Uma wena noma othile omaziyo ene-Multiple Sclerosis (MS), udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Ponesimod. Igama lingase lizwakale lingavamile. Kodwa ungakhathazeki. Kalula nje, umuthi osiza ukulawula ukuphinda ubuye (ukuphinda ubuye) kwezimpawu ze-MS. Kodwa-ke, akuyona ikhambi le-MS. Ngakho-ke, namuhla sizokhuluma nge-Ponesimod ngendlela elula kakhulu ukuze uqonde ukuthi ungayisebenzisa kanjani, ukuthi yini okufanele uyiqaphele, kanye nemiphumela yayo emibi.
Yini okufanele ngiyitshele udokotela ngaphambi kokuqala lo muthi?
I-Ponesimod umuthi onamandla kakhulu, ngakho-ke kubaluleke kakhulu ukunikeza udokotela wakho umlando ophelele wempilo yakho ngaphambi kokuwuqala. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Isifo Sikashukela (i-Diabetes Mellitus)`
- Noma yisiphi isifo samehlo noma ukukhubazeka kokubona
- Isifo senhliziyo , ukuphazamiseka kwesigqi senhliziyo, noma umfutho wegazi ophakeme
- Ubuthakathaka obuthile ohlelweni lokuzivikela komzimba
- Ukutheleleka kwamanje (ikakhulukazi izifo ezibangelwa amagciwane njenge-chickenpox kanye ne-herpes)
- Izifo zesibindi
- Uma kuye kwabikwa ukuthi inani legazi liphansi, njengamaseli amhlophe egazi aphansi, ama-platelet, noma amaseli abomvu egazi
- Izifo zamaphaphu (isibonelo, i-asthma, i-COPD)
- Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo
- Uma uke waba nomdlavuza wesikhumba (umdlavuza wesikhumba/i-melanoma)
- Uma uke waba nesifo sohlangothi noma ukuhlaselwa yi-ischemic okuhamba kancane (i-TIA) ngaphambilini
- Uma une -allergy ku-Ponesimod noma kunoma yimuphi omunye umuthi noma ukudla.
- Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa , kubalulekile ukuthi wazise udokotela wakho ngalokhu.
Kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela ngaphandle kokufihla lolu lwazi.
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lo muthi ilula kakhulu. Kodwa into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Phuza leli philisi nengilazi yamanzi .
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke . Lokhu kuzosiza ukugcina umuthi usezingeni elifanayo emzimbeni wakho.
- Ungaliphuli, ulichoboze, noma ulihlafune. Gwinya lonke iphilisi.
- Lokhu kungathathwa ngaphambi noma ngemva kokudla.Uma uzizwa unesisu esibuhlungu, sithathe kanye nokudla.
- Qhubeka usebenzisa umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Kubaluleke kakhulu ukungadli ukudla. Uma ukhohlwa ukuthatha umthamo, ungesabi bese ucela iseluleko kudokotela wakho mayelana nokuthi yini okufanele uyenze ngokulandelayo.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Okubaluleke kakhulu: Lo muthi unikezwe wena kuphela . Ungalokothi wabelane ngawo nanoma ubani omunye noma uvumele omunye umuntu awusebenzise.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
I-Ponesimod ingasebenzisana neminye imithi oyithathayo. Lokhu kubizwa ngokuthi "ukuxhumana." Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
Ngezansi kuneminye imithi engase ihlangane ne-Ponesimod.
| Uhlobo lwesidakamizwa | Incazelo nezibonelo |
|---|---|
| Imithi okungafanele ithathwe nePonesimod | |
| Eminye imithi ye-MS | Isibonelo: `i-fingolimod`, `i-siphonimod` |
| Imithi ethinta izinga lokushaya kwenhliziyo | Isibonelo: `dronedarone`, `thioridazine`, `pimozide` |
| Okunye | `cisapride`, `saquinavir` |
| Eminye imithi engasebenzisana ne-Ponesimod | |
| Imithi yokuvimbela amasosha omzimba | Isibonelo: `alemtuzumab` kanye neminye imithi enciphisa ikhono lokulwa nezifo |
| Imithi yokucindezeleka kwegazi kanye nesifo senhliziyo | Eminye imithi ethinta isigqi sokushaya kwenhliziyo |
| Imithi yokwelapha ukuxhuzula | Isibonelo: `carbamazepine`, `phenobarbital`, `phenytoin` |
| Imithi yokugomela igciwane ephilayo | Akukhuthazwa ukuzithatha lezi ngenkathi uthatha lo muthi. |
| Imithi yokulwa negciwane lesandulela ngculazi noma i-hepatitis | Eminye imithi yokulwa namagciwane ingase ihlangane nalokhu. |
Izinto okufanele uzikhumbule lapho uthatha umuthi
Udinga ukunakekela impilo yakho kancane ngenkathi uthatha lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Njengoba kuqondiswe udokotela wakho, iya emtholampilo njalo ukuze uhlole isimo sakho. Uma izimpawu zakho zingathuthuki noma zingabi zimbi kakhulu, zibike.
