Intlungu yamalungu, ukudumba, ukuqina kwamalungu kusasa okwenza kube nzima ukolula amalungu akho... Nabani na ohlushwa yile ntlungu uyazi ukuba kunzima kangakanani na ukuhlala usuku lonke eneempawu ezinje. Ngamanye amaxesha, kunzima ukulawula ezi meko ngeepilisi zokudambisa iintlungu eziqhelekileyo. Kwiimeko ezinjalo, oogqirha bajika baye kumayeza akhethekileyo afana ne-Abatacept, alawula esi sifo ngokuchaphazela amasosha omzimba wakho. Ke namhlanje, masithethe ngokulula ngale gonyo ye-Abatacept.
Yintoni kanye kanye i-Abatacept (Orencia)?
Ngamafutshane, i-Abatacept liyeza elilawula ukusebenza kwenkqubo yokuzikhusela yomzimba wakho ukuya kuthi ga kwinqanaba elithile. Izifo ezifana ne-rheumatoid arthritis zenzeka xa inkqubo yokuzikhusela yomzimba, ekufanele ukuba ngumkhuseli womzimba wethu, ihlasela amalungu ethu ngempazamo. Ngoko ke eli yeza lisebenza ngokulawula olo hlaselo lungafunekiyo.
Eli yeza lisetyenziswa kakhulu kwezi zinto zilandelayo:
- I-Rheumatoid Arthritis: Isifo samalungu esidumbayo esifumaneka kubantu abadala.
- I-Psoriatic Arthritis: Imeko yokudumba kwamalungu eyenzeka kwisifo sesikhumba i-psoriasis.
- I-Juvenile Idiopathic Arthritis: Isifo samalungu esidumbayo esisenzeka kubantwana abancinci.
- Isifo se-Graft-versus-Host: Ngamanye amaxesha, emva kokufakelwa i-stem cell , iiseli ezifakelweyo zinokusebenza ngokuchasene nomzimba. Eli yeza likwasetyenziselwa ukuthintela loo meko.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Oku kubaluleke kakhulu. Kukhuseleko lwakho ukuxelela ugqirha wakho yonke into ngembali yakho yempilo ngaphandle kokufihla nantoni na. Nika ingqalelo ekhethekileyo kula manqaku.
- Sixelele ngazo naziphi na izifo oye wazifumana okanye owakha wanazo ngaphambili: nantoni na ukususela kwizifo ezincinci ezifana nomkhuhlane okanye umkhuhlane ukuya kwiintsholongwane ezifana nesifo sephepha , i-hepatitis B , i-chickenpox, i-herpes, njl. Sixelele nangaluphi na unxibelelwano lwakutshanje nomntu onesifo sephepha.
- Iingxaki zenkqubo yomzimba yokuzikhusela: Sixelele ngezinye iimeko zonyango ezichaphazela inkqubo yakho yomzimba yokuzikhusela.
- Izifo ezinxulumene nemiphunga: Ukuba uneempawu ezifana nokuphefumla nzima nokukhohlela, ingakumbi ukuba unesifo esifana neCOPD (Chronic Obstructive Pulmonary Disease), sazise.
- Imbali yomhlaza: Qiniseka ukuba uyakhankanya ukuba ukhe waba nomhlaza ngaphambili okanye unyangwa.
- Isifo seswekile: Ukuba unesifo seswekile, yazisa ugqirha wakho.
- Ukugonywa: Xelela ugqirha wakho ukuba usandul’ ukufumana ugonyo okanye ucwangciselwe ukulufumana kwixesha elizayo (ingakumbi ukugonywa okuphilayo).
- Utyando: Ukuba uza kutyandwa kwixesha elizayo, nceda usazise ngalo.
- Ii-Allergies: Sixelele ukuba unayo nayiphi na i-allergies, kungekuphela nje kweli yeza, kodwa nakweyiphi na enye iyeza, ukutya, okanye idayi.
- Ukukhulelwa nokuncancisa: Ukuba ukhulelwe, uzama ukukhulelwa, okanye ukuncancisa, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza.
Indlela yokusebenzisa eli yeza?
Kukho iindlela ezimbini zokusebenzisa i-Abatacept.
1. Ukufakwa kwe-Intravenous: Oku kwenziwa esibhedlele okanye ekliniki kuphela. Njengokunika i-saline, iyeza lifakwa emzimbeni ngomthambo.
2. Inaliti engaphantsi kwesikhumba: Le yinaliti onokuyijova ekhaya. Ugqirha wakho uza kukunika isirinji ezaliswe kwangaphambili okanye ipeni ekhethekileyo (i-autoinjector) yoku. Kwakhona, umongikazi okanye ugqirha uza kukufundisa indlela yokuyijova ngokuchanekileyo. Kubaluleke kakhulu ukufumana inaliti kanye njengoko kuyalelwe, ngosuku olufanelekileyo, nangexesha elifanelekileyo.
Kubaluleke kakhulu: Ungaze ulahle iinaliti kunye neesirinji ezisetyenzisiweyo enkunkuma. Zifanele zifakwe kwisikhongozeli sezinto ezibukhali . Ukuba awunayo, ungacela ugqirha wakho akunike yona.
Kuthekani ukuba idosi iyanda?
