Kulezi zinsuku, iningi lethu lithatha imithi yezimo ezingaphezu kwesisodwa. Ungase uphuze eyodwa ngenxa yomfutho wegazi lakho, enye ngenxa ye-cholesterol yakho, kanti enye ngenxa yesifo sikashukela sakho. Ungase uphuze ngisho nomuthi wokuqeda izinhlungu ekhemisi ngenxa yomphimbo obuhlungu. Kodwa wake wacabanga ukuthi le mithi "ingakhulumisana", futhi ngezinye izikhathi "ilwe" nomunye nomunye? Yilokho esikubiza ngokuthi ukusebenzisana kwezidakamizwa, noma "ukusebenzisana kwezidakamizwa" nje. Lesi yisihloko esibaluleke kakhulu okudingeka sonke siqaphele.
Kuyini ukusebenzisana kwezidakamizwa?
Kalula nje, "Ukusebenzisana Kwezidakamizwa" yilapho umuthi owuthathayo ushintsha indlela osebenza ngayo ngenxa yento ethile engena emzimbeni wakho (kungaba omunye umuthi, ukudla, isiphuzo, ivithamini), noma esinye isifo onaso. Lokhu kufana nezimoto emgwaqweni. Uma imoto ngayinye ihamba ngendlela yayo, akukho nkinga. Kodwa uma imoto eyodwa iza ngendlela engafanele, kungaba nengozi, akunjalo? Kwenzeka into efanayo ngemithi.
Uma lolu hlobo lokuxhumana lwenzeka, izinto ezintathu eziyinhloko zingenzeka:
- Ukwehla kokusebenza kahle komuthi: Lokhu kusho ukuthi umuthi awusebenzi kahle. Ngisho noma uthatha umuthi womfutho wegazi, uma ungamuncwa kahle ngumzimba ngenxa yento ethile, umfutho wegazi ngeke wehle.
- Ukweqisa: Ngezinye izikhathi umuthi uqala ukusebenza kakhulu, okungalimaza kakhulu kunokuhle.
- Imiphumela emibi noma ubuthi: Imithi emibili ingasebenzisana futhi ibangele imiphumela emibi emisha noma ubuthi.
Cabanga nje, noma yimiphi imithi oyithathayo ingaxhumana nezinto ezifana nalezi:
- Omunye umuthi owuthathayo (kungaba umuthi kadokotela noma umuthi othengiswa ngaphandle kwemithi kadokotela (OTC) owuthenga ekhemisi).
- Izithako zokudla ezifana namavithamini, amaphilisi ensimbi, kanye namakhambi.
- Ungathenga ukudla noma iziphuzo.
- Utshwala.
- Ugwayi.
- Ezinye izidakamizwa.
Akuzona lezi zinto kuphela, kodwa eminye imithi ingase ingakulungeli ngenxa yezinye izimo zezokwelapha onazo. Isibonelo, umuthi wesimo esisodwa ungase wenze esinye isimo sibe sibi kakhulu.
Kodwa ungakhathazeki. Esikhathini esiningi, lokhu kusebenzisana kwemithi kungokwesikhashana futhi kuyalawuleka. Udokotela wakho angase ashintshe umthamo wemithi yakho noma akutshele ukuthi uyeke ukudla ukudla okuthile isikhashana. Kodwa okunye ukuhlangana kungaba kubi kakhulu futhi kusongela ngisho nokuphila. Ngakho-ke ukuzazi nokuthatha izinyathelo zokukugwema kungakusiza ukuthi uthole okuningi ekwelashweni kwakho.
Ubani osengozini enkulu?
Ukusebenzisana kwezidakamizwa kungenzeka kunoma ubani wanoma yimuphi ubudala, kodwa uma uphuza imithi eminingi noma unezinkinga eziningi zezokwelapha, ingozi iphezulu kakhulu.
