Uma udokotela wakho ekutshela noma othile emndenini wakho ukuthi udinga ukuthola umjovo womuthi obizwa ngokuthi i-Pentamidine, kuvamile ukuzizwa unelukuluku lokwazi, futhi mhlawumbe novalo. "Uyini lomuthi?", "Kungani unikezwa?", "Kuzokwenzekani ngalokhu?" kukhumbula. Ngakho-ke namuhla, ake sixoxe ngendlela elula kakhulu nenobungane ngalo muthi obizwa ngokuthi i-Pentamidine, isizathu sokunikezwa kwawo, imiphumela emibi engaba khona, nezinto okufanele sikhathazeke ngazo.
Kalula nje, iyini i-Pentamidine?
I-Pentamidine umuthi onamandla ongowesigaba sokulwa nokutheleleka. Unikezwa njengomjovo. Ukusetshenziswa kwawo okuyinhloko ukwelapha uhlobo lwe-pneumonia olubizwa ngokuthi i-Pneumocystis carinii pneumonia (silubiza ngokuthi i-PCP ngamafuphi).
Khumbula, i-PCP ayifani ne-pneumonia efika ngemva komkhuhlane ovamile. Kuyisifo esibi kakhulu samaphaphu esingaba khona, ikakhulukazi kubantu abanezivikeli mzimba ezibuthakathaka. Ngakho-ke yilokhu umuthi onamandla njengalona osetshenziswa ukwelapha.
Odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, buza udokotela wakho ngawo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi ngesimo sakho sempilo ngaphambi kokunquma ukukunikeza lo muthi. Kufanele umtshele ikakhulukazi uma unezinye zezimo ezibalwe ngezansi.
- Uma unesifo sikashukela .
- Uma unesifo senhliziyo noma unezinkinga ngokusebenza kwenhliziyo.
- Uma unesifo sezinso .
- Uma uke waba nesimo esifana ne -pancreatitis ngaphambilini.
- Uma une -allergy ku-Pentamidine, noma yimuphi omunye umuthi, ukudla, idayi, noma isilondolozi.
- Uma ukhulelwe , noma ulindele umntwana maduze.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi uzokunika lo muthi noma cha, noma ukuthi yiziphi izinyathelo zokuphepha okufanele uzithathe.
Lo muthi unikezwa kanjani emzimbeni?
Lona akuwona umuthi ongawuthatha ekhaya. Umjovo we-Pentamidine unikezwa esibhedlela noma emtholampilo, ngaphansi kokuqondisa kwabasebenzi bezokwelapha abaqeqeshiwe. Lokhu kungenxa yokuthi umuthi onamandla futhi noma yimiphi imiphumela emibi idinga ukuphathwa ngokushesha.
Kunezindlela ezimbili zokuphatha umuthi wokugoma:
1.Umjovo we-intramuscular: Ukunikeza umjovo emsipheni osesinqeni noma engalweni.
2. Ukumpontshelwa ngemithambo yegazi: Into efana nosawoti, ifakwa kancane kancane emzimbeni ngomthambo.
Ingabe lokhu nikunikeza izingane ezincane?
Yebo, kwezinye izimo ezikhethekile, lo muthi unganikezwa izingane ezincane njengezinyanga ezine ubudala. Kodwa kufanele wenziwe ngokucophelela okukhulu nangaphansi kokubhekwa eduze kukadokotela wezingane.
Kuthiwani uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa esibhedlela, ingozi yokudlula ngokweqile noma ukudlula ngokweqile iphansi kakhulu. Uma kukhona ukusola ngento enjalo, abasebenzi bezokwelapha bazothatha isinyathelo esidingekayo ngokushesha. Uma unenkinga ngalokhu, kubalulekile ukuya ngokushesha e-ETU (Emergency Treatment Unit) noma ushayele iNational Poisons Information Centre eColombo National Hospital .
