Masifunde ngeepilisi ze-Azathioprine. Ngaba ugqirha wakho ukunike eli yeza?

Ngaba wena okanye umntu omaziyo unikwe iyeza elibizwa ngokuba yiAzathioprine ngugqirha? Ukuba kunjalo, kubalulekile ukufunda kancinci ngale yeza. Ngamafutshane, liyeza elithintela okanye elinciphisa ukusebenza kwenkqubo yomzimba wakho yokuzikhusela. Makhe sijonge ukuba lenza ntoni, lisetyenziswa njani, kunye noko kufuneka ukwazi.

Loluphi uhlobo lonyango i-Azathioprine? Isetyenziselwa ntoni?

Kulungile, masiqale sibone ukuba eli yeza elibizwa ngokuba yiAzathioprine lisetyenziselwa ntoni ikakhulu.

Omnye wemisebenzi yayo ephambili kukunciphisa uxinzelelo olungeyomfuneko kwinkqubo yomzimba yokuzikhusela . Inkqubo yomzimba yokuzikhusela ifana nomkhosi okhusela ilizwe. Ilwa neentsholongwane ezibangela izifo. Kodwa ngamanye amaxesha le nkqubo iba namandla kakhulu ize yonakalise imizimba yethu. Kulapho ke eli yeza linceda khona.

Oku kusetyenziswa kakhulu kwezi zinto zilandelayo:

1. Emva kokufakelwa isitho somzimba: Khawuthelekelele ukuba umntu ufumene ukufakelwa isitho somzimba, njengesintso okanye isibindi. Emva koko inkqubo yomzimba yokuzikhusela inokubona esi sitho sitsha "njengesingaphandle" ize isihlasele. Oku kubizwa ngokuba "kukugatywa kwesitho somzimba." I-Azathioprine iyakuthintela oku kwaliwa. Oko kukuthi, inceda isitho esitsha ukuba sizivumelanise kakuhle nomzimba.

2. Kwizifo ezifana neRheumatoid Arthritis: Esi sisifo esibangelwa yingxaki kwinkqubo yomzimba yokuzikhusela, njengoko benditshilo ngaphambili. Okwenzekayo apha kukuba inkqubo yethu yomzimba yokuzikhusela ihlasela amalungu ethu. Ngoko ke, i-Azathioprine inceda ekunciphiseni olo hlaselo nokulawula iimpawu.

Eli yeza ngamanye amaxesha linokumiselwa ngoogqirha ngenxa yezinye iimeko. Ukuba unikwe eli yeza ngesinye isizathu, kungcono ubuze ugqirha wakho ngalo. Eli yeza lifumaneka kwimarike phantsi kwamagama anje ngo (Azasan) kunye no (Imuran).

Zeziphi izinto ezibalulekileyo ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa i-Azathioprine, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Kubalulekile ukuba ukhuseleke ukuba unyanisekile ngezi zinto, akunjalo?

Ugqirha ufuna ukwazi ukuba unayo nayiphi na kwezi meko:

• Naluphi na usulelo olukhoyo: Ukuba unesulelo olufana nomkhuhlane, umkhuhlane, ukukhohlela. Ngenxa yokuba eli yeza linciphisa amajoni omzimba, usulelo lunokwanda.
• Isifo sezintso: Ukuba izintso azisebenzi kakuhle, oko kunokuchaphazela indlela elikhutshwa ngayo iyeza emzimbeni.
• Isifo sesibindi: Ukuba kukho ingxaki ngesibindi, inokuchaphazela namayeza.
• Ukuba une-allergy kwi-azathioprine, amanye amayeza, i-lactose, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uceba ukukhulelwa, oku kubaluleke kakhulu, njengoko eli yeza linokuchaphazela usana olungekazalwa.
• Ukuba ungumama oncancisayo.

Xa uxoxa ngezi ngongoma nogqirha wakho, unokugqiba ukuba eli yeza likulungele na okanye ukuba kufuneka kutshintshwe idosi.

Uyisebenzisa njani kanye kanye iAzathioprine?

Kulungile, ngoku makhe sibone indlela yokuthatha eli yeza.

Le pilisi iza ngohlobo lweepilisi. Ufanele uyithathe neglasi yamanzi. Ufanele uyithathe kanye njengoko kuyalelwe kwileyibhile kagqirha, ngexesha nangobungakanani obuchazwe ngugqirha wakho. Musa ukutsiba iidosi, kwaye uzithathe ngamaxesha athile achazwe ngugqirha.

