Ingabe udokotela wakho ukuyalile ukuba wenze i-CT scan, i-MRI, noma i-X-ray? Uma wenza kanjalo, ngezinye izikhathi ungase unikezwe umuthi okhethekile emthanjeni. I-Iohexol umuthi osetshenziswa ezimweni ezinjalo. Ungase wesabe kancane uma uzwa leli gama. Kodwa asikho isizathu sokwesaba. Kulesi sihloko, sizokhuluma kalula ngokuthi lo muthi usetshenziselwani nokuthi yini okudingeka ukwazi ngaphambi kokuwuthatha.
Iyini i-Iohexol? Ake sikuqonde kalula.
I-Iohexol iwuketshezi olukhethekile olusetshenziswa kwezokwelapha. Lokhu sikubiza ngokuthi 'ama-contrast agents'. Kalula nje, kufana "nodayi" owenza ingaphakathi lemizimba yethu libonakale ngokucacile. Kodwa akuyona idayi ongayisebenzisa ezingutsheni!
Cabanga ukuthi udokotela ufuna ukuhlola imithambo yegazi yakho, ubuchopho, izinso, noma ezinye izitho zomzimba ngokuningiliziwe. Ngokuvamile, lapho kuthathwa iskeni, imininingwane ethile engabonakali kahle. Yilapho lolu ketshezi lwe-Iohexol lufakwa emzimbeni ngomthambo. Lapho lolu ketshezi lungena emzimbeni, isitho noma imithambo yegazi efanele ingabonakala ngokucacile nangokukhanyayo esithombeni sesikeni (isibonelo, ku-CT, i-MRI, noma i-X-ray). Kufana nokufaka umbala engxenyeni ebaluleke kakhulu yesithombe esimnyama nesimhlophe. Lokhu kusiza udokotela kakhulu ekuxilongeni isifo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lena yingxenye ebaluleke kakhulu. Ngaphambi kokuthola umuthi wokugomela i-Iohexol, kubalulekile ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba abantu abanezimo ezithile zezokwelapha badinga ukunakekelwa okukhethekile lapho benikeza lo muthi. Bheka ithebula elingezansi, futhi uzothola umbono omuhle ngalokhu.
| Uma unalezi zimo... | Kungani kubalulekile ukusho lokho? |
|---|---|
| Ukungezwani komzimba | Qiniseka ukuthi utshela udokotela wakho uma une-allergies, ikakhulukazi i-iodine , ukudla kwasolwandle (njenge-shrimp, i-squid, i-crab), ezinye izidakamizwa ezibangela ukungezwani komzimba, noma eminye imithi. |
| Isifo sezinso | Lomuthi ukhishwa emzimbeni ngezinso. Ngakho-ke uma kukhona ubuthakathaka ezinso, lo muthi ungathinta izinso. |
| Isifo sikashukela | Abantu abanesifo sikashukela, ikakhulukazi labo abanezinkinga zezinso, kufanele baqaphele lapho benikeza lo muthi. Futhi, batshele uma uthatha umuthi ofana ne-Metformin. |
| Isifo senhliziyo | Abantu abanesifo senhliziyo basengozini yokuthola izinkinga ngenxa yalo muthi. Ngakho-ke, yazisa udokotela wakho ngesimo senhliziyo yakho. |
| Isifo se-thyroid | Ngenxa yokuthi i-Iohexol iqukethe i-iodine, ingaba nomthelela othile ekusebenzeni kwe-thyroid. |
| Izifo zokuphefumula ezifana ne-asthma | Iziguli ezine-asthma zisengozini enkulu yokuba ne-allergies. |
| Ezinye izimo zezokwelapha | Tshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha, njengomdlavuza, ukuphelelwa amanzi emzimbeni, i-pheochromocytoma, noma isifo se-sickle cell. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi wazisa ithimba lezokwelapha. |
Lomuthi unikezwa kanjani?
Lona akuwona umuthi ongawuthatha ekhaya. I-Iohexol inikezwa esibhedlela noma emtholampilo ngabasebenzi bezokwelapha abaqeqeshiwe. Ngokuvamile ifakwa emthanjeni ongalweni yakho.
