Umuthi wokugomela i-Methotrexate: Okudingeka ukwazi

Udokotela wakho kungenzeka ukuthi ukunike umjovo we-methotrexate ngaphansi kwesikhumba. Mhlawumbe unesifo esifana nesifo samathambo, noma mhlawumbe unesifo sesikhumba esifana ne-psoriasis. Kuvamile ukuzizwa wesaba kancane futhi unelukuluku ngalo muthi. Ngakho-ke namuhla, ake sixoxe ngawo ngendlela elula ongayiqonda.

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Iyini ngempela iMethotrexate?

Kalula nje, i-methotrexate umuthi onciphisa ukuvuvukala emzimbeni wakho. Uma unesimo esifana nesifo samathambo, amasosha omzimba wakho ahlasela amalunga akho. Lokhu kubangela ubuhlungu nokuvuvukala. Kwenzeka okufanayo nangama-shingles.

Ngakho-ke lokho okwenziwa yilo muthi ukulawula lo msebenzi ongafuneki wesimiso sakho sokuzivikela komzimba nokunciphisa ukuvuvukala. Lokhu akugcini nje ngokunciphisa ubuhlungu nokuvuvukala , kodwa futhi kuvimbela nomonakalo wesikhathi eside emalungeni noma esikhumbeni sakho .

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi

Ukuze uphephe, kubalulekile ukuxoxa ngalezi zindaba nodokotela wakho. Uma unezinye zezimo ezingezansi, qiniseka ukuthi uyamtshela ngaphambi kokuqala umuthi.

Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. (Lokhu kubaluleke kakhulu)
Uma unesifo lapho isisu noma amaphaphu akho egcwele amanzi
Uma uphuza njalo
Uma unesifo noma isimiso somzimba esibuthakathaka
Uma unesifo sezinso
Uma unesifo sesibindi
Uma unamaseli abomvu egazi aphansi, amaseli amhlophe egazi, noma ama-platelet
Uma unesifo samaphaphu
Uma uke welashwa ngemisebe
Uma unezifo ezifana nezilonda zesisu noma i-ulcerative colitis
Uma une-allergy ye-methotrexate noma yimuphi omunye umuthi, ukudla, noma idayi.

Lo muthi wokugoma usetshenziswa kanjani ngempela?

Lo mjovo unikezwa njengomjovo ongaphansi kwesikhumba. Isibhedlela noma ikliniki izokufundisa ukuthi ungawunikeza kanjani ekhaya. Ngakho-ke ungesabi.

Lokhu kuyinto okufanele uyikhumbule: Lo muthi kufanele unikezwe kanye ngesonto kuphela. Ungawuthathi nsuku zonke nganoma yisiphi isizathu! Thola umuthi wokugoma ngosuku kanye nesikhathi udokotela wakho akutshele sona.

Ungalahli izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kukhona isitsha esikhethekile sazo (isitsha sokuhlaba). Uma ungenaso, buza udokotela wakho ukuthi ungasithola kanjani.

Yini okufanele uyenze uma uphuza ngokweqile?

Uma ucabanga ukuthi uthathe lo muthi omningi kakhulu ngephutha, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.

Kuthiwani uma ngikhohlwa ukugonywa?

Uma uphuthelwa umthamo wakho ohleliwe, noma uma ungaqiniseki ukuthi uwuthole kahle yini umuthi wokugoma, ungawutholi omunye umthamo. Shayela udokotela wakho ngokushesha ukuze uthole iseluleko.

Eminye imithi engahambisani nalo muthi (Ukusebenzisana Kwezidakamizwa)

I-Methotrexate umuthi ongasebenzisana neminye imithi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Ngezansi kunezibonelo ezimbalwa nje.

