Ingabe udokotela wakho wake wakutshela ukuthi izinga lakho le-sodium liphansi kancane ngemva kokubheka ukuhlolwa kwegazi lakho? Ngezinye izikhathi lesi simo singaba sibi kakhulu. Kalula nje, i-sodium ibalulekile ukuze imizimba yethu isebenze. Uma iphansi kunenani elidingekayo, siyibiza ngokuthi i-hyponatremia. Ngakho-ke, umuthi okhethekile odokotela abawuncomayo ezimweni ezinjalo yi-Tolvaptan. Ake sixoxe ngalomuthi namuhla.
Know your body mass index (BMI) and weight classification
Kuyini iTolvaptan?
I-Tolvaptan iyi-diuretic. Isebenza ngokukwenza uchame kakhulu, okusiza umzimba wakho ukuthi ukhiphe amanzi angaphezulu. Lokhu kusiza ukulawula amazinga amanzi emzimbeni wakho nokubuyisela amazinga aphansi e-sodium egazini lakho.
Lo muthi usetshenziswa kakhulu ukwelapha i-hyponatremia, isimo lapho amazinga e-sodium egazini ephansi khona . Kodwa-ke, udokotela wakho angase awunike ngezinye izikhathi nakwezinye izimo zezokwelapha.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokukunikeza i-Tolvaptan, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezibalwe ngezansi.
| Isimo sakho | Kungani kufanele ngazise udokotela ? |
|---|---|
| Uma ungazizwa womile | Njengoba lo muthi wehlisa amanzi emzimbeni, kunethuba elikhulu lokuphelelwa amanzi emzimbeni uma ungazizwa womile. |
| Uma unesifo sezinso noma isifo sesibindi | Njengoba lo muthi ukhishwa emzimbeni ngezinso nesibindi, umthamo womuthi ungadinga ukulungiswa uma kunezinkinga ngalezi zitho zomzimba. |
| Uma uluthakile utshwala noma ungondlekile kahle | Ngaphansi kwezimo ezinjalo, ukusebenza kahle kanye nemiphumela emibi yomuthi kungashintsha. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Kuyadingeka ukuqinisekisa ukuphepha kwalo muthi ngesikhathi sokukhulelwa nokuncelisa. |
| Uma une-allergy ku-Tolvaptan noma kunoma yimuphi omunye umuthi noma ukudla. | Lokhu kubaluleke kakhulu ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
Ngingawusebenzisa kanjani lo muthi?
Kufanele uphuze leli philisi nengilazi yamanzi. Kungcono ukuliphuza ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekutshelile. Ungaliphuza ngaphambi noma ngemva kokudla. Kodwa uma uzizwa isisu sibuhlungu, liphuze kanye nokudla. Qhubeka uphuze iphilisi kuze kube yilapho udokotela wakho ekutshelile ukuthi uyeke.
Kubaluleke kakhulu: Ungalokothi uthathe lo muthi kanye nejusi lamagilebhisi . Ijusi lamagilebhisi lingathinta kakhulu indlela lo muthi osebenza ngayo.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.
Eminye imithi engasebenzisana ne-Tolvaptan (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemikhiqizo yamakhambi), njengoba eminye imithi ingasebenzisana neTolvaptan futhi ibangele imiphumela emibi eyingozi.
| Ungayithathi i-Tolvaptan kanye nalomuthi. | |
|---|---|
| Imithi yokulwa nesikhunta | i-ketoconazole, i-itraconazole, i-voriconazole |
| Ama-antibiotic athile | i-clarithromycin, i-telithromycin |
| Imithi ye-HIV/AIDS | Imithi efana ne-ritonavir, indinavir, nelfinavir |
| Okunye | nefazodone, conivaptan, ribociclib |
| Qaphela kakhulu lapho uthatha iTolvaptan nalo muthi. | |
| Imithi yokulwa nokuquleka | i-carbamazepine, i-phenytoin, i-phenobarbital |
| Imithi yesifo senhliziyo kanye nomfutho wegazi ophezulu | i-digoxin, i-cyclosporine |
| Okunye | I-Desmopressin, i-St. John's Wort, i-rifampin |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
Imiphumela emibi engase ivele lapho uthatha umuthi
Njenganoma yimuphi umuthi, iTolvaptan ingabangela imiphumela emibi. Nakuba eminye ingeyona embi kakhulu, kunezinto okufanele siziqaphele kakhulu.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Izimpawu Zokulimala Kwesibindi | Umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo nesikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukukhathala okukhulu, ukulahlekelwa yisifiso sokudla. |
| Izimpawu zokukhula ngokushesha kwamazinga e-sodium | Ukudideka, ukozela ngokweqile, ubuthakathaka bemisipha, ukuxhuzula, ubunzima bokukhuluma noma bokugwinya. |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Amazinga e-potassium akhuphukile egazini | Ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuthakathaka bemisipha. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Umlomo owomile | Lesi yisimo esijwayelekile esingase senzeke ngenxa yesenzo somuthi. |
| Ukuqunjelwa | Kungalawulwa ngokuphuza amanzi amaningi nokudla ukudla okune-fiber eningi. |
Uma unesicanucanu esikhulu, ukuhlanza, noma ukujuluka, tshela udokotela wakho ngokushesha. Lokhu kungaba yingozi uma ulahlekelwa amanzi amaningi emzimbeni wakho ngenkathi uthatha lo muthi.
Kufanele uwugcine kanjani umuthi wakho?
Gcina lo muthi kude nezingane nezilwane ezifuywayo, ezingeni lokushisa legumbi (phakathi kwama-degree Celsius angu-20-25). Ungasebenzisi umuthi ophelelwe yisikhathi.
Uma ulahla imithi engasetshenziswanga noma ephelelwe yisikhathi, yilahle ngendlela enobungani nemvelo. Uma kungenzeka, buza udokotela wakho ngohlelo lokubuyisela imithi. Uma kungenjalo, uma ungayilahla kudoti, faka imithi eqabungeni, uyichoboze, uyixube nento efana namaqabunga etiye asetshenzisiwe, bese uyibeka esikhwameni esivalwe kahle bese uyiphonsa kudoti.
Umlayezo Wokuya Nawe Ekhaya
- I-Tolvaptan umuthi okhethekile onikezwa abantu abanamazinga aphansi e-sodium egazini (i-Hyponatremia).
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo.
- Ungalokothi uphuze ijusi yamagilebhisi ngenkathi uthatha lo muthi.
- Qaphela imiphumela emibi engathi sína, njengezimpawu zokulimala kwesibindi kanye nokwenyuka okusheshayo kwamazinga e-sodium. Uma ubona noma yikuphi kwalokhu, yazisa udokotela wakho ngokushesha.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
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