Kodi chimachitika ndi chiyani ngati chitetezo cha mthupi lanu, chomwe ndi chitetezo cha mthupi, chifooka? Zosavuta kwambiri, mumayamba kudwala pafupipafupi. Mphamvu ya thupi yolimbana ndi majeremusi imachepa. IVIG ndi mankhwala apadera omwe madokotala amalangiza kuti athandize anthu omwe ali ndi matenda awa. Mwina munamvapo dzinali. Tiyeni tikambirane za chilichonse mosavuta komanso mwaubwenzi lero.
Mwachidule, kodi IVIg ndi chiyani?
Tanthauzo lonse la IVIg ndi Intravenous Immunoglobulin . Intravenous imatanthauza "kudzera mu mtsempha." Immunoglobulin ndi mtundu wapadera wa mapuloteni m'magazi mwathu omwe amalimbana ndi matenda . Timatchanso ma antibodies awa .
Choncho, mu chithandizo cha IVIg, kuchuluka kwa ma antibodies amenewa, omwe amachotsedwa m'magazi a anthu athanzi, kumaperekedwa ku thupi la munthu amene chitetezo chamthupi chake chili chofooka kudzera mu mitsempha. Mwachidule, zili ngati kupatsa thupi lanu gulu lankhondo lowonjezera la asilikali kuti alimbane ndi matendawa.
Mankhwalawa nthawi zina amaperekedwa m'malo mwa mankhwala ena (monga, mankhwala oletsa chitetezo chamthupi , corticosteroids, kapena mankhwala achilengedwe). Anthu ena angalandirenso IVIg pamodzi ndi mankhwala awa. Izi zimatsimikiziridwa ndi dokotala wanu.
Kodi chithandizo cha IVIg chimaperekedwa pa matenda otani?
Mankhwala a IVIg nthawi zambiri amagwiritsidwa ntchito pochiza matenda omwe amakhudza chitetezo chamthupi. Ngati chitetezo chamthupi chanu sichikugwira ntchito bwino, zomwe zikutanthauza kuti sichikupanga ma antibodies okwanira, muli pachiwopsezo chachikulu chotenga matenda a bakiteriya. IVIg imathandiza kudzaza mpata umenewo ndikukutetezani ku matenda.
Gome ili m'munsimu likuwonetsa zina mwa matenda omwe amagwiritsidwa ntchito kwambiri pochiza matenda a IVIg.
| Mkhalidwe | Momwe IVIg Imathandizira |
|---|---|
| Kusowa kwa chitetezo chamthupi - mwachitsanzo Immune Thrombocytopenia (ITP) | Chitetezo cha mthupi chimaletsa kuwonongeka kwa ma platelet m'magazi, zomwe zimathandiza kuchepetsa kutuluka kwa magazi. |
| Matenda a Kawasaki | Amachepetsa kuwonongeka kwa mitsempha yamagazi ya mtima, makamaka pa matenda awa omwe amakhudza ana. |
| Matenda a Guillain-Barré | Chitetezo cha mthupi chimalamulira kufooka ndi kusagwira bwino ntchito komwe kumachitika chifukwa cha kuukira mitsempha. |
| Matenda a autoimmune - mwachitsanzo Lupus, Polymyositis | Amalamulira kuwonongedwa kwa maselo a thupi (maselo ofiira a magazi, maselo a minofu). |
| Matenda a mitsempha - mwachitsanzo , Myasthenia gravis, Multiple Sclerosis, Peripheral Neuropathy | Zimathandiza kuwongolera kuwonongeka kwa dongosolo la mitsempha ndi kusokonekera kwa ntchito. |
| Pambuyo poika mafuta a m'mafupa | Zimateteza ku matenda akunja pamene chitetezo cha mthupi chili chofooka kwambiri. |
Kodi chithandizochi chimachitidwa bwanji?
Iyi ndi nkhani yofunika kwambiri. Madzi otchedwa Immunoglobulin awa amapezeka kuchokera ku plasma ya magazi ya opereka magazi athanzi. Madzi a m'magazi awa amatengedwa ndikuyesedwa mosamala kwambiri matenda akuluakulu monga Hepatitis ndi HIV . Kenako amatsukidwa ndi kuyeretsedwa ndikugwiritsidwa ntchito pochiza. Choncho palibe chodetsa nkhawa ndi chitetezo chake.
Pa tsiku la chithandizo chanu, namwino wophunzitsidwa bwino adzaika kansalu kakang'ono mu mtsempha womwe uli m'dzanja lanu, momwe mankhwalawo adzalowetsedwa m'thupi lanu ngati thumba la saline. Nthawi zambiri njirayi imatenga maola awiri kapena anayi .
