Nifurtimox
-Delile
- Ngaphambi kokuthatha i-nifurtimox,
- I-Nifurtimox ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
I-Nifurtimox isetshenziselwa ukwelapha isifo i-Chagas (ukutheleleka okubangelwa yisimuncagazi) ezinganeni ezisukela ekuzalweni kuye eminyakeni eyi-18 ubudala ezinesisindo okungenani esingamakhilogremu angu-5.5. I-Nifurtimox isekilasini lemithi ebizwa ngama-antiprotozoals. Isebenza ngokubulala umzimba ongadala isifo seChagas.
INifurtimox iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa ngokudla kathathu ngosuku izinsuku ezingama-60. Thatha i-nifurtimox ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-nifurtimox njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Amaphilisi e-nifurtimox athola amaphuzu ukuze ahlukaniswe kalula abe ngamahafu. Uma udokotela wakho ekutshele ukuthi uthathe ingxenye kuphela yethebhulethi, bamba ithebhulethi phakathi kwesithupha sakho neminwe yenkomba eduze komugqa osetshenzisiwe bese ufaka ingcindezi yokwehlukanisa umthamo kulayini othole amaphuzu. Ungawaphuli amaphilisi ngedivayisi yokuhlukanisa ithebhulethi.
Uma ungakwazi ukugwinya amaphilisi, ungawaqothula emanzini. Faka uhhafu wethisipuni (2.5 ml) wamanzi ngesipuni. Faka inani elinqunyiwe lamaphilisi (noma izingxenye zamathebulethi) ku-spoon ngamanzi. Linda imizuzwana engama-30 ukuvumela amaphilisi ukuba ahlukane nesipuni. Thatha ingxube ngokushesha ngokudla.
Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-nifurtimox,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-nifurtimox, noma imiphi eminye imithi, noma yiziphi izithako kumaphilisi e-nifurtimox. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- utshele udokotela wakho uma uphuza iziphuzo ezidakayo noma uthatha imikhiqizo equkethe utshwala. Udokotela wakho mhlawumbe uzokutshela ukuthi ungaphuzi iziphuzo ezidakayo noma uthathe imikhiqizo equkethe utshwala ngenkathi uthatha lo muthi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- utshele udokotela wakho uma wake walimala ebuchosheni, waquleka, noma waba nokuphazamiseka kwengqondo noma ushintsho olukhulu ekuziphatheni. Phinda utshele udokotela wakho uma uke waba ne-porphyria (isifo segazi esizuzwe njengefa esingadala izinkinga zesikhumba noma sezinzwa) noma isifo sesibindi noma sezinso.
- Tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, kungenzeka ukuthi ukhulelwe, noma ubaba wengane. Abesifazane abangakhulelwa kumele bathathe ukuhlolwa kokukhulelwa ngaphambi kokuqala lo muthi. Kufanele usebenzise ukulawulwa kokubeletha ukuvimbela ukukhulelwa ngesikhathi sokwelashwa kwakho nezinyanga eziyisithupha ngemuva komthamo wakho wokugcina. Abesilisa nabalingani besifazane abangakhulelwa kufanele basebenzise amakhondomu ngesikhathi sokwelashwa nangezinyanga ezi-3 ngemuva komthamo wakho wokugcina. Uma ukhulelwa ngenkathi uthatha i-nifurtimox, shayela udokotela wakho. I-Nifurtimox ingadala ukulimala kwengane.
- tshela udokotela wakho uma uncelisa. Uma uthatha i-nifurtimox ngenkathi uncelisa, ingane yakho ingathola i-nifurtimox ebisi lwebele. Bhekisisa ingane yakho ngokuhlanza, ukuqubuka, ukungathandi ukudla, umkhuhlane noma ukucasuka. Shayela udokotela uma ingane yakho inayo yalezi zimpawu.
- kufanele wazi ukuthi lo muthi unganciphisa ukuzala emadodeni. Khuluma nodokotela wakho ngezingozi zokuthatha i-nifurtimox.
- kufanele wazi ukuthi i-nifurtimox ingadala ubuthakathaka bemisipha noma ukuthuthumela. Ungashayeli imoto, ibhayisikili, noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula ngokudla. Kodwa-ke, uma kungaphakathi kwamahora ama-3 womthamo olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Nifurtimox ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukuhlanza
- ubuhlungu besisu
- ukulahlekelwa isifiso sokudla
- ukuncipha komzimba
- isicanucanu
- isifo sohudo
- ikhanda
- isiyezi
- imfiva
- isikhumba esiphaphathekile noma ukuphefumula okuncane
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- ukuqubuka, isifuba, ukulunywa, ukuvuvukala komphimbo nobuso, noma ukuphefumula okuncane
I-Nifurtimox ingadala 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).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungasusi i-desiccant (iphakethe elincane eliqukethe into edonsa umswakama ukugcina umuthi womile).
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
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.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
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.
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