Ngisho nasezinganeni ezincane, lo muthi unikezwa uma kudingeka. Kodwa udokotela uyanquma ngawo. Ngakho-ke uma ingane yakho inikezwe lo muthi, khuluma nodokotela ngawo ngokucophelela.
Yini okufanele uyenze uma uthola imithi eminingi kakhulu?
Lo muthi unikezwa ngaphansi kokuqashwa kwezokwelapha, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi uthathe lo muthi omningi kakhulu, yazisa abasebenzi bezokwelapha ngokushesha. Ngaphandle kwalokho, kufanele uye e-Emergency Treatment Unit (ETU) ngokushesha. Kunoma yisiphi isimo esiphuthumayo, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Khumbula, lo muthi ungowakho kuphela. Unikezwa wena ngokwesimo sakho sezokwelapha futhi uvumelane nomzimba wakho. Ngakho-ke, ungalokothi uqhathanise noma wabelane ngolwazi ngalokhu nabanye.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-Iohexol. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo .
Nazi ezinye zezinhlobo eziyinhloko zemithi ezingasebenzisana:
- I-Metformin: Umuthi ovamile wesifo sikashukela.
- Izibulali-zinhlungu: I-Aspirin kanye nama-NSAID (isib. i-Ibuprofen, i-Diclofenac).
- Ama-Beta blocker: Imithi yokucindezeleka kwegazi okuphezulu kanye nesifo senhliziyo (isib. iBisoprolol).
- Imithi yokukhipha amanzi emzimbeni: Imithi ekhipha amanzi emzimbeni.
- Eminye imithi: Imithi efana neCisplatin, iCyclosporine, iPamidronate, iZoledronic acid, kanye nemithi enikezwa ezinye izifo.
Lolu hlu aluphelele, ngakho-ke kungcono ukucacisela udokotela wakho ngayo yonke imithi oyithathayo.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-Iohexol ingabangela eminye imiphumela emibi. Kodwa-ke, abantu abaningi ababi nalokhu. Ngisho noma kwenzeka, iningi labo lincane. Into ebaluleke kakhulu ukuqaphela nokwenza isinyathelo ngokushesha uma kwenzeka imiphumela emibi kakhulu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kubasebenzi bezokwelapha ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu obufana nokuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukuzizwa ubanda, kanye nokuquleka. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ubuhlungu/ukuvuvukala endaweni yokujova | Ukuvuvukala okubuhlungu, ukufudumala, ukubomvu, noma amabhamuza/amanxeba endaweni yokujova. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isicanucanu | Ungase uzizwe unesicanucanu ngenkathi uthatha umuthi noma isikhashana ngemva kokuwuthatha. |
| Ikhanda elibuhlungu | Kungase kube nekhanda elincane. |
| Shintsha ukunambitheka | Ungase uzwe ukunambitheka kwensimbi emlonyeni wakho. Lokhu kuzophela ngemva kwesikhashana. |
| Umbono ofiphele | Umbono ungase ufiphale okwesikhashana. |
Abasebenzi bezokwelapha bazokuqapha eduze ngenkathi unikezwa lo muthi. Ngakho-ke akukho okufanele ukhathazeke ngakho. Bazise ngokushesha nje lapho uzizwa ungakhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Iohexol iwuketshezi olukhethekile olusiza ukubona kahle ingaphakathi lomzimba ngesikhathi sokuhlolwa okufana ne-CT ne-MRI.
- Ngaphambi kokuskena, qiniseka ukuthi utshela udokotela ngazo zonke izimo zakho zezokwelapha (ikakhulukazi ukungezwani komzimba, isifo sezinso, isifo sikashukela) kanye nayo yonke imithi oyithathayo.
- Uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba okukhulu (ubunzima bokuphefumula, ukuvuvukala), ubuhlungu besifuba, njll., yazisa abasebenzi bezokwelapha ngokushesha.
- Lomuthi unikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha. Ngakho-ke uphephile.
- Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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