Ngaba ugqirha wakho ukuxelele okanye umntu kusapho lwakho ukuba unesifo semiphunga esibangela amanxeba? Isenokuba yinto efana ne-'Idiopathic Pulmonary Fibrosis (IPF)', imeko ekungekho sizathu sicacileyo sayo. Usenokuba ukhe weva ngeyeza elithi 'Nintedanib' (elidla ngokubizwa ngegama elithi 'Ofev'), elisetyenziswa kwiimeko ezinjalo. Ekubeni eli liyeza elifuna ukusetyenziswa ngononophelo oluthile, siza kuthetha ngalo ngokulula nangendlela enobuhlobo.
Lithini eli yeza libizwa ngokuba yiNintedanib?
Ngamafutshane, iNintedanib liyeza elithintela kwaye linciphise amanxeba kwizicubu zakho zemiphunga. Isetyenziswa kakhulu ukunyanga izifo ezahlukeneyo.
- Idiopathic Pulmonary Fibrosis (IPF): Esi sisifo apho imiphunga iba lukhuni kancinci kancinci ize ibe namanxeba ngaphandle kwesizathu esaziwayo.
- Izifo zemiphunga eziqhubekekayo eziqhubekayo ezibizwa ngokuba yi-chronic progressive fibrosing interstitial lung diseases: Oku kubhekisa kwiqela lezifo ezihlala ixesha elide nezibangela amanxeba aqhubekekayo emiphungeni.
- Isifo semiphunga esinxulumene ne-systemic sclerosis: Eli yeza likwasetyenziselwa iingxaki zemiphunga ezinxulumene nesifo 'systemic sclerosis'.
Eli yeza alisinyangi ngokupheleleyo isifo, kodwa lilawula kwaye licothise umonakalo obangelwe sisifo emiphungeni.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo ngaphambi kokuba uqale iNintedanib. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zingezantsi.
| Imeko yempilo okanye umkhwa | Kutheni oko kubalulekile? |
|---|---|
| Ingxaki yokopha okanye imbali yosapho enezo zinto | Eli yeza linokunyusa umngcipheko wokopha. |
| Imbali yesifo sentliziyo okanye amahlwili egazi | Ufanele uqaphele umngcipheko wokuhlaselwa sisifo sentliziyo kunye nokuqhekeka kwegazi. |
| Isifo sesibindi | Ukusebenza kwesibindi kunokuchaphazeleka, ngoko ke kufuneka sihlolwe rhoqo. |
| Ubukho beprotheyini kumchamo | Ufanele uqaphele iziphumo ezinokubakho kwizintso. |
| Emva kotyando lwakutshanje | Inkqubo yokuphiliswa kwenxeba ingachaphazeleka. |
| Ukutshaya icuba okanye icuba | Ukutshaya kunokunciphisa ukusebenza kakuhle kwamayeza. |
| Iingxaki zesisu okanye zamathumbu | Kukho umngcipheko omncinci wokukrazuka kwamathumbu. |
| Ukukhulelwa okanye ukuzama ukukhulelwa | Kubaluleke kakhulu: Eli yeza linokubangela ingozi enkulu kumntwana ongekazalwa. |
| Ukuncancisa umntwana | Akukhuthazwa kuba iyeza linokudluliselwa kumntwana ngobisi lwebele. |
| Ukunganyamezelani kwamanye amayeza, ukutya, kunye needayi | Oku kubalulekile ukuze kuqinisekiswe ukuba uza kuba ne-allergy na kweli yeza. |
Ndingayisebenzisa njani le mithi?
- Eli yeza lifanele lithathwe ngomlomo neglasi yamanzi .
- Kungcono ukusela amayeza xa usitya . Oku kunokunciphisa izinto ezifana nokuphazamiseka kwesisu.
- Ginya ikhaphu yonke. Musa ukuyiqhekeza, ukuyityumza, okanye ukuyihlafuna.
- Qhubeka uyisebenzisa njengoko kuyalelwe de ugqirha wakho akuxelele ukuba uyeke.
- Ukuba ngempazamo ufumana umgubo weyeza ngaphakathi kwikhaphu ezandleni zakho, hlamba izandla zakho kakuhle ngesepha namanzi ngoko nangoko.
- Ukuba ukrokrela ukuba uthathe i-overdose, ungalibazisi. Fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yiyeke. Musa ukuthatha iipilisi ezimbini ngexesha elilandelayo ukuze ubuyisele idosi ongayithathanga. Thatha nje idosi yakho elandelayo ngexesha lakho eliqhelekileyo.
Ngaba kukho iingxaki ngamanye amayeza? (Ukusebenzisana kwamayeza)
Ewe, amanye amayeza anokusebenzisana neNintedanib. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza emifuno, kunye nezongezo.
