Ukuba wena okanye umntu okwintsapho yakho unesifo esifana neMultiple Sclerosis (MS), kuyinto eqhelekileyo ukuba novalo kwaye ube nomdla xa uqala iyeza elitsha. Ingakumbi xa ufunda ngeyeza elifana neCladribine, unokufuna ukwazi ukuba lisebenza njani kunye nento ekufuneka uyiqaphele. Ngoko ke namhlanje, masithethe ngale yeza, njengokuba ubuya kuthetha nomhlobo.
Yintoni iCladribine?
Ngamafutshane, iCladribine liyeza elisetyenziselwa ukunyanga abantu abanesi sifo esibizwa ngokuba yiMultiple Sclerosis (MS) . Liza likwimo yepilisi. Usenokuba ulazi ngegama lophawu elithi `MAVENCLAD`.
Ngoku masibone ukuba kwenzeka ntoni. I-MS sisifo esihlala ixesha elide esichaphazela inkqubo yethu yemithambo-luvo. Ngamanye amaxesha, iimpawu zinokuya zisiba mbi ngequbuliso. Oku sikubiza ngokuba kukubuyela umva. Ngoko ke into eyenziwa leli yeza leCladribine kukuthintela isifo ukuba singabi sibi kwakhona.
Kodwa kubalulekile ukukhumbula oku. I-Cladribine ayilonyango lwe-MS. Kodwa inokukunceda ukulawula esi sifo kwaye uphile ubomi obuqhelekileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kufuneka abe nomfanekiso opheleleyo wemeko yakho yempilo. Eli yeza alifanelekanga kuye wonke umntu. Ke ngoko, ukuba unenye yezi meko zilandelayo, qiniseka ukuba wazisa ugqirha wakho ngalo.
- Imeko yomhlaza: Ukuba okwangoku unomhlaza okanye ukhe waba nawo ngaphambili.
- I-HIV okanye i-AIDS: Iimeko ezinciphisa amajoni omzimba.
- Ezinye iingxaki zenkqubo yomzimba yokuzikhusela: Nasiphi na imeko enciphisa amandla omzimba wakho okulwa nezifo (ukungakhuseleki).
- Usulelo lwangoku: Naluphi na usulelo, ingakumbi usulelo lwentsholongwane olufana ne-chickenpox okanye i-herpes.
- Isifo sezintso okanye sesibindi: La malungu anoxanduva lokucoca nokususa amayeza emzimbeni, ngoko ke kubalulekile ukwazi ukuba kukho ingxaki ekusebenzeni kwawo.
- Inani eliphantsi leeseli zegazi: Amanqanaba aphantsi eeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets.
- Ukuba usandul’ ukufumana isitofu sokugonya okanye ucwangciselwe ukusifumana kwixesha elizayo.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
- Ukuba une-allergy kwi-cladribine okanye naliphi na elinye iyeza, ukutya, okanye idayi.
Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ngaphandle kokufihla ezi zinto.
Ndingayisebenzisa njani le mithi?
Indlela yokusebenzisa oku ilula kakhulu.
- Ginya le pilisi ngeglasi yamanzi.
- Ingathathwa ngaphambi okanye emva kokutya. Ukuba uziva uphazamisekile esiswini, kungcono ukuyithatha kunye nokutya.
- Thatha idosi echanekileyo njengoko ugqirha wakho ekuyalele. Musa ukuthatha ngaphezu komlinganiselo omiselweyo.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
Ugqirha wakho uza kukunika incwadana yolwazi ekhethekileyo (iMedGuide) malunga nale yeza. Nceda uyifunde ngononophelo xa uyifumana.
Yintoni omawuyenze ukuba idosi iyanda?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yiya kwiCandelo loNgxamiseko (ETU) lesibhedlele ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Akuyongcinga ilungileyo ukungayisebenzisi le mithi. Ukuba kunjalo, thetha nogqirha wakho ukuze akunike iingcebiso malunga nento omawuyenze.
