Usizo lokuqeda utshwala: Ake sifunde ngamaphilisi e-Disulfiram!

Ukulutheka kotshwala kuyinselele abantu abaningi ababhekana nayo. Siyazi ukuthi ukunqoba lokhu akuyona indlela elula. Kodwa, awuwedwa. Kunezinto ezingakusiza kulolu hambo. Namuhla sizokhuluma ngomuthi obizwa ngokuthi i-Disulfiram ongasiza. Kungenzeka ukuthi uke wezwa ngawo ngaphansi kwegama lomkhiqizo i-Antabuse .

Uhlobo luni lomuthi i-Disulfiram?

Kalula nje, i-Disulfiram iyisidakamizwa esisiza abantu abanenkinga yokusebenzisa utshwala ukuba bayeke ukuphuza. Isebenza ngendlela ehlukile kancane. Uma uthatha lesi sidakamizwa, uma uphuza ngisho notshwala obuncane, uzoba nokuhlangenwe nakho okungathandeki kakhulu . Okusho ukuthi, kuzoba nzima kakhulu emzimbeni wakho. Ngakho-ke, kuzosiza ekunciphiseni isifiso sokuphuza utshwala.

Kodwa-ke, leli akulona iphilisi elimangalisayo elizokwenza uyeke ukuphuza utshwala ngesikhathi esisodwa. Liyingxenye ebalulekile yohlelo lokululama . Okusho ukuthi, kanye nalomuthi, ukubhekwa kwezokwelapha kanye nokwelulekwa kuyadingeka ngempela. Kunzima ukulindela imiphumela yokusebenzisa lokhu kuphela.

Ngezinye izikhathi odokotela bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma uneminye imibuzo mayelana nalokhu, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Disulfiram, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha. Kufanele ukhulume ngokukhethekile nganoma yiziphi izimo ezilandelayo:

• Uma wake waba nomonakalo ebuchosheni ngaphambilini .
• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma unesifo senhliziyo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi (lokhu kubaluleke kakhulu, ngoba lo muthi ungathinta isibindi).
• Uma unesifo sengqondo .
• Uma usanda kuphuza utshwala noma usebenzise noma yimuphi omunye umkhiqizo oqukethe utshwala (lokhu kubaluleke kakhulu, njengoba ukuthatha lo muthi ngaleso sikhathi kungabangela ukusabela okubi kakhulu).
• Uma unesifo sokuwa .
• Uma usebenzisa imithi efana ne -metronidazole noma i-paraldehyde .
• Uma indlala yakho yegilo ingasebenzi kahle (i-thyroid engasebenzi kahle) .
• Ungase ube nomzimba ongezwani ne-disulfiram, izibulala-zinambuzane, imikhiqizo yerabha, eminye imithi, ukudla, imibala yokudla, noma izithasiselo zokudla.Uma uke waba nokusabela okungavamile kokungezwani komzimba ngaphambili.
• Uma ukhulelwe, noma unethemba lokukhulelwa .
• Uma ungumama oncelisayo .

Uma utshela udokotela wakho lezi zinto, anganquma ukuthi lo muthi ukulungele yini noma cha, nokuthi angawunikeza kanjani.

Ngingawusebenzisa kanjani lo muthi?

Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.

• La maphilisi kufanele aphuzwe ngomlomo, kanye nengilazi yamanzi enhle .
• Landela imiyalelo ebhalwe ilebula lakho likadokotela ngqo . Ungathathi okungaphezu noma okungaphansi kwenani udokotela wakho akutshele ukuthi ulithathe.
• Nansi into ebaluleke kakhulu: Ungalokothi uthathe lo muthi zingakapheli amahora ayi-12 uphuze utshwala. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu.
• La maphilisi ngezinye izikhathi angachotshozwa futhi axutshwe noketshezi olufana namanzi ngaphambi kokuwathatha. Kodwa qiniseka ukuthi ubuza udokotela wakho noma usokhemisi ngalokhu.
• Thatha umuthi ngesikhathi esifanele nangezikhathi ezifanele .
• Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
• Uma unikeza izingane lo muthi, kufanele nakanjani ukhulume nodokotela wezingane ngakho. Kungadingeka ukunakekelwa okukhethekile ezimweni ezinjalo.

