Ingabe unesifo esibizwa ngokuthi i-'Ulcerative Colitis' esibangela ubuhlungu besisu, isifiso sokuya endlini yangasese njalo, futhi ngezinye izikhathi igazi esitulweni sakho? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-'Mesalamine'. Utholakala ngaphansi kwamagama emikhiqizo ahlukene njenge-'Delzicol', 'Asacol', 'Pentasa'. Ngakho-ke, namuhla sizoxoxa ngalo muthi, ukuthi wenzani, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele ngendlela elula ongayiqonda.
Kwenzekani ngempela ngalo muthi obizwa ngokuthi iMesalamine?
Kalula nje, i-'Mesalamine' umuthi owelapha i-'Ulcerative Colitis'. Uma unalesi sifo, une-inflammation, noma isimo esifana ne-inflammation, yodonga lwangaphakathi lwamathumbu akho amakhulu (umgudu wokugaya ukudla). Cabanga ngakho njengesilonda sesikhumba, lapho indawo ezungezile iba bomvu, ivuvuke, futhi ibe buhlungu.
Ngakho-ke, lokho okwenziwa yilo muthi 'weMesalamine' ukulawula nokunciphisa lokho kuvuvukala . Ungowesigaba semithi ebizwa ngokuthi 'ama-salicylates'. Awugcini nje ngokulawula izimpawu zakho, kodwa futhi usiza ekuvimbeleni ukuqubuka kwesikhumba ngemva kokuba isifo sesiphelile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukuthatha iMesalamine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yempilo yakho. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezibalwe ngezansi.
| Isimo sempilo noma inkinga | Kungani lokho kubalulekile? |
|---|---|
| Isifo sezinso | Ngoba i-mesalamine ngezinye izikhathi ingathinta izinso. |
| Isifo sesibindi | Lo muthi ungathinta nokusebenza kwesibindi. |
| Ukuvinjelwa kwamathumbu noma i-pyloric stenosis | Uma kukhona ukuvaleka esiswini noma emathunjini, umuthi ungase uvalwe. |
| Ukungezwani komzimba ne-mesalamine, i-aspirin, noma eminye imithi/ukudla | Uma une-allergy, kungase kube nokusabela okungathi sína. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokuthatha noma yimuphi umuthi ngesikhathi sokukhulelwa. |
| Ukuncelisa | Izingxenye zomuthi zingadluliselwa enganeni ngobisi lwebele, ngakho yazisa udokotela wakho ngalokhu. |
Ngingawusebenzisa kanjani umuthi?
Ukusebenzisa lo muthi ngendlela efanele kubaluleke kakhulu ukuze uthole imiphumela.
- Gwinya i-capsule yonke: Ungawuphuli, ungawuchobozi, noma uwuhlafune lo muthi. Gwinya wonke ngengilazi yamanzi.
- Yithathe ngesikhathi: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Lokhu kuzosiza ukugcina amazinga omuthi emzimbeni wakho ehambisana.
- Ngaphambi noma ngemva kokudla?: Lokhu kungathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ukungakhululeki esiswini noma isilungulela, kungcono ukukuthatha nokudla.
- Ungayeki: Ungayeki ukuthatha imithi yakho kuze kube yilapho udokotela wakho ekuyala ukuba uyeke. Kubalulekile ukuqeda inkambo yokwelashwa enqunyiwe, noma ngabe izimpawu zakho ziyathuthuka.
- Ezinganeni ezincane: Lo muthi unganconywa ezinganeni ezingaphezu kweminyaka emi-5 ubudala kwezinye izimo. Kodwa-ke, kufanele ukhulume nodokotela wakho ngakho.
Isexwayiso: Uma ucabanga ukuthi uphuze umthamo ongaphezu kobekiwe walo muthi, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lo muthi ungowokusetshenziswa kwakho kuphela, ungawabelani nabanye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Izinto okufanele uzikhumbule uma usebenzisa umuthi
- Eminye imithi: Tshela udokotela wakho uma uthatha eminye imithi yokwelapha ubuhlungu, njenge-NSAID (isb., i-ibuprofen, i-naproxen), noma eminye imithi efana ne-azathioprine noma i-mercaptopurine. Lokhu kungasebenzisana ne-mesalamine. Kungcono ukutshela udokotela wakho ngayo yonke imithi namavithamini owathathayo.
- Ukuhlolwa kwezokwelapha: Udokotela uzokuxilonga njalo. Yiya kubo ngezikhathi ezifanele. Batshele uma izimpawu zakho ziba ngcono noma zimbi kakhulu. Bangase bakucele ukuthi uhlolwe igazi.
- Ukushintsha Imikhiqizo: Ungashintshi uhlobo lweMesalamine oluthathayo ngaphandle kokubonisana nodokotela wakho, njengoba umthamo awufani kuzo zonke izinhlobo.
