Inkinga abantu abaningi ezweni lethu abanayo yi-gastritis, noma ukuvuvukala kwesisu kanye nezilonda. Ngezinye izikhathi imbangela enkulu yalokhu ukutheleleka ngebhaktheriya ebizwa ngokuthi 'i-H. pylori' ehlala esiswini sethu. Ngakho-ke uma udokotela wakho ekunike umuthi wokuqeda lokhu kutheleleka, cishe uzothola inhlanganisela yemithi eminingana. Namuhla sizokhuluma ngenhlanganisela yemithi emithathu evame ukusetshenziswa. I-Omeprazole, i-Amoxicillin kanye ne-Rifabutin.
Kwenzekani ngempela ngale nhlanganisela yemithi?
Lokhu kuyinhlanganisela yemithi emithathu. Ake sibone ukuthi kwenzekani ngayo ngayinye.
- I-Omeprazole: Kalula nje, lokhu kusebenza ngokunciphisa inani le-asidi ekhiqizwa esiswini sakho. Lokhu kubizwa ngokuthi imithi ye-Proton Pump Inhibitor (PPI). Uma i-asidi yesisu incishisiwe, kwakheka indawo engcono ukuze isilonda esikhona siphole. Kuphinde kunciphise ukuvuvukala.
- I-Amoxicillin ne-Rifabutin: Zombili lezi zingama-antibiotic. Umsebenzi oyinhloko wazo zombili ukubhubhisa amagciwane acasulayo e-`H. pylori`. Elinye lingohlobo lwe-`(Penicillin)`, kanti elinye lingohlobo lwe-`(Rifamycin)`. Uma leli gciwane libhujiswe ngokuphelele, isilonda sesisu sizophola ngokuphelele ngaphandle kokuphinde sivele.
Ngakho-ke, uyaqonda? Nakuba umuthi owodwa usiza ukulawula i-asidi yesisu nokwelapha isilonda, eminye imithi emibili ibulala imbangela yokuqala yesilonda, okuyibhaktheriya.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi uma unazo:
| Isimo sakho | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sezinso | Ngenxa yokuthi umuthi ukhishwa emzimbeni ngezinso, umthamo ungadinga ukulungiswa. |
| Isifo sesibindi | Imiphumela yemithi ekusebenzeni kwesibindi ingahluka. |
| I-Lupus | Lo muthi ngezinye izikhathi ungenza izimpawu ze-lupus zibe zimbi kakhulu. |
| Isifo Sofuba (i-TB) | Umuthi i-rifabutin ungathinta ukwelashwa kwesifo sofuba. |
| Uma ugqoka amalensi okuxhumana | Lo muthi ungabangela ukushintsha kombala nokudabuka kanye nokungcola okungapheli kwama-contact lens. |
| Ukungezwani neminye imithi, ukudla, noma izinto ezithile | Lokhu kubaluleke kakhulu uma une-allergy kulezi zidakamizwa noma eminye imithi yohlobo lwe-penicillin. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kufanele ukhulume nodokotela wakho mayelana nokuphepha kwalomuthi ngesikhathi sokukhulelwa. |
| Uma ungumama oncelisayo | Njengoba imithi ingadlulela enganeni ngobisi lwebele, kubalulekile ukwazisa udokotela ngalokhu. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Njengoba udokotela esho, into ebaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele.
- Thatha lo muthi nengilazi yamanzi .
- Kungcono ukuyithatha nokudla.
- Ungaliphuli, ulichoboze, noma ulihlafune. Ligwinye lonke.
- Into ebaluleke kakhulu ukuthatha yonke imithi oyinikezwe udokotela wakho. Ungayeki ukuthatha imithi phakathi nendawo, noma ngabe uzizwa ungcono kancane. Ukwenza kanjalo kungabangela ukuthi amagciwane abuye, kunokuba aqedwe ngokuphelele.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Uma uthatha lo muthi, eminye imithi ingase ihlangane nawo, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
- Eminye imithi esetshenziswa ukwelapha i-HIV (isib. i-Atazanavir, i-Rilpivirine) kanye neminye imithi akufanele isetshenziswe kanye nalo muthi.
