Iyini i-Ivermectin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Ivermectin iyimithi elwa namagciwane esiza umzimba wakho ukuthi ulwe nezinhlobo ezithile zamagciwane nezilwanyana eziphilayo. Isetshenziswe ngokuphepha amashumi eminyaka ukwelapha izimo ezinjengobumpumputhe bomfula, i-strongyloidiasis, nezinye izifo ezibangelwa izilwanyana eziphilayo ezingathinta izigidi zabantu emhlabeni wonke.

Le mithi isebenza ngokugxila ohlelweni lwezinzwa lwezilwanyana eziphilayo, okwenza isebenze kakhulu ekulweni nezinhlobo ezithile zezifo. Ngenkathi kungenzeka ukuthi uzwile nge-ivermectin ezindabeni zakamuva, kubalulekile ukuqonda ukuthi yini eyenzayo ngempela nokuthi odokotela bayinika nini.

Iyini i-Ivermectin?

I-Ivermectin iyimithi kadokotela engaphansi kwezigaba zemithi ebizwa ngokuthi ama-antiparasitics. Yaqala ukuthuthukiswa ngeminyaka yawo-1970 futhi isibe enye yezinto ezibaluleke kakhulu ekulweni nezifo ezibangelwa izilwanyana eziphilayo emhlabeni wonke.

Le mithi ivela kumxube ovela ngokwemvelo otholakala emabhaktheriya enhlabathi. Ososayensi bashintsha lo mxube ukudala umuthi ophephile kubantu ngenkathi usebenza kahle kakhulu ekulweni nezilwanyana eziphilayo. Itholakala ngamathebulethi omlomo kanye nama-creams aphezulu, yize sizogxila kufomu lomlomo lapha.

Uma uthatha i-ivermectin, ihamba ngegazi lakho ukuze ifinyelele ezindaweni lapho izilwanyana eziphilayo zingahlala khona. Le mithi isindise izimpilo ezingenakubalwa, ikakhulukazi emazweni asathuthuka lapho izifo ezibangelwa izilwanyana eziphilayo zivame kakhulu.

Isetshenziselwani i-Ivermectin?

Odokotela banika i-ivermectin yomlomo ukwelapha izifo eziningi ezithile ezibangelwa izilwanyana eziphilayo. Ukusetshenziswa okuvame kakhulu kufaka phakathi ukwelapha i-strongyloidiasis (uhlobo lokutheleleka ngamagciwane) kanye ne-onchocerciasis (eyaziwa nangokuthi ubumpumputhe bomfula).

I-Strongyloidiasis yenzeka lapho izibungu eziyindilinga ezincane zingena emzimbeni wakho, ngokuvamile ngesikhumba sakho uma uhamba ngezinyawo emhlabathini ongcolile. Lezi zibungu zingahlala emathunjini akho futhi zibangele izimpawu ezinjengobuhlungu besisu, isifo sohudo, kanye nokuqubuka kwesikhumba. I-Ivermectin isiza ukuqeda lezi zibungu ohlelweni lwakho.

Ukungaboni kahle emfuleni kwenzeka uma ulunywa izimpukane ezimnyama ezinomkhuhlane, ngokuvamile ezingxenyeni ezithile zase-Afrika naseLatin America. Lezi zibungu zingabangela ukulunywa okukhulu, izinguquko zesikhumba, futhi ezimweni ezinzima, izinkinga zokubona. I-Ivermectin ibulala ngempumelelo izibungu ezincane ngaphambi kokuba zikwazi ukubangela umonakalo omkhulu.

Ngezinye izikhathi odokotela bangase banikeze i-ivermectin kwezinye izimo ze-parasitic, kodwa lokhu kwenzeka kaningi. Umhlinzeki wakho wokunakekelwa kwezempilo uzonquma ukuthi i-ivermectin ilungile yini esimweni sakho esithile ngokusekelwe ezimpawini zakho kanye nemiphumela yokuhlolwa.

Isebenza Kanjani I-Ivermectin?

I-Ivermectin isebenza ngokugxambukela ohlelweni lwezinzwa lwezibungu, olukhubaza futhi ekugcineni luzibulale. Ihlanganisa neziteshi ezithile emangqamuzaneni ezinzwa ze-parasite, okubangela ukuthi zibe ngaphezu komsebenzi bese zivaleka ngokuphelele.

