Ngezinye izikhathi, lapho ama-hormone emizimba yethu engalingani, izifo ezahlukahlukene zingavela. I-Fludrocortisone umuthi okhethekile odokotela abawunikezayo ukwelapha izimo ezifana nesifo sika-Addison, esenzeka lapho i-hormone elawula inani likasawoti namanzi emzimbeni wethu yehla. Ivame ukuba ngaphansi kwegama lomkhiqizo i-Florinef. Ngakho-ke uma udokotela wakho ekunikeze lo muthi, kubaluleke kakhulu ukuqaphela. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Fludrocortisone umuthi ongowesigaba semithi ebizwa ngokuthi ama-corticosteroids. Isebenza ngokulingisa i-hormone ekhiqizwa yimizimba yethu ngokwemvelo. Le hormone isiza ukulinganisela inani likasawoti (i-sodium) namanzi emzimbeni.
Ezimweni ezifana nesifo sika-Addison noma i-adrenogenital syndrome, umzimba awukwazi ukukhiqiza okwanele ngaleli hormone. Lokhu kungabangela ukuthi amazinga kasawoti emzimbeni ehle ngendlela eyingozi. Amaphilisi e-Fludrocortisone asebenza ngokulungisa ukuntuleka nokubuyisela ibhalansi kasawoti namanzi emzimbeni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuthi uqale ukusebenzisa i-fludrocortisone, kubaluleke kakhulu ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo, njengoba ezinye izimo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi.
| Tshela udokotela wakho uma unalezi zimo. |
|---|
| • Isifo sikashukela |
| • Umfutho wegazi ophakeme |
| • Isifo senhliziyo noma ukwehluleka kwenhliziyo |
| • Isifo sesibindi |
| • Izilonda zesisu noma zamathumbu noma izifo ezifana ne-colitis, i-diverticulitis |
| • I-Osteoporosis (isifo sokuncipha kwamathambo) |
| • I-Myasthenia gravis (isifo esibangela ubuthakathaka bemisipha) |
| • Izinkinga ze-thyroid |
| • Isifo sikaCushing |
| • Izifo ezithathelwanayo ezisebenzayo njenge-herpes, isimungumungwane, i-chickenpox, isifo sofuba |
| • Uma une-allergy ku-fludrocortisone, amanye ama-steroid, i-lactose, noma yimuphi omunye umuthi noma ukudla. |
| • Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
Uyisebenzisa kanjani kahle le mithi?
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa ngendlela efanele.
- Phuza leli philisi nengilazi yamanzi.
- Kungcono ukuyithatha kanye nokudla noma ingilazi yobisi ukuze ugweme ukucasuka kwesisu.
- Uma kufanele uyiphuze kanye ngosuku, yiphuze ekuseni .
- Thatha kuphela umthamo obekwe udokotela wakho. Ungalokothi uthathe ngaphezu kwenani elibekiwe.
- Into ebaluleke kakhulu ukungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzowunciphisa kancane kancane umthamo.
Kudingeka ukunakekelwa okukhethekile lapho kunikezwa lo muthi ezinganeni. Futhi, abantu abangaphezu kweminyaka engama-65 ubudala bangase babe nomuzwa ongcono ngemiphumela yalo muthi, ngakho-ke bangase banikezwe umthamo ophansi. Konke lokhu kuzonqunywa udokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi. Kodwa udinga ukuthatha isinyathelo ngokushesha.Yiya ngokushesha eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze noma ushayele i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane ne-fludrocortisone
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo, njengoba eminye imithi ingasebenzisana ne-Fludrocortisone.
| Ungayithathi i-Fludrocortisone kanye nalo muthi. |
|---|
| • i-mifepristone, RU-486 |
| Qaphela kakhulu uma uthatha le mithi (tshela udokotela wakho ). |
| • I-aspirini kanye nemithi efanayo • Ama-Barbiturate (isib. i-phenobarbital) • I-Digoxin • Imithi yokukhipha amanzi emzimbeni (imithi ekhipha amanzi emzimbeni) • Ama-hormone abesifazane (ama-estrogen, ama-progestin) kanye namaphilisi okuvimbela inzalo • Ama-hormone abesilisa • Imithi yesifo sikashukela (isib. i-insulin) • Imithi evimbela ukujiya kwegazi (isib. i-warfarin) • I-Phenytoin • I-Rifampin • I-Amphotericin B • Noma yiluphi uhlobo lomjovo |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yendabuko oyithathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Bona udokotela wakho njalo bese uhlola isimo sakho.
- Uma usuthathe lo muthi isikhathi eside, gcina ikhadi elinegama lakho, ikheli, igama lomuthi owuthathayo, umthamo, kanye nemininingwane kadokotela wakho kulo uma kwenzeka isimo esiphuthumayo.
- Kukhona ingozi eyengeziwe yokugula ngenkathi uthatha lo muthi. Ngakho-ke gwema abantu abagulayo. Uma uhlangana nomuntu onesifo esifana nesimungumungwane noma i-chickenpox, tshela udokotela wakho ngokushesha.
- Uma uzohlinzwa, qiniseka ukuthi utshela udokotela ukuthi uwuthathile lo muthi ezinyangeni eziyi-12 ezedlule.
- Khuluma nodokotela wakho mayelana nokudla kwakho. Angase akutshele ukuthi wehlise inani likasawoti owudlayo.
- Ngenxa yalo muthiAmazinga kashukela egazini angase akhuphuke. Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha |
|---|
| • Ukucindezeleka, ukushintshashintsha kwemizwa njalo, ukuzicabangela njengomuntu ophakeme ngokungadingekile, noma ukucabanga ukuthi abanye bayazenzela okubi • Izimpawu zoshukela ophezulu egazini: ukoma ngokweqile, indlala, ukuchama njalo, ukukhathala ngokweqile, ukubona okufiphele • Ukwanda kwesisindo ngokuzumayo • Ukuvuvukala kwemilenze noma izinyawo |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka |
| • Isiyezi • Ikhanda elibuhlungu • Ukulahlekelwa yisifiso sokudla • Isicanucanu, ukuhlanza • Ukungalali |
Umlayezo Wokuya Nawe Ekhaya
- I-Fludrocortisone umuthi okufanele usetshenziswe kuphela njengoba kuyalelwe udokotela, ngesilinganiso esinqunyiwe kanye nesikhathi esinqunyiwe.
- Into ebaluleke kakhulu ukuthi ungayeki ukuthatha imithi ngokuzumayo nganoma yisiphi isizathu. Uma udinga ukwenza kanjalo, kufanele ufune iseluleko sezokwelapha.
- Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma izithasiselo ozithathayo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile njengokukhuluphala ngokuzumayo, ukuvuvukala kwemilenze, noma ukoma ngokweqile, yazisa udokotela wakho ngokushesha.
- Ngesikhathi uthatha lo muthi, kubaluleke kakhulu ukubona udokotela wakho lapho uhlolwa ngokuhleliwe.
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