Ingabe unesifo esibizwa ngokuthi i-Multiple Sclerosis (MS)? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Fingolimod. Ungase uwazi lo muthi ngegama lawo lomkhiqizo i-Gilenya. Imibuzo eminingi ingase ifike engqondweni yethu lapho sisebenzisa lo muthi. Ngakho-ke, namuhla sizoxoxa ngalo muthi, ukuthi wenzani ngempela, nokuthi yiziphi izinto okufanele uziqaphele ngenkathi uwusebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Multiple Sclerosis (MS) yisimo lapho amasosha omzimba wethu ehlasela khona ubuchopho bethu kanye nesimiso sezinzwa ngephutha, okubangela izimpawu ezahlukahlukene.
Lo muthi, obizwa ngokuthi i-Fingolimod, usebenza ngokunciphisa ijubane lesimiso somzimba sokuzivikela esisebenza ngokweqile, njengokunciphisa ijubane lemoto egijima ngesivinini esikhulu. Lokhu kubambezela ukuwohloka kwezimpawu futhi kunciphisa inani lokuqubuka kwesifo.
Nokho, kumelwe sikhumbule ukuthi lokhu akulona ikhambi le-MS. Lokhu kuyindlela yokwelapha esiza ukulawula lesi sifo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Udokotela wakho uzokubuza ngempilo yakho ngaphambi kokukunikeza lo muthi. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi uzitshela ngaphandle kokufihla lutho . Lokhu kungenxa yokuphepha kwakho.
| Ingabe unalezi zimo? | Kungani kubalulekile ukwazisa ngakho? |
|---|---|
| Isifo sikashukela | Lo muthi ungathinta amehlo, kanti nesifo sikashukela singathinta namehlo. |
| Isifo senhliziyo, umfutho wegazi ophakeme, noma ukushaya kwenhliziyo okungajwayelekile | Ngenxa yokuthi i-fingolimod inganciphisa ukushaya kwenhliziyo, ingaba yingozi kubantu abanalezi zimo. |
| Isifo sesibindi | Njengoba umuthi ungathinta isibindi, kufanele ucatshangelwe uma usuvele unesifo sesibindi. |
| Izifo ezifana ne-chickenpox, noma uma usanda kuthola umuthi wokugomela | Ngenxa yokuthi lo muthi unciphisa amasosha omzimba, wandisa ingozi yokutheleleka. |
| Izifo zamaphaphu (njenge-asthma) | Umuthi ngezinye izikhathi ungathinta inqubo yokuphefumula. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lokhu kubaluleke kakhulu. Lo muthi ungabangela umonakalo omkhulu enganeni esibelethweni. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Leli iphilisi oliphuza ngamanzi. Kubaluleke kakhulu ukuthatha iphilisi ngesikhathi esifanayo nsuku zonke . Uma uzizwa uphatheke kabi esiswini, thatha iphilisi ngesikhathi sokudla. Kufanele uqhubeke uthatha iphilisi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Isaziso esikhethekile mayelana nomthamo wokuqala
Lokhu kubaluleke kakhulu. Ngosuku othatha ngalo umthamo wakho wokuqala walo muthi, uzoqashwa esibhedlela noma emtholampilo ngaphansi kokuqashwa kwezokwelapha okungenani amahora ayisithupha. Uzoqashwa futhi uma umthamo wakho ukhushuliwe, noma uma uyeka ukuthatha umuthi isikhashana bese uqala futhi. Lokhu kungenxa yokuthi lo muthi ungabangela ukushaya kwenhliziyo yakho kwehle ngokuzumayo, ngakho qiniseka ukuthi kuphephile ukwenza kanjalo.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Ungakhathazeki. Uma uphuthelwa umthamo, shayela udokotela wakho ngokushesha nje lapho ukhumbula bese umbuza ukuthi wenzeni ngokulandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ngephutha uthatha umuthi omningi kakhulu, ungesabi futhi uye esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) . Uma kudingeka, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uzicabangele lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Ngesikhathi uthatha lo muthi, udokotela wakho uzokukuhlola njalo. Uzokucela ukuthi uhlolwe igazi futhi uhlolwe amehlo. Kubaluleke kakhulu ukuwenza ngesikhathi futhi ungaweqi. Uma ubona noma yiziphi izinguquko ekuboneni kwakho, njengokubona okufiphele, shayela udokotela wakho ngokushesha.Tshela udokotela.
- Ingozi yomdlavuza wesikhumba: Lo muthi ungandisa kancane ingozi yakho yomdlavuza wesikhumba, ikakhulukazi i-melanoma. Ngakho-ke, hlola isikhumba sakho njalo. Tshela udokotela wakho uma ubona noma yimaphi ama-moles amasha, ama-warts, noma izinguquko ngobukhulu, ukuma, noma umbala we-moles ekhona. Nciphisa ukuchayeka elangeni. Uma uphuma ngaphandle, gqoka izingubo ezimboza umzimba wakho kahle bese usebenzisa isithako esihle sokuvikela ilanga.
- Ukukhulelwa kanye nokulawula ukubeletha:
- Ukuyeka imithi: Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zakho ze-MS zibe zimbi kakhulu ngokuzumayo. Ungase ube nobuthakathaka ezithweni zakho zomzimba kanye nobunzima bokuhamba.
- I-Fingolimod umuthi olawula i-MS futhi wehlise ukuwohloka kwezimpawu, kodwa awulona ikhambi lalesi sifo.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Isikhathi sokubhekwa kwezokwelapha samahora ayi-6 siyadingeka ngosuku lomthamo wokuqala womuthi.
- Zivikele elangeni futhi uhlole isikhumba sakho njalo ngenkathi uthatha umuthi.
- Lo muthi uyingozi kakhulu ngesikhathi sokukhulelwa. Ngakho-ke, kubalulekile ukusebenzisa izindlela zokuvimbela inzalo ezisebenzayo ngenkathi uthatha umuthi kanye nezinyanga ezimbili ngemuva kokuyeka.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Uma kuvela imiphumela emibi kakhulu, yazisa udokotela wakho ngokushesha.
Lo muthi awukufanele uma uzama ukukhulelwa, noma uma usola ngisho nokuncane ukuthi ukhulelwe. I-Fingolimod ingabangela ukukhubazeka okukhulu kokuzalwa enganeni engakazalwa. Ngakho-ke, kufanele usebenzise uhlobo lokuvimbela inzalo olusebenza kahle kakhulu ngenkathi uthatha umuthi futhi izinyanga ezimbili ngemuva kokuyeka umuthi . Khuluma nodokotela wakho ngalokhu.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Fingolimod ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ingaba mibi kakhulu, kanti eminye ingaba mnene.
| Umphumela Ongemuhle | Izici okufanele uzazi |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama, ukukhathala okungavamile. |
| Ukwehla kwesilinganiso senhliziyo | Ukuzungeza, ukuquleka, ubunzima bokuphefumula, ubuthakathaka obungavamile. |
| Izifo | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi. |
| I-PRES syndrome | Ukuqala ngokuzumayo kwekhanda elibuhlungu kakhulu, ukudideka, izinguquko zombono, ukuxhuzula (lokhu kungaba izimpawu ze-Posterior Reversible Encephalopathy Syndrome (PRES). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile. |
| Ukuphazamiseka kwesisu kanye nesifo sohudo | Ubuhlungu besisu, ukuqunjelwa. |
| Ukuhlungu obusemhlane | Ubuhlungu emhlane nasezithweni. |
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