Uma udokotela wakho ekutshela ukuthi une-Multiple Sclerosis (MS), ungase uxakwe yimibuzo nokukhathazeka. Manje njengoba utshelwe ukuthi uthathe umuthi wokugomela i-Interferon Beta-1b, ungase ube nelukuluku futhi wesabe kancane. "Uyini lo muthi? Ngiwusebenzisa kanjani? Ingabe kukhona imiphumela emibi?" Ungase ube nemibuzo eminingi engqondweni yakho. Ungakhathazeki, namuhla sizoxoxa ngalo muthi, konke okudingeka ukwazi, kalula nje, njengokungathi ukhuluma nomngane.
Iyini i-Interferon Beta-1b?
Kalula nje, i-Interferon Beta-1b umuthi osiza ekunciphiseni ukuvama kokuhlaselwa noma ukuphinda kwezimpawu zakho ze-Multiple Sclerosis (MS). Ngokuvamile ungawuthola ngaphansi kwamagama omkhiqizo i-Betaseron noma i-Extavia.
Kubaluleke kakhulu ukuqaphela ukuthi lo muthi awukwazi ukwelapha ngokuphelele i-MS. Kodwa-ke, ungalawula ukwanda njalo kwalesi sifo futhi ukunikeze impumuzo enkulu ukuze uphile impilo evamile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Kubaluleke kakhulu ukuthi udokotela wakho abe nesithombe esiphelele sempilo yakho ngaphambi kokuqala lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi wazisa udokotela wakho ngakho.
| Izimo zempilo okufanele uzibike | Kungani lokho kubalulekile? |
|---|---|
| Ukucindezeleka noma imicabango yokuzibulala | Lo muthi ngezinye izikhathi ungathinta izimo zengqondo, ngakho-ke kubalulekile ukukwazi lokhu kusengaphambili. |
| Isifo senhliziyo (njengokwehluleka kwenhliziyo) | Kudingeka ukhathazeke ngengozi yokuba nezinkinga zenhliziyo eziya ziba zimbi kakhulu. |
| Isifo sesibindi | Ngenxa yokuthi umuthi ungathinta isibindi, udokotela wakho kufanele aqaphele ukusebenza kwesibindi sakho. |
| Izibalo zegazi eziphansi | Uma unamaseli abomvu egazi aphansi, amaseli amhlophe egazi, noma ama-platelet, lo muthi ungase uwathinte kakhulu. |
| Ezinye izinto ezibangela ukungezwani komzimba | Sitshele uma une-allergies ezintweni ezifana ne-Interferon, i-Albumin, i-Mannitol, noma eminye imithi noma ukudla. |
| Ukukhulelwa noma ukuzama ukukhulelwa, kanye nokuncelisa | Kufanele uxoxe nodokotela wakho ngokusetshenziswa kwalo muthi ngesikhathi sokukhulelwa nokuncelisa. |
Lo muthi wokugoma usetshenziswa kanjani?
Lo muthi unikezwa njengomjovo, ngaphansi nje kwesikhumba . Ungakhathazeki, udokotela wakho noma umhlengikazi uzokufundisa ukuthi ungakwenza kanjani lokhu wena. Bazochaza ngokucacile ukuthi uwulungiselela kanjani umuthi, ukuthi uwujove kuphi (isib. isisu, ithanga), nokuthi ungakwenza kanjani.
Futhi, kubaluleke kakhulu ukuthola umuthi wokugoma ngosuku nesikhathi esihleliwe njengoba kunqunywe udokotela wakho. Qhubeka uwusebenzisa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Uzilahla kanjani izinaliti nezinaliti ezisetshenzisiwe?
Lokhu kubaluleke kakhulu. Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kukhona "isitsha sokuhlaba" esikhethekile sazo. Uma ungenaso, buza udokotela wakho ukuthi ungasithola kanjani.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili. Kufanele kube negebe lamahora angaba ngu-48 phakathi kwemithamo. Uma ngengozi uthatha imithamo emibili ilandelana, shayela udokotela wakho ngokushesha.
Izinto ezikhethekile okufanele uziqaphele ngomuthi
- Ukuhlolwa kwezokwelapha: Udokotela wakho kungadingeka ahlole isimo sakho futhi enze ukuhlolwa kwegazi njalo ngenkathi uthatha lo muthi. Ungaziyeki lezi.
- Eminye imithi:Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
- Ukweqisa umthamo: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Imiphumela emibi engaba khona yemithi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Into ebalulekile ukuqaphela lokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko zengqondo | Ukucindezeleka okukhulu, imicabango yokuzibulala, ukukhathazeka. |
| Izimpawu zokulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu engxenyeni ephezulu kwesokudla yesisu, ukukhathala okukhulu. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubunzima bokuphefumula, ukukhuluphala ngokuzumayo, ukuvuvukala kwamaqakala nezinyawo, ukushaya kwenhliziyo okusheshayo ngendlela engavamile. |
| Ukopha noma ukudumba | Ukopha okungajwayelekile noma ukuphuka noma yikuphi emzimbeni. |
| Indawo yokugoma | Ukushintsha kombala okumnyama-oluhlaza okwesibhakabhaka, ukuvuvukala, ubomvu, noma ubuhlungu endaweni yokujova. |
| I-Thrombotic Thrombocytopenic Purpura (TTP) | Lesi yisimo esingavamile kodwa esibucayi. Izimpawu zifaka phakathi amabala ansomi esikhumbeni noma emlonyeni, ukuphuzi kwamehlo, umkhuhlane, ubuhlungu besifuba, ubunzima bokuphefumula, ikhanda elibuhlungu kakhulu, kanye nobunzima bokukhuluma. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izimpawu ezifana nomkhuhlane | Ngemva kokuthola umuthi wokugomela, kungase kube nezimpawu ezifana nomkhuhlane, ubuhlungu bomzimba, kanye nokukhathala. |
| Indawo yokugoma | Ubomvu, ubuhlungu, noma ukuvuvukala okuncane endaweni yokujova. |
| Ezinye izici | Ikhanda elibuhlungu, ubuhlungu bemisipha, ukungakwazi ukulala, izinguquko zomjikelezo wokuya esikhathini. |
Ungawugcina kanjani umuthi?
- Gcina umuthi kude nezingane nezilwane ezifuywayo .
- Ngaphambi kokuxuba umuthi (ungavulwanga), landela imiyalelo yokushisa ephaketheni lomkhiqizo ngamunye. Amanye angagcinwa ekushiseni kwegumbi, kanti amanye angagcinwa esiqandisini.
- Ngemva kokuxuba umuthi namanzi, uma ungafanele usetshenziswe ngokushesha, kufanele ubekwe efrijini bese usetshenziswa zingakapheli amahora amathathu . Ungalokothi uqandiswe. Lahla noma yimuphi umuthi osele ngemva kwamahora amathathu.
- Lahla imithi ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Interferon Beta-1b iyisidakamizwa esilawula ukuhlaselwa yi-MS, kodwa akuyona ikhambi lalesi sifo.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zempilo (ikakhulukazi ukucindezeleka, isifo senhliziyo, isifo sesibindi) kanye nayo yonke imithi oyithathayo.
- Funda ukuthi ungawusebenzisa kanjani umuthi wokugoma ngendlela efanele nokuthi ungazilahla kanjani izinaliti ezisetshenzisiwe ngokuphephile.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokushintsha okukhulu kwengqondo, ukuphuzi kwamehlo/isikhumba, noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukukhuluma nodokotela wakho.
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