Uma wena noma othile omaziyo ene-Multiple Sclerosis (MS), kubalulekile ukuqaphela izindlela zokwelapha ezitholakalayo. Udokotela wakho kungenzeka ukuthi ukunike umuthi wokugomela obizwa ngokuthi i-Interferon Beta-1a. Kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa igama. Ngakho-ke namuhla, sizokhuluma ngalo muthi ngendlela elula kakhulu, njengokungathi sikhuluma nomngane.
Iyini ngempela i-Interferon Beta-1a?
Kalula nje, i-Interferon Beta-1a iwumuthi osiza ukulawula i-Multiple Sclerosis (MS). Akuyona ikhambi le-MS , kodwa yenza izinto ezibaluleke kakhulu.
Ake sithi i-MS yisifo esihlasela isimiso sezinzwa somzimba wakho ngokungaphezi. Lo muthi usiza ekunciphiseni ukuvama kwalezo zihlaselo kanye nezinga lobuthakathaka obungokomzimba obubangelwa yilesi sifo ngokuhamba kwesikhathi. Ngamanye amazwi, uyasiza ekunciphiseni ijubane lokuqhubeka kwalesi sifo. Lo muthi utholakala ngaphansi kwamagama emikhiqizo ehlukene, njenge-Avonex ne-Rebif.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukuxoxa nodokotela wakho ngomlando wakho wezempilo ophelele, ikakhulukazi uma unezinye zezimo ezibalwe ngezansi.
| Isimo sempilo noma inkinga | Okudingayo ukukwazisa |
|---|---|
| Impilo yengqondo | Uma unesifo sokucindezeleka, uke waba naso esikhathini esidlule, noma unemicabango yokuzibulala. |
| Isifo senhliziyo | Uma unesifo senhliziyo njengokwehluleka kwenhliziyo. |
| Izifo zesibindi | Uma unesifo sesibindi. |
| Izinkinga zegazi | Uma unesifo esibangela ukwehla kwamangqamuzana amhlophe egazi, amangqamuzana abomvu egazi, noma ama-platelet egazini. |
| Isimiso somzimba sokuzivikela | Uma unezinye izifo ezihlobene nesimiso somzimba sokuzivikela. |
| Ukungezwani komzimba | Uma une-allergy kulo muthi, ezinye izinhlobo ze-interferon, i-albumin, noma eminye imithi, ukudla, noma udayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Uwufaka kanjani lo mjovo ngendlela efanele?
Ngenxa yokuthi kungumjovo, uzonikezwa ukuqeqeshwa okufanele kokuthi ungawunikeza kanjani. Eminye imijovo, njengeRebif, ifakwa ngaphansi kwesikhumba , kanti eminye, njenge-Avonex, ifakwa emsipheni .
Into ebaluleke kakhulu ukuthi, ungalokothi uzame lokhu wedwa kuze kube yilapho udokotela noma umhlengikazi esekufundisile ukuthi ungakwenza kanjani kahle.
Bazokukhombisa ngokucacile ukuthi ungawulungisa kanjani umuthi, ukuthi uwufake kuphi, nokuthi uwufake kanjani. Futhi, akuvunyelwe ngokuphelele ukufaka izinaliti ezisetshenzisiwe kanye namasirinji kudoti ojwayelekile. Buza udokotela wakho noma emtholampilo mayelana "nesitsha esibukhali" esikhethekile lapho ungazibeka khona. Kubaluleke kakhulu ekuphepheni kwakho nasekuphepheni kwabanye.
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 esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili. Kufanele kube negebe lamahora angaba ngu-48 phakathi kwemithamo. Uma ngengozi uthatha imithamo emibili ilandelana, shayela udokotela wakho ngokushesha.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe umuthi omningi kakhulu, ungesabi futhi uthathe isinyathelo ngokushesha. Shayela iNational Poisons Information Centre eColombo National Hospital. Ngaphandle kwalokho, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze nawe.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kubalulekile ukuhlala useduze nodokotela wakho uma uthatha lo muthi.
- Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu, tshela udokotela wakho .
- Udokotela kuzodingeka enze izinto ezifana nokuhlolwa kwegazi ukuze ahlole ukusebenza kwesibindi sakho kanye nezimo zegazi.