Kubaluleke kakhulu: Musa ukuyeka ukusebenzisa eli yeza de ugqirha wakho akuxelele ukuba ulisebenzise, ​​nokuba uzive ungcono kancinci. Ukuliyeka ngequbuliso kunokubangela iingxaki. Ungaze uyeke ukulisebenzisa okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho. Ingaba kulungile?

Ngaba ndifanele ndinike abantwana abancinci eli yeza?

Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana abancinci eli yeza. Ngoko ke, qiniseka ukuba uthetha nogqirha wabantwana ngaphambi kokuba unike umntwana wakho eli yeza.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba usele eli yeza kakhulu ngempazamo, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu ngoko nangoko. Baza kukunika ingcebiso malunga nento omawuyenze. Musa ukuchitha ixesha ngexesha elinje.

Kulungile na ukunika abanye eli yeza?

Oku kubalulekile ukukhumbula. Eli yeza limiselwe wena kuphela. Musa ukunika eli yeza umhlobo okanye ilungu losapho oluneempawu ezifanayo nezakho. Linokuba yingozi.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Ngamanye amaxesha ungaphoswa yidosi. Ukuba uyaphoswa yidosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe yidosi uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele umthamo ophoswe yidosi. Oku kunokunyusa umngcipheko weziphumo ebezingalindelekanga.

Ngawaphi amanye amayeza anokusebenzisana neAzathioprine? (Ukusebenzisana kwamayeza)

Le yinxalenye ebaluleke kakhulu. I-Azathioprine inokubangela iingxaki xa idityaniswe namanye amayeza owasebenzisayo. Kunokuba yingozi ukuyithatha kunye namanye amayeza.

Musa ukuthatha iAzathioprine kunye nale yeza!

• I-Febuxostat - Eli liyeza le-gout.
• I-Mercaptopurine - Eli liyeza elisetyenziselwa ukunyanga umhlaza kunye nezinye izifo.

Kufuneka uqaphele nala mayeza:

Ukuba usebenzisa naliphi na kula mayeza alandelayo, qiniseka ukuba uxelela ugqirha wakho xa usebenzisa i-Azathioprine. Ugqirha wakho unokufuna ukutshintsha umthamo wakho okanye akujonge rhoqo.

• I-Allopurinol: Le ikwaliyeza le-gout.
• Ii-Aminosalicylates : Imizekelo iquka i-sulfasalazine, i-mesalamine, i-balsalazide, kunye ne-olsalazine. Ezi zisetyenziselwa ukunyanga izifo zamathumbu ezivuthayo.
• I-Leflunomide: Eli liyeza elisetyenziselwa izifo ezifana ne-rheumatoid arthritis.
• Izithinteli ze-ACE : La ngamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu. Imizekelo ibandakanya iBenazepril, iCaptopril, kunye neEnalapril.
• I-Mycophenolate: Eli liyeza elinikwa emva kokufakelwa amalungu omzimba.
• I-Sulfamethoxazole; I-Trimethoprim: Le yi-antibiotic esetyenziswa kakhulu.
• Iigonyo: Ezinye iigonyo zisenokungasebenzi kakuhle okanye zibe yingozi xa usebenzisa eli yeza. Ngoko ke, kufuneka uxelele ugqirha wakho ngaphambi kokuba ufumane naluphi na ugonyo.
• I-Warfarin: Eli liyeza elithintela ukujiya kwegazi.

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha), imifuno, kunye nezongezo zokutya ozisebenzisayo, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye zezi zinto zinokusebenzisana ne-Azathioprine.

Yintoni esifanele siyilumkele xa sithatha eli yeza?

Udinga ukunyamekela impilo yakho ngakumbi ngelixa usebenzisa i-Azathioprine.

