Uma siphethwe yikhanda, ubuhlungu bomzimba, noma umkhuhlane, into yokuqala esivame ukuyifinyelela umuthi wokuqeda izinhlungu, akunjalo? I-Ibuprofen umuthi abaningi bethu abawusebenzisa ngezikhathi ezinjengalezi, futhi ungathengwa kalula emakhemisi. Kodwa kunezinto eziningi ezibalulekile okudingeka siziqaphele lapho sisebenzisa lo muthi. Akuyona nje umuthi wokuqeda izinhlungu. Ngakho-ke namuhla, ake sixoxe ngale Ibuprofen, konke okudingeka ukwazi.
Iyini le Ibuprofen?
Kalula nje, i-Ibuprofen umuthi osetshenziselwa ukunciphisa ubuhlungu, ukuvuvukala, kanye nomkhuhlane. Ingeqembu lemithi ebizwa ngokuthi imithi engeyona eye-steroidal anti-inflammatory. Ngokwezokwelapha, sibiza le mithi ngokuthi i -Non-Steroidal Anti-Inflammatory Drugs noma (NSAIDs) .
Lokho kusho ukuthi lo muthi wenza izinto eziningana ezibalulekile:
- Yehlisa ubuhlungu: Iqeda ubuhlungu obuncane kuya kobuphakathi njengobuhlungu bekhanda, ubuhlungu bamazinyo, ubuhlungu bemisipha, kanye nobuhlungu bamalunga obubangelwa yi-arthritis.
- Kunciphisa ukuvuvukala (ukuvuvukala): Kulawula izimo ezinjengokuvuvukala kanye nokubomvu okubangelwa ukulimala noma ukutheleleka emzimbeni.
- Yehlisa umkhuhlane: Isiza ekunciphiseni umkhuhlane ngokulawula izinga lokushisa lomzimba.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha i-ibuprofen
Nakuba sivame ukusebenzisa i-ibuprofen, ayilungele abantu abanezinkinga ezithile zempilo. Ngakho-ke, ngaphambi kokusebenzisa i-ibuprofen, uma unezinye zezimo ezingezansi, kufanele utshele udokotela wakho ngakho.
| Isimo sempilo noma umkhuba | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo senhliziyo, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, noma umfutho wegazi ophakeme | I-Ibuprofen ingandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Ukuhlinzwa kwe-heart bypass (Coronary Artery Bypass Graft - CABG) kwenziwa zingakapheli amasonto amabili | Ukusebenzisa i-ibuprofen ngemva kokuhlinzwa kungaba yingozi kakhulu. |
| Izilonda zesisu, i-gastritis, noma ukopha kwamathumbu | I-Ibuprofen yandisa ingozi yokopha esiswini namathumbu. |
| Isifo sezinso noma sesibindi | Lezi zitho zomzimba zinamathuba amaningi okulimala yi-Ibuprofen. |
| Isifo se-asthma | I-Ibuprofen ingase izenze zibe zimbi kakhulu izimpawu zezinye iziguli ze-asthma. |
| Ukusetshenziswa kwemithi yokunciphisa igazi (isib. i-Warfarin) | Ingozi yokopha ingaba phezulu kakhulu. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Iseluleko sezokwelapha sibalulekile mayelana nokusetshenziswa kwe-Ibuprofen ngesikhathi sokukhulelwa (ikakhulukazi ezinyangeni ezi-3 zokugcina) kanye nangesikhathi sokuncelisa. |
| Ukuphuza noma ukubhema njalo | Le mikhuba ikhulisa kakhulu ingozi yokopha esiswini uma uthatha i-Ibuprofen. |
| Ukungezwani komzimba ne-ibuprofen noma amanye ama-NSAID njenge-aspirin noma i-naproxen | Kukhona ingozi yokusabela okukhulu kokungezwani komzimba. |
Ngingawusebenzisa kanjani lo muthi?
Lomuthi kufanele uphuzwe ngomlomo. Gwinya iphilisi ngengilazi yamanzi. Uma uzwa ubuhlungu besisu noma isilungulela, thatha lomuthi kanye nokudla noma ingilazi yobisi. Lokhu kuzonciphisa umthelela esiswini.
Ungalokothi uthathe okungaphezu komthamo obekwe udokotela wakho. Futhi, awudingi ukuqhubeka uthatha lo muthi ngemva kokuba ubuhlungu sebuphelile.
Qaphela: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lomuthi ungowakho kuphela. Unganiki omunye umuntu lo muthi, noma ngabe unezimpawu ezifanayo nezakho.
Uma kunikezwa izingane kanye nabantu asebekhulile
Uma unikeza i-ibuprofen izingane ezingaphansi kweminyaka eyi-12 ubudala, kuneziraphu ezenzelwe le njongo ngqo. Uma unikeza amaphilisi, kufanele ubuze udokotela ngesilinganiso esifanele sesisindo sengane yakho. Abantu abangaphezu kweminyaka engama-65 bangase bazizwe imiphumela yalo muthi kakhulu. Ngakho-ke, bavame ukunikezwa isilinganiso esiphansi.
