Ake sifunde ngomuthi wokugomela i-Fosphenytoin. Ingabe lokhu kuzosisiza ekuhlaselweni yisifo sokuwa?

Ingabe wena noma othile omaziyo unesifo sokuwa, isimo esifana nesifo sokuwa? Noma udinga usizo lokuvimba ukuwa ngemva kokuhlinzwa kobuchopho, noma ukulawula ukuwa okwenzeka ngaleso sikhathi? I-Fosphenytoin iwumjovo okhethekile odokotela abawusebenzisa ezimweni ezinjalo. Empeleni lokhu kulawula ukuwa ngokuthulisa amangqamuzana ezinzwa emzimbeni wethu aqala ukuqhuma ngokushesha kakhulu. Kalula nje, ubuchopho bethu ngezinye izikhathi buthumela imiyalezo ye-elekthronikhi engadingekile, njengoba nje isignali yocingo iphazamiseka futhi ucingo lungahambi kahle. Lo muthi usiza ukulawula lokho.

Iyini ngempela le mithi ebizwa ngokuthi i-Fosphenytoin?

Kalula nje, i-Fosphenytoin umuthi osetshenziselwa ukuvimbela nokulawula ukuxhuzula. Lokhu kubaluleke kakhulu kubantu abanesifo sokuxhuzula . Iphinde isetshenziswe ukuvimbela ukuxhuzula ngesikhathi nangemva kokuhlinzwa kobuchopho. Umsebenzi oyinhloko walo muthi ukuthulisa ukusebenza ngokweqile kwesimiso sethu sezinzwa. Isebenza njengokuthulisa ingane ekhathazekile.

Lo muthi ngezinye izikhathi unganikezwa odokotela ngenxa yezinye izimo, ngakho-ke uma unemibuzo mayelana nalo muthi, kungcono ukubuza udokotela wakho noma usokhemisi. Elinye lamagama omkhiqizo walo muthi yiCerebyx .

Yini okufanele ngiyitshele ithimba lezokwelapha ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuba unikezwe umjovo we-Fosphenytoin, kunezinto ezimbalwa ithimba lakho lezokwelapha okudingeka lizazi. Lezi zibalulekile ekuphepheni kwakho.

• Ingabe umlutha wotshwala? (Inkinga yokusebenzisa utshwala)
• Ingabe ungowozalo lwase-Asia? - Ngoba isizinda sethu sofuzo singathinta ukusebenza kahle kwemithi ethile.
• Ingabe unezinkinga zegazi noma izifo?
• Ingabe unesifo senhliziyo? (Isifo senhliziyo)
• Unesifo sezinso?
• Unesifo sesibindi?
• Ingabe unawo umfutho wegazi ophansi?
• Ingabe wena noma omunye emndenini wakho wake waba nemicabango, amacebo, noma imizamo yokuzibulala?
• Wake waba nokusabela okungavamile kokungezwani komzimba ne -Phenytoin , eminye imithi, ukudla, udayi, noma izithasiselo?
• Ukhulelwe? Noma uzama ukukhulelwa? (Ukhulelwe noma uzama ukukhulelwa)
• Ingabe ungumama oncelisayo? (Uyancelisa)

Uma kukhona okunye kwalokhu okukusebenzelayo, kubaluleke kakhulu ukutshela ithimba lakho lezokwelapha ukuze bakwazi ukukwelapha ngendlela efanele kakhulu.

Uyisebenzisa kanjani le mithi?

Lomuthi, obizwa ngokuthi i-Fosphenytoin, unikezwa njengomjovo . Unikezwa ngqo emthanjeni (umjovo emthanjeni noma umjovo emthanjeni), noma ngezinye izikhathi emsipheni (umjovo emsipheni). Lomuthi unikezwa ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo . Akusiwo umuthi ongawuthatha uye nawo ekhaya.

Ingabe lo muthi unganikezwa izingane?

Yebo, kwezinye izimo ezikhethekile, lo muthi unganikezwa ngisho nezinsana ezisanda kuzalwa. Kodwa kudingeka kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke uma unikeza ingane yakho lo muthi, khuluma nethimba lakho lezokwelapha ngakho ngokucophelela bese uthola imininingwane.

Kwenzekani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha. Njengoba lokhu kunikezwa esibhedlela, abasebenzi bezokwelapha bavame ukunakekela lokhu.

Lomuthi ungowakho kuphela!

Lokhu kubaluleke kakhulu. Lo muthi ungowakho wedwa. Ungalokothi wabelane ngalo muthi nanoma ubani omunye.

Kuthiwani uma ngiphuthelwa umthamo?

Njengoba lo muthi unikezwa esibhedlela, akuvamile ukuthi uphuthelwe umthamo. Abasebenzi bezokwelapha bazokunakekela lokho.

Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)

Lokhu kuyingxenye ebaluleke kakhulu. Uma uthatha eminye imithi, eminye yayo ingase ihlangane ne-Fosphenytoin. Lokhu kusho ukuthi ukuthatha le mithi emibili ndawonye kungashintsha indlela esebenza ngayo noma kwandise imiphumela emibi.

