I-Hyperthyroidism, isimo lapho i-thyroid gland emise okwebhabhathane entanyeni yethu ikhiqiza khona ama-hormone amaningi, yisimo sempilo abantu abaningi ezweni lethu ababhekene naso. Omunye wemithi eyinhloko odokotela abayinikezayo yalolu hlobo lokwelashwa yi-Propylthiouracil. Sonke siyazi lokhu ngegama layo elifushane le-PTU. Ngakho-ke uma unikezwe lo muthi, kubaluleke kakhulu ukwazi konke ngawo kalula nangokucacile.
Uhlobo luni lomuthi i-PTU (Propylthiouracil)?
Kalula nje, i-PTU umuthi otshela i-thyroid gland yakho ukuthi "isebenze kanzima, manje yenza i-hormone encane." Okusho ukuthi, lokho okwenziwa yilo muthi ukunciphisa inani le-thyroid hormone ekhiqizwa yi-thyroid gland.
Odokotela basebenzisa kakhulu lo muthi:
- Lawula ama-hormone e-thyroid amaningi (i-Hyperthyroidism).
- Lawula amazinga akho ama-hormone ngaphambi kokuhlinzwa kwe-thyroid.
- Ngaphambi kokwelashwa nge-iodine enemisebe.
Lo muthi ngezinye izikhathi unganikezwa udokotela wakho ngezinye izimo, ngakho-ke uma unemibuzo, buza udokotela wakho ngawo.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokusebenzisa lo muthi?
Ngaphambi kokuthi uqale ukusebenzisa i-PTU, kubalulekile ukwazisa udokotela wakho ngezinto ezilandelayo, njengoba lezi zingathinta ngqo ukwelashwa kwakho.
- Uma unesifo sesibindi: I-PTU ngezinye izikhathi ingathinta isibindi, ngakho-ke uma unenkinga yesibindi esivele ikhona, udokotela wakho kufanele ayazi.
- Uma unenkinga yegazi, njengokubalwa kwamangqamuzana amhlophe egazi okuphansi: Lokhu kubaluleke kakhulu njengoba lo muthi unganciphisa kakhulu inani lamangqamuzana amhlophe egazi lakho.
- Uma une-allergy ku-PTU noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma uzama ukukhulelwa noma usuvele ukhulelwe: Kufanele ukhulume nodokotela wakho ngokukhethekile mayelana nokusebenzisa lo muthi ngesikhathi sokukhulelwa.
- Uma ungumama oncelisayo.
Uyisebenzisa kanjani kahle le mithi?
Leli iphilisi oliphuza ngomlomo. Kubaluleke kakhulu ukuthatha inani elibekiwe, njengoba nje udokotela wakho ekutshela, ngesikhathi esibekiwe. Thatha umuthi njengoba nje udokotela wakho ekutshela, kathathu ngosuku. Ungathathi okungaphezu kwalokho ocabanga ukuthi kufanele ukuthathe noma uyeke ukuwuthatha.
Into ebaluleke kakhulu ukungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi izimpawu zakho zibuye.
Lo muthi awuvame ukunconywa ezinganeni. Kodwa-ke, ezimweni ezingavamile, lo muthi unganikezwa izingane ezingaphezu kweminyaka engu-6 ubudala ngaphansi kokuqashwa ngudokotela. Udokotela wakho kuphela onganquma.
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 ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane ne-PTU
Uma uthatha i-PTU futhi uthatha neminye imithi ethile, kungase kube nokuxhumana phakathi kwalokhu okubili. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lomuthi | Isimo esisetshenzisiwe |
|---|---|
| I-Aminophylline, i-Theophylline | Ngezifo zokuphefumula ezifana ne-asthma |
| Imithi efana ne-Metoprolol, i-Propranolol | Ngesifo senhliziyo, umfutho wegazi ophakeme |
| I-Digoxin | Ngesifo senhliziyo |
| I-Warfarin | Ukuvimbela ukujiya kwegazi (ukunciphisa igazi) |
Lolu hlu aluphelele.Ngakho-ke, ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Futhi, mtshele uma ubhema noma uphuza utshwala.
Imiphumela emibi engaba khona yalo muthi
Njenganoma yimuphi umuthi, i-PTU ingabangela eminye imiphumela emibi. Eminye yale miphumela idinga ukunakekelwa okusheshayo, kanti eminye ayibi kakhulu.
| Imiphumela emibi ye-PTU | |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukukhathala okukhulu. |
| Izimpawu zokutheleleka (ngenxa yokubala okuphansi kwamangqamuzana amhlophe egazi) | Umkhuhlane, ukubanda, umphimbo obuhlungu, izilonda zomlomo. |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Ezinye izimpawu ezinkulu | Ubuhlungu bamalunga, ukopha noma ukuklwebheka okungavamile, ukushintsha kombono, ukungazweli ezithweni, ubunzima bokuchama. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Imiphumela emibi emincane | Isicanucanu, ukuhlanza, isisu esibuhlungu, ikhanda elibuhlungu, isiyezi, ukozela, izinguquko ekunambithekeni, ukulahleka kwezinwele. |
Izinto okufanele uziqaphele lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Hlola nodokotela wakho njalo ukuze ubone ukuthi isimo sakho siyathuthuka yini. Uzo-oda ukuhlolwa kwegazi (`izibalo zegazi`,` ukuhlolwa kokusebenza kwe-thyroid`). Ungakweqi lokhu.
- Qaphela izimpawu zokutheleleka: Uma uba nomkhuhlane noma umphimbo obuhlungu, ungakushayi indiva. Kungaba uphawu lokubalwa kwamangqamuzana amhlophe egazini okuphansi, ngakho shayela udokotela wakho ngokushesha.
- Ukukhulelwa: Uma uhlela ukukhulelwa, tshela udokotela wakho ngaphambi kokuqala lo muthi. Uma usola ukuthi kungenzeka ukuthi ukhulelwe ngenkathi uthatha lo muthi, yazisa udokotela wakho ngokushesha.
- Ukuhlinzwa: Uma uhlinzwa, qiniseka ukuthi utshela udokotela ohlinzayo ukuthi uthatha i-PTU.
Umlayezo Wokuya Nawe Ekhaya
- Njalo phuza iphilisi le-PTU njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Funa iseluleko sezokwelapha ngokushesha uma uba nezimpawu ezifana nomkhuhlane, umphimbo obuhlungu, noma ukuphuzi kwamehlo noma isikhumba.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Ukuya njalo ekuhlolweni kwezokwelapha kanye nokuhlolwa kwegazi kubalulekile enhlalakahleni yakho.
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