Ingabe wena noma ilungu lomndeni wakho ninesifo samaphaphu esibizwa ngokuthi 'i-Idiopathic Pulmonary Fibrosis'? Kalula nje, lesi yisimo lapho amaphaphu eba nezibazi futhi aqine kancane kancane. Udokotela wakho kungenzeka ukuthi unikeze umuthi obizwa ngokuthi i-Pirfenidone ukwelapha lesi simo. Igama lingase lizwakale liyesabeka kancane, kodwa ungakhathazeki. Ake sixoxe ngalo muthi ngendlela elula necacile nokuthi yini okudingeka ukwazi ngayo uma uwusebenzisa.
Uhlobo luni lomuthi i-Pirfenidone (Esbriet)?
I-Pirfenidone umuthi osetshenziselwa ukwelapha isimo esibizwa ngokuthi i-Idiopathic Pulmonary Fibrosis (IPF). Umsebenzi wayo oyinhloko ukunciphisa izinga lokulimala emaphashini. Nakuba lo muthi ungeke welaphe lesi sifo ngokuphelele, unganciphisa izinga lokukhula kwesifo futhi ukusize uzizwe ukhululekile. Iza ngesimo samaphilisi noma ama-capsule. Udokotela wakho uzoncoma lowo okulungele wena.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esiphelele ngesimo sakho sempilo. Ngoba lolo lwazi luzonquma ukuthi lo muthi ukulungele yini noma cha, nokuthi kufanele ube muphi umthamo. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo sakho noma umkhuba wakho | Kungani kufanele wazise udokotela? |
|---|---|
| Isifo sezinso | Lomuthi ususwa emzimbeni yizinso. Uma kunenkinga ngezinso, umuthi ungase uqoqeke emzimbeni futhi wandise imiphumela emibi. |
| Isifo sesibindi | I-Pirfenidone ingathinta isibindi. Uma usuvele unezinkinga zesibindi, kufanele uqaphele kakhulu. |
| Ukubhema ugwayi | Ukubhema kunganciphisa ukusebenza kwalomuthi, ngakho-ke khuluma nodokotela wakho mayelana nokuyeka ukubhema uma uthatha lo muthi. |
| Ezinye izinto ezibangela ukungezwani komzimba | Uma une-allergies ku-pirfenidone noma eminye imithi, ukudla, noma udayi, qiniseka ukuthi utshela udokotela wakho. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Akukabi nolwazi olwanele mayelana nokuphepha kwalomuthi ngesikhathi sokukhulelwa, ngakho-ke kubalulekile ukukhuluma nodokotela wakho ngalokhu. |
| Ukuncelisa | Akucaci ukuthi lo muthi udlulela enganeni ngobisi lwebele yini. Ngakho-ke, uma uncelisa, yazisa udokotela wakho. |
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze umuthi usebenze kahle, kumele uthathwe njengoba uyalelwe.
- Yithathe nokudla: Lena yinto ebaluleke kakhulu. Njalo thatha i-Pirfenidone nokudla. Ukuyithatha esiswini esingenalutho kwandisa ingozi yemiphumela emibi njengesicanucanu kanye nokuphazamiseka kwesisu.
- Thatha nengilazi yamanzi: Gwinya ithebhulethi/ikhaphu yonke ngengilazi yamanzi.
- Yithathe ngesikhathi esifanele: Thatha umthamo ofanele ngesikhathi esifanele njengoba udokotela wakho ekuyalele. Uma utshelwa ukuthi uwuthathe kathathu ngosuku, ungawuthatha kanye nesidlo sasekuseni, sasemini kanye nesakusihlwa.
- Ungayeki ukuthatha imithi yakho wedwa: Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Uma kunikezwa izingane: Lo muthi awuvame ukunikezwa izingane. Kodwa-ke, uma unikezwa esimweni esikhethekile, landela iseluleko sikadokotela wezingane.
Yini okufanele uyenze uma uphuza ngokweqile?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Kuthiwani uma ngiphuthelwa 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.Uma ungakwazanga ukuthatha umuthi izinsuku ezingu-14 noma ngaphezulu, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuqala futhi.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Yebo, i-Pirfenidone ingasebenzisana neminye imithi oyithathayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Uma uthi imithi, ayifaki nje kuphela imithi enqunywe odokotela, kodwa futhi nayo yonke into oyithengayo ekhemisi, njengezinhlungu zobuhlungu, amavithamini, imikhiqizo yamakhambi, imithi yendabuko, kanye nezithasiselo zokudla.
