Ingabe unesifo esibizwa ngokuthi i-Inflammatory Bowel Disease (IBD)? Noma ingabe unezimpawu ezihlobene naso? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umuthi ongawunikeza nge-rectal. Lokhu yilokho esikubiza ngokuthi i-Hydrocortisone Rectal Enema. Ungase uzizwe wesaba futhi udidekile uma uzwa leli gama. Kodwa ungacabangi lutho ngakho. Ake sixoxe ngalo muthi, ukuthi ungawusebenzisa kanjani, nakho konke okudingeka ukwazi ngendlela elula kakhulu , njengokungathi ukhuluma nomngane.
Kalula nje, iyini le Hydrocortisone Enema?
I-Hydrocortisone iyi -steroid . Umsebenzi wayo oyinhloko ukunciphisa ukuvuvukala , okuwukuvuvukala nokuvuvukala emzimbeni. Lo muthi usiza ukulawula ukuvuvukala nokuvuvukala okuye kwenzeka emathunjini akho. Njengoba unikezwa nge-rectum (njenge-enema), umuthi uya ngqo endaweni enenkinga futhi uyasebenza. Ngakho-ke, ungathola impumuzo esheshayo. ESri Lanka, lo muthi ungabonakala ngaphansi kwamagama emikhiqizo afana ne-`(Colocort)`.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokusebenzisa lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele ngesimo sakho sempilo. Ngoba kudingeka siqaphele kakhulu lapho sisebenzisa lo muthi onezinkinga ezithile zezokwelapha. Uma unezinye zalezi ezilandelayo, ungakhohlwa ukutshela udokotela wakho ngakho.
| Izimo zempilo ezikuthintayo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Noma yikuphi ukutheleleka kwamanje (ibhaktheriya, igciwane, isikhunta) | Ama-steroid anganciphisa amasosha omzimba futhi andise ukutheleleka. |
| Isifo sikashukela | Lokhu kungakhuphula amazinga kashukela egazini. |
| I-Glaucoma noma i-cataract | Kungase kwandise ukucindezeleka kwamehlo noma kubhebhethekise isimo. |
| Umfutho Wegazi Ophakeme | Umfutho wegazi ungase ukhuphuke kakhulu. |
| Izinkinga zesimiso somzimba sokuzivikela | Ukusebenza kwesimiso somzimba sokuzivikela kungase kube buthaka kakhulu. |
| Ukuhlaselwa yinhliziyo kwangaphambilini | Inhliziyo ingase ithinteke. |
| Ukuhlinzwa kwamathumbu kwakamuva (ileocolostomy) | Inqubo yokuphulukiswa ingase ithinteke. |
| Ukuvaleka kwe-rectum, ithumba, ukubhoboka, noma i-fistula | Lezi zimo zingase zibhebhetheke kakhulu. |
| Ezinye izifo zesisu noma amathumbu | Ezinye izimpawu zingase zibe zimbi kakhulu. |
| Ukukhulelwa noma ukuzama ukukhulelwa, ukuba ngumama oncelisayo | Iseluleko sezokwelapha sibalulekile ngoba singathinta ingane. |
| Ukungezwani komzimba nanoma yimuphi umuthi, ukudla, noma udayi | Ukuvimbela ukusabela kokungezwani komzimba. |
Ungayisebenzisa kanjani le mithi ngendlela efanele?
Njengoba lo umuthi ungajwayelekile, kubaluleke kakhulu ukwazi ukuthi uwusebenzisa kanjani kahle. Landela izinyathelo ezingezansi.
1.Okubaluleke kakhulu: Lo muthi kufanele usetshenziswe kuphela nge-rectal . Ungawuphuzi ngomlomo nganoma yisiphi isizathu.
2. Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa.
3. Lala phansi ngokukhululeka. Indawo engcono kakhulu ukulala ngohlangothi lwakho lwesobunxele idolo lakho lesokudla lifakwe esifubeni sakho . Le ndawo ikhulula i-rectum futhi yenza kube lula ukufaka umuthi.
4. Faka kancane kancane futhi ngokucophelela isihloko sesithako esisetshenziswayo e-rectum. Bese ucindezela ibhodlela ukuze ukhulule umuthi.
5. Ngemva kokufaka umuthi, lala phansi endaweni efanayo okungenani imizuzu engama-30 . Lokhu kuzovumela umuthi ukuthi uhlale ngaphakathi futhi usebenze kahle.
6. Zama ngangokunokwenzeka, gcina lo muthi emzimbeni wakho okungenani ihora elilodwa, futhi uma kungenzeka, ubusuku bonke . Ngemuva kwalokho ungathola imiphumela emihle kakhulu.
