Ake sifunde ngamaphilisi e-Ondansetron. Le ngxoxo imayelana nalo muthi onikezwa isicanucanu nokuhlanza!

Ngezinye izikhathi sizizwa sinesicanucanu futhi sifune ukuhlanza, akunjalo? Lesi simo sivame kakhulu ngemva kokuhlinzwa okukhulu noma lapho sithatha imithi yomdlavuza (njengokwelashwa ngamakhemikhali noma ngemisebe). Ngakho-ke, kukhona umuthi okhethekile odokotela abasinika wona ukuze usisize ngezikhathi ezinjengalezi. Namuhla sizokhuluma ngomuthi owodwa onjalo, i-Ondansetron.

Uhlobo luni lomuthi i-Ondansetron?

Kalula nje, i-Ondansetron umuthi ovimbela isicanucanu nokuhlanza. Ngokwezokwelapha sikubiza ngokuthi uhlobo lwemithi "yokulwa nokugabha" . Ungase ukhumbule ukuthi kwezinye iziguli, kuvamile ukuba nesicanucanu nokuhlanza ngemva kokwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukuhlinzwa. Lo muthi usetshenziswa kakhulu ukunciphisa ukungakhululeki okunjalo. Cabanga ukuthi ungacasuka kangakanani uma uthatha i-chemotherapy, futhi ngaleso sikhathi, umuthi onjengalona uwusizo olukhulu.

Lomuthi usebenza kanjani emizimbeni yethu?

Kuzwakala kulula kakhulu, kodwa kunesayensi encane kukho. Kunamakhemikhali athile emizimbeni yethu athumela izimpawu ebuchosheni bethu athi, "Ngizizwa nginesicanucanu, lungela ukuhlanza." Lokho okwenziwa yilesi sidakamizwa, i-Ondansetron, ukuvimba ukusebenza kwalawo makhemikhali (ikakhulukazi, i-neurotransmitter ebizwa ngokuthi i-serotonin) . Ukuze kube sobala, sivimba lezo zimpawu ukuthi zingayi ebuchosheni nasemathunjini. Khona-ke isicanucanu nokuhlanza kulawulwa kakhulu. Uyaqonda?

Ingabe kukhona amanye amagama alo muthi emakethe?

Yebo, kungenzeka ukuthi uke wawubona lo muthi ngaphansi kwegama lomkhiqizo elithi `(Zofran)`. Lelo igama elivame kakhulu. Kodwa-ke, hlola umuthi onikezwa udokotela wakho, khona-ke uzokwazi ngokuqinisekile. Ngezinye izikhathi lo muthi ungase utholakale ngaphansi kwamanye amagama.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Leli iphuzu elibaluleke kakhulu, ungalikhohlwa . Ngaphambi kokuthi uqale ukuthatha i-Ondansetron, kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ngoba lo muthi ungase ungahambisani nezinye izimo zempilo, noma kungadingeka ukuthi unakekele ngokukhethekile.

Nazi lezo zinto:

• Ingabe unesifo senhliziyo ? (Isibonelo, ukusebenza kwenhliziyo okubuthakathaka, njengokushaya kwenhliziyo okusheshayo).
• Wake waba nokushaya kwenhliziyo okungajwayelekile ? Lokhu kusho ukuthi inhliziyo yakho ishaya ngendlela engajwayelekile, ngezinye izikhathi ishesha, ngezinye izikhathi ihamba kancane, noma ngendlela yokugxumagxuma.
• Unesifo sesibindi ?
• Ingabe udokotela wake wakutshela ukuthi unezinga eliphansi le-magnesium noma i-potassium ? Lawa amaminerali abaluleke kakhulu emizimbeni yethu.
• Wake waba nokungezwani komzimba nalo muthi, i-Ondansetron, i-Granisetron ( okuyimithi efanayo nayo), noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi?
• Ukhulelwe ? Noma unethemba lokukhulelwa?
• Ingabe ungumama oncelisayo?

