Ingabe udokotela wakho ukutholile wena noma othile omaziyo ukuthi unesifo sikaCushing? Kuleso simo, ngezinye izikhathi ukuhlinzwa kungase kungenzeki, noma ngisho nokuhlinzwa kungase kungaphumeleli ngokuphelele. Namuhla, sizokhuluma ngomuthi wokugomela okhethekile odokotela abawuncomayo ezimweni ezinjalo. Lowo muthi wokugomela iPasireotide. Lona uvame ukutholakala ngaphansi kwegama lomkhiqizo i-Signifor.
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Kalula nje, kwenzekani ngalo muthi wokugomela iPasireotide?
Umuntu onesifo sikaCushing unezinga eliphezulu kakhulu le-hormone ebizwa ngokuthi i-cortisol emzimbeni wakhe. Yilokhu okubangela izimpawu zesifo. Ngakho-ke umsebenzi oyinhloko walo mjovo wePasireotide ukulawula nokunciphisa leli zinga eliphezulu le-cortisol egazini lakho. Okusho ukuthi, lo muthi welapha imbangela eyinhloko yalesi sifo.
Kodwa-ke, udokotela wakho angase akunike lo muthi kwezinye izimo, ngakho-ke uma uneminye imibuzo mayelana nalokhu, kungcono ukubuza udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele. Qiniseka ukuthi umtshela nganoma yiziphi izimo zezokwelapha ezibalwe ngezansi.
- Uma unesifo sikashukela noma amazinga aphezulu kashukela egazini.
- Uma unesifo senyongo noma amatshe.
- Uma unomlando wesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile.
- Uma uke waba ne-pancreatitis ngaphambilini.
- Uma unesifo sesibindi .
- Uma kuke kwabikwa ukuthi unezinga eliphansi le-potassium noma i-magnesium egazini lakho.
- Uma unenkinga ye-thyroid (isifo se-thyroid).
- Uma wake waba nokusabela kokungezwani komzimba ne-pasireotide noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela ngaphandle kokufihla lolu lwazi.
Ungawusebenzisa kanjani umuthi wokugoma ngendlela efanele?
Lona umjovo ngaphansi kwesikhumba. Udokotela noma umhlengikazi uzokufundisa ngokucacile ukuthi uwunikeza kanjani lo muthi, kusukela ekulungiseleleni umuthi kuya ekuwujoveni. Landela leyo miyalelo kahle .Thatha umuthi ngesikhathi esifanele, ngenani elifanele, futhi ungawuthathi kaningi kunalokho udokotela wakho akutshele khona.
Wenzani ngezinaliti ezisetshenzisiwe kanye nezirinji?
Lokhu kubaluleke kakhulu. Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Udinga isitsha esikhethekile sazo, esibizwa ngokuthi 'isitsha esibukhali.' Uma ungenaso, ungasithola kudokotela wakho noma esibhedlela.
Ngokuvamile, uma unikezwe lo muthi, uzothola incwajana ekhethekile (i-MedGuide) enemininingwane ngawo. Yifunde ngokucophelela isikhathi ngasinye lapho uthatha umuthi.
Uma unikeza izingane lo muthi, kungase kudingeke ukunakekelwa okukhethekile, ngakho qiniseka ukuthi ucela iseluleko kudokotela wezingane.
Kuthiwani uma ngiphuza umuthi omningi kakhulu noma ngiphuthelwa umthamo?
Uma uthatha umuthi omningi kakhulu (Umthamo oweqile):
Uma usola ngisho nokuncane ukuthi uphuze umuthi omningi kunalokho okucabangayo, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Ungakuthathi kalula lokhu.
Uma uphuthelwa umthamo:
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo), njengoba eminye imithi ingase ihlangane nePasireotide.
| Uhlobo lomuthi | Kungani kufanele ukhathazeke? |
|---|---|
| Ungalokothi uthathe iPasireotide kanye nalomuthi. | |
| I-Cisapride, i-Dronedarone, i-Pimozide, i-Thioridazine | Lokhu kungathinta kakhulu ukusebenza kwenhliziyo. |
| Uma uthatha lo muthi, qiniseka ukuthi utshela udokotela wakho. | |
| Ama-Beta-blockers - isib. i-Metoprolol, i-Propranolol | Isilinganiso senhliziyo singase sehle ngendlela engavamile. |
| Ama-calcium channel blockers - isibonelo i-Diltiazem, i-Verapamil | Lokhu kungathinta nokushaya kwenhliziyo. |
| I-Bromocriptine, i-Cyclosporine, i-Digoxin | I-Pasireotide ingashintsha indlela le mithi esebenza ngayo. |
| Eminye imithi enweba isikhathi se-QT (imithi enweba isikhathi se-QT) - isib. i-Dofetilide | Kwandisa ingozi yokuba ne-cardio engavamile. |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Mtshele nokuthi uyabhema noma uphuza utshwala.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Izimpawu okufanele zibikwe kudokotela wakho ngokushesha | |
|---|---|
| Izimpawu zamazinga aphezulu kashukela egazini:
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| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
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Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Ungawugcina kanjani umuthi?
- Yigcine kude nezingane .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Vikela ekukhanyeni.
- Lahla imithi ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Pasireotide iyindlela ethile yokwelapha isifo sikaCushing. Yenzelwe wena kuphela. Ungalokothi wabelane ngalo muthi nanoma ubani omunye.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Lo muthi ungabangela amazinga aphezulu kashukela egazini. Qaphela izimpawu ezifana nokoma ngokweqile kanye nokuchama njalo.
- Uma uphuza umuthi omningi kakhulu noma uhlangabezana nemiphumela emibi kakhulu, yazisa i-ETU noma i-National Poisons Information Center ngokushesha.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalo muthi.
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