Njengabaningi bethu, kufika isikhathi lapho sithembela khona kuma-painkillers ukuze silawule ubuhlungu, ikhanda elibuhlungu, ubuhlungu bamazinyo, noma izinkinga zamalunga njenge-arthritis. Kodwa-ke, uyazi ukuthi ukusetshenziswa njalo kwama-painkillers athile—ikakhulukazi ama-Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)—ngezinye izikhathi kungaholela ezinkingeni zesisu? Ukuze kube sobala, kwandisa ingozi yokuba nezilonda zesisu. Yilapho kanye odokotela bethu bengakunikeza khona umuthi obizwa ngokuthi i-Misoprostol. Ngakho-ke, ake sixoxe nge-Misoprostol ngokuningiliziwe, akunjalo?
Imuphi umuthi iMisoprostol?
Kalula nje, iMisoprostol isebenza njengesivikelo sokuvikela ulwelwesi lwesisu sakho. Uma uphuza imithi yokubulala ubuhlungu yohlobo lwe-NSAID (njenge-Ibuprofen, i-Aspirin, noma i-Diclofenac) njalo, ingandisa ukukhiqizwa kwe-asidi yesisu futhi ingase ilimaze udonga lwesisu. IMisoprostol isebenza ngokunciphisa leyo acid eningi, inciphise umonakalo olwelwesini lwesisu, futhi iqinise ungqimba lwamafinyila oluvikelayo. Lokhu kusiza kakhulu ekuvimbeleni ukwakheka kwezilonda zesisu. Ungase uthole lo muthi ngaphansi kwamagama emikhiqizo afana neCytotec emakhemisi. Kodwa-ke, odokotela ngezinye izikhathi banikeza lo muthi ngezinye izinjongo. Uma unemibuzo, sicela uxhumane nodokotela wakho noma usokhemisi eNirogi Lanka.
Yini okufanele uyitshele udokotela wakho ngaphambi kokuthatha lo muthi?
Ngaphambi kokuba udokotela wakho akunike iMisoprostol, kubalulekile ukubanikeza isithombe esicacile sesimo sakho sempilo. Akuwona wonke umuthi ofanele wonke umuntu, futhi le mibuzo imayelana nokuphepha kwakho. Sicela uqinisekise ukuthi wazisa udokotela wakho uma unezinye zezimo ezilandelayo:
- Uma unesifo samathumbu esingamahlalakhona, njengesifo sikaCrohn ( isifo sikaCrohn ).
- Uma unesifo senhliziyo.
- Uma unesifo sezinso (njengoba imithi eminingi icutshungulwa ngezinso, imithamo ingadinga ukulungiswa uma ukusebenza kwezinso zakho kuphazamiseka).
- Uma unezimo ezibangela izilonda emathunjini, njenge-Ulcerative colitis.
- Uma uke waba nokusabela kokungezwani komzimba neMisoprostol, amanye ama-prostaglandin, noma yimuphi omunye umuthi, ukudla, udayi, noma isivikelo (isib. ukuqubuka kwesikhumba , ukulunywa , noma ubunzima bokuphefumula).
- Lokhu kubaluleke kakhulu: Uma ukhulelwe noma uzama ukukhulelwa, kufanele wazise udokotela wakho ngaphandle kokwehluleka. Lolu udaba olubucayi, futhi sizoxoxa ngalo kabanzi.
- Uma uncelisa, sicela wazise nodokotela wakho.
Ngokunikeza lolu lwazi, udokotela wakho angakwazi ukunquma ukuthi lo muthi uphephile yini kuwe bese enquma umthamo ofanele.
Kufanele uwuthathe kanjani lo muthi?
Kulula kakhulu; iMisoprostol iphuzwa ngomlomo.
- Phuza iphilisi nengilazi egcwele amanzi.
- Landela imiyalelo kadokotela wakho ngqo. Bazokweluleka ngomthamo nokuthi kufanele uwuthathe kangaki ngosuku.
- Ngokuvamile kunconywa ukuthi uphuze lo muthi ngesikhathi sokudla noma ngemva kokudla. Landela imiyalelo kadokotela wakho.
- Zama ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga alinganayo ohlelweni lwakho.