Uma utshela udokotela wakho ngalezi zinto ngokucacile, angakwelapha ngendlela efanele kakhulu. Lokhu kungenxa yokuphepha kwakho.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi uvame ukufika ngesimo samaphilisi. Unganikezwa futhi njengoketshezi noma njengamaphilisi aqhekeka ngomlomo.

• Leli philisi kufanele liphuzwe nengilazi yamanzi. (Uma kuyiphilisi elincibilikisayo, libambe emlonyeni wakho bese ulivumela lincibilike lodwa.)
• Khumbula ukuphuza umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanayo, nangenani elifanayo.
• Phuza umuthi wakho ngesikhathi esifanele, ngezikhathi ezifanele . Ungathathi okungaphezu kwalokho udokotela wakho akutshele kona, noma uwuthathe kaningi. Isibonelo, uma utshelwa ukuthi uwuthathe kathathu ngosuku, kungcono ukuwuthatha amahora angaba ngu-8 uhlukene.

Uyinike nini lo muthi izingane ezincane?

Yebo, ngezinye izikhathi odokotela batusa lo muthi ezinganeni ezincane. Kodwa-ke, udinga ukunakekelwa okukhethekile . Udokotela unquma umthamo ngokusekelwe ezicini ezifana nobudala bengane nesisindo sayo. Ngakho-ke, uma unikeza lo muthi ingane, qiniseka ukuthi ukhuluma nodokotela ngawo. Ungalokothi unike ingane encane inani elifanayo nelomuntu omdala.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)

Uma lokho kwenzeka, okungukuthi, uma ucabanga ukuthi uthathe imithi eminingi kunalokho obukucabanga, hamba ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze noma ushayele isikhungo solwazi ngoshevu (eSri Lanka, ungashayela u-1926). Ungachithi isikhathi.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungabelani ngalo muthi nomngane noma ilungu lomndeni, noma ngabe banezimpawu ezifanayo nezakho. Umuthi ofanele umuntu ngamunye ungahluka.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Uma lokhu kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (okungukuthi zingakapheli amahora amabili kuya kwamathathu), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ('imithamo ephindwe kabili'). Ukwenza kanjalo kungandisa inani lomuthi futhi kubangele imiphumela emibi.

Yiziphi ezinye izinto ezingase zihlangane (zingqubuzane) nalo muthi?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Kunemithi ethile engabangela izinkinga uma isetshenziswa ne-Ondansetron. Ngakho-ke,Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (hhayi leyo oyinikezwe udokotela wakho kuphela, kodwa naleyo oyithenga ekhemisi, amavithamini, imithi yendabuko, kanye nemikhiqizo yamakhambi). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa ezingekho emthethweni.

Kunconywa kakhulu ukuthi ungayithathi i-Ondansetron kanye nemithi elandelayo:

• I-Apomorphine (umuthi wesifo sikaParkinson)
• Eminye imithi yokwelapha izifo zesikhunta (isib. i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole)
• I-Cisapride
• I-Dronedarone (umuthi wesifo senhliziyo)
• I-Pimozide (umuthi wesifo sengqondo)
• I-Thioridazine (umuthi wesifo sengqondo)

Ngaphezu kwalokho, kuneminye imithi engabangela imiphumela emibi nge-Ondansetron. Nazi izibonelo ezimbalwa:

• I-Carbamazepine (umuthi wokwelapha ukuxhuzula)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• I-Fentanyl (umuthi wokuqeda izinhlungu onamandla)
• I-Linezolid (i-antibiotic)
• Imithi ye-MAOI (isib. i-Carbex, i-Eldepryl) (umuthi omdala osetshenziselwa ukucindezeleka)
• I-Methylene blue (umuthi onikezwa ngemithambo yegazi)
• Eminye imithi engabangela ukungasebenzi kahle kwenhliziyo (imithi enweba isikhathi se-QT - isib. i-dofetilide, i-ziprasidone)
• I-Phenytoin (umuthi wokuquleka)
• I-Rifampicin (umuthi wesifo sofuba)
• I-Tramadol (umuthi wokuqeda izinhlungu)

Lolu hlu aluphelele. Yingakho sincoma ukuthi utshele udokotela wakho konke okuthathayo ukuze akwazi ukukunikeza umuthi ngokuphephile.

