Ngezinye izikhathi, ukuphatha isisindo sethu noma sezingane zethu kungaba yinselele enkulu. Ikakhulukazi uma imbangela kuyisimo esingavamile sofuzo esingenakulawulwa ngokudla okuvamile nokuzivocavoca umzimba, kungaba yinto ekhathazayo kakhulu. Ingabe udokotela wakho uncome umuthi wokugomela obizwa ngokuthi 'i-Setmelanotide' kuwe noma enganeni yakho? Ngakho ake sixoxe ngemibuzo nokwesaba onakho ngalo muthi ngamazwi alula namuhla.
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Uyini lo muthi wokugomela i-'Setmelanotide'?
Kalula nje, i-Cetmelanotide akuyona umuthi wokwehlisa isisindo onikezwa wonke umuntu. Yimuthi onikezwa ukulawula ukukhuluphala okubangelwa yizimo eziningana ezingavamile zofuzo. Ingowesigaba semithi ebizwa ngokuthi i-'melanocortin 4 (MC4) agonists'. Ngamazwi alula kakhulu, lo muthi uhlose uhlelo lokubonisana ebuchosheni bethu olulawula indlala kanye nokusetshenziswa kwamandla emzimbeni, futhi lusize ekubuyiseleni umsebenzi wawo.
Lo muthi unconywa kakhulu kubantu abanezimo ezilandelayo zofuzo ezingavamile:
- I-Bardet-Biedl syndrome (BBS)
- Ukuntuleka kwe-proopiomelanocortin (POMC)
- Ukuntuleka kwe-proprotein convertase subtilisin/kexin uhlobo 1 (PCSK1)
- Ukuntuleka kwe-Leptin receptor (LEPR)
Kulezi zimo, umzimba awutholi isignali yokuthi "isisu sigcwele, sekuyisikhathi sokudla." Lokhu kuholela ekukhuluphaleni ngokweqile kanye nendlala engalawuleki. Lo muthi wokugomela usiza ukulungisa ukusebenza kwalolo hlelo lokubonisa izimpawu. Lo muthi uvame ukuba ngaphansi kwegama lomkhiqizo elithi IMCIVREE.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuba uqale ukuthatha lo muthi, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngomlando wakho wezempilo ophelele. Ikakhulukazi, kufanele uqiniseke ukuthi ukhuluma ngalokhu okulandelayo:
- Uma okwamanje unesifo sokucindezeleka noma uke waba naso esikhathini esidlule.
- Uma uke waba nemicabango yokuzibulala noma wazama ukuzibulala.
- Uma unesifo sezinso .
- Uma une -allergies ku-cetmelanotide noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela wakho uzokwazi ukunquma ukuthi lo muthi ukulungele yini noma cha.
Ungawusebenzisa kanjani umuthi wokugoma ngendlela efanele?
Lona umjovo ongaphansi kwesikhumba. Lokho kusho ukuthi ufakwa engxenyeni enamafutha ngaphansi kwesikhumba, hhayi emisipheni. Kodwa ungakhathazeki. Udokotela wakho noma umhlengikazi oqeqeshiwe uzokunikeza ukuqeqeshwa okudingayo ukuze uzinike lo mjovo ekhaya.
Izinto ezibalulekile okufanele uzikhumbule:
- Yithathe ngesikhathi:Kubalulekile ukuthatha umuthi ngesikhathi esifanayo nsuku zonke. Sebenzisa isilinganiso esifanele njengoba kunqunywe udokotela wakho.
- Ungayeki: Ungayeki ukuthatha umuthi kuze kube yilapho udokotela wakho ekuyala ukuthi uyeke.
- Lahla izinaliti ngokuphephile: Lokhu kubaluleke kakhulu . Ungalokothi uphonse izinaliti noma amasirinji asetshenzisiwe emgqonyeni kadoti. Lokhu kungaba yingozi kwabanye. Kukhona isitsha sepulasitiki esiqinile esikhethekile ('isitsha esibukhali') ongasisebenzisa ukulahla lezi. Uma ungenaso, cela udokotela wakho akunike sona.
