Ingabe udokotela wakho uke wakunikeza i-Methoxsalen ngenxa yesimo sesikhumba, mhlawumbe i-vitiligo noma i-psoriasis enzima? Uma kunjalo, lesi sihloko sihloselwe ukuxoxa kafushane ngezinye zezinto okudingeka uzazi ngokusebenzisa lo muthi. Lo muthi ukhethekile ngandlela thile, ngakho-ke kubalulekile ukuthi uwuqonde kahle.
Iyini iMethoxsalen?
Kalula nje, i-Methoxsalen umuthi owenza isikhumba sakho sizwele kakhulu ekukhanyeni, ikakhulukazi ukukhanya kwe-UV. Akuyona umuthi ozimele. Ngokuvamile, ngemva kokuba lo muthi usunikeziwe, uzonikezwa ukwelashwa okukhethekile kwemisebe ye-ultraviolet emahoreni ambalwa kamuva. Lokhu kwelashwa kwaziwa nangokuthi i-PUVA (Psoralen + UVA) .
Le ndlela yokwelapha isetshenziswa kakhulu ku:
- I-psoriasis enzima .
- I-Vitiligo (kusiza ekubuyiseleni umbala wesikhumba olahlekile).
- Kwezinye izimo, isetshenziselwa ukulawula izimpawu zesikhumba ze- Cutaneous T-cell Lymphoma , uhlobo oluthile lomdlavuza olwenzeka esikhumbeni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lo muthi awufani kuwo wonke umuntu. Ngakho-ke, kubalulekile ukuxoxa ngalezi zinto nodokotela wakho. Lolu lwazi lubalulekile kudokotela wakho ukuze anqume ukuthi lo muthi ukufanele yini.
- Uma unezinkinga zamehlo , isibonelo, uma une-cataract noma uma ukhishwe ilensi yakho.
- Uma unesifo senhliziyo noma isifo sesibindi .
- Uma unezimo ezithile zezokwelapha ezifana ne -Lupus , i-Porphyria , noma i-Xeroderma Pigmentosum .
- Uma wake waba nomdlavuza wesikhumba esikhathini esidlule noma okwamanje unawo.
- Uma uhlangabezana nokusabela kwesikhumba okungavamile uma ubhekene nelanga (ukuzwela ukukhanya kwelanga).
- Uma uke wathola ukwelashwa nge-arsenic noma ukwelashwa nge-X-ray ngaphambilini.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
- Uma une -allergy ku-Methoxsalen noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Ngingawusebenzisa kanjani umuthi?
Ukulandela imiyalelo eqondile yokusebenzisa lo muthi kubalulekile ukuze ukwelashwa kuphumelele.
- Lawa ma-capsule kufanele athathwe ngomlomo .
- Uma uthatha umuthi , thatha kanye nokudla okunamafutha amancane noma ingilazi yobisi . Ukwenza kanjalo kunganciphisa ingozi yokuphazamiseka kwesisu kunokuwuthatha ungenalutho esiswini.
- Uma uzizwa ungakhululekile ngemva kokuthatha umuthi, cela udokotela wakho ukuthi ungakwazi yini ukuhlukanisa umthamo obekwe udokotela wakho ube izingxenye ezimbili, uwuhlukanise ngemizuzu engama-30 .
- Ungalokothi uthathe okungaphezu kwesilinganiso esinqunywe udokotela wakho, futhi ungalokothi usisebenzise kaningi kunalokho okunqunywe udokotela wakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Njengoba usuku nesikhathi sokuthatha lo muthi kuhlobene nokwelashwa nge-UV, kubaluleke kakhulu ukungaphuthelwa umuthi. Uma ungakwazi ukuthatha umuthi ngosuku oluhleliwe noma ungakwazi ukuya ekwelashweni, shayela udokotela wakho ngokushesha bese umazisa.
Ezinye izinto ezingase zihlangane nalo muthi
I-Methoxsalen iyisidakamizwa esingasebenzisana neminye imithi nezinto, ngakho tshela udokotela wakho ngakho konke okuthathayo.
| Uhlobo lwemithi/izidakamizwa | Izibonelo |
|---|---|
| Amanye ama-antibiotic | I-Ciprofloxacin, i-Tetracycline, i-Sulfamethoxazole |
| Ezinye izimonyo zesikhumba kanye nemithi | I-Anthralin, i-Coal tar, i-Retinoids (i-tretinoin) |
| Imithi yokulwa nesikhunta | I-Griseofulvin |
| Imithi yokuhlanza | I-Hydrochlorothiazide |
| Amadayi ezokwelapha | I-Methylene eluhlaza okwesibhakabhaka, i-rose bengal |
| Imithi yezifo ezithile zengqondo | Ama-Phenothiazine (i-Chlorpromazine, i-Thioridazine) |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yendabuko, kanye nemikhiqizo yamakhambi. Futhi, mtshele uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha umuthi
Lena yingxenye ebaluleke kakhulu. Landela le miyalelo kahle.
