Uma unekhanda elibuhlungu elingabekezeleleki, kungaba ubuhlungu bangempela usuku lonke, akunjalo? Ngezinye izikhathi ikhanda lakho libuhlungu kakhulu kangangokuthi awukwazi ngisho nokubuka ukukhanya, uzizwa unesicanucanu, kanti abanye abantu baze bahlanze. Kunezikhathi lapho ungakwazi ukwenza lutho bese uhlala embhedeni usuku lonke. Namuhla, sizokhuluma ngomuthi okhethekile ongakunikeza impumuzo uma unekhanda elibuhlungu kangaka lekhanda.
Luhlobo luni lomuthi lolu?
Lo muthi ubizwa ngokuthi i-ergotamine . Ngokuvamile uza njengephilisi elingaphansi kolimi olibeka ngaphansi kolimi lwakho bese ulincibilikisa. Wenzelwe ngqo ukukusiza ukulawula ikhanda elibuhlungu elihambisana ne-migraines.
Kalula nje, lo muthi, i-Ergotamine, wenza izinto ezimbili ebuchosheni bakho. Enye iwukuvimba izimpawu zobuhlungu ezibangela i-migraines. Enye iwukubangela eminye yemithambo yegazi ebuchosheni ukuthi ivuvuke, okubangela ukuthi leyo mithambo yegazi ivaleke. Ingoweqembu lemithi ebizwa ngokuthi i-ergot alkaloids .
Nokho, kubaluleke kakhulu ukukhumbula lokhu: Lo muthi awusiwo umuthi wokuvimbela i-migraines ngaphambi kokuba ivele. Lokhu kusho ukuthi kufanele uwuthathe ngemva kokuba usuqale ukuba nekhanda elibuhlungu, okungukuthi, ngemva kokuba unezimpawu ze-migraine. Akusiwona umqondo omuhle ukuwuthatha ulindele ukuthi uzokwenzeka.
Ngezinye izikhathi udokotela wakho angase akunike lo muthi ngenye injongo. Ngakho-ke uma unemibuzo noma ungaqiniseki ngalo muthi, kungcono ukubuza udokotela wakho noma usokhemisi. Ngokuvamile uzothola lo muthi ngaphansi kwegama lomkhiqizo elithi 'Ergomar' .
Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?
Kulungile, manje leli yiphuzu elibaluleke kakhulu. Ngaphambi kokuthi uqale ukusebenzisa lo muthi we-Ergotamine, uma unezinye zezimo ezibalwe ngezansi, kufanele utshele udokotela wakho ngaphandle kokufihla lutho. Ngoba yilapho kuphela lapho udokotela anganquma khona ukuthi lo muthi ukufanele noma cha, noma ukuthi uwunikeza kanjani.
Manje bheka ukuthi lezi zinto ziyasebenza yini nakuwe:
- Ingabe unesihlungu esifubeni noma uphefumula kanzima?
- Ingabe unesifo senhliziyo noma isifo semithambo yegazi?
- Ingabe unaso isifo somfutho wegazi ophakeme?
- Ingabe unesifo esithile emzimbeni wakho, njengethumba?
- Unesifo sezinso?
- Ingabe ikhona inkinga ngesibindi, okungukuthi isifo sesibindi?
- Ingabe umjikelezo wakho wegazi awuhambi kahle? Lokhu kusho izinto ezifana nokugeleza kwegazi okungafanele emalungeni akho, ukuba ndikindiki, njll.
- Ingabe uyabhema? Ukubhema kuyisici esiyingozi sesifo senhliziyo.
- Wake waba nokusabela kokungezwani komzimba noma okunye ukusabela okungavamile kulo muthi we-ergotamine, noma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo?
- Ingabe ukhulelwe njengamanje? Noma uzama ukukhulelwa?
- Ingabe ungumama oncelisayo?
Uma kukhona kwalokhu okukusebenzelayo, sicela utshele udokotela wakho.
Ngingawusebenzisa kanjani lo muthi?
Indlela lo muthi osetshenziswa ngayo nayo ikhethekile kakhulu. Kubaluleke kakhulu ukwazi nokwenza ngendlela efanele.
- Indlela Yokuthatha: Lo muthi kufanele uthathwe ngomlomo. Thatha iphilisi, ulibeke ngaphansi kolimi lwakho , bese ulinda uze uncibilike ngokuphelele.
- Okubaluleke kakhulu: Ungahlafuni noma ugwinye iphilisi. Livumele lincibilike ngaphansi kolimi lwakho. Lokhu kuzoqinisekisa ukuthi umuthi umuncwa ngokuphelele emzimbeni wakho.
