uma uthatha imithi efana ne-amitriptyline, i-fluoxetine, noma i-sertraline. |
| Imithi yokwelapha ukuxhuzula | Futhi yazisa udokotela uma uthatha imithi efana nePhenobarbital. |
| Ama-anesthetics kanye nama-muscle relaxants okuhlinzwa | Uma uhlelelwe ukuhlinzwa, qiniseka ukuthi wazisa udokotela wezinzwa ukuthi uthatha i-Difelikefalin. |
| Izidakamizwa (imithi yobuhlungu obukhulu noma ukukhwehlela) | Uma uphuza imithi yokubulala izinhlungu efana ne-tramadol ne-morphine, nayo ikhulisa ukozela. |
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo. Kodwa-ke, kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma esibhedlela ngokushesha | |
|---|---|
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo (kungabangela ubunzima bokuphefumula). |
| Ukuzungeza okukhulu noma ukulahlekelwa ukwazi | Uzizwa unesizungu kangangokuthi awukwazi ukuma, amehlo akho ephenduka aluhlaza okwesibhakabhaka, bese ulahlekelwa ingqondo bese uyawa. |
| Ukudideka | Ukulahlekelwa ingqondo ngokuzumayo, ukukhohlwa ukuthi ukuphi, ukusho amazwi akho ngendlela engacacile, njll. |
| Amazinga aphezulu e-potassium egazini | Ubuhlungu besifuba, ukushaya kwenhliziyo okungajwayelekile noma okusheshayo, ubuthakathaka bemisipha. |
| Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa uma iqhubeka, kufanele utshele udokotela wakho. | |
| Ukozela / Isiyezi | Lona umphumela ovamile wecala, yingakho kunconywa ukuthi ugweme ukushayela. |
| Uhudo | Kungase kube nomuzwa wokuqunjelwa. |
| Ikhanda elibuhlungu | Kungase kube nekhanda elincane. |
| Isicanucanu | Ungase uzizwe sengathi ufuna ukuhlanza. |
| Ukukhathala | Umzimba ungase uzizwe ukhathele futhi ukhathele. |
Umlayezo Wokuya Nawe Ekhaya
- I-Difelikefalin (Korsuva) iwumjovo okhethekile onikezwa ukwelapha ukulunywa okukhulu kweziguli zezinso ezihlinzwa nge-hemodialysis. Lona akuwona umuthi ovamile onikezwa wonke umuntu.
- Ngaphambi kokuqala lokhu kwelashwa, qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi, izithasiselo, kanye nezinye izimo zezokwelapha ozithathayo.
- Lo muthi wokugomela ungabangela ukozela kanye nesiyezi . Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, kuze kube yilapho imiphumela yomuthi iphela.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kobuso, ubunzima bokuphefumula, noma isiyezi esinzima, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ungaphuthelwa yizinsuku zakho zokuhlanza igazi kanye nezokugoma. Uma ungakwazi ukuya nganoma yisiphi isizathu, sicela wazise umnyango ofanele kusenesikhathi.
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