Ukuvikelwa Kwelanga
Lokhu kuyimfuneko! Ngemva kokuthatha umuthi, isikhumba sakho sizoba nomuzwa omkhulu elangeni.
- Kufanele uzivikele elangeni ngangokunokwenzeka. Hlala endlini noma nini lapho kungenzeka. Uma kufanele uphume ngaphandle, gqoka izingubo ezinemikhono emide, ibhulukwe elide, nesigqoko esimboza umzimba wakho wonke.
- Sebenzisa isithako esihle sokuvikela ilanga .
- Yeka ukusebenzisa izibani zelanga noma imibhede/amadokodo ngokuphelele.
- Khumbula isikhathi: Gwema ukuchayeka elangeni amahora angama-24 ngaphambi kokwelashwa nge-UV kanye okungenani amahora ayi-8 ngemuva kokuthatha umuthi.
- Izibuko Zelanga: Lokhu kubaluleke kakhulu futhi. Emahoreni angu-24 okuqala ngemva kokuthatha umuthi , noma nini lapho ubhekene nokukhanya kwelanga okuncane (noma ngabe kuvela efasiteleni ekhaya), kufanele ugqoke izibuko zelanga ezivala i-UV ezimboza amehlo akho ngokuphelele futhi zivimbele imisebe ye-UV engu-100%. Lokhu kungasiza ekuvimbeleni umonakalo ongaba khona emehlweni akho.
Amanye amaphuzu abalulekile
- Ukuhlolwa kwezokwelapha: Iya emitholampilo nodokotela wakho ngezinsuku ezihleliwe ukuze uhlole inqubekela phambili yokwelashwa kwakho. Kungathatha isikhathi ukuthola imiphumela.
- Ukuhlolwa kwamehlo: Njengoba lo muthi ungase ubangele izimo ezifana ne-cataracts, hlola amehlo akho ngudokotela wamehlo ngezikhathi ezithile ngesikhathi sokwelashwa. Tshela udokotela wakho ngokushesha uma ubona noma yiziphi izinguquko ekuboneni kwakho.
- Ingozi yomdlavuza:Ukusebenzisa lo muthi isikhathi eside kungandisa ingozi yakho yezinhlobo ezithile zomdlavuza, njengomdlavuza wesikhumba. Khuluma nodokotela wakho ngale ngozi.
- Ungazishintshi izinhlobo zama-capsule: Lo muthi ungaba ngezinhlobo ezahlukene (isib. ama-capsule e-hard-gelatin, i-soft-gelatin). Sebenzisa uhlobo olunqunywe udokotela wakho kuphela. Ungazishintshi. Lokhu kungashintsha isikhathi sokwelashwa kwakho kwe-UV.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-methoxsalen ingabangela imiphumela emibi.
| Okuqhamuka uma udla imishanguzo |
|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha |
| • Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe nolimi. |
| • Izinguquko embonweni. |
| • Ukucindezeleka. |
| • Ukuvuvukala kwezandla noma izinyawo. |
| • Ukukhathala noma ukukhathala okungajwayelekile. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza |
| • Isiyezi, ikhanda elibuhlungu. |
| • Ukucanuzela kwenhliziyo (ukuzizwa ugula esiswini sakho). |
| • Ukungalali, ukungahlaliseki. |
| • Isikhumba esilumayo, esomile. |
| • Ukuqaqamba kwemilenze. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela wazise udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Methoxsalen umuthi osetshenziswa ngokwelashwa okukhethekile kwe-UV, kuphela ngeseluleko sikadokotela.
- Ukuvikela elangeni kuyinto yokuqala lapho uthatha lo muthi. Qiniseka ukuthi ugqoka izingubo, i-sunscreen, futhi ikakhulukazi izibuko zelanga ezivimba imisebe ye-UV (amahora angama-24).
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
- Ungayeki ukuhlolwa kwezokwelapha okuhleliwe, ikakhulukazi ukuhlolwa kwamehlo.
- Uma kuvela noma yimiphi imiphumela emibi kakhulu (ukungezwani komzimba, izinguquko embonweni), funa iseluleko sezokwelapha ngokushesha.
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