- Landela imiyalelo: Landela imiyalelo eselebula likadokotela oyinikezwe ngudokotela wakho ngqo.
- Isikhathi esingcono kakhulu: Ukuze uthole imiphumela emihle kakhulu, thatha lo muthi ngokushesha nje lapho uzwa ukuqala kwekhanda elibuhlungu, noma ngokushesha nje lapho uqala ukuzwa izimpawu ezandulela i-migraine (njenge-aura). Ungalibali. Yilapho-ke uzokunikeza impumuzo engcono kakhulu.
- Ungawuthathi lo muthi njalo: Lo muthi awuhloselwe ukuthathwa nsuku zonke. Futhi, ungathathi umthamo ongaphezu komthamo udokotela wakho akutshela ukuthi uwuthathe, futhi awuthathi isikhathi esingaphezu kwenani lezikhathi udokotela wakho akutshela ukuthi uwuthathe ngosuku.
- Uma unikeza izingane: Qiniseka ukuthi ukhuluma nethimba lakho lezempilo mayelana nokunikeza izingane ezincane lo muthi. Kungadinga ukunakekelwa okukhethekile. Unganiki izingane ezincane lo muthi ngaphandle kweseluleko sikadokotela.
- Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi esiseduze noma igumbi lezimo eziphuthumayo ngokushesha. Noma uye lapho ngokushesha.
- Ungabelani: Lo muthi ungowakho kuphela. Ungawuniki umngane noma ilungu lomndeni, noma ngabe unomkhuhlane. Akuyona yonke imithi esebenzela wonke umuntu.
Yini okufanele uyenze uma uphuthelwa umthamo?
Lo mbuzo awubalulekile kangako kulo muthi. Ngoba, njengoba kushiwo ngaphambili, lo muthi awuthathwa ngesikhathi esifanayo nsuku zonke, ngendlela ejwayelekile. Uthathwa kuphela uma kuvela ikhanda ngeSonto.
Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)
Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Kuneminye imithi engabangela imiphumela emibi eyingozi uma ithathwa nge-Ergotamine. Futhi, kuneminye imithi nokudla okungathinta indlela i-Ergotamine esebenza ngayo.
I-Ergotamine akufanele isetshenziswe kanye nemithi elandelayo:
- I-Bromocriptine
- I-Ceritinib
- Amanye ama-antibiotic, njenge-clarithromycin ne-erythromycin
- Amanye ama-antiviral anikezwa i-HIV noma i-hepatitis
- Eminye imithi yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
- Eminye imithi yokwelapha izifo zesikhunta, njenge-itraconazole, i-ketoconazole, i-posaconazole, kanye ne-voriconazole
- Eminye imithi enqunyelwe ukuphathwa ikhanda elibuhlungu ifaka: i-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, kanye ne-zolmitriptan. Lezi zibizwa nangokuthi 'ama-triptan'.
- I-Cocaine
- Idelalisib
- I-Imatinib
- I-Levoketoconazole
- I-Lonafarnib
- I-Mifepristone
- I-Pseudoephedrine (ingatholakala kweminye imithi yomkhuhlane)
- I-Ribociclib
- I-Tucatinib
Futhi, lo muthi ungasebenzisana nezinto ezilandelayo. Lokhu kusho ukuthi imiphumela ingase ivele:
- Eminye imithi yokucindezeleka, ukukhathazeka, noma izinkinga zengqondo
- I-Clotrimazole (isidakamizwa esilwa ne-fungus)
- I-Fluconazole (isidakamizwa esilwa ne-fungus)
- Ijusi le-Grapefruit - Qaphela kakhulu ngaleli. Ukuphuza ijusi le-grapefruit ngenkathi uthatha i-ergotamine kungandisa imiphumela emibi.
- I-Metronidazole (umuthi osetshenziselwa ukwelapha izifo ezithile)
- I-Nicotine - Lokhu kusho imikhiqizo ehlobene nogwayi, njengogwayi.
- I-Propranolol (umuthi osetshenziselwa ukwelapha izifo zenhliziyo kanye nomfutho wegazi ophakeme)
- I-Zileuton (umuthi we-asthma)
Lolu hlu aluhlanganisi konke ukusebenzisana kwemithi okungenzeka. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi lezo zezinye izimo, amavithamini, amakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla).Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni, njengoba ezinye izinto zingathintana nemithi yakho futhi zibangele izinkinga.
Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?
Kunezinye izinto ezimbalwa okufanele uziqaphele uma usebenzisa i-ergotamine.
