Ngaba wena okanye umntu ohlala nawe une-Multiple Sclerosis (MS)? Ukuba kunjalo, ugqirha wakho usenokuba ukucebisile ukuba uqale ukuthatha ipilisi ebizwa ngokuba yiCladribine. Xa usiva eli gama, usenokuba nemibuzo emininzi. "Luhlobo luni lonyango olu?", "Kuza kwenzeka ntoni kulo?", "Ngaba kukho iziphumo ebezingalindelekanga?" Usenokuba uzibuza. Musa ukoyika konke konke. Kweli nqaku namhlanje, siza kuthetha ngezi pilisi zeCladribine ngendlela elula necacileyo, njengomhlobo kuwe.
Kalula nje, yintoni iCladribine?
I-Cladribine yipilisi esetyenziselwa ukunyanga imeko ebizwa ngokuba yi -multiple sclerosis (MS) . Nangona kunjalo, ayinikwa wonke umntu one-MS rhoqo. Oogqirha badla ngokunika eli yeza xa ezinye iindlela zonyango zingasebenzi okanye xa kunzima ukuzinyamezela.
Ngoko ke eli yeza lisebenza njani? Cinga ngalo, umzimba wethu unenkqubo yokuzikhusela, siyibiza ngokuba yinkqubo yokuzikhusela . Umsebenzi wayo kukulwa neentsholongwane zasemzini nokusikhusela kwizifo. Kodwa kwizifo ezifana ne-MS, le nkqubo yokuzikhusela iba negalelo elikhulu (isebenza kakhulu) kwaye iqala ukuhlasela iiseli zomzimba ezilungileyo. Oko kwenziwa ziipilisi zeCladribine kukucothisa inkqubo yokuzikhusela esebenza kakhulu kancinci kwaye ithomalalise.
Zithini iingenelo zoku?
- Iyamisa okanye iyalibazisa ukuqhubela phambili kweempawu.
- Inciphisa inani lokuqhambuka kwesikhumba.
Eli yeza lifumaneka kakhulu eSri Lanka nakwihlabathi liphela phantsi kwegama le- MAVENCLAD .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza:
Le yinxalenye ebaluleke kakhulu. I-Cladribine liyeza elinamandla kakhulu. Kungoko ke, kubalulekile ukuba ugqirha wakho azi ngazo naziphi na ezinye iingxaki zempilo onokuba nazo. Jonga itheyibhile engasezantsi. Ukuba unayo nayiphi na kwezi meko, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale amayeza.
| Imeko yakho yempilo | Kutheni ufanele uxelele ugqirha? (Kalula nje) |
|---|---|
| Ukuba ukhe waba nomhlaza okanye okwangoku | Ngenxa yokuba eli yeza lichaphazela inkqubo yomzimba yokuzikhusela, kufuneka kuthathwe ingqalelo ekhethekileyo malunga nomngcipheko womhlaza. |
| Ukungaphumeleli kwentliziyo okanye ezinye iziphene zentliziyo | Kwabanye abantu, eli yeza linokuchaphazela ukusebenza kwentliziyo. |
| Iimeko ze-HIV okanye ze-AIDS | I-Cladribine ayifanelekanga ukusetyenziswa kwizigulana esele zibuthathaka amajoni omzimba ngenxa yezi zifo. |
| Iintsholongwane ezikhoyo (umz. isifo sephepha (TB), izifo zefungal, iintsholongwane okanye iintsholongwane) | Ngenxa yokuba iCladribine icinezela inkqubo yomzimba yokuzikhusela, usulelo olusele lukhona emzimbeni lunokuba nzima kakhulu. |
| Isifo sezintso okanye sesibindi | Ngenxa yokuba la malungu ebandakanyeka kwinkqubo yokususa amayeza emzimbeni, iimeko zawo zesifo zinokutshintsha ukusebenza kakuhle kwamayeza. |
| Ukuba usandul' ukufumana isitofu sokugonya okanye ucwangciselwe ukusifumana kwixesha elizayo | Kuyingozi kakhulu ukuthatha imijovo yentsholongwane ephilayo ngale mithi. |
| Ukunganyamezelani neCladribine okanye amanye amayeza, ukutya, okanye idayi | Oku kubalulekile ukwazi kwangaphambili ukuba unokuba ne-allergies. |
| Ukuba wena okanye iqabane lakho nizama ukukhulelwa okanye sele nikhulelwe | Eli yeza linokubangela ingozi enkulu kumntwana osesiswini. Oku kubaluleke kakhulu. |
| Ukuba uncancisa umntwana wakho (Ukuncancisa) | Eli yeza linokudlula kubisi lwebele kwaye lonakalise umntwana. |
Uzisebenzisa njani kanye kanye ezi pilisi?
