Ingabe udokotela wakho ukunikezile wena noma othile emndenini wakho ukuthi nithathe umuthi iThalidomide? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Ngoba lesi umuthi onamandla kakhulu, futhi udinga ukuqaphela okukhulu. Ngakho-ke, kubalulekile ukwazi konke ngawo. Ake sixoxe ngalo muthi, ngamunye ngamunye, ngendlela elula.
Iyini i-Thalidomide?
Kalula nje, i-thalidomide umuthi olawula izifo ngokushintsha ukusebenza kwesimiso somzimba sokuzivikela. Isetshenziswa kakhulu ukwelapha izimo ezimbili.
1. I-Multiple Myeloma: Lolu uhlobo lomdlavuza oluthinta umongo wamathambo.
2. Uchoko: Lomuthi usetshenziselwa ukwelapha izilonda zesikhumba ezinzima ezibangelwa uchoko nokuvimbela ukuphinda kwazo.
Ngaphandle kwalokhu, odokotela bangase banikeze lo muthi kwezinye izimo zezokwelapha.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezokwelapha ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa (lokhu kuyinto ebaluleke kakhulu ).
- Uma unegciwane le-HIV.
- Uma umfutho wegazi wakho uphansi.
- Inani lamaseli amhlophe egazi eliphansi.
- Uma unezinkinga zezinzwa njengokungezwani komzimba kanye nokuqaqamba kwamalungu omzimba (ubuhlungu bezinzwa).
- Uma unesifo sokuwa esivele njalo.
- Uma une-allergies ku-thalidomide noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
🚨 Ingozi ebaluleke kakhulu futhi enzima: ukukhulelwa!
Lena yinto ebaluleke kakhulu okufanele sonke siyicabangele lapho sikhuluma ngalo muthi. I-Thalidomide umuthi ongaba nemiphumela emibi kakhulu, ebulalayo enganeni esibelethweni.
Ngisho nephilisi elilodwa le-thalidomide lanele ukubangela ukukhubazeka okukhulu kokuzalwa noma ngisho nokufa enganeni engakazalwa. Le ngozi kumele ithathwe ngokungathi sína kakhulu.
Ngakho-ke, abesifazane nabesilisa abasebenzisa lo muthi kumele balandele imithetho eqinile kakhulu.
Iseluleko sabesifazane
- Ngaphambi kokuqala lo muthi, kufanele wenze izivivinyo ezimbili zokukhulelwa ezibonisa ukuthi awukhulelwe.
- Kuyo yonke inkathi yokuphuza umuthi kanye nenyanga eyodwa ngemuva kokuyeka umuthiKumelwe usebenzise izindlela ezimbili zokuvimbela inzalo ezithembekile ngesikhathi esisodwa.
- Ngesikhathi uthatha umuthi, kufanele uhlolwe ukukhulelwa njalo emavikini ama-2-4, njengoba kuqondiswe udokotela wakho.
- Uma usola kancane ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha .
- Gwema ukuncelisa ingane yakho ngokuphelele ngenkathi uthatha lo muthi noma inyanga eyodwa ngemva kokuwuyeka.
Iseluleko samadoda
- Kungakhathaliseki ukuthi uke wahlinzwa i-vasectomy noma cha, kufanele usebenzise ikhondomu ye-latex njalo uma uya ocansini ngenkathi uthatha lo muthi futhi izinsuku ezingu-28 ngemva kokuwuyeka, ngoba lo muthi ungangena esidoda.
- Uma uthola ukuthi umlingani wakho ukhulelwe, tshela udokotela wakho ngokushesha .
- Gwema ngokuphelele ukunikela ngesidoda ngenkathi uthatha umuthi kanye nezinsuku ezingu-28 ngemuva kokuyeka.
Indlela yokusebenzisa umuthi kanye nezinye izindlela zokuqapha
- Indlela Yokuthatha: Gwinya leli kapsuli liphelele ngengilazi yamanzi. Ungayiphuli, ungayichobozi, noma uyihlafune. Uma ulithatha kanye kuphela ngosuku, lithathe ngaphambi kokulala, okungenani ihora elilodwa ngemva kokudla. Lokhu kunganciphisa ukozela okubangelwa umuthi.
- Ukunikela ngegazi: Gwema ukunikela ngegazi ngenkathi uthatha lo muthi futhi inyanga eyodwa ngemuva kokuqeda ukwelashwa.
- Ukozela/Isiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungashintsha imiphumela yemithi futhi bukhulise imiphumela emibi.
- Ukweqisa: Uma ucabanga ukuthi uthathe umuthi omningi kunalokho okufanele ukuthathe, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Ukwabelana ngemithi: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu lo muthi nganoma yisiphi isizathu.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi onamandla, i-thalidomide ingabangela imiphumela emibi. Eminye imbi kakhulu, eminye imnene. Kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyinake |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukulimala Kwezinzwa | Ubuhlungu, ukungazweli, ukusha, noma ukulahlekelwa umuzwa ezandleni noma ezinyaweni. |
| Amahlule egazi | Ubunzima bokuphefumula, ubuhlungu besifuba, ubuhlungu emilenzeni, ukuvuvukala, kanye nokubomvu. |
| Amaseli egazi anciphile | Ukwehla kwamangqamuzana amhlophe egazi nama-platelet, okuholela ekwandeni kwengozi yokutheleleka nokopha (umkhuhlane, ukuphola kancane kwamanxeba, ukuphuka kalula) |
| Izifo zesikhumba ezinzima | Umkhuhlane ohambisana nokubomvu kwesikhumba, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni), ukuvuvukala kobuso noma ama-lymph node. |
| Izimpawu zokopha | Indle emnyama noma ephuzile, ukuhlanza okufana nekhofi, umchamo onsundu/obomvu omnyama, amabala abomvu esikhumbeni, ukuphuma kwegazi ekhaleni/ezinsinini. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukushintsha kokubona ngokuzumayo, ubunzima bokukhuluma, ukungazweli noma ubuthakathaka ebusweni/engalweni/emlenzeni, ubunzima bokuhamba. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Imiphumela evamile | Ukuqunjelwa, ukulahlekelwa yisifiso sokudla, isikhumba esomile, ubuhlungu bemisipha, isicanucanu, ukuvuvukala kwamaqakala/izandla/izinyawo, ukukhathala, ukuthuthumela. |
Umlayezo Wokuya Nawe Ekhaya
- Ingozi Yokukhulelwa: Kubaluleke kakhulu ukugwema ukukhulelwa ngenkathi uthatha i-thalidomide. Ngisho nephilisi elilodwa lingabulala ingane. Bobabili abesifazane nabesilisa kumele balandele ngokuqinile izindlela zokuvimbela inzalo.
- Ungabelani ngemithi: Lo muthi ungowakho kuphela. Ungalokothi wabelane ngawo nabanye.
- Qaphela imiphumela emibi: Uma kuvela imiphumela emibi kakhulu (ikakhulukazi ukulimala kwemizwa, amahlule egazi, isifo sesikhumba esibi), tshela udokotela wakho ngokushesha.
- Izinkinga ngezinye izinto: Gwema ukuphuza utshwala. Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo.
- Landela imiyalelo kadokotela wakho: Thatha umthamo onqunyiwe, ngesikhathi onqunyiwe, njengoba nje udokotela wakho ekutshelile. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
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