Ngezinye izikhathi, izinto ezifana ne-eczema kanye nokuqubuka esikhumbeni sethu kuyacasula kakhulu, akunjalo? Kuyaluma, kubomvu, futhi ngezinye izikhathi kuyavuvukala... Ngezikhathi ezinjengalezi, udokotela wakho angase akunike ukhilimu obizwa ngokuthi i-Pimecrolimus. ESri Lanka, uyatholakala ngaphansi kwegama lomkhiqizo i-Elidel. Ngakho-ke, namuhla, ake sixoxe ngokuthi uyini ngempela lo khilimu, ukuthi usetshenziswa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.
Uhlobo luni lomuthi i-Pimecrolimus?
Kalula nje, i-Pimecrolimus iyikhilimu enciphisa ukuvuvukala, ukubomvu, ukulunywa, noma ukuqubuka okubangelwa yizimo zesikhumba, ikakhulukazi i-eczema. Amasosha omzimba wethu ngezinye izikhathi asebenza ngokweqile, okubangela lezi zinkinga zesikhumba. Ngakho-ke lokhilimu usebenza ngokulawula amasosha omzimba asebenza ngokweqile esikhumbeni. Lokhu akuyona ukhilimu we-steroid.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo khilimu
Ngaphambi kokuba uqale ukusebenzisa lo khilimu, kufanele utshele udokotela wakho uma unezinye zezimo ezingezansi.
- Uma unohlobo lwe-lymphoma oluthinta isikhumba (`i-Cutaneous T-cell lymphoma`).
- Uma unobuthakathaka noma inkinga ngesimiso sakho somzimba sokuzivikela.
- Uma unesinye isifo, okuhlanganisa isifo esibangelwa yigciwane njenge-chickenpox noma i-herpes.
- Uma unezindawo ezinkulu zesikhumba esishile noma esonakele.
- Uma unesifo sesikhumba esingavamile esibizwa ngokuthi i-'Netherton's syndrome'.
- Uma usanda kudlula noma usanda kwelashwa ngemisebe.
- Uma une-allergy ku-pimecrolimus noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Uyisebenzisa kanjani kahle le nto?
Qaphela la maphuzu uma usebenzisa lo muthi.
Lona umuthi ophuzwayo kuphela . Ungawuphuzi ngomlomo nganoma yisiphi isizathu.
- Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa ukhilimu. Kodwa-ke, uma ufaka umuthi kuzo zombili izandla, zigeze kuphela ngaphambi kokusebenzisa.
- Ungavumeli ukuthi ingene emehlweni akho. Uma kwenzeka ukuthi ingene emehlweni akho ngengozi, wageze kahle ngamanzi ahlanzekile.
- Sebenzisa njengoba kuyalelwe udokotela wakho, ngesikhathi esifanayo nsuku zonke. Ungasebenzisi okungaphezu kwesilinganiso esibekiwe.
- Ngaphambi kokusebenzisa umuthi, hlanza indawo ethintekile yesikhumba, uthambise kahle, bese uyivumela yome. Bese ufaka ungqimba oluncane kakhulu lokhilimu endaweni ethintekile.
- Ngemva kokusebenzisa umuthi, ungayimbozi indawo ngebhandishi noma yini enye. Akukho nkinga ekugqokeni izingubo ezivamile.
- Ungagezi noma uvumele amanzi athinte isikhumba sakho cishe ihora elilodwa ngemuva kokusebenzisa ukhilimu. Ukwenza kanjalo kungasusa umuthi.
- Iphinde inikezwe izingane ezingaphezu kweminyaka emibili ubudala ngenxa yezinye izimo. Kodwa udokotela wakho uzonquma.