- Uma kungekho mpumuzo: Uma lo muthi ungakuniki impumuzo enkulu ekhanda lakho le-migraine, noma uma ikhanda lakho liqala ngendlela ehlukile kunejwayelekile, khuluma nethimba lakho lezempilo. Kungadingeka ushintshele komunye umuthi noma uzame indlela ehlukile yokwelapha ukuze welaphe ikhanda lakho.
- Ukozela/Isiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, ungashayeli, usebenzise imishini esindayo, noma wenze noma yini edinga ukuqaphelisisa kwengqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ukuze unciphise ingozi yokuba nesiyezi noma ukuquleka, ungavuki endaweni yokuhlala noma yokuma ngokuzumayo. Yenza lezi zinto kancane. Lokhu kubaluleke kakhulu uma usukhulile. Ukuphuza utshwala kungenza lokhu kukozela, isiyezi, kanye nokugeza kube kubi kakhulu. Ngakho-ke, gwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Ukujikeleza kwegazi: Lo muthi unganciphisa kancane ukujikeleza kwegazi esikhumbeni sakho, eminweni nasezinzwaneni. Lokhu kungakwenza uzwele kakhulu emakhazeni. Izandla nezinyawo zakho zingase zizwe zibanda futhi zingazwakali. Abantu abadala banamathuba amaningi okuzwa lo mphumela. Ngakho-ke , gqoka kahle futhi uzigcine ufudumele esimweni sezulu esibandayo. Gwema ukuhlala emakhazeni isikhathi eside kakhulu.
- Ikhanda Elibuhlungu Elisetshenziswa Kakhulu Emithini: Lokhu nakho kuyinkinga ebaluleke kakhulu. Uma usebenzisa imithi ye-migraine (hhayi i-ergotamine kuphela, kodwa neminye imithi yokwelapha ubuhlungu) izinsuku eziyi-10 noma ngaphezulu ngenyanga, i-migraine yakho ingase ibe yimbi kakhulu esikhundleni sokuba ngcono. Lokhu kubizwa ngokuthi 'ikhanda elibuhlungu elisetshenziswa kakhulu emithini'. Ngakho-ke, kuyasiza kakhulu ukugcina idayari yekhanda, uqopha izinsuku ophathwa yikhanda ngazo, ukuthi umuthi muni owuthathayo, nokuthi ungakanani. Uma ukuhlaselwa yi-migraine kwakho kuba njalo, noma uma iphethini yakho yekhanda ishintsha, qiniseka ukuthi uxhumana nethimba lakho lezempilo futhi ubazise.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-ergotamine ingabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye imiphumela emibi iyingozi futhi kufanele ufune iseluleko sezokwelapha ngokushesha uma ivela. Eminye ayibi yingozi futhi iyanyamalala ngemva kwezinsuku ezimbalwa.
Uma uhlangabezana nanoma yimiphi yale miphumela emibi kakhulu, kufanele utshele ithimba lakho lezempilo ngokushesha okukhulu. Noma uye esibhedlela esiseduze:
- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Uma umphimbo uvuvukala, kungenza kube nzima nokuphefumula.
- Izinguquko ezithweni: Ukusha, ubuhlungu, ukuqaqamba, noma ukushintsha kombala (njengokuphenduka kube mhlophe, kube luhlaza okwesibhakabhaka) emilenzeni noma ezithweni.
- Izimpawu zokuhlaselwa yinhliziyo: Ubuhlungu noma ukuqina esifubeni, ubuhlungu obusakazekela emahlombe, ezingalweni, entanyeni, noma emhlathini, isicanucanu, ukuphelelwa umoya, isikhumba esibandayo noma esibandayo, ukuquleka, noma umuzwa osheshayo wokuphelelwa yikhanda.
- Ukushintsha kwesigqi senhliziyo: Ukwanda okungazelelwe kwesilinganiso sokushaya kwenhliziyo (ukushaya kwenhliziyo okusheshayo), ukuzizwa sengathi kushaya ngokungajwayelekile (ukushaya kwenhliziyo okungajwayelekile), isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
- Ukwanda okungazelelwe komfutho wegazi.
- Isenzakalo sikaRaynaud: Iminwe noma izinzwane zizizwa zibanda, zingazwakali, futhi zibuhlungu. Umbala weminwe ungashintsha kusuka kokumhlophe kuya kokuluhlaza okwesibhakabhaka, bese kuba bomvu.
- Izimpawu zesifo sokuwa (Ukuwa): Lokhu kusho ukuthi ziza njengokuwa.
