Ingabe nawe uzizwa sengathi uphuthelwa yizwe uma uthola i-migraine? Ngezinye izikhathi, ngisho nokuphuza imithi yobuhlungu ejwayelekile akusizi ngaleyo khanda elibuhlungu elibuhlungu. Isicanucanu, ukuhlanza, kanye nokungakwazi ukubuka ukukhanya okuhambisana nakho kungakwenza uzizwe sengathi uchitha usuku lwakho lonke. Namuhla, sizokhuluma ngomjovo okhethekile osetshenziswa odokotela ukwelapha i-migraine enzima kangaka.
Iyini i-Dihydroergotamine?
Kalula nje, i-Dihydroergotamine (eyaziwa kakhulu ngegama lomkhiqizo i-DHE 45) umuthi onikezwa ukwelapha ikhanda elibuhlungu ngemva kokuba selivele . Ivame ukusetshenziswa lapho eminye imithi ingakwazanga ukulawula ikhanda elibuhlungu.
Okubaluleke kakhulu: Lona akusiwo umuthi osetshenziselwa ukuvimbela i-migraines. Okusho ukuthi, akusiwo umuthi okufanele uwuphuze nsuku zonke ngaphambi kokuba uphathwe yikhanda. Unikezwa ukunciphisa ubukhali bekhanda uma seliqalile.
Abanye abantu baba ne-'aura' ngaphambi kokuba baphathwe yikhanda elibuhlungu. Lokhu kusho ukuthi bangase babone ukukhanya phambi kwamehlo abo, babone izimo, noma bezwe umuzwa wokuthuthumela engalweni noma emlenzeni. Lo muthi usetshenziselwa i-migraines ene-aura noma engenayo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Njengoba lo umuthi unamandla kakhulu, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Uma unezinye zezimo ezibalwe ngezansi, kufanele nakanjani wazise udokotela wakho ngaphambi kokuqala lo muthi.
| Isimo sempilo noma inkinga | Bheka ukuthi kuyasebenza yini kuwe |
|---|---|
| Isifo senhliziyo noma izinkinga zemithambo yegazi | Uma unezinhlungu esifubeni, umfutho wegazi ophakeme, umlando wesifo senhliziyo, noma uke wahlinzwa imithambo yegazi. |
| Izici eziyingozi zesifo senhliziyo | Uma ubhema, une-cholesterol ephezulu, unomlando womndeni wesifo senhliziyo, uyindoda engaphezu kweminyaka engama-40, noma ungowesifazane oseke wanqamuka ukuya esikhathini. |
| Ezinye izimo zezokwelapha | Uma unesifo sezinso, isifo sesibindi, noma yikuphi ukutheleleka emzimbeni. |
| Ukungezwani komzimba | Uma une-allergy ku-dihydroergotamine, eminye imithi ye-ergot, noma yimiphi eminye imithi, ukudla, udayi, noma izithasiselo. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, lo muthi awufanele ukusetshenziswa kulezi zimo. |
Uyisebenzisa kanjani le injection?
Lo muthi unikezwa njengomjovo. Unganikezwa ngaphansi kwesikhumba, nge-intramuscular, noma nge-intravenous. Uma udinga ukuwusebenzisa ekhaya, udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungawulungiselela kanjani futhi uwujove ngendlela efanele.
Sicela ukhumbule lezi zinto kahle:
- Sebenzisa umthamo onqunyiwe kuphela. Ungathathi okungaphezu kwalokho okutshelwa udokotela noma kaningi kunalokho okunqunyiwe.
- Akuyona imithi yansuku zonke lena. Lona umuthi wansuku zonke. Usetshenziswa kuphela uma uphethwe yikhanda.
- Lahla izinaliti ngokuphephile. Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nezinaliti emgqonyeni kadoti. Kufanele zifakwe esitsheni esikhethekile se-sharping. Uma ungenayo, buza udokotela wakho mayelana nokuyithola.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi usuthathe lo muthi omningi kunalokho okufanele ukuthathe, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Eminye imithi okungafanele isetshenziswe nalo muthi (Ukusebenzisana)
I-Dihydroergotamine ingasebenzisana neminye imithi eminingi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Gwema ukusebenzisa i-Dihydroergotamine kanye nalo muthi ngokuphelele. | |
| Eminye imithi yokulwa nesicanucanu (amaTriptans) | Imithi efana ne-Sumatriptan, Rizatriptan, Naratriptan |
| Amanye ama-antibiotic | I-Erythromycin, i-Clarithromycin |
| Imithi yokulwa nesikhunta | I-Itraconazole, i-Ketoconazole, i-Voriconazole |
| Imithi ye-HIV noma i-Hepatitis | Imithi efana ne-HIV Protease inhibitors |
| Sicela wazise udokotela ngalo muthi futhi. | |
| Imithi yokucindezeleka kwegazi okuphezulu kanye nesifo senhliziyo | Imithi efana ne-beta-blockers |
| Imithi yokucindezeleka | Imithi ye-SSRI, yekilasi le-SNRI |
| I-Nicotine | Ukubhema, ukusebenzisa ama-nicotine patches noma i-chewing gum |
Lolu hlu aluphelele, ngakho-ke khumbula njalo ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha noma uye esibhedlela. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Okuhlobene nenhliziyo nemithambo yegazi | Ubuhlungu besifuba, ukuqina noma ukungakhululeki, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Izinkinga ngezitho zomzimba | Ubuhlungu, ukungazweli, ukuqaqamba, noma ubuthakathaka ezingalweni noma emilenzeni. |
| Okunye | Ukuqaqamba kwemisipha noma ubuhlungu, ukuhlanza. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Isicanucanu | Impumulo evalekile noma umphimbo obuhlungu |
| Izandla nezinyawo ezibandayo | Shintsha ukunambitheka kokudla |
Umlayezo Wokuya Nawe Ekhaya
- I-Dihydroergotamine iwumjovo onikezwa ikhanda elibuhlungu kakhulu le-migraine, hhayi umuthi ovimbela i-migraine.
- Kufanele nakanjani utshele udokotela wakho nganoma yiziphi ezinye izifo onazo, noma yimiphi eminye imithi oyithathayo, noma yikuphi ukungezwani komzimba onakho, nokuthi ukhulelwe noma uncelisa ngaphambi kokuqala lo muthi.
- Ungalokothi usebenzise okungaphezu komthamo obekwe udokotela wakho. Lona akuyona imithi yansuku zonke.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ukungazweli ezithweni, ubuhlungu, noma ukushaya kwenhliziyo okusheshayo, funa iseluleko sezokwelapha ngokushesha .
- Lahla izinaliti ezisetshenzisiwe kanye nezinaliti ngokuphephile, esitsheni esibukhali kuphela.
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