Ingabe udokotela wakho ukutshelile ukuthi unama -platelet aphansi futhi usengozini yokopha ? Kungenzeka ukuthi unikezwe umuthi obizwa ngokuthi i-Elthrombopag ukuze uwuphathe. Njengoba lo umuthi ukhethekile, ungase ube nemibuzo eminingi ngawo. Ungakhathazeki, sizoxoxa ngalo muthi ngamagama alula, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.
Kalula nje, iyini i-Elthrombopag?
Lokhu kuyi- suspension , okusho ukuthi iza ngesimo soketshezi. Umsebenzi wayo oyinhloko ukwandisa inani lama-platelet emzimbeni wakho.
Cabanga ngendlela esimisa ngayo ukopha uma sithola inxeba endaweni ethile emzimbeni wethu. Lawa maseli amancane abizwa ngokuthi ama-platelet ayasiza ngalokho. Ahlangana ndawonye ukuze akhe ihlule legazi futhi amise ukopha. Ngakho-ke lapho inani lama-platelet lehla, ngisho nenxeba elincane lingase libangele ukopha okukhulu.
Lomuthi usetshenziswa kakhulu ku:
- Abantu abanezibalo eziphansi zama-platelet ngenxa yesifo sesibindi noma isimo esibizwa ngokuthi i-immune thrombocytopenia ( ITP ), okuyinkinga ohlelweni lokuzivikela komzimba.
- Iphinde isetshenziswe ekwelapheni isimo esibizwa ngokuthi 'i-aplastic anemia.' Kulesi simo, umongo wamathambo ukhiqiza amangqamuzana egazi amasha amancane kakhulu (amangqamuzana abomvu, amangqamuzana amhlophe, nama-platelet).
Kalula nje, lo muthi uvuselela umongo wamathambo futhi usize ukukhiqiza ama-platelet engeziwe, okunciphisa ingozi yokopha okungadingekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza lo muthi, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Ngakho-ke, uma kukhona okulandelayo okusebenzayo kuwe, qiniseka ukuthi uyamtshela udokotela wakho.
- Ezinye izimo zezokwelapha onazo:
- Umdlavuza
- Isifo sesibindi noma sezinso
- Isifo samehlo noma ukukhubazeka kokubona
- Uma unomlando wamahlule egazi
- Uma udende lususiwe ngokuhlinzwa
- Ezinye izimo zezokwelapha ezibangela ukwehla kwamaseli egazi (amangqamuzana amhlophe, amaseli abomvu, ama-platelet)
- Ukungezwani komzimba: Uma une-allergy kulo muthi, i-Elthrombopag, noma yimuphi omunye umuthi, ukudla, noma isilondolozi.
- Ukukhulelwa nokuncelisa:
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Kufanele ngiwusebenzise kanjani ngempela lo muthi?
Lona umuthi odinga ukusetshenziswa ngokucophelela. Kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele, njengoba udokotela esho.
1. Indlela yokuwuthatha: Lona umuthi owuketshezi. Shukumisa ibhodlela kahle ngaphambi kokusebenzisa. Uzonikezwa isirinji, inaliti, noma isipuni esiphawulwe ngokukhethekile ukuze ulinganise umuthi. Ungalinganisi ngezipuni ezivamile zasekhaya, ngoba azinembile.
2. Isikhathi sokuthatha (lokhu kubaluleke kakhulu!):
- Lomuthi kufanele uthathwe esiswini esingenalutho .
- Lokho kusho ukuthi, okungenani imizuzu engama-30 ngaphambi kokudla noma amahora ama-2 ngemva kokudla .
- Enye indlela iwukuthatha lokhu nokudla okune-calcium eningi .
3. Ubudlelwano ne-calcium namanye amaminerali:
- Ukuthatha ukudla, iziphuzo, noma amavithamini aqukethe i-calcium, i-iron, i-magnesium, noma i-zinc ngesikhathi esifanayo nalo muthi kuzonciphisa ukumuncwa komuthi.
- Kalula nje, uma udla okuthile okufana nobisi, iyogathi, noma ushizi, uphuza amaphilisi ensimbi, noma uphuza umuthi oqeda i-asidi (uketshezi/amaphilisi e-gastritis), udinga ukushiya igebe phakathi kwesikhathi osithatha ngaso nesikhathi osithatha ngaso lo muthi.
- Umthetho uthi: Kufanele uthathe lo muthi emahoreni ama-2 ngaphambi noma emahoreni ama-4 ngemuva kokuthatha izithasiselo ze-calcium/iron ezishiwo ngenhla.
