Ingabe une-hATTR (i-amyloidosis ebangelwa yi-transthyretin), isifo esingavamile sofuzo? Ingabe ukhathele ubuhlungu obungapheli, ukungazweli, noma ukulahlekelwa umuzwa ezandleni nasezinyaweni zakho? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngomuthi wokugomela obizwa ngokuthi i-Inotersen. Namuhla, ake sixoxe kafushane ngokuthi uyini lo muthi, wenzani, nokuthi yini okudingeka uyiqaphele uma uwusebenzisa.
Uhlobo luni lomuthi i-Inotersen?
Kalula nje, i-Inotersen iwumuthi wokugomela onikezwa ukwelapha izinkinga zemizwa kubantu abanesimo esibizwa ngokuthi i-hATTR . Kulesi sifo se-hATTR, iphrotheni ekhiqizwa emzimbeni wethu iqoqana ngaphezu kokudingekile futhi yonakalise imizwa. Lo muthi usebenza ngokunciphisa ukunqwabelana kwaleyo phrotheni emzimbeni . Ngemuva kwalokho izimpawu ozizwayo, njengobuhlungu, ukungazweli, nokulahlekelwa umuzwa ezithweni zakho, ziqala ukwehla kancane kancane. Lo muthi ungatholakala emakethe ngaphansi kwegama elithi `(Tegsedi)`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba uqale ukuthatha lo muthi, kunezinto okufanele uzixoxe nodokotela wakho. Lolu lwazi lubaluleke kakhulu ekuphepheni kwakho.
- Uma unesifo sezinso: Sitshele nganoma yiziphi izinkinga zezinso.
- Uma unenani eliphansi lamaseli egazi: Isibonelo, uma uke watholakala ukuthi unamaseli amhlophe egazi aphansi, amaseli abomvu egazi, noma ama-platelet, yazisa udokotela wakho.
- Uma une-allergies: Sitshele uma une-allergy kunoma yimuphi omunye umuthi, ukudla, noma idayi, hhayi i-Inotersen kuphela.
- Uma ukhulelwe noma uhlela ukukhulelwa: Kubalulekile ukutshela udokotela wakho ngalokhu, njengoba kufanele kuthathwe ukunakekelwa okukhethekile ngemithi phakathi nalesi sikhathi.
- Uma ungumama oncelisayo: Kubalulekile ukuqaphela lokhu ngisho nangesikhathi sokuncelisa.
Ungawusebenzisa kanjani umuthi wokugomela?
Lona umjovo ongaphansi kwesikhumba . Ungakhathazeki, udokotela wakho noma umhlengikazi uzokukhombisa ukuthi uzijova kanjani ngqo. Kubaluleke kakhulu ukuthatha umjovo njengoba nje udokotela wakho ekutshela, ngosuku olufanele, nangenani elifanele. Qhubeka uwusebenzisa aze akutshele ukuthi uyeke.
Kubaluleke kakhulu: Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kufanele zifakwe esitsheni esikhethekile se-sharping. Uma ungenayo, buza udokotela wakho ukuthi ungayithola kanjani.
Uzothola incwajana yemiyalelo ekhethekile ethi ``(MedGuide)`` enalo muthi. Khumbula ukuwufunda ngokucophelela njalo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma umthamo wakho olandelayo ungaphansi kwezinsuku ezimbili, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa, okungukuthi, umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi
Kufanele uqaphele kakhulu uma uthatha eminye imithi ngenkathi uthatha lo muthi, ngoba ingathintana. Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo.
Ngezansi kuneminye imithi engase ihlangane nalo muthi.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Izinto zokunciphisa igazi | I-Warfarin, i-Enoxaparin, i-Aspirin, i-Clopidogrel, i-Apixaban, i-Rivaroxaban |
| Ama-Painkiller (ama-NSAID) | Imithi efana ne-Ibuprofen ne-Naproxen |
| Ama-antibiotic kanye neminye imithi yokwelapha izifo ezithile | I-Acyclovir, i-Gentamicin, i-Vancomycin, i-Amphotericin B |
| Imithi yokuhlanza | Imithi efana ne-Furosemide |
| Eminye imithi | I-Cisplatin, i-Cyclosporine, i-Zoledronic acid, i-Pamidronate |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Bona udokotela wakho njalo: Xhumana nodokotela wakho njalo ukuze ubone ukuthi unjani nokuthi imithi iyasebenza yini. Mtshele ukuthi izimpawu zakho ziya ziba zimbi noma cha.
- Qaphela i-vitamin A: Udokotela wakho angakutshela ukuthi uthathe izithasiselo ze-vitamin A ngenkathi uthatha lo muthi. Lokhu kungenxa yokuthi lo muthi unganciphisa izinga le-vitamin A emzimbeni. Thatha izithasiselo ze-vitamin A njengoba udokotela wakho ekutshela. Futhi, khuluma naye ngokudla kwakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izinto okufanele uzitshele udokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini lwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ukopha noma ukuklwebheka okungavamile | Isikhumba esiphuka kalula, esiphuma igazi ekhaleni, kanye nezinsini eziphuma igazi. |
| Isifo sohlangothi | Ukungazweli/ukuba ndikindiki ngokuzumayo kolunye uhlangothi lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Ubuhlungu nokubomvu endaweni yokujova | Ukusabela kwendawo yomjovo |
| Ikhanda elibuhlungu | |
| Isicanucanu | |
| Imfiva | |
| Ukukhathala | |
Uwugcina kanjani umuthi?
Kubaluleke kakhulu ukugcina lo muthi ngendlela efanele.
- Indlela engcono kakhulu: Gcina esiqandisini. Kodwa ungalokothi uqandise. Gcina ephaketheni lokuqala kuze kube yilapho usukulungele ukusetshenziswa.
- Indlela ehlukile: Ungagcina lo muthi ezingeni lokushisa legumbi (phakathi kuka-20-25 Celsius) kuze kube amasonto ayisithupha. Kodwa-ke, uma wenza kanjalo, kufanele uwuvikele ekukhanyeni nasekushiseni. Lahla noma yikuphi okusele ngemva kwamasonto ayisithupha.
- Qiniseka ukuthi uyigcina kude nezingane nezilwane ezifuywayo.
Ungalokothi ulahle imithi ephelelwe yisikhathi noma engasetshenziswanga emgqonyeni kadoti noma endlini yangasese. Buza udokotela wakho ukuthi ungayilahla kanjani ngokuphephile.Uzokutshela indlela engcono kakhulu yokukwenza.
Umlayezo Wokuya Nawe Ekhaya
- I-Inotersen iwumuthi wokugomela izifo zezinzwa ezibangelwa yisimo esibizwa ngokuthi i-hATTR.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nayo yonke imithi oyiphuzayo.
- Funda ukuthi ungawufaka kanjani umjovo ngendlela efanele. Lahla izinaliti ezisetshenzisiwe ngokuphephile.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engathi sína, njengokungezwani komzimba, izinkinga zezinso noma zesibindi, noma ukukhubazeka, tshela udokotela wakho ngokushesha.
- Gcina umuthi esiqandisini noma njengoba uqondiswe udokotela wakho.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
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