Ukuba ngempazamo usele amayeza amaninzi kakhulu, ungoyiki kwaye ngoko nangoko fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo . Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa yidosi?
Ukuba ungumntu ofumana iyeza lokugonya kanye ngeveki ekhaya, thatha idosi ephosiweyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka idosi ephosiweyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye. Ukuba unikwa iyeza esibhedlele, fowunela ugqirha wakho ngoko nangoko ukuba awukwazi ukugcina idinga lakho.
Amanye amayeza asebenzisana nale mithi
Nangona usebenzisa i-abatacept, ukuthatha amanye amayeza athile kunokubangela iziphumo ezingafunekiyo. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Uhlobo lweziyobisi | Inkcazo kunye nomngcipheko |
|---|---|
| Udidi 1: Ungaze uthathe kunye | |
| Izitofu eziphila | Ezi zigonyo ezineentsholongwane eziphilayo ezibuthathaka okanye iibhaktheriya. Ezi zinokubangela usulelo olukhulu kuba inkqubo yakho yomzimba yokuzikhusela iba buthathaka ngelixa usebenzisa i-Abatacept. |
| Udidi 2: Amayeza ekufuneka athathwe ngononophelo olukhulu (qiniseka ukuba uxelele ugqirha wakho) | |
| Izithinteli ze-TNF | Amayeza afana ne-Adalimumab, i-Etanercept, kunye ne-Infliximab. La mayeza akwacinezela inkqubo yomzimba yokuzikhusela, ngoko ke umngcipheko wosulelo uyanda kakhulu xa uthathwa nge-Abatacept. |
| Amanye amayeza okunciphisa amajoni omzimba | Amayeza anje nge-Anakinra, i-Rituximab, i-Tocilizumab, i-Tofacitinib. La mayeza akwanyusa umngcipheko wokosuleleka. |
Amanqaku akhethekileyo ekufuneka uwaqaphele xa usebenzisa amayeza
- Umngcipheko wokosuleleka: Eli yeza linciphisa ukusebenza kwenkqubo yakho yokuzikhusela komzimba, ngoko ke usemngciphekweni omkhulu wokufumana usulelo. Ke ngoko, ukuba ufumana iimpawu ezinje ngomkhuhlane, ukugodola, ukukhwehlela, umphimbo obuhlungu, okanye ukutsha xa uchama, musa ukuzinyanga kwaye uxelele ugqirha wakho ngoko nangoko. Nciphisa ukutyelela kwakho kwiindawo apho abantu bagula khona.
- Uvavanyo lweSifo sephepha: Ngaphambi kokuba uqale eli yeza, uza kuvavanywa ukuze kubonwe ukuba unesifo sephepha (TB). Ukuba ugqirha wakho unika amayeza esifo sephepha, kufuneka uqale ukuwasela uze ugqibezele yonke ikhosi ngaphambi kokuba uqale i-Abatacept.
- Iswekile kunye neswekile egazini: Ukuba unesifo seswekile kwaye ufumana eli yeza nge-infusion, i-glucometer yakho inokubonisa ukufundwa okuphezulu okungeyonyani ngomhla wokunikwa. Ke ngoko, thetha nogqirha wakho malunga nendlela echanekileyo yokulinganisa iswekile yakho egazini ngaloo mini.
Zeziphi iziphumo ebezingalindelekanga ezinokubakho?
Njengazo zonke iziyobisi, i-Abatacept inokubangela ezinye iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla, iintlungu zesifuba. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, usulelo lomchamo. |
| Okunye | Intloko ebuhlungu (isiyezi), ukuziva udiniwe ngendlela engaqhelekanga. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Iingxaki zenkqubo yokugaya ukutya | Intlungu yesisu, isicaphucaphu, urhudo (ukudumba). |
| Intloko ebuhlungu | Intloko ebuhlungu eqhelekileyo. |
| Intlungu kwindawo yokutofa | Ububomvu, ukurhawuzelela, okanye intlungu encinci kwindawo yokuhlatywa. |
Ungayigcina njani iyeza?
Ukuba unikwe isirinji okanye i-autoinjector ukuba uyisebenzise ekhaya, yigcine kude nabantwana, kwishelufu engaphakathi yefriji, hayi emnyango (phakathi kwe-2 kunye ne-8 degrees Celsius). Ungaze uyigcine efrijini. Gcina iyeza kwiphakheji yalo yokuqala, kude nokukhanya. Lahla iyeza eliphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Abatacept liyeza elinamandla elilawula ukusebenza kwenkqubo yakho yokuzikhusela komzimba. Ngoko ke landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Xelela ugqirha wakho imbali yakho epheleleyo yempilo, ingakumbi malunga nosulelo kunye nezinye izifo.
- Kukho umngcipheko omkhulu wokufumana usulelo ngelixa usebenzisa eli yeza. Ukuba ubonakalisa iimpawu ezifana nomkhuhlane, ukukhwehlela, okanye umphimbo obuhlungu, yazisa ugqirha wakho ngoko nangoko.
- Ukuba ugonywa ekhaya, funda indlela echanekileyo kwaye ulahle iinaliti ezisetyenzisiweyo ngokukhuselekileyo.
- Ukuba unemibuzo, iinkxalabo, okanye iinkxalabo malunga nale mithi, musa ukuyigcina kuwe, kodwa thetha nogqirha wakho.
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