Ungase wesabe kancane lapho udokotela wakho ekutshela ukuthi unesifo sofuba (TB). Kodwa uma uthatha umuthi ofanele ngesikhathi esifanele, ungawelapha ngokuphelele lesi sifo. Kulokhu kwelashwa, awunikezwa umuthi owodwa nje kuphela, kodwa imithi eminingana ndawonye. Namuhla sikhuluma ngephilisi elenziwe ngokuhlanganisa imithi emithathu ebaluleke kakhulu.
Yimiphi le mithi?
Empeleni lokhu kuyinhlanganisela yemithi emithathu. I-Isoniazid, i-Pyrazinamide, ne-Rifampin . Yomithathu yale mithi ingamagciwane anamandla kakhulu abulala amagciwane e-TB. Kalula nje, lokho okwenziwa yile mithi ukuhlasela amagciwane e-TB emzimbeni wakho bese ewabulala.
Into ebaluleke kakhulu ukuthi le mithi ingeyesifo sofuba kuphela. Ayelaphi izifo ezibangelwa amagciwane njengomkhuhlane noma umkhuhlane. Ngakho-ke, ungayisebenzisi ngaphandle kweseluleko sikadokotela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Lo muthi ungase uhlangane nezinye izimo zezokwelapha. Uma unezinye zalezi ezilandelayo, qiniseka ukuthi utshela udokotela wakho.
- Isifo Sikashukela: Lo muthi ungabangela ushintsho emazingeni kashukela egazini.
- I-Gout: Lo muthi ungase wandise ubuhlungu bamalunga.
- Isimo se-HIV noma i-AIDS: Eminye imithi esetshenziswayo yalesi simo ingase ihlangane nemithi yesifo sofuba.
- Isifo sezinso noma sesibindi: Lo muthi ukhishwa emzimbeni ngezinso nesibindi, ngakho-ke uma kukhona ubuthakathaka kulezi zitho zomzimba, umthamo womuthi ungadinga ukulungiswa.
- Ukuphuza utshwala: Ukuphuza utshwala njalo kungandisa imiphumela esibindini.
- Ukushoda kokudla okunempilo: Uma othile engondlekile kahle, khuluma nangalokho.
- Izinkinga zemizwa: Uma unezinkinga zemizwa, njengokuqaqamba kweminwe yakho.
- Uma ugqoka ama-contact lens: Lo muthi ungabangela ukuthi ukudabuka kushintshe umbala futhi kungcolise ama-contact lens.
- Ukungezwani neminye imithi: Uma uke waba nokungezwani ne-isoniazid, i-rifampin, i-rifabutin, noma yimuphi omunye umuthi noma ukudla.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ungamfihli udokotela wakho lolu lwazi, ngoba konke lokhu kubalulekile kuye ukuze akunikeze ukwelashwa okuphephile ngangokunokwenzeka.
Ngiyisebenzisa kanjani ngempela le mithi?
Lokhu kulula kakhulu, kodwa kubaluleke kakhulu.
1. Phuza isisu esingenalutho: Lena yinto ebaluleke kakhulu. Kufanele uthathe umuthi ihora elilodwa ngaphambi kokudla noma amahora amabili ngemva kokudla. Gwinya iphilisi ngengilazi yamanzi. Ngaleyo ndlela, umuthi uzomuncwa kangcono.
2. Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Lokhu kuzosiza ukugcina amazinga omuthi emzimbeni wakho ehambisana.
3. Qedela inkambo enqunyiwe: Ungase uzizwe ungcono ezinsukwini ezimbalwa. Kodwa kumele uthathe umuthi isikhathi sonke osinikwe udokotela wakho (izinyanga ezingu-6 noma ngaphezulu). Ungayeki ukuwuthatha phakathi nendawo. Uma wenza kanjalo, lesi sifo singase sibuye futhi amagciwane angakhula amelana nomuthi.
4. Ungayithathi kanye nemithi yokunciphisa i-asidi: Uma uthatha imithi yokunciphisa i-asidi yesifo sofuba, yithathe okungenani ihora ngemva kokuthatha imithi yakho yokwelapha isifo sofuba.
5. Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
6. Uma uphuza umuthi omningi kakhulu: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
Lezi zinhlobo ezintathu zemithi zingasebenzisana neminye imithi eminingi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokho kusho ukuthi imithi yezinye izifo, imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela (isib. i-Paracetamol), amavithamini, imithi yendabuko, amaphilisi okuvimbela inzalo, udinga ukumtshela ngakho konke.
