⚡ Interactive Clinical Tool
Renal function (eGFR)
Measure kidney function based on creatinine value
Yimiphi imithi engathinta izinso?
Ake sibheke eminye yemithi eyinhloko esiyitholayo ekuphileni kwansuku zonke engase ithinte izinso.Ama-antibiotic
Sonke sithatha ama-antibiotic ukuze sithole umkhuhlane, ukuphulukiswa kwamanxeba, noma ezinye izifo. Ngokuvamile aphephile. Kodwa-ke, amanye ama-antibiotic, ikakhulukazi uma ethathwa ngemithamo ephezulu noma isikhathi eside, angaba nomthelela ezinso. Kalula nje, eminye imithi ingakha amakristalu angancibiliki njengoba edlula ezinso, ivimbele ukugeleza komchamo. Eminye imithi ingalimaza ngqo amangqamuzana ezinso. Futhi, abanye abantu banezinkinga zokungezwani komzimba nama-antibiotic athile, angathinta nezinso. Ngakho-ke, kubaluleke kakhulu ukuthatha ama-antibiotic kuphela isikhathi esinqunyiwe, njengoba kunqunywe udokotela .Ama-diuretics (noma "amaphilisi amanzi")
Ngokuvamile sibiza lawa ngokuthi 'amaphilisi amanzi'. Odokotela basebenzisa le mithi ukwelapha umfutho wegazi ophakeme kanye nokuvuvukala ezingxenyeni ezahlukene zomzimba. Isebenza ngokukhipha uketshezi oluningi emzimbeni ngomchamo. Kodwa-ke, uma usebenzisa lokhu, ngezinye izikhathi umzimba ungaphelelwa amanzi emzimbeni, okusho ukuthi amanzi awanele emzimbeni. Lokhu akukuhle empilweni yezinso. Ngakho-ke, uma usebenzisa le mithi, kubalulekile ukuphuza amanzi anele nokulandela imiyalelo kadokotela wakho .Imithi engeyona i-steroidal elwa nokuvuvukala (ama-NSAID)
Lena indawo lapho abantu abaningi kudingeka bakhathazeke khona. Imithi yokubulala izinhlungu esiyithenga ekhemisi ngaphandle kwemithi kadokotela yekhanda, ubuhlungu bomhlane, kanye nobuhlungu bamadolo ingeyalesi sigaba. Isibonelo, imithi efana ne-'Aspirin', ' Ibuprofen' , 'Naproxen', 'Diclofenac'. Ngokwezokwelapha, sibiza le mithi ngokuthi 'Imithi Engeyona I-Steroidal Anti-Inflammatory' noma '(NSAIDs)'.Nakuba ukuphuza le mithi ngesikhathi esifushane, imithamo ephansi ngokuvamile akuyona inkinga, ukuyisebenzisa njalo, ngemithamo ephezulu, ngaphandle kweseluleko sezokwelapha, kungaba yingozi.Kungalimaza ngqo izinso .Ucwaningo lubonisa ukuthi cishe ama-5% eziguli emhlabeni wonke ezibhekana nokwehluleka kwezinso ngokuphelele zibangelwa ukusetshenziswa kabi kwesikhathi eside kwalezi zinhlungu zobuhlungu.
Ama-Proton Pump Inhibitors (PPIs) - Imithi Ye-Gastritis
I-Gastritis, isilungulela, kanye nezilonda zesisu kuyizinkinga ezivamile kubantu abaningi namuhla. Imithi esetshenziswa ukwelapha lezi zimo ibizwa ngokuthi i-Proton Pump Inhibitors (PPIs) (isib. i-Omeprazole, i-Esomeprazole, i-Lansoprazole), enciphisa inani le-asidi ekhiqizwa esiswini. Nakuba le mithi isebenza kahle kakhulu, izifundo zakamuva zikhombisile ukuthi ukusetshenziswa isikhathi eside kwale mithi kungaholela ekulimaleni kwezinso kanye nokwehluleka kwezinso. Uma uthatha imithi ye-gastritis isikhathi eside, kubalulekile ukukhuluma nodokotela wakho ngalokhu bese uxoxa ngokuthi udinga ukuqhubeka nokuthatha le mithi noma ukuthi ungashintshela kwenye indlela ephephile (njenge-H2 blockers).| Isigaba Sezidakamizwa | Ukusetshenziswa Okuvamile | Umphumela Ongaba Khona Wezinso |
|---|---|---|
| Ama-antibiotic | Ukutheleleka ngamagciwane | Ukuvaleka komgudu womchamo, ukulimala kwamaseli ezinso, ukungezwani komzimba. |
| Imithi yokuhlanza | Umfutho wegazi ophezulu, ukuvuvukala komzimba | Ukulimala kwezinso ngenxa yokuphelelwa amanzi emzimbeni. |
| Ama-Painkiller (ama-NSAID) | Ubuhlungu, umkhuhlane, ukuvuvukala | Ingozi yokwehluleka kwezinso ngokusetshenziswa kabi isikhathi eside. |
| Umuthi we-Gastritis(Ama-PPI) | I-Gastritis, ukuvuvukala kwesifuba | Ingozi yesifo sezinso uma isetshenziswa isikhathi eside. |
Uma usuvele unesifo sezinso...
Uma izinso zakho sezibuthakathaka kancane, okungukuthi, uma usuvele utholakale unesifo sezinso , udinga ukuqaphela kakhulu. Ngoba eminye imithi engeyona inkinga kumuntu ojwayelekile ingaba yingozi ezinso zakho. Isibonelo, eminye imithi ye-cholesterol, eminye imithi yesifo sikashukela, imithi elwa namagciwane yokuphazamiseka kwesisu, imithi elwa namagciwane kanye nemithi yokulwa namagciwane, kufanele ukhulume nodokotela wakho ngaphambi kokuyisebenzisa. Udokotela wakho angase anqume ukunciphisa umthamo womuthi noma akushintshele kumuthi ophephile. Lokhu kuyasebenza nakwezinye izikena. Uma une-MRI noma i-CT scan, ngezinye izikhathi uketshezi olukhethekile (udayi wokungafani) lufakwa ukuze kubonakale ingaphakathi lomzimba ngokucacile. Nakuba kungavamile kakhulu, lolu ketshezi lungalimaza izinso. Sibiza lezi zimo ngokuthi (Contrast-Induced Nephropathy - CIN) kanye (Nephrogenic Systemic Fibrosis - NSF). Ngakho-ke, uma ubhekisela ekuhlolweni, ungalokothi ukhohlwe ukutshela udokotela ukuthi unesifo sezinso .Umlayezo Wokuya Nawe Ekhaya
- Thatha umuthi onikezwe udokotela kuphela ngesilinganiso esibekiwe nangesikhathi esibekiwe. Gwema ukushintsha umthamo noma ukuyeka umuthi ngokwakho.
- Ungasebenzisi imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela ( ama-NSAID ) isikhathi eside ngaphandle kokubonisana nodokotela.
- Uma ususebenzise umuthi ofanayo we -gastritis (ikakhulukazi ama-PPI ) isikhathi eside, khuluma nodokotela wakho ngakho bese umbuza ukuthi kusadingeka yini.
- Njalo uma ubona udokotela wakho, mtshele ngayo yonke imithi, amavithamini , kanye nezithasiselo zamakhambi ozisebenzisayo njengamanje.
- Uma unesifo sezinso esivele sikhona, khumbuza udokotela wakho ngaso ngaphambi kokuqala noma yimuphi umuthi omusha noma ukuskenwa .
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