Ake sifunde ngama-capsule emithi asetshenziswa ukwelapha isifo sofuba (i-Isoniazid; i-Rifampin)

Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi ungase ube nesifo sofuba (TB). Elinye lamaphilisi akhethekile asetshenziswa ukwelapha lokhu libizwa ngokuthi 'i-Isoniazid; i-Rifampin'. Kalula nje, leli 'yi-Antibiotic' ebulala amagciwane ofuba. Kodwa khumbula, ngeke lilaphe izifo ezibangelwa amagciwane njengomkhuhlane ovamile noma umkhuhlane.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuba uqale ukuthatha lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esicacile sempilo yakho. Ngoba ezinye izimo zingashintsha indlela osebenzisa ngayo lo muthi, noma kungadingeka uqaphele kakhulu. Qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:

• Isifo Sikashukela: Uma amazinga kashukela egazini lakho ephezulu.
• I-Gout : Isimo lapho amalunga evuvukala futhi ebuhlungu ngenxa yokwanda kwe-uric acid.
• Izimo ze-HIV noma i-AIDS: Lezi yizimo ezithinta amasosha omzimba.
• Uma uphuza njalo: Utshwala bungalimaza isibindi uma buhlanganiswa nalo muthi.
• Isifo sezinso: Uma izinso zingasebenzi kahle.
• Isifo sesibindi: Uma kukhona inkinga ngesibindi.
• Ukudla okungenamsoco: Lokhu kusho ukuthi awutholi izakhamzimba ozidingayo.
• Ukuphazamiseka kwemizwa, njengokungazweli ezinzwaneni: Uma unama-ndimming ezithweni, noma ezinye izinkinga ezihlobene nemizwa.
• Uma ugqoka ama-contact lens: Lo muthi ungase udinge ukuthi ushintshele ezibukweni. Khuluma nodokotela wakho ngalokhu.
• Uma uke waba nokusabela kokungezwani komzimba kulo muthi (i-Isoniazid, i-Rifampin), noma komunye umuthi, ukudla, noma idayi, njenge-"Rifabutin".
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Ngokutshela udokotela wakho lezi zinto, angahlela ukwelashwa okukufanele kakhulu.

Uyisebenzisa kanjani kahle le mithi?

Kubaluleke kakhulu ukusebenzisa lo muthi ngendlela efanele ukuze ululame ngokushesha . Udinga ukuwuthatha ngesikhathi esifanele, ngenani elifanele, njengoba kusho udokotela.

• Kufanele uwuphuze ngomlomo: Gwinya umuthi ngengilazi yamanzi.
• Yithathe ngesikhathi esifanayo nsuku zonke: Kungcono ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekuyalele.
• Thatha isisu esingenalutho:Lena into ebaluleke kakhulu. Kufanele uthathe lo muthi okungenani ihora ngaphambi noma amahora amabili ngemva kokudla. Yilapho umuthi uzomuncwa kahle khona. Isibonelo, uma udla ngo-8 ekuseni, thatha umuthi ngaphambi kuka-7 ekuseni noma ngemva kuka-10 ekuseni.
• Sebenzisa isikhathi esinqunyiwe: Kumelwe uthathe lo muthi kuze kube yilapho udokotela ethi, "Sekwanele, yeka." Ngisho noma uzizwa ungcono ngemva kwezinsuku ezimbalwa, ungayeki ukuwuthatha . Uma wenza kanjalo, igciwane lesifo sofuba ngeke liqedwe ngokuphelele, lesi sifo singase siphinde sibe sibi kakhulu, futhi igciwane lingase lishintshe libe yimithi elwa naso. Lokho kuyingozi.
• Uma uthatha imithi yokunciphisa i-asidi: Uma uthatha imithi yokunciphisa i-asidi yesifo sohudo noma i-gastritis, ungayithathi ngesikhathi esifanayo nale mithi yokwelapha i-TB. Kungcono ukuthatha imithi yokunciphisa i-asidi okungenani ihora elilodwa ngemva kokuthatha imithi yokwelapha i-TB.
• Uma kunikezwa izingane: Odokotela banikeza lo muthi izingane ezingaphezu kweminyaka eyi-15 ubudala ezimweni ezithile ezikhethekile. Kodwa kunezinto okufanele uziqaphele. Ngakho-ke, uma unikeza ingane lo muthi, khuluma nodokotela wakho ngokucophelela bese uthola iseluleko.
• Ukweqisa umthamo: Uma ucabanga ukuthi uphuze imithi eminingi kakhulu, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi.
• Lomuthi ungowakho kuphela: Udokotela ukunike lo muthi wena kuphela. Unganiki omunye umuthi wakho, noma ngabe unesifo esifana nesakho.

