Isicanucanu nokuhlanza okwenzeka ezinyangeni ezimbalwa zokuqala zokukhulelwa kubizwa ngokuthi ' Ukugula Kwasekuseni '. Nakuba igama lisikisela isicanucanu sasekuseni, singavela nganoma yisiphi isikhathi sosuku. Kwabanye omama, kungaba nzima kakhulu. Ungase uhlanze kakhulu kangangokuthi awukwazi ukugcina lutho phansi. Ngakho-ke, ngezikhathi ezinjengalezi, udokotela wakho angase akunike umuthi obizwa ngokuthi i-Zofran. Namuhla, ake sixoxe ngokuthi i-Zofran iyini, iphephile kangakanani, nokuthi yini okudingeka ukwazi ngayo.
Iyini i-Zofran (Ondansetron)?
Kalula nje, i-Zofran yigama lomkhiqizo womuthi i-Ondansetron. Ekuqaleni yasungulwa ukulawula isicanucanu nokuhlanza okubangelwa yi-chemotherapy ezigulini ezinomdlavuza. Isebenza ngokuvimbela isenzo sesithunywa samakhemikhali (i-neurotransmitter) ebuchosheni bethu esibizwa ngokuthi i-serotonin . Le serotonin yilokho okusiza ukulawula izinto ezifana nesifiso sethu sokudla, ukugaya ukudla, kanye nemizwa yethu.
Ngaphezu kokwelashwa komdlavuza, odokotela basebenzisa lo muthi kwezinye izimo eziningana.
- Ukuhlanza ngenxa ye -anesthesia
- Ukuhlanza okubangelwa ukwelashwa ngemisebe
- Ngemva kokuhlinzwa okuthile
Okwamanje, ukusetshenziswa kwalomuthi ekuhlanzeni okukhulu ngesikhathi sokukhulelwa, okwaziwa nangokuthi 'ukugula kwasekuseni', sekuthandwa kakhulu. Ngokusho kweminye imibiko, lo muthi unconywa cishe koyedwa kwabane omama abakhulelwe . Lo muthi unganciphisa ingozi yokuphelelwa amanzi emzimbeni kanye nokwehla kwesisindo uma uhlanza ngokweqile.
I-Zofran inganikezwa ngezindlela ezintathu. Ivame ukunikezwa njengephilisi elincane elincibilika ngaphansi kolimi. Ngaphezu kwalokho, inganikezwa njengomjovo emisipheni noma nge-intravenously (IV) nge-saline uma kudingeka.
Ingabe kuphephile ngempela ukusebenzisa i-Zofran ngesikhathi sokukhulelwa?
Lena yinkinga enkulu abantu abaningi abanayo. Nakuba i-US Food and Drug Administration (FDA) isivumile lesi sidakamizwa sokuhlanza iziguli ezinomdlavuza, ayikasivumi ngokusemthethweni sokuhlanza ngesikhathi sokukhulelwa . Kodwa ungesabi. Ngisho noma udokotela engasivumi ngenxa yesimo esithile, uyazi kahle ngezinzuzo zalesi sidakamizwa futhi usincoma kwesinye isimo, esibizwa ngokuthi "ukusetshenziswa ngaphandle kwelebula."
Izifundo eziningi zikhombisile ukuthi ukuthatha lo muthi phakathi nekota yokuqala yokukhulelwa akukhulisi ingozi yokukhubazeka okukhulu kokuzalwa .
- Ucwaningo olwenziwe yi-CDC e-United States lubonise ukuthi omama abathatha i-Zofran babengenawo amathuba aphezulu okukhubazeka okukhulu kokuzalwa.
- Ucwaningo olukhulu olwenziwe eDenmark ngo-2013 lubonise ukuthi lo muthi awukhulisi ingozi yalokhu okulandelayo:
- Isisindo esiphansi sokuzalwa
- Ukulethwa kwangaphambi kwesikhathi
- Ukukhula komntwana kuyehla.