Kunemithi eminingana okungafanele ithathwe nalo muthi:

• Eminye imithi esetshenziswa ukwelapha ukutheleleka nge-HIV noma i-AIDS, uma inikezwa kanye ne -cobicistat .
• I-Delavirdine
• I-Ibrutinib
• I-Ranolazine

Ngaphezu kwalokhu, kuneminye imithi engasebenzisana ne-Fosphenytoin:

Ake sithi uthatha imithi yokunye. Mhlawumbe umuthi womkhuhlane, noma umuthi we-cholesterol, noma umuthi womfutho wegazi. Noma yimuphi wale mithi, kungakhathaliseki ukuthi uyithenga ekhemisi noma kudokotela, ungasebenzisana ne-fosphenytoin. Yingakho kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini. Ngezansi kunezibonelo ezimbalwa nje:

• I-Albendazole
• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• Eminye imithi yokwelapha umfutho wegazi, isibonelo i-nifedipine, i-nimodipine, kanye ne-verapamil
• Imithi ethile yomdlavuza
• Eminye imithi esetshenziselwa ukwehlisa i-cholesterol, isibonelo i-atorvastatin, i-simvastatin, ne-fluvastatin
• Imithi ethile yokucindezeleka, ukukhathazeka, noma ukuphazamiseka kwengqondo
• Eminye imithi yokwelapha izifo zesikhunta, isibonelo i-ketoconazole ne-itraconazole
• Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile, isibonelo i-amiodarone ne-quinidine
• Eminye imithi yokwelapha ukuxhuzula, njenge-carbamazepine, i-phenobarbital, ne-topiramate
• Eminye imithi yezinkinga zesisu, isibonelo i-cimetidine ne-omeprazole
• I-Chloramphenicol
• I-Cyclosporine
• I-Diazoxide
• I-Digoxin
• I-Disulfiram
• I-Doxycycline ( i-Doxycycline )
• Ama-hormone e-estrogen noma i-progestin
• I-Furosemide
• I-Halothane
• I-Isoniazid
• Imithi ephumuza imisipha yokuhlinzwa
• Imithi esetshenziselwa ukutheleleka nge-HIV noma i-AIDS
• I-Methylphenidate
• Imithi yobuhlungu ye-opioid
• Ama-phenothiazine, isibonelo i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine
• I-Praziquantel
• I-Reserpine
• I-Rifampin
• I-St. John's Wort (lena isitshalo)
• Imithi ye-steroid, njenge-prednisone noma i-cortisone
• Ama-Sulfonamides, njenge-sulfamethoxazole noma i-sulfasalazine
• Izakhamzimba ezengeziwe njenge- folic acid noma i-vitamin D
• I-Theophylline
• I-Ticlopidine
• I-Tolbutamide
• I-Warfarin

Lolu hlu aluhlanganisi yonke imithi. Ngakho-ke, kubalulekile ukubhala yonke imithi oyithathayo, okuhlanganisa imithi yamakhambi, imithi ethengiswa ngaphandle kwemithi kadokotela, kanye nezithasiselo.Tshela udokotela wakho ngemithi yakho. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Lezi zinto zingase zihlangane nemithi yakho.

Yiziphi ezinye izinto okufanele siziqaphele kakhulu lapho sithatha lo muthi?

Uma unikezwa i-Fosphenytoin, ithimba lakho lezokwelapha lizohlola impilo yakho njalo.