Le ndlela ikhethekile kakhulu, okusho ukuthi ithinta izibungu kakhulu kunezicubu zomuntu. Uhlelo lwakho lwezinzwa lomzimba lusebenza ngendlela ehlukile kunezinhlelo zezinzwa ze-parasite, yingakho imithi ingaqondisa izibungu ngenkathi ishiya amaseli akho ngokungathinteki kakhulu.

Umuthi uthathwa njengomuthi oqinile ngokulinganisela ngokumelene nezibungu ezihlosiwe. Akuyona i-antiparasitic eqine kakhulu etholakalayo, kodwa isebenza kahle kakhulu ezimweni ezithile ezilashwayo. Abantu abaningi babona ukuthuthuka phakathi nezinsuku ezimbalwa kuya emavikini ngemuva kokuqala ukwelashwa.

Lapho izibungu sezikhishiwe, izinqubo zokuphulukisa zomzimba wakho zemvelo zingaqala ukulungisa noma yimuphi umonakalo ezingase ziwubangele. Yingakho ungase uqhubeke nokubona ukuthuthuka ngisho nangemva kokuqeda ukuthatha umuthi.

Kufanele Ngiyithathe Kanjani I-Ivermectin?

Thatha i-ivermectin ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile esiswini esingenalutho ngamanzi. Lokhu kusho ukuyithatha okungenani ihora elilodwa ngaphambi kokudla noma amahora amabili ngemuva kokudla, ngoba ukudla kunganciphisa ukuthi umzimba wakho uyithatha kahle kangakanani imithi.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uhlafune, noma uwaphule amaphilisi, ngoba lokhu kungathinta ukuthi imithi isebenza kanjani. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izinketho.

Isikhathi somthamo wakho sibalulekile ekutholeni imiphumela emihle kakhulu. Odokotela abaningi batusa ukuthatha i-ivermectin ekuseni kakhulu, bese ulinda okungenani ihora elilodwa ngaphambi kokudla kwasekuseni. Lokhu kunika umzimba wakho ithuba elihle lokuthatha imithi ngendlela efanele.

Uma uthatha imithamo eminingi, zama ukuyihlukanisa ngokulinganayo phakathi nenkathi yakho yokwelashwa. Ukusetha isikhumbuzi ocingweni lwakho kungakusiza ukuthi ukhumbule ukuthatha imithi yakho ngezikhathi ezifanele.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Ivermectin?

Ubude bokwelashwa nge-ivermectin buxhomeke ohlotsheni lokutheleleka onalo nokuthi umzimba wakho usabela kanjani emithini. Abantu abaningi bayithatha izinsuku eziyodwa kuya kwezimbili nje, yize ezinye izimo zingase zidinge ukwelashwa isikhathi eside.

Nge-strongyloidiasis, ngokuvamile uzothatha i-ivermectin izinsuku eziyodwa kuya kwezimbili. Udokotela wakho angase afune ukuphinda ukwelashwa ngemuva kwamasonto ambalwa ukuze aqiniseke ukuthi zonke izilwanyana ezincane ziyasuswa. Le ndlela isiza ukubamba noma yiziphi izilwanyana ezincane ezingase zibe sezigabeni zokuqala ngesikhathi sokwelashwa kwakho kokuqala.

Ukwelashwa kobumpumputhe bomfula ngokuvamile kuhilela ukuthatha i-ivermectin njalo ezinyangeni eziyisithupha kuya kweziyishumi nambili. Lokhu kwelashwa okuqhubekayo kusiza ukuvimbela izifo ezintsha futhi kulawule noma yiziphi izilwanyana ezincane ezikhona. Udokotela wakho uzokwenza isimiso esisebenzela kangcono isimo sakho esithile.

Ungayeki ukuthatha i-ivermectin ngaphambi kwesikhathi, ngisho noma uqala ukuzizwa ungcono. Izilwanyana ezincane zingasinda ekwelashweni okuyingxenye futhi zingase zibe nzima ukuziqeda uma ungaqedi inkambo ephelele udokotela wakho ayiyalile.

Ziyini Izimo Ezingezinhle Zomuthi i-Ivermectin?

Abantu abaningi bayawuthola kahle umuthi i-ivermectin, kodwa njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile uma umuthi usetshenziswa njengoba uyalelwe.

