Ngezinye izikhathi, ngemva kokuhlinzwa noma ngenxa yesimo esibucayi sezokwelapha, odokotela basinika imithi enamandla yokudambisa izinhlungu. Sibiza lawa ngokuthi 'ama-opioid'. Lawa anciphisa ubuhlungu kakhulu, kodwa futhi eza nenkinga encane. Lokho kungukuqunjelwa, noma kalula, ubunzima bokuya endlini yangasese. Uma ungakwazi ukuya endlini yangasese izinsuku eziningi ube nesisu esigcwele futhi uzizwe ungakhululekile, lokho nakho kuyinkinga enkulu. Ngakho-ke, namuhla sikhuluma ngomuthi okhethekile odokotela abawuncomayo ezikhathini ezinjengalezi.
Uhlobo luni lomuthi iMethylnaltrexone?
Kalula nje, i-methylnaltrexone iyiphilisi elinikezwa ukwelapha ukuqunjelwa okubangelwa ama-painkiller anamandla (ama-opioid) owathathayo. Ngezinye izikhathi ungalithola ngaphansi kwegama lomkhiqizo elithi ``Relistor``.
Cabanga ukuthi imithi yokubulala izinzwa ye-opioid oyiphuzayo yehlisa ijubane lokuhamba kwakho kwamathumbu kancane. Kufana nokuminyana kwezimoto. Yingakho inqubo yokuhamba kwamathumbu yehliswa. Yilapho i-Methylnaltrexone ingena khona.
Lo muthi wenza into enhle kakhulu. Uya ngqo emathunjini akho futhi "uvimbele" umphumela walowo muthi wokuqeda izinhlungu. Utshela amathumbu akho ukuthi, "Kulungile, manje usungenza umsebenzi wakho." Kodwa into ebaluleke kakhulu ukuthi, lo muthi awuphazamisi ikhono lobuchopho lokulawula ubuhlungu. Lokho kusho ukuthi usiza kuphela ekunciphiseni ukuqunjelwa ngenkathi ubuhlungu buqhubeka nokuncipha .
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Lokhu kungenxa yokuthi yilapho kuphela lapho engakwazi khona ukunquma ukuthi lo muthi ukufanele yini nokuthi kufanele unikezwe kanjani.
| Izinto okufanele uzitshele udokotela wakho | |
|---|---|
| Izimo zezokwelapha |
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| Ukungezwani komzimba | Tshela udokotela wakho uma une-allergy ku-methylnaltrexone noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
| Imicimbi ekhethekile |
|
Ngingawusebenzisa kanjani lo muthi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubaluleke kakhulu ukulandela imiyalelo ngqo.
- Phuza leli philisi nengilazi yamanzi .
- Ukuze uthole imiphumela emihle kakhulu, thatha lo muthi esiswini esingenalutho , okusho ukuthi kungcono ukuwuthatha cishe imizuzu engama-30 ngaphambi kokudla .
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele . Ungalokothi uthathe okungaphezu kwesilinganiso esibekiwe.
- Uma unikezwa lo muthi, ungathola incwajana yolwazi ekhethekile (i-MedGuide) kanye nawo. Uqukethe ulwazi olubalulekile ngalo muthi, ngakho-ke funda ngokucophelela isikhathi ngasinye.
- Uma lo muthi unikezwa izingane, kufanele ukhulume nethimba lezokwelapha ngawo futhi uthole iseluleko esikhethekile.
Isexwayiso: Uma usola ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poison Information Centre e-Colombo National Hospital , noma uye e -Emergency Treatment Unit (ETU) eseduze. Futhi, khumbula, lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Qaphela lezi zinto uma uthatha umuthi.
Kungumqondo omuhle ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
- Hlala eduze kwendlu yokugezela: Lokhu kungase kuzwakale kuhlekisa kancane, kodwa kubaluleke kakhulu. Ngemva kokuthatha lo muthi, kungase kudingeke uye endlini yokugezela ngokushesha , mhlawumbe kungakapheli imizuzu engama-30 noma amahora ambalwa. Ngakho-ke lungela lokho.
- Ukozela noma isiyezi: Lo muthi ungenza abanye abantu bazizwe belele noma benesiyezi. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.Hlala kude. Ikakhulukazi uma usukhulile, qaphela lapho uvuka endaweni yokuhlala nalapho uhlala phansi endaweni yokuma.
- Gwema utshwala: Utshwala bungaphazamisa ukusebenza kahle kwalomuthi, ngakho-ke kungcono ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-methylnaltrexone ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ubuhlungu obukhulu besisu | Ubuhlungu obukhulu besisu obungapheli futhi bube bubi kakhulu. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Ezinye izici |
|
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, eminye imithi ingasebenzisana ne-Methylnaltrexone. Ikakhulukazi, imithi efana ne-'Alvimopan', i-'Naloxone', kanye ne-'Naltrexone' ingasebenzisana nayo.
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo oyinikezwe udokotela, kodwa futhi nemithi yokubulala izinhlungu, amavithamini, imithi yendabuko, imikhiqizo yamakhambi, noma izithasiselo ozithenga ekhemisi.
Futhi, uma ubhema noma uphuza utshwala, yazisa udokotela wakho ngalokho.
Ungawugcina kanjani umuthi?
Gcina lo muthi kude nezingane nezilwane ezifuywayo . Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-20-25). Lahla umuthi ophelelwe yisikhathi ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Methylnaltrexone umuthi okhethekile onikezwa kuphela ukuqunjelwa okubangelwa yizinhlungu ezinamandla (ama-opioid).
- Njalo thatha lo muthi esiswini esingenalutho, njengoba kuyalelwe udokotela wakho.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyiphuzayo.
- Lungela isidingo sokuya endlini yangasese ngokushesha ngemva kokuthatha umuthi.
- Uma uzwa ubuhlungu obukhulu esiswini noma izimpawu zokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
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