Imiphumela engemihle kanye nendlela yokuyibika
Yonke imithi noma ukwelashwa kuza nengcuphe yemiphumela engemihle, eyaziwa nangokuthi 'izigameko ezimbi'. Izingozi zivame ukuba phezulu kubantu abaphuza imithi eminingi ehlukene ndawonye noma abaphuza imithi efana ne-prednisolone isikhathi eside. Udokotela wakho uzokusiza ukuthi unqume ukuthi iyiphi inhlanganisela yezindlela zokwelapha eziphephe kakhulu kuwe.
Ngaso sonke isikhathi funda ipheshana lolwazi lwesiguli (lezi zingatholakala ngezansi kwe Ikhasi le-Antifungals) eza nemithi yakho ukuze ubone ukuthi yimiphi imiphumela emibi ongayilindela. Uma ulahlekelwe yileli pheshana, ungabheka imithi yakho usebenzisa i- Inhlanganisela yemithi ye-elekthronikhi.
Uzoqaphela igama leminye imiphumela emibi (ikhanda elibuhlungu, isicanucanu, ukukhathala). Amanye angase azwakale engavamile kodwa ngokuvamile angamagama ayinkimbinkimbi kokuthile okulula. Ungabuza udokotela wakho noma usokhemisi ukuthi basho ukuthini. Isibonelo: 'i-pruritis' isho ukulunywa, 'i-anuresis' isho ukungakwazi ukulila, futhi 'i-xerostomia' isho umlomo owomile.
Izivivinyo zemitholampilo zikala ukuthi kukangakhi imiphumela engemihle eyehlukene eyenzeka, futhi lokhu kubikwa ngendlela ejwayelekile:
- Okuvame kakhulu: abantu abangaphezu ko-1 kwabayi-10 bayathinteka
- Okujwayelekile: phakathi ko-1 ku-10 kanye no-1 kubantu abayi-100 abathintekayo
- Okungavamile: phakathi ko-1 ku-100 kanye no-1 kubantu abayi-1,000 abathintekayo
- Akuvamile: phakathi ko-1 ku-1,000 kanye no-1 kubantu abangu-10,000 bayathinteka
- Akuvamile kakhulu: ngaphansi ko-1 kubantu abangu-10,000 abathintekayo
Indlela yokunciphisa imiphumela emibi:
- Landela iziqondiso ezisepheshaneni lolwazi lwesiguli eliza nemithi yakho, ikakhulukazi mayelana nesikhathi sokuphuza umuthi, noma ukuthi uwuphuze ugcwele noma ungenalutho.
- Zama ukuphuza i-prednisolone ekuseni ukuze unciphise ingozi yokuqwasha, futhi phakathi nesidlo ukuze unciphise ukucasuka kwesisu kanye nesilungulela.
- Udokotela wakho angase akunikeze olunye uhlobo lomuthi ukuze unciphise umphumela ongaseceleni, isibonelo ama-PPIs (proton pump inhibitors) wesilungulela esinenkani.
Izithasiselo eziningi noma izindlela zokwelapha ezihambisanayo zithi azinayo imiphumela engemihle ngoba 'zonke zingokwemvelo', kodwa lokhu akulona iqiniso. Noma yini enomthelela ingaba nomthelela oseceleni. Isibonelo, i-St John's Wort iyikhambi lekhambi elingasiza ekucindezelekeni okuncane, kodwa kunengozi encane yokuba nesifo samehlo. Eyethu Iqembu lokuxhaswa le-Facebook iyindawo ekahle yokubuza imibuzo mayelana nokuhlangenwe nakho kwezinye iziguli ngokwelashwa okuhlukile, noma ucele ithimba le-NAC ukuthi lihlole ukusebenza kahle nokuphepha kwemithi yokwelapha ehambisanayo ocabanga ukuyizama.
Ukubika imiphumela emibi
Izidakamizwa eziningi ezithathwa yiziguli ze-aspergillosis zingadala okuqhamuka uma udla imishanguzo. Iningi lazo lizobikwa kahle, kodwa kungenzeka ukuthi ezinye azikahlonzwa. Nakhu okumele ukwenze uma uhlangabezana okuqhamuka uma udla imishanguzo.
Okokuqala tshela udokotela wakho, uma kwenzeka udinga ukuyeka ukuphuza imithi, noma ukuze bakusize ulawule okuqhamuka uma udla imishanguzo.
Futhi uma ucabanga ukuthi kusha noma akubikwanga side umphumela sicela wazise u-Graham Atherton (graham.atherton@manchester.ac.uk) e-NAC, ukuze sikwazi ukugcina irekhodi.
UK: E-UK, i-MHRA ine- Ikhadi eliphuzi uhlelo lapho ungabika khona okuqhamuka uma udla imishanguzo kanye nesigameko esibi semithi, imigomo, ukwelapha okuhambisanayo kanye nemishini yezokwelapha. Kunefomu eliku-inthanethi elilula ongaligcwalisa - awudingi ukwenza lokhu ngodokotela wakho. Uma udinga usizo ngefomu, xhumana nothile e-NAC noma ubuze othile eqenjini losekelo le-Facebook.
I-US: E-US, ungabika okuqhamuka uma udla imishanguzo ngqo kwi-FDA ngokusebenzisa yabo I-MedWatch uhlelo.