Nawa amanye amiphumela emibi evame kakhulu ongase uyithole, futhi kuyasiza ukwazi ukuthi lezi zivame ukuzixazulula zodwa ezinsukwini ezimbalwa:

• Ukucanuzela kwenhliziyo nokungakhululeki kwesisu
• Ukuqunjelwa noma izitulo ezixekile
• Isiyezi noma ukuzizwa unovalo
• Ukuqaqamba kwemisipha noma ubuhlungu emalungeni
• Ukuqubuka kwesikhumba noma ukuluma
• Ukucabeka kwekhanda
• Ukukhathala noma ubuthakathaka

Le miphumela emibi ejwayelekile ivame ukuba mncane futhi yesikhashana. Umzimba wakho uvame ukuphendula ezigcwele ezifayo ngendlela efanayo nomuthi uqobo.

Abanye abantu bathola okubizwa ngokuthi ukusabela kwe-Mazzotti, ikakhulukazi lapho belapha ubumpumputhe bomfula. Lokhu kwenzeka lapho inani elikhulu lezigcwele lifa ngasikhathi sinye, futhi amasosha omzimba wakho aphendula ngamandla. Ungase uqaphele ukuluma okwandayo, ukuqubuka kwesikhumba, ama-lymph nodes avuvukile, noma umkhuhlane. Nakuba kungakhululeki, lokhu kusabela empeleni kubonisa ukuthi ukwelashwa kuyasebenza.

Ngokuvamile, imiphumela emibi engathi sína ingenzeka, futhi kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi:

• Isiyezi esibi noma izinkinga zokulinganisela
• Ukuphefumula kanzima noma ukuqina kwesifuba
• Ukusabela kwesikhumba okukhulu noma ukuqubuka okubanzi
• Ushintsho embonweni noma ubuhlungu emehlweni
• Ukudideka noma ubunzima bokucabanga kahle
• Ukushaywa yisithuthwane noma ukulahlekelwa ukwazi
• Ubuhlungu obukhulu besisu

Lezi zimo ezingathi sína azivamile, kodwa zidinga ukunakekelwa kwezokwelapha ngokushesha. Unganqikazi ukufuna usizo uma ukhathazekile nganoma yiziphi izimpawu oziphilayo.

Ubani Ongafanele Athathwe i-Ivermectin?

Ivermectin ayiphephile kuwo wonke umuntu, futhi zikhona izimo ezithile lapho udokotela wakho cishe ezocebisa ngomunye umuthi. Ukwethembeka ngomlando wakho wezempilo kusiza udokotela wakho ukuthi enze isinqumo esingcono kakhulu sokunakekelwa kwakho.

Akufanele uthathe ivermectin uma unenkinga yokungezwani nayo noma nganoma yiziphi izithako zayo. Izimpawu zokungezwani komzimba zihlanganisa imihuzuko, ubunzima bokuphefumula, noma ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo. Uma uke waba nokungezwani komzimba emithini esikhathini esidlule, qiniseka ukuthi utshela udokotela wakho.

Ukukhulelwa nokuncelisa kudinga ukucatshangelwa okukhethekile. Ngenkathi ivermectin ingasetshenziswa ngesikhathi sokukhulelwa ezimweni ezithile, udokotela wakho udinga ukukala izinzuzo ngokumelene nezingozi ezingaba khona. Umuthi udlulela obisini, ngakho omama abancelisayo kufanele baxoxe ngezindlela ezingezinye nodokotela wabo.

Izingane ezingaphansi kwamakhilogremu ayi-15 (cishe amaphawundi angama-33) ngokuvamile akufanele zithathe ivermectin, njengoba kungekho datha eyanele yokuphepha yezingane ezincane kakhulu. Udokotela wakho wezingane uzokwazi izinketho zokwelapha ezingcono kakhulu zezingane ezincane.

Izimo ezithile zezokwelapha zingase zithinte ukuthi ivermectin ilungele yini wena. Vumela udokotela wakho azi uma unezinye zalezi zimo:

• Isifo sesibindi noma izinkinga zomsebenzi wesibindi
• Isifo sezinso noma ukuncipha komsebenzi wezinso
• Uhlelo lomzimba oluvikelekile olubuthakathaka
• Izifo zohlelo lwezinzwa oluphakathi
• Umlando wokuhlaselwa
• Isifuba somoya noma ezinye izinkinga zokuphefumula

Ukuba nenye yalezi zimo akusho ngokuzenzakalelayo ukuthi awukwazi ukuthatha ivermectin, kodwa udokotela wakho angase adinge ukulungisa umthamo wakho noma akuqaphele eduze ngesikhathi sokwelashwa.

Amagama Omkhiqizo we-Ivermectin

Ivermectin itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba ivame ukunqunywa njengomuthi ojwayelekile. Igama lomkhiqizo elaziwa kakhulu yi-Stromectol, okuyifomu lethebhulethi yomlomo elisetshenziselwa ukwelapha izifo ze-parasitic.

