I-Gout iyisimo sempilo esicasulayo nesibuhlungu ngempela, akunjalo? Ngokungazelelwe, ilunga elifana nozwane olukhulu noma idolo liba bomvu futhi livuvuke, okubangela ubuhlungu obukhulu okunzima ukububekezelela. Isizathu esiyinhloko salokhu ukuthi izinga le-uric acid emzimbeni liyakhuphuka. Ngakho-ke, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Lesinurad ukulawula lesi simo se-gout. Ngakho-ke, namuhla sizokhuluma kalula ngokuthi uyini lo muthi, ukuthi uwuthinta kanjani umzimba wethu, nokuthi yini okudingeka siyiqaphele kakhulu lapho siwusebenzisa.
Iyini iLesinurad? Isebenza kanjani?
Kalula nje, i-Lesinurad umuthi osiza ukwehlisa izinga le-uric acid egazini lakho. I-uric acid iwumkhiqizo ongcolile okhiqizwa yimizimba yethu. Lokhu kuvame ukuhlungwa yizinso bese kukhishwa emchameni. Kodwa abanye abantu bakhiqiza i-uric acid eningi kakhulu emizimbeni yabo, noma abayisusi kahle. Bese le-uric acid iqoqana emzimbeni bese izibeka emalungeni njengamakristalu. Yilapho-ke kuvela khona ubuhlungu be-gout.
Lokho okwenziwa yiLesinurad ukwandisa ukukhishwa kwe-uric acid ezinso. Kodwa kukhona okubaluleke kakhulu lapha.
I-Lesinurad ayisetshenziswa yodwa. Ihlala isetshenziswa kanye neminye imithi ye-gout, njenge-allopurinol noma i-febuxostat. Le mithi ibizwa ngokuthi i-xanthine oxidase inhibitors. Le mithi inciphisa ukukhiqizwa kwe-uric acid emzimbeni. I-Lesinurad isiza ukususa inani elinciphile.
Lokhu kusho ukuthi le mithi emibili isebenza ndawonye ukulawula isimo sakho se-gout.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukuthatha i-Lesinurad, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ubatshela ngalezi zinto ikakhulukazi.
- Uma unesifo sezinso , uke wafakelwa izinso , noma uphathwa nge-dialysis .
- Uma unesifo sesibindi .
- Uma unomdlavuza .
- Uma unezifo ezihlobene ne-uric acid ezikhona kusukela ekuzalweni, njenge-Lesch-Nyhan syndrome.
- Uma une -allergies kulo muthi, i-Lesinurad, eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa .
- Uma unesifo esinjengokuphelelwa ngamanzi emzimbeni .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.
Ngingawusebenzisa kanjani umuthi ngqo?
Ukuze uthole okuningi ngomuthi, kubalulekile ukuwusebenzisa njengoba kuqondiswe.
- Isikhathi: Leli philisi kufanele lithathwe njalo ekuseni .
- Indlela Yokuthatha: Thatha lo muthi nengilazi yamanzi ngesikhathi sokudla .
- Okubalulekile: Yithathe kanye neminye imithi ye-gout udokotela wakho akunike yona (i-allopurinol noma i-febuxostat). Ungalokothi uthathe i-Lesinurad yodwa.
- Isilinganiso: Ungathathi okungaphezu kwalokho udokotela akutshele khona.
- Ukuyeka: Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ake sithi ukhohlwe ukuphuza umuthi wakho ekuseni. Uma lokho kwenzeka, ungawuphuzi kamuva ngalolo suku. Yeqa leso sikhathi bese uphuza umuthi wakho ngesikhathi sakho esijwayelekile ekuseni ngakusasa. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingase ihlangane ne-Lesinurad. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo zamakhambi). Qaphela kakhulu ngalezi zinhlobo zemithi.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| I-aspirin kanye nezinye izidakamizwa zokunciphisa ubuhlungu ezifanayo | I-aspirini |
| Amanye ama-antibiotic | I-Rifampin |
| Imithi yokucindezeleka kwegazi okuphezulu kanye nesifo senhliziyo | I-Amiodarone, i-Amlodipine |
| Imithi yokwehlisa i-cholesterol | I-Atorvastatin |
| Imithi yokulwa nesikhunta | I-Fluconazole |
| Imithi yokwelapha ukuxhuzula | I-Carbamazepine, i-Valproic acid |
| Ama-hormone abesifazane kanye nokulawula ukuzalwa | Amaphilisi okuvimbela inzalo, imijovo, ama-patches, nama-ring |
| Okunye | I-Sildenafil |
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuqubuka kwe-gout: Uma uqala ukuthatha lo muthi, i-gout yakho ingase ibe yimbi kakhulu. Lokhu kusho ukuthi ungase uzwe ubuhlungu nokuvuvukala. Lokhu kubizwa ngokuthi i-gout flare . Kodwa ungesabi ukuyeka ukuthatha umuthi. Lokhu kuvamile. Udokotela wakho uzokunikeza eminye imithi ukusiza ukulawula ubuhlungu.
- Phuza amanzi amaningi: Lokhu kubaluleke kakhulu. Ukuze usize ekukhipheni i-uric acid, phuza okungenani amalitha amabili amanzi (izingilazi ezingu-8-10) ngosuku. Uma uzwa uhudo noma ukuhlanza, tshela udokotela wakho. Lokhu kungaholela ekuphelelweni amanzi emzimbeni.
- Ukuhlolwa kwegazi: Udokotela wakho angase akucele ukuhlolwa kwegazi ukuze kuhlolwe ukusebenza kwezinso zakho ngenkathi uthatha lo muthi. Qiniseka ukuthi uyawenza.
- Ukulawula ukukhulelwa: Lokhu kubaluleke kakhulu kwabesifazane. Uma usebenzisa indlela yokulawula ukukhulelwa yamahomoni, njengamaphilisi, imijovo, noma ama-patches, ukuthatha i-Lesinurad kungenza ukuthi ingasebenzi kahle. Ngakho-ke, uma ufuna ukuvimbela ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokulawula ukukhulelwa (njengekhondomu).
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, kungenzeka kube nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, bona udokotela ngokushesha. | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu besifuba noma ukungakhululeki, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukuquleka, ubuhlungu bomhlathi noma bomhlane. |
| Izimpawu zokulimala kwezinso | Ubunzima bokuchama, ukwehla kokukhishwa komchamo, ubuhlungu bezinhlangothi. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukushintsha kombono, ukudideka, ubunzima bokukhuluma noma ukuqonda, ikhanda elibuhlungu kakhulu, ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuphazamiseka okuvamile | Ikhanda elibuhlungu, isisu esibuhlungu, ukuzizwa ungaphilile (njengomkhuhlane). |
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uthathe i-Lesinurad yodwa. Yithathe njalo kanye neminye imithi ye-gout (i-Allopurinol/Febuxostat) oyinikezwe udokotela wakho.
- Thatha umuthi njalo ekuseni, kanye nokudla.
- Phuza amanzi amaningi usuku lonke (okungenani amalitha ama-2).
- Ngisho noma ubuhlungu bakho be-gout bukhula lapho uqala ukuthatha imithi, ungesabi futhi uyeke ukuyithatha. Khuluma nodokotela wakho ngakho.
- Uma ungowesifazane osebenzisa izindlela zokuvimbela inzalo, xhumana nodokotela wakho mayelana nendlela ephephile kakhulu.
- Uma ubona noma yiziphi izimpawu zomphumela omubi kakhulu, funa iseluleko sezokwelapha ngokushesha.
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