• Bona ugqirha wakho rhoqo: Ndwendwela ugqirha wakho ngamaxesha athile ukuze ujonge imeko yakho. Kuya kufuneka uhlolwe igazi rhoqo kwiinyanga zokuqala ezimbalwa zokuthatha eli yeza. Oku kuya kunceda ugqirha wakho abone ukuba iyeza lisebenza kakuhle na kuwe kwaye ukuba kukho naziphi na iziphumo ebezingalindelekanga.
• Lumka kwiintsholongwane: Ukuba ufumana naziphi na iimpawu zosulelo, ezinje ngomkhuhlane, umkhuhlane, okanye umphimbo obuhlungu, ngelixa usela eli yeza, musa ukuzenza unyango kwaye utsalele umnxeba ugqirha wakho ngoko nangoko. Oku kungenxa yokuba eli yeza linciphisa amasosha omzimba wakho, nto leyo eyonyusa umngcipheko wakho wokufumana izifo, kwaye nosulelo oluncinci lunokuba yingozi.

Isaziso esikhethekileyo koomama abakhulelweyo kunye nabo banethemba lokukhulelwa!

Ukuba ukhulelwe okanye ucinga ukuba ukhulelwe, kufuneka uxelele ugqirha wakho ngoko nangoko. Eli yeza linokubangela iziphumo ebezingalindelekanga ezibi kakhulu kusana olungekazalwa. Ngoko ke, thetha nogqirha wakho okanye ikhemisti ukuze ufumane ulwazi oluthe kratya.

Kukho into amadoda afanele ayazi...

Amadoda asebenzisa eli yeza anokufumana ukwehla kwenani lamadlozi. Thetha nogqirha wakho ngale nto.

Ngaba kufuneka siqaphele nomngcipheko womhlaza?

Kufunyaniswe ukuba ukusetyenziswa kwale mithi ixesha elide kunokunyusa kancinci umngcipheko wokuba neentlobo ezithile zomhlaza. Oku akwenzeki kuwo wonke umntu, kodwa kulungile ukuqaphela umngcipheko. Thetha nogqirha wakho ngale nto. Kubalulekile ukulandela indlela yokuphila enempilo kwaye ufumane uhlolo lomhlaza rhoqo.

Zithini iziphumo ebezingalindelekanga ze-Azathioprine? (Iziphumo ebezingalindelekanga)

Njengalo naliphi na iyeza, i-azathioprine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukwazi ezo zinokwenzeka.

Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga, kufuneka uxelele ugqirha wakho ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho ngoko nangoko, okanye uye esibhedlele.

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Utshintsho kwimbono.
• Ukudideka.
• Umkhuhlane, ukubanda, okanye naziphi na ezinye iimpawu zosulelo.
• Ukuhambahamba okungaqondakaliyo, ukulahlekelwa yibhalansi okanye ukulungelelana.
• Intlungu ebuhlungu yesisu.
• Ukopha okanye ukukrweleka okungaqhelekanga.
• Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga.
• Ukuhlanza.
• Ukutyheli kwamehlo okanye ulusu - Oku kukwabizwa ngokuba yi-jaundice.

Ezi ziphumo ebezingalindelekanga azinabungozi, kodwa xelela ugqirha wakho ukuba ziyaqhubeka:

Ezi zinto zisenokwenzeka kwabanye abantu, kodwa azisoloko ziyingozi. Kodwa ukuba ziyaqhubeka, okanye ziyakukhathaza, xelela ugqirha wakho.

• Ukulahleka kweenwele.
• Isicaphucaphu.

Khumbula, olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga engekho kolu luhlu, thetha nogqirha wakho ngayo.

Ndingaligcina njani eli yeza?

Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo.

• Yigcine kude nabantwana.
• Gcina kubushushu begumbi. Oko kukuthi, phakathi kwe-15 kunye ne-25 degrees Celsius (59 kunye ne-77 degrees Fahrenheit).
• Zikhusele elangeni nasebumnyameni.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ndiyathemba ukuba ngoku unembono ethile nge-Azathioprine.

Eli nqaku lenzelwe ulwazi ngokubanzi kuphela. Alithathi indawo yeengcebiso zikagqirha wakho. Ukuba unemibuzo malunga nale yeza okanye imeko yakho, nceda uxoxe ngayo nogqirha wakho, usokhemesti, okanye omnye umntu osebenza ngezempilo onyangayo. Baya kukwazi ukukunika iingcebiso ngeyona ndlela ilungileyo yokwenza.

Eyona nto ibalulekileyo kukunyamekela impilo yakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Azathioprine, ukhuselo lomzimba, ukufakelwa kwamalungu omzimba, isifo samathambo, iziphumo ebezingalindelekanga, amayeza, impilo