- I-Aspirin kunye namayeza afanayo
- Amayeza athintela ukujiya kwegazi (umz. iWarfarin, iApixaban, iRivaroxaban )
- Amanye amayeza okubulala iintsholongwane (umz. i-Erythromycin, i-Clarithromycin )
- Amanye amayeza asetyenziselwa ukuxhuzula (umz. iCarbamazepine, iPhenytoin )
- I-Ketoconazole (iyeza lokulwa nentsholongwane)
- I-Rifampin (iyeza lesifo sephepha)
- I-St. John's Wort (isityalo esisetyenziselwa impilo yengqondo)
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uziqwalasele xa uthatha iNintedanib
Ingqwalasela ekhethekileyo ekukhulelweni: Le yeyona nto ibalulekileyo. Musa ukukhulelwa ngelixa usela iNintedanib. Kufuneka usebenzise ucwangciso lokuzala oluthembekileyo kangangeenyanga ezi-3 emva kokuyeka iyeza. Eli yeza linokulimaza kakhulu usana olungekazalwa. Ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko. Kwakhona, musa ukuncancisa ngelixa usela eli yeza.
- Ukuhlolwa rhoqo kwezonyango: Ugqirha wakho kuya kufuneka akubone rhoqo ukuze ajonge ukuba unjani na. Uya kuyalela nokuhlolwa kwegazi ukuze ajonge ukusebenza kwesibindi sakho.
- Ukugabha kunye norhudo: Eli yeza linokubangela ukudumba kwesisu, ukuhlanza, kunye norhudo. Ukuba oku kuyenzeka , sela ulwelo oluninzi, olufana namanzi kunye nejusi. Ukulahleka kolwelo kakhulu kunokuba yingozi. Ukuba awukwazi ukulawula le meko, xelela ugqirha wakho.
- Umngcipheko wokopha:Eli yeza linokubangela ukukrweleka kwaye lonyuse umngcipheko wokopha. Xelela ugqirha wakho ukuba ukopha okungaqhelekanga (umz., kwiintsini zakho, empumlweni) okanye ukukrweleka.
- Ukutshaya: Ukuba uyatshaya, xelela ugqirha wakho ukuba uvakalelwa kukuba iyeza alisebenzi kakuhle. Nokuba ugqiba ekubeni uyeke ukutshaya, yazisa ugqirha wakho .
Zithini iziphumo ebezingalindelekanga ezinobungozi?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yazisa ugqirha wakho ngokukhawuleza. Kwezinye iimeko, kunokufuneka uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
| Imiphumela | Iimpawu eziphambili |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukopha | Indle emnyama okanye enegazi, ukuhlanza okufana nekofu egayiweyo, umchamo obomvu okanye omdaka, amabala amancinci abomvu/mfusa eluswini, kunye nokudumba okungaqhelekanga. |
| Ihlwili legazi | Intlungu yomlenze, ukudumba okanye ukufudumala, ubunzima bokuphefumla, intlungu yesifuba. |
| Ukuhlaselwa yintliziyo | Ukuqina/iintlungu esifubeni, emagxeni, ezingalweni, okanye emhlathini, isicaphucaphu, ubunzima bokuphefumla, ukuziva ubanda, ukuquleka. |
| Ukulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli/omdaka omnyama, ukutyheli kolusu okanye amehlo, ukudinwa okungaqhelekanga. |
| Istroke | Ukuba ndindisholo/ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, intloko ebuhlungu kakhulu. |
| Iinyembezi zesisu/amathumbu | Umkhuhlane, iintlungu zesisu, utshintsho olukhawulezileyo kwindlela yokuthulula isisu. |
| Urhudo olugqithisileyo okanye ukuhlanza | Urhudo okanye ukuhlanza okungalawulekiyo. |
Iziphumo ebezingalindelekanga eziqhelekileyo nezingembi kangako ezinokubakho
Ezi zifo zihlala ziphela ngokuhamba kwexesha, kodwa ukuba ziyaqhubeka okanye ziyakhathaza, xelela ugqirha wakho.
- Intloko ebuhlungu
- Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba
- Isicaphucaphu (ukuziva unesicaphucaphu esiswini sakho)
Uligcina kwaye ulilahla njani iyeza?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius). Khusela kubushushu obugqithisileyo kunye nokufuma.
- Lahla amayeza aphelelwe lixesha. Eyona ndlela ilungileyo yokwenza oku kukucela isibhedlele okanye ikhemesti ukuba ibase kwinkqubo yokubuyisela amayeza. Ukuba oku akunakwenzeka, qhagamshelana nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Nintedanib liyeza elikhethekileyo elilawula amanxeba emiphungeni. Endaweni yokunyanga esi sifo, iyacothisa ukuqhubela phambili kwaso.
- Ngaphambi kokuba uqale ukusebenzisa eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Kubaluleke kakhulu: Kuphephe ukukhulelwa ngelixa usela amayeza kwaye emva kweenyanga ezi-3 uyekile. Kuyingozi kakhulu kumntwana osesiswini.
- Qaphela iimpawu zeziphumo ebezingalindelekanga ezinje ngokonakala kwesibindi, ukopha, kunye nokungasebenzi kakuhle kwentliziyo. Ukuba unamathandabuzo, funa ingcebiso kagqirha ngokukhawuleza.
- Hlala unxibelelana rhoqo nogqirha wakho. Musa ukoyika ukuthetha naye ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
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