I-Migraine akuyona nje ikhanda elibuhlungu, njengoba noma ubani ohlushwa yiyo azi. Yilabo kuphela abahlushwa yiyo abazi ubuhlungu bokungakwazi ukwenza lutho usuku lonke, ukungakwazi ukubuka ukukhanya, nokuzizwa unesicanucanu. Ngakho-ke, kunemithi ekhethekile odokotela abayinikezayo yekhanda elibuhlungu kangaka. Namuhla sikhuluma ngomuthi owodwa onjalo, i-Ergotamine namaphilisi aqukethe i-Caffeine. Ake sixoxe ngalomuthi kalula nangendlela enobungane.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Ergotamine kulo muthi ingeyeqembu lemithi ebizwa ngokuthi 'i-ergot alkaloids'. Uma kwenzeka i-migraine, imithambo yegazi ebuchosheni iyavuvukala futhi ivuleke. I-Ergotamine isebenza ngokunciphisa leyo mithambo yegazi ebanzi. Lokhu kunciphisa ubuhlungu bekhanda.
Kuthiwani nge-Caffeine? I-Caffeine isheshisa ukumuncwa kwe-Ergotamine emzimbeni futhi yandisa ukusebenza kwayo. Lokhu kusho ukuthi uma lokhu okubili kuhlanganiswa, kunganikeza impumuzo esheshayo ekhanda. Lo muthi usetshenziselwa ukwelapha i-migraines kanye nolunye uhlobo olubi lwekhanda olubizwa ngokuthi 'Cluster Headaches'.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokusebenzisa lo muthi, kubaluleke kakhulu ukwazisa udokotela wakho ngesimo sakho sempilo ngokuphelele. Ngoba ukusebenzisa lo muthi nezinye izimo zezokwelapha kungaba yingozi. Uma unezinye zezimo ezingezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sempilo noma ithuba | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo senhliziyo noma isifo semithambo yegazi | Ngenxa yokuthi lo muthi unciphisa imithambo yegazi, ungaba yingozi kubantu abagulayo benhliziyo. |
| Umfutho Wegazi Ophakeme | Umuthi ungakhuphula umfutho wegazi kakhulu. |
| Isifo sezinso noma sesibindi | Inqubo yokususa imithi emzimbeni ingase ithinteke. |
| Ukujikeleza kwegazi okungekuhle emzimbeni | Izinkinga ezinjengokuncipha kokunikezwa kwegazi ezandleni nasezinyaweni zingaba zimbi kakhulu. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Lo muthi akufanele usetshenziswe ngoba ungase ube yingozi enganeni. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Kubalulekile ukwazi ukuthi une-allergy kunoma yiziphi izithako ezikulesi sidakamizwa. |
Ngingawusebenzisa kanjani umuthi?
Lona akuwona umuthi owuthatha njalo njengomthi wokuqeda izinhlungu ovamile.
Into ebaluleke kakhulu ukuthatha lo muthi ngokushesha nje lapho i-migraine iqala, okungukuthi, lapho uzwa izimpawu zokuqala. Uma uwuthatha sekwephuzile, umuthi ungase ungasebenzi kahle.
Phuza leli philisi nengilazi yamanzi. Sebenzisa kuphela umthamo owunikezwe udokotela wakho. Ungalokothi uthathe ngaphezu komthamo owunikezwe udokotela. Futhi ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Phatha lokhu njengesimo esiphuthumayo.
Ungabelani ngomuthi nabanye.
Lo muthi unikezwe wena wedwa. Ungalokothi wabelane ngalo muthi nabanye, noma ngabe izimpawu zakho zifana nezakho.
Ingabe eminye imithi ingasebenzisana nalo muthi?
Yebo, leli iphuzu elibaluleke kakhulu. I-Ergotamine; I-Caffeine ingasebenzisana neminye imithi eminingi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ikakhulukazi, uma uthatha noma yimiphi imithi ebhalwe ngezansi, akukhuthazwa ukusebenzisa lo muthi.