Yini okufanele siyiqaphele kakhulu lapho sisebenzisa lo muthi?

Uma uhlangabezana nanoma yiziphi izimpawu zokusabela kokungezwani komzimba ngenkathi usebenzisa lo muthi, njengokuqubuka kwesikhumba, ukulunywa, ukubomvu kwesikhumba, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo, bona udokotela ngokushesha. Lokhu kungaba yisimo esiphuthumayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-ondansetron ingabangela imiphumela emibi. Eminye iyingozi, eminye ayibi kakhulu.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ufune iseluleko sezokwelapha ngokushesha :

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ubuso, ulimi, umphimbo, ubunzima bokuphefumula.
• Izimpawu zokuvaleka kwamathumbu (`ukuvaleka kwamathumbu`): Ubuhlungu obukhulu besisu, ukuqunjelwa, ukungakwazi ukukhipha indle noma ukukhipha umoya, ukulahlekelwa yisifiso sokudla, ukuhlanza.
• Ubuhlungu besifuba (`Angina`): Umuzwa wobuhlungu, ukuqina, noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni.
• Ukushintsha kwesigqi senhliziyo: Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, kanye nobunzima bokuphefumula.
• I-Serotonin Syndrome ingabonakala ngalokhu: ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqina kwemisipha, ukudikiza kwemisipha, ukujuluka ngokweqile, umkhuhlane ophakeme, ukuxhuzula, ukubanda, ukuhlanza, kanye nesifo sohudo. Uma kuvela izimpawu ezingaphezu kweyodwa ngesikhathi esisodwa, kungaba yi-Serotonin Syndrome. Kuyisimo esiyingozi.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa okufanele ibikwe kudokotela uma iqhubeka):

Lokhu kuvame ukuphela ezinsukwini ezimbalwa. Kodwa-ke, uma kuqhubeka noma kukukhathaza, tshela udokotela wakho:

• Ukuvinjelwa
• Uhudo
• Ukungakhululeki okuvamile kanye nokukhathala
• Ikhanda elibuhlungu

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona okunye, khuluma nodokotela wakho ngakho.

Ngingawugcina kanjani lo muthi?

• Yigcine kude nezingane ezincane nezilwane ezifuywayo . Lokhu kubaluleke kakhulu. Imithi ayiwona amathoyizi.
• Lomuthi kufanele ugcinwe phakathi kwama-degree Celsius angu-2 no-30 (ama-degree Fahrenheit angu-36 no-86). Lokho kusho ukuthi ekamelweni lokushisa, kungabi kushisa kakhulu noma kubande kakhulu. Gwema ukuwugcina ezindaweni ezimanzi, njengasendlini yokugezela.
• Ungasebenzisi imithi ephelelwe yisikhathi . Yiyise ekhemisi bese ubuza ngokulahla imithi ngendlela efanele.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Ondansetron umuthi owusizo kakhulu ekulawuleni isicanucanu nokuhlanza, ikakhulukazi kulabo abathola ukwelashwa okufana ne-chemotherapy, ukwelashwa ngemisebe, kanye nokuhlinzwa. Kodwa-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo lapho usebenzisa lo muthi, nokutshela udokotela ngezinye izifo onazo kanye neminye imithi oyithathayo. Khona-ke ungazuza ngokuphephile nangokuphumelelayo kulo muthi. Uma unezinkinga noma imiphumela emibi, ungangabazi ukukhuluma nodokotela wakho. Ngikufisela ukululama okusheshayo!

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I - Ondansetron, i-Ondansetron, isicanucanu, ukuhlanza, ukwelashwa komdlavuza, i-chemotherapy, ukwelashwa ngemisebe, ukuhlinzwa, imiphumela emibi, i-Zofran, i-antiemetic, imithi