- Lo muthi ngezinye izikhathi ungabangela umphumela ongavamile kodwa ongathi sína obizwa ngokuthi i-Thrombotic Thrombocytopenic Purpura (TTP), inkinga yokujiya kwegazi. Lokhu kungaba yingozi, ngakho funa iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo:
- Amabala ansomi esikhumbeni noma ngaphakathi emlonyeni
- Ukuphuzi kwamehlo noma isikhumba
- Izimpawu ezifana nomkhuhlane, i-malaise, kanye nokubanda
- Isisu esibuhlungu
- Ukuzizwa ukhathele ngendlela engavamile
- Ubuhlungu besifuba, ubunzima bokuphefumula
- Ubuhlungu, ukuvuvukala, noma ukufudumala emlenzeni
- Ukudideka, ikhanda elibuhlungu kakhulu, ubunzima bokukhuluma noma ukuhamba, izinguquko zombono
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Ake siyichaze.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinguquko zengqondo | Ukucindezeleka, imicabango yokuzibulala, ukushintsha kwemizwelo. |
| Izimpawu zenhliziyo | Ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukukhuluphala ngokuzumayo, ukuvuvukala kwamaqakala nezinyawo, ukukhathala okukhulu. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukudinwa, ukuphelelwa yisifiso sokudla, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukuphuzi kwamehlo/isikhumba. |
| Ezinye izimpawu ezinkulu | Ukopha noma ukuphuka okungajwayelekile, ukuxhuzula, ukushintsha kombala omnyama/oluhlaza okwesibhakabhaka, ukuvuvukala, noma ubomvu endaweni yokujova. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Imfiva | Ukuzizwa ushisa futhi ubuhlungu ngemva kokujova. |
| Ikhanda elibuhlungu kanye nobuhlungu bemisipha | Ikhanda elibuhlungu, izinhlungu zemisipha noma ubuhlungu. |
| Indawo yokufaka umjovo | Ubomvu, ubuhlungu, kanye nokuvuvukala okuncane endaweni yokujova. |
| Okunye | Ukungalali, ukukhathala, izinguquko emjikelezweni wokuya esikhathini. |
Uwugcina kanjani umuthi kahle?
Lokhu kubaluleke kakhulu. Ukuze kulondolozwe ikhwalithi yomuthi, kumele ugcinwe kahle.
- Gcina njalo kude nezingane nezilwane ezifuywayo.
- Lo muthi kufanele ugcinwe esiqandisini, ezingeni lokushisa eliphakathi kwama-degree Celsius amabili nangu-8. Ungalokothi uwugcine esiqandisini. Ukwenza kanjalo kuzokwenza umuthi uqine futhi wonakale.
- Vikela ekukhanyeni. Lokho kusho ukuthi kungcono ukuyigcina ngaphakathi kwebhokisi.
- Uma uhamba ngaphandle kwesiqandisi, ezinye izinhlobo (njengeRebif) zingagcinwa ekushiseni kwegumbi (ngaphansi kwama-degree Celsius angu-25) kuze kube yizinsuku ezingu-30, kanti ezinye izinhlobo (njenge-Avonex) kuze kube yizinsuku ezingu-7. Kodwa hlola nodokotela wakho ukuze uthole imininingwane.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Buza udokotela wakho ngezindlela eziphephile zokuyilahla.
Umlayezo Wokuya Nawe Ekhaya
- I-Interferon Beta-1a ayilona ikhambi le-MS, kodwa iyindlela yokwelapha ebaluleke kakhulu esiza ukulawula lesi sifo nokugcina ikhwalithi yempilo yakho.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nokungezwani komzimba.
- Prakthiza ukujova ngendlela efanele. Lahla izinaliti ezisetshenzisiwe ngokuphephile.
- Qaphela izimpawu zemiphumela emibi kakhulu (ikakhulukazi izinguquko zengqondo, izimpawu zenhliziyo, izinkinga zesibindi). Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Gcina umuthi ezingeni lokushisa elifanele, uvikeleke ekukhanyeni, futhi ungafinyeleleki ezinganeni.
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