Ingabe udokotela wakho ukutholile wena noma othile oseduze nawe ukuthi unesifo esibizwa ngokuthi 'Multiple Sclerosis' (MS)? Uma kunjalo, kungenzeka ukuthi unikezwe umuthi obizwa ngokuthi 'i-Diroximel Fumarate', ongaphansi kwegama lomkhiqizo i-VUMERITY, njengokwelashwa. Igama lingase lizwakale liyinkimbinkimbi kancane. Kodwa ungakhathazeki. Kulesi sihloko, sizoxoxa ngalo muthi ngendlela elula kakhulu, njengoba ungatshela umngane, ukuthi usebenza kanjani, ukuthi yini okufanele uyiqaphele ngenkathi uwusebenzisa, kanye nemiphumela yawo emibi.
Okokuqala, ake sibone ukuthi hlobo luni lomuthi.
Kalula nje, i-'Multiple Sclerosis' (MS) yisimo lapho amasosha omzimba wethu eba matasa kakhulu futhi ahlasele amasosha ethu ezinzwa. Kufana nokuthi amasosha ethu omzimba asithatha njengesitha futhi asihlasele.
Manje, lo muthi obizwa ngokuthi i-Diroximel Fumarate usebenza ngokunciphisa ijubane lesimiso somzimba sokuzivikela esisebenza ngokweqile. Lokhu kunciphisa umonakalo ohlelweni lwezinzwa. Lokhu kusiza ukulawula ukwanda kwezimpawu futhi kunciphisa ukuvama kokuqubuka okubangelwa yilesi sifo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela ngaphambi kokuqala lo muthi.
- Uma okwamanje unesifo esithathelwanayo (njengomkhuhlane, umkhuhlane, ukukhwehlela).
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma uke watholakala unenani eliphansi lamaseli amhlophe egazi .
- Uma uke waba nokusabela kokungezwani komzimba ne-Diroximel Fumarate, i-Dimethyl Fumarate, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma ulindele umntwana .
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ekuphepheni kwakho ukutshela udokotela wakho lolu lwazi ngaphandle kokulufihla. Ngemuva kwalokho anganquma ukwelashwa okufanele nokuphephile kakhulu kuwe.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngomuthi, kubalulekile ukuwusebenzisa njengoba kuqondiswe.
- Lomuthi ufika ngama-capsule. Ugwinye nengilazi yamanzi.
- Ungalokothi uwaphule, uwachoboze, noma uwahlafune la ma-capsule. Kufanele uwagwinye wonke.
- Thatha umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele.
- Lokhu kungathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, abanye abantu bangase babe nokuphazamiseka kwesisu okuncane uma kuthathwa ngaphandle kokudla. Uma lokhu kwenzeka, kuthathe nokudla okuncane.
- Kodwa nansi into okufanele uyikhumbule: Uma uthatha umuthi kanye nokudla, akufanele kube ukudla okunama-calorie amaningi noma okunamafutha amaningi. Kalula nje, akufanele kube nama-calorie angaphezu kuka-700 namagremu angu-30 amafutha. (Isibonelo, ungayithathi kanye nokudla okunzima njengelayisi elithosiwe noma i-kottu, okwenziwe ngamafutha amaningi.)
- Gwema ukuthatha lo muthi notshwala ngokuphelele.
- Qhubeka usebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ngezinye izikhathi siyakhohlwa ukuphuza imithi yethu. Uma lokho kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi ngephutha uphuze ngaphezu komthamo onqunyiwe, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Ngesikhathi usebenzisa lo muthi, kubalulekile ukunaka izinguquko emzimbeni wakho.
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho uzokutshela ukuthi udinga ukubuya nini. Qiniseka ukuthi uyaya ngalezo zinsuku ukuyohlola isimo sakho. Uzophinde akuyalele ukuhlolwa kwegazi ukuze kuhlolwe izinto ezifana nenani lamaseli amhlophe egazini lakho ngenkathi uthatha lo muthi.
