Ngaba ukhe wacetyiswa ukuba usebenzise iDenosumab vaccine? Masifumanise yonke into ngayo!

Ngaba ugqirha wakho ukuxelele ngesitofu sokugonya esibizwa ngokuba yiDenosumab? Usenokuba udidekile kancinci ngeli gama. Yinto eqhelekileyo leyo. Xa sifunda ngeyeza elitsha, sinemibuzo emininzi. Ngoko ke, namhlanje siza kuthetha ngesitofu sokugonya iDenosumab, ngamanye amaxesha esibizwa ngokuba yiProlia okanye iXgeva, kulungile?

Yintoni iDenosumab? Ngamafutshane...

Ngamafutshane, iDenosumab liyeza elinciphisa isantya apho amathambo ethu ephuka khona, okanye ephuka ngaso. Njengoko amathambo akho ekhula, nawo ayaphela ngokuhamba kwexesha. Kwezinye iimeko zonyango, oku kubola kuyakhawuleza. Kulapho ke eli yeza linokunceda khona.

Ngoku khangela, eli yeza liphantsi kwamagama amabini aphambili kwimarike:

• I-Prolia: Le idla ngokusetyenziselwa ukunyanga i-osteoporosis, isifo esinciphisa amathambo esichaphazela abafazi, ingakumbi emva kokuya exesheni. Ikwanikwa amadoda ngenxa ye-osteoporosis. Ikwasetyenziselwa ukukhusela amathambo kubantu abasebenzisa amayeza anjenge-corticosteroids (afana ne-prednisolone) kangangeenyanga ezingaphezu kwezintandathu.
• Xgeva: Oku kunikwa kwiimeko ezahlukeneyo kancinci.
• Ukuba inqanaba le-calcium egazini lakho liphezulu kakhulu ngenxa yomhlaza, lilawule.
• Oku kunceda ukuthintela ukwaphuka kwamathambo, imivumbo, kunye nezinye iingxaki ezinxulumene namathambo kwezinye iintlobo zomhlaza, njenge- multiple myeloma , okanye xa omnye umhlaza usasazeka emathanjeni (cancer bone metastases).
• Ikwasetyenziswa njengonyango lwesifo esibizwa ngokuba yi- giant cell tumor of the bone .

Ngoko ke uyabona, nangona iliyeza elifanayo, igama kunye nomlinganiselo osetyenziswayo ziya kwahluka ngokuxhomekeke kwisifo. Ugqirha wakho uya kugqiba ukuba leliphi elifanelekileyo kuwe.

Kubalulekile: Eli yeza lingasetyenziselwa ezinye iinjongo. Ngoko ke ukuba unemibuzo, buza ugqirha wakho okanye ikhemisti.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Eli linqaku elibaluleke kakhulu . Ngaphambi kokuba uqale iDenosumab, kubalulekile ukuxelela ugqirha wakho ngemeko yakho yempilo. Kuba kukho iimeko ezithile ezifuna unonophelo olukhethekileyo xa usebenzisa eli yeza. Nazi ezinye izinto ekufuneka uzixelele ugqirha wakho ngokuqinisekileyo:

• Iingxaki zamazinyo: Ngaba unazo naziphi na iingxaki zamazinyo okwangoku? Ngaba ucwangciselwe ukukhutshwa kwezinyo okanye utyando lomlomo? Oku kubaluleke kakhulu, kuba kunokwenzeka ukuba kubekho iingxaki zemihlathi ngelixa usebenzisa eli yeza.
• Usulelo:Ngaba unayo nayiphi na intsholongwane, umkhuhlane, okanye umkhuhlane?
• Isifo sezintso: Ngaba unesifo sezintso? Ngaba usebenzisa i-hemodialysis ? Eli yeza kufuneka linikwe ngononophelo ukuba izintso zakho azisebenzi kakuhle.
• Ukunqongophala kweCalcium okanye iVithamin D: Ngaba unezinga eliphantsi lecalcium okanye iVithamin D egazini? Ukuba kunjalo, kuya kufuneka uyinyange ngaphambi kokuba uqale eli yeza.
• Ukungondleki: Ngaba unesifo sokungondleki?
• Izifo okanye ukucaphuka kwesikhumba: Ngaba unayo nayiphi na izifo zesikhumba okanye ukucaphuka kwesikhumba?
• Ii-thyroid okanye ii-Parathyroid Glands: Ngaba kukho ingxaki ngezi glands?
• Ii-Allergy: Ngaba wakha waba ne-allergy, oko kukuthi, impendulo engaqhelekanga, kwi-Denosumab, amanye amayeza, ukutya, iidayi, okanye izithinteli?
• Ukukhulelwa: Ngaba ukhulelwe? Okanye uceba ukukhulelwa? Kubalulekile ukukhankanya oku. Eli yeza alifanelekanga kubafazi abakhulelweyo.
• Ukuncancisa: Ngaba uyancancisa?