Okubalulekile: Lo muthi ungowokusetshenziswa kwakho kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye, noma ngabe unenkinga efanayo neyakho.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi uphuze umuthi omningi kunalokho ocabanga, shayela isikhungo sokulawula ubuthi esiseduze noma igumbi lezimo eziphuthumayo esibhedlela ngokushesha. Ungachithi isikhathi.

Kuthiwani uma ngiphuthelwa imithi yami?

Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

I-Disulfiram iyisidakamizwa esingasebenzisana neminye imithi ethile, ukudla, nezinto ezithile, ngakho-ke kubalulekile ukuqaphela nalokhu.

Ungalokothi uthathe i-Disulfiram kanye nale mithi:

• Utshwala noma yimuphi umkhiqizo oqukethe utshwala. Lokhu kuyinto eyinhloko.
• I-Amprenavir
• I-Cocaine
• I-Lopinavir; I-Ritonavir (lopinavir; ritonavir)
• I-Metronidazole
• Izixazululo zomlomo eziqukethe i-ritonavir noma i-sertraline
• I-Paclitaxel
• I-paraldehyde
• I-Tranylcypromine

Le mithi ingasebenzisana ne-Disulfiram:

• I-Isoniazid
• Imithi evimbela ukujiya kwegazi, isibonelo i-warfarin
• I-Phenytoin

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, engekho kadokotela, amakhambi, amavithamini, kanye nezithasiselo zokudla). Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala (okungavunyelwe ngokuphelele ngenkathi uthatha lo muthi), noma usebenzisa ezinye izidakamizwa ezingekho emthethweni. Ezinye zalezi zinto zingathinta indlela lo muthi osebenza ngayo.

Izinto okufanele uziqaphele kakhulu uma usebenzisa lo muthi:

Kunezinto eziningana okudingeka uziqaphele ngenkathi uthatha lo muthi ukuqinisekisa ukuphepha kwakho kanye nempumelelo yomuthi.

• Bona udokotela wakho njalo ukuze uhlolwe njalo. Thola izivivinyo ezinconywa udokotela wakho.
• Qaphela kakhulu utshwala!
• Ungalokothi uthathe lo muthi ngenkathi uphuza utshwala.
• Yazisa abanye abantu emndenini wakho (amalungu omndeni, abantu abahlala ndawonye) ngalo muthi futhi ubatshele ukuthi benzeni uma kwenzeka isimo esiphuthumayo.
• Uma uphuza ngisho notshwala obuncane ngenkathi uthatha lo muthi, ungase ube nokusabela okunzima kakhulu nokungajabulisi. Lokhu kusabela kubizwa ngokuthi i-Disulfiram-Ethanol Reaction . Kulesi simo, ungase ube nobuhlungu obukhulu bekhanda, ukushawa, ukuhlanza, ubuthakathaka, kanye nobuhlungu besifuba . Kwezinye izimo ezinzima, kungase kube nobunzima bokuphefumula, izinkinga zenhliziyo, ukuxhuzula, ngisho nokufa . Ngakho-ke, kufanele uqaphele kakhulu ngalokhu.
• Enye into ebalulekile ukuthi imiphumela ye-Disulfiram ingaqhubeka emzimbeni wakho kuze kube yizinsuku ezingu-14 ngemuva kokuthatha iphilisi lakho lokugcina . Lokhu kusho ukuthi uma uphuza utshwala phakathi naleso sikhathi, ungase ubhekane nokusabela okuyingozi okukhulunywe ngakho ngenhla.

• Qaphela futhi utshwala obufihliwe:
• Gwema ngokuphelele ukusebenzisa utshwala hhayi nje kuphela, kodwa neminye imikhiqizo equkethe utshwala.
• Funda njalo ilebula lemikhiqizo oyisebenzisayo ngokucophelela ukuze ubone ukuthi inalo yini utshwala.
• Cabanga ngakho, abanyeAmasiraphu okukhwehlela, imithi yobuhlungu ewuketshezi, ama-tonics, ama-mouthwashes, ama-aftershave lotions, ama-colognes, ama-liniments athile, ama-vinegar, kanye nama-sauce athile nakho kungase kube notshwala. Ngakho-ke, kufanele uqaphele kakhulu ngaphambi kokusebenzisa lezi zinto.