Khumbula, isifo sofuba akusona isifo sokudlala ngaso. Ngakho-ke, kubalulekile empilweni ukuthi uphuze umuthi njengoba nje udokotela esho, isikhathi esinqunyiwe!

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

O, kungenzeka. Wonke umuntu uyakhohlwa. Thatha umuthi wakho ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa, noma uthathe ngaphezu komthamo onconywayo. Ukwenza kanjalo kungabangela imiphumela emibi.

Yimiphi eminye imithi okungafanele isetshenziswe nalo muthi, noma kufanele ngiqaphele ngayo?

Naleli futhi iphuzu elibaluleke kakhulu. Eminye imithi ingabangela izinkinga uma ihlanganiswa ne-'Isoniazid; Rifampin'. Akukuhle ukuyithatha kanye neminye imithi nhlobo . Eminye imithi enjalo yile:

• `Artemether; lumefantrine` (umuthi we-malaria)
• 'I-Atomoxetine'
• Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis
• `Elagolix`
• `Idelalisib`
• `Isavuconazonium`
• `I-Lonafarnib`
• `I-Lorlatinib`
• `I-Lurasidone`
• `I-Praziquantel`
• `I-Ranolazine`
• `I-Voriconazole`

Kungase kube neminye imithi engekho kulolu hlu. Ngakho-ke, uma uqala lo muthi we-TB, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo njengamanje (eyalelwe udokotela wakho, ethengwe ekhemisi, imithi yendabuko, amavithamini, konke).

Futhi, kuneminye imithi okufanele uyiqaphele kakhulu ngokuyithatha kanye nalo muthi wesifo sofuba. Nazi izibonelo ezimbalwa:

• I-Acetaminophen (i-Paracetamol)
• Ama-antacid (wathathe kamuva njengoba kushiwo ngaphambili)
• Eminye imithi yokwelapha umfutho wegazi , isifo senhliziyo, kanye nezinkinga zesigqi senhliziyo
• Eminye imithi yokucindezeleka, ukukhathazeka, noma i-psychosis
• Eminye imithi yesifo sikashukela (isib. i-glipizide, i-glyburide)
• Eminye imithi yokwelapha izifo zesikhunta (isb., i-fluconazole, i-itraconazole)
• Eminye imithi esetshenziswa ukwelapha ukuxhuzula (isib. i-carbamazepine, i-phenytoin)
• Eminye imithi ekusiza ulale
• Imithi evimbela ukujiya kwegazi (isib. i-warfarin)
• Izinhlobo zama-hormone, okuhlanganisa namaphilisi okulawula ukuzalwa
• Imithi yohlobo lwe-steroid (isb., i-prednisolone)

Lolu hlu aluphelele. Tshela udokotela wakho nganoma yimiphi eminye imithi, amakhambi, amavithamini, noma izithasiselo ozithathayo, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nalo muthi.

Yini okufanele uyiqaphele lapho uthatha lo muthi?

Kungumqondo omuhle ukunaka izinguquko emzimbeni wakho ngenkathi uthatha imithi.