Eminye imithi engabangela izinkinga nge-pirfenidone ihlanganisa:
- Amanye ama-antibiotic (isib. i-ciprofloxacin)
- Eminye imithi ye-asthma (isb. i-zafirlukast, i-zileuton)
- Eminye imithi yokucindezeleka noma ukukhathazeka
- Imithi yokushaya kwenhliziyo okungajwayelekile (isb. i-amiodarone)
- Eminye imithi yokwelapha ukuxhuzula (isib. i-carbamazepine, i-phenytoin)
- Imithi efana ne-cimetidine ye-asidi yesisu
Lolu hlu aluphelele, ngakho-ke kungcono ukunikeza udokotela wakho uhlu lwakho konke okuthathayo.
Izinto okudingeka siziqaphele kakhulu lapho sithatha imithi
Zivikele elangeni!
Lokhu kubaluleke kakhulu. Isikhumba sakho singase sizwele kakhulu elangeni ngenkathi uthatha i-pirfenidone. Lokhu kusho ukuthi noma uvame ukungalimali yilanga, isikhumba sakho singase sishe ngokushesha, sibe bomvu, futhi sivuvuke, njengokushiswa yilanga okukhulu.
- Gwema ilanga: Gwema ukuphuma elangeni ngangokunokwenzeka, ikakhulukazi phakathi kuka-10-11 ekuseni no-3-4 ntambama.
- Gqoka izingubo zokuzivikela: Uma uphuma ngaphandle, gqoka izingubo ezinemikhono emide, ibhulukwe, isigqoko, kanye nezibuko zelanga.
- Sebenzisa i-sunscreen: Sebenzisa i-sunscreen enhle ene-SPF engama-30 noma ngaphezulu, evikela kokubili imisebe ye-UVA ne-UVB. Yisebenzise imizuzu engama-20 ngaphambi kokuya ngaphandle bese uphinda uyifake njalo emahoreni amabili kuya kwamathathu.
- Gwema imibhede yokushiswa kwesikhumba: Ungasebenzisi amadivayisi ashiswa isikhumba ngokwenziwa.
Qaphela imiphumela emibi
Njenganoma yimuphi umuthi, i-Pirfenidone ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye yayo ivamile futhi iyanyamalala ngemva kwezinsuku ezimbalwa. Kodwa eminye yayo kudingeka siyiqaphele kakhulu.
| Imiphumela emibi okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izimpawu Zokulimala Kwesibindi | Umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba (i-jaundice), ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukukhathala okukhulu, indle ekhanyayo. |
| Ukushiswa Yilanga Okubi Kakhulu | Ukubomvu okukhulu, ukuqubuka kwamaqhubu, noma ubuhlungu besikhumba ngemva kokushiswa yilanga. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| |
Uyivikela kanjani imithi yakho?
- Gcina kude nezingane: Lokhu kubaluleke kakhulu. Imithi ayiwona amathoyizi ezingane.
- Gcina ekamelweni lokushisa: Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-15 no-30. Gcina kude nokushisa okukhulu kanye nomswakama.
- Lahla ngemva kokuphelelwa yisikhathi: Ungasebenzisi imithi esidlulile usuku lokuphelelwa yisikhathi ebhodleleni. Yilahle ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha i-Pirfenidone kanye nokudla . Ungayithathi isisu esingenalutho.
- Isikhumba sakho sizozwela kakhulu elangeni ngenkathi uthatha lo muthi. Ngakho-ke, zivikele elangeni , gqoka isivikelo selanga, futhi ugqoke izingubo zokuzivikela.
- Nikeza udokotela wakho uhlu oluphelele lwazo zonke ezinye izidakamizwa, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela.
- Funa usizo lwezokwelapha ngokushesha uma uba nezimpawu zokulimala kwesibindi (ukuphuzi kwamehlo, umchamo omnyama) noma ukusabela okukhulu kokungezwani komzimba.
- Uma unemibuzo noma ukukhathazeka, xoxa ngakho nodokotela wakho. Ungesabi, susa ukungabaza kwakho.
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