Abanye babantwana bethu, kunye nabantu abadala, kufuneka banikwe igazi rhoqo ngenxa yezifo ezifana neThalassemia. Xa siqhubeka sinika igazi ngale ndlela, imizimba yethu inokuqokelelana nesinyithi esingenakukwazi ukusiphatha. Oku sikubiza ngokuba yi-'Iron Overload'. Ngoko ke, iyeza elikhethekileyo elinikwa ngoogqirha ukususa isinyithi esigqithisileyo esiqokelelana ngale ndlela emzimbeni libizwa ngokuba yiDeferasirox. Usenokuba ulazi eli yeza ngegama elithi Jadenu. Ngoko ke, masithethe ngeli yeza namhlanje.
Yintoni iDeferasirox?
Ngamafutshane, iDeferasirox luhlobo lonyango 'lokucheba isinyithi'. Oku kuthetha ukuba eli yeza lisebenza ngokubamba amasuntswana esinyithi angaphezulu egazini lakho, liwabophe, kwaye liwasuse emzimbeni wakho esitulweni sakho. Cinga ngalo njengemagnethi, ukhupha isinyithi esingafunekiyo. Ukususa isinyithi esingaphezulu ngale ndlela kubaluleke kakhulu. Kuba ukuba isinyithi esininzi siqokelelana emzimbeni, singonakalisa amalungu abalulekileyo njengesibindi nentliziyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Ngenxa yokuba eli yeza kufuneka linikwe abantu abaneengxaki ezithile zempilo, kubaluleke kakhulu ukubaxelela ukuba unayo nayiphi na kwezi meko zilandelayo:
- Ukuba unomhlaza okanye unyangwa umhlaza.
- Ukuba unesifo sesibindi okanye sezintso .
- Ukuba ungaboni kakuhle okanye unesifo samehlo (umz. i-cataracts).
- Ukuba unengxaki yokuva .
- Ukuba unembali yezifo zegazi . Umzekelo, imeko apho inani leeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets egazini liphantsi.
- Ukuba une -allergy kule Deferasirox okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa .
Ukuxelela ugqirha wakho ngezi zinto ngaphandle kokuzifihla kubaluleke kakhulu ukuze ukhuseleke.
Ndingayisebenzisa njani le mithi?
Ugqirha wakho uza kukuchazela ngokucacileyo indlela yokusebenzisa eli yeza. Kubalulekile ukulandela loo miyalelo ngokuchanekileyo.
- Ixesha: Eli yeza kufuneka lisetyenziswe ungatyanga . Oko kuthetha ukuba ubuncinane imizuzu engama-30 ngaphambi okanye iiyure ezi-2 emva kokutya . Ukulisebenzisa kunye nokutya kunokunciphisa ukusebenza kweyeza. Kungcono ukuziqhelanisa nokulisebenzisa ngexesha elifanayo yonke imihla.
- Indlela yokuthatha:Eli liyeza eliza likwimo yegranule. Lidla ngokunikwa ngokulinyibilikisa emanzini, ijusi yeapile, okanye ijusi yeorenji uze ulisele. Yenza njengoko ugqirha wakho ekuxelele.
- Ukuyeka: Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela ukuba amanqanaba akho e-iron anyuke kwakhona ngokukhawuleza.
- Ukuba inikwa abantwana: Kukho iimeko apho eli yeza linokunikwa abantwana abangaphezu kweminyaka emi-2 ubudala. Kodwa kufuneka lenziwe phantsi kweliso elikhethekileyo likagqirha. Qiniseka ukuba uyazi idosi kunye nendlela yokusetyenziswa kumntwana.
- Ukuba uphoswe yidosi: Ukuba ulibele ukusela idosi, yisele kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kubalulekile: Ukuba ngempazamo usele amayeza amaninzi kakhulu, ungawatyesheli. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Ngelixa usela eli yeza, ugqirha wakho uza kujonga rhoqo uvavanyo lwakho lwegazi, ukubona, kunye nokuva. Musa ukulibazisa eli vavanyo. Ukongeza, qaphela ezi mpawu.
- Iimpendulo eziqatha zesikhumba: Abanye abantu banokuba neempendulo eziqatha zesikhumba kwiiveki ezimbalwa emva kokuba beqalise eli yeza. Ukuba unomkhuhlane, iintlungu zomzimba, kunye namabala abomvu okanye amfusa eluswini lwakho adla ngokuphuma amadyungudyungu aze aqhekeke, kufuneka uxelele ugqirha wakho ngoko nangoko. Kwakhona, ukuba unerhashalala ebomvu eluswini lwakho kunye nee-lymph nodes ezidumbileyo ebusweni bakho, emilebeni, okanye entanyeni/emakhwapheni, oko kukwaluphawu olubi.