Ikakhulukazi, qaphela okulandelayo:
- Amaphilisi okuvimbela inzalo: Lo muthi unganciphisa ukusebenza kahle kwamaphilisi okuvimbela inzalo. Ngakho-ke, uma ungahleli ukuba nomntwana, khuluma nodokotela wakho mayelana nokusebenzisa olunye uhlobo lokuvimbela inzalo.
- Ama-Painkiller: Uma uphuza imithi efana ne-Paracetamol njalo, imiphumela esibindini inganda.
- Imithi yesifo sikashukela: Umthamo wemithi yesifo sikashukela ungadinga ukushintshwa njengoba amazinga kashukela egazini engashintsha.
- Imithi evimbela ukujiya kwegazi (isib. i-Warfarin): Ukusebenza kwalokhu kungashintsha.
Ngakho-ke, into engcono kakhulu ongayenza ukunikeza udokotela wakho uhlu lwazo zonke izidakamizwa ozithathayo. Ngemuva kwalokho angahlela ukwelashwa kwakho ukuze ungabi nezinkinga.
Izinto okufanele uziqaphele lapho uthatha imithi
Ushintsho ekubukeni kwamehlo
Abanye abantu bangase babe nezinguquko ekuboneni kwabo ngenkathi bethatha lo muthi. Uma ubona noma yiziphi izinguquko, njengokungaboni kahle noma ubunzima bokubona imibala , tshela udokotela wakho ngokushesha.
Ukungezwani komzimba nesikhumba
Ngezinye izikhathi kungaba khona ukungezwani okukhulu kwesikhumba. Uma unesifo sesikhumba esibomvu, esilumayo, esiqhumayo, noma esixebukayo, kanye nomkhuhlane nokuvuvukala komlomo nezindebe, funa usizo lwezokwelapha ngokushesha.
Imiphumela engaba khona esibindini
Lo muthi ungathinta isibindi. Uma unezimpawu ezifana nobuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwamehlo nesikhumba, umchamo ophuzi/onsundu omnyama, noma indle ephuzi , kungase kuthinte isibindi. Bona udokotela ngokushesha.
Amavithamini
Uma uthatha lo muthi, amazinga omzimba e-vitamin B6 (Pyridoxine) kanye ne-vitamin D angase ehle. Udokotela wakho uzovame ukukunikeza iphilisi le-vitamin elengeziwe ngalokhu.
Imiphumela emibi engaba khona yalo muthi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Iningi lawo alilibi kangako, kodwa kunezinto ezithile okufanele siziqaphele.
| Uhlobo lomphumela ongemuhle | Izimpawu ongase uzibone |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwamehlo/isikhumba, umchamo onsundu omnyama. |
| Ukopha | Ukuhlanza okufana nekhofi elicwecwe, indle emnyama noma enegazi, amabala abomvu/onsomi esikhumbeni, kanye nokulunywa okungachazeki. |
| Ukuvuvukala kwesikhumba/ukuluma | Ukubomvu kwesikhumba, okuhlanganisa emlonyeni, amabhamuza, isikhumba esixebukayo, umkhuhlane. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukushintsha kombala woketshezi lomzimba | Umchamo, umjuluko, amathe, kanye nezinyembezi kungase kube bomvu-orenji. Lokhu kuvamile ngenxa yomuthi we-Rifampin. Ungakhathazeki. |
| Ezinye izifo ezincane | Isicanucanu, ukuhlanza, ubuhlungu besisu, ikhanda elibuhlungu, isiyezi, ukungazweli ezithweni. |
Umlayezo Wokuya Nawe Ekhaya
- Isifo sofuba singalapheka ngokuphelele. Into ebaluleke kakhulu ukuthatha umuthi isikhathi esiphelele esinqunywe udokotela.
- Njalo thatha lo muthi esiswini esingenalutho (ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla).
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amaphilisi okuvimbela inzalo, ama-painkiller).
- Uma ubona noma yiziphi izinguquko embonweni wakho, ukusabela okukhulu kwesikhumba, noma izimpawu zesifo sesibindi (ukuphuzi kwamehlo/isikhumba), funa iseluleko sezokwelapha ngokushesha .
- Kujwayelekile ukuthi umchamo wakho kanye nomjuluko wakho kushintshe umbala ube bomvu-orenji ngenkathi uthatha imithi. Akunasidingo sokukhathazeka ngakho.
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