I-Disulfiram

-Delile

• Ngaphambi kokuthatha i-disulfiram,
• I-Disulfiram ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

Ungalokothi unikeze i-disulfiram isiguli esimweni sokudakwa utshwala noma ngaphandle kolwazi olugcwele lwesiguli. Isiguli akufanele sithathe i-disulfiram okungenani amahora ayi-12 ngemuva kokuphuza. Ukusabela kungahle kwenzeke kuze kube amasonto ama-2 ngemuva kokumiswa kwe-disulfiram.

I-Disulfiram isetshenziselwa ukwelapha ukuphuza ngokweqile okungapheli. Kubanga imiphumela engathandeki lapho kuphuzwa ngisho notshwala obuncane. Le miphumela ifaka ukuqhuma ebusweni, ikhanda elibuhlungu, isicanucanu, ukuhlanza, ubuhlungu besifuba, ubuthakathaka, ukungaboni kahle, ukudideka kwengqondo, ukujuluka, ukuklinya, ubunzima bokuphefumula nokukhathazeka. Le miphumela iqala cishe imizuzu eyi-10 ngemuva kokuthi utshwala bungene emzimbeni futhi buhlala ihora elilodwa noma ngaphezulu. IDisulfiram ayilona ikhambi lokuphuza ngokweqile, kepha iyakudambisa ukuphuza.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

I-Disulfiram iza ezibhebheni ezizothathwa ngomlomo. Kufanele ithathwe kanye ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-disulfiram njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma ungakwazi ukugwinya amaphilisi, uwagaye bese uxuba umuthi namanzi, ikhofi, itiye, ubisi, isiphuzo esithambile, noma ijusi yezithelo.

Ngaphambi kokuthatha i-disulfiram,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-disulfiram noma ezinye izidakamizwa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo oyisebenzisayo kadokotela, ikakhulukazi i-amitriptyline (Elavil), ama-anticoagulants ('ama-blood thinner') afana ne-warfarin (Coumadin), i-isoniazid, i-metronidazole (i-Flagyl), i-phenytoin (i-Dilantin), noma imiphi imishanguzo engabhaliswanga ingaqukatha utshwala, namavithamini.
• tshela udokotela wakho uma uke waba nesifo sikashukela, isifo segilo, isifo sokuwa, ukulimala kobuchopho, noma isifo sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-disulfiram, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-disulfiram.
• kufanele wazi ukuthi lesi sidakamizwa singakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lesi sidakamizwa sikuthinta kanjani.

Ungaphuzi iziphuzo ezidakayo (kufaka phakathi iwayini, ubhiya, nemithi equkethe utshwala njengesiraphu sokukhwehlela) ngenkathi uthatha i-disulfiram, ngesikhathi samahora ayi-12 ngaphambi kokuba uthathe umthamo wakho wokuqala, kanye namasonto ambalwa ngemuva kokumisa umuthi.

Gwema amasoso, izivini, nakho konke ukudla neziphuzo eziqukethe utshwala.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Disulfiram ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuqubuka kwesikhumba
• induna
• ikhanda elincane
• ukozela
• ukukhathala
• ukungabi namandla
• ukunambitheka kwensimbi noma ukunambitheka okufana nogalikhi emlonyeni

Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukukhathala ngokweqile
• ubuthakathaka
• ukungabi namandla
• ukulahleka kwesifiso
• isisu esibuhlungu
• ukuhlanza
• ukuphuphuka kwesikhumba noma kwamehlo
• umchamo omnyama

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

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.

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

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 yakho ku-disulfiram.

Ngaso sonke isikhathi phatha ikhadi lokuzazisa elisho ukuthi uthatha i-disulfiram futhi ekhombisa udokotela noma isikhungo ukuthi kuxhunyanwa naye esimweni esiphuthumayo. Uma udinga ikhadi lokukhomba, buza usokhemisi wakho noma udokotela ukuthi ulithola kanjani.

Ungahlangani noma uphefumule umusi wepende, upende omncane, i-varnish, i-shellac, neminye imikhiqizo equkethe utshwala. Qaphela lapho usebenzisa imikhiqizo equkethe utshwala (isb., Ama-aftershave lotions, ama-colognes, nokuhlikihla utshwala) esikhumbeni sakho. Le mikhiqizo, ngokuhlanganiswa ne-disulfiram, ingadala ikhanda, isicanucanu, ububomvu bendawo, noma ukulunywa. Ngaphambi kokusebenzisa umkhiqizo oqukethe utshwala, uvivinye ngokufaka okunye endaweni encane yesikhumba sakho amahora angu-1-2. Uma kungekho ukubomvu, ukulunywa, noma imiphumela engadingeki eyenzekayo, ungawusebenzisa ngokuphepha umkhiqizo.

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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