Ingabe udokotela wakho ukunike isiraphu ye-Rufinamide wena noma ingane yakho ngenxa yesifo sokuwa (isithuthwane)? Igama lomkhiqizo walo muthi lingase libe yi-Banzel. Namuhla, sizoxoxa ngendlela elula neyobungane ngokuthi uyini lo muthi, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele kakhulu.
Kalula nje, iyini i-Rufinamide?
Lona umuthi onikezwa ukuvimbela nokulawula ukuxhuzula noma ukuxhuzula okwenzeka kubantu abanesifo sokuxhuzula. Lo muthi okwenziwa yilo muthi ukuzolalisa imizwa emizimbeni yethu, ikakhulukazi ebuchosheni, ekubeni isebenze ngokweqile. Uma imizwa ithuliswa ngale ndlela, ukulingana kuyalawulwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza lo muthi, udokotela wakho uzokubuza ngezinto ezithile. Kodwa-ke, uma unezinye zezimo ezingezansi, kufanele ukhulume nodokotela wakho ngakho.
- Uma unesifo sesibindi .
- Uma uhlinzwa nge-dialysis ngenxa yesifo sezinso.
- Uma unesifo senhliziyo esibizwa ngokuthi i-Short QT syndrome .
- Uma wena noma omunye umuntu emndenini wakho enomlando wokucindezeleka, imicabango yokuzibulala , noma ukuzama ukuzibulala (ungesabi ukukhuluma ngalokhu, kubaluleke kakhulu ekwelashweni).
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi we-Rufinamide noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngemithi yakho, kubaluleke kakhulu ukuyisebenzisa ngendlela efanele.
- Thatha kanye nokudla: Njalo thatha lo muthi kanye nokudla. Ungawuthathi esiswini esingenalutho.
- Shukumisa ibhodlela kahle: Shukumisa ibhodlela kahle njalo ngaphambi kokuthatha umuthi.
- Thatha umthamo ofanele: Uzothola isirinji esikhethekile sokulinganisa kanye nomuthi. Qiniseka ukuthi ulinganisa umuthi ngaso . Ungasebenzisi izipuni noma izipuni onazo ekhaya. Ngeke zikunike isilinganiso esinembile.
- Yithathe ngesikhathi: Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke, ngesikhathi. Ungathathi okungaphezu kwalokho udokotela wakho akutshele khona.
- Ungayeki ngokuzumayo: Lena yinto ebaluleke kakhulu. Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungandisa amathuba okuba uhlaselwe yisifo sofuba.
Khumbula, lo muthi unikezwa nezingane ezingaphezu konyaka owodwa ezimweni ezithile ezikhethekile. Kodwa njengoba unezinyathelo zokuphepha ezikhethekile, landela imiyalelo kadokotela ngqo.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
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.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi. Into yokuqala okufanele uyenze ukushayela ucingo iNational Poisons Information Centre eColombo National Hospital . Noma uye esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha.
Izinto okufanele uziqaphele kakhulu lapho uthatha lo muthi:
Kubaluleke kakhulu ukunaka izinguquko emzimbeni wakho ngenkathi uthatha lo muthi.
Qaphela ukusabela okukhulu kwesikhumba okungenzeka.
Lokhu kubaluleke kakhulu. Ngezinye izikhathi, ngisho namasonto ambalwa ngemva kokuqala lo muthi, ukusabela okukhulu kwesikhumba okubizwa ngokuthi i-DRESS syndrome kungenzeka. Bheka lezi zimpawu:
- Ukuvuvukala okubomvu noma okunsomi emzimbeni, okuhambisana nezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, kanye nokubanda .
- Kamuva, ukuqhuma kuphenduka amabhamuza futhi isikhumba sizwa sengathi siyaxebuka .
- Ukuvuvukala okubomvu okunokuvuvukala kobuso, izindebe, kanye nama-lymph node entanyeni noma emakhwapheni .