- Ukunakekelwa Kokubona: Udokotela wakho angase akuncome ukuthi uhlolwe amehlo akho ngaphambi nangesikhathi sokwelashwa ngalo muthi. Uma ubona noma yiziphi izinguquko ekuboneni kwakho, njengokubona okufiphele, tshela udokotela wakho ngokushesha.
- Ingozi yokutheleleka: Lo muthi ungase unciphise kancane amasosha omzimba. Ngakho-ke, ingozi yokuthola izifo iphakeme. Uma uzwa izimpawu ezifana nomkhuhlane, ukubanda , umphimbo obuhlungu, kanye nokukhwehlela, ungaziphilisi futhi ukhulume nodokotela wakho. Zama ukugwema izindawo lapho abantu abagulayo bechitha khona isikhathi.
- Ingozi yokutheleleka kobuchopho okukhulu: Akuvamile kakhulu, lo muthi ungabangela ukutheleleka kobuchopho okukhulu okubizwa ngokuthi 'i-Progressive Multifocal Leukoencephalopathy (PML).' Noma yiziphi izinguquko embonweni, ekucabangeni, ekukhulumeni, ekuhambeni, noma ekulinganiseni komzimba, ubunzimaUma uzizwa, ungakuzibi. Funa iseluleko sezokwelapha ngokushesha.
- Gwema ukukhulelwa: Lokhu kubaluleke kakhulu. Ungakhulelwa ngenkathi uthatha lo muthi futhi isonto elilodwa ngemuva kokuyeka . Qiniseka ukuthi usebenzisa izindlela zokuvimbela inzalo ezithembekile. Lokhu kungaba yingozi kakhulu enganeni engakazalwa, ngakho-ke qaphela kakhulu. Uma usola ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.
- Ukuyeka umuthi: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zakho ze-MS ukuba ziphinde zibe zimbi kakhulu.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Ponesimod ingabangela imiphumela emibi. Nakuba eminingi yale mithi incane, kunezinto ezithile okufanele siziqaphele ngokukhethekile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko ekushayeni kwenhliziyo | Ubunzima bokuphefumula, ubuhlungu besifuba, isiyezi, ukuquleka, ukushaya kwenhliziyo okusheshayo ngendlela engavamile, okuhamba kancane , noma okungajwayelekile. |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukukhathala okungavamile. |
| Izimpawu zesifo sohlangothi | Ukungazweli noma ubuthakathaka bobuso, ingalo noma umlenze, ubunzima bokukhuluma noma ukuqonda, ikhanda elibuhlungu elibi ngokuzumayo. |
| Ezinye izimpawu ezinkulu | Ukushintsha kombono, ukudideka, ukuxhuzula, ubunzima bokuphefumula, izimpawu zomkhuhlane wobuchopho (ikhanda elibuhlungu, intamo eqinile). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isiyezi | Isiyezi |
| Umlomo owomile | Umlomo owomile |
| Ubuhlungu emalungeni | Ubuhlungu emilenzeni noma ezingalweni |
Umlayezo Wokuya Nawe Ekhaya
- I-Ponesimod umuthi olawula ukubuya kwezimpawu ze-Multiple Sclerosis (MS), kodwa awusiqedi ngokuphelele lesi sifo.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Phuza umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela. Ungayeki ukudla.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi, njengezimpawu zokutheleleka, izinguquko zombono, izinguquko ekushayeni kwenhliziyo, noma izimpawu zokukhubazeka.
- Gwema ukukhulelwa ngenkathi uthatha lo muthi futhi isonto elilodwa ngemuva kokuyeka. Indlela yokuvimbela inzalo ethembekile ibalulekile.
- Gwema ukuyeka imithi ngaphandle kweseluleko sikadokotela wakho.
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