7. Ungasebenzisi okungaphezu kwalokho udokotela akutshele khona.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo, noma ngabe uzizwa ungcono. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Uma udinga ukuyeka ukuthatha umuthi, kwenze kancane kancane, njengoba udokotela wakho ekutshela.
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.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma uthathe umthamo owengeziwe.
Ezinye izinto ezingase zihlangane nalo muthi
Lo muthi ungase uhlangane neminye imithi, amavithamini, noma izithasiselo ozithathayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo. Ikakhulukazi uma usebenzisa noma yikuphi kwalokhu okulandelayo:
- I-aspirin kanye neminye imithi yokunciphisa ubuhlungu (ama-NSAID) njenge-Ibuprofen ne-Naproxen
- Izinto zokunciphisa igazi ezifana ne-Warfarin
- Imithi yesifo sikashukela
- Imithi yokulwa nesifo sokuwa efana nePhenobarbital, iCarbamazepine, nePhenytoin
- Imithi yokulwa nesikhunta efana ne-ketoconazole
- Ama-antibiotic afana ne-Clarithromycin, i-Erythromycin, ne-Rifampin
- Ama-hormone abesifazane, okuhlanganisa namaphilisi okulawula ukuzalwa
- Amaphilisi amanzi (i-Diuretics)
- I-Digoxin
- I-Cyclosporine
- Ezinye izinhlobo zemithi yokugoma `(ama-Toxoids kanye nemithi yokugoma)`
Lolu hlu aluphelele. Uma ubhema noma uphuza utshwala, tshela udokotela wakho ngalokho.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Hlola njalo: Vakashela udokotela wakho ngezinsuku ezihleliwe ukuze uhlole ukuthi unjani.
- Uma kungekho ukuthuthuka: Uma ungazizwa ungcono ngemva kokuyisebenzisa izinsuku ezimbalwa, tshela udokotela wakho ngakho.
- Izimpawu eziyisixwayiso: Ungasebenzisi lo muthi uma unegazi esitulweni sakho. Futhi, tshela udokotela wakho ngokushesha uma unesifo sokopha esithweni sangasese, ubuhlungu obukhulu, ukusha, ukulunywa, amathumba, noma yini enye engavamile.
- Ingozi yokutheleleka: Lo muthi ungase unciphise amasosha omzimba wakho kancane. Lokhu kusho ukuthi unamathuba amaningi okugula. Ngakho-ke, gwema abantu abanomkhuhlane noma i-flu. Uma uke wathintana nomuntu one-measles noma i-chickenpox, tshela udokotela wakho ngakho.
- Ushukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Cushing syndrome | Amafutha ahlala esiswini, entanyeni, nasemhlane ongaphezulu, imicu epinki/ensomi esikhumbeni, kanye nesikhumba esincane esiphuka kalula. |
| Ukwanda koshukela egazini (i-Hyperglycemia) | Ukoma okwandayo, ukuchama njalo, ukukhathala okungavamile, ukubona okufiphele. |
| Umfutho wegazi okhuphukile | Ikhanda elibuhlungu, isiyezi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka, ukungahlaliseki, ukucindezeleka, imicabango yokuzibulala. |
| Ukopha kwesisu | Indle emnyama ebukeka njengegazi noma i-tar, kanye nokuhlanza izinto ezibukeka njengezinhlayiya zekhofi. |
| Ukuvuvukala komzimba | Ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Ukungakhululeki okuvamile kanye nokukhathala | Ukungakhululeki okuvamile emzimbeni. |
| Ukushisa/ukuluma endaweni yokufaka isicelo | Ukungakhululeki okuncane kwe-rectal. |
| Ubuhlungu obuvela emhlane, ukuvuvukala, noma ukuphuma kwegazi | Ukopha okuncane noma ubuhlungu ngemva kokusebenzisa umuthi. |
Umlayezo Wokuya Nawe Ekhaya
- I-Hydrocortisone enema umuthi we-steroid onikezwa ukulawula izilonda zamathumbu kanye nokuvuvukala.
- Lokhu kufanele kusetshenziswe kuphela nge-rectal. Ungalokothi ukuphuze ngomlomo.
- Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Sebenzisa njengoba nje udokotela wakho ekutshelile, isikhathi eside. Ungayeki ukuwuthatha ngokuzumayo, noma ngabe uzizwa ungcono.
- Uma uzwa ukopha endulwini, ubuhlungu obukhulu, ukuvuvukala, noma izimpawu zokusabela kokungezwani komzimba, funa iseluleko sikadokotela ngokushesha.
- Lo muthi ungowakho wedwa. Ungawubelani nabanye.
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