Isisombululo sokugqithisa i-iron: Oko kufuneka ukwazi malunga neepilisi zeDeferasirox!

Ubungakanani bentsimbi emzimbeni wakho ngamanye amaxesha bunokuba ngaphezulu kobungakanani obufunekayo. Oku sikubiza ngokuba yi-iron overload. Xa oku kusenzeka, iingxaki ezahlukeneyo zempilo zinokuvela. Ngoko ke, elinye lamayeza abalulekileyo amiselwe ngoogqirha kwiimeko ezinjalo yi-'Deferasirox'. Namhlanje, siza kuthetha ngale mayeza, indlela yokuyisebenzisa, iziphumo ebezingalindelekanga, kunye nezinto ekufuneka uzilumkele.

Lithini eli yeza libizwa ngokuba yiDeferasirox?

Ngamafutshane, iDeferasirox liyeza elinceda ukususa i-iron engaphezulu egazini lakho. Licinge njengemagnethi, kodwa litsala i-iron kuphela. Igama lebrendi eliqhelekileyo leli yeza yi-Exjade. Ungalifumana phantsi kwamanye amagama ebrendi.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iDeferasirox, kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo:

• Ukuba unomhlaza.
• Ukuba unesifo samehlo okanye iingxaki zokubona.
• Ukuba uneengxaki zokuva.
• Ukuba ukhe waba nembali yezifo zegazi kwixesha elidlulileyo.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba uvavanyo lufumanise ukuba uneeseli ezimhlophe zegazi, iiplatelets, okanye iiseli ezibomvu zegazi ezisezantsi egazini lakho (ubalo lwegazi oluphantsi).
• Ukuba ukhe waba ne-allergy kule yeza elibizwa ngokuba yi-`Deferasirox`, nakweyiphi na enye iyeza, ekutyeni, kwiidayi, okanye kwizithinteli.
• Ukuba ukhulelwe, "ukhulelwe", ukuba ulindele umntwana, "uzama ukukhulelwa".
• Ukuba ungumama oncancisayo.

Xa uxelela ugqirha wakho ezi zinto, unokugqiba ukuba eli yeza likulungele na okanye alikulungele, kwaye zeziphi izilumkiso ekufuneka uzithathe.

Ulisebenzisa njani eli yeza?

Kubaluleke kakhulu ukusebenzisa eli yeza ngokuchanekileyo.

• Le yipilisi oyisela ngomlomo. Yisele kanye njengoko kuyalelwe kwileyibhile kagqirha wakho.
• Eyona nto ibalulekileyo kukuthatha eli yeza ungakhange utye nto. Oko kuthetha ukuba kufuneka ulisele ubuncinane imizuzu engama-30 ngaphambi kokutya, okanye iiyure ezimbini emva kokutya. Ungaze ulisele eli yeza kunye nokutya.
• Zama ukusela amayeza ngexesha elifanayo yonke imihla. Ngale ndlela, ungagcina ukusebenza okufanayo kwamayeza.
• Musa ukusela ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.
• Musa ukuyeka ukuthatha eli yeza ngequbuliso, nokuba uzive ungcono, de ugqirha wakho akuxelele ukuba uyeke.

Ngaba eli yeza lifanele linikwe abantwana abancinci?

Eli yeza linokunikwa abantwana abaneminyaka emibini ubudala kwiimeko ezithile ezikhethiweyo. Nangona kunjalo, kufuneka lixoxwe nogqirha wabantwana kwaye lilandelwe ngokungqongqo. Kukho izinto ezithile ezikhethekileyo ekufuneka ziqwalaselwe xa ulinikwa abantwana.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba usele eli yeza kakhulu ngempazamo, fowunela igumbi likaxakeka lesibhedlele esikufutshane okanye kwiziko lokulawula ityhefu ngoko nangoko. Okanye uye esibhedlele ngoko nangoko.

Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngeli yeza nabanye abantu, nokuba iimpawu zabo zifana nezakho.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ngamanye amaxesha ungaphoswa yidosi yamayeza. Ukuba kunjalo:

• Thatha idosi oyiphosileyo ngokukhawuleza nje ukuba uyakhumbula.
• Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi yakho elandelayo (umzekelo, kwiiyure ezimbalwa), yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo.
• Musa ukuthatha amayeza amabini ngaxeshanye nangasiphi na isizathu. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga.

Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)

I-Deferasirox inokunxibelelana namanye amayeza. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ukuba usebenzisa amanye amayeza.

Musa ukusebenzisa iDeferasirox kunye nala mayeza:

• `dasabuvir; ombitasvir, paritaprevir; ritonavir` (ezi ziindibaniselwano zamayeza adla ngokunikezelwa kwizifo zesibindi ezifana neHepatitis C)
• Izongezo zesinyithi (cinga: I-Deferasirox isusa isinyithi esigqithisileyo emzimbeni. Ngoko ke ukuba uphinda uthathe iipilisi zesinyithi, azizukusebenza, akunjalo?)
• `ombitasvir; paritaprevir; ritonavir` (oku kuyafana nokungasentla)

I-Deferasirox inokunxibelelana namayeza alandelayo:

Ukuba usebenzisa naliphi na iyeza elidweliswe ngezantsi, xelela ugqirha wakho ngalo :

• Ii-antacids zokuthintela ukudumba kwesisu kunye ne-gastritis
• Iipilisi zokulawula inzala
• Amanye amayeza okwehlisa i-cholesterol (umz., `cholestyramine`, `colesevelam`, `colestipol`, `simvastatin`)
• Amanye amayeza okunyanga i-osteoporosis (umz. i-alendronate, i-risedronate)
• Amanye amayeza asetyenziselwa ukunyanga ukuxhuzula /ukuqunjelwa (umz., i-phenobarbital, i-phenytoin)
• Amayeza alawula ukujiya kwegazi (umz. `warfarin`)
• `conivaptan`
• `i-cyclosporine` (i-cyclosporine)
• Ii-NSAID liqela leepilisi zokuthomalalisa iintlungu kunye neziyobisi ezilwa nokuvuvukala (umz. ibuprofen, i-naproxen)
• I-Paclitaxel (iyeza elisetyenziselwa ukunyanga umhlaza)
• `repaglinide` (iyeza lesifo seswekile)
• `rifampin` (iyeza elinikwa izifo ezifana nesifo sephepha)
• `ritonavir` (i-ritonavir - iyeza elisetyenziselwa ukunyanga usulelo lwe-HIV)
• Amayeza aqulethe i-steroid (umz. i-prednisone, i-cortisone)
• `theophylline` (iyeza elisetyenziselwa ukunyanga izifo zokuphefumla ezifana ne-asthma)

Xelela ugqirha wakho malunga neminye imithi, iziqholo, iivithamini, amayeza emifuno, okanye izongezo zokutya ozisebenzisayo, nokuba azidweliswanga apha. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezi zinokuchaphazela iDeferasirox.

Amanqaku akhethekileyo ekufuneka uwaqaphele xa usebenzisa amayeza

Kufuneka ulumke ngakumbi ngezi zinto zilandelayo xa usebenzisa eli yeza:

• Ukuba iimpawu zakho aziphucuki, okanye ukuba zibonakala zisiba mandundu, xelela ugqirha wakho ngoko nangoko.
• Iimpendulo ezinzulu zesikhumba: Eli yeza linokubangela iimpembelelo ezinzulu zesikhumba kwabanye abantu. Ezi zinokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise iyeza. Funa uncedo lwezonyango ngokukhawuleza ukuba uneempawu ezinje ngomkhuhlane, ukubanda, ukurhawuzelela (ingakumbi obomvu okanye omfusa) okuthi kamva kuguquke kube ngamadyungudyungu nokuqhekeka, okanye ukurhawuzelela okubomvu okunokudumba kobuso, imilebe, okanye ukudumba kwe-lymph nodes entanyeni okanye emakhwapheni .
• Uvavanyo: Ugqirha wakho uza kujonga rhoqo umbono wakho, ukuva, kunye namanqanaba e-iron egazini, kunye nolunye uvavanyo lwegazi, ngaphambi nangexesha lokuthatha eli yeza.
• Iimpawu zokopha ngaphakathi: Ukuba une-black, tarry stool, okanye ukuhlanza okufana nekofu, kusenokuba sisilonda esophayo esiswini okanye emathunjini akho. Ukuba oku kuyenzeka, xelela ugqirha wakho ngoko nangoko.
• Ukudinwa: Eli yeza linokukwenza uzive unesizungu okanye ulele. Ngoko ke, kufuneka ukuphephe ukuqhuba, ukusebenzisa oomatshini abanzima, okanye ukwenza nantoni na efuna ukuphaphama ude wazi ukuba eli yeza likuchaphazela njani. Kuphephe ukuvuka kwindawo ohleli kuyo okanye omi kuyo ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kunokunciphisa umngcipheko wokuba nesizungu.
• Ukuphelelwa ngamanzi emzimbeni ebantwaneni: Ukuba umntwana wakho usebenzisa eli yeza kwaye unesifo sorhudo esingapheliyo, ukuhlanza, isicaphucaphu, okanye ukubila kakhulu, xelela ugqirha wakho. Oku kungenxa yokuba kunokuba yingozi ukulisebenzisa eli yeza xa kulahleka amanzi amaninzi kunye neetyuwa emzimbeni (ukuphelelwa ngamanzi emzimbeni).