Ngokuvamile, njengoba sikhula, siba nezimo ezingamahlalakhona. Ngakho-ke inani lemithi esiyithathayo liyakhula. Cabanga ngakho, lapho kunamakhemikhali amaningi nezinqubo ezisebenza ndawonye emzimbeni wakho, amathuba okuba okuthile kungahambi kahle nawo aphezulu, akunjalo?
Kufana nokwenza iphathi. Uma ukhuluma nabangani abambalwa obazi kahle, uzokwazi ukuba nephathi elimnandi. Kodwa uma ukhuluma nezivakashi eziningi, kulapho kungenzeka khona ukuthi kube nokungavumelani. Njengabantu abasephathini, imithi ingaxhumana ngendlela engenobungane kangako.
Ngakho ungazami ukulawula lezi zinto wedwa. Awukwazi ukubikezela ngqo ukuthi umuthi owodwa uzothinta kanjani umzimba wakho, ingasaphathwa eyokuthi kuzokwenzekani uma uphuza imithi eminingi ndawonye.
Yingakho kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi omusha noma isithasiselo, noma ngaphambi kokwenza noma yiziphi izinguquko ohlwini lwakho lwemithi yamanje. Udokotela wakho angakusiza ukuthi unqume ukuthi yimiphi imithi engcono kakhulu kuwe, ezuzisa kakhulu, futhi ephephile, nokuthi iphephile yini ukuyithatha yodwa noma ihlanganiswe neminye imithi.
Yiziphi izinhlobo eziyinhloko zokusebenzisana kwezidakamizwa?
Lokhu kusebenzisana kungahlukaniswa ngezigaba ezine eziyinhloko. Ake sibone ukuthi kuyini.
| Uhlobo lokusebenzisana | Kuchazwe kalula |
|---|---|
| Ukusebenzisana kwezidakamizwa nezidakamizwa | Umuthi owodwa ungathinta ukusebenza kahle komunye umuthi owuthathayo. |
| Ukusebenzisana kwezidakamizwa nezithasiselo | Umuthi usebenza ne-vitamin, amaminerali, noma isithasiselo semithi osithathayo. |
| Ukusebenzisana kwezidakamizwa nokudla/iziphuzo | Okuthile okudlayo noma okuphuzayo kungathinta ukusebenza kahle komuthi. |
| Ukusebenzisana kwezidakamizwa nesimo | Umphumela ongalindelekile womuthi owuthathayo ngenxa yesimo sempilo onaso. |
1. Ukusebenzisana kwezidakamizwa nezidakamizwa
Lolu uhlobo esilubona njalo. Umuthi owodwa ushintsha indlela omunye umuthi osebenza ngayo. Lokhu kungenzeka:
- Phakathi kwemithi emibili enqunywe udokotela.
- Phakathi kwemithi emibili oyithengile ekhemisi.
- Phakathi komuthi onikezwe udokotela nomuthi owuthenge ekhemisi.
Futhi, ugwayi, utshwala, noma ezinye izidakamizwa zingathintana nemithi oyiphuzayo futhi zibangele imiphumela engafuneki.
Izinto ezingenzeka ngalolu hlobo lokuxhumana:
- Imiphumela emibi ingase yande: Cabanga uthatha imithi emibili enesithako esifanayo esisebenzayo ndawonye. Isibonelo, uma uthatha umuthi wokuqeda izinhlungu oqukethe i-acetaminophen yomphimbo obuhlungu bese uthatha omunye umuthi oqukethe i-acetaminophen yomkhuhlane, inani le-acetaminophen elifinyelela emzimbeni wakho lizokhula. Lokhu kungandisa imiphumela emibi noma kubangele ubuthi esibindini.
- Imithi ingase isebenze kahle: Eminye imithi isebenza kabi komunye nomunye. Omunye ungase uvimbele iphrotheni emzimbeni, kanti omunye uyayivuselela. Kulokhu, yomibili imithi ngeke ibe nomphumela ofiselekayo.