Eminye imithi engase ihlangane ne-ibuprofen
I-Ibuprofen iyisidakamizwa esingasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho uma uthatha eminye imithi.
| Imithi okungafanele ithathwe ne-ibuprofen | |
|---|---|
| I-Ketorolac | Lokhu futhi kuyi-NSAID futhi kungabangela imiphumela emibi kakhulu. |
| I-Cidofovir, i-Methotrexate, i-Pemetrexed | Lena imithi esetshenziselwa ukwelapha umdlavuza nezinye izifo. Ukuyithatha ne-ibuprofen kungabangela ubuthi obukhulu. |
| Ezinye izinto ezingasebenzisana ne-ibuprofen | |
| I-Aspirin namanye ama-NSAID (isib. i-Naproxen, i-Diclofenac) | Kwandisa ingozi yokopha esiswini kanye nokulimala kwezinso. |
| I-Warfarin (ukwehlisa igazi) | Ingozi yokopha iyanda kakhulu. |
| Utshwala | Kwandisa ingozi yokopha esiswini. |
| I-Lithium, i-Diuretics | Le mithi ingathinta ukusebenza kwayo. |
Imiphumela emibi engaba yingozi kanye nezingozi
Nakuba i-ibuprofen ngokuvamile iwumuthi ophephile, ngezinye izikhathi ingabangela imiphumela emibi kakhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu , xhumana nodokotela ngokushesha.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokopha | Indle emnyama ephuzile , ukuhlanza okunsundu noma okunegazi, umchamo obomvu/onsundu, kanye namabala abomvu/onsomi esikhumbeni. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina kwesifuba, ubunzima bokuphefumula, ubuhlungu obusakazekela emahlombe, ezingalweni, noma emhlathini. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungazweli/ubuthakathaka obungazelelwe kolunye uhlangothi lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izimpawu zokulimala kwesibindi noma kwezinso | Ubuhlungu esiswini esingaphezulu kwesokudla, ukuphuzi kwamehlo/isikhumba, ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala nezinyawo. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
Kukhona nemiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka. Ihlanganisa:
- Ikhanda elibuhlungu
- Ukuphazamiseka kwesisu, isicanucanu
- Isifiso sokudla
Umlayezo Wokuya Nawe Ekhaya
- I-Ibuprofen iyimithi emihle yokwelapha umkhuhlane, ubuhlungu, nokuvuvukala, kodwa kufanele isetshenziswe ngokuqapha.
- Uma unezimo ezifana nesifo senhliziyo, isifo sezinso, izilonda zesisu, noma i-asthma, qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuthatha i-ibuprofen.
- Ungalokothi uthathe okungaphezu komthamo obekwe udokotela wakho. Uma uzwa ubuhlungu besisu, thatha umuthi kanye nokudla.
- Uma uzwa izimpawu ezifana nobuhlungu besisu, indle emnyama, noma ukuqubuka kwesikhumba, yeka ukuthatha imithi bese ubona udokotela ngokushesha.
- Omama abakhulelwe kufanele bagweme ngokuphelele ukusebenzisa i-ibuprofen, ikakhulukazi ezinyangeni ezintathu zokugcina zokukhulelwa.
- Uma unokungabaza noma imibuzo mayelana nalomuthi, ungaqageli. Cela iseluleko kudokotela wakho ngaso sonke isikhathi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Isiphi isifo esisetshenziswa ngama-capsule/amaphilisi e-Loperamide/Imodium?
Lona omunye wemithi 'yokuvimba indle' ephumelela kakhulu futhi edumile emhlabeni! Uvala ngokushesha indle ekhululekile/eqhubekayo kubantu abanesifo sohudo esibukhali, isifo sohudo esibangelwa ubuthi bokudla, kanye ne-'IBS-D' (Irritable Bowel Syndrome).
💬 Ngingamisa kanjani isifo sohudo/ukuhlanza ngokushesha ngemva kokuthatha leli philisi (i-Loperamide)?
Nakuba lokhu kuyi-opioid yokwenziwa, ayifinyeleli ebuchosheni (ngakho ayikwenzi uzizwe ukhathele). Uma lo muthi ufika emathunjini, ubopha kuma-mu-opioid receptors emathunjini futhi unciphisa i-myenteric plexus ngo-100%, elawula ukunyakaza kwamathumbu. Lapho ukunyakaza kwamathumbu kunciphisa ijubane, umunca amanzi emathunjini bese indle iba nkulu.
💬 Ingabe leli philisi lokwelapha uhudo (i-Imodium) liphephile ngokuphelele? Yiziphi izingozi ezibulalayo?
Lokhu kuphephile kakhulu uma kuthathwa ngesilinganiso esifanele. Kodwa-ke, abanye abantu bathatha idlanzana lala maphilisi ngesikhathi esisodwa ukuze bathole utshwala! (I-Loperamide Toxicity / Isexwayiso Sebhokisi Elimnyama). Ukwenza kanjalo kungabangela izinguquko ezinkulu emsindweni kagesi wenhliziyo (i-Torsades de pointes / i-QT prolongation), okungaholela ekuhlaselweni yinhliziyo ngemizuzu embalwa bese kufa! Futhi, uma uthatha lokhu ngenkathi unamagciwane (isb., uhudo olunegazi/i-C. diff), kunethuba elikhulu lokuthi amagciwane azobhajwa emzimbeni futhi abangele ukuqhuma kwamathumbu (i-Toxic megacolon).
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