Ingabe une -Ankylosing Spondylitis ? Uma kunjalo, cishe unezinhlungu emhlane wakho, ezinqeni, nakwamanye amalunga, kanye nokuqina kwasekuseni. Lapho welapha lesi simo, odokotela baqala ngokuzama ukukunikeza imithi yokwelapha izinhlungu efana ne-Ibuprofen ne-Naproxen, ebizwa ngokuthi i-NSAIDS (imithi elwa nokuvuvukala engeyona eye-steroidal) . Kodwa ngezinye izikhathi le mithi ayikusebenzeli. Noma ungase ungakwazi ukusebenzisa lawa ma-NSAID ngenxa yezinye izinkinga zempilo. Yilapho udokotela wakho angase acabangele khona omunye umuthi ofana ne-Sulfasalazine. Ikakhulukazi uma une-ankylosing spondylitis kanye nesifo samathumbu esivuvukalayo (IBD) , i-Sulfasalazine ingaba yisisombululo esihle.
Lo muthi obizwa ngokuthi i-Sulfasalazine usebenza kanjani emzimbeni?
Kalula nje, i-Sulfasalazine iyisidakamizwa esilawula ukuvuvukala emzimbeni. Kunamakhemikhali abizwa ngokuthi ama-prostaglandins asiza ekubangeleni ubuhlungu nokuvuvukala emizimbeni yethu. I-Sulfasalazine isebenza ngokumisa ukukhiqizwa kwalawo makhemikhali. Lo muthi ekuqaleni wawuvunyelwe ukwelapha isimo esibizwa ngokuthi i-ulcerative colitis , esithinta amathumbu.
Kodwa akugcini nje ngokunciphisa ubuhlungu. Odokotela babiza lo muthi ngokuthi i-DMARD (umuthi oguqula izifo olwa namathambo) . Kusho ukuthini lokho? Lokhu kusho ukuthi ngaphezu kokulawula ubuhlungu nokuvuvukala okubangelwa yi-arthritis, lo muthi ungashintsha nohlobo lwesifo ngokwawo. Lokhu kusho ukuthi awukwazi nje ukucindezela izimpawu, kodwa futhi uvimbele nomonakalo wesikhathi eside emalungeni akho. Ngakho-ke, lo muthi ungasiza futhi ekuvimbeleni imisebenzi yakho yansuku zonke ukuthi ingabi namandla ngenxa ye-ankylosing spondylitis.
Lo muthi usebenza kangakanani ekwelapheni i-ankylosing spondylitis?
I-Ankylosing spondylitis ithinta kakhulu umgogodla. I-Sulfasalazine iwusizo kakhulu uma unezinkinga ngamalunga akho angaphandle, ngaphezu komgogodla wakho. Lokhu kusho ukuthi ingasiza ekunciphiseni ubuhlungu nokuvuvukala kwamalunga akho. Ingasiza futhi ekunciphiseni ukuqina komhlane wakho futhi ikwenze uzizwe ukhululekile kancane.
Kodwa masibe neqiniso. Izifundo azikafakazeli ngokusobala ukuthi ukusebenzisa lo muthi kuzothuthukisa kakhulu ukunyakaza komgogodla noma kuthuthukise kakhulu ukusebenza komzimba wakho. Futhi akunawo umthelela omkhulu ezimweni zokuvuvukala ezenzeka emisipha exhumene namalunga.
Kolunye ucwaningo, i-sulfasalazine iqhathaniswa nomunye umuthi obizwa ngokuthi i-etanercept . I-Etanercept isesigabeni semithi ebizwa ngokuthi i-TNF-alpha inhibitors esebenza ngendlela ehlukile. Kulolo cwaningo, i-etanercept itholakale isebenza kahle kakhulu kune-sulfasalazine. Ngakho-ke, uma ama-NSAID engasebenzi kuwe, kungase kube neminye imithi engase isebenze kangcono kuwe kune-sulfasalazine. Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ngalokho okulungele wena nokuthi i-sulfasalazine iyakufanelekela yini ukuyizama.
Ngingayisebenzisa kanjani i-Sulfasalazine?
Lokhu kuza ngesimo sephilisi. Into ebaluleke kakhulu ukuthatha lo muthi kanye nokudla. Ukuze ugweme ukuphatheka kabi kwesisu, phuza nengilazi egcwele yamanzi. Udokotela wakho uvame ukuqala iphilisi elilodwa noma amabili ngosuku. Ngemuva kwalokho, ungandisa kancane kancane umthamo njengoba kudingeka.