Xa uxelela ugqirha zonke ezi zinto, unokugqiba ukuba akunike eli yeza okanye hayi, kwaye ukuba kunjalo, angakunika njani.

Ulisebenzisa njani eli yeza?

I-Denosumab yinaliti enikwa phantsi kolusu. Ayisiyonto onokuyinika wena ekhaya. Inikwa ngugqirha wezempilo esibhedlele okanye eklinikhi.

Ngaphambi kweseshoni nganye yonyango, uza kunikwa incwadana ekhethekileyo ebizwa ngokuba yi-'MedGuide' equlethe ulwazi malunga nale yeza. Iqulethe ulwazi malunga neyeza, iziphumo ebezingalindelekanga, kunye nezinto ekufuneka uzilumkele. Kufuneka ulifunde ngononophelo ngalo lonke ixesha, uyaqonda?

Ngaba eli yeza linokunikwa abantwana?

• Prolia: Ukuba unika abantwana eli yeza, kufuneka uthethe nogqirha wakho wabantwana ngalo. Kunokufuneka ukhathalelo olukhethekileyo.
• Xgeva: Eli yeza linokunikwa abantwana abaneminyaka eli-13 ubudala kwezinye iimeko ezikhethiweyo. Nangona kunjalo, kukho amanyathelo akhethekileyo okuzikhusela koku. Ke ngoko, kufuneka uxoxe ngale nto nogqirha wakho wabantwana.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)

Ukuba ucinga ukuba usele eli yeza kakhulu, oko kukuthi, ukugqithisa amayeza, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele esikufutshane ngoko nangoko okanye utsalele umnxeba kwiziko lokulawula ityhefu.

Khumbula: Eli yeza lelakho kuphela. Musa ukwabelana ngeyeza lakho nabanye abantu.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukusela eli yeza ngosuku olucwangcisiweyo nangexesha elicwangcisiweyo. Ukuba awukwazi ukugcina idinga lakho, fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza uze ubazise. Baza kukuxelela into omawuyenze ngokulandelayo.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi? (Iindlela ezisetyenziswa ngayo)

Kukho amayeza athile anokubangela iingxaki xa esetyenziswa kunye neDenosumab.

Ungaze uthathe eli yeza kunye:

• Amanye amayeza aqulethe i-denosumab (umzekelo, ukuba usebenzisa iProlia, awunakuthabatha iXgeva ngaxeshanye, umzekelo).

La mayeza anokusebenzisana neDenosumab:

• Amayeza anciphisa amathuba akho okulwa nosulelo . Umzekelo, unyango lomhlaza kunye namanye amayeza e-arthritis.
• Amayeza e-steroid - umzekelo, i-prednisone okanye i-cortisone.

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, izongezo zezityalo, kunye namayeza athengiswa ngaphandle kwemvume kagqirha). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Kufuneka ulumke ngakumbi ngempilo yakho xa usebenzisa eli yeza.