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha. Kodwa masiqaphele indlela yokusebenzisa eli yeza ngokubanzi.
- Le pilisi mayithathwe ngomlomo neglasi yamanzi.
- Zama ukuyithatha ngexesha elifanayo yonke imihla.
- Eyona nto ibalulekileyo: Musa ukuphula, ukutyumza, okanye ukuhlafuna ithebhulethi. Ginya yonke ithebhulethi ngaxeshanye.
- Ungayithatha ngaphambi okanye emva kokutya, kodwa ukuba uziva uphazamisekile esiswini, kungcono ukuyithatha kunye nokutya.
- Sela amayeza njengoko uyalelwe de ugqirha akuxelele ukuba uyeke.
'Umjikelo' wokuthatha amayeza
Eli yeza alilonto ohlala uyisebenzisa. Lisetyenziswa 'kwii-cycles'. Ngamafutshane, kukho iintsuku ezithile othatha ngazo iyeza kunye neentsuku ezithile ongazithathiyo. Kubaluleke kakhulu ukulandela le shedyuli ngokuchanekileyo. Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba kukho into ongayiqondiyo, cela ugqirha wakho ukuba akucacisele. Ukuthatha ngaphezulu komlinganiselo omiselweyo kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu.
Kubalulekile: Ukuba usebenzisa amanye amayeza, sukuwasebenzisa ngexesha elinye neCladribine. Buza ugqirha wakho ukuba kufuneka uwasebenzise iiyure ezingaphi emva kokusebenzisa iCladribine.
Lumka xa uphatha iyeza.
Ukuphatha eli yeza kufuneka kwenziwe ngononophelo. Hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi nasemva kokuphatha ipilisi. Ugqirha wakho uza kukunika imiyalelo ethile ngalo mba.
Umthamo ogqithisileyo
Ukuba ngequbuliso ucinga ukuba usele kakhulu eli yeza, ungalibazisi. Tsalela umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyiphosileyo.
Ngawaphi amanye amayeza anokusebenza kunye neCladribine?
Ukusela amanye amayeza ngeCladribine kunokuba yingozi.
Musa ukuzithatha ezi kunye neCladribine:
- Iigonyo zentsholongwane ephilayo: Iigonyo ezifana ne-masisi, i-mumps, i-rubella (MMR), kunye ne-polio yomlomo ziwela kolu didi. Ngenxa yokuba inkqubo yomzimba yokuzikhusela iba buthathaka xa ufumana ezi gonyo, usenokufumana esi sifo ukuba uyifumana.
I-Cladribine inokusebenzisana nala mayeza:
- Amanye amayeza e-antiviral anikwa i-HIV okanye i-Hepatitis.
- Amanye amayeza acinezela inkqubo yomzimba yokuzikhusela (umz., amayeza okubulala umhlaza, amayeza athintela ukwaliwa kwamalungu atyaliweyo).
Eyona nto ibalulekileyo kukunika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (kuquka iivithamini, amayeza e-Ayurvedic okanye e-herbal, kunye neentlungu). Emva koko angakwenzela isicwangciso sonyango esikhuselekileyo kuwe.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
Ufanele unikele ingqalelo engakumbi emzimbeni wakho ngelixa usebenzisa eli yeza.
- Ukuhlolwa rhoqo kwezonyango: Ugqirha wakho kuya kufuneka akubone rhoqo. Kwakhona, kuya kufuneka wenze uvavanyo lwegazi rhoqo ukujonga inani leeseli zakho zegazi (ingakumbi ii-lymphocytes) ngelixa usebenzisa eli yeza.
