Ngezinye izikhathi kungenzeka ukuthi uke wabona udokotela wakho enquma ukukunika umjovo onamandla wokuhlasela kwe-asthma okukhulu, ukusabela okukhulu kokungezwani komzimba okusakazeke emzimbeni wakho, noma ubuhlungu bamalunga obekukhathaza isikhathi eside. Umuthi owodwa onamandla kakhulu osetshenziswa ezimweni ezinjalo yi-methylprednisolone. Lona uhlobo lomuthi oluyi-steroid. Nakuba abantu abaningi besaba igama elithi "ama-steroids", uma lawa esetshenziswa kahle futhi ngokweseluleko sezokwelapha, angasiza ngisho nasekusindiseni izimpilo. Ngakho-ke namuhla, ake sixoxe ngalomuthi ngamagama alula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-methylprednisolone umuthi wokwenziwa osebenza njenge-hormone yemvelo emzimbeni wethu. Lokhu kwenza izinto ezintathu eziyinhloko.
1. Yehlisa Ukuvuvukala Emzimbeni: Cabanga ukuthi elinye lamalunga akho livuvukile, libomvu, futhi libuhlungu. Yilokho esikubiza ngokuthi ukuvuvukala. Lo muthi ulawula ukusabela okubangela ukuvuvukala, ukubomvu, kanye nobuhlungu.
2. Ilawula amasosha omzimba asebenza ngokweqile: Kwezinye izifo, isibonelo, ukusabela okukhulu kokungezwani komzimba, isimiso sokuzivikela somzimba wethu siqala ukusebenza ngokweqile. Lokhu kungasilimaza. Lo muthi ulawula lokho kusebenza ngokweqile futhi uzolise umzimba.
3. Ithatha indawo ye-cortisol hormone yomzimba: I-Cortisol iyi-hormone ebalulekile esiza umzimba wethu ukubhekana nokucindezeleka, ukugula kanye nengozi. Kwezinye izimo zezokwelapha, ukukhiqizwa kwale hormone emzimbeni kuyehla. Bese lo muthi unikezwa ukuze kulungiswe lokho kuntuleka.
Ngenxa yalezi zizathu, odokotela basebenzisa lo muthi ezimweni ezahlukene zezokwelapha.
- Isifuba somoya
- Ukusabela okukhulu kokungezwani komzimba
- Izifo zamalunga ezifana ne-arthritis
- Izifo zamathumbu ezivuvukalayo
- Izinkinga ze-adrenal gland
- Ezinye izifo ezihlobene negazi noma umnkantsha
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Lokhu kubaluleke kakhulu. Ngaphambi kokukunikeza lo muthi, kubalulekile ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sakho | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sikashukela | Lo muthi ungakhuphula amazinga kashukela egazini. |
| Umfutho wegazi ophakeme | Umfutho wegazi ungase ukhuphuke kakhulu. |
| Isifo senhliziyo | Kungathinta ukusebenza kwenhliziyo. |
| Izifo zamehlo (i-Glaucoma, njll.) | Kungakhuphula ukucindezeleka kwamehlo noma kuthinte umbono. |
| Ukutheleleka kwamanje - ikakhulukazi ukutheleleka ngegciwane njenge-chickenpox kanye ne-herpes | Lo muthi ungase wenze ukutheleleka kube kubi kakhulu. |
| Isifo sesibindi | Indlela isibindi esicubungula ngayo umuthi ingathinteka. |
| Isifo sengqondo | Kungenzeka ukuthi kubangele izinguquko esimweni sengqondo. |
| I-Osteoporosis | Ukusetshenziswa isikhathi eside kungenza amathambo abe buthaka kakhulu. |
| Izinkinga zesisu/amathumbu | Kwandisa ingozi yezilonda zesisu. |
| Okwamukelwe noma okuhleliwe ukuthola umuthi wokugoma muva nje | Ukusebenza kahle kwemithi yokugoma kungathinteka. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kufanele uxoxe nodokotela wakho ngemiphumela engaba khona embungwini. |
| Ukuncelisa | Kuyadingeka ukuxoxa ngokuthi umuthi ungadluliselwa yini enganeni ngobisi lwebele. |
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Methylprednisolone umuthi onikezwa kuphela udokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo .
- Lokhu kuvame ukunikezwa njengomjovo emthanjeni .
- Ngezinye izikhathi ifakwa kancane kancane emzimbeni ngokufaka usawoti .
- Noma ungayijova emsipheni .
Uma unikeza izingane lo muthi, kudingeka uqaphele kakhulu ngawo. Udokotela uzothatha izinqumo ngawo.