I-ivermectin ejwayelekile iqukethe isithako esifanayo esisebenzayo njengalezo ezinegama lomkhiqizo futhi isebenza ngempumelelo efanayo. Amakhemisi amaningi athwala izinhlobo ezijwayelekile, ezingabiza kakhulu ngenkathi zinikeza izinzuzo ezifanayo zokwelapha.

Udokotela wakho angase abhale umuthi wakho ngamagama omkhiqizo noma uhlobo olujwayelekile, kuye ngokuthi umshwalense wakho nokuthi usebenzisa liphi ikhemisi. Zombili izinketho ziphephile futhi ziyasebenza ngokulinganayo uma zisetshenziswa njengoba zibhaliwe.

Ezinye izindlela ze-Ivermectin

Uma i-ivermectin ingakulungele, kukhona eminye imithi engelapha izifo ze-parasitic. Enye indlela engcono kakhulu incike ohlotsheni oluthile lwe-parasite obhekene nalo kanye nesimo sakho sempilo.

Nge-strongyloidiasis, i-albendazole ngezinye izikhathi isetshenziswa njengenye indlela, ikakhulukazi ezimweni lapho i-ivermectin ingatholakali noma ingabekezeleleki kahle. I-Thiabendazole ingenye inketho, nakuba isetshenziswa kaningi ngenxa yemiphumela eminingi emibi.

Ngemfama yomfula, i-doxycycline ngezinye izikhathi isetshenziswa ngokuhlangana nezinye izindlela zokwelapha. Leli khambi elilwa namagciwane liqondiswe emabhaktheriya ahlala ngaphakathi kwama-parasites, okungasiza ukuwaqeda futhi kwenze ukwelashwa kuphumelele.

Udokotela wakho uzocabangela izinto ezinjengobudala bakho, eminye imithi oyithathayo, nanoma yiziphi izimo zempilo onazo lapho ekhetha inketho engcono kakhulu yokwelapha kuwe. Ungashintshi imithi ngokwakho, njengoba ama-parasites ahlukene asabela ekwelashweni okuhlukene.

Ingabe i-Ivermectin Ingcono Kune-Albendazole?

Kokubili i-ivermectin ne-albendazole ziyimithi ephumelelayo elwa nama-parasitic, kodwa zisebenza kangcono ezinhlotsheni ezihlukene zezifo. Ukuqhathanisa ngokuqondile kuncike kulokho okwelaphayo kanye nezimo zakho ezithile.

Ngesifo se-strongyloidiasis, ivermectin ngokuvamile ithathwa njengokwelashwa okukhethwa kuqala ngoba isebenza kahle ekusuleni lolu hlobo oluthile lwezikelemu. Ucwaningo lubonisa ukuthi ivermectin isusa izifo ze-strongyloidiasis cishe kuma-95% amacala, kuyilapho i-albendazole inenani eliphansi lempumelelo ngalesi simo.

Kwezinye izinhlobo zezifo zezikelemu, njengezikelemu eziyindilinga noma izikelemu eziqhumayo, i-albendazole ingase isebenze kahle ngokulinganayo noma ngezinye izikhathi ikhethwe. I-Albendazole ivame ukusebenza kangcono ezikelemu ezithile zamathumbu, kuyilapho ivermectin igqama ekwelapheni i-strongyloidiasis nobumpumputhe bomfula.

Amaphrofayili emiphumela emibi nawo ahlukile kancane. I-Ivermectin ngokuvamile ibangela izinkinga ezimbalwa zesisu, kuyilapho i-albendazole ingase ibangele isicanucanu esiningi kodwa imiphumela embalwa ye-neurological. Udokotela wakho uzokhetha ngokusekelwe ekutheni yimuphi umuthi ongasebenza kakhulu ngesifo sakho esithile ngenkathi kukhiqizwa izinkinga ezimbalwa kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Ivermectin

Ingabe i-Ivermectin iphephile kubantu abanezifo zesibindi?

I-Ivermectin ingasetshenziswa kubantu abanezinkinga zesibindi ezimnene, kodwa idinga ukuqapha ngokucophelela futhi mhlawumbe ukulungiswa komthamo. Umuthi ucutshungulwa yisibindi sakho, ngakho ukuncipha komsebenzi wesibindi kungathinta indlela umzimba wakho obhekana ngayo nomuthi.

