Ngezinye izikhathi, ezinye zezifo izingane zethu ezihlushwa yizo ziyinkimbinkimbi kakhulu. Futhi imithi enikezwa zona nayo ikhethekile. Namuhla sizokhuluma ngomuthi okhethekile onjalo. Lo muthi ubizwa ngokuthi i-Odevixibat, onikezwa ezinye izingane ukwelapha ukulunywa kwesikhumba okungabekezeleleki okubangelwa yisifo sesibindi esingavamile. Uma ingane yakho inikezwe lo muthi ngudokotela, khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe.
Uhlobo luni lomuthi i-Odevixibat?
Kalula nje, i-Odevixibat umuthi onikezwa ukulawula ukulunywa ngokweqile okubangelwa inkinga yesibindi sengane yakho. Waziwa ngegama lemakethe iBylvay.
Ngokwezokwelapha, lokhu kungokwesigaba semithi ebizwa ngokuthi i-ileal bile acid transporter (IBAT) inhibitors . Lokhu kusho ukuthi lo muthi ulawula ukumuncwa kabusha kwama-bile acid emathunjini ethu emzimbeni.
Lo muthi usetshenziswa kakhulu ukulawula ukulunywa ezigulini ezinesifo esibizwa ngokuthi i-Progressive Familyal Intrahepatic Cholestasis (PFIC) . I-PFIC yisimo esingavamile sofuzo esiphazamisa ukuhamba kwe-bile kusuka kumaseli esibindi. Lokhu kubangela ukuthi i-bile iqongeleleke emzimbeni, okubangela ukulunywa okungabekezeleleki. I-Odevixibat isebenza ngokulawula imbangela eyisisekelo yokulunywa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokusebenzisa lo muthi, kubalulekile ukunikeza udokotela wakho incazelo ephelele ngesimo sempilo yakho noma sengane yakho. Qiniseka ukuthi usho okulandelayo ikakhulukazi:
- Ukuntuleka kwamavithamini: Uma udokotela ekutshelile ukuthi unezinga eliphansi lamavithamini A, D, E, noma K egazini lakho, mtshele.
- Ukukhulelwa: Uma ukhulelwe, noma uhlela ukuba nomntwana maduze nje, kufanele utshele udokotela wakho.
- Uma ungumama oncelisayo: Uma ungumama oncelisayo, qiniseka ukuthi uyamtshela umhlengikazi.
Ukukhuluma nodokotela ngaphandle kokufihla lolu hlobo lolwazi kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.
Indlela efanele yokusebenzisa umuthi
Ukuze uthole okuningi ngalo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele. Thatha umthamo ofanele, ngesikhathi esifanele, njengoba kunqunywe udokotela wakho.
| Iseluleko | Indlela yokukwenza |
|---|---|
| Ukuthatha umuthi | Thatha ngesikhathi esifanayo nsuku zonke, nengilazi enhle yamanzi. Kungcono ukuyithatha kanye nokudla. |
| Ukugwinya i-capsule | Gwinya ikhaphu yonke . Ungayiphuli, ungayichobozi, noma uyihlafune nganoma yisiphi isizathu. |
| Uma kunzima ukugwinya | Uma unenkinga yokugwinya i-capsule, yivule ngokucophelela, hlanganisa impuphu engaphakathi nezipuni ezimbili zokudla okujiyile njenge-yogurt noma i-applesauce, bese ugwinya ngokushesha ngaphandle kokuhlafuna. Ungalokothi uxube lo muthi noketshezi (amanzi, ubisi, ujusi). |
| Neminye imithi | Uma uthatha imithi yokwehlisa i-cholesterol (ama-bile acid binding resins) njenge-Cholestyramine, i-Colesevelam, noma i-Colestipol, yithathe emahoreni ama-4 ngaphambi noma emahoreni ama-4 ngemuva kokuthatha i-Odevixibat. |
Uzoyinika nini le mithi izingane?