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Ngenxa yokuthi i-Pentamidine iyisidakamizwa esinamandla, ingasebenzisana neminye imithi oyithathayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko ye-Ayurvedic, amavithamini, kanye nezithasiselo. Ngezansi kunezibonelo zeminye imithi engase isebenzisane ne-Pentamidine.
| Isigaba sezidakamizwa | Imithi edinga ukunakekelwa okukhethekile (izibonelo) |
|---|---|
| Imithi elawula isigqi senhliziyo | Izinhlobo ezahlukene zemithi enikezwa abantu abanokushaya kwenhliziyo okungajwayelekile. |
| Ama-antibiotic athile | Isibonelo: i-clarithromycin, i-erythromycin, i-moxifloxacin, i-gentamicin, i-vancomycin. |
| Imithi yokwelapha isifo sengqondo | Ama-antidepressant (isib. i-amitriptyline), kanye neminye imithi yokugula ngengqondo (isib. i-haloperidol, i-chlorpromazine). |
| Imithi yesifo sikashukela | I-Pentamidine ingashintsha amazinga kashukela egazini, ngakho-ke kufanele kuqashelwe kakhulu lapho uyinika kanye nemithi yesifo sikashukela. |
| Ezinye izidakamizwa zokulwa nokutheleleka | Imithi yokulwa nomalaleveva (isib. i-chloroquine), eminye imithi yokulwa namagciwane (isib. i-foscarnet, i-ganciclovir). |
| Eminye imithi yokwelapha umdlavuza (i-Chemotherapy) | Eminye imithi yokulwa nomdlavuza. |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
Imiphumela emibi engaba khona kanye nezinto okufanele uziqaphele lapho uthatha umuthi
Abasebenzi bezokwelapha bazoqapha isimo sakho eduze ngenkathi uthatha lo muthi. Bazoqapha ukuthi izimpawu zakho ziya ngokuya ziba ngcono noma zimbi kakhulu.
Qaphela amazinga kashukela egazini lakho!
Umphumela oyinhloko we-pentamidine ukuthi ingashintsha amazinga kashukela egazini. Ngezinye izikhathi ingaba phezulu kakhulu, futhi ngezinye izikhathi ingaba phansi kakhulu. Kubalulekile ukuqaphela lezi zimpawu.
- Izimpawu zoshukela ophezulu egazini: ukoma ngokweqile, ukuchama njalo, iphunga lomoya elifana nezithelo, kanye nokulala ngokweqile.
- Izimpawu zoshukela ophansi egazini: indlala enkulu, isikhumba esikhanyayo, ikhanda elibuhlungu, ukungahlaliseki, ukuthuthumela, kanye nokujuluka.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu , tshela udokotela noma umhlengikazi okwelaphayo ngokushesha.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| Uma lezi zimpawu zenzeka, yazisa abasebenzi bezokwelapha ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ukukhwehlela. |
| Izinguquko ekushayeni kwenhliziyo | Ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Ezinye izimpawu ezinzima | Isicanucanu, umkhuhlane, ukubanda, ukopha noma ukuklwebheka okungavamile, ukuphuzi kwamehlo noma isikhumba, ubunzima bokuchama, ubuhlungu noma ukubomvu endaweni yomjovo. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, isicanucanu, ubuhlungu besisu, ukuhlanza. |
| Ezinye izici ezincane | Ikhanda elibuhlungu, ukunambitheka kwensimbi emlonyeni, ubuhlungu bemisipha. |
Umlayezo Wokuya Nawe Ekhaya
- I-Pentamidine iwumuthi wokugomela onamandla osetshenziselwa ukwelapha isimo esibi se-pneumonia esibizwa ngokuthi i-Pneumocystis carinii pneumonia (PCP) .
- Lomuthi unikezwa esibhedlela, ngaphansi kokuqashwa okuseduze kwabasebenzi bezokwelapha. Lomuthi akuwona owokuya nawo ekhaya.
- Uma unesifo sikashukela, isifo senhliziyo, isifo sezinso, noma okunye ukungezwani komzimba, tshela udokotela wakho ngaphambi kokuqala umuthi.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yendabuko).
- Qaphela izinguquko emazingeni akho kashukela egazini (njengokoma ngokweqile, ukuqhaqhazela) ngenkathi uthatha lo muthi. Uma ubona noma yiziphi izinguquko, tshela abasebenzi bakho bezokwelapha ngokushesha.
- Uma uhlangabezana nezimpawu ezifana nokusabela okukhulu kokungezwani komzimba, ubuhlungu besifuba, noma ubunzima bokuphefumula, yazisa abasebenzi bezokwelapha ngokushesha.
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