Ingabe udokotela wakho ukutshelile wena noma othile emndenini wakho ukuthi unesifo samaphaphu esibangela izibazi? Kungaba yinto efana ne-'Idiopathic Pulmonary Fibrosis (IPF)', isimo lapho kungatholakali khona imbangela eqondile. Kungenzeka ukuthi uke wezwa ngomuthi i-'Nintedanib' (ovame ukwaziwa ngegama lomkhiqizo elithi 'Ofev'), osetshenziswa ezimweni ezinjalo. Njengoba lesi kuyisidakamizwa esidinga ukusetshenziswa ngokuqapha, sizokhuluma ngaso kalula nangendlela enobungane.
Uyini lo muthi obizwa ngokuthi i-Nintedanib?
Kalula nje, i-Nintedanib iwumuthi ovimbela futhi wehlise ijubane lokulimala kwezicubu zamaphaphu akho. Isetshenziswa kakhulu ukwelapha izimo eziningana.
- Idiopathic Pulmonary Fibrosis (IPF): Lesi yisifo lapho amaphaphu eqina kancane kancane futhi eba nezibazi ngaphandle kwesizathu esaziwayo.
- Izifo zamaphaphu eziqhubekayo ze-fibrosing interstitial: Lokhu kubhekisela eqenjini lezifo ezihlala isikhathi eside futhi ezibangela izibazi eziqhubekayo emaphashini.
- Isifo samaphaphu esihambisana ne-systemic sclerosis: Lo muthi usetshenziselwa nezinkinga zamaphaphu ezihlobene nesifo 'systemic sclerosis'.
Lo muthi awusiqedi lesi sifo ngokuphelele, kodwa ulawula futhi wehlise ijubane lomonakalo odalwe yilesi sifo emaphashini.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala i-Nintedanib. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezingezansi.
| Isimo sempilo noma umkhuba | Kungani lokho kubalulekile? |
|---|---|
| Izinkinga zokopha noma umlando womndeni walokhu | Lo muthi ungandisa ingozi yokopha. |
| Umlando wesifo senhliziyo noma amahlule egazi | Kufanele uqaphele ingozi yokuhlaselwa yinhliziyo kanye nokuqhekeka kwegazi. |
| Isifo sesibindi | Ukusebenza kwesibindi kungathinteka, ngakho-ke kufanele kuhlolwe njalo. |
| Ukuba khona kweprotheyini emchameni | Kufanele uqaphele imiphumela engaba khona ezinso. |
| Njengoba ngisanda kuhlinzwa | Inqubo yokuphola kwenxeba ingase ithinteke. |
| Ukubhema ugwayi noma ugwayi | Ukubhema kunganciphisa ukusebenza kahle komuthi. |
| Izinkinga zesisu noma zamathumbu | Kukhona ingozi encane yokudabuka kwamathumbu. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kubaluleke kakhulu: Lo muthi ungalimaza kakhulu ingane engakazalwa. |
| Ukuncelisa ingane | Akukhuthazwa ngoba umuthi ungadluliselwa enganeni ngobisi lwebele. |
| Ukungezwani neminye imithi, ukudla, kanye nodayi | Lokhu kubalulekile ukuze kutholakale ukuthi nawe uzoba nomzimba ongezwani nalo muthi. |
Ngingawusebenzisa kanjani umuthi?
- Lomuthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi .
- Kungcono ukuthatha umuthi kanye nokudla . Lokhu kunganciphisa izinto ezifana nokuphazamiseka kwesisu.
- Gwinya ikhaphu yonke. Ungayiphuli, ungayichobozi, noma uyihlafune.
- Qhubeka uyisebenzisa njengoba kuyalelwe kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Uma ngephutha uthola impuphu yomuthi ngaphakathi kwekhaphu ezandleni zakho, geza izandla zakho kahle ngensipho namanzi ngokushesha.
- Uma usola ukuthi uphuze i-overdose, ungalibali. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, yeqa. Ungaphuzi amaphilisi amabili ngesikhathi esilandelayo esihleliwe ukuze ubuyisele umthamo ophuthelwe. Vele uthathe umthamo wakho olandelayo ngesikhathi sakho esijwayelekile.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Yebo, eminye imithi ingasebenzisana ne-Nintedanib. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi emithi, kanye nezithasiselo.