- Indlela umuthi osebenza ngayo ingashintsha: Eminye imithi ithinta indlela eminye imithi emuncwa ngayo emzimbeni. Futhi, eminye imithi ishintsha isivinini isibindi sethu esiphula ngaso eminye imithi. Lokhu kungabangela ukuthi umuthi uphuke ngokushesha kakhulu futhi ungasebenzi, noma ungahlala emzimbeni isikhathi eside kakhulu futhi ube namandla kakhulu.
Ngakho-ke, ngaphambi kokuthatha noma yimuphi umuthi omusha (kungakhathaliseki ukuthi ungokadokotela noma i-OTC), qiniseka ukuthi ukhuluma nodokotela wakho. Mtshele ngayo yonke imithi oyithathayo njengamanje. Uma usebenzisa utshwala, ugwayi, noma ezinye izidakamizwa, kubalulekile ukuze ukuphepha kwakho kube ngokukhululekile ngakho.
2. Ukusebenzisana kwezidakamizwa nezithasiselo
Sivame ukucabanga ukuthi ngenxa yokuthi izinto ezifana namavithamini kanye nezithako zemithi "zingokwemvelo," azinakulimaza. Lelo yiphutha elikhulu. Ezinye izithako zinganciphisa noma zandise ukusebenza kahle kwemithi oyithathayo, noma zibangele imiphumela emibi eyingozi.
Esinye sezingozi kakhulu salezi yi -wort kaSt. John.Kuyindlela yokwelapha ngamakhambi. Isebenzisana nemithi eminingi, ngezinye izikhathi ngendlela esongela impilo. Isibonelo, i-St. John's wort ingabangela isimo esiyingozi esibizwa ngokuthi i-Serotonin Syndrome uma ithathwa nama-SSRI, uhlobo lwemithi esetshenziselwa ukwelapha izimo ezifana nokucindezeleka.
Ezinye izinto ezengeziwe ezingabangela izinkinga ezengeziwe:
- Izithako zikagalikhi: Lezi zinciphisa igazi. Uma uthatha imithi yokunciphisa igazi njengeWarfarin, noma uma ulungiselela ukuhlinzwa, ukuthatha le mithi kungabangela ukopha ngokweqile.
- I-Goldenseal: Lokhu kuthinta nendlela isibindi esiphula ngayo imithi futhi kungabangela izinkinga ngemithi eminingi.
- Izithasiselo zetiye eliluhlaza eligxilile: Lezi akuzona itiye eliluhlaza esiliphuzayo, kodwa izithasiselo ezigxilile. Lezi zingasebenzisana ne-"pseudoephedrine" etholakala kweminye imithi yomkhuhlane.
Lezi yizibonelo ezimbalwa nje. Ngaphambi kokuthi uthathe noma yisiphi isithasiselo, kubalulekile ukubuza udokotela wakho ukuqinisekisa ukuthi siphephile kuwe. Kufanele ucabange kabili ngokusithatha, ikakhulukazi uma unezinye zezimo ezilandelayo:
- Uma uthatha umuthi onezinga elincane lokwelapha: Lokhu kusho ukuthi izinga lomuthi kumele libe liqondile kakhulu emzimbeni. Ngisho noma ukhulu kakhulu noma uncane kakhulu kungaba yingozi. Ezinye izithako zingaphazamisa leli bhalansi. Izibonelo: I-Carbamazepine, i-Phenytoin, ne-Warfarin, ezisetshenziselwa ukuvimbela ukujiya kwegazi.
- Uma ulungiselela ukuhlinzwa: Ezinye izithasiselo zingathinta imithi esetshenziselwa ukubulala izinzwa, zandise ukopha, futhi zithinte umfutho wegazi noma ukushaya kwenhliziyo.