- Qedela inkambo ephelele njengoba uyalelwe. Ungayeki ukuthatha imithi ngoba nje uzizwa ungcono ngaphandle kokuthi uyalelwe udokotela wakho.
Uma unikeza lokhu izingane, qaphela kakhulu, xoxa ngakho kahle nodokotela, bese ulandela isiqondiso sabo ngokuqinile.
Inothi elibalulekile:Uma usola ukuthi uphuze kakhulu (ukudlula ngokweqile), hlala uzolile, kodwa funa usizo lwezokwelapha oluphuthumayo ngokushesha esibhedlela esiseduze noma uxhumane nodokotela olawula ubuthi. Futhi, lo muthi wanikezwa wena ngqo. Ungalokothi wabelane ngomuthi wakho nabanye, noma ngabe banezimpawu ezifanayo, ngoba kungaba yingozi.
Kuthiwani uma uphuthelwa umthamo?
Kwenzeka kithina esingcono kakhulu. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isib., kungakapheli ihora noma amabili), yeqa umthamo ophuthelwe bese uqala kabusha isimiso sakho esijwayelekile. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe, njengoba lokhu kwandisa ingozi yemiphumela emibi.
Yini engasebenzisana nalo muthi?
Imithi ethile ingathinta indlela iMisoprostol esebenza ngayo noma yandise amathuba okuba nemiphumela emibi.
- Ngokuvamile, amanye ama-antacid asetshenziselwa isilungulela noma i-gastritis (ikakhulukazi lawo aqukethe i-magnesium) angandisa ingozi yohudo uma ethathwa nge-Misoprostol.
Ngakho-ke, uma uqala i-Misoprostol, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo njengamanje—kufaka phakathi izidakamizwa zokunciphisa ubuhlungu ezithengiswa ngaphandle kwemithi kadokotela, amavithamini, izithako zemithi, kanye nemithi yendabuko. Ngaphezu kwalokho, kubalulekile ukudalula ukuthi uyabhema, uphuza utshwala, noma usebenzisa noma yiziphi izinto zokuzijabulisa, njengoba lokhu kungaphazamisa ukusebenza kahle kwemithi.
Yini enye okufanele uyiqaphele lapho uthatha lo muthi?
Kunezinto ezimbalwa okufanele uziqaphele ngesikhathi sokwelashwa kwakho ukuqinisekisa ukuphepha kwakho:
- Kunconywa kakhulu ukunciphisa noma ukuyeka ngokuphelele ukubhema nokuphuza utshwala. Kokubili kungacasula ulwelwesi lwesisu sakho, okungase kwandise umonakalo obangelwa yimithi yokwelapha izinhlungu (NSAID) efana ne-Ibuprofen noma i-Aspirin. Le mikhuba ingamelana nezinzuzo zokuvikela ze-Misoprostol.
- Manje, sikhuluma ngephuzu elibaluleke kakhulu nelibalulekile. Lokhu kubaluleke kakhulu kwabesifazane:
Uma ukhulelwe, akufanele usebenzise i-Misoprostol ngaphansi kwanoma yiziphi izimo. Lo muthi ubeka ingozi enkulu kuwe nakumntwana wakho ongakazalwa. Ungabangela ukufinyela okukhulu kwesibeletho, okwandisa kakhulu amathuba okukhulelwa kwesisu, ukuzalwa ngaphambi kwesikhathi, noma ukukhubazeka okukhulu kokuzalwa.
Ngakho-ke, kumelwe ugweme ngokuphelele ukukhulelwa ngenkathi uthatha iMisoprostol. Kufanele uqhubeke nokusebenzisa uhlobo lokuvimbela inzalo oluthembeke kakhulu okungenani inyanga eyodwa (kuze kube yilapho umjikelezo owodwa wokuya esikhathini udlulile) ngemva kokuyeka ukuthatha umuthi. Sicela ube nengxoxo evulekile nethembekile nodokotela wakho noma umhlinzeki wezempilo mayelana nezindlela zokuvimbela inzalo ezifanele kakhulu izidingo zakho. Uma kwenzeka ukhulelwa, usola ukuthi ungase ukhulelwe, noma uhlela ukukhulelwa, kufanele uxhumane nodokotela wakho ngokushesha ngaphandle kokulibala. Sicela ungakuthathi kalula lokhu; impilo yakho kanye nokuphepha kwengane yakho engakazalwa kuncike kukho.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, i-Misoprostol ingabangela imiphumela emibi. Lokhu akuthinti wonke umuntu, futhi ubukhali bayo bungahluka. Nakuba eminye imiphumela emibi incane, eminye ingaba mibi kakhulu futhi idinga ukunakekelwa kwezokwelapha okusheshayo. Uma uhlangabezana nezinkinga eziqhubekayo noma yini ephazamisa impilo yakho yansuku zonke, sicela uxhumane nodokotela wakho.