• Ukuhlolwa njalo kwezokwelapha: Udokotela wakho uzokukuhlola njalo ukuze ahlole ukuthi uphilile kangakanani futhi aqinisekise ukuthi umuthi usebenza kahle. Kungase kudingeke futhi ukuthi enze izinto ezifana nokuhlolwa kwegazi . Lokhu kungenxa yokuthi udinga ukubhekwa ngokucophelela ngenkathi usebenzisa lo muthi.
• Ungayeki ukuthatha umuthi ngokuzumayo: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungandisa ingozi yokuquleka.
• Ikhadi lokuzazisa: Kungumqondo omuhle ukugqoka ikhadi lokuzazisa, umgexo, noma isongo eliqukethe imininingwane ngesimo sakho sezokwelapha kanye nemithi oyiphuzayo, njengoba lingaba usizo kakhulu esimweni esiphuthumayo.
• Ukusabela okukhulu kwesikhumba: Ukusabela okukhulu kwesikhumba kungase kwenzeke zingakapheli amasonto noma izinyanga ezimbalwa uqale lo muthi. Tshela ithimba lakho lezempilo ngokushesha uma uba nokuqubuka kwesikhumba okunezimpawu ezifana nomkhuhlane noma ukubanda. Ukuqubuka kungaba bomvu noma kube nsomi, futhi kamuva kungase kuqhume amabala. Noma ungase uqaphele ukuqubuka okubomvu ebusweni bakho, ezindebeni, entanyeni, noma ngaphansi kwamakhwapha okunama-lymph node avuvukele. Uma ubona into efana nale , funa iseluleko sezokwelapha ngokushesha .
• Ukuzungeza kanye nokozela: Ungase uzizwe uzungeza noma ulele. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Ukuze unciphise ingozi yokuba nesiyezi noma ukuquleka, ungahlali noma ume ngokuzumayo. Lokhu kubaluleke kakhulu uma usukhulile. Ukuphuza utshwala kungakwenza uzizwe uzungeza kakhulu, ugcwele amanzi, futhi ushaye ngokushesha. Ngakho gwema ukuphuza utshwala.
• Isifo sezinsini: Lo muthi ungabangela ukukhula okungavamile kwezicubu zezinsini. Ngakho-ke, bona udokotela wamazinyo njalo. Uma udinga ukwelashwa kwamazinyo, qaphela ukuthi ungalimazi izinsini zakho lapho uxubha futhi ufaka i-floss yamazinyo nsuku zonke.
• Imicabango yokuzibulala: Lo muthi ungandisa ingozi yakho yemicabango noma izenzo zokuzibulala. Ngakho-ke, naka kakhulu isimo sakho sengqondo ngenkathi uthatha lo muthi. Uma isimo sakho sengqondo siba sibi kakhulu, uzizwa sengathi uzofa, noma unemicabango yokuzibulala , tshela ithimba lakho lezempilo ngokushesha .
• Ukuntuleka kwe-folic acid:Lo muthi unganciphisa amazinga akho e-folic acid. Ngakho-ke udinga ukuqinisekisa ukuthi uthola i-folic acid eyanele ngenkathi uthatha lo muthi. Khuluma nethimba lakho lezempilo mayelana nokudla namavithamini owathathayo.

Imiphumela emibi engase ivele ngalo muthi

Njengayo yonke imithi, i-Fosphenytoin ingabangela imiphumela emibi. Ezinye izinto okufanele uzitshele udokotela wakho ngokushesha, kanti ezinye ngokuvamile azibi kakhulu kodwa kufanele zibikwe uma ziqhubeka.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

• Ukusabela kokungezwani komzimba noma i-angioedema: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula.
• Ukushintsha kwesigqi senhliziyo: ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula.
• Amazinga aphezulu kashukela egazini (i-Hyperglycemia): Ukoma ngokweqile noma ukuchama njalo, ubuthakathaka obungavamile noma ukukhathala, ukubona okufiphele.
• Ukutheleleka: Umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
• Ukulimala kwesibindi: Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• Ubuhlungu, ukuvuvukala, ukushintsha kombala okuluhlaza okwesibhakabhaka noma okunsomi endaweni yokujova.
• Ubuthi be-Phenytoin: Ukunyakaza kwamehlo okungalawuleki, ukulahlekelwa ibhalansi noma ukuhlangana, ubunzima bokukhuluma, ubuthakathaka noma ukukhathala okungavamile, isicanucanu, ukuhlanza.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukubomvu, ukuqubuka, ukuxebuka, noma ukuxega kwesikhumba (kufaka phakathi nomlomo).
• Ukushaya kwenhliziyo okuhamba kancane: isiyezi, ukuquleka, ukudideka, ubunzima bokuphefumula, ubuthakathaka obungavamile noma ukukhathala.
• Ama-lymph node avuvukele entanyeni, embotsheni, esifubeni, noma emakhwapheni.
• Ukuphuka noma ukuphuma kwegazi okungavamile.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka:

• Ukuzwa ukushisa noma ukuqaqamba ezandleni noma ezinyaweni.
• Ubunzima bokugxilisa ingqondo, ukukhumbula, noma ukukhuluma.
• Isiyezi.
• Ukozela.
• Ikhanda elibuhlungu.

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yimiphi eminye imiphumela emibi, khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha. Uma ufisa, ungabika nemiphumela emibi ku -FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ngingawugcina kanjani umuthi?

Lo muthi, obizwa ngokuthi i-Fosphenytoin, unikezwa esibhedlela noma emtholampilo. Ngakho-ke akudingeki uwuyise ekhaya uwugcine. Abasebenzi bezokwelapha bazowunakekela.

Okokugcina, okufanele ukukhumbule

Kulungile, manje ngithemba ukuthi usuwuqonda kangcono lo mjovo obizwa ngokuthi i-Fosphenytoin. Khumbula, lo umuthi obalulekile osetshenziselwa ukulawula ukuxhuzula. Kodwa kunezinto ezimbalwa okufanele uziqaphele uma uwusebenzisa.

Into ebaluleke kakhulu ukulalela lokho okushiwo udokotela wakho bese ukukulandela ngqo. Uma unemibuzo noma ukungabaza, ungazigcini wedwa, kodwa buza udokotela wakho, umhlengikazi, noma usokhemisi. Bakhona ukukusiza.

Leli phepha lolwazi liyisifinyezo nje. Lingase lingabi nayo yonke imininingwane. Ngakho-ke uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

I- Fosphenytoin, ukuxhuzula, isifo sokuwa, ukugoma, imiphumela emibi, ukuhlinzwa kobuchopho, uhlelo lwezinzwa