Ake sithi uphuza ingilazi yobisi ngo-8 ekuseni. Ngemuva kwalokho kuzodingeka uthathe lo muthi ngemva kuka-12 emini. Noma, uma uthathe lo muthi ngo-6 ekuseni, ungaphuza ingilazi yobisi ngemva kuka-8 ekuseni. Khuluma nodokotela wakho bese uhlela lezi zikhathi eziqondile.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwe umthamo, ungakhathazeki. Ungaphindiseli umthamo ophuthelwe. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungaphuzi umthamo ongaphezu komthamo onqunyiwe (ngaphezu komthamo owodwa) ngosuku.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (i-ETU) oseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Ezinye izinto okufanele uziqaphele lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho cishe uzokucela ukuthi uhlolwe igazi njalo. Lokhu kuhlolwa kuzohlola ukuthi inani lama-platelet akho lisezingeni elidingekayo nokuthi isibindi sakho sisebenza kahle yini. Ungayeqi le mihlolo.
- Ukushintsha kokubona: Abanye abantu bangase babhekane nokushintsha kokubona ngalo muthi. Ngakho-ke, udokotela wakho angase akuncome ukuthi uhlolwe amehlo ngaphambi kokuqala nangesikhathi uthatha umuthi. Uma ubona ukuthi umbono wakho awucacile noma ubona indandatho ezungeze izibani, tshela udokotela wakho ngokushesha.
- Imiphumela yesibindi: Lo muthi ungaba nomthelela esibindini, ikakhulukazi kubantu abane-Hepatitis C.
- Ukuzivikela ekulimaleni: Ngisho noma inani lama-platelet akho libuyela esimweni esijwayelekile, kusawukuhlakanipha ukuyeka imidlalo nemisebenzi eyingozi engabangela ukulimala.
- Ukukhulelwa nokuncelisa: Kubalulekile ukusebenzisa izindlela zokuvimbela ukukhulelwa ezanele ukuze ugweme ukukhulelwa ngenkathi uthatha lo muthi kanye nezinsuku eziyi-7 ngemuva kokuyeka umuthi. Khuluma nodokotela wakho ngalokhu. Futhi, gwema ukuncelisa ngenkathi uthatha lo muthi.
- Umuthi i-Elthrombopag usetshenziselwa ukwandisa inani lama-platelet egazini nokunciphisa ingozi yokopha.
- Lomuthi kufanele uthathwe esiswini esingenalutho . Ungawuthathi kanye nokudla noma umuthi oqukethe amaminerali afana ne-calcium noma i-iron. Shiya igebe lamahora ama-2.
- Thatha umthamo oqondile ngesikhathi osinqunyelwe. Uma uphuthelwa umthamo, vele uwuthathe ngesikhathi esilandelayo esihleliwe.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, njengokuqubuka kwesikhumba, ukuphuzi kwamehlo, ukushintsha kombono, noma ukuvuvukala kwemilenze, tshela udokotela wakho ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Uma uneminye imibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
Ukuwa okukhulu noma ingozi kungabangela ukopha kwangaphakathi okungabonakali ngaphandle. Qaphela kakhulu uma usebenzisa amathuluzi abukhali njengemimese nesikelo. Kungcono uma ungasebenzisa i-razor kagesi lapho ushefa. Hlanza amazinyo akho njalo. Uma uthola noma yimiphi imivimbo noma amabala abomvu esikhumbeni sakho, tshela udokotela wakho .
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ithebula elingezansi lizokunikeza isithombe esicacile salokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, kanye nokukhathala okukhulu. |
| Izimpawu ze-clot yegazi | Ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izinguquko zombono | Umbono ofiphele, ukubona ama-halo azungeze izibani, ukulahlekelwa umbono. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho (kodwa tshela udokotela wakho uma kuqhubeka) | |
| Ukulimala okuncane | Ukukhwehlela, isifo sohudo (ukuhlanza), ukukhathala, umkhuhlane, ikhanda elibuhlungu, isicanucanu. |
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imikhiqizo yamakhambi oyithathayo, njengoba eminye ingase ihlangane nalo muthi.
| Uhlobo lwezinto ezingadala izinkinga | Izibonelo |
|---|---|
| Ama-antacid | Amanzi noma amaphilisi asetshenziselwa i-gastritis. |
| Izithako zamaminerali | Amaphilisi noma uketshezi oluqukethe i-calcium, i-iron, i-magnesium, i-zinc, i-selenium. |
| Eminye imithi yokwehlisa i-cholesterol | Ama-statin afana ne-Atorvastatin ne-Rosuvastatin. |
| Isiqeda ukugabha kwegazi | Imithi efana neWarfarin, i-Apixaban, neRivaroxaban. |
| Ama-Painkiller | Imithi esesigabeni 'sama-NSAID', njenge-Ibuprofen ne-Naproxen. |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
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