Ngezinye izikhathi kufanele senze izinqumo ezibucayi kakhulu nezinzima empilweni. Esinye sezimo ezinjalo yilapho kufanele sikhiphe ukukhulelwa kusenesikhathi ngenxa yezizathu zezokwelapha noma izizathu zomuntu siqu. I-Mifepristone umuthi osetshenziswa ngaphansi kokuqashwa kwezokwelapha ezimweni ezinjalo. Kuyinto okufanele isetshenziswe ngokucophelela futhi kuphela ngokweseluleko esifanele sezokwelapha. Ngakho-ke, namuhla sizokhuluma ngalokhu ngokuningiliziwe, ngendlela elula ongayiqonda.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi obizwa ngokuthi i-Mifepristone usetshenziselwa ukuqeda izigaba zokuqala zokukhulelwa. I-Progesterone iyi-hormone ebalulekile emzimbeni wethu esiza ukugcina ukukhulelwa. Cabanga ngale hormone ye-progesterone njengamanzi adingwa yisitshalo ukuze sikhule. Lawa manzi e-progesterone abalulekile ukuze isitshalo esibizwa ngokuthi ukukhulelwa sikhule.
I-Mifepristone imisa ukusebenza kwe-hormone ye-progesterone. Kufana nokuyeka ukunisela isitshalo. Ngemuva kwalokho ukukhulelwa akusakwazi ukuqhubeka, izindonga zesibeletho ziyashintsha, bese ukukhulelwa kuphele.
Lo muthi uvame ukunikezwa isiguli kanye nomunye umuthi (ngokuvamile i-Misoprostol). Lonke lolu hlelo kufanele lwenzeke kuphela ngaphansi kokuqondisa kukadokotela oqeqeshiwe.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi kungaba yingozi ukusebenzisa lo muthi ngezimo ezithile zezokwelapha. Ngakho-ke, uma kukhona okulandelayo okusebenzayo kuwe, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo esingasebenza kuwe | Kungani lokho kubalulekile? |
|---|---|
| Uma sekudlule izinsuku ezingaphezu kuka-70 (amasonto ayi-10) kusukela esikhathini sakho sokugcina | Lo muthi usebenza kahle futhi uphephile kuphela ngesikhathi sokukhulelwa kwasekuqaleni. |
| Uma kukhona izinsolo zokukhulelwa kwe-ectopic noma i-tubal | Lesi yisimo esiyingozi kakhulu. Lo muthi awusebenzi kuso. Udinga ukwelashwa okuhlukile. |
| Uma ufake i-IUD (Intrauterine Device) | I-IUD kumele isuswe ngaphambi kokuthatha lo muthi. |
| Uma uthatha imithi yokunciphisa igazi (isib. i-warfarin, i-apixaban) | I-Mifepristone ingandisa ingozi yokopha ngokweqile. |
| Uma uqhubeka nokusebenzisa imithi yama-steroid njenge-Prednisolone | Lokhu kungaphazamisa ukusebenza kwe-mifepristone. |
| Uma unesifo sokopha noma ukusebenza kwe-adrenal gland okuphansi | Lezi zimo zinengozi yezinkinga ezinkulu. |
| Uma une-allergy ku-Mifepristone, i-Misoprostol noma ezinye izithako | Kubalulekile ukwazisa lokhu ukuze uvimbele ukusabela okubi kakhulu kwe-allergy. |
| Uma ungumama oncelisa umntwana | Kufanele ukhulume nodokotela wakho ngokuncelisa futhi uthole iseluleko. |
| Uma ungakwazi ukuza kalula ukuzohlolwa okulandelayo noma uma ungakwazi ukufika esibhedlela ngokushesha esimweni esiphuthumayo | Lokhu kubaluleke kakhulu ngoba uma kuvela inkinga, kudingeka ukwelashwa okusheshayo. |
Indlela yokusebenzisa umuthi nokuthi yini okufanele uyiqaphele
Lo muthi kufanele uthathwe ngomlomo, ngomthamo onqunyiwe, njengoba kuyalelwe udokotela wakho. Uzonikezwa incwajana ekhethekile (i-MedGuide) uma unikezwa lo muthi. Wufunde ngokucophelela, ngoba uqukethe ulwazi olubaluleke kakhulu ngokuphepha kwakho.
