Ingabe nawe uzizwa ukhathele ngaso sonke isikhathi, uzizwa ubuthakathaka, futhi uzizwa sengathi uyawa ngisho nangemva kokusebenza kancane? Mhlawumbe isikhumba sakho siphuzi, izinzipho zakho zigobile, futhi uzizwa unesizungu. Lezi yizimpawu ezivame ukubonakala lapho umzimba wethu ungenayo i-iron, okuyinto odokotela abayibiza ngokuthi i-anemia yokuntuleka kwe-iron. Lesi simo sivame kakhulu kwabesifazane nezingane ezweni lakithi. Nakuba lesi simo ngokuvamile singalawulwa ngokuthatha amaphilisi e-iron, kunezikhathi lapho amazinga e-iron engenakukwazi ukubuyiselwa ngokushesha ngamaphilisi kuphela. Yilapho odokotela batusa khona umjovo we-iron ngemithambo yegazi, okuwumuthi obizwa ngokuthi i-Ferric Carboxymaltose. Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.
Uyini lo muthi obizwa ngokuthi i-Ferric Carboxymaltose?
Kalula nje, i-Ferric Carboxymaltose umuthi owuketshezi onikezwa ngemithambo ukuze ubuyisele ngokushesha amazinga ensimbi emzimbeni wakho. Kuyinhlanganisela yensimbi enamandla kakhulu.
Cabanga nje, amangqamuzana abomvu egazini lethu afana namaloli aletha izimpahla ezweni lonke. Umthwalo oyinhloko wala maloli umoya-mpilo. Lawa maseli abomvu egazi athwala umoya-mpilo othathwe emaphashini uye kuwo wonke amaseli emzimbeni. Ngakho-ke, ukwakha kahle leli loli elibizwa ngamaseli abomvu egazi, akunakwenzeka ngaphandle kwezinto zokusetshenziswa ezibizwa ngokuthi insimbi. Uma insimbi ingekho, umzimba awukwazi ukukhiqiza amangqamuzana abomvu egazi. Khona-ke, amangqamuzana emzimbeni awanayo i-oxygen eyanele, futhi izimpawu ezishiwo ngaphambilini ezifana nokukhathala, ubuthakathaka, kanye nokuphaphatheka ziqala ukuvela.
Umjovo we-Ferric Carboxymaltose usebenza ngokufaka i-iron ngqo egazini, kunokuthatha amaphilisi. Lokhu kuvumela umzimba ukuthi uthole i-iron oyidingayo ngokushesha futhi kusheshiswe ukukhiqizwa kwamaseli abomvu egazi. I-Injectafer igama lomkhiqizo elidumile lalo muthi.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngenxa yokuthi lesi umuthi onamandla wokufaka i-intravenous, kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Uma usuvele unomfutho wegazi ophezulu noma uthatha imithi yawo.
- Amazinga aphezulu ensimbi emzimbeni: Ezinye izimo zezokwelapha ezingavamile zingabangela ukwakheka kwensimbi eningi emzimbeni. Uma unesifo esinjalo.
- Ukungezwani komzimba: Tshela udokotela wakho uma wake waba nokungezwani komzimba namaphilisi ensimbi, isiraphu, noma eminye imijovo yensimbi. Futhi, tshela udokotela wakho uma kukhona ukungezwani komzimba nanoma yimiphi eminye imithi, ukudla, noma udayi.
- Ukukhulelwa: Uma ukhulelwe noma ulindele ukukhulelwa maduze.
- Uma ungumama oncelisayo: Kufanele futhi wazise umhlengikazi uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho ngaphandle kokufihla lolu lwazi, ngoba udokotela uzosebenzisa lolu lwazi ukunquma umthamo kanye nendlela yokuphatha umuthi.
Umuthi unikezwa kanjani? Yiziphi izinyathelo zokuphepha okufanele zithathwe?
Lo muthi akuyona into ongayithatha uye nayo ekhaya. Lo muthi wokugoma onikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqondisa kukadokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi .
- Indlela onikezwa ngayo: Lo muthi uvame ukuhlanganiswa ebhodleleni le-saline bese ufakwa kancane kancane emthanjeni ngaphezu kwemizuzu eyi-15 noma ngaphezulu (ukufakwa ngaphakathi kwemithambo). Ngezinye izikhathi ungafakwa ngqo emthanjeni njengomjovo ohamba kancane ngemithambo.
