Ingabe uzonikwa i-Phenytoin Injection? Yazi lokhu ngokuqinisekile!

Uma unesithuthwane esingazelelwe, noma mhlawumbe unesithuthwane, noma uke wahlinzwa ubuchopho, udokotela wakho kungenzeka ukuthi ukunike lo muthi wokumisa isithuthwane sakho. Kubizwa ngokuthi umjovo we-phenytoin. Kalula nje, usebenza ngokuthulisa nokulawula izingxenye zesimiso sezinzwa somzimba wakho ezivame ukusebenza ngokweqile. Ngakho ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Iyini iPhenytoin? Ake siqonde kahle!

I-Phenytoin umuthi oyinhloko osetshenziselwa ukulawula nokuvimbela ukuxhuzula . Ivame ukusetshenziswa kubantu abanesifo sokuxhuzula . Iphinde inikezwe ukunciphisa ingozi yokuxhuzula ngesikhathi nangemva kokuhlinzwa kobuchopho.

Cabanga ngemizwa ebuchosheni bethu njengezintambo ezincane ezithwala imiyalezo kagesi. Ngezinye izikhathi lezi "zintambo" zingaba "nemijikelezo emifushane" emincane. Yilapho-ke kuvela khona ukuxhuzula. Ngakho-ke, lokho okwenziwa yiPhenytoin ukuzola leyo mizwa esebenza ngokweqile nokunciphisa leyo "mijikelezo emifushane." Okusho ukuthi, ilawula imizwa esebenza ngokweqile.

Odokotela ngezinye izikhathi bangasebenzisa lo muthi kwezinye izinto, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokukunikeza lo muthi?

Lokhu kubaluleke kakhulu. Ngaphambi kokuba unikezwe i-Phenytoin, kubalulekile ukuthi ithimba lakho lokunakekela liqaphele okulandelayo:

• Ingabe umlutha wotshwala? Utshwala bungathinta ukusebenza kahle kwalomuthi.
• Ingabe ungowokudabuka e-Asia? Abanye abantu abanezakhi zofuzo zase-Asia bangase babe nendlela ehlukile yokucubungula lo muthi emizimbeni yabo, ngakho-ke kubalulekile ukuqaphela lokhu.
• Ingabe unesifo sikashukela (i-Diabetes Mellitus)? Lo muthi ungathinta amazinga kashukela egazini.
• Ingabe unezinkinga zenhliziyo?
• Ingabe unesifo sesibindi? Lo muthi ususwa emzimbeni yisibindi. Ngakho-ke uma unenkinga yesibindi, ingase isithinte.
• Ingabe unawo umfutho wegazi ophansi?
• Wake waba nemicabango yokuzibulala, amacebo, noma imizamo yokuzibulala? Noma ukhona yini emndenini wakho owake waba nayo? Lokhu kubalulekile ukukusho ngoba lo muthi ungathinta isimo sengqondo sabanye abantu.
• Ingabe une-allergy ku-phenytoin, i-hydantoin, eminye imithi, ukudla, amadayi, noma izithasiselo?Yisho okuthile, noma ngabe kuyinto encane nje.
• Ukhulelwe noma uzama ukukhulelwa?
• Ingabe ungumama oncelisayo?

Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla.

Uyisebenzisa kanjani le mithi?

Lokhu kungukujova emthanjeni . Lokhu kusho ukuthi akuyona into ongayisebenzisa ekhaya. Unikezwa ochwepheshe bezokwelapha esibhedlela noma emtholampilo .**

Lo muthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi udokotela akunike wona, noma ngabe unezimpawu ezifanayo nezakho.

Uma lo muthi unikezwa izingane: Kwezinye izimo ezikhethiwe, lo muthi unganikezwa nezingane. Kodwa-ke, kunezimfuneko ezikhethekile okufanele zicatshangelwe. Khuluma nethimba lakho lezokwelapha ngalokhu.

Ukweqisa umthamo: Lokhu akunakwenzeka ngoba kunikezwa esibhedlela. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Kuthiwani uma ngiphuthelwa umthamo?: Njengoba lokhu kunikezwa esibhedlela, akunandaba ukuthi uphuthelwe umthamo. Abasebenzi bezokwelapha bazokunakekela.

