Uke wakhuluma nodokotela wakho ngebala elibuhlungu, elinoqweqwe esikhumbeni sakho elibonakala sengathi lishiswe yilanga? Udokotela wakho kungenzeka ukuthi ukunike lo khilimu, ecabanga ukuthi kungaba umdlavuza noma isilonda sangaphambi komdlavuza. Lona umuthi okhethekile. Ngakho-ke kubalulekile ukwazi ngokugcwele ukuthi uwusebenzisa kanjani, ukuthi yini okufanele uyiqaphele, kanye nemiphumela emibi engaba khona.
Iyini le khilimu ye-Fluorouracil ne-Diclofenac?
Kalula nje, lokhu kuyikhilimu equkethe inhlanganisela yezinhlobo ezimbili zemithi.
1. I-Fluorouracil: Lena i-chemotherapy esetshenziswa esikhumbeni. Ngokukhethekile, isiza ekubulaleni amaseli angajwayelekile ahlukana ngokushesha, okungamaseli omdlavuza noma amaseli angase abe nomdlavuza.
2. I-Diclofenac: Cishe uke wezwa ngalomuthi. Umuthi onciphisa ubuhlungu, ukuvuvukala, kanye nokubomvu. Ngokwezokwelapha, uwumuthi ongeyona i-steroidal anti-inflammatory (NSAID).
Uma lokhu kokubili kuhlanganiswa, kusiza ukulawula ubuhlungu nokuvuvukala okubangelwa ukubhubhisa amaseli angajwayelekile. Kusetshenziselwa ukwelapha umdlavuza wesikhumba kanye nezimo zesikhumba ezingaphambi komdlavuza (i-actinic keratosis).
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza lo khilimu, udokotela wakho uzokubuza ngempilo yakho. Kodwa-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho .
- Uma unezinkinga zokopha noma izimo ezivimbela igazi lakho ukuthi lijiye kalula.
- Uma ubhema.
- Uma une -enzyme ye-DPD entula (ukuntuleka kwe-enzyme ye-DPD). Lesi yisimo esibangelwa izakhi zofuzo, futhi kuzobaluleka ukuthi udokotela wakho akutshele ngaso.
- Uma unesifo senhliziyo noma umfutho wegazi ophakeme.
- Uma uphuza njalo.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma kukhona amanxeba, imifantu, noma izifo esikhumbeni lapho umuthi uzosetshenziswa khona.
- Uma usanda kwenziwa ukuhlinzwa kwe-heart bypass (Coronary Artery Bypass Graft - CABG) noma uhlela ukwenza okunye esikhathini esizayo.
- Uma uke waba nokusabela kokungezwani komzimba ne-Fluorouracil, i-Diclofenac, i-aspirin, noma eminye imithi yokubulala ubuhlungu ye-NSAID.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Kubaluleke kakhulu ekuphepheni kwakho ukutshela udokotela wakho lolu lwazi, ngoba khona-ke anganquma ukuthi lo muthi ukulungele yini noma cha.
Uyisebenzisa kanjani ngempela le cream?
Njengoba lo umuthi uthambisa isikhumba, kubaluleke kakhulu ukwazi ukuthi uwusebenzisa kanjani kahle.
1. Ukuhlanzeka kuqala: Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa umuthi.
2. Lungisa isikhumba: Ake ngiphinde ngichaze lokho... Geza indawo yesikhumba lapho umuthi uzosetshenziswa khona ngensipho ethambile, womise ngendwangu ehlanzekile, bese uwuyeka wome. Ungahlikihli ngamandla.
3. Ukusebenzisa umuthi: Kungcono ukusebenzisa i-applicator ene-cotton tip kunokuyisebenzisa ngqo ngeminwe yakho. Noma, gqoka amagilavu bese uyisebenzisa. Uma uyisebenzisa ngephutha ngeminwe yakho, qiniseka ukuthi ugeza izandla zakho kahle ngemva kwalokho .
4. Inani: Faka ungqimba oluncane ukuze umboze indawo yonke njengoba udokotela emyalile. Akudingeki ukuthi ulufake lube lukhulu kakhulu.
5. Izindawo okufanele uzigweme: Qaphela ukuthi ungasebenzisi lo muthi ezindaweni ezibucayi njengamehlo, ikhala, nomlomo.
6. Ukumboza: Ngemva kokusebenzisa umuthi, ungayimboza indawo nge-gauze dressing elula. Kodwa ungalokothi usebenzise i-dressing engangeni moya .