- Uma kunikezwa izingane: Lo muthi unconywa ezinganeni ezingaphezu kweminyaka engu-6 ubudala kwezinye izimo. Kodwa-ke, kufanele kuthathwe ukunakekelwa okukhethekile. Khuluma nodokotela wezingane ngalokhu.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Uma kwenzeka into enjalo, ungesabi futhi ngokushesha shayela i-National Poison Information Centre e-Colombo National Hospital . Ngaphandle kwalokho, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uziqaphele uma usebenzisa umuthi
Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo ngenkathi usebenzisa lo muthi.
- Qaphela izinguquko ekuziphatheni: Lena yinto ebaluleke kakhulu. Uma wena noma umndeni wakho nibona noma yiziphi izinguquko ekuziphatheni kwakho noma kwengane yakho, ningakuzibi. Isibonelo:
- Ukuqala okusha noma ukucindezeleka okubi kakhulu.
- Ukuba nemicabango yokuzilimaza .
- Ukwesaba nokukhathazeka okwandayo.
- Eminye imicabango engavamile noma ephazamisayo.
- Ukulahlekelwa yinkumbulo.
Uma ubona noma yiziphi zalezi zimpawu, khuluma nodokotela wakho ngokushesha. Kubalulekile ukuzazi, ngoba zingaba umphumela omubi womuthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-cetmelanotide ingabangela imiphumela emibi. Lokhu kungahlukaniswa ngezigaba ezimbili eziyinhloko.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko esimweni sengqondo | Ukucindezeleka, imicabango yokuzibulala, ukushintshashintsha kwemizwa ngokuzumayo. |
| Imiphumela engaba khona kwabesilisa | Ukuma okuhlala isikhathi eside noma okubuhlungu okuhlala amahora amaningi. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukusabela kwendawo yomjovo | Ubuhlungu, ukubomvu, noma ukuvuvukala. |
| Imiphumela ohlelweni lokugaya ukudla | Isicanucanu, ukuhlanza, uhudo, ubuhlungu besisu. |
| Eminye imiphumela | Ikhanda elibuhlungu, ukushintsha kombala wesikhumba. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, khuluma nodokotela wakho ngayo.
Ungawugcina kanjani umuthi ngendlela efanele?
Kubaluleke kakhulu futhi ukugcina lo muthi ngendlela efanele.
- Gcina kude nezingane nezilwane ezifuywayo.
- Indlela engcono kakhulu yokugcina isesiqandisini: Gcina ama-vial angavulwanga esiqandisini. Ungalivuli i-vial kuze kube yilapho isilungele ukusetshenziswa.
- Ukugcina endaweni yokushisa kwegumbi: Uma kudingeka, ingagcinwa endaweni yokushisa kwegumbi (phakathi kwama-degree Celsius angu-20-25) kuze kube yizinsuku ezingu-30.
- Okubaluleke kakhulu: Ibhodlela elivuliwe kufanele lilahlwe ngemva kwezinsuku ezingu-30, noma ngemva kosuku lokuphelelwa kwalo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cetmelanotide akuyona umuthi wokwehlisa isisindo ojwayelekile. Inikezwa kuphela ezifweni ezingavamile kakhulu, ezithile zofuzo ezibangela ukukhuluphala.
- Ngaphambi kokuqala imithi, tshela udokotela wakho ngomlando wakho wezempilo ophelele, ikakhulukazi noma yiziphi izinkinga zempilo yengqondo.
- Qaphela kakhulu nganoma yiziphi izinguquko ekuziphatheni kwakho noma kwengane yakho noma esimweni sayo sengqondo ngenkathi uthatha imithi. Uma ubona noma yiziphi izinguquko, yazisa udokotela wakho ngokushesha.
- Lahla njalo izinaliti ezisetshenzisiwe kanye nezinaliti ngokuphephile esitsheni esibukhali.
- Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
- Landela imiyalelo kadokotela wakho njalo. Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo.
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