Ingabe ukhathele futhi isicanucanu esinzima nokuhlanza okubangelwa ukwelashwa komdlavuza (i-chemotherapy)? Noma ingabe wehlisa isisindo ngenxa yokugula kwesikhathi eside? Ezimweni ezinjalo, lapho imithi evamile ingasizi, udokotela wakho angakunikeza lo muthi obizwa ngokuthi i-Dronabinol. Ngakho-ke, namuhla sizokhuluma ngalo muthi ngamagama alula, ukusebenza kwawo, indlela owusebenzisa ngayo, imiphumela emibi nezinto okufanele uziqaphele.
Uhlobo luni lomuthi iDronabinol?
Kalula nje, i-dronabinol umuthi owuketshezi ongowesigaba semithi ebizwa ngokuthi ama-cannabinoids. Inemisebenzi emibili eyinhloko:
1. Ukulawula isicanucanu nokuhlanza okubangelwa ukwelashwa komdlavuza (i-chemotherapy): Lo muthi usetshenziswa uma eminye imithi ingakwazi ukulawula lesi simo.
2. Kulawula isifiso sokudla kanye nokwehla kwesisindo: Lokhu kusiza futhi ukwandisa isifiso sokudla kanye nokuyeka ukwehla kwesisindo ezigulini ezinezifo ezingamahlalakhona njengengculaza.
Lo muthi ungase ube ngaphansi kwamagama emikhiqizo anjenge-'SYNDROS'. Futhi, ngezinye izikhathi odokotela bangase bawunike nezinye izimo zezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo:
- Uma wake waba umlutha wezidakamizwa noma utshwala ngaphambili.
- Uma unesifo senhliziyo (isib. i-angina, ukushaya kwenhliziyo okungajwayelekile).
- Uma une -blood pressure ephezulu noma ephansi .
- Uma uzwa isiyezi noma uquleka uma umi.
- Uma unezinkinga zempilo yengqondo (isib. ukucindezeleka, ukukhathazeka, i-schizophrenia-ngokomzwelo
- Uma unezimo ezifana nesifo sokuwa noma ukuxhuzula .
- Uma une -allergies ku-dronabinol, insangu, utshwala, noma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngingawusebenzisa kanjani umuthi ngqo?
Njengoba lo umuthi uketshezi, kubaluleke kakhulu ukukala umthamo ngokunembile.
- Ngaphambi kokuthatha umuthi, kala umthamo oqondile obekwe udokotela wakho. Sebenzisa isipuni noma isitsha esiphawulwe ngokukhethekile . Ungasebenzisi izipuni zasekhaya , ngoba azinembile.
- Phuza ingilazi egcwele yamanzi (cishe ama-ounces angu-1.5-1.5) ngemva kokuthatha umuthi.
- Thatha umuthi wakho ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe njengoba kunqunywe udokotela wakho. Ungathathi ngaphezu kwenani elinqunyiwe.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onconywayo, ungesabi. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu. Awusemthethweni futhi ungaba yingozi kakhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
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.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Dronabinol umuthi ongasebenzisana neminye imithi nezinto, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
| Uhlobo lomuthi/into ethile | Amanothi akhethekile nezibonelo |
|---|---|
| Ungalokothi uthathe lezi zinto nawe. | |
| I-Nabilone | Lona futhi umuthi ofana ne-dronabinol, ngakho ukuwuthatha kanye kanye kuyingozi kakhulu. |
| Uma uthatha lezi zinto ndawonye, qiniseka ukuthi wazisa udokotela wakho. | |
| Utshwala neziphuzo ezidakayo | Kwandisa ukozela, isiyezi, kanye neminye imiphumela emibi. |
| Imithi ebangela ukozela | Imithi yokukhwehlela kanye nomkhuhlane (ama-Antihistamine), imithi yokukhathazeka noma yokulala, ama-painkiller (ama-opioid), ama-muscle relaxative. |
| Eminye imithi yempilo yengqondo | Ama-antidepressants (isib. i-amitriptyline, i-fluoxetine), i-lithium, ama-phenothiazines. |
| Imithi yezinye izifo | Eminye imithi yesifo sikaParkinson, isifo sokuwa, izinkinga zesinyi, kanye nobuhlungu besisu. |
| Izinzwa nezivuseleli | Izibulala-zinhlungu ezivamile ezisetshenziswa ngesikhathi sokuhlinzwa, izikhuthazi ezifana ne-cocaine ne-amphetamine. |
Izinto okufanele uzicabangele lapho uthatha imithi
- Uma uqala ukuthatha lo muthi noma uma ukhulisa umthamo wakho, kuwumqondo omuhle ukuba nomuntu ophethe nawe , njengoba ungase ubhekane nokushintshashintsha kwemizwelo, njengokuhleka kakhulu.
- Ungase uzizwe ulele noma udidekile . Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokuzumayo lapho uhleli noma ulele phansi. Ikakhulukazi uma usukhulile noma une-blood pressure ephansi, vuka kancane. Lokhu kungasiza ekuvimbeleni isiyezi nokuquleka.
- Gwema utshwala ngokuphelele. Utshwala bungandisa imiphumela emibi yalo muthi.