Odokotela batusa lo muthi ezinganeni ezincane njengezinyanga ezintathu kwezinye izimo ezikhethekile. Kodwa-ke, kunezinto okufanele uziqaphele. Ngakho-ke, lapho unikeza ingane yakho lo muthi, landela imiyalelo kadokotela ngqo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi wena noma ingane yakho nithathe lo muthi omningi kakhulu, ungalibali.
Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo olandelayo ngesikhathi esihleliwe.Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi ingasebenzisana ne-Odevixibat, ikakhulukazi, njengoba sishilo ngaphambili, nemithi esekilasini lama-resin okubopha i-bile acid .
- I-Cholestyramine
- I-Colesevelam
- I-Colestipol
Lolu hlu aluphelele. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi yezinye izifo, amavithamini, kanye namakhambi endabuko).
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Qiniseka ukuthi uya kokuhlolwa okuhleliwe ngudokotela wakho kwakho noma kwengane yakho. Khuluma nodokotela wakho mayelana nokuthi izimpawu zakho ziya ziba ngcono noma zimbi kakhulu.
- Amavithamini: Kubalulekile ukuqinisekisa ukuthi uthola amavithamini owadingayo (ikakhulukazi amavithamini A, D, E, kanye no-K ancibilika emafutheni) ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla okudlayo kanye nanoma yiziphi izithasiselo ozithathayo.
- Ukuhlolwa kwegazi: Ngesikhathi sokwelashwa, udokotela wakho angase akucele ukuthi kwenziwe ukuhlolwa kwegazi ukuze kuhlolwe izinto ezifana nokusebenza kwesibindi sakho. Ungaziyeki.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Odevixibat ingabangela imiphumela emibi. Eminye yale miphumela ingaba mibi kakhulu, ngakho-ke kubalulekile ukuyiqaphela.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi noma onsundu omnyama, uzizwa ukhathele, umkhuhlane, ukuphelelwa yisifiso sokudla, ubuhlungu engxenyeni engenhla kwesokudla yesisu, kanye nokuphuzi kwamehlo noma isikhumba (i-jaundice). |
| Uhudo | Uhudo oluqhubekayo. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Isisu esibuhlungu | Ubuhlungu besisu obujwayelekile. |
| Ukuhlanza | Ukuhlanza. |
Kufanele uwugcine kanjani umuthi wakho?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni eyomile (ephakathi kwama-degrees Celsius angu-20 no-25) .
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.
Ungayisusa kanjani imithi engasetshenziswanga?
Akuyona into enhle ukulahla imithi ephelelwe yisikhathi noma engafuneki emgqonyeni kadoti noma endlini yangasese. Cela iseluleko kudokotela wakho. Uma bethi kulungile ukulahla imithi emgqonyeni kadoti, khipha imithi ebhodleleni, uyixube nento efana namaqabunga etiye asetshenzisiwe, ikhofi eligayiwe, noma inhlabathi, bese uyibeka esikhwameni esivalwe kahle.
Umlayezo Wokuya Nawe Ekhaya
- I-Odevixibat umuthi onqunyelwe ukulunywa okubangelwa yisimo esithile sesibindi esibizwa ngokuthi i-PFIC futhi kufanele usetshenziswe kuphela ngokunconywa udokotela.
- Gwinya i-capsule yonke. Ungayichobozi noma uyihlafune. Yixube nokudla okuqinile kuphela uma unenkinga yokugwinya.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nezimo zakho zezempilo.
- Uma ubona noma yimiphi imiphumela emibi kakhulu, njengezimpawu zokungezwani komzimba noma izimpawu zokulimala kwesibindi (ukuphuzi kwamehlo, umchamo omnyama), yazisa udokotela wakho ngokushesha.
- Uma uphuza ngokweqile, iya eNational Poison Information Center noma e-ETU ngokushesha.
- Uma unemibuzo mayelana nalo muthi, qiniseka ukuthi ukhuluma nodokotela wakho.
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