Into ebaluleke kakhulu ukuthi lo muthi ungowakho wedwa. Ungawubelani nabanye abantu nganoma yisiphi isizathu. Ungaba yingozi kakhulu.
Kuthiwani uma umthamo wemithi ukhuphuka?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, shayela iNational Poisons Information Centre eNational Hospital ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi, amakhambi, ngisho nokudla kungasebenzisana ne-Mifepristone futhi kubangele izinkinga. Ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini.
| Yini engabangela izinkinga? | Incazelo |
|---|---|
| Ungalokothi uthathe iMifepristone nalezi zinto | |
| Imithi ethile evimbela ukujiya kwegazi | Imithi efana ne-warfarin, i-enoxaparin, ne-rivaroxaban. Lokhu kwandisa kakhulu ingozi yokopha ngokweqile. |
| Ama-steroid athathwa isikhathi eside | Imithi efana ne-prednisone ne-dexamethasone ingaphazamisa ukusebenza kahle kwe-Mifepristone. |
| Lokhu kungabangela nezinkinga - tshela udokotela wakho. | |
| Imithi yokulwa nesikhunta | Imithi efana ne-ketoconazole ne-itraconazole. |
| Amanye ama-antibiotic | Imithi efana ne-clarithromycin ne-erythromycin. |
| Ijusi le-Grapefruit | Lokhu kungakhuphula izinga lomuthi emzimbeni. |
| I-St. John's Wort | Lesi simila singanciphisa ukusebenza kahle komuthi. |
Izimpawu eziyingozi ezidinga usizo lwezokwelapha ngokushesha
Kunezinto okufanele uziqaphele kakhulu ngemva kokuthatha lo muthi. Uma unanoma yikuphi kwalokhu, kungaba yisimo esiphuthumayo.
Ukopha Okukhulu
Kujwayelekile ukuba nokopha okuthile kwesitho sangasese sowesifazane ngemva kokuthatha iphilisi. Kodwa ukopha okukhulu kuyisibonakaliso esiyingozi. Qaphela kakhulu ngalokhu.
Yiya esibhedlela ngokushesha: Uma wopha kakhulu amahora amabili, ucwilisa ama-sanitary pad amabili amakhulu ngehora elilodwa, kufanele uye egumbini lezimo eziphuthumayo (ETU) ngokushesha ngaphandle kokulibala.
Ezinye izimo eziphuthumayo
- Ukusabela okukhulu kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
- Umkhuhlane omkhulu: Ukuba khona komkhuhlane ophezulu.
- Ubuhlungu obukhulu besisu, ubuthakathaka obungavamile, ukuhlanza, isifo sohudo: Uma lezi zimpawu zihambisana nomkhuhlane oqhubekayo, kungaba uphawu lokutheleleka.
Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wakho noma uye esibhedlela ngokushesha. Futhi, ungakhohlwa ukuthatha incwajana ye-MedGuide oyinikezwe lapho uya esibhedlela.
Imiphumela emibi evamile
Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka noma kukhathaza, tshela udokotela wakho.
- Ukuqaqamba kwesisu
- Ikhanda elibuhlungu (ikhanda elibuhlungu)
- Isiyezi
- Ukuzizwa ubanda (ukugodola/ukugodola)
Into ebaluleke kakhulu ukuthi uma ukukhulelwa kungapheli ngokuphelele ngemva kokusebenzisa lo muthi, kuzodingeka ukuhlinzwa ukuze kuqedwe. Ngakho-ke, kubaluleke kakhulu ukuphepha kwakho ukuya ezinsukwini zokulandelela ezinikezwe udokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Mifepristone umuthi okufanele usetshenziswe kuphela ngaphansi kokuqondisa kukadokotela nangokuqaphela okukhulu.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo.
- Qaphela izimpawu zokopha kakhulu (ukumanzisa ama-pad ama-2 ngehora). Uma lokhu kwenzeka, iya ekamelweni lezimo eziphuthumayo (ETU) ngokushesha.
- Ukuya ezivivinyweni zokulandelela ezinikezwa udokotela wakho ngesikhathi kubalulekile ukuze uphephe.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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