Ukujova kweCyanocobalamin

-Delile

• Ngaphambi kokusebenzisa umjovo we-cyanocobalamin,
• Umjovo we-cyanocobalamin ungadala imiphumela emibi. Tshela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

Umjovo we-cyanocobalamin usetshenziselwa ukwelapha nokuvimbela ukushoda kukavithamini B₁₂ lokho kungabangelwa yinoma ikuphi kokulandelayo: i-anemia eyingozi (ukungabi bikho kwezinto zemvelo ezidingekayo ukumunca uvithamini B₁₂ kusukela emathunjini); izifo ezithile, izifo, noma imishanguzo eyehlisa inani likavithamini B₁₂ kumuncwe ekudleni; noma i-vegan diet (ukudla okuqinile kwemifino okungavumeli noma imiphi imikhiqizo yezilwane, kufaka phakathi imikhiqizo yobisi namaqanda). Ukuntuleka kukavithamini B₁₂ kungadala i-anemia (isimo lapho amangqamuzana abomvu egazi engalethi umoya-mpilo owanele ezithweni) nokulimala unomphela kwezinzwa. Umjovo we-cyanocobalamin nawo unganikezwa njengesivivinyo sokubona ukuthi umzimba ungamunca kahle kanjani uvithamini B₁₂. Umjovo we-cyanocobalamin usekilasini lemithi ebizwa ngamavithamini. Ngenxa yokuthi ijojowe ngqo egazini, ingasetshenziselwa ukunikela ngovithamini B₁₂ kubantu abangakwazi ukumunca le vithamini emathunjini.

I-cyanocobalamin iza njengesisombululo (uketshezi) ukujova emsipheni noma ngaphansi kwesikhumba. Imvamisa ijovwa ngumhlinzeki wezokunakekelwa kwempilo ehhovisi noma emtholampilo. Cishe uzothola umjovo we-cyanocobalamin kanye ngosuku ngezinsuku zokuqala eziyi-6-7 zokwelashwa kwakho. Njengoba amangqamuzana akho abomvu egazi abuyela kokujwayelekile, cishe uzothola imishanguzo njalo ezinsukwini ezi-2, bese kuthi njalo emva kwezinsuku eziyi-3-4 amasonto ama-2-3. Ngemuva kokuthi kwelashwe i-anemia yakho, cishe uzothola imishanguzo kanye ngenyanga ukuvimbela izimpawu zakho ukuthi zingabuyi.

Umjovo we-cyanocobalamin uzokunikeza uvithamini B owanele₁₂ inqobo nje uma uthola imijovo njalo. Ungathola imijovo ye-cyanocobalamin njalo ngenyanga impilo yakho yonke. Gcina konke ukuqokwa ukuze uthole imijovo ye-cyanocobalamin noma ngabe uzizwa uphilile. Uma uyeka ukuthola imijovo ye-cyanocobalamin, i-anemia yakho ingabuya futhi izinzwa zakho zingalimala.

Umjovo we-cyanocobalamin kwesinye isikhathi usetshenziselwa ukwelapha izimo ezizuzwe njengefa ezinciphisa ukumuncwa kukavithamini B₁₂ kusukela emathunjini. Umjovo we-cyanocobalamin kwesinye isikhathi usetshenziselwa ukwelapha i-methylmalonic aciduria (isifo esizuzwe njengefa lapho umzimba ungeke ukwazi ukudiliza amaprotheni) futhi kwesinye isikhathi unikezwa izingane ezingakazalwa ukuvimbela i-methylmalonic aciduria ngemuva kokuzalwa. Khuluma nodokotela wakho ngezingozi ezingenzeka zokusebenzisa lesi sidakamizwa ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-cyanocobalamin,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-cyanocobalamin injection, i-gel ekhaleni, noma amaphilisi; i-hydroxocobalamin; amavithamini amaningi; noma imiphi eminye imithi noma amavithamini; noma i-cobalt.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-antibiotic afana ne-chloramphenicol; colchicine; i-folic acid; i-methotrexate (i-Rheumatrex, i-Trexall); i-para-aminosalicylic acid (iPaser); futhi pyrimethamine (Daraprim). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uphuza noma wake waphuza utshwala obuningi futhi uma uke noma wake waba ne-Leber's hereditary optic neuropathy (ukulahleka kokubona okuhamba kancane, okungenabuhlungu, okokuqala esweni elilodwa bese kuba kwelinye) noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa umjovo we-cyanocobalamin, shayela udokotela wakho. Khuluma nodokotela wakho ngenani levithamini B₁₂ kufanele uthole nsuku zonke lapho ukhulelwe noma uncelisa ibele.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uphuthelwa isikhathi sokuthola umjovo we-cyanocobalamin, shayela udokotela wakho ngokushesha okukhulu.

Umjovo we-cyanocobalamin ungadala imiphumela emibi. Tshela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:

• isifo sohudo
• uzizwe sengathi umzimba wakho wonke uvuvukele

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ubuthakathaka bemisipha, amajaqamba, noma ubuhlungu
• ubuhlungu bomlenze
• ukoma ngokweqile
• ukuchama kaningi
• ukudideka
• ukuphefumula, ikakhulukazi lapho uzivocavoca noma ulele phansi
• ukukhwehlela noma ukuphefumula
• ukushaya kwenhliziyo okusheshayo
• ukukhathala ngokweqile
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ubuhlungu, imfudumalo, ubomvu, ukuvuvukala noma isisa emlenzeni owodwa
• ikhanda
• isiyezi
• umbala wesikhumba obomvu, ikakhulukazi ebusweni
• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

Umjovo we-cyanocobalamin ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Udokotela wakho uzogcina lo muthi ehhovisi lakhe.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-cyanocobalamin.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• IBerubigen^®¶
• UBetalin 12^®¶
• Cobavite^®¶
• I-Redisol^®¶
• Rubivite^®¶
• URuvite^®¶
• I-Vi-twel^®¶
• Vibisone^®

• Uvithamini B₁₂

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.