• Gqoka ibheji lokuzazisa:
• Kungumqondo omuhle ukugqoka isongo noma umgexo othi ungumsebenzisi we-disulfiram.
• Futhi, hlala uphethe ikhadi lokuzazisa elihlanganisa igama lakho, igama kanye nomthamo wemithi oyiphuzayo, igama likadokotela wakho kanye nenombolo yocingo, kanye nolwazi lomuntu ongaxhumana naye esimweni esiphuthumayo (isib., ilungu lomndeni). Lokhu kuzoba usizo kakhulu kulabo abakwelaphayo esimweni esiphuthumayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Disulfiram ingabangela eminye imiphumela emibi. Eminye ayibi kakhulu, kodwa kufanele uyibike kudokotela wakho ngokushesha.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha ihlanganisa:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba uye kudokotela noma esibhedlela ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe, noma ulimi.
• Ukushintsha kombono (isib. ukubona okufiphele).
• Ukudideka, ukudideka, ukucasuka.
• Uma umchamo uba mnyama .
• Ukuzizwa ukhathele futhi unezimpawu ezifana nomkhuhlane.
• Ukulahlekelwa yisifiso sokudla, isicanucanu.
• Umuzwa wokungaxhumani nomhlaba wangempela, umuzwa wokuba sesimweni sokuzikhohlisa (ukulahlekelwa ukuxhumana neqiniso).
• Ukuba ndikindiki, ubuhlungu noma ukuqaqamba kwamalungu.
• Ubuhlungu esiswini esingenhla kwesokudla ( lokhu kungaba yinkinga yesibindi).
• Uma uzizwa ubuthakathaka noma ukhathele ngendlela engavamile.
• Ukuphuzi kwamehlo noma isikhumba (lokhu kungaba uphawu lwe-jaundice).

Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza:

Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka, tshela udokotela wakho.

• Noma yiluphi ushintsho ekuthandweni noma ekusebenzeni kocansi.
• Isiyezi.
• Ubuthongo, ukhathele.
• Ikhanda elibuhlungu (hhayi ikhanda elibuhlungu elihambisana notshwala).
• Ukunambitheka okunjengensimbi noma okufana negalikhi emlonyeni.
• Isicanucanu, ukuhlanza ( hhayi ukuhlanza okukhulu okwenzeka ngotshwala).

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.

Ngingawagcina kanjani la maphilisi?

• Gcina lo muthi kude nezingane futhi kude nazo .
• Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-20 no-25 (ama-degree Fahrenheit angu-68 no-77). Ungabeki endaweni eshisayo noma ebanda kakhulu.
• Gcina esitsheni esivalwe kahle, esingangenisi ukukhanya.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Disulfiram iwusizo olukhulu kulabo abazama ukuyeka utshwala. Kodwa khumbula lezi zinto:

• Lo muthi usebenza ngokukunikeza isipiliyoni esingathandeki kakhulu uma uphuza utshwala.
• Lesi akusona isisombululo esizimele. Lokhu kuyingxenye nje yohlelo oluphelele lokuqeda utshwala. Iseluleko sezokwelapha kanye nokwelulekwa kubalulekile.
• Ungaphuzi lutho oluqukethe utshwala ngenkathi uthatha lo muthi. Lokhu akubandakanyi utshwala kuphela, kodwa nokudla, iziphuzo, imithi, kanye nama-perfume. Funda amalebula ngokucophelela.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izifo zakho.
• Qaphela imiphumela emibi. Uma ubona noma yini embi kakhulu, tshela udokotela wakho ngokushesha.
• Thatha umuthi ngesikhathi esinqunyiwe njengoba kunqunywe udokotela. Ungayeki ngokuzumayo.

Uhambo oluya ekululameni ekuluthweni utshwala lungaba yinselele, kodwa ngokusekelwa nokwelashwa okufanele, ungakunqoba. I-Disulfiram iyithuluzi elilodwa nje elingakusiza kulolo hambo. Vula futhi uthembeke kudokotela wakho ngemibuzo nezinto ezikukhathazayo. Inhlanhla!

I- Disulfiram, i-Antabuse, ukuyeka ukuphuza utshwala, umuthi wotshwala, ukusabela kotshwala, ukuyeka izidakamizwa, i-Disulfiram Sinhala