- Ukusetshenziswa ezinganeni: Lo muthi unikezwa nezingane ezingaphezu kweminyaka engu-1 ubudala kwezinye izimo ezikhethekile. Kodwa-ke, kumele kulandelwe izinyathelo zokuphepha ezikhethekile, ngakho khuluma nodokotela wezingane ngakho.
- Ukweqa imithi: Uma udokotela wakho ekunike lo muthi ngemithamo eminingi, kubaluleke kakhulu ukuthatha umuthi wakho ngesikhathi esihleliwe nsuku zonke. Uma ungakwazi ukuthatha umuthi wakho ngesikhathi nganoma yisiphi isizathu, yazisa udokotela wakho noma ikliniki ngokushesha bese uhlela kabusha.
- Ukweqisa umthamo: Njengoba lokhu kunikezwa esibhedlela, amathuba okweqisa umthamo aphansi kakhulu. Kodwa-ke, uma usola ukuthi lokhu kwenzekile, yazisa ngokushesha i-Emergency Treatment Unit (ETU) yesibhedlela . Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko uma kudingeka.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Ukuthatha eminye imithi ngenkathi uthatha umuthi wokugomela i-Ferric Carboxymaltose kungabangela izinkinga ezingafuneki. Ikakhulukazi,
- Imithi esusa amanye amaminerali emzimbeni, njenge-Deferoxamine ne-Dimercaprol.
- Eminye imikhiqizo yensimbi: Gwema ukuthatha amaphilisi ensimbi noma amanye amasiraphu aqukethe insimbi ngaphandle kweseluleko sikadokotela wakho ngenkathi uthatha lo muthi wokugoma. Ukwenza kanjalo kungandisa amazinga ensimbi emzimbeni ngokungadingekile futhi kubangele ubuthi.
Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (ezinqunywe odokotela kwezinye izifo, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yobuhlungu), amavithamini, amakhambi endabuko, imithi ye-Ayurvedic , njll. Qiniseka ukuthi utshela udokotela wakho uma ubhema noma uphuza utshwala.
Yiziphi imiphumela emibi? Ingabe kufanele ngesabe?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi emincane noma emibi kakhulu. Kodwa abantu abaningi abanayo. Into ebalulekile ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu.Ukwazi ukuthi uzotshelani udokotela.
| Uhlobo lomphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho noma kubasebenzi bobuhlengikazi ngokushesha | |
| Ukusabela Okubi Kakhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba okubomvu, okulumayo, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. Lesi yisimo esiphuthumayo. |
| Izinguquko zomfutho wegazi | Ukwanda noma ukwehla okungazelelwe komfutho wegazi (isiyezi, ukubona okufiphele, ukuzizwa uphelelwe amandla). |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula ngenxa yokuqina kwesifuba. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| Ikhanda elibuhlungu kanye nobuhlungu bomzimba | Ubuhlungu bekhanda obuncane, ubuhlungu bemisipha kanye namalunga. |
| Ukuhlanza | Indawo yobuso nentamo iba bomvu futhi izwakale ifudumele. |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu obuncane, noma ukuvuvukala endaweni yokujova. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, ungesabi ukukhuluma nodokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ferric Carboxymaltose umuthi wensimbi osebenza kahle kakhulu futhi onamandla onikezwa ngemithambo yegazi ukwelapha i-anemia yokuntuleka kwensimbi.
- Lo muthi unikezwa kuphela ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo. Akusiwo umuthi wokusetshenziswa ekhaya.
- Ngaphambi kokuqala ukwelashwa, kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi umfutho wegazi ophakeme), ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezinkulu zokungezwani komzimba (ubunzima bokuphefumula, ukuvuvukala kobuso/umphimbo), bheka njengesimo esiphuthumayo bese ucela usizo lwezokwelapha ngokushesha.
- Gwema ukuthatha amanye amaphilisi noma amasiraphu aqukethe i-iron ngaphandle kweseluleko sikadokotela ngenkathi uthola lo muthi wokugomela.
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