• Bona ugqirha wakho rhoqo: Ugqirha wakho uza kukujonga rhoqo ukuze abone ukuba unyango lwakho luhamba njani kwaye ukuba amayeza ayasebenza na. Usenokuyalela uvavanyo lwegazi kunye nolunye uvavanyo .
• Lumka kwiintsholongwane: Ukuba ubonakalisa iimpawu zesifo ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, okanye impumlo egobhozayo , xelela ugqirha wakho ngoko nangoko. Musa ukuzinyanga. Eli yeza linokunciphisa amandla omzimba wakho okulwa neentsholongwane. Ngoko zama ukuhlala kude nabantu abagulayo.
• Ungalibali i-calcium kunye ne-vitamin D: Ngaphandle kokuba ugqirha wakho ekuxelela ngenye indlela, kufuneka uqiniseke ukuba ufumana i-calcium kunye ne-vitamin D eyaneleyo ngelixa usebenzisa eli yeza. Thetha nogqirha wakho malunga nokutya kunye neevithamini ozithathayo. Usenokucebisa ne-calcium kunye ne-vitamin D.
• Ukhathalelo olukhethekileyo lwamazinyo:
• Bona ugqirha wamazinyo rhoqo.
• Hlamba amazinyo akho kakuhle uze ufake i-floss phakathi kwamazinyo akho njengoko ugqirha wakho ekuyalele.
• Ukuba uza kwenziwa naluphi na umsebenzi wamazinyo, njengokukhupha amazinyo, ukucoca, okanye utyando lomlomo, ngokuqinisekileyo kufuneka uxelele ugqirha wamazinyo ukuba usebenzisa iDenosumab. Oku kubaluleke kakhulu. Oku kungenxa yokuba kukho umngcipheko omncinci wokufumana i-osteonecrosis yomhlathi xa usebenzisa eli yeza.
• Lumka xa ukhulelwe:
• Musa ukukhulelwa ngelixa usebenzisa eli yeza okanye kangangeenyanga ezi-5 emva kokuyeka ukusebenzisa eli yeza.
• Thetha nogqirha wakho malunga neendlela zokulawula ukukhulelwa onokuzisebenzisa ngeli xesha.
• Abafazi abaceba ukukhulelwa okanye abacinga ukuba bakhulelwe kufuneka baxelele ugqirha wabo ngoko nangoko. Oku kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu kumntwana ongekazalwa. Ngoko ke, kufuneka ulumke kakhulu ngale nto.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iDenosumab inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Intlungu yamathambo: Intlungu entsha, enzima yamathambo.
• Iingxaki zokuphefumla.
• Isiyezi.
• Intlungu yomhlathi: Ingakumbi emva konyango lwamazinyo.
• Ubomvu, amadyungudyungu, ukuxobuka kolusu.
• Iimpawu zosulelo: umkhuhlane okanye ukubanda; ukukhohlela; umphimbo obuhlungu; intlungu okanye ingxaki yokuphuma komchamo.
• Iimpawu ze-calcium ephantsi: ukubetha kwentliziyo ngokukhawuleza, ukuqaqamba kwemisipha okanye iintlungu zemisipha; iintlungu, ukurhawuzelela, ukungaziva mnandi ezandleni okanye ezinyaweni; ukuxhuzula.
• Ukopha okanye ukukrweleka okungaqhelekanga.
• Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga.

Iziphumo ebezingalindelekanga ezihlala zingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Ukuqhinwa
• Urhudo
• Intloko ebuhlungu
• Intlungu yamalungu
• Ukulahlekelwa ngumdla wokutya
• Intlungu yemisipha
• Impumlo egobhozayo - (Inguqulelo: Impumlo egobhozayo/ukubanda)
• Ukudinwa
• Isisu esimoshakele

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engekhoyo, nceda uxelele ugqirha wakho.

Uligcina phi eli yeza?

Awuyi kuvunyelwa ukuba uye nalo mayeza ekhaya. Agcinwa kwaye anikwe wena ekliniki, eofisini kagqirha, okanye kwenye indawo yokhathalelo lwempilo .

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngesitofu sokugonya iDenosumab. Nazi izinto ezimbalwa ekufuneka uzikhumbule:

• I-Denosumab yinaliti ekhethekileyo elawula ukulahleka kwamathambo. Iza phantsi kwamagama athi Prolia kunye neXgeva.
• Ngaphambi kokuba uqale oku , xelela ugqirha wakho lonke ulwazi lwakho lwezempilo, amayeza owasebenzisayo, kunye nee-allergies.
• Isitofu sokugonya sinikwa yingcali yezempilo. Funda iMedGuide ngononophelo.
• Gonyelwa ngexesha kwaye uye kugqirha.
• Thatha i-calcium kunye ne-vitamin D xa kufuneka.
• Lumka kakhulu impilo yamazinyo akho. Xelela ugqirha wamazinyo ukuba usela eli yeza.
• Qaphela iimpawu zosulelo.
• Eli yeza alifanelekanga ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. Thetha nogqirha wakho ngale nto.
• Qaphela iziphumo ebezingalindelekanga, kwaye ukuba ubona nantoni na enzulu, xelela ugqirha wakho ngoko nangoko.

Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho okanye ingcali yezemithi. Baza kukunceda. Hlala usempilweni!

I- Denosumab, i-Denosumab, i-Prolia, i-Xgeva, ukulahleka kwamathambo, i-osteoporosis, umhlaza, i-calcium, iziphumo ebezingalindelekanga, isitofu sokugonya