Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Tolmetin wezinkinga zamalunga, ukuvuvukala, noma isifo samathambo? Lona umuthi onikezwa abantu abaningi ezweni lethu ngenxa yezinhlungu ezahlukahlukene. Ngakho-ke, njengomsebenzisi walo muthi, kubaluleke kakhulu ekuphepheni kwakho ukwazi konke ngawo. Namuhla, sizokhuluma nje ngalo muthi nezinto okudingeka uziqaphele ngenkathi uwusebenzisa.
Iyini ngempela iTolmetin?
Kalula nje, i-Tolmetin iyisidakamizwa sokuqeda izinhlungu. Ngokwezokwelapha, ingeyesigaba semithi ebizwa ngokuthi i-NSAID (Non-Steroidal Anti-Inflammatory Drug) . Lezi zinhlobo zemithi zilawula kakhulu ubuhlungu, ukuvuvukala, kanye nokuvuvukala emzimbeni. Lo muthi unganikeza impumuzo ezintweni ezifana nobuhlungu bamalunga, ubuhlungu bemisipha, kanye nokungakhululeki okubangelwa yi-arthritis.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokukunikeza i-Tolmetin, kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Isifo senhliziyo noma izinkinga zesistimu yokujikeleza kwegazi: Uma unomfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, noma usanda kwenziwa ukuhlinzwa kwe-bypass (Coronary Artery Bypass Graft - CABG).
- Izinkinga zokopha: Uma unenkinga yokujiya kwegazi noma ezinye izinkinga zokopha.
- Izinkinga zesisu namathumbu: Uma uke waba nezilonda esiswini noma ukopha esiswini ngaphambilini.
- Isifo sezinso noma sesibindi: Uma unesifo sezinso noma sesibindi.
- Izinkinga zokuphefumula: Uma unezifo zamaphaphu ezifana ne-asthma.
- Ezinye izici: Uma uphuza kakhulu, ubhema , unenani eliphansi lamaseli abomvu egazini, uphelelwe amanzi emzimbeni, noma uthatha ama-steroid (isib. i-prednisone).
- Ukungezwani komzimba: Uma une-allergy ku-Tolmetin, ezinye izidakamizwa zokunciphisa ubuhlungu ze-NSAID (isib. i-aspirin, i-ibuprofen), eminye imithi, ukudla noma izithasiselo.
- Ukukhulelwa nokuncelisa: Kubaluleke kakhulu ukwazisa udokotela wakho uma uzama ukukhulelwa, ukhulelwe, noma uncelisa .
Ukukhuluma nodokotela wakho ngaphandle kokufihla lolu lwazi ngeke nje kukusize uhlale uphephile, kodwa futhi kuzokusiza ukuthi uthole okuningi emithini yakho.
Ngingawusebenzisa kanjani umuthi?
Ukuze umuthi usebenze kahle, kumele usetshenziswe kahle.
- Landela imiyalelo kadokotela wakho: Thatha umthamo owunikezwe udokotela wakho, ngesikhathi osinqunyiwe. Landela umuthi njengoba nje usho.
- Gwinya i-capsule yonke: Ungaliphuli, ulichoboze, noma ulihlafune leli capsule. Ligwinye lonke ngengilazi yamanzi.
- Ngaphambi noma ngemva kokudla: Lo muthi kungcono uphuzwe esiswini esingenalutho . Okusho ukuthi, okungenani imizuzu engama-30 ngaphambi kokudla, noma amahora ama-2 ngemva kokudla .
- Uma uphathwa yisisu esibuhlungu: Abanye abantu bangase babe nokucasuka kwesisu noma ukungakhululeki lapho bethatha lo muthi. Uma lokhu kwenzeka, ungabuza udokotela wakho mayelana nokuwuthatha kanye nomuthi ofanele wokulwa ne-acid.
- Uma uneminyaka engaphezu kwengu-65 ubudala: Abantu asebekhulile bangase bazizwe imiphumela yalo muthi inamandla kancane. Ngakho-ke, bangadinga umthamo ophansi. Udokotela wakho naye uzonquma ngalokhu.
- Ezinganeni: Nakuba lo muthi unganikezwa izingane ezingaphezu kweminyaka emibili ubudala kwezinye izimo ezikhethekile, kudingeka izinyathelo zokuphepha ezikhethekile.
