Ukulimala kwesibindi okubangelwa izidakamizwa

Ukulimala kwesibindi okubangelwa izidakamizwa ukulimala kwesibindi okungenzeka uma uthatha imithi ethile.

Ezinye izinhlobo zokulimala kwesibindi zifaka:

• I-hepatitis yegciwane
• Isifo sokusha kwesibindi esidakayo
• I-hepatitis ezenzakalelayo
• Ukugcwala kwensimbi
• Isibindi esinamafutha

Isibindi sisiza umzimba ukudiliza imithi ethile. Lokhu kufaka phakathi ezinye izidakamizwa ozithenga ngaphezu kwe-counter noma umhlinzeki wakho wezokunakekelwa kwempilo akumisela khona. Kodwa-ke, inqubo ihamba kancane kwabanye abantu. Lokhu kungakwenza ube sethubeni lokuthola ukulimala kwesibindi.

Eminye imithi ingadala i-hepatitis ngemithamo emincane, noma ngabe uhlelo lokuwohloka kwesibindi lujwayelekile. Imithamo emikhulu yemithi eminingi ingalimaza isibindi esijwayelekile.

Izidakamizwa eziningi ezahlukahlukene zingadala i-hepatitis ebangelwa yizidakamizwa.

Ama-painkillers kanye nokunciphisa imfiva okuqukethe i-acetaminophen kuyimbangela ejwayelekile yokulimala kwesibindi, ikakhulukazi lapho kuthathwa ngemithamo emikhulu kunaleyo enconyiwe. Abantu abaphuza utshwala ngokweqile maningi amathuba okuba nale nkinga.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen, i-diclofenac, ne-naproxen, nayo ingadala i-hepatitis ebangelwa izidakamizwa.

Ezinye izidakamizwa ezingaholela ekulimaleni kwesibindi zifaka:

• Amiodarone
• Ama-Anabolic steroids
• Amaphilisi okuvimbela inzalo
• I-chlorpromazine
• I-Erythromycin
• IHalothane (uhlobo lwe-anesthesia)
• IMethyldopa
• Isoniazid
• IMethotrexate
• Izitatimende
• Izidakamizwa zeSulfa
• AmaTetracyclines
• I-Amoxicillin-clavulanate
• Eminye imithi elwa nokuquleka

Izimpawu zingafaka

• Ubuhlungu besisu
• Umchamo omnyama
• Uhudo
• Ukukhathala
• Imfiva
• Ubuhlungu bekhanda
• I-jaundice
• Ukuphelelwa isifiso sokudla
• Isicanucanu nokuhlanza
• I-Rash
• Izitulo ezimhlophe noma zobumba

Uzohlolwa igazi ukuhlola ukusebenza kwesibindi. Ama-enzyme wesibindi azoba ngaphezulu uma unaleso simo.

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba ukuze ahlole isibindi esikhulisiwe nesisa esiswini engxenyeni engakwesokudla yendawo yesisu. Ukuqhuma noma umkhuhlane kungaba yingxenye yokuphendula okuthile kwezidakamizwa okuthinta isibindi.

Ukuphela kokwelapha okuqondile kwamacala amaningi wokulimala kwesibindi okubangelwa ukuthatha umuthi ukumisa umuthi odale inkinga.

Kodwa-ke, uma uthathe imithamo ephezulu ye-acetaminophen, kufanele welashelwe ukulimala kwesibindi emnyangweni ophuthumayo noma okunye ukwelashwa okunamandla ukwelashwa ngokushesha okukhulu.

Uma izimpawu zinzima, kufanele uphumule futhi ugweme ukuzivocavoca okunzima, utshwala, i-acetaminophen, nanoma yiziphi ezinye izinto ezingalimaza isibindi. Ungadinga ukuthola uketshezi ngomthambo uma isicanucanu nokuhlanza kubi kakhulu.

Ukulimala kwesibindi okubangelwa izidakamizwa kuvame ukuphela zingakapheli izinsuku noma amasonto ngemuva kokuyeka ukuthatha umuthi owudalile.

Imvamisa, ukulimala kwesibindi okubangelwa izidakamizwa kungaholela ekuhlulekeni kwesibindi.

Shayela umhlinzeki wakho uma:

• Uba nezimpawu zokulimala kwesibindi ngemuva kokuqala ukuthatha umuthi omusha.
• Kutholwe ukuthi unokulimala kwesibindi okubangelwa izidakamizwa futhi izimpawu zakho azibi ngcono ngemuva kokuyeka ukuthatha umuthi.
• Uba nezimpawu ezintsha.

Ungalokothi usebenzise okungaphezu komthamo onconywayo wemithi engaphezulu kwamanani equkethe i-acetaminophen (iTylenol).

UNGAYITHATHI le mithi uma uphuza kakhulu noma njalo; khuluma nomhlinzeki wakho ngamanani aphephile.

Hlala utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi izidakamizwa ezingekho emthethweni namalungiselelo amakhambi noma okwengeza. Lokhu kubaluleke kakhulu uma unesifo sesibindi.

Khuluma nomhlinzeki wakho ngeminye imithi ongayidinga ukuyigwema. Umhlinzeki wakho angakutshela ukuthi imiphi imithi ephephile kuwe.

I-hepatitis enobuthi; Isifo sokusha kwesibindi esibangelwa izidakamizwa

• Uhlelo lokugaya ukudla
• I-hepatomegaly

Chalasani NP, Hayashi PH, Bonkovsky HL, et al. Umhlahlandlela Womtholampilo we-ACG: ukuxilongwa nokuphathwa kokulimala kwesibindi okubangelwa izidakamizwa. NginguJ Gastroenterol. 2014; 109 (7): 950-966. I-PMID: 24935270 www.ncbi.nlm.nih.gov/pubmed/24935270.

Chitturi S, Teoh NC, Farrell GC. I-hepatic metabolism metabolism kanye nesifo sesibindi esibangelwa izidakamizwa. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 88.

UDevarbhavi H, uBonkovsky HL, uRusso M, uChalasani N. Ukulimala kwesibindi okubangelwa izidakamizwa. Ku: Sanyal AJ, Boyer TD, Lindor KD, Terrault NA, abahleli. I-Hepatology kaZakim neBoyer. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 56.

Theise ND. Isibindi nenyongo. Ku: Kumar V, Abbas AK, Aster JC, ama-eds. AmaRobbins kanye neCotran Pathologic Basis of Disease. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 18.