7. Ubude besikhathi: Sebenzisa lo muthi isikhathi sonke osinikwe udokotela wakho. Ngisho noma isimo sesikhumba sakho sibonakala sithuthuka, ungayeki ukuwuthatha ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuphuza umuthi wakho, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Qaphela kakhulu lezi zinto uma usebenzisa imithi.
- Isikhathi sokuphulukiswa: Lokhu kwelashwa kungathatha amasonto amabili kuya kwayisithupha noma ngaphezulu. Into ebalulekile ukuthi kungathatha inyanga eyodwa kuya kwezimbili ukuthi isikhumba sakho siphole ngokuphelele ngisho nangemva kokuyeka ukusebenzisa umuthi. Ngakho-ke, ngesikhathi sokwelashwa, isikhumba sakho singase sibe bomvu, sibe namaqhubu, futhi sibukeke singakhululekile. Lokho kuyingxenye yokwelashwa. Ungakhathazeki ngakho.
- Qaphela ilanga: Isikhumba sakho singase sizwele kakhulu elangeni (photosensitivity) ngenkathi uthatha lo muthi. Ngakho-ke gwema ukuphuma elangeni ngangokunokwenzeka. Uma kufanele uphume, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa umuthi omuhle wokuvikela ilanga . Ungasebenzisi izibani zelanga noma imibhede yokushiswa kwelanga.
- Gwema ukukhulelwa:Gwema ukukhulelwa ngenkathi usebenzisa lo muthi. Lokhu kungaba yingozi enganeni engakazalwa. Uma uhlela ukukhulelwa, khuluma nodokotela wakho ngakho.
- Gcina kude nezilwane ezifuywayo (kubaluleke kakhulu!): Lokhu kuyinto okudingeka uyiqaphele kakhulu. Lo muthi uyingozi kakhulu ezifuyweni (izinja, amakati). Uma isilwane sikhotha indawo lapho kufakwe khona lo khilimu, noma uma sifaka ipayipi lomuthi emlonyeni waso, kungabangela ngisho nokufa kwesilwane.
- Geza izandla zakho kahle ngemva kokusebenzisa umuthi.
- Lahla ngokucophelela izinto ezisetshenziswe ukufaka umuthi (izindwangu zikakotini, i-gauze).
- Qaphela ukuthi umuthi ungangeni ezingutsheni zakho, embhedeni, noma efenisha.
- Uma ungakwazi ukugwema ukuthintana kwesikhumba nesilwane sakho, buza udokotela wakho ukuthi ungakwazi yini ukufihla indawo lapho umuthi usetshenziswe khona.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ukopha | Indle emnyama noma enegazi, igazi emchameni, ukuhlanza igazi. |
| Ukusabela okukhulu kwesikhumba | Umkhuhlane, izinhlungu zomzimba, amabhamuza abomvu noma onsomi esikhumbeni, isikhumba esiqhekekayo, kanye nezilonda emlonyeni. |
| Ezinye izimpawu ezinkulu | Ubuhlungu esifubeni, ubunzima bokuphefumula, ukubona okufiphele, ubunzima bokukhuluma, ukuba ndikindiki kolunye uhlangothi lomzimba, ushintsho ekuchameni, ukuvuvukala komzimba, ukuphuzi kwamehlo noma isikhumba. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Izinguquko kumthamo womuthi | Ukuvuvukala, ubuhlungu, ukulunywa, ukubomvu, ukuxebuka, ukuvuvukala. (Lokhu kungaba yingxenye yokwelashwa, kodwa tshela udokotela wakho uma kukhulu noma kuqhubeka.) |
| Ukuzwela kwelanga | Ukwanda kokuzwela kwesikhumba elangeni. |
Ungawuvikela kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo. Lokhu kubaluleke kakhulu.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Lahla umuthi ophelelwe yisikhathi.
Lo muthi unikezwe wena kuphela. Ungavumeli omunye umuntu awusebenzise.
Umlayezo Wokuya Nawe Ekhaya
- Ngaphambi kokusebenzisa lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Thatha umuthi njengoba nje udokotela ekutshelile, kuze kube yilapho usuqedile. Ungayeki phakathi nendawo.
- Kujwayelekile ukuthi isikhumba sibe bomvu futhi siqhekeke ngesikhathi sokwelashwa bese kuba inyanga noma ezimbili ngemva kwalokho.
- Zivikele elangeni. Sebenzisa isivikelo selanga futhi ugqoke izingubo ezimboza isikhumba sakho.
- Okubaluleke kakhulu: Ungashiyi lo muthi eduze kwezingane ikakhulukazi izilwane ezifuywayo. Ungaba yingozi kubo.
- Uma kuvela umphumela omubi kakhulu, funa iseluleko sezokwelapha ngokushesha.
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