Kumuntu othola ukwelashwa komdlavuza, udokotela unikeza izinhlobo ezahlukene zemithi. Ngakho-ke uma unikezwe umuthi wokulwa nomdlavuza i-'ifosfamide' kanye nephilisi i-'Mesna', ungase uzibuze, "Luhlobo luni lomuthi, futhi kungani unikezwa lona?" Lokho kuvamile. Ungakhathazeki, namuhla sizokhuluma ngalo muthi i-'Mesna' ngendlela elula necacile.
Iyini iMesna? Kungani isetshenziswa?
Kalula nje, i-'Mesna' iyisidakamizwa esisebenza njengesivikelo. Umuthi i-'ifosfamide' owunikezwayo womdlavuza, ngenkathi ubhubhisa amangqamuzana omdlavuza, ungalimaza nezindonga zesinye sethu futhi ubangele ukopha. Amaphilisi e-'Mesna' avimbela lowo monakalo. Ngamanye amazwi, lo muthi uvikela isinye sakho.
Okubaluleke kakhulu, iMesna ayinciphisi eminye imiphumela emibi yokwelashwa komdlavuza (njengokulahlekelwa izinwele kanye nesicanucanu). Umsebenzi wayo oyinhloko kuphela ukuvimba umonakalo kwesinyeni obangelwa yi-ifosfamide.
Lesi sidakamizwa saziwa nangokuthi igama lomkhiqizo elithi `Mesnex`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi imininingwane ephelele yesimo sakho sempilo. Ngakho-ke, ngaphambi kokusebenzisa i-'Mesna', qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo.
| Isimo sakho | Okufanele utshele udokotela |
|---|---|
| Izifo ezizenzakalelayo | Uma unesifo esifana ne-lupus, i-nephritis, noma i-rheumatoid arthritis. |
| Isicanucanu nokuhlanza | Uma unesicanucanu nokuhlanza okungalawuleki. |
| Ukungezwani komzimba | Uma une-allergy ku-Mesna, imithi equkethe i-sulfure, noma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ukukhulelwa | Uma ukhulelwe, noma ulindele ukukhulelwa maduze. |
| Ukuncelisa | Uma ungumama oncelisayo. |
Uyisebenzisa kanjani kahle le mithi?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Phuza leli philisi nengilazi yamanzi enhle.
- Into ebaluleke kakhulu ukuthatha umthamo oqondile, njengoba nje udokotela wakho ekutshelile, ngesikhathi esiqondile. Isikhathi sokuthatha iMesna sinqunywa yisikhathi sokuthatha i-ifosfamide.
- Kungase kudingeke ukuthi uhlukanise iphilisi phakathi ukuze uthole umthamo owunikezwe udokotela wakho. Mbuze ngalokhu bese uqinisekisa.
- Ungayeki ukuthatha lo muthi ngaphandle kweseluleko sikadokotela.
- Uma unikeza izingane ezincane lo muthi, kufanele ukhulume nodokotela wezingane ngakho futhi uthole iseluleko esikhethekile.
Yini okufanele uyenze uma uthatha 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 eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwe umthamo, thatha ngokushesha nje lapho ukhumbula bese ushayela udokotela wakho ukuze amazise. Kodwa khumbula, ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Yini okufanele ngiyiqaphele lapho ngithatha lo muthi?
Kubalulekile ukunaka izinguquko emzimbeni wakho ngenkathi uthatha lo muthi.
- Umbala womchamo: Uma ubona ukuthi umchamo wakho upinki noma ubomvu, tshela udokotela wakho ngokushesha. Lokhu kungasho ukuthi kungenzeka ukuthi kukhona ukuphuma kwegazi esinyeni. Lesi isibonakaliso esibaluleke kakhulu ngoba iMesna inikezwa ukuvimbela lokhu.
- Phuza amanzi amaningi: Lokhu kubaluleke kakhulu. Kubalulekile ukuphuza okungenani ilitha lamanzi (izingilazi ezi-4-5) nsuku zonke ngenkathi uthatha lo muthi. Lokhu kuzosiza ukugcina isinyi sihlanzekile.
- Ukusabela okukhulu kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi.
- Uma unesifo sesikhumba kanye nezimpawu ezifana nomkhuhlane kanye nomkhuhlane,
- Uma lezi zilonda ziba bomvu noma zibe nsomi, bese kuba namabala futhi isikhumba siqale ukuxebuka,
- Noma, uma une-rash ebomvu enama-lymph node avuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni,
- Ungazinaki lezi ngoba ziyizimpawu ezinkulu futhi wazise udokotela wakho ngokushesha.
- Ukuhlanza: Uma uhlanza zingakapheli amahora amabili uphuze umuthi, tshela udokotela wakho ngokushesha, ngoba umuthi ungase ungamuncwa kahle ngumzimba wakho ngaleso sikhathi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, iMesna ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Imiphumela emibi yesidakamizwa iMesna | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
|
Kufanele uwugcine kanjani umuthi wakho?
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25). Gcina kude nokushisa okukhulu kanye nomswakama.
- Lahla noma yimuphi umuthi osele ngemuva kosuku lokuphelelwa yisikhathi.
Sithemba ukuthi lesi sihloko sikunike ukuqonda okungcono nge-'Mesna'. Khumbula, uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Mesna umuthi ophephile ovimbela umonakalo kwesinyeni obangelwa umuthi wokulwa nomdlavuza i-ifosfamide.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nokungezwani komzimba ngaphambi kokuthatha lo muthi.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ungayeki ukudla noma udle kabili ngesikhathi esisodwa.
- Uma ubona noma yini efana nomchamo obomvu/opinki noma ukuqhuma okukhulu kwesikhumba okuhambisana nomkhuhlane, funa iseluleko sezokwelapha ngokushesha.
- Ungakhohlwa ukuphuza amanzi amaningi ngezinsuku ophuza ngazo umuthi. Lokho kubaluleke kakhulu.
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