- Zivikele elangeni: Isikhumba sakho singase sibe nomuzwa welanga ngenkathi uthatha lo muthi. Ngakho-ke, uma uphuma elangeni, gqoka izingubo ezinemikhono emide bese usebenzisa isivikelo selanga.
- Igobolondo lethebhulethi elinendle: Kwezinye izinhlobo ze-Mesalamine, igobolondo langaphandle lethebhulethi lingase lingancibiliki futhi liphume kanye nendle. Lokhu kulungile uma kwenzeka kanye noma kabili. Kodwa uma lokhu kwenzeka njalo , tshela udokotela wakho ngakho.
- Phuza amanzi amaningi: Buza udokotela wakho ukuthi zingaki izingilazi zamanzi okufanele uziphuze ngosuku. Kubaluleke kakhulu ukugwema ukuphelelwa amanzi emzimbeni.
Imiphumela emibi engaba khona ye-mesalamine
Njenganoma yimuphi umuthi, i-'Mesalamine' ingabangela imiphumela emibi. Kodwa ungakhathazeki, akuwona wonke umuntu oyitholayo. Into ebaluleke kakhulu ukuqaphela lokhu bese utshela udokotela wakho ngokushesha uma ubona noma yini engathí sina.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla nezinyawo. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo/isikhumba, umchamo ophuzi/onsundu omnyama. |
| I-Myocarditis | Ubunzima bokuphefumula, ubuhlungu besifuba, ukukhathala okungavamile, ukushaya kwenhliziyo okusheshayo. |
| I-Mesalamine ukungabekezelelani syndrome | Ubuhlungu obukhulu besisu, uhudo olunegazi, ikhanda elibuhlungu, umkhuhlane, ubuhlungu bemisipha. |
| Izinkinga zesikhumba ezingathi sína | Ukubomvu, ukuqubuka, isikhumba esixebukayo (kungenzeka nangaphakathi emlonyeni). |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ubuhlungu besisu | Uhudo |
| Ikhanda elibuhlungu | Isicanucanu |
| Umphimbo obuhlungu | Izimpawu ezifana nokubanda |
Uyivikela kanjani imithi yakho?
Gcina imithi kude nezingane nezilwane ezifuywayo. Kungcono ukuyigcina ezingeni lokushisa legumbi (phakathi kwama-degree Celsius angu-20-25). Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele. Ungaxhumana nodokotela wakho ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Mesalamine umuthi onciphisa ukuvuvukala emathunjini okubangelwa yi-Ulcerative Colitis.
- Gwinya lo muthi uphelele ngamanzi ngaphandle kokuwuphula, ukuwuchoboza, noma ukuwuhlafuna .
- Uma unesifo sezinso, sesibindi, noma okunye ukungezwani komzimba , qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala umuthi.
- Uma uhlangabezana nemiphumela emibi kakhulu (njengobuhlungu obukhulu besisu, ukuqubuka kwesikhumba, ukuncipha kokuchama) , funa iseluleko sezokwelapha ngokushesha.
- Ungayeki ukuthatha imithi yakho kuze kube yilapho udokotela wakho ekuyala. Uma unezinkinga, khuluma naye ngazo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esisetshenziswa amaphilisi e-Mesalamine (Mesalamine / Asacol, Lialda)?
Lona omunye wemithi esebenza kahle kakhulu (5-Aminosalicylic acid / 5-ASA) emhlabeni engelapha ubuhlungu besisu obungabekezeleleki, uhudo olunegazi, kanye nezilonda ezibuhlungu emathunjini (Ulcerative Colitis)! Iqeda ngokushesha ukuvuvukala okukhulu futhi ibuyisele isiguli esimweni esijwayelekile.
💬 La maphilisi (i-Mesalamine) alapha kanjani izilonda/ukungakhululeki okukhulu kwamathumbu?
Izilonda/ukuvuvukala kwamathumbu kubangelwa amakhemikhali abizwa ngokuthi 'ama-Prostaglandins/Leukotrienes' akhiqizwa emathunjini. Isici esikhethekile saleli philisi ukuthi alimuncwa ngumzimba ngisho nangemva kokuba lingene esiswini, liyaqhekeka ngqo emathunjini amakhulu (ikholoni) (isenzo sendawo). Uma lingena emathunjini, livimba/livala ngokuphelele zonke izimboni zamakhemikhali (i-COX/LOX) ezidala izilonda. Bese ukuvuvukala nokopha kuyaphela lapho.
💬 Yiziphi izingozi okufanele uziqaphele lapho uthatha lo muthi wamathumbu (i-Mesalamine)?
Lokhu kuphephile impela, kodwa abanye abantu bangase babe ne-'Mesalamine-induced Acute Intolerance Syndrome', engabangela ukuqaqamba kwesisu, ukopha, kanye nesifo sohudo esibi kakhulu! Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele uyeke ukuthatha umuthi ngokushesha. Futhi, njengoba wenziwe nge-aspirin/salicylate, abantu abane-allergy ku-aspirin akufanele bathathe lo muthi!
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