Khumbula, kubalulekile ukuphuza amanzi amaningi noma ezinye izinto eziwuketshezi usuku lonke ngenkathi uthatha lo muthi. Ungawuthathi lo muthi esiswini esingenalutho. Futhi, ungawuthathi lo muthi ngemva kokuthatha ama-antacid ekwelapheni i-gastritis.
Elinye iphuzu elibalulekile ukuthi lo muthi ungaba nomthelela omncane ekumuncweni komzimba kwe-folate yezakhamzimba. Ngakho-ke, udokotela wakho uvame ukukutshela ukuthi uphuze iphilisi le-folic acid kanye nalo muthi. Lokhu kubaluleke kakhulu uma ukhulelwe noma uhlela ukukhulelwa.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuphuza iphilisi , lithathe ngokushesha nje lapho ukhumbula. Kodwa ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe.
Iyini imiphumela emibi yalo muthi?
Njenganoma yimuphi umuthi, i-Sulfasalazine ingaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ake sibheke imiphumela emibi evamile neyivelakancane.
| Imiphumela Engemihle Ye-Sulfasalazine | |
|---|---|
| Imiphumela emibi evame ukubonwa | |
| Ikhanda elibuhlungu | Lokhu kungenzeka uma umthamo womuthi ukhuphuka. |
| Isicanucanu nokuhlanza | Kuvame kakhulu ezigabeni zokuqala zokusebenzisa imithi. |
| Imfiva | Kungenzeka njengokusabela emzimbeni. |
| Ukuqhuma kwesikhumba | Kungaba uphawu lokungezwani komzimba. |
| Ukungazali kwabesilisa | Inani lesidoda lingase lehle, kodwa lokhu kubuyela esimweni esijwayelekile ngemva kokuyeka umuthi. |
| Ukuzwela elangeni | Isikhumba singasha kalula. |
| Ukuphuzi kwesikhumba nomchamo | Lokhu akusikho okufanele kukhathazeke ngakho futhi kubangelwa yimithi. Kodwa-ke, kubalulekile ukwazisa udokotela. |
| Imiphumela emibi engavamile kodwa engaba yingozi | |
| I-Hepatitis, i-pneumonia, i-Stevens-Johnson syndrome, i-hemolysis, ukuvuvukala kwezinso, kanye nenani eliphansi lamaseli amhlophe egazi. | |
Akufanele ukhathazeke ngale miphumela emibi engavamile kodwa emibi kakhulu. Udokotela wakho uzokuqapha eduze ngenkathi uthatha lo muthi. Ngemva kwamasonto ayisithupha okuqala, bese kuba njalo ezinyangeni eziyisithupha, igazi lakho lizohlolwa ukuze kuhlolwe inani lamaseli egazi lakho kanye nokusebenza kwezinso. Uma uthola noma yiziphi izimpawu ezintsha ocabanga ukuthi zingaba umphumela omubi womuthi, tshela udokotela wakho ngokushesha.
Ubani okungafanele asebenzise i-Sulfasalazine?
Uma une-allergy emithini ye-sulfa, akufanele uwuthathe lo muthi. Kodwa-ke, ngezinye izikhathi, noma ngabe uhlangabezana nezimpawu ezincane ze-allergy lapho uqala ukuthatha umuthi, umuthi usebenza kahle esimweni sakho se-ankylosing spondylitis. Ezimweni ezinjalo, khuluma nodokotela wakho mayelana nokuthi kufanelekile yini ukuqhubeka nokuthatha umuthi. Kungenzeka ukuthi umzimba wakho uzojwayela kancane kancane umuthi futhi ukusabela kuzonyamalala. Ezimweni ezinjalo, udokotela wakho uzoqala ngomthamo ophansi kakhulu futhi andise umthamo kancane kancane.
Umlayezo Wokuya Nawe Ekhaya
- I-Sulfasalazine ayisiyo nje imithi yokuqeda izinhlungu. Iwumuthi oguqula izifo oqeda amalunga (DMARD ) ovimbela ukulimala kwamalunga.
- Njalo thatha lo muthi kanye nokudla namanzi amaningi. Gwema ukuwuthatha esiswini esingenalutho.
- Ngesikhathi uthatha umuthi , qiniseka ukuthi udokotela wakho unikeza ukuhlolwa kwegazi ngesikhathi . Lokhu kubaluleke kakhulu ukuze uphephe.
- Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ikakhulukazi umkhuhlane, ukuqubuka kwesikhumba, noma ukukhathala okukhulu.
- Nakuba inani lesidoda emadodeni lingathinteka, liba lesikhashana futhi libuyela esimweni esijwayelekile ngemva kokuyeka umuthi.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela.
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