- Imithi yokulwa nesikhunta - isib. i-ketoconazole, i-itraconazole
- Amanye ama-antibiotic - isibonelo i-erythromycin, i-clarithromycin
- Ama-protease inhibitors yimithi esetshenziselwa ukwelapha i-HIV/AIDS.
- Eminye imithi ye-migraine (ama-triptan) - isib. i-sumatriptan, i-rizatriptan
- Ijusi le-Grapefruit
Lolu hlu aluphelele. Ngakho-ke, kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Ezinye izinto okufanele uzicabangele lapho uthatha umuthi
- Uma ubuhlungu bungapheli: Uma ikhanda lakho lingapheli ngemva kokuthatha lo muthi, khuluma nodokotela wakho. Ungase udinge umuthi ohlukile.
- Ukuzwela emakhazeni: Lo muthi unganciphisa ukugeleza kwegazi ezandleni, ezinyaweni, naseminweni. Lokhu kungakwenza uzizwe uzwela emakhazeni. Lokhu kungaba yiqiniso ikakhulukazi kubantu abadala. Ngakho-ke, gqoka kahle ngezinsuku ezibandayo futhi uqaphele umkhuhlane.
- Qaphela i-caffeine: Njengoba lo muthi usuvele uqukethe i-caffeine, nciphisa ukudla kwakho ikhofi, itiye, ushokoledi, kanye neziphuzo ezine-caffeine ezinsukwini ozithatha ngazo umuthi. Ngaphandle kwalokho, umzimba ungase uthole i-caffeine eningi kakhulu futhi ungase ube nezinkinga.
- Ingozi yokwanda kwekhanda ngenxa yemithi: Lokhu kuyinto abantu abaningi abangazi. Uma uthatha imithi ye-migraine izinsuku ezingaphezu kweziyi-10 ngenyanga, kungabangela ukwanda kwekhanda. Lokhu kubizwa ngokuthi 'ikhanda elibuhlungu elisebenzisa imithi ngokweqile'. Ngakho-ke, kuwumqondo omuhle ukugcina idayari yezinsuku ophathwa ngazo ikhanda kanye nezinsuku othathwe ngazo umuthi. Uma ubona ukuthi ikhanda lakho liya ngokuya liba njalo, yazisa udokotela wakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Eminye iyingozi, eminye ivamile. Bheka ithebula elingezansi.
| Umphumela Ongemuhle | Okufanele ngikwenze? |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi | Tshela udokotela wakho ngokushesha noma uye esibhedlela. |
| Ubuhlungu besifuba, ukuqina, noma ubunzima bokuphefumula | |
| Ukubanda, ubuhlungu, noma ukungakhululeki ezandleni noma ezinyaweni | |
| Ukushaya kwenhliziyo okusheshayo, okuhamba kancane , noma okungajwayelekile | |
| Ubuhlungu obukhulu besisu, ukuhlanza | |
| Ukuvuvukala kwezandla, izinyawo, noma amaqakala | |
| Ukuquleka | |
| Imiphumela emibi evame ukungabi mibi kakhulu | |
| Isicanucanu | Uma lokhu kuqhubeka noma kuba yinkinga, yazisa udokotela wakho. |
| Ukuchama kaningi | |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi kufanele uthathwe kuphela uma kuqala i-migraine. Akusiwo umuthi wansuku zonke.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi eminye imithi yobuhlungu bekhanda.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, ukungazweli ezithweni zomzimba, noma ukuzizwa ubanda, funa iseluleko sezokwelapha ngokushesha.
- Ukusebenzisa lolu hlobo lomuthi izinsuku ezingaphezu kweziyi-10 ngenyanga kungenza ikhanda libe libi kakhulu. Ngakho-ke qaphela ngemithi yakho.
- Gcina lo muthi kude nezingane, endaweni yokushisa kwegumbi, kude nokukhanya nomswakama.
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