Kwabanye abantu, ikakhulukazi labo abaphila nezimo ezifana neSmith-Magenis Syndrome, ukulala kungaba yinselele enkulu. Kungaba nzima ukungakwazi ukulala kahle ebusuku nokulala emini. Ngakho-ke, ezimweni ezinjengalezi, iTasimelteon umuthi okhethekile odokotela abawuncomayo ukusiza ekulawuleni indlela yokulala yemvelo yomzimba. Namuhla, sizokhuluma ngalo muthi ngamagama alula, ukuthi ungawusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Tasimelteon umuthi osiza ekulawuleni ubuthongo bemvelo bomzimba wakho kanye nomjikelezo wokuvuka. Ubuchopho bethu bunesimiso esisebenza njengewashi lemvelo. Ezimweni ezifana ne-Smith-Magnesium syndrome, leli washi lingaphazamiseka, okubangela ukungakwazi ukulala ebusuku kanye nokulala ngokweqile emini. Lo muthi usebenza ngokubuyisela leyo ndlela yokulala ephazamisekile futhi ukusize ulale ngesikhathi esifanele. Uvame ukusetshenziswa njenge-suspension, futhi uyatholakala ngaphansi kwegama lomkhiqizo i-HETLIOZ LQ.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala umuthi
Ngaphambi kokuba unikezwe i-Tasimelteon, kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
- Uma unesifo sesibindi .
- Uma ubhema .
- Uma uke waba nokusabela kokungezwani komzimba ne-Tasimelteon noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma unethemba lokukhulelwa maduze .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha kanye nomthamo ozonikezwa.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Umuthi womlomo: Lona umuthi womlomo oza ngesimo soketshezi (ukumiswa).
- Ngesikhathi esifanele: Kufanele uphuze lokhu ngesikhathi esifanayo njalo ebusuku ngaphambi kokulala .
- Shukumisa kahle: Ibhodlela lomuthi kufanele lishukumise kahle ngaphambi kokusebenzisa.
- Ukulinganisa okulungile: Sebenzisa isirinji yomlomo ephawulwe ngokukhethekile, isipuni, noma idropha elihambisana nomuthi ukuze ulilinganise. Ungalilinganisi ngezipuni noma izipuni onazo ekhaya, ngoba lokhu akunembile.
- Esiswini esingenalutho: Lo muthi uthathwa esiswini esingenalutho.Kungcono ukuyiphuza. Lokho kusho ukuthi kufanele uyiphuze okungenani isigamu sehora ngaphambi kokudla, noma amahora amabili ngemva kokudla.
- Qhubeka usebenzisa: Qhubeka usebenzisa umuthi njengoba uyalelwe kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Into ebaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele, njengoba udokotela ekutshela. Futhi lo muthi ungowakho kuphela. Ungalokothi wabelane ngawo nabanye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuphuza umuthi wakho ngolunye usuku, yeqa lowo mthamo. Ungakhathazeki. Vele uthathe umthamo wakho ojwayelekile ngosuku olulandelayo ngesikhathi sakho esijwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Ukusebenzisana nemithi
I-Tasimelteon ingasebenzisana neminye imithi kanye nokudla. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini).
| Izinkinga ezingaba khona (ukusebenzisana) ne-Tasimelteon | |
|---|---|
| Ungazisebenzisi lezi nge-Tasimelteon. | |
| I-Ramelteon | I-Viloxazine |
| Qiniseka ukuthi utshela udokotela wakho ngalezi zinto futhi. | |
| Utshwala | Imikhiqizo equkethe i-melatonin |
| I-Fluvoxamine (umuthi wesifo sengqondo) | I-Rifampin (i-antibiotic yesifo sofuba) |
| Eminye imithi yokwelapha izifo zesikhunta (isb. i-ketoconazole) | Eminye imithi yokwelapha umfutho wegazi ophakeme kanye nesifo senhliziyo (isib. i-metoprolol, i-propranolol) |
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesizungu ngemva kokuthatha lo muthi. Ngakho-ke, ungazibandakanyi kunoma yimiphi imisebenzi ngaphandle kokulungiselela ukulala ngemva kokuthatha lo muthi. Ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokuzumayo: Gwema ukuvuka uhleli noma uphume embhedeni ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunciphisa ingozi yokuba nesiyezi nokuwa.
- Gwema utshwala: Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi. Utshwala bungaphazamisa ukusebenza kahle komuthi.
- Ukubhema: Tshela udokotela wakho uma ubhema. Lo muthi ungathinta impilo yakho ngendlela ehlukile kubantu ababhemayo. Futhi, uma unquma ukuyeka ukubhema, tshela udokotela wakho.
- Ukweqisa umthamo: Uma ucabanga ukuthi uthathe umuthi omningi kunalokho okucabangayo, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Tasimelteon ingabangela imiphumela emibi kwabanye abantu. Nakuba iningi lalawa lincane, kunezinto ezithile okufanele uziqaphele.
| Umphumela ongemuhle | Okufanele ngikwenze |
|---|---|
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba • Ukuqubuka kwesikhumba • Ukuluma • Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo | Lokhu kungaba izimpawu zesimo esibucayi. Funa iseluleko sezokwelapha ngokushesha. |
| Izinto ngokuvamile ezingadingi ukunakekelwa kwezokwelapha, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Uma lokhu kuqhubeka noma kukukhathaza, khuluma nodokotela wakho. |
| Amaphupho acacile noma amaphupho amabi | |
Ungawugcina futhi uwulahle kanjani umuthi ngokuphephile?
- Indawo Yokugcina: Gcina ibhodlela lemithi esiqandisini . Ungaligcini esiqandisini , ngoba lokhu kungabangela ukuthi umuthi wonakale. Gcina kude nezingane nezilwane ezifuywayo.
- Ukuphelelwa yisikhathi: Uma ibhodlela selivuliwe, isikhathi sokuphelelwa yisikhathi siyahlukahluka kuye ngobukhulu bebhodlela (isib. amasonto ama-5 ebhodleleni elingu-48 ml, amasonto ayi-8 ebhodleleni elingu-158 ml). Uma lesi sikhathi noma usuku lokuphelelwa yisikhathi ebhodleleni seludlulile, lahla umuthi osele.
- Ukulahlwa: Indlela engcono kakhulu yokulahla imithi engasetshenziswanga noma ephelelwe yisikhathi ukuyinikela ohlelweni lukahulumeni lokubuyisela imithi. Buza udokotela wakho ngalokhu. Uma lokho kungenzeki, hlanganisa imithi nento efana nodoti wekati, inhlabathi, noma ikhofi, uyifake esikhwameni esivalwe kahle, bese uyilahla emgqonyeni kadoti.
Umlayezo Wokuya Nawe Ekhaya
- I-Tasimelteon umuthi okhethekile wezinkinga zokulala ezibangelwa yi-Smith-Magenis syndrome. Kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.
- Thatha umuthi ngesikhathi esifanayo njalo ebusuku, esiswini esingenalutho. Ungalingani ngezipuni onazo ekhaya, sebenzisa idivayisi ekhethekile yokulinganisa enikeziwe.
- Ungase uzizwe ulele ngemva kokuthatha umuthi, ngakho ungashayeli noma wenze noma yini edinga ukunakekelwa.
- Kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo, noma yiziphi ezinye izifo onazo, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Gwema utshwala ngokuphelele ngenkathi uthatha umuthi.
- Uma uzwa izimpawu zokusabela okukhulu kokungezwani komzimba (ukuqubuka kwesikhumba, ukuvuvukala), funa iseluleko sezokwelapha ngokushesha.
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