Kubaluleke kakhulu: Ungasebenzisi insangu (insangu) nganoma yiluphi uhlobo ngenkathi uthatha lo muthi. Lo muthi uqukethe into efana nesithako esisebenzayo esikunsangu. Ukuthatha lokhu kokubili ndawonye kwandisa ingozi yemiphumela emibi kakhulu enhliziyweni nasesimisweni sezinzwa.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-dronabinol ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma uhlangabezana nalezi zimpawu, yazisa udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo (ukushaya kwenhliziyo) | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Izinguquko ekucindezelweni kwegazi | Ukwanda noma ukwehla okungazelelwe komfutho wegazi (isiyezi, ukuquleka, ukubona okufiphele). |
| Izinguquko esimweni sengqondo nasekuziphatheni | Ukukhathazeka okukhulu, ukukhungatheka, ukudideka, ukubona/ukuzwa izinto ezingekho (imibono engalungile), imicabango yokuzibulala. |
| Ukuquleka | Ukuqala ngokuzumayo kokuxhuzula. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Isiyezi/ukozela | Isimo esivamile esenzeka kubantu abaningi. |
| Ukuzizwa unenjabulo engavamile | Ukuzizwa ujabule kakhulu futhi ujabule ngaphandle kwesizathu. |
| Isicanucanu/ukuhlanza/ubuhlungu besisu | Abanye abantu bangase babe nalezi zimpawu. |
Ungawugcina kanjani umuthi ngendlela efanele?
Ngenxa yokuthi lo muthi ungasetshenziswa kabi futhi uyingozi kakhulu uma ungenwa ngengozi yizingane ezincane, kubaluleke kakhulu ukuwugcina uphephile.
- Yigcine endaweni ephephile kude nezingane nezilwane ezifuywayo .
- Yigcine ivaliwe kahle futhi endaweni ephephile ukuze uyivikele ekwebiweni.
- Gcina ekamelweni lokushisa eliphakathi kuka-15 no-25 degrees Celsius noma esiqandisini . Gwema ukubanda.
- Lahla noma yimuphi umuthi osele ezinsukwini ezingama-28 ngemuva kokuvula ibhodlela okokuqala noma ngemva kosuku lokuphelelwa yisikhathi .
- Uma ususa, hlanganisa uketshezi olusele nento efana nodoti wekati noma ikhofi eligayiwe, ulifake esitsheni esivalwe kahle, bese ulahla.
Umlayezo Wokuya Nawe Ekhaya
- I-Dronabinol umuthi okufanele uthathwe kuphela ngaphansi kweseluleko sikadokotela, futhi ngesilinganiso esinqunyiwe.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Gwema ngokuphelele ukusebenzisa utshwala nensangu ngenkathi uthatha lo muthi.
- Qaphela imiphumela emibi efana nokozela kanye nesiyezi. Gwema imisebenzi eyingozi uze wazi ukuthi lo muthi uthinta kanjani wena.
- Gcina umuthi ngokuphephile kude nezingane. Ungalokothi uwuhlanganyele nabanye.
- Uma unenkinga ngalo muthi, khuluma nodokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 I-Dronabinol Solution / Syndros isetshenziselwani?
Lona umuthi onamandla kakhulu owenziwe ngokwenziwa ngamakhemikhali ayinhloko asebenza engqondweni (THC) esitshalweni sensangu (Insangu / Insangu), futhi utholakala kuphela emakhemisi ngomuthi kadokotela! Unikezwa abantu abane-HIV/AIDS ukuze bandise isifiso sabo sokudla futhi bakhuluphale. Unikezwa futhi iziguli ezinomdlavuza (i-Chemotherapy) njengendlela yokugcina lapho kungekho omunye umuthi ongaqeda isicanucanu esinzima nokuhlanza okubangelwa yi-chemotherapy.
💬 Lo muthi (i-Dronabinol) owenziwe ngensangu ukhulisa kanjani isifiso sokudla futhi uyekise ukuhlanza?
Ikhemikhali ethi 'THC' kulo muthi ibopha ngqo kuma-'Cannabinoid / CB1 receptors' ebuchosheni bethu. Lokhu kuvimbela ngokuphelele isikhungo sokuhlanza ebuchosheni futhi kumise ukuhlanza. Ngakolunye uhlangothi, kunikeza ubuchopho 'induduzo/injabulo nendlala' engamanga, ukuze isiguli sikwazi ukudla kakhulu.
💬 Yimiphi imiphumela emibi ecasulayo neyingozi?
Ngenxa yemvelo yayo 'yokujabula/yokujabula', ukuyiphuza ngokuqinisekile kuzobangela umlutha ongalawuleki, injabulo engavamile/imibono ephambene (ukungaqondi kahle) kanye nesiyezi (yingakho ukushayela kungavunyelwe!). Futhi, lolu ketshezi (i-Syndros) luqukethe u-50% wotshwala! Ngakho-ke, uma lunikezwa abantu abavinjelwe ukuphuza utshwala noma labo abathatha imithi efana ne-Disulfiram ne-Metronidazole, kungase kuvele ukuhlanza okukhulu nokuhlaselwa yinhliziyo futhi kungase kwenzeke ukufa.
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