Kuthiwani uma uphuza ngokweqile ngengozi?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke aphansi. Kodwa-ke, uma unomuzwa wokuthi umthamo womuthi ukhuphukile, kufanele wazise ithimba lezokwelapha ngokushesha. Ngokuvamile, ungaphansi kokubhekwa, ngakho akukho okufanele ukhathazeke ngakho. Uma uhlangabezana nanoma yiziphi izinkinga ngaphandle kwesibhedlela, iya e-ETU eseduze (i-Emergency Treatment Unit) ngokushesha. Futhi, uma kudingeka, ungashayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo, njengoba eminye imithi ingasebenzisana ne-methylprednisolone futhi ibangele izinkinga.
| Uhlobo lomuthi | Incazelo |
|---|---|
| Ungayithathi i-Methylprednisolone kanye nalezi. | |
| Imithi yokugomela igciwane ephilayo | Kukhona ingozi yokutheleleka okukhulu. |
| I-Mifepristone | Ama-steroid enza umuthi ungasebenzi kahle. |
| Uma usebenzisa lezi, yazisa udokotela wakho. | |
| I-aspirini kanye nama-NSAID (isib., i-Ibuprofen, i-Naproxen) | Kwandisa ingozi yokopha esiswini. |
| Imithi yesifo sikashukela | Umthamo ungadinga ukulungiswa njengoba amazinga kashukela egazini engashintsha. |
| Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | Ingozi yokopha ingahluka. |
| Eminye imithi yokulwa namagciwane, imithi yokulwa namagciwane, kanye nemithi yokuwa | Lokhu kungathinta indlela i-methylprednisolone esebenza ngayo. |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, imikhiqizo yamakhambi, amavithamini, kanye nezithasiselo ozithathayo.
Izinto okufanele uzicabangele lapho uthatha imithi
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungabangela ukusabela okukhulu kokuhoxa. Kufanele wehlise kancane kancane umthamo njengoba udokotela wakho ekutshela.
- Ingozi yokutheleleka: Amasosha omzimba wakho aba buthaka kancane uma uthatha lo muthi. Ngakho ungathola izifo kalula. Hlala kude nabantu abanezifo ezifana ne-chickenpox kanye ne-measles. Tshela udokotela wakho uma unezilonda ezingapholi, umkhuhlane, noma ukukhwehlela.
- Ushukela egazini:Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo, njengoba lo muthi ungase wandise amazinga kashukela egazini lakho.
- Ukushintsha kombono: Uma ubona ubuhlungu obungacacile noma obungacacile emehlweni, tshela udokotela wakho ngokushesha.
- Impilo Yamathambo: Kukhona ingozi ye-osteoporosis uma usebenzisa lo muthi isikhathi eside. Khuluma nodokotela wakho ngalokhu bese uthatha i-calcium ne-vitamin D uma kudingeka.
Imiphumela emibi engaba khona
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ubuso, ulimi, nobunzima bokuphefumula. |
| Izimpawu ze-Cushing syndrome | Ukuqongelela kwamafutha ezindaweni ezifana nesisu, intamo, kanye nomhlane ongaphezulu, amamaki okwelula apinki/onsomi esikhumbeni, kanye nesikhumba esincane esiphuka kalula. |
| Ukwanda koshukela egazini (i-Hyperglycemia) | Ukoma kakhulu kunokuvamile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka, ukucasuka, ukudideka kwengqondo, intukuthelo enkulu, ukucindezeleka. |
| Ukopha kwesisu | Indle emnyama noma ephuzile, ukuhlanza igazi elifana nekhofi. |
| Ukuvuvukala kwamaqakala, izandla, noma izinyawo | Kungenzeka ngenxa yokugcinwa koketshezi emzimbeni. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (tshela udokotela wakho uma ikhathaza) | |
| Induna | Ikhanda elibuhlungu |
| Ukwanda kwesifiso sokudla | Ukwanda kwesisindo |
| Inkinga yokulala | Isicanucanu |
Uma ubona noma yini engavamile engekho kulolu hlu, ungesabi ukukhuluma nodokotela wakho ngayo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Methylprednisolone iwumjovo onamandla we-steroid onikezwa izimo ezahlukene zezokwelapha.
- Ngaphambi kokuthatha lo muthi, kufanele utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Gwema ukuyeka lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Ngesikhathi uthatha umuthi, qaphela izimpawu zokutheleleka, amazinga aphezulu kashukela egazini, kanye nezinguquko zengqondo.
- Uma kuvela noma yimiphi imiphumela emibi enzima noma engavamile, yazisa udokotela wakho ngokushesha.
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