Nthawi zambiri, chithandizochi chimaperekedwa kuchipatala, ku chipatala, kapena ku malo operekera mankhwala . Komabe, nthawi zina, katswiri wazachipatala wodziwa bwino ntchito angabwere kunyumba kwanu ndikukupatsani chithandizochi.
Kangati muyenera kulandira chithandizochi kumadalira zinthu zambiri, kuphatikizapo matenda anu komanso momwe thupi lanu limayankhira. Anthu ambiri nthawi zambiri amapatsidwa chithandizochi milungu itatu kapena inayi iliyonse.
Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha IVIg?
Anthu ambiri amavomereza bwino chithandizochi. Komabe, monga mankhwala ena aliwonse, chingayambitse zotsatira zina. Nthawi zambiri, izi zimakhala zazing'ono ndipo zimatha kuchitika nthawi yochepa mutalandira chithandizo.
| Zotsatirapo zoyipa za chithandizo cha IVIg | |
|---|---|
| Zotsatira zoyipa zofala (zosakhala zoopsa) | |
| Mutu | Kumva kutopa, kupweteka kwa minofu |
| Malungo pang'ono, kumva kuzizira | Kuyabwa, kufiira, kutupa kwa khungu |
| Kupweteka kwa m'mimba pamwamba | Kutupa |
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo (izi sizichitika kawirikawiri) | |
| Mutu waukulu, khosi lolimba | Kuvuta kupuma, kulimba pachifuwa, kupuma movutikira |
| Kutupa kapena kutuluka magazi kosazolowereka | Ululu pankhope, mozungulira maso, chifuwa ndi mafinya |
| Chofunika: Ngati mukuona zizindikiro za ziwengo (monga ziphuphu, kuuma pachifuwa, kupuma movutikira), pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) yapafupi nthawi yomweyo. | |
Chinanso n'chakuti m'masiku ochepa oyamba mutalandira chithandizo, mungamve bwino kwambiri. Izi zili choncho chifukwa chakuti kuchuluka kwa ma antibodies m'thupi lanu kumakhala kwakukulu kwambiri. Koma pamene chithandizo chotsatira chikuyandikira, ma antibodies amenewo akalowa m'thupi lanu, mungamve kutopa pang'ono komanso kufooka. Izi ndi zachilendo.
Kodi mumakonzekera bwanji chithandizo?
Ndikofunikira kwambiri kukhala wokonzeka komanso womasuka pa tsiku la chithandizo chanu. Nazi malangizo ena okuthandizani:
- Imwani madzi ambiri: Imwani madzi ndi zakumwa zambiri tsiku lisanafike, panthawi, komanso mutalandira chithandizo. Izi zichepetsa kwambiri chiopsezo cha zotsatirapo zoyipa monga mutu.
- Funsani za mankhwala anu: Ngati mukumwa mankhwala a matenda ena, funsani dokotala wanu kapena namwino ngati mukumwa kapena ayi mankhwalawa patsiku la chithandizo chanu.
- Bweretsani chinthu choti musangalale nacho: Popeza mudzakhala pamalo amodzi kwa maola angapo, kubweretsa chinthu choti musangalale nacho, monga buku, magazini, kapena kanema pafoni yanu, kungakuthandizeni kukhala otanganidwa.
- Valani zovala zomasuka: Valani zovala zomasuka komanso zosavuta kuyikamo cannula. Mungamve kuzizira chifukwa malo ochiritsira ali ndi AC. Choncho ndi bwino kubweretsa china chake chophimbira kapena juzi.
- Fotokozani zomwe mwakumana nazo kale: Ngati mwakhala ndi zotsatirapo zoyipa chifukwa cha mankhwala a IVIg m'mbuyomu, uzani namwino musanayambe kulandira chithandizo kuti azitha kuziyang'anira.
Uthenga Wopita Nawo Kunyumba
- IVIg ndi mankhwala omwe amagwiritsa ntchito ma antibodies otengedwa m'magazi a anthu athanzi ndikuperekedwa kudzera m'mitsempha kwa munthu amene chitetezo chamthupi chake chili chofooka.
- Izi zimapatsa thupi lanu mphamvu yowonjezera yolimbana ndi matenda.
- Mankhwalawa amagwiritsidwa ntchito pa matenda angapo a autoimmune ndi matenda amitsempha, monga Lupus, ITP, ndi Myasthenia Gravis.
- Mankhwalawa amatenga maola angapo, ndipo zotsatirapo zazing'ono zimatha, koma zazikulu sizimachitika kawirikawiri. Lankhulani ndi dokotala wanu za vuto lililonse.
- Zotsatirapo zake zingachepe mwa kukonzekera bwino musanalandire chithandizo (makamaka mwa kumwa madzi ambiri).
- Kambiranani momasuka ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu komanso zabwino ndi zoyipa zake.
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