Ingabe udokotela wakho ukunike umuthi we-Phenytoin suspension wena noma othile emndenini wakho onesifo sokuwa/sokuquleka? Lo muthi obaluleke kakhulu futhi osekuyisikhathi eside usetshenziswa ukulawula ukuquleka eSri Lanka nasemhlabeni jikelele. Ngakho-ke kubaluleke kakhulu ukuqaphela ngokugcwele lo muthi uma uwusebenzisa. Namuhla, sizokhuluma ngawo kalula nangendlela ongayiqonda.
Iyini ngempela iPhenytoin?
Kalula nje, i-phenytoin iyisidakamizwa esilawula ukusebenza ngokweqile kwamaseli ezinzwa ebuchosheni bakho . Ukuxhuzula kubangelwa ukwanda okungazelelwe, okungalawuleki komsebenzi wezinzwa ebuchosheni. Ngakho-ke lo muthi usebenza ngokuthulisa lawo mangqamuzana nokuvimbela nokulawula ukuxhuzula. Ngezinye izikhathi ungasetshenziswa ngezinye izizathu zezokwelapha. Udokotela wakho uzokuchazela lokhu.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?
Ngaphambi kokuqala i-phenytoin, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
- Uma ungumuntu othanda utshwala .
- Uma ungowozalo lwase-Asia (ezinye izici zofuzo zingase zithinte indlela osabela ngayo emithini).
- Uma unesifo segazi noma inkinga yokujiya kwegazi.
- Uma unesifo sikashukela .
- Uma unesifo senhliziyo noma izinkinga zenhliziyo.
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma unesifo esingavamile esibizwa ngokuthi i-Porphyria .
- Uma uthola ukwelashwa ngemisebe yomdlavuza .
- Uma unemicabango yokuzibulala , uke wazama ukwenza kanjalo ngaphambilini, noma unomlando womndeni wakho wokuzibulala.
- Uma unesifo se-thyroid .
- Uma une -allergy ku-phenytoin noma yimuphi omunye umuthi, ukudla, noma isilondolozi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma uncelisa ingane yakho .
Ukufihla lolu lwazi kungabangela izinkinga ezinkulu. Ngakho-ke xoxa ngakho konke lokhu ngokucacile nodokotela wakho.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Njengoba lo umuthi uketshezi, kubaluleke kakhulu ukukala umthamo oqondile.
- Shukumisa kahle: Ngaphambi kokusebenzisa ibhodlela lomuthi.Njalo shukumisa kahle, njengoba izinhlayiya zomuthi zingase zihlale phansi ebhodleleni.
- Ukulinganisa okulungile: Sebenzisa kuphela inkomishi yokulinganisa ekhethekile, isirinji, noma isirinji/isipuni/idropha lomlomo elinikezwe udokotela wakho noma ikhemisi ukuze ulinganise umuthi wakho. Ungalinganisi ngezipuni noma izipuni zasekhaya. Azinembile.
- Ngesikhathi: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina amazinga omuthi egazini lakho elingana.
- Uma ukudla noma ungadli: Lokhu kungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha kanye nokudla .
- Ungayeki: Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Ukwenza kanjalo kwandisa ingozi yokuthi isifo sokuqina kwemisipha sibuye.
Uma unikeza izingane lo muthi, khuluma nodokotela wakho nganoma yimiphi imiyalelo ekhethekile.
O! Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi uke waba nokuningi kunalokho obekucabanga, ungalibali .
Yiya esibhedlela esiseduze i-Emergency Treatment Unit (ETU) . Futhi, uma kungenzeka, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Lokhu kubaluleke kakhulu.
Yini okufanele uyenze uma uphuthelwa 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 umthamo ophindwe kabili .
Ingabe ikhona eminye imithi engahambisani nalo muthi? (Ukusebenzisana Kwemithi)
Yebo, impela. I-Phenytoin iyisidakamizwa esingasebenzisana neminye imithi eminingi. Lokhu kusho ukuthi uma ithathwa neminye imithi, ukusebenza kahle kwe-phenytoin kungancipha, kwandiswe, noma imiphumela emibi inganda.
Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo) . Ngezansi kuneminye imithi engabangela izinkinga nge-phenytoin.