- Izinkinga ezinkulu zokuzalwa
- Ukuzalwa Komntwana Ofile
- Ukuphuphuma kwesisu
Kodwa kukhona into encane. Lezi zifundo zibonisa ingozi encane kakhulu. Okusho ukuthi, kungase kube nengozi encane kakhulu, engathi sína yokuqhekeka komlomo kanye nokukhubazeka okuthile kwenhliziyo ezinganeni ezithola iZofran. Ngokwezibalo, le ngozi ingaphansi kwezingane ezintathu kweziyi-10,000 ezizalwa omama abathatha iZofran. Ngakho-ke lokhu akuvamile kakhulu. Lezi zifundo zithi futhi kudingeka ucwaningo olwengeziwe ngalokhu.
Enye into ebalulekile ukuthi ngo-2011, i-FDA yaxwayisa ngokuthi i-Zofran ingabangela izinkinga ezithile zenhliziyo kamama. Ngokukhethekile, izimo ezibizwa ngokuthi i-QT prolongation kanye ne-torsade de pointes . Lezi yizimo ezibangela ukushaya kwenhliziyo okungajwayelekile. Le ngozi nayo incane kakhulu, kodwa uma unesifo senhliziyo, kufanele nakanjani utshele udokotela wakho ngaso ngaphambi kokuthatha lo muthi.
Iyini imiphumela emibi yalo muthi?
Njenganoma yimuphi umuthi, i-Zofran ingaba nemiphumela emibi emincane. Ake sibone ukuthi iyini. Ungayiqonda kahle le miphumela kusukela kuthebula elingezansi.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi evamile (ngokuvamile ayibi mibi kakhulu) |
|
| Imiphumela emibi kakhulu (funa iseluleko sezokwelapha ngokushesha!) |
Uma uhlangabezana nanoma yimiphi yale miphumela emibi kakhulu, shayela udokotela wakho ngokushesha . Uma kungenzeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lokhu kubaluleke kakhulu.
Azikho yini ezinye izindlela ezilula zokusiza ngokuhlanza?
Yebo, ikhona ngempela. Ngaphambi kokusebenzisa umuthi ofana neZofran, udokotela wakho uzokweluleka ukuthi uzame lezi zinto ezilula.
Shintsha ekudleni
Izikhathi eziningi, ungase uhlanze ngenxa yokudla okuthile. Ukugwema ukudla okunamafutha, okubabayo, nokunuka kamnandi kakhulu kungakunikeza impumuzo enkulu. Ucwaningo lubonisa ukuthi omama abakhulelwe abangu-9 kwabayishumi bangalawula ukuhlanza ngokulawula ukudla kwabo bodwa.
I-Vitamin B6
I-Vitamin B6 iyinto esiza ekunciphiseni isicanucanu. Kodwa kufanele uyithathe kuphela ngomthamo udokotela wakho akutshela wona. Ngokuvamile akulungile ukuthatha ngaphezu kwama-milligram ayi-100 (100mg) ngosuku. Ngoba ukwenza kanjalo kungabangela ukulimala kwesikhashana kwemizwa.
Ujinja
Ijinja ilungele futhi isicanucanu. Ukuphuza itiye lejinja noma ukusebenzisa umkhiqizo wemvelo oqukethe ijinja kunganikeza impumuzo.
Umlayezo Wokuya Nawe Ekhaya
- I-Zofran (Ondansetron) umuthi okumele unqunywe udokotela. Ungalokothi uwuthathe lo muthi ngaphandle kweseluleko sikadokotela wakho.
- Nakuba izifundo eziningi ziqinisekisile ukuphepha kwayo, qaphela izingozi ezincane kodwa ezibalulekile enganeni nakumama. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
- Kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi isifo senhliziyo) noma eminye imithi oyiphuzayo.
- Ngaphambi kokusebenzisa imithi yokuhlanza okukhulu, zama izindlela ezilula njengokushintsha ukudla, i-vitamin B6, kanye nejinja ngaphansi kwesiqondiso sikadokotela wakho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu ngemva kokuthatha umuthi, funa iseluleko sezokwelapha ngokushesha.
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