Ingabe nawe uphathwa yikhanda elingabekezeleleki uma une-migraine? Ngezinye izikhathi, ukuphuza amaphilisi avamile akusizi. Namuhla sizokhuluma ngomuthi okhethekile odokotela abawuncomayo ngezikhathi ezinjalo. Lona umuthi wokwelapha ofakwa emzimbeni nge-rectum. Uyinhlanganisela yemithi emibili ebizwa ngokuthi i-Ergotamine ne-Caffeine. Ungesabi uma uzwa leli gama, ake sixoxe ngalo kalula.
Uhlobo luni lomuthi? Kwenzekani ngempela?
Kalula nje, lo muthi welapha ubuhlungu be-migraine yakho. Uma unesifo se-migraine, imithambo yegazi ebuchosheni bakho iyavuleka (iyavuleka), okuyimbangela eyinhloko yalobu buhlungu obukhulu. Lo muthi usebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bakho nangokunciphisa imithambo yegazi evulekile.
Kunezinhlobo ezimbili eziyinhloko zemithi yalokhu:
1. I-Ergotamine: Lona umuthi ongoweqembu lama-ergot alkaloids. Usebenza kakhulu ngokunciphisa imithambo yegazi.
2. I-Caffeine: Le `(Caffeine)` esiyithola ekhofini nasetiyeni isiza umzimba ukuthi umunce umuthi i-`Ergotamine` ngokushesha nangokufanele. Futhi, i-`Caffeine` inekhono lokunciphisa imithambo yegazi ngezinga elithile.
Kodwa khumbula into eyodwa, lokhu akuwona umuthi wokuvimbela i-migraine. Kungumuthi wokulawula ubuhlungu be-migraine uma isiqalile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kulungile, manje ngaphambi kokusebenzisa lo muthi, kunezinto ezimbalwa okudingeka uzazise udokotela wakho. Lokhu kubaluleke kakhulu ngenxa yokuphepha kwakho. Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho.
- Uma unesifo senhliziyo noma isifo semithambo yegazi.
- Uma une-high blood pressure.
- Uma kukhona ukutheleleka emzimbeni.
- Uma unesifo sezinso.
- Uma unesifo sesibindi.
- Uma unenkinga yokujikeleza kwegazi (isib., izitho zakho ziba luhlaza okwesibhakabhaka ngokushesha, uzizwe uthukuthele).
- Uma une-allergy ku-'Ergotamine', 'Caffeine' noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lezi zinto.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Indlela yokusebenzisa lo muthi ihlukile kancane, ngoba ufakwa nge-rectally. Ngakho-ke kubalulekile ukwazi kahle ukuthi ungakwenza kanjani. Ungakhathazeki, kulula kakhulu uma ulandela lezi zinyathelo.
1.Okokuqala, geza izandla zakho kahle. Kufanele futhi ugeze izandla zakho kahle ngemva kokusebenzisa umuthi.
2. Susa i-foil wrapping ezungeze i-capsule yemithi.
3. Manzisa uhlangothi olucijile lwekhaphu lomuthi ngamanzi abandayo alula. Lokhu kuzokwenza kube lula ukulifaka.
4. Lala ohlangothini olulodwa lombhede. Gcina umlenze ongezansi uqondile kanye nomlenze ophezulu ugobile ubheke esiswini sakho.
5. Phakamisa izinqe ezingaphezulu kancane ukuze uveze indawo engemuva.
6. Manje faka ikhaphu yomuthi ngokuphelele e-rectum, bese kuqala kuqala isiphetho esicijile.
7. Ngemva kokufaka, bamba izinqe zakho ndawonye imizuzwana embalwa.
8. Bese , linda cishe imizuzu eyi-15. Lokhu kuzosiza umuthi ukuthi usebenze futhi kuvimbele ukuthi ungaphinde uphume.
Okubalulekile: Ungasebenzisi lo muthi ngobuningi noma kaningi kunalokho okunqunywe udokotela wakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital . Lo muthi ongowokusetshenziswa nguwe. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Eminye imithi esebenzisana nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. Eminye imithi oyithathayo ingasebenzisana nalo muthi 'we-Ergotamine; i-Caffeine' futhi ibangele imiphumela emibi kakhulu. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Uma usebenzisa noma yimiphi imithi esetafuleni elingezansi, ungawuthathi nhlobo lo muthi.
| Imithi/izinto okungafanele zithathwe ndawonye |
|---|
| - Amanye ama-antibiotic (isib. i-Erythromycin, i-Clarithromycin) - Amanye ama-antiviral anikezwa i-HIV noma i-Hepatitis - Imithi yokutheleleka kwesikhunta (isib. `I-Ketoconazole`, `Itraconazole`, `I-Fluconazole`) - Eminye imithi esetshenziselwa i-migraines (isb., ama-Triptan afana ne-Sumatriptan ne-Rizatriptan) - Amanye ama-'Ergot Alkaloids' (isib. i-'Dihydroergotamine') - Ijusi le-Grapefruit - Izidakamizwa ezifana ne-'Cocaine' - Imithi yesifo senhliziyo efana ne-'Nitroglycerin' kanye ne-'Isosorbide' - Imithi yomkhuhlane efana ne-'Pseudoephedrine' kanye ne-'Phenylephrine' |
Futhi, imithi elandelayo ingase ihlangane nalo muthi. Ngakho-ke, uma uyisebenzisa, yazisa udokotela wakho.