- Eminye imithi yokulwa namagciwane (leyo enikezwa i-HIV noma i-Hepatitis)
- Ama-antifungal (isb. `(fluconazole)`, `(ketoconazole)`)
- Eminye imithi yokuxhuzula (isib. i-carbamazepine, i-valproic acid)
- Imithi evimbela ukujiya kwegazi (isib. i-warfarin, i-aspirin)
- Imithi yokwehlisa i-cholesterol (isb., i-atorvastatin, i-simvastatin)
- Imithi yokucindezeleka noma ukukhathazeka
- Ama-antibiotic (isib. `(doxycycline)`, `(chloramphenicol)`)
- Imithi yokwelapha ukucasuka kwesisu/i-gastritis (isib. ama-antacid, i-omeprazole)
- Amaphilisi okuvimbela inzalo aqukethe ama-hormone
- Izinhlobo zama-steroid (isb. `(prednisone)`)
- Utshwala
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho nganoma yimiphi imithi oyithathayo.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
- Ukuhlolwa njalo: Udokotela wakho uzokucela ukuthi uhlolwe igazi njalo. Lokhu kuzohlola izinga le-phenytoin egazini lakho bese kunquma ukuthi umthamo udinga ukukhushulwa noma uncishiswe. Ungaweqi lawa mavivinyo.
- Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emavikini ambalwa noma ezinyangeni ezimbalwa ngemva kokuqala lo muthi. Tshela udokotela wakho ngokushesha uma unomkhuhlane, izinhlungu zomzimba, ukuqubuka kwesikhumba okubomvu noma okunsomi, amabhamuza, noma izilonda emlonyeni wakho, ukuvuvukala kobuso noma izindebe zakho, noma ukuqubuka entanyeni noma emakhwapheni akho .
- Ukozela kanye nesiyezi: Lo muthi ungabangela ukozela kanye nesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini kuze kube yilapho umzimba wakho usujwayele umuthi. Qaphela lapho uvuka ngokuzumayo uhleli, ikakhulukazi uma usukhulile.
- Amaphilisi okuvimbela inzalo: Ukuthatha i-phenytoin kunganciphisa ukusebenza kwamaphilisi okuvimbela inzalo. Ngakho-ke uma ungahleli ukuba nomntwana, khuluma nodokotela wakho ngokusebenzisa olunye uhlobo lokuvimbela inzalo (isib. amakhondomu).
- Ukuvuvukala kwezinsini: Lokhu kuwumphumela ovamile we-phenytoin. Izinsini zingakhula ngendlela engajwayelekile. Ngakho-ke geza amazinyo akho kahle nsuku zonke bese ubona udokotela wamazinyo njalo .
- Ukuntuleka kwamavithamini: Ukusetshenziswa kwalomuthi isikhathi eside kungabangela amazinga aphansi evithamini D kanye ne-folic acid. Ngakho-ke, khuluma nodokotela wakho ngokudla ukudla okunomsoco kanye nokuthatha izithasiselo zamavithamini uma kudingeka.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-phenytoin ingabangela imiphumela emibi. Eminye yayo iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izinto okufanele uzibike kudokotela noma ku-ETU ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi, ubunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwamehlo/isikhumba, umchamo omnyama. |
| Izifo zesikhumba ezingathi sína | Umkhuhlane, ohambisana nama-blister abomvu/onsomi esikhumbeni, isikhumba esiqhekekayo, kanye nezilonda emlonyeni. |
| Izimpawu Zobuthi Be-Phenytoin (Ubuthi) | Ukunyakaza kwamehlo okungalawuleki, ubunzima bokuhamba (ukulahlekelwa yibhalansi), ubunzima bokukhuluma, ukozela ngokweqile, isicanucanu/ukuhlanza. |
| Izinguquko zengqondo | Imicabango yokuzibulala, ukwanda kokucindezeleka. |
| Ukopha okungavamile | Ukuphuka noma ukuphuma kwegazi esikhumbeni ngaphandle kwesizathu. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Imiphumela emibi evamile | Ukozela, isiyezi, ikhanda elibuhlungu, ubunzima bokugxilisa ingqondo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Phenytoin umuthi obaluleke kakhulu olawula ukulingana. Yiphuze njengoba nje udokotela wakho ekutshelile, ngomthamo ofanele, ngesikhathi esifanele.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Gwema imisebenzi eyingozi ngenkathi uthatha umuthi ngoba kungabangela ukozela kanye nesiyezi. Gwema utshwala ngokuphelele.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nezilonda zesikhumba ezinzima, izilonda zomlomo, ukuphuzi kwamehlo, noma ukozela ngokweqile, funa iseluleko sezokwelapha ngokushesha.
- Ungayeki ukuthatha umuthi ngokuzumayo noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
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