Yini okufanele uyenze uma uphuthelwa umthamo noma uthatha kakhulu?
Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Umthamo oweqile: Lesi yisimo esiphuthumayo. Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Eminye imithi okungafanele isetshenziswe nalo muthi futhi engase ihlangane nawo
Uma uthatha i-Tolmetin, kufanele uqaphele kakhulu uma usebenzisa eminye imithi. Ingaba nokuxhumana okukhulu neminye imithi.
| Ukusebenzisana Kwezidakamizwa Ne-Tolmetin | |
|---|---|
| Imithi okungafanele ithathwe ndawonye | |
| I-Cidofovir | I-Methotrexate |
| Eminye imithi nezinto ezingadala ukusabela futhi kufanele zibikwe kudokotela | |
| Utshwala | I-aspirini neminye imithi equkethe i-aspirini |
| Amanye ama-NSAID (isib., i-Ibuprofen, i-Naproxen) | Imithi yokucindezela kwegazi |
| Imithi yokukhipha amanzi emzimbeni (i-diuretics) | I-Lithium |
| Izinhlobo zama-steroid (i-Prednisone, i-Cortisone) | Imithi yokuvimbela ukuqhekeka kwegazi (isib. i-Warfarin) |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) .
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Qaphela izilonda zesisu kanye nokopha kwegazi.
Lo muthi ungalimaza ulwelwesi lwesisu, ubangele izilonda zesisu kanye nokopha. Ngezinye izikhathi lokhu kungenzeka ngaphandle kwesixwayiso . Ukubhema, ukuphuza utshwala, ukuba mdala, nokuba nempilo embi kwandisa ingozi yakho. Uma unezinhlungu ezinkulu zesisu, uhlanza igazi (njengezitsha zekhofi), noma uphuma indle emnyama noma enegazi , funa iseluleko sikadokotela ngokushesha .
Ukuhlaselwa yinhliziyo kanye nengozi yokushaywa yisifo sohlangothi
Ukusebenzisa isikhathi eside ama-NSAID njenge-Tolmetin kungandisa kancane ingozi yakho yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. Le ngozi iphakeme nakakhulu uma usuvele unesifo senhliziyo. Uma uthatha i-aspirin ukuvimbela ukuhlaselwa yinhliziyo, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa i-Tolmetin.
Ukusabela okukhulu kwesikhumba okungenzeka
Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emavikini ambalwa ngemva kokuqala lo muthi. Tshela udokotela wakho ngokushesha uma unomkhuhlane, izinhlungu zomzimba, ukuqubuka kwesikhumba okubomvu noma okunsomi okubangela amabhamuza nokuqhekeka kamuva, noma ukuvuvukala kobuso noma izindebe, kanye nama-lymph node avuvukele.
Uma ukhulelwe futhi ulindele umntwana
Ukuthatha lo muthi phakathi kwamasonto angama-20 nama-30 okukhulelwa kungalimaza ingane engakazalwa. Ngakho-ke, uma uthatha lo muthi phakathi naleso sikhathi, kufanele ube ngaphansi kokuqashwa okuseduze kukadokotela. Ungawuthathi lo muthi ngemva kwamasonto angama-30 okukhulelwa. Futhi, lo muthi ungaba nomthelela othile ekuzaleni.
Ukozela kanye nesiyezi
Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi umuthi ukuthinta kanjani. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo uhleli. Vuka kancane.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Tolmetin ingabangela imiphumela emibi. Eminye yayo ingaba mibi kakhulu, kanti eminye ivamile.