3. Ukusebenzisana kwezidakamizwa nokudla/iziphuzo
Yebo, lokho okudlayo nokuphuzayo kungashintsha nendlela imithi yakho esebenza ngayo. Ukudla neziphuzo ezithile:
- Kungavimbela umuthi ukuthi ungene emzimbeni.
- I-metabolism yomuthi ingashintshwa, inyuse noma inciphise ukusebenza kwawo.
- Kungabambezela ukususwa komuthi emzimbeni futhi kubangele ubuthi.
Ake sibone ukuthi yikuphi ukudla okuyinhloko neziphuzo ezibangela lolu hlobo lwezinkinga.
| Uhlobo lokudla/lokuphuza | Imithi engabangela imiphumela emibi (izibonelo) |
|---|---|
| Isithelo segilebhisi | Eminye imithi yokwehlisa i-cholesterol (ama-statin), imithi enikezwa ngemva kokufakelwa izitho zomzimba, kanye neminye imithi engaphezu kuka-85 iyasebenzisana nayo. |
| Imikhiqizo yobisi | Kunciphisa ukumuncwa kwemithi efana ne-levothyroxine, amanye ama-antibiotic, kanye nama-bisphosphonates esifo samathambo. |
| Ukudla okucebile nge-vitamin K (imifino eluhlaza) | Kuphazamisa ukusebenza kwemithi yokunciphisa igazi (i-Warfarin). (Kumele ithathwe ngokulinganisela ngokweseluleko sezokwelapha). |
| Ukudla okune-tyramine eningi (ushizi osukhulile, inyama eyomisiwe) | Ingasebenzisana nemithi efana ne-monoamine oxidase inhibitors (MAOIs) yokucindezeleka futhi ibangele umfutho wegazi ophakeme ngendlela eyingozi. |
| Utshwala | Imithi efana ne-'Metronidazole' ingasebenzisana nemithi eminingi, okuhlanganisa i-'Warfarin' kanye ne-'Paracetamol', okubangela imiphumela eyingozi. |
Yingakho eminye imithi kuthiwa ithathwa esiswini esingenalutho ngaphambi kokudla, kanti eminye kuthiwa ithathwa kanye nokudla. Ngakho-ke, landela imiyalelo kadokotela wakho ngqo.
4. Ukuxhumana phakathi kwezidakamizwa nesimo sempilo
Okwenzekayo kulesi simo ukuthi umuthi owuthathayo wesifo esisodwa wenza esinye isifo sibe sibi kakhulu.
Isibonelo, ezinye izidakamizwa zokuqeda ukuminyana kwamakhala ezisetshenziswa ukwelapha ikhala elivalekile ngenxa yomkhuhlane zingandisa umfutho wegazi. Uma usuvele unomfutho wegazi ophakeme, lokhu kungaba yingozi kakhulu kuwe.
Futhi, imithi yokubulala izinhlungu (ama-NSAID) (isib. i-Ibuprofen, i-Naproxen) kanye namanye ama-steroid nawo angakhuphula umfutho wegazi. Uma unezinye zezimo ezilandelayo, kufanele uqaphele kakhulu lapho uthatha imithi emisha.
- Isifo sikashukela
- Umfutho wegazi ophakeme
- Isimo se-Glaucoma
- Indlala yesinye ekhulisiwe
- Isilonda sesisu
Lokhu kusebenzisana kwezidakamizwa kungagwenywa kanjani?
Kunezinto ezilula, kodwa ezibaluleke kakhulu ongazenza ukuze uzivikele kulezi zimo eziyingozi.
1. Gcina uhlu lwakamuva lwazo zonke izinto ozithengayo.
Yenza incwadi noma iphepha elinemininingwane yemithi yonke, amavithamini, kanye nezithasiselo zamakhambi ozithathayo. Faka ulwazi olulandelayo kulo:
- Igama eliphelele lomuthi/isithasiselo.
- Isithako esisebenzayo esiqukethe.
- Kungani uyithatha?
