Ingabe ngezinye izikhathi uzizwa uqunjelwe futhi ube nobunzima bokugwinya ngemva kokuthatha imithi enamandla yokubulala izinhlungu? Lokhu kuyinto eyenzeka kubantu abaningi. Ngakho-ke, ngezikhathi ezinjengalezi, udokotela wakho angase akunike umuthi okhethekile wokulawula lokhu kuqunjelwa. Namuhla sikhuluma ngomunye umuthi onjalo, okungukuthi i-Naloxegol.
Uhlobo luni lomuthi i-Naloxegol?
Kalula nje, i-Naloxegol umuthi osiza ekwelapheni ukuqunjelwa okwenzeka uma uphuza imithi ethile enamandla yokudambisa izinhlungu, ikakhulukazi imithi yokudambisa izinhlungu ye-opioid .
Cabanga ngakho, lawa ma-opioid painkiller awagcini nje ngokunciphisa ubuhlungu bakho, kodwa futhi anciphisa ukusebenza kwamathumbu akho kancane. Lokho kusho ukuthi imisipha emathunjini akho iyafinyela futhi isunduze indle phambili kancane kancane. I-Naloxegol yilokho kanye okwenziwa yilo muthi ukuxazulula lokhu. Umuthi ongowesigaba semithi ebizwa ngokuthi ama-Opioid Blockers. Kodwa okukhethekile kwalokhu ukuthi usebenza kakhulu emathunjini akho kuphela. Ngakho-ke, ngaphandle kwesithiyo esikhulu emphumeleni womuthi owunikeza ubuhlungu bakho, uya emathunjini kuphela futhi ususe umphumela walowo muthi wokubulala izinhlungu, usize imisipha emathunjini ukuthi isebenze kahle futhi. Bese kuba lula ukukhipha indle.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele sempilo yakho. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezingezansi.
- Uma unomdlavuza noma isimila esiswini sakho, emathunjini, noma emathunjini.
- Uma unesifo esifana ne- Diverticulitis .
- Uma wake waba nokuvaleka kwamathumbu ngaphambili.
- Uma unesifo esifana nesifo samathumbu esivuvukalayo ( isib. isifo sikaCrohn, i-ulcerative colitis).
- Uma unesifo sezinso noma isifo sesibindi.
- Uma usanda kuhlinzwa esiswini noma emathunjini.
- Uma uthatha ukwelashwa komdlavuza njenge- bevacizumab .
- Uma une-allergies ku-Naloxegol noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha nokuthi uwunikeza kanjani.
Ngingawusebenzisa kanjani umuthi ngqo?
Ukuze uthole okuningi ngemithi yakho, kubalulekile ukuyisebenzisa ngendlela efanele.
1. Isikhathi: Leli philisi kufanele lithathwe kanye kuphela ngosuku. Nalo futhi esiswini esingenalutho.Lokho kusho ukuthi kufanele uyiphuze okungenani ihora ngaphambi kokudla isidlo sasekuseni, noma okungenani amahora amabili ngemva kokudla.
2. Indlela yokuthatha: Gwinya ithebhulethi lonke ngengilazi yamanzi. Ungaliphuli, ulichoboze, noma ulihlafune. Kodwa-ke, uma unenkinga yokugwinya ithebhulethi, ungayichoboza kahle bese uyincibilikisa emanzini angama-ounces angu-120 (cishe ama-ml angu-120), bese uyiphuza ngokushesha. Buza udokotela wakho ngalokhu.
3. Ama-Laxative Engeziwe: Ungasebenzisi eminye imithi yokuhlanza isisu ngenkathi uthatha lo muthi ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo. Uma ungazizwa ungcono ngemva kokuthatha lo muthi izinsuku ezintathu, tshela udokotela wakho. Angase akunike umuthi wokuhlanza isisu ohlukile.
4. Kubaluleke kakhulu: Uma uyeka ukuthatha umuthi wokuqeda ubuhlungu we-opioid, kufanele uyeke nokuthatha i-Naloxegol . Lo muthi unikezwa kuphela ukuqunjelwa okubangelwa yi-opioid. Uma usuyiyekile i-opioid, ngeke usawudinga lo muthi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Naloxegol umuthi ongasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lomuthi/into ethile | Incazelo |
|---|---|
| Gwema ukusebenzisa i-Naloxegol nalezi zinto | |
| I-Antifungal | Imithi efana ne-Ketoconazole ne-Itraconazole |
| Ama-antibiotic | Imithi efana neClarithromycin neTelithromycin |
| Imithi ye-HIV/AIDS | Eminye imithi yokulwa namagciwane |
| Qiniseka ukuthi utshela udokotela wakho uma usebenzisa lezi zinto. | |
| Ijusi le-Grapefruit | Amagilebhisi noma ijusi lamagilebhisi kungathintana nalo muthi. |
| Eminye imithi | Izinto ezifana ne-Diltiazem, i-Verapamil (yesifo senhliziyo/umfutho wegazi ophakeme), i-Carbamazepine (yesifo sokuwa), i-Rifampin (yesifo sofuba), i-St. John's Wort (yempilo yengqondo). |
| Amanye ama-blocker e-opioid | Imithi efana neNaloxone neNaltrexone |
Lolu hlu aluphelele. Ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi, amakhambi, noma amavithamini owaphuzayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Naloxegol ingabangela imiphumela emibi kwabanye abantu.
| Umphumela ongemuhle | Okufanele ngikwenze |
|---|---|
| Uma kwenzeka noma yikuphi kwalokhu, yeka ukuthatha umuthi bese ubona udokotela noma uye egumbini lezimo eziphuthumayo ngokushesha. | |
| Ubuhlungu besisu obukhulu, obuqhubekayo, noma obuqhubeka buba bubi. | Lokhu kungaba uphawu olukhulu lomonakalo odongeni lwamathumbu (ukubhoboka). |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi noma ubuso, ubunzima bokuphefumula. |
| Uma lokhu kuqhubeka noma kuba yinkinga, tshela udokotela wakho. | |
| Ubuhlungu besisu, isicanucanu, ukuhlanza | Lokhu kungase kunciphe njengoba umzimba ujwayela imithi. |
| Uhudo | Lona umphumela ovamile wecala. |
| Igesi, ikhanda elibuhlungu | Lokhu ngokuvamile akukubi kangako. |
| Izimpawu zokuhoxa kuma-opioid | Ukujuluka, ukubanda, isifo sohudo, ubuhlungu besisu, ukungahlaliseki, kanye nokuzizwa ubuthakathaka. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- I-Naloxegol umuthi okhethekile onikezwa kuphela ukuqunjelwa okubangelwa yimithi yokwelapha izinhlungu ye-opioid .
- Njalo thatha lo muthi esiswini esingenalutho , ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla.
- Okubaluleke kakhulu: Uma uyeka ukuthatha umuthi wokuqeda izinhlungu, qiniseka ukuthi uyeka nokuphuza i-Naloxegol.
- Uma uzwa ubuhlungu obukhulu esiswini ngenkathi uthatha umuthi, kungaba yisimo esiphuthumayo. Yeka ukuthatha umuthi ngokushesha bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye namakhambi owasebenzisayo.
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