- Futhi, imithi eminingi, njengamaphilisi okuvimbela inzalo, imithi yokunciphisa igazi (isib. i-Warfarin), imithi yokutheleleka kwesikhunta, amaphilisi ensimbi, kanye neminye imithi yesifo sokuwa (isib. i-Phenytoin), ingasebenzisana nalo muthi.
Lolu akulona uhlu oluphelele. Ngakho-ke ukuze uphephe, khuluma nodokotela wakho nganoma yimiphi imithi oyithathayo. Uzokuqondisa ngqo.
Izinto ezikhethekile okufanele uziqaphele lapho uthatha imithi
- Uhudo: Abanye abantu bangase babe nesifo sohudo ngenkathi bethatha lo muthi. Kodwa-ke, uma isifo sohudo sakho sibi kakhulu futhi sihlala izinsuku ezingaphezu kwezimbili, ungayithathi imithi ekhemisi bese ushayela udokotela wakho ucingo ngokushesha.
- Ukusabela okukhulu kwesikhumba: Nakuba kungavamile, lo muthi ungabangela ukusabela okukhulu kwesikhumba. Uma unomkhuhlane, ubuhlungu bomzimba, amabala abomvu noma ansomi esikhumbeni sakho agcina eseqhuma, futhi kuzwakala sengathi isikhumba sakho siyaxebuka, kuhlanganise nangaphakathi emlonyeni wakho, funa iseluleko sezokwelapha ngokushesha.
- Ukulawula ukukhulelwa: Kubaluleke kakhulu! Ngesikhathi uthatha lo muthi, ukusebenza kahle kwamaphilisi akho okulawula ukukhulelwa kungancishiswa. Ngakho-ke, uma ufuna ukuvimbela ukukhulelwa, khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokulawula ukukhulelwa (isib. amakhondomu) phakathi nalesi sikhathi.
- Ukushintsha kombala woketshezi lomzimba: I-Rifabutin kulo muthi ingabangela ukuthi umchamo wakho, ukujuluka, izinyembezi, namathe kuphenduke umbala obomvu-orenji. Lokhu kuvamile futhi akufanele kube yinto ethusayo.Kodwa-ke, ukushintsha kombala kwalezi zinwele kungabangela amabala ahlala njalo kuma-contact lens athambile. Ngakho-ke uma ugqoka ama-contact lens, buza udokotela wakho ukuthi ungawagqoka yini ngenkathi uthatha lo muthi. Kukhona futhi amathuba okudaya amazinyo akho.
- Isifo Sikashukela: Uma unesifo sikashukela, ukuhlolwa koshukela womchamo ngenkathi uthatha lo muthi kungakunikeza umphumela ongelona iqiniso. Khuluma nodokotela wakho ngalokhu futhi.
Yimiphi imiphumela emibi engabonakala?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Nakuba eminingi ingeyona embi kakhulu, kunezinto okufanele uziqaphele.
| Izinhlobo zemiphumela emibi | |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Uhudo olubi kakhulu | Uhudo oluningi, olunamanzi kanye nomkhuhlane. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka | |
| Uhudo olujwayelekile | Uhudo oluncane olungaphezi ezinsukwini ezimbalwa. |
| Okunye | Ikhanda elibuhlungu, isicanucanu, ukuhlanza, ubuhlungu besisu. |
Umlayezo Wokuya Nawe Ekhaya
- Qiniseka ukuthi uqeda yonke imithi oyinikezwe udokotela wakho. Ungayeki ukuyithatha noma ngabe uzizwa ungcono.
- Thatha lo muthi kanye nokudla, nengilazi egcwele amanzi. Gwinya ikhaphu yonke.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Funa usizo lwezokwelapha ngokushesha uma kuvela ukusabela okukhulu kwesikhumba, isifo sohudo esibi kakhulu, noma izimpawu zokungezwani komzimba.
- Khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo, njengoba amaphilisi okuvimbela inzalo angase angasebenzi kahle ngenkathi uthatha lo muthi.
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