Yini okufanele uyenze uma uphuza imithi ngokweqile?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi
Lo khilimu ungase uhlangane nezinye izinto ngenkathi uwusebenzisa. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi namavithamini owasebenzisayo.
| Uhlobo | Incazelo nezibonelo |
|---|---|
| Utshwala | Utshwala noma imithi equkethe iphesenti eliphezulu lotshwala. |
| Eminye imithi yokucindezeleka kwegazi okuphezulu | Ama-calcium channel blockers. Isibonelo: i-diltiazem, i-nifedipine. |
| Imithi yokulwa nesikhunta | Imithi efana ne-itraconazole, i-ketoconazole, ne-fluconazole. |
| Eminye imithi | Imithi efana ne- Cimetidine ne-Erythromycin. |
| Imigomo | Eminye imijovo ingadala izinkinga. Khuluma nodokotela wakho ngaphambi kokuthola umuthi wokugoma. |
Izinto okufanele uzikhumbule uma usebenzisa ukhilimu
- Zivikele elangeni: Isikhumba sakho singase sibe nomuzwa omncane elangeni ngenkathi usebenzisa lo muthi. Ngakho-ke, gwema ukukhanya kwelanga okuqondile . Uma uphuma, gqoka izingubo ezimboza isikhumba sakho, sebenzisa isithambisi selanga esihle, futhi ungasebenzisi izibani zelanga/imibhede yokushiswa kwelanga.
- Qaphela izinguquko zesikhumba: Lo muthi uboniswe ukuthi awukhulisi kakhulu ingozi yomdlavuza wesikhumba (i-melanoma noma umdlavuza wesikhumba). Ngakho-ke, hlola isikhumba sakho njalo ukuze ubone izinguquko ezindaweni zakho ezikhona noma izindawo ezintsha . Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha. Ungakhathazeki, lokhu akuvamile, kodwa kubalulekile ukuqaphela.
- Ukuphuza utshwala: Abanye abantu bangase babe nokuhlanzeka kobuso noma kwesikhumba ngenkathi bethatha lo muthi. Uma lokhu kwenzeka, tshela udokotela wakho.
- Hlola intuthuko yakho: Kungathatha isikhathi ukubona imiphumela yokusebenzisa umuthi. Ngakho-ke, iya kudokotela wakho ngezikhathi ezihleliwe njengoba kuqondiswe.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukuvuvukala/ukuluma endaweni yokufaka isicelo | Ukuvuvukala, ukulunywa, ukuqhekeka, noma ukuxebuka kwesikhumba lapho umuthi wawusetshenziswa khona. |
| Ukutheleleka kwesikhumba | Ukubomvu kwesikhumba, ukuvuvukala, umuzwa wokushisa, noma ubuhlungu. |
| Ezinye izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu. |
| Ukuvuvukala kweqakala | Ukuvuvukala kwama-lymph node entanyeni, emakhwapheni, noma embotsheni. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile. |
| Ukuzwela ekukhanyeni | Ukuzizwa uzwela ukukhanya kwelanga noma ukukhanya okukhulu. |
| Ama-blister amancane | Ukuvela kwama-blister amancane abomvu aqukethe ubomvu eduze kwe-follicle yezinwele esikhumbeni. |
Uwugcina futhi uwususa kanjani umuthi?
Gcina kude nezingane nezilwane ezifuywayo . Gcina ekamelweni lokushisa (phakathi kwama-degrees Celsius angu-20-25), ungafaki efrijini. Lahla ngokucophelela amapayipi emithi aphelelwe yisikhathi noma angasadingeki. Kungcono ukubuza udokotela wakho ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Pimecrolimus umuthi osetshenziswa ngaphandle. Sebenzisa kuphela njengoba udokotela wakho ekuyalile.
- Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Vikela isikhumba sakho elangeni ngenkathi usebenzisa lo khilimu. Kubaluleke kakhulu ukusebenzisa i-sunscreen.
- Hlola isikhumba sakho njalo ukuze uthole amabala amasha noma izinguquko emabala akhona. Uma unenkinga, tshela udokotela wakho ngokushesha.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nokusabela okukhulu kokungezwani komzimba noma eminye imiphumela emibi emibi.
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