Yini okufanele uyiqaphele kakhulu lapho uthatha lo muthi?

Uma uthola lo muthi wokugomela, abasebenzi bezokwelapha bazoqapha isimo sakho ngokucophelela. Kodwa kuhle ukuthi uqaphele lezi zinto:

• Ukusabela okukhulu kwesikhumba: Lokhu kubaluleke kakhulu. Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala ukuthatha lo muthi. Tshela udokotela wakho ngokushesha uma uthola ukuqubuka kwesikhumba okunezimpawu ezifana nomkhuhlane kanye nobuhlungu bomzimba. Lokhu kuqubuka kungase kube bomvu noma kube nsomi bese kuba amabala aqhekeke. Noma, uma uneziqubu ezibomvu kanye nokuvuvukala kobuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni, tshela udokotela wakho ngokushesha. Lokhu kungaba yisimo esiphuthumayo.
• Ukozela, isiyezi: Ungase uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Gwema ukuvuka noma ukuhlala phansi ngokushesha kakhulu, ikakhulukazi uma usukhulile. Lokhu kungakwenza ube nesiyezi futhi uwe.
• Utshwala: Utshwala bungashintsha imiphumela yalo muthi, ngakho gwema ukuphuza utshwala ngokuphelele.
• Imicabango yokuzibulala:Lo muthi ungandisa kancane ingozi yakho yemicabango noma izenzo zokuzibulala. Ngakho-ke naka kakhulu isimo sakho sengqondo nendlela ozizwa ngayo. Uma isimo sakho sengqondo siba sibi kakhulu, uzizwa sengathi uzofa, noma uzizwa udabuke kakhulu noma ukhathazekile kunokujwayelekile , tshela ithimba lakho lezempilo ngokushesha. Ungakufihli lokho.
• Ukuntuleka kwe-Vitamin D kanye ne-folic acid: Lo muthi ungabangela ukwehla kwamazinga e-vitamin D kanye ne-folic acid emzimbeni. Ngakho-ke, khuluma nethimba lakho lezokunakekelwa kwempilo ngokudla okudlayo, amavithamini owathathayo, kanye nokudla izithasiselo uma kudingeka.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, i-Phenytoin ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

Uma unezinye zalezi zimpawu, tshela udokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ushukela ophezulu egazini (i-Hyperglycemia): Ukuzizwa womile kakhulu, udinga ukuchama njalo, uzizwa ukhathele ngendlela engavamile, umbono ofiphele.
• Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ukukhathala okungavamile.
• Ubuhlungu, ukuvuvukala, ukushintsha kombala okuluhlaza okwesibhakabhaka/okunsomi, kanye nokusabalala endaweni yokujova.
• Ubuthi be-Phenytoin: Ukunyakaza kwamehlo okungalawuleki, ukulahlekelwa yibhalansi noma ubunzima bokuhamba, ubunzima bokukhuluma, ukukhathala okungavamile, isicanucanu, ukuhlanza.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ubomvu, ukuqubuka, ukuxebuka, futhi ngezinye izikhathi ngisho nangaphakathi emlonyeni kungenzeka.
• Ukushaya kwenhliziyo okuhamba kancane: Ukuzizwa unesizungu, ukuphelelwa amandla, ukudideka, ukuphelelwa umoya, ukukhathala okungavamile.
• Ama-lymph node avuvukele entanyeni, embotsheni, esifubeni, noma emakhwapheni.
• Imizwa efana nemicabango yokuzibulala, isimo sengqondo esibi kakhulu, kanye nokucindezeleka.
• Ukuphuka noma ukuphuma kwegazi okungavamile.

Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

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

• Ubunzima bokugxilisa ingqondo, ukukhumbula, noma ukukhuluma.
• Isiyezi.
• Ukozela.
• Ikhanda elibuhlungu .

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engekho ohlwini, khuluma nodokotela wakho ngayo.

Ingabe lokhu kungasebenzisana neminye imithi? (Ukusebenzisana kwezidakamizwa)

Lokhu kubaluleke kakhulu futhi. I-Phenytoin ingasebenzisana neminye imithi eminingi, amakhambi, namavithamini. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, amakhambi, amavithamini, kanye nezithasiselo zokudla). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.

