Wake wanikezwa umuthi we-steroid ngudokotela? Kungaba yi-Prednisone. Abanye abantu bayesaba kancane lapho bezwa leli gama. "O, lokhu akukuhle emzimbeni, akunjalo?", "Kuyiqiniso ukuthi kwenza ipenisi ibe nkulu?" Kufika imibuzo eminingi engqondweni. Kodwa empeleni lo muthi ubaluleke kakhulu, ngisho nosindisa impilo. Yingakho sinqume ukukhuluma nge-Prednisone namuhla, ewusizo kubantu abaningi.
Iyini ngempela i-Prednisone?
Kalula nje, i-Prednisone iyi-steroid eyenziwe ngumuntu. Ngokwezokwelapha, lezi zibizwa ngokuthi 'ama-corticosteroids.' Zenza izinto eziningana ezibalulekile emizimbeni yethu.
1. Ukunciphisa ukuvuvukala: Ake sithi une-asthma. Bese imigudu yomoya ivuvukala, okwenza kube nzima ukuphefumula. Umuntu onesifo samathambo unamajoyinti avuvukile futhi abuhlungu. Lokho okwenziwa yi-Prednisone ukulawula lokhu kuvuvukala okungafuneki nokuvuvukala emzimbeni. Ngakho-ke, isetshenziselwa izifo eziningi ezifana ne-asthma, ukusabela okuhlukahlukene kokungezwani komzimba, izifo zamalunga, izifo zamathumbu avuvukele.
2. Ukulawula isimiso somzimba sokuzivikela: Ngezinye izikhathi isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu, siqala ngephutha ukuhlasela imizimba yethu. Ezimweni ezinjalo, i-Prednisone isiza ekunciphiseni nasekulawuleni isimiso somzimba sokuzivikela esisebenze ngokweqile.
3. Njengomuthi wokufaka esikhundleni samahomoni: Izindlala zethu ze-adrenal ngokwemvelo zikhiqiza ihomoni ebizwa ngokuthi 'i-Cortisol'. Lokhu kubaluleke kakhulu endleleni imizimba yethu ebhekana ngayo nokucindezeleka, ukugula kanye nengozi. Abanye abantu abakhiqizi ngokwanele le hormone ye-cortisol emizimbeni yabo. Ezimweni ezinjalo, i-Prednisone inikezwa njengesithasiselo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
I-Prednisone iyisidakamizwa esinamandla kakhulu, ngakho-ke kubaluleke kakhulu ukunikeza udokotela wakho ukulandisa okuphelele ngempilo yakho, ikakhulukazi uma unezinye zezimo ezilandelayo:
- Uma usuvele unesifo sikashukela.
- Uma une-high blood pressure.
- Uma unesifo senhliziyo.
- Uma une-glaucoma.
- Uma unesifo sezinso noma sesibindi.
- Uma okwamanje unesifo, ikakhulukazi isifo esibangelwa yigciwane njenge-chickenpox noma i-herpes.
- Izinkinga zesisu noma zamathumbu, ikakhulukazi uma une-gastritis noma izilonda.
- Uma ulashwa noma unomlando wokugula ngengqondo.
- Uma une-osteoporosis.
- I-Myasthenia gravis yisimo sobuthakathaka bemisipha.
- Ukuntuleka kwe-calcium noma inkinga ye-thyroid.
- Isimo esifana ne-'Cushing's syndrome'.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Uma une-allergy kulo muthi noma kunoma yimuphi omunye umuthi, ukudla, noma i-lactose.
Indlela efanele yokusebenzisa umuthi
Njengoba udokotela esho, kubaluleke kakhulu ukuthatha isilinganiso esifanele ngesikhathi esifanele.
- Gwinya leli philisi ngengilazi yamanzi.
- Njalo thatha kanye noma ngemva kokudla. Ungayithathi isisu esingenalutho. Lokhu kunganciphisa izinto ezifana nesilungulela.
- Uma kufanele uyiphuze kanye ngosuku, yiphuze ekuseni noma nini lapho kungenzeka .
- Ungathathi okungaphezu noma okungaphansi komthamo obekwe udokotela wakho.
- Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi umzimba wakho ungakwazi ukuwubekezelela futhi kungabangela ukusabela okubi kakhulu. Uma udokotela wakho efuna ukuthi uyeke ukuthatha umuthi, uzokwenza kanjalo ngokunciphisa kancane kancane umthamo phakathi nezinsuku ezithile (ukunciphisa umthamo).
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwe umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe. Kungcono ukukhuluma nodokotela wakho ngalokhu. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ngaphandle kweseluleko.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane ne-Prednisone
I-Prednisone iyisidakamizwa esingasebenzisana neminye imithi. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo (imithi yezinye izimo, amavithamini, imikhiqizo yamakhambi).
| Isigaba sezidakamizwa | Izinto okufanele uzicabangele |
|---|---|
| Imithi okungafanele ithathwe | Imithi efana neMetyrapone neMifepristone akufanele isetshenziswe nePrednisone. |
| Ama-Painkiller | Ukuthatha imithi yokubulala izinhlungu ye-NSAID efana ne-Aspirin, i-Ibuprofen, ne-Naproxen kungandisa ingozi yezilonda zesisu. Qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuthatha le mithi. |
| Umuthi wesifo sikashukela | Ngenxa yokuthi i-prednisone inyusa amazinga kashukela egazini, umthamo wemithi yesifo sikashukela kungadingeka ulungiswe. |
| Izinto zokunciphisa igazi | Kungase kuhlangane nemithi efana ne-warfarin. |
| Eminye imithi | Imithi efana nePhenytoin, iRifampin, iKetoconazole, iCyclosporine, iDigoxin, kanye namanye amaphilisi okuvimbela inzalo ingasebenzisana nePrednisone. |
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Prednisone ingabangela imiphumela emibi. Iningi lale miphumela linqunyelwe isikhathi osithatha ngaso umuthi. Kodwa kunezinto ezithile okudingeka siziqaphele kakhulu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu ze-Cushing's syndrome | Amafutha ahlala emzimbeni wonke kanye nasemuva kwentamo (i-buffalo hump), ubuso obuyindilinga (ubuso benyanga), imicu epinki/ensomi esikhumbeni, isikhumba esincane esiphuka kalula. |
| Ushukela ophezulu egazini (i-Hyperglycemia) | Ukoma ngokweqile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi. |
| Izinguquko zengqondo | Intukuthelo enkulu, ukucasuka, ukucindezeleka, ukuqwasha, imicabango engavamile. |
| Ukopha kwesisu | Indle emnyama noma ephuzile, ukuhlanza into efana nekhofi elicwengekile, noma igazi. |
| Okunye | Ukwanda komfutho wegazi, ukuvuvukala kwamaqakala, izandla noma izinyawo. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Induna | Ikhanda elibuhlungu |
| Ukwanda kwesifiso sokudla | Ukwanda kwesisindo |
| Isicanucanu | Ubunzima bokulala |
Khumbula, uma unezimpawu zomfutho wegazi ophakeme (ikhanda elibuhlungu kakhulu, ukukhala ezindlebeni, ubuhlungu besifuba), tshela udokotela wakho. Kodwa ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sakhe.
Yini enye okufanele uyiqaphele lapho uthatha umuthi?
- Ukudla Okunempilo: Udokotela wakho angase akutshele ukuthi unciphise ukudla usawoti. Kungumqondo omuhle futhi ukunciphisa ukudla okunoshukela namafutha amaningi.
- Ukutheleleka: Amasosha omzimba wakho angase abe buthaka kancane ngenkathi uthatha lo muthi, ngakho-ke gwema abantu abanezifo (ikakhulukazi i-chickenpox kanye ne-measles).
- Ukuhlinzwa: Uma uzohlinzwa, yazisa ithimba lezokwelapha ukuthi uthatha i-Prednisone (noma uyithathile ezinyangeni ezingu-12 ezedlule).
Umlayezo Wokuya Nawe Ekhaya
- I-Prednisone umuthi obaluleke kakhulu okufanele usetshenziswe ngaphansi kokuqondisa kukadokotela. Ungawesabi ngokungadingekile.
- Thatha umthamo obekwe udokotela, ngesikhathi esibekiwe, ngemva kokudla.
- Into ebaluleke kakhulu ukugwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela nganoma yisiphi isizathu.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu. Uma isetshenziswa kahle, i-Prednisone ingaba usizo olukhulu ekulawuleni izimo eziningi.
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