- I-aspirini kanye nemithi efanayo
- Imithi evimbela ukujiya kwegazi (isib. iWarfarin, iApixaban, iRivaroxaban )
- Amanye ama-antibiotic (isib. i-Erythromycin, i-Clarithromycin )
- Eminye imithi esetshenziselwa ukuxhuzula (isib. i- Carbamazepine, i-Phenytoin )
- I-Ketoconazole (isidakamizwa esilwa ne-fungus)
- I-Rifampin (umuthi wesifo sofuba)
- I-St. John's Wort (ikhambi elisetshenziselwa impilo yengqondo)
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzicabangele lapho uthatha i-Nintedanib
Ukunaka okukhethekile ekukhulelweni: Lena yinto ebaluleke kakhulu. Ungakhulelwa ngenkathi uthatha i-Nintedanib. Kufanele usebenzise izindlela zokuvimbela inzalo ezithembekile izinyanga ezi-3 ngemuva kokuyeka umuthi. Lo muthi ungalimaza kakhulu ingane engakazalwa. Uma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Futhi, ungancelisi ibele ngenkathi uthatha lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho kuzodingeka akubone njalo ukuze ahlole ukuthi uqhuba kanjani. Uzophinde akuyalele ukuhlolwa kwegazi ukuze ahlole ukusebenza kwesibindi sakho.
- Ukuhlanza kanye nohudo: Lo muthi ungabangela ukucasuka kwesisu, ukuhlanza, kanye nohudo. Uma lokhu kwenzeka , phuza uketshezi oluningi, njengamanzi kanye nojusi. Ukulahlekelwa uketshezi ngokweqile kungaba yingozi. Uma ungakwazi ukulawula lesi simo, tshela udokotela wakho.
- Ingozi yokopha:Lo muthi ungabangela ukuklwebheka futhi wandise ingozi yokopha. Tshela udokotela wakho uma ukopha okungajwayelekile (isib., okuvela ezinsinini, ekhaleni) noma ukuklwebheka.
- Ukubhema: Uma ubhema, tshela udokotela wakho uma unomuzwa wokuthi umuthi awusebenzi kahle. Ngisho noma unquma ukuyeka ukubhema, yazisa udokotela wakho .
Yimiphi imiphumela emibi engaba khona?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha. Kwezinye izimo, kungadingeka uye eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze.
| Umphumela ongemuhle | Izimpawu eziyinhloko |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha | Indle emnyama noma enegazi, ukuhlanza okufana nokudla kwekhofi, umchamo obomvu noma onsundu omnyama, amabala amancane abomvu/onsomi esikhumbeni, ukuminyana okungavamile. |
| Ihluli | Ubuhlungu emilenzeni, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba. |
| Isifo senhliziyo | Ukuqina/ubuhlungu esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukuzizwa ubanda, ukuquleka. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile. |
| Isifo sohlangothi | Ubuthakathaka bobuso, ingalo, noma umlenze ngokuzumayo, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izinyembezi zesisu/amathumbu | Umkhuhlane, ubuhlungu besisu, ushintsho olusheshayo ekunyakazeni kwamathumbu. |
| Uhudo oluningi noma ukuhlanza | Uhudo noma ukuhlanza okungalawuleki. |
Imiphumela emibi evamile, engemibi kangako engase ivele
Lokhu kuvame ukuphela ngokuhamba kwesikhathi, kodwa uma kuqhubeka noma kukhathaza, tshela udokotela wakho.
- Ikhanda elibuhlungu
- Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo
- Isicanucanu (ukuzizwa ugula esiswini sakho)
Uwugcina futhi uwulahla kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa (phakathi kwama-degrees Celsius angu-20-25). Vikela ekushiseni okukhulu kanye nomswakama.
- Lahla imithi ephelelwe yisikhathi. Indlela engcono kakhulu yokwenza lokhu ukucela isibhedlela noma ikhemisi ukuthi libayise ohlelweni lokubuyisela imithi. Uma lokhu kungenzeki, xhumana nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Nintedanib umuthi okhethekile olawula izibazi emaphashini. Esikhundleni sokwelapha lesi sifo, inciphisa ijubane lokuqhubeka kwalesi sifo.
- Ngaphambi kokuba uqale ukuthatha lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zempilo kanye nayo yonke eminye imithi oyithathayo.
- Kubaluleke kakhulu: Gwema ukukhulelwa ngenkathi uthatha umuthi kanye nezinyanga ezintathu ngemuva kokuyeka. Kuyingozi kakhulu enganeni esibelethweni.
- Qaphela izimpawu zemiphumela emibi engathi sína njengokulimala kwesibindi, ukopha, kanye nokwehluleka kwenhliziyo. Uma ungabaza, funa iseluleko sezokwelapha ngokushesha.
- Hlala uxhumana nodokotela wakho njalo. Ungesabi ukukhuluma naye nganoma yimiphi imibuzo noma izinto ezikukhathazayo.
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