- Ukuhlanzwa: Abanye abantu bangase babe nomuzwa wokuhlanzwa, ukushisa, noma ukushisa ebusweni, entanyeni, noma esifubeni ngemuva kokuthatha lo muthi. Lokhu kubizwa ngokuthi ukuhlanzwa. Lokhu ngokuvamile akulona ingozi futhi kuzophela ngemva kwesikhashana. Ukuze kuncishiswe lokhu, njengoba sishilo ngaphambili, ukuthatha umuthi nokudla okunamafutha amancane/okunama-calorie aphansi kungasiza. Ngezinye izikhathi, ukuthatha i-aspirin kuzosiza ekunciphiseni lokhu. Kodwa ungakwenzi lokhu ngaphandle kokubonisana nodokotela wakho kuqala.
- Ingozi yokutheleleka: Njengoba lo muthi ucindezela amasosha omzimba, ungase ube sengozini encane yokuthola izifo. Ngakho-ke, uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukukhwehlela, ungaziphilisi bese ubona udokotela. Zama ukungangeni ezindaweni lapho abantu abagulayo bechitha khona isikhathi.
- Ukutheleleka kobuchopho okungajwayelekile kodwa okungathi sína:Lokhu akuvamile kakhulu. Kodwa kubalulekile ukuqaphela. Lo muthi ungabangela ukutheleleka okukhulu kobuchopho (PML - Progressive Multifocal Leukoencephalopathy) kwezinye iziguli. Uma unezinkinga zokubona, ubunzima bokucabanga, ubunzima bokukhuluma, noma izinkinga zokuhamba noma ukugcina ibhalansi yakho , tshela udokotela wakho ngokushesha .
Imiphumela emibi engase ivele uma usebenzisa umuthi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye imbi kakhulu, ngakho-ke kufanele ufune iseluleko sezokwelapha ngokushesha. Eminye ayimbi kangako, kodwa uma iqhubeka, kufanele utshele udokotela wakho. Ake sibheke lokhu ngokwehlukana.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Umphumela ongemuhle | Incazelo |
| Ukusabela Kokungezwani Nomzimba noma i-Angioedema | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula. |
| Ukulimala Kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile. |
| Ukopha Kwesisu | Indle emnyama noma ephuzile, ukuhlanza igazi, noma ukuhlanza okufana nekhofi. |
| Ubuhlungu obukhulu besisu | Ubuhlungu besisu obukhulu, obuqhubekayo, noma obuqhubeka buba bubi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, ubuhlungu noma ubunzima bokuchama, kanye nokuzizwa ukhathele. |
| Izinkinga zesistimu yezinzwa | Ukuzungeza, ukulahlekelwa yibhalansi, ukudideka, noma ubunzima bokukhuluma (lokhu kungaba yizimpawu zokutheleleka kobuchopho okukhulunywe ngakho ngenhla). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka: | |
|---|---|
| Ukuhlanzwa (ukuba bomvu kwesikhumba kanye nomuzwa wokushisa) | Isicanucanu nokuhlanza |
| Ubuhlungu besisu | Uhudo |
Ugcina kanjani imithi yakho iphephile?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-20-25). Gcina kude nokushisa okukhulu kanye nomswakama.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
Indlela engcono kakhulu yokuqeda imithi ephelelwe yisikhathi noma engasadingeki ukuyidlulisela 'ohlelweni lokubuyisela imithi' esibhedlela sakho noma ekhemisi. Uma lokho kungenzeki, buza udokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Lomuthi ungowakho kuphela. Ungavumeli muntu ukuthi asebenzise lomuthi nganoma yisiphi isizathu.
- Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke ezinye izimo zezokwelapha onazo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi kakhulu, njengokusabela kokungezwani komzimba, ubuhlungu obukhulu besisu, noma izinkinga zesimiso sezinzwa.
- Gwema ukuyeka imithi yakho ngaphandle kokubonisana nodokotela wakho.
- Uma unemibuzo noma izinkinga mayelana nomuthi, ungabi namahloni okukhuluma nodokotela ngakho.
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