• Uma izimpawu zingathuthuki noma zingabi zimbi kakhulu: Uma unomuzwa wokuthi izimpawu zakho azithuthuki naphezu kokuthatha imithi, noma ziya ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Uhudo: Uma unesifo sohudo isikhathi esingaphezu kwezinsuku ezimbili, noma uma indle yakho inamanzi amaningi, ungayithathi imithi ethengwa ngaphandle kwemithi kadokotela. Khuluma nodokotela wakho ngokushesha.
• Ukusabela okukhulu kwesikhumba: Lokhu kuyinto okufanele ukhathazeke ngayo. Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala umuthi. Uma uqubuka ngomkhuhlane, uma uqubuka luba bomvu noma luphuzi bese kuba amabhamuza nesikhumba siphuma, noma uma uqubuka obomvu onezinhlayiya ze-lymph ezivuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni, kufanele utshele udokotela wakho ngokushesha.
• Umsebenzi wegazi: Udokotela wakho uzoyala ukuhlolwa kwegazi okuningana ukuhlola amazinga egazi lakho ngenkathi uthatha lo muthi. Qiniseka ukuthi uyawenza.
• Ukushintsha kombono: Umbono wakho ungase uhlolwe ngaphambi kokuba uqale ukuthatha umuthi nangesikhathi uwuthatha. Uma ubona noma yiziphi izinguquko embonweni wakho (njengokubona okufiphele, ukulahlekelwa ukucaca), tshela udokotela wakho ngokushesha.
• Ukulawula inzalo: Uma usebenzisa amaphilisi okulawula inzalo, angase angasebenzi kahle ngenkathi uthatha lo muthi. Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokulawula inzalo.
• I-Vitamin B6 kanye ne-Vitamin D: Ngesikhathi uthatha lo muthi, udinga ukuqinisekisa ukuthi uthola i-Vitamin B6 kanye ne-Vitamin D eyanele. Khuluma nodokotela wakho ngokudla namavithamini owathathayo. Udokotela wakho angase futhi akuncome ukuthi uwathathe la mavithamini ngaphezu kwalokho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Kodwa akuwona wonke umuntu ozokwenza. Eminye yayo iyingozi futhi kufanele utshele udokotela wakho ngokushesha. Eminye yayo ijwayelekile futhi izophela ezinsukwini ezimbalwa.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi kanye nomphimbo.
• Ukopha: Okumnyama, indle ephuzile, ukuhlanza okusanhlamvu kwekhofi, umchamo obomvu noma onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, ukushayeka kalula noma ukuphuma kwegazi.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo/isikhumba, ukukhathala okukhulu.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukubomvu, ukuqubuka, ukuxebuka, kanye nokuxebuka kwesikhumba (ngisho nasezindaweni lapho kugwinywa khona amathe).
• Uhudo olunzima, umkhuhlane.
• Ubunzima bokuphefumula.
• Isimo esibizwa ngokuthi i-TTP (Thrombotic Thrombocytopenic Purpura): amabala ansomi esikhumbeni noma ngaphakathi emlonyeni, isikhumba esikhanyayo, ukuphuzi kwamehlo/isikhumba, ukukhathala okukhulu, umkhuhlane, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukudideka, ukushintsha kombono, ubunzima bokukhuluma/ukuhamba.

Uma ubona into efana nale , bona udokotela ngokushesha.

Imiphumela emibi evame ukuba yinto engenkulu kangako, kodwa uma iqhubeka, kufanele utshele udokotela wakho :

• Ukushintsha kombala woketshezi lomzimba njengomchamo, amathe, kanye nokujuluka (kungaba bomvu-orenji, okuyinto evamile, ungakhathazeki).
• Ukudideka.
• Isiyezi.
• Ukozela.
• Ukukhathala.
• Igesi esiswini.
• Ikhanda elibuhlungu .
• Isilungulela.
• Ukulahlekelwa yisifiso sokudla.
• Isicanucanu.
• Ubuhlungu, ukungazweli, noma ukuqaqamba kwamalungu.
• Ukuhlanza.

Uma lezi zinto ziqhubeka, noma uma zikukhathaza, tshela udokotela wakho.

Uwugcina kanjani umuthi ngendlela efanele? Uwulahla kanjani uma uguga?

Kubalulekile futhi ukugcina imithi yakho ngendlela efanele.

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (25 degrees Celsius / 77 degrees Fahrenheit). Gcina kude nomswakama owedlulele.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Indlela yokulahla imithi emidala noma engasadingeki:

• Into engcono kakhulu ongayenza ukubuza ikhemisi noma i-ejensi yokuphoqelela umthetho bese uyidlulisela endaweni enohlelo lokubuyisela imithi.
• Uma kungenjalo, hlola iphakethe lemithi noma incwajana engaphakathi ukuze ubone ukuthi ingalahlwa yini emgqonyeni kadoti noma ilahlwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ungawulahla emgqonyeni kadoti, khipha umuthi ephaketheni, uwuxube nento efana nodoti wekati, inhlabathi, noma ikhofi, uwufake esikhwameni noma esitsheni esivalekayo, bese uwulahla emgqonyeni kadoti.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho ake sikukhumbuze futhi ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho.

I-Isoniazid; I-Rifampin iyi-antibiotic enikezwa isifo sofuba.

Njengoba nje udokotela esho, kubalulekile ukuthatha lo muthi esiswini esingenalutho, ngesikhathi esifanele, nangesikhathi esifanele .

Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.

Qaphela imiphumela emibi, ikakhulukazi uma ubona ukusabela okukhulu kwesikhumba, izinkinga zesibindi, noma ukopha, bese ubona udokotela ngokushesha.

Ungayeki ukuthatha umuthi phakathi nendawo. Ukuze ululame ngokugcwele, thatha umuthi isikhathi eside njengoba udokotela ekutshela.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho noma usokhemisi. Ngikufisela impilo enhle!

I- Isoniazid, i-Rifampin, isifo sofuba, i-TB, ama-antibiotic, isifo sofuba, ama-antibiotic, imithi, imiphumela emibi