Amanye amayeza anokusebenzisana nalo mayeza (Intsebenziswano)
I-Cladribine liyeza elinokunxibelelana namanye amayeza, ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, iimveliso zemifuno, iivithamini).
| Ukusebenzisana neCladribine | |
|---|---|
| Musa ukuthatha ezi zinto konke konke: | |
| Izitofu zokugonya iintsholongwane eziphilayo | Umzekelo: I-Maasles, i-mumps, i-rubella (MMR), ugonyo lwe-chickenpox. |
| Iimpendulo zinokwenzeka nakwezi (funa ingcebiso kagqirha): | |
| Iipilisi zokulawula inzala | Amanye amayeza okubulala iintsholongwane anikwa i-HIV okanye i-hepatitis |
| Amanye amayeza athintela amajoni omzimba | Iintlobo ze-steroids (i-Prednisone, i-Cortisone) |
| I-Rifampicin (iyeza lesifo sephepha) | I-St. John's Wort (imveliso yezityalo) |
| I-Cyclosporine, i-Curcumin | Namanye amayeza amaninzi... |
Kubalulekile: Olu luhlu aluphelelanga, ngoko ke kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
Kufuneka ulumke ngakumbi ngempilo yakho xa usebenzisa eli yeza.
Umngcipheko wokufumana usulelo
I-Cladribine inokwenza buthathaka kancinci amasosha omzimba wakho. Oku kuthetha ukuba unokufumana usulelo ngokulula. Ngoko ke ukuba uneempawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, okanye ukukhwehlela , musa ukuzinyanga kwaye uthethe nogqirha wakho. Zama ukuhlala kude nabantu abagulayo.
Ingozi yosulelo olukhulu oluchaphazela ingqondo
Amaxesha amaninzi, ezinye izigulana zinokuba nosulelo olukhulu lobuchopho (PML - Progressive Multifocal Leukoencephalopathy) ngenxa yale mithi. Oku kunokuba yingozi ebomini. Ke ngoko, ukuba ufumana naziphi na iimpawu ezifana notshintsho embonweni, ubunzima bokucinga, intetho engavakaliyo, ubunzima bokuhamba okanye ukuma, okanye ukulahlekelwa kukulinganisela, xelela ugqirha wakho ngoko nangoko. Ukuba awukwazi ukufikelela kuye, funa olunye uncedo lwezonyango ngoko nangoko.
Lumka ngemigonyo.
Eli yeza lingenza umzimba wakho ungaphenduli kakuhle kwiigonyo. Ukuba ufuna ukufumana naluphi na ugonyo, xelela ugqirha wakho ukuba uthatha i-cladribine.
Ingcebiso ekhethekileyo malunga nokukhulelwa nokuba nabantwana
Oku kubaluleke kakhulu.
- Abafazi: Kuphephe ukukhulelwa ngelixa usebenzisa eli yeza kwaye emva kweenyanga ezi-6 emva kokuyeka ukusebenzisa eli yeza.
- Amadoda: Ukuba usela eli yeza, kuphephe ukuba nguyise womntwana ngelixa usela eli yeza kwaye emva kweenyanga ezi-6 uyekile.
Oku kungenxa yokuba eli yeza linokubangela ingozi enkulu kusana olungekazalwa. Cela ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, i-cladribine inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ngelixa ezinye zixhaphakile.
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Iimpawu zenkqubo ye-nervous | Ukutshintsha kombono, ukudideka, ukulahlekelwa yinkumbulo, ukulahlekelwa yibhalansi. |
| Iimpawu zosulelo | Umkhuhlane okanye ukubanda, ukukhohlela, umphimbo obuhlungu, iintlungu xa uchama. |
| Iimpawu zomonakalo wesibindi | Umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu, iintlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Umqolo obuhlungu |
| Isicaphucaphu | Intlungu yamalungu |
| Ukulahleka kweenwele | Ukungalali |
Umyalezo Wokuya Ekhaya
- I-Cladribine liyeza elilawula ukuxhaphaka kwe-MS, kodwa alilonyango.
- Xelela ugqirha wakho ngayo yonke ingcaciso yakho yempilo kunye nayo yonke eminye imithi oyithathayo.
- Ngelixa usebenzisa eli yeza, lumka kakhulu malunga neempawu zosulelo ezifana nomkhuhlane kunye nokukhwehlela. Ukuba unayo nayiphi na impawu, funa ingcebiso kagqirha ngokukhawuleza.
- Kuphephe ukukhulelwa ngelixa usebenzisa amayeza kwaye emva kweenyanga ezi-6 uyekile. Eli cebiso lisebenza kubafazi nakumadoda.
- Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho. Ukuba unemibuzo, thetha nogqirha wakho.
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