- Izimpawu zesifo sohlangothi: Ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze (ngokuvamile ohlangothini olulodwa lomzimba), ubunzima bokukhuluma, ukukhuluma okungacacile, ukudideka, ubunzima bokuhamba, ukulahlekelwa ibhalansi noma ukuhlangana, isiyezi, ikhanda elibuhlungu elivela ngaphandle kwesizathu, kanye noshintsho olusheshayo embonweni.
- Ubuhlungu obukhulu besisu: Ubuhlungu besisu obungazelelwe, obukhulu, uhudo olunegazi, umkhuhlane, isicanucanu nokuhlanza.
- Ukulahlekelwa umbono: Ukulahlekelwa umbono ngokuzumayo, noma ukulahlekelwa umbono ngokuphelele.
Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha, kodwa kufanele utshele ithimba lakho lezokunakekelwa kwempilo uma iqhubeka noma ikukhathaza:
- Isiyezi
- Ukungakhululeki noma ukukhathala okuvamile
- Isicanucanu
- Ukuhlanza
Lolu hlu luhlanganisa imiphumela embalwa engaba khona. Akuzona zonke imiphumela emibi ezibalwe lapha. Uma ubona noma yini engavamile, funa iseluleko sezokwelapha. Ungabika imiphumela emibi ku-FDA (Food and Drug Administration) e-United States ku-1-800-FDA-1088. ESri Lanka, kungcono ukuyibika kudokotela wakho noma esibhedlela.
Ngingayigcina kanjani imithi yami?
Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.
- Gcina kude nezingane: Gcina endaweni lapho izingane ezincane zingenakukwazi ukuyifinyelela khona, njengaphezulu.
- Izinga Lokushisa: Gcina ekamelweni lokushisa, eliphakathi kwama-degree Celsius angu-15 no-30 (ama-degree Fahrenheit angu-59 no-86).
- Ukupakisha: Gcina ephaketheni le-foil elifike lilungele ukusetshenziswa. Ungawasusi amaphilisi.
- Ukuphepha: Vikela ekukhanyeni nasemswakama. Ungagcini ezindaweni ezimanzi njengasegumbini lokugezela.
- Ukuphelelwa yisikhathi: Hlola usuku lokuphelelwa yisikhathi ephaketheni lemithi. Ungasebenzisi noma yimuphi umuthi odlulile kulolo suku bese uwulahla.
Lolu lwazi luyisifinyezo kuphela. Lungase lungabandakanyi konke. Uma unemibuzo noma ukukhathazeka ngalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.
Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu nge-Ergotamine esikhulume ngawo namuhla.
- I-Ergotamine umuthi onikezwa ukulawula ubuhlungu bekhanda elibuhlungu uma seliqalile. Awusetshenziswa ukuvimbela i-migraine.
- Leli philisi kufanele libekwe ngaphansi kolimi bese livunyelwa ukuthi lincibilike ngokuphelele. Ungalihlafuni noma uligwinye.
- Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi isifo senhliziyo, umfutho wegazi ophakeme, izinkinga zokujikeleza kwegazi), noma yimiphi eminye imithi oyithathayo njengamanje, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Lo muthi ungasebenzisana neminye imithi eminingi. Ngakho-ke khuluma nodokotela wakho ngalokho futhi. Kufanele uqaphele kakhulu ngejusi le-grapefruit.
- Ukuthatha umuthi kungabangela ukozela kanye nesiyezi. Ngakho-ke, qaphela lapho ushayela noma wenza umsebenzi odinga ukugxilisa ingqondo.
- Ukusebenzisa kakhulu lo muthi kungenza ikhanda lakho le-migraine libe libi kakhulu. Ngakho-ke sebenzisa kuphela njengoba kuqondiswe udokotela wakho.
- Uma uhlangabezana nanoma yiziphi izimpawu zomphumela omubi kakhulu (njengobuhlungu besifuba, ubunzima bokuphefumula, ukusabela kokungezwani komzimba, noma izimpawu zohlangothi) , funa iseluleko sezokwelapha ngokushesha.
- Lomuthi ungowakho wedwa. Ungawuniki omunye umuntu.
Ngakho-ke, i-migraine yisimo abantu abaningi ababhekene naso. Kodwa-ke, ngokuxilongwa nokwelashwa okufanele, ungalawula ubuhlungu futhi uphile impilo evamile. Uma nawe uhlushwa yi-migraine, kungcono ukubona udokotela bese uthola iseluleko.
i- ergotamine, i-migraine, ikhanda elibuhlungu, imithi, imiphumela emibi, i-sublingual
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