Uma ubona noma yiziphi zalezi zimpawu, yeka ukuthatha imithi ngokushesha bese ushayela udokotela wakho noma uye esibhedlela.
Nakekela impilo yakho yengqondo.
Inani elincane labantu abasebenzisa lo muthi lingase libe nemicabango yokuzibulala noma ukwanda kokucindezeleka. Nakuba lokhu kungavamile kakhulu, kubalulekile ukuqaphela lokhu. Uma wena noma othile omaziyo osebenzisa lo muthi ebona noma yiluphi lwalezi zinguquko, sicela uqaphele.
- Uma uzizwa udangele noma unesizungu.
- Uma unemicabango yokudumala nokukhungatheka ngempilo.
- Uma ubona izinguquko ezisheshayo ekuziphatheni noma emizweni .
Uma uzizwa kanje, sicela utshele udokotela wakho noma ilungu lomndeni olethembayo ngokushesha.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Izindlela zokuvimbela inzalo:Lokhu kubaluleke kakhulu ukuthi abesifazane bakuqaphele. Uma uthatha amaphilisi okuvimbela inzalo aqukethe ama-hormone e-estrogen/progestin, i-Rufinamide inganciphisa ukusebenza kwalawo maphilisi. Ngakho-ke, uma ufuna ukuvimbela ukukhulelwa, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo, njengekhondomu .
- Utshwala: Gwema ukuphuza utshwala ngenkathi uthatha lo muthi. Utshwala bungaphazamisa ukusebenza kahle komuthi futhi bukhulise ukozela.
Imiphumela emibi engaba khona kanye nokusebenzisana okubangelwa imithi
Njenganoma yimuphi umuthi, i-Rufinamide ingabangela imiphumela emibi. Ingaphinde ihlangane neminye imithi.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukusabela kwesikhumba okukhulunywe ngakho ngenhla | Umkhuhlane kanye nokuqubuka, amabhamuza, isikhumba esixebukayo, ukuvuvukala kwesikhumba. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Ukulahlekelwa yibhalansi yomzimba | Ubunzima bokuhamba, ukulahlekelwa yibhalansi noma ukuhlangana kahle. |
| Izinguquko zengqondo | Isithukuthezi, imicabango yokuzibulala, ukucindezeleka. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza. | |
| Imiphumela emibi emincane | Isiyezi, ukozela, ukukhathala, ikhanda elibuhlungu, isicanucanu. |
Ezinye izinto ezingase zihlangane nalo muthi
Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, kanye nemithi yamakhambi oyithathayo. Ikakhulukazi utshwala kanye nemithi elandelayo ingasebenzisana neRufinamide.
- Utshwala
- Eminye imithi enikezwayo yokwelapha ukuquleka (isib. i-Carbamazepine, i-Divalproex, i-Lamotrigine, i-Phenobarbital, i-Phenytoin, i-Primidone, i-Valproic acid)
- Amaphilisi okuvimbela inzalo (ama-hormone e-estrogen noma e-progestin)
- Ezinye izinto zokuphumula imisipha (isib. i-Chlorzoxazone)
- Amanye amaphilisi okulala (isib. i-Triazolam)
Umlayezo Wokuya Nawe Ekhaya
- I-Rufinamide umuthi othulisa imizwa ebuchosheni ukulawula ukuquleka (isithuthwane).
- Njalo thatha lo muthi kanye nokudla , bese uwulinganisa ngesirinji esinikezwe nomuthi.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngokushesha nganoma yiziphi izimpawu ezihambisana nomkhuhlane, njengokuqubuka kwesikhumba , amabhamuza, nokuvuvukala kwesikhumba, kanye nanoma yikuphi ukudabuka noma ukukhungatheka okuzwayo .
- Amaphilisi okuvimbela inzalo angase angasebenzi kahle lapho uthatha lo muthi, ngakho khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo.
- Kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Lokhu kubalulekile ukuze uphephe.
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