Uhlobo lwesidakamizwa	Izibonelo
Imithi yezifo ezithile zesikhumba	I-Acitretin
Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID)	I-Aspirin, i-Ibuprofen, ne-Naproxen
Amanye ama-antibiotic	I-Penicillin, i-Tetracycline, i-Trimethoprim/sulfamethoxazole
Imithi yokwelapha i-gastritis (PPIs)	I-Esomeprazole, i-Omeprazole, i-Pantoprazole
Imithi yokugomela igciwane ephilayo	Gwema ukuthola imijovo ephilayo ngenkathi uthatha lo muthi.
Eminye imithi	I-Hydroxychloroquine, i-Sulfasalazine, i-Theophylline, i-Phenytoin

Izinto okufanele uziqaphele lapho uthatha imithi

Utshwala nokukhanya kwelanga

Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Futhi, lo muthi ungenza isikhumba sakho sizwele elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma uphuma elangeni, faka isivikelo esihle selanga bese ugqoka izingubo ezimboza umzimba wakho.

Ukuvikelwa ezifweni

I-Methotrexate inganciphisa ikhono lomzimba wakho lokulwa nezifo. Ngakho-ke,

Uma uba nezimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu, ungaziniki imithi bese ubona udokotela ngokushesha.
Zama ukuqhela abantu abanezifo ezifana nomkhuhlane.
Qaphela lapho uxubha futhi ufaka i-floss emazinyweni akho. Izinsini eziphuma igazi kanye nezifo kungenzeka kakhulu. Uma uphathwa noma yikuphi ukwelashwa kwamazinyo, tshela udokotela wakho wamazinyo ukuthi uthatha lo muthi.

Ukukhulelwa nokubeletha

Lokhu kubaluleke kakhulu. Uma ungowesifazane, ungakhulelwa nganoma yisiphi isizathu ngenkathi uthatha lo muthi. Ungahleli ukuba nomntwana okungenani izinyanga eziyisithupha ngemuva kokuyeka umuthi. Uma ungowesilisa, gwema ukuba nguyise wengane ngenkathi uthatha lo muthi kanye nezinyanga ezintathu ngemuva kokuyeka. Lo muthi ungalimaza kakhulu ingane engakazalwa. Buza udokotela wakho ukuthola ulwazi olwengeziwe ngalokhu.

Futhi, gwema ukuncelisa ingane yakho ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemva kokuyeka.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.

Umphumela Ongemuhle	Incazelo
Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha
Ukusabela kokungezwani komzimba	Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo
Ukulimala kwesibindi	Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi omnyama, ukuphuzi kwamehlo noma isikhumba, ukukhathala okukhulu
Izinkinga ezihlobene namaphaphu	Ukukhwehlela okomile okungachazeki, ubunzima bokuphefumula
Izimpawu zokutheleleka	Umkhuhlane, ukubanda, umphimbo obuhlungu, amanxeba angapholi, izifo zomgudu womchamo
Ukopha okungavamile	Ukuphuka okungachazeki kanye nesikhumba esiluhlaza okwesibhakabhaka, izinsini eziphuma igazi
Ukulimala kwezinso	Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo
Uma kuqhubeka noma kukhathaza, tshela udokotela wakho.
Imiphumela emibi evamile	Isicanucanu, ukuhlanza, isifo sohudo, isiyezi, izilonda emlonyeni, ukuqothuka kwezinwele.

Umlayezo Wokuya Nawe Ekhaya

I-Methotrexate kufanele inikezwe kanye ngesonto kuphela. Gwema ukuyithatha nsuku zonke.
Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini owaphuzayo, kanye nanoma yiziphi izimo zezokwelapha onazo.
Gwema ukukhulelwa ngenkathi uthatha lo muthi futhi uma nje udokotela wakho ekuyala.
Funa usizo lwezokwelapha ngokushesha uma kuvela imiphumela emibi kakhulu (umkhuhlane, ubunzima bokuphefumula, ukopha okungavamile).
Gwema utshwala ngokuphelele.
Landela njalo imiyalelo nezincomo zikadokotela wakho ngqo.