Uma unesifo sesibindi, udokotela wakho cishe uzo-oda ukuhlolwa kwegazi ngaphambi kokuqala ukwelashwa futhi angase anikeze umthamo ophansi kunowajwayelekile. Bazofuna futhi ukukuqapha eduze ngesikhathi sokwelashwa ukuze baqiniseke ukuthi umuthi awubangeli noma yikuphi ukucindezeleka okwengeziwe esibindini sakho.

Ungalokothi ucabange ukuthi kuphephile ukuthatha i-ivermectin uma unezinkinga zesibindi ngaphandle kokukhuluma nodokotela wakho kuqala. Kudingeka bahlole isimo sakho esithile futhi banqume ukuthi izinzuzo zidlula izingozi.

Ngingenzani uma ngithatha i-Ivermectin eningi ngengozi?

Uma ngengozi uthatha i-ivermectin eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela imiphumela emibi, okuhlanganisa ukwehla okuyingozi kwengcindezi yegazi nezinkinga zesimiso sezinzwa.

Izimpawu zokweqisa umthamo zingahlanganisa isicanucanu esibi, ukuhlanza, isifo sohudo, isiyezi, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha, ngakho-ke ungalindi ukubona ukuthi ziyathuthuka zodwa.

Letha ibhodlela lemithi nawe esibhedlela noma egumbini eliphuthumayo ukuze abahlinzeki bezempilo bazi kahle ukuthi uthatheni ini nokuthi kungakanani. Lolu lwazi lubasiza ukuthi banikeze ukwelashwa okufanele kakhulu.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Ivermectin?

Uma uphuthelwa umthamo we-ivermectin, yithathe ngokushesha lapho ukhumbula, uma nje kungasondeli isikhathi somthamo wakho olandelayo ohleliwe. Uma sekuseduze isikhathi somthamo olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Ukuthatha okuningi ngesikhathi esisodwa kungaba yingozi ngaphezu kokuphuthelwa umthamo owodwa.

Uma ungaqiniseki ngesikhathi noma uphuthelwe imithamo eminingi, xhumana nodokotela wakho ukuze uthole isiqondiso. Bangase bafune ukulungisa uhlelo lwakho lokwelapha noma banikeze imiyalelo ethile ngokusekelwe esimweni sakho esithile.

Ngingayeka nini ukuthatha i-Ivermectin?

Yeka kuphela ukuthatha i-ivermectin uma udokotela wakho ekutshela ukuthi wenze njalo, ngisho noma uzizwa ungcono ngokuphelele. Ukutheleleka ngamapharasayithi kungaba yinkohliso, futhi ukuyeka ukwelashwa ngaphambi kwesikhathi kungase kuvumele amapharasayithi asindile ukuthi aphindaphinde futhi.

Udokotela wakho cishe uzofuna ukwenza ukuhlolwa okulandelayo ukuze aqiniseke ukuthi amapharasayithi aqediwe ngokuphelele ngaphambi kokumemezela ukuthi ukwelashwa kuphumelele. Lokhu kungase kuhlanganise amasampula endle noma ezinye izivivinyo, kuye ngohlobo lokutheleleka onalo.

Ezimweni ezithile ezifana nobumpumputhe bomfula, ukwelashwa kuqhubeka futhi kuhlelwe ngezikhathi ezithile. Udokotela wakho uzokwenza uhlelo lwesikhathi eside olusiza ukuvimbela ukutheleleka kabusha ngenkathi kulawulwa noma yiziphi izilwanyana ezikhona ngempumelelo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Ivermectin?

Ngokuvamile kungcono ukugwema utshwala ngenkathi uthatha i-ivermectin, njengoba zombili lezi zinto zingawuthinta uhlelo lwakho lwezinzwa nesibindi. Ukuzihlanganisa kungase kwandise ingozi yakho yemiphumela emibi efana nesiyezi, isicanucanu, nezinkinga zesisu.

Utshwala bungaphazamisa nekhono lomzimba wakho lokulwa nezifo futhi bunganciphisa inqubo yakho yokululama. Njengoba uthatha i-ivermectin ukwelapha ukutheleleka kwe-parasitic, kubalulekile ukunika umzimba wakho ithuba elingcono lokwelapha.

Uma unemibuzo mayelana nokusetshenziswa kotshwala ngesikhathi sokwelashwa kwakho, xoxa ngalokhu nodokotela wakho. Bangakunikeza isiqondiso esithile esisekelwe esimweni sakho sempilo nobude benqubo yakho yokwelashwa.