Ungalokothi uthathe iPhenytoin kanye nale mithi:

Uma usebenzisa le mithi, akukhuthazwa ukuthatha iPhenytoin. Ngakho-ke, kufanele ukhulume nodokotela wakho ngalokhu.

• I-Artemether
• Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis
• Idelalisib
• I-Isavuconazonium
• I-Lonafarnib
• I-Lorlatinib
• I-Lumefantrine
• I-Lurasidone
• I-Pacritinib
• I-Praziquantel
• I-Ranolazine

I-Phenytoin ingasebenzisana nemithi elandelayo:

Lolu hlu lude kancane, kodwa uma usebenzisa noma yikuphi kwalokhu, ungakhohlwa ukutshela udokotela wakho.

• I-Albendazole
• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• I-Bleomycin
• I-Capecitabine
• I-Carboplatin
• Eminye imithi yokwelapha umfutho wegazi, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• Imithi yokwehlisa i-cholesterol efana ne-Atorvastatin, i-Fluvastatin, ne-Simvastatin
• Imithi yokutheleleka kwesikhunta njenge-Fluconazole, i-Itraconazole, i-Ketoconazole, i-Miconazole, i-Posaconazole, ne-Voriconazole
• Eminye imithi esetshenziselwa ukuxhuzula: I-Carbamazepine, i-Ethosuximide, i-Felbamate, i-Lacosamide, i-Lamotrigine, i-Methsuximide, i-Oxcarbazepine, i-Phenobarbital, i-Topiramate, i-Valproic acid, i-Vigabatrin
• Imithi yezinkinga zesisu njengemithi yokunciphisa i-acid, i-cimetidine , i-omeprazole, ne-sucralfate
• Imithi evimbela noma elapha amahlule egazi, njengeWarfarin, i-Apixaban, iDabigatran, i-Edoxaban, ne-Rivaroxaban
• I-Chloramphenicol
• I-Chlorpropamide
• I-Cisplatin
• I-Cyclosporine
• I-Disulfiram
• I-Doxorubicin
• I-Doxycycline ( i-Doxycycline )
• Ama-hormone abesifazane, isibonelo amaphilisi e-estrogen kanye nokulawula ukuzalwa
• I-Fluorouracil
• I-folic acid
• I-Irinotecan
• I-Isoniazid
• Iziphumuli zemisipha ngesikhathi sokuhlinzwa
• I-Methadone
• I-Methotrexate
• I-Methylphenidate
• I-Paclitaxel
• Ama-Phenothiazine (isib. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)
• I-Rifampin
• I-St. John's Wort (lena isitshalo)
• Imithi ye-steroid (isb. i-prednisone, i-cortisone)
• I-Sulfadiazine
• I-Sulfamethoxazole
• I-Teniposide
• I-Theophylline
• I-Ticagrelor
• I-Ticlopidine
• I-Tolbutamide
• I-Vitamin D

Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Ungagcina kanjani? (Lokhu kungase kungabi wusizo kuwe)

Njengoba lo muthi wokugomela unikezwa esibhedlela noma emtholampilo, ngokuvamile akudingeki ukhathazeke ngokuwugcina. Kodwa ukuze uqaphele:

• Lomuthi kufanele ugcinwe kude nezingane.
• Kufanele igcinwe ekamelweni lokushisa (phakathi kuka-15 no-30 degrees Celsius).
• Ungasebenzisi umuthi ophelelwe yisikhathi.

Lolu lwazi lubalulekile kubasebenzi besibhedlela.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, yizo izinto eziyinhloko okudingeka uzazi ngomjovo wePhenytoin. Khumbula, lo umuthi obalulekile wokulawula ukuxhuzula.

Into ebaluleke kakhulu ukuthi uma unemibuzo, ukukhathazeka, noma izimpawu ezintsha, khuluma nodokotela wakho, umhlengikazi, noma usokhemisi. Ungafihli lutho kuwe. Bakhona ukuzokusiza.

Ngikufisela ukululama okusheshayo!

I- Phenytoin, i-Phenytoin, ukuxhuzula, isifo sokuwa, umuthi wokugomela, imiphumela emibi, ukuhlinzwa kobuchopho