| Imiphumela emibi engaba khona ye-Tolmetin | |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa; ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu zokopha | Indle emnyama noma enegazi; umchamo obomvu noma onsundu omnyama; ukuhlanza okufana nokugayiwe kwekhofi; amabala abomvu esikhumbeni; ukuphuma kwegazi okungavamile ezinsinini noma ekhaleni. |
| Izimpawu ze-clot yegazi | Ubuhlungu esifubeni; ubunzima bokuphefumula; ubuhlungu, ukuvuvukala, noma ukufudumala emlenzeni. |
| Isifo senhliziyo/ukwehluleka kwenhliziyo | Ubunzima bokuphefumula; ubuhlungu noma ukuqina esifubeni, entanyeni, noma ezingalweni; ukukhathala okungavamile; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; ukukhuluphala ngokuzumayo; ukuvuvukala kwamaqakala nezinyawo. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukushintsha kombono; ukudideka; ubunzima bokukhuluma noma ukuqonda; ikhanda elibuhlungu kakhulu; ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze ngokuzumayo. |
| Izimpawu zokulimala kwezinso/kwesibindi | Ubunzima bokuchama noma ushintsho enanini lomchamo; umchamo ophuzi/onsundu omnyama; ukuphuzi kwamehlo noma isikhumba; ubuhlungu engxenyeni engenhla kwesokudla yesisu; ukuphelelwa yisifiso sokudla. |
| Imiphumela emibi evame ukuvame, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isiyezi, ikhanda elibuhlungu | Ukudlula igesi |
| Isicanucanu, ubuhlungu besisu | Ukukhala ezindlebeni |
| Uhudo, isicanucanu, ukuhlanza | |
Umlayezo Wokuya Nawe Ekhaya
- I-Tolmetin umuthi okufanele uthathwe kuphela ngaphansi kweseluleko sikadokotela. Thatha umthamo onqunyiwe, njengoba kunqunyiwe.
- Tshela udokotela wakho ngazo zonke izimo zezokwelapha onazo (ikakhulukazi izinkinga zenhliziyo, izinso, isisu) kanye nayo yonke eminye imithi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu obukhulu besisu, indle emnyama, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukuqubuka okukhulu kwesikhumba.
- Uma uthatha lo muthi, ungaphuzi eminye imithi yokubulala izinhlungu efana ne-Aspirin ne-Ibuprofen ngaphandle kwemvume kadokotela wakho.
- Gwema ukuphuza utshwala ngenkathi uthatha i-Tolmetin. Lokhu kwandisa ingozi yokopha esiswini.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthatha lo muthi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi/ama-capsule e-Tolmetin/Tolectin ayimithi enamandla kakhulu yasiphi isifo?
Lena akuyona iPanadol yakho evamile (i-Paracetamol)! Lona umuthi onamandla kakhulu, ongewona owe-steroidal wokulwa nokuvuvukala (i-NSAID) ohlinzeka ngokulawula okungu-100% ukuvuvukala okungabekezeleleki, ukuvuvukala kanye nobuhlungu bamathambo obubangelwa yi-osteoarthritis, i-rheumatoid arthritis kanye ne-juvenile rheumatoid arthritis (JIA).
💬 Uma amalunga akho evuvukele futhi ebuhlungu, ungabuqeda kanjani ngokuphelele ubuhlungu ngokuthatha la maphilisi (i-Tolmetin)?
Uma ilungu lilimele, umzimba wethu ukhiqiza ikhemikhali ebizwa ngokuthi 'i-Prostaglandins' ukuze ibangele ubuhlungu nokuvuvukala/ukubomvu endaweni. Leyo khemikhali yenziwa yi-enzyme/umshini obizwa ngokuthi 'i-COX (i-Cyclooxygenase)'! Lapho nje lo muthi ungena emzimbeni, uvimba/uvala ngokuphelele futhi uvale yonke leyo mishini ye-COX (i-COX-1 ne-COX-2). Ngemuva kwalokho, umzimba awukwazi ukwenza ama-Prostaglandins, futhi ukuvuvukala nobuhlungu emalungeni kwelashwa ngokushesha.
💬 Yiziphi 'izingozi ezibulalayo' (Isexwayiso Sebhokisi Elimnyama) okumele abantu abaphuza lo muthi onamandla wokuqeda izinhlungu (i-Tolmetin) baziqaphele?
Ubuhlungu sebuphelile, kodwa izingozi zimbi kakhulu! Ingozi enkulu ukuthi uma uphuza lokhu, amathumbu/isisu sakho singabhoboka ngaphandle kwesixwayiso sangaphambilini, ungahlanza igazi (Ukuphuma kwegazi emathunjini/izilonda) bese ushona! Enye into eyingozi kakhulu ukuthi ingozi 'yokuhlaselwa yinhliziyo ngokuzumayo' kanye nokushaya kohlangothi (izehlakalo ze-cardiovascular thrombotic events) iyanda ngo-100%, ikakhulukazi iziguli zenhliziyo akufanele ziphuze lokhu!
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho