Uma wena noma othile omaziyo ene-cystic fibrosis, udokotela wakho kungenzeka ukuthi ukunike lo muthi obizwa ngokuthi i-Tezacaftor; i-Ivacaftor. Igama lomkhiqizo walo muthi yi-Symdeko. Njengoba lo umuthi ungowesimanje, okhethekile, kubaluleke kakhulu ukwazi kahle ngawo nokuwusebenzisa ngendlela efanele. Ngakho-ke namuhla, ake sixoxe nje ngalo muthi, ukuthi usebenza kanjani, ukuthi uwuthatha kanjani, nakho konke okudingeka ukuqaphele.
Kuyini iTezacaftor; i-Ivacaftor?
Kalula nje, leli iphilisi elisetshenziselwa ukwelapha isifo esibizwa ngokuthi i-Cystic Fibrosis (CF). Kodwa-ke, alinikezwa bonke abantu abane-CF. Lo muthi usebenza kuphela kubantu abanezinguquko ezithile ezizakhini zabo zofuzo. Udokotela wakho uzokwenza izivivinyo ezidingekayo ukuze anqume ukuthi lo muthi ukulungele yini. Uyasiza ekulungiseni inkinga ngamaprotheni emzimbeni wakho abangelwa yi-CF. Udokotela wakho angase futhi akunikeze lona ngezinye izizathu. Ngakho-ke uma unemibuzo, buza udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho .
- Uma unesifo sezinso.
- Uma unesifo sesibindi.
- Uma uke waba nokusabela okungavamile kokungezwani komzimba nezithako i-Tezacaftor, i-Ivacaftor, noma yimuphi omunye umuthi, ukudla, noma isilondolozi.
- Uma ukhulelwe, noma ulindele ukukhulelwa maduze.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi kulo muthi, udinga ukuwuthatha njengoba uyalelwe.
- Thatha kanye nokudla okunamafutha: Lo muthi kufanele uthathwe njalo kanye nokudla okunamafutha . Isibonelo, amaqanda, ushizi, ibhotela lamakinati, i-avocado, njll. kuzosiza umzimba ukuthi umunce umuthi kangcono.
- Gwinya ithebhulethi lonke: Ungaliphuli, ulichoboze, noma ulihlafune . Ligwinye lonke ngengilazi yamanzi.
- Ungaphuzi nejusi le-Grapefruit: Lokhu kubaluleke kakhulu. Gwema ukudla noma ukuphuza amagilebhisi noma ijusi le-grapefruit ngokuphelele ngenkathi uthatha lo muthi.Kungaphazamisa ukusebenza kahle komuthi.
- Yithathe ngesikhathi: Thatha umuthi wakho ngesikhathi udokotela wakho akunike sona, ngezikhathi ezifanele. Uma kuba kanye ngosuku, zama ukuwuthatha ngesikhathi esifanayo nsuku zonke.
- Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho: Ungayeki ukuthatha imithi yakho ngaphandle kokubuza udokotela wakho kuqala, kungakhathaliseki ukuthi uzizwa ungcono noma nganoma yisiphi esinye isizathu.
Uma unikeza izingane lo muthi...
Lo muthi ngezinye izikhathi unconywa ezinganeni ezingaphezu kweminyaka engu-6 ubudala. Kodwa-ke, lesi yisinqumo esizokwenziwa udokotela wezingane. Landela imiyalelo yakhe ngqo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu (ukudlula umthamo)?
Uma usola ukuthi uphuze i-overdose, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma, uma kungenzeka , iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha okukhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma kungaphansi kwamahora ayisithupha ngaphambi komthamo wakho olandelayo, yeqa umthamo ongawutholanga. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lo muthi ungase uhlangane neminye imithi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, kanye nezithasiselo). Ithebula elingezansi lichaza lokhu kabanzi.
| Uhlobo lwesidakamizwa | Incazelo / Izibonelo |
|---|---|
| Gwema ukuzithatha ndawonye ngokuphelele. | |
| Eminye imithi enikezwayo yokwelapha ukuqina komzimba | I-Carbamazepine, i-Phenobarbital, i-Phenytoin |
| Umuthi wesifo sofuba | I-Rifampin, i-Rifabutin |
| Ikhambi | I-St. John's Wort |
| Isiphuzo | Ijusi le-Grapefruit |
| Lokhu kungadala nezingxabano (sebenzisa kuphela ngaphansi kweseluleko sezokwelapha) | |
| Amanye ama-antibiotic | I-Clarithromycin, i-Erythromycin, i-Telithromycin |
| Imithi yokulwa nesikhunta | I-Fluconazole, i-Itraconazole, i-Ketoconazole, i-Posaconazole, i-Voriconazole |
| Imithi enikezwa ngemva kokufakelwa | I-Cyclosporine, i-Everolimus, i-Sirolimus, i-Tacrolimus |
| Umuthi wesifo senhliziyo | I-Digoxin |
Imiphumela emibi engaba khona lapho uthatha umuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izinguquko zombono | Ukubona okufiphele, izinguquko kumhlophe emehlweni (ama-cataracts). |
| Izimpawu Zokulimala Kwesibindi | Umchamo ophuzi omnyama noma onsundu, ukuphuzi kwamehlo noma isikhumba (i-jaundice), ukuphelelwa yisifiso sokudla, isicanucanu, ubuhlungu engxenyeni ephezulu kwesokudla yesisu, indle ekhanyayo, ukukhathala okungavamile. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile. |
| Isiyezi | Ukuzizwa unesizungu. Gwema ukushayela. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| Izinkinga ze-Sinus | Ukuminyana kwamakhala, ulwelwesi. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, tshela udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Tezacaftor; I-Ivacaftor (i-Symdeko) umuthi okhethekile onikezwa izimo ezithile zofuzo ze-Cystic Fibrosis.
- Lomuthi kufanele uphuzwe njalo nokudla okunamafutha .
- Gwema ukuphuza ijusi yamagilebhisi ngokuphelele ngenkathi uthatha lo muthi.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Uma ubona noma yiziphi izimpawu zokulimala kwesibindi, njengokushintsha kombono noma ukuphuzi kwesikhumba , funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye.
- Unganqikazi ukubuza udokotela wakho nganoma yiziphi izinkinga.
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