- Ukopha kwesisu: Ukuba indle yakho imnyama kancinci okanye uhlanza into efana nekofu egayiweyo , isenokuba kukopha kwesilonda esiswini okanye emathunjini. Le yimeko engxamisekileyo, ngoko bonana nogqirha ngokukhawuleza.
- Ukudinwa: Eli yeza linokubangela isiyezi kwabanye abantu. Ngoko ke, kuphephe ukwenza izinto eziyingozi ezifana nokuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba iyeza likuchaphazela njani. Ingakumbi ukuba sele ukhulile, musa ukuvuka ngequbuliso uhleli phantsi.
- Ukuphelelwa ngamanzi emzimbeni ebantwaneni: Ukuba umntwana wakho unesifo sorhudo esinzima, uhlanza, okanye ubila kakhulu, kusenokwenzeka ukuba ulahlekelwa ngamanzi amaninzi emzimbeni wakhe. Oku kunokuba yingozi ngelixa esela eli yeza. Ngoko ke xelela ugqirha wakho ngako kwimeko enjalo.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, iDeferasirox inokubangela iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kubalulekile ukuba uzazi.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo Ezinzima Zokwaliwa Yi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe/ulwimi, ubunzima bokuphefumla. |
| Utshintsho embonweni okanye ekuveni | Umbono ofipheleyo, utshintsho kwimbono yombala, kunye nokuncipha kokuva. |
| Iimpawu zomonakalo wesibindi | Umchamo otyheli/omdaka omnyama, ukutyheli kwamehlo okanye ulusu, iintlungu kwinxalenye ephezulu ngasekunene yesisu, isicaphucaphu, ukudinwa kakhulu. |
| Iziphumo kwizintso | Ukuncipha kokuphuma komchamo okanye ubunzima bokuchama. |
| Ukopha | Indle emnyama efana netha, ihlanza njengekofu egayiweyo, kunye nemivumbo engaqhelekanga emzimbeni. |
| Xelela ugqirha wakho ukuba iyaqhubeka okanye iyakukhathaza. | |
| Iingxaki zenkqubo yokugaya ukutya | Intlungu yesisu, isicaphucaphu, ukuhlanza, urhudo. |
| Iingxaki zokulala | Ukungalali kakuhle okanye ukuphazamiseka kokulala. |
Ngaba oku kungadibana namanye amayeza?
Ewe, oku kubaluleke kakhulu. I-Deferasirox inokubangela iingxaki xa isetyenziswa namanye amayeza athile. Ngoko ke xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, amayeza esintu, okanye izongezo ozisebenzisayo.
Kufuneka ulumke ngakumbi xa usebenzisa iDeferasirox kunye nala mayeza:
- Ezinye iipilisi okanye izongezo ezine-iron: Eli yeza lisetyenziswa ukususa i-iron egqithisileyo, ngoko ke ukuthatha iipilisi ze-iron akuyi kunceda.
- Ii-antacids: Ii-antacids ezine-aluminium ezisetyenziselwa igesi kunye ne-heartburn zinokunciphisa ukufunxwa kweDeferasirox.
- Amanye amayeza e-cholesterol: Amayeza afana neCholestyramine kunye neColestipol.
- Ezinye iintlungu: Iintlungu zohlobo lwe-NSAID (umz. i-Ibuprofen, i-Naproxen).
- Iipilisi zokulawula inzala.
- Amayeza athintela ukujiya kwegazi, afana neWarfarin .
- Amayeza e-steroid afana nePrednisone .
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo .
Umyalezo Wokuya Ekhaya
- I-Deferasirox liyeza elibaluleke kakhulu elinikwa ukususa i-iron engaphezulu emzimbeni ngenxa yezifo ezifana ne-thalassemia.
- Soloko usela eli yeza ungenanto esiswini, ngexesha nangedosi echazwe ngugqirha wakho.
- Kubalulekile ukwazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Ukuba ubona naziphi na iimpawu ezinzulu ezifana nokurhawuzelelwa kakhulu lusu, ukuhlanza okufana nekofu, isitulo esihlala ixesha elide, okanye utshintsho lombono, musa ukulibazisa kwaye funa ingcebiso kagqirha ngoko nangoko.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
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