- Umngcipheko wokosuleleka: Njengoko besitshilo ngaphambili, xa usela eli yeza, amandla omzimba wakho okulwa nesifo (amasosha omzimba) ayancipha kancinci. Ngenxa yoko, unokufumana usulelo ngokulula. Ukuba ufumana iimpawu ezinje ngomkhuhlane, ukugodola, umphimbo obuhlungu, ukukhwehlela, okanye umkhuhlane, musa ukuzinyanga kwaye utsalele ugqirha wakho umnxeba ngoko nangoko. Kukwabubulumko ukuhlala kude neendawo apho abantu abagulayo bechitha ixesha elininzi kangangoko kunokwenzeka.
- Umngcipheko womhlaza: Izifundo zibonise ukuba ukuthatha eli yeza kunokunyusa kancinci umngcipheko wokufumana ezinye iintlobo zomhlaza. Musa ukothuka yile nto, kodwa thetha nogqirha wakho ngalo mngcipheko.
- Ukukhulelwa nokuncancisa (kubaluleke kakhulu):
- Kwabasetyhini: Musa ukulisebenzisa eli yeza ukuba uceba ukukhulelwa, ukhulelwe, okanye uncancisa. Kufuneka wenze uvavanyo lokukhulelwa ngaphambi kokuba uqale eli yeza ukuqinisekisa ukuba awukhulelwe. Kufuneka usebenzise uhlobo lokuthintela ukukhulelwa olusebenza kakuhle ngelixa usela eli yeza kwaye kangangeenyanga ezi-6 emva kokuba usele ipilisi yokugqibela .
- Kwabesilisa: Ukuba iqabane lakho liyakwazi ukukhulelwa, kufuneka usebenzise ikhondom ngexesha lokwabelana ngesondo ngelixa usela eli yeza kwaye kangangeenyanga ezi-6 emva kwedosi yakho yokugqibela. Oku kuya kuthintela ukuba iyeza lingadluliseli kwiqabane lakho ngembewu kwaye lonakalise umntwana ongekazalwa.
- Ukuncancisa: Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza kwaye kangangeentsuku ezili-10 emva komthamo wokugqibela .
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengazo zonke iziyobisi, iCladribine inokubangela iziphumo ebezingalindelekanga, nangona kungengabo bonke abantu abazifumanayo. Apha ngezantsi kukho uluhlu lweziphumo ebezingalindelekanga ezinokubakho.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Ukumelwa yintliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Usulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu, amanxeba angapholiyo, iintlungu xa uchama, kunye nokungonwabi komzimba. |
| Iimpawu zokulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kolusu okanye amehlo. |
| Iimpawu ezinxulumene nenkqubo ye-nervous | Ukuba nesiyezi, ukulahlekelwa kukulinganisela, ukudideka, ubunzima bokuthetha. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Umqolo obuhlungu |
| Isicaphucaphu | Umqala obuhkungu |
| Impumlo egobhozayo okanye exineneyo | |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana ezinye iimpawu ezingaqhelekanga, thetha nogqirha wakho ngazo.
Ukhusela kwaye ugcina njani amayeza akho?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya .
- Gcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius).
- Gcina iyeza kwibhotile okanye kwipakethi yalo yokuqala .
- Khusela kumswakama. Gcina isigqubuthelo sebhotile sivaliwe kakuhle.
- Musa ukusebenzisa amayeza aphelelwe lixesha. Buza ugqirha wakho indlela yokulahla ngokukhuselekileyo amayeza aphelelwe lixesha okanye angasafunekiyo.
Umyalezo Wokuya Ekhaya
- I-Cladribine liyeza elinamandla elisetyenziselwa ukunyanga i-multiple sclerosis (MS). Sebenzisa eli chiza kuphela phantsi kwengcebiso kagqirha.
- Landela ishedyuli 'yomjikelo' oyinikwe ngugqirha wakho ngokuchanekileyo. Ungaze uthathe ngaphezu komlinganiselo omiselweyo.
- Xelela ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ngelixa usebenzisa iyeza, lumka kakhulu malunga neempawu zosulelo ezifana nomkhuhlane kunye nokukhwehlela. Ukuba ufumana naziphi na iimpawu ezinjalo, xelela ugqirha wakho ngoko nangoko.
- Qiniseka ukuba uyalandela icebiso lokuthintela ukukhulelwa (kwabasetyhini namadoda). Oku kubaluleke kakhulu.
- Eli yeza lelakho wedwa. Ungaze wabelane ngeli yeza nabanye abantu.
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