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, funa usizo lwezokwelapha ngokushesha noma uye emnyangweni wezimo eziphuthumayo oseduze:
- Izimpawu zokusabela okukhulu kokungezwani komzimba : Lokhu kufaka phakathi ukuqubuka kwesikhumba okungazelelwe, ukulunywa okukhulu, ukuqubuka okusabalele, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo, ubunzima bokuphefumula, noma isiyezi.
Imiphumela emibi elandelayo ngokuvamile ayibi mibi kakhulu, kodwa kufanele wazise udokotela wakho uma iba yinkinga noma iqhubeka:
- Uhudo: Lona umphumela ovame kakhulu. Kungase kwenzeke ezinsukwini ezimbalwa zokuqala zokwelashwa futhi kuvame ukuphela ngokuhamba kwesikhathi. Ukuze uhlale unamanzi, phuza uketshezi oluningi, izixazululo zokubuyisela amanzi emzimbeni ngomlomo, noma amasobho. Xhumana nodokotela wakho uma udinga imithi yokulawula lokhu.
- Isicanucanu: Umuzwa wokugula noma isifiso sokuhlanza.
- Ukuqaqamba kwesisu: Umuzwa wokuqina noma ukubamba esiswini.
- Ubuhlungu besisu: Ukungakhululeki okuvamile endaweni yesisu.
Lolu akulona uhlu oluphelele lwazo zonke imiphumela emibi engaba khona. Uma ubona noma yiziphi izinguquko zomzimba ezingavamile noma ukungakhululeki ngemva kokuqala lo muthi, sicela uxhumane nomhlinzeki wakho wezempilo. Uma kwenzeka imiphumela emibi kakhulu, hlala ubeka phambili ukuxhumana nodokotela wakho noma iziphathimandla ezifanele zezempilo zikazwelonke.
Kufanele ngiyigcine kanjani imithi yami?
Ukugcina imithi yakho ngendlela efanele kubalulekile ukuze kugcinwe ukusebenza kahle nokuphepha kwayo.
- Gcina imithi endaweni ephakeme kakhulu lapho izingane zingayifinyeleli khona. Lona umthetho oyinhloko.
- Gcina endaweni epholile, eyomile ekushiseni kwegumbi (ngaphansi kuka-25°C / 77°F). Kubalulekile ukugcina umuthi kude nomswakama. Gwema ukuwugcina ezindlini zangasese noma eduze kwezitofu zasekhishini lapho ukushisa nomswakama kungonakalisa khona amaphilisi.
- Hlola njalo usuku lokuphelelwa yisikhathi ephaketheni. Ungalokothi usebenzise imithi ephelelwe yisikhathi. Yilahle ngokuphephile ngokweziqondiso zendawo yakho.
Amazwi okugcina eseluleko
Sithemba ukuthi lolu lwazi luzokusiza ukuthi uqonde iMisoprostol kangcono. Khumbula, lesi sihloko sinikeza isifinyezo esijwayelekile. Uma unemibuzo noma ukukhathazeka, sicela ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo ukuze akunike isiqondiso sochwepheshe.
Ungalokothi uqale, uyeke, noma ushintshe umthamo wanoma yimuphi umuthi ngokusekelwe ocwaningweni lwe-inthanethi noma iseluleko esivela kwabangebona ochwepheshe. Landela njalo imiyalelo kadokotela wakho ngokunembile. Impilo yakho iyimpahla yakho eyigugu kakhulu; yinakekele ngokwethembeka.
I-Nirogi Lanka, i-Misoprostol, izilonda zesisu, izilonda zesisu, imithi yokubulala ubuhlungu, ama-NSAID, i-Cytotec, imiphumela emibi, ukukhulelwa