- Inani okufanele lithathwe (umthamo) kanye nezikhathi okufanele lithathwe ngazo.
- Kufanele kuthathe isikhathi esingakanani?
- Imiyalelo ekhethekile, njengangaphambi nangemva kokudla.
- Igama likadokotela owanikeza umuthi.
Gcina lolu hlu lusesikhathini. Nikeza udokotela wakho womndeni, uchwepheshe, kanye nabo bonke abanye odokotela bakho ikhophi yamuva yalolu hlu. Uma kungenzeka, thola yonke imithi yakho ekhemisi elifanayo. Ngaleyo ndlela, bazokwazi nemithi yakho. Gcina ikhophi yalolu hlu esikhwameni sakho ngaso sonke isikhathi.
2. Khuluma nodokotela wakho ngaphambi kokuqala noma yini.
Lena yinto ebaluleke kakhulu. Ukuxhumana kuyisihluthulelo lapha.
- Buza njalo ngaphambi kokuthatha umuthi omusha , ivithamini, noma isithasiselo samakhambi. Akunandaba ukuthi kuyinto ongayithola ekhemisi noma ukuthi ubulokhu uyithatha iminyaka. Imizimba yethu nezidingo zethu zezokwelapha ziyashintsha ngokuhamba kwesikhathi.
- Uma ungaqondi okuthile ngomuthi, buza.
- Buza ukuthi wenzeni uma uphuthelwa umthamo wemithi.
- Tshela udokotela wakho uma uhlangabezana nemiphumela emisha emibi .
- Ngitshele uma unomuzwa wokuthi umuthi awusebenzi.
Uma udokotela wakho ekubhalela umuthi omusha, ungakhohlwa ukubuza le mibuzo:
- Kufanele ngithathe malini futhi kangaki ngosuku?
- Ingabe kufanele ngiyithathe nokudla noma esiswini esingenalutho?
- Yikuphi ukudla neziphuzo okufanele ngizigweme ngenkathi ngithatha lo muthi?
- Ingabe kudingeka ngiyeke ukuphuza eminye imithi engiyithathayo njengamanje?
- Yimiphi imiphumela emibi ongayilindela? Yini okufanele ukhulume ngayo uma ivele?
3. Gcina konke kuhlelekile.
Kubalulekile futhi ukuphuza imithi yakho ngendlela efanele nangesikhathi esifanele. Izinto ezinjengalezi zingasiza:
- Namathisela ikhalenda enezikhathi zemithi endaweni ethile ebonakalayo, njengasesiqandisini.
- Sebenzisa ibhokisi lamaphilisi elinemithamo yansuku zonke (ligcine kude nezingane).
- Setha izikhumbuzi efonini yakho.
- Tshela omunye umuntu ekhaya ngezikhathi zakho zokuthatha imithi.
Kuhle ukuba nolwazi ngezinto ezifana 'nezihloli zokusebenzisana kwezidakamizwa' kwi-inthanethi. Kodwa alusoze lwathatha indawo yeseluleko sikadokotela wakho. Ngoba udokotela wakho uyakwazi wena kanye nomlando wakho ophelele wezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Tshela udokotela wakho ngayo yonke imithi oyithathayo, kungaba yivithamini, isithasiselo semithi, utshwala, noma ngisho nogwayi.
- Hlala ugcina uhlu lwakamuva lwazo zonke izinto ozithathayo bese ulubonisa bonke odokotela.
- Ngaphambi kokuqala noma yini entsha (ngisho nomuthi otholakala ngaphandle kwemithi kadokotela), qiniseka ukuthi ubuza udokotela wakho.
- Uma ungaqondi imiyalelo yemithi yakho, ungesabi ukubuza futhi. Kubalulekile ukuphepha kwakho.
- Impilo yakho ingaba nzima, kodwa ngolwazi olufanele kanye nokuxhumana okuhle nodokotela wakho, ungahlala uphephile futhi unempilo.
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