- Eminye imithi yokwelapha umfutho wegazi kanye nesifo senhliziyo
- I-Nicotine (equkethwe kugwayi)
- Imithi yokucindezeleka efana ne-'Fluoxetine' kanye ne-'Fluvoxamine'
- `I-Metronidazole`
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele uma usebenzisa umuthi
- Uma ubuhlungu bungapheli: Uma ubuhlungu bakho be-migraine bungapheli ngisho nangemva kokusebenzisa lo muthi, khuluma nodokotela wakho. Kungase kudingeke ushintshele komunye umuthi.
- Ukuzwela emakhazeni: Lo muthi unganciphisa kancane ukujikeleza kwegazi ezandleni nasezinyaweni zakho. Lokhu kungakwenza uzizwe ubanda kakhulu kunokujwayelekile. Lokhu kungathinta kakhulu abantu abadala. Ngakho-ke, gqoka ngokufudumele ngezinsuku ezibandayo futhi ugweme ukuhlala ngaphandle emakhazeni isikhathi eside kakhulu.
- Qaphela i-caffeine: Njengoba lo muthi uqukethe i-caffeine, nciphisa ukudla okuqukethe i-caffeine njengekhofi, itiye, noshokoledi ngosuku othatha ngalo lo muthi. Ngaphandle kwalokho, umzimba ungase uzwe ukwanda kwe-caffeine, okungabangela ukuthuthumela nokungahlaliseki.
- Ukusebenzisa imithi ngokweqile: Uma uphuza imithi yokwelapha ikhanda elibuhlungu izinsuku eziyi-10 noma ngaphezulu ngenyanga, kungenza ikhanda lakho elibuhlungu libe libi kakhulu. Lokhu kubizwa ngokuthi "Ikhanda Elibuhlungu Elibuhlungu Lokusebenzisa Imithi". Ngakho-ke gcina idayari yezinsuku ohlushwa yikhanda elibuhlungu kanye nezinsuku ophuza ngazo imithi yakho. Uma uzizwa sengathi ikhanda lakho elibuhlungu liba liningi, khuluma nodokotela wakho.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| Uma uhlangabezana nalezi zimpawu, bona udokotela ngokushesha noma uye ku-ETU. | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinkinga zokujikeleza kwegazi | Ukuvuvukala, ubuhlungu, ukungazweli, kanye nokushintsha kombala (oluhlaza okwesibhakabhaka/omhlophe) kwezandla, izinyawo, kanye neminwe. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Izimpawu zesifo sohlangothi | Ukungazweli/ubuthakathaka obungazelelwe kolunye uhlangothi lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ikhanda elibuhlungu kakhulu. |
| Umfutho wegazi okhuphukile | Ubuhlungu obukhulu bekhanda, ukushintsha kombono. |
| Ubuhlungu obukhulu besisu | Uhudo oluhambisana negazi, umkhuhlane, isicanucanu, nokuhlanza. |
| Uma le miphumela emibi iqhubeka noma iba yinkinga, tshela udokotela wakho. | |
| |
Ungawugcina futhi uwulahle kanjani umuthi ngokuphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina lo muthi esiqandisini. Ungawugcini esiqandisini.
- Ungasusi i-foil ephepheni kuze kube yilapho sekuyisikhathi sokuyisebenzisa.
- Ungasebenzisi umuthi ophelelwe yisikhathi.
- Kubaluleke kakhulu ukulahla imithi engasetshenziswanga noma ephelelwe yisikhathi ngokuphephile. Ungayilahli emgqonyeni kadoti noma uyihlanze endlini yangasese. Cela udokotela wakho iseluleko sokuthi ungayilahla kanjani ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi we-rectal `Ergotamine; I-Caffeine` usetshenziselwa ukulawula ubuhlungu ngemva kokuba i-migraine isivele, hhayi ukuyivimbela ukuthi ingenzeki.
- Ngaphambi kokuthatha lo muthi, tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke imithi oyithathayo.
- Umuthi kufanele usetshenziswe njengoba nje udokotela ekuyalile. Ungasebenzisi ngaphezu kwesilinganiso esinqunyiwe.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuba ndikindiki ezithweni, ubuhlungu besifuba, noma ubunzima bokukhuluma, funa iseluleko sezokwelapha ngokushesha.
- Uma uphuza imithi ye-migraine izinsuku ezingaphezu kweziyi-10 ngenyanga, khuluma nodokotela wakho ngayo.
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