Iziphumo ebezingalindelekanga ezinokubakho ngenxa yale yeza

Njengalo naliphi na iyeza, iDeferasirox inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla.
• Utshintsho embonweni (umz. umbono ofipheleyo).
• Ukulahlekelwa kukuva okanye ukukhala kweendlebe.
• Umkhuhlane, ukubanda, kunye nomphimbo obuhlungu.
• Ukuqhambuka kwesikhumba, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Ubomvu besikhumba, ukudumba, kunye nokuxobuka kwesikhumba (kunokwenzeka nangaphakathi emlonyeni).
• Iimpawu zokopha: Indle emnyama okanye enegazi; ukuhlanza into emdaka efana nekofu egayiweyo.
• Iimpawu kunye neempawu zokulimala kwesibindi: Umchamo otyheli okanye omdaka omnyama; ukungonwabi ngokubanzi okanye umkhuhlane; indle ekhanyayo; ukuphelelwa ngumdla wokutya; isicaphucaphu; iintlungu kwinxalenye ephezulu ngasekunene yesisu; ubuthathaka okanye ukudinwa okungaqhelekanga; ukutyheli kwamehlo okanye ulusu.
• Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo.
• Ukopha okanye ukukrweleka okungaqhelekanga.

Iimpawu ezihlala zingadingi ngcebiso kagqirha (kodwa xelela ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza):

• Urhudo
• Isicaphucaphu, ukuhlanza
• Intlungu yesisu
• Ingxaki yokulala

Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, buza ugqirha wakho ngazo.

Uligcina njani iyeza?

• Gcina eli yeza kwindawo ephakamileyo kude nabantwana .
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius; phakathi kwe-59 kunye ne-86 degrees Fahrenheit). Musa ukuyibeka kwindawo eshushu kakhulu okanye efumileyo.
• Musa ukusebenzisa amayeza aphelelwe lixesha njengoko kubonisiwe kwiphakheji yamayeza. Lahla ngokufanelekileyo.

Okokugqibela, umyalezo oya ekhaya

Ngoko ke, i-'Deferasirox' liyeza elibaluleke kakhulu elinceda ekulawuleni i-iron egqithisileyo emzimbeni wakho.

Kodwa qiniseka ukuba ukhumbula ezi zinto zilandelayo:

* Kubalulekile ukusela amayeza kanye njengoko ugqirha etshilo, ngomlinganiselo ochanekileyo, ngexesha elifanelekileyo.

* Ungalibali ukuxelela ugqirha wakho ngamanye amayeza owasebenzisayo kunye nezinye iingxaki zempilo onazo.

* Soloko uqaphela iziphumo ebezingalindelekanga. Ukuba ubona into engaqhelekanga, bonana nogqirha wakho ngoko nangoko.

* Eli nqaku lingakunika umbono othile ngale mithi, kodwa ayilo nkcazelo ipheleleyo. Ukuba unemibuzo engaphezulu, nceda ubuze ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo.

Ndikunqwenelela impilo entle!

I- Deferasirox, i-deferasirox, ukugqithisa isinyithi, iziphumo ebezingalindelekanga, i-Exjade, ukugqithisa isinyithi, iziphumo ebezingalindelekanga, amayeza