Ngaba ugqirha wakho ukufumanise ukuba unesifo sikaCushing okanye umntu omaziyo? Kwimeko enjalo, ngamanye amaxesha utyando lusenokungenzeki, okanye notyando lusenokungaphumeleli ngokupheleleyo. Namhlanje, siza kuthetha ngogonyo olukhethekileyo olucetyiswa ngoogqirha kwiimeko ezinjalo. Olu ke lugonyo lwePasireotide. Olu lufumaneka kakhulu phantsi kwegama lophawu lweSignifor.
Ngamafutshane, kwenzeka ntoni ngolu gonyo lwePasireotide?
Umntu onesifo sikaCushing unezinga eliphezulu kakhulu lehomoni ebizwa ngokuba yi-cortisol emzimbeni wakhe. Yiyo le nto ibangela iimpawu zesifo. Ngoko ke umsebenzi ophambili wale injection yePasireotide kukulawula nokunciphisa eli zinga liphezulu le-cortisol egazini lakho. Oko kukuthi, eli yeza linyanga unobangela wesi sifo.
Nangona kunjalo, ugqirha wakho angakunika eli yeza nakwezinye iimeko, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ukubuza ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba akunike eli yeza, ugqirha wakho kufuneka ayazi imbali yakho epheleleyo yempilo. Qiniseka ukuba umxelele ngayo nayiphi na imeko yezempilo edweliswe ngezantsi.
- Ukuba unesifo seswekile okanye amanqanaba aphezulu eswekile egazini.
- Ukuba unesifo senyongo okanye amatye.
- Ukuba unembali yesifo sentliziyo okanye ukubetha kwentliziyo okungaqhelekanga.
- Ukuba ukhe waba ne-pancreatitis ngaphambili.
- Ukuba unesifo sesibindi .
- Ukuba kuxelwe ukuba unezinga eliphantsi le-potassium okanye i-magnesium egazini lakho.
- Ukuba unengxaki ye-thyroid (isifo se-thyroid).
- Ukuba wakha waba ne-allergy kwi-pasireotide okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Kubaluleke kakhulu ukuze ukhuseleke ukuthetha nogqirha ngaphandle kokufihla olu lwazi.
Ungayisebenzisa njani i-vaccine ngokuchanekileyo?
Olu luhlaselo phantsi kolusu. Ugqirha okanye umongikazi uza kukufundisa ngokucacileyo indlela yokulunika, ukusuka ekulungiseleleni iyeza ukuya ekulifakeni. Landela loo miyalelo ngokuchanekileyo .Sela amayeza ngexesha elifanelekileyo, ngomlinganiselo ofanelekileyo, kwaye ungawasebenzisi rhoqo kunokuba ugqirha wakho ekuxelele.
Wenza ntoni ngeenaliti neesirinji ezisetyenzisiweyo?
Oku kubaluleke kakhulu. Ungaze ulahle iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Udinga isitya esikhethekileyo sazo, esibizwa ngokuba 'sisitya esibukhali.' Ukuba awunaso, ungasifumana kugqirha wakho okanye esibhedlele.
Ngokwesiqhelo, xa unikwa eli yeza, uza kufumana incwadana ekhethekileyo (iMedGuide) eneenkcukacha ngalo. Lifunde ngononophelo ngalo lonke ixesha usela eli yeza.
Ukuba unika abantwana eli yeza, unokufuna unyango olukhethekileyo, ngoko ke qiniseka ukuba ucela ingcebiso kugqirha wezingane.
Kuthekani ukuba ndisela amayeza amaninzi kakhulu okanye ndiphoswe yidosi?
Ukuba uthatha amayeza amaninzi kakhulu (Ukusebenzisa idosi egqithisileyo):
Ukuba unesikrokro sokuba uthathe amayeza amaninzi kunokuba ucinga, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko . Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Musa ukuyithatha lula le nto.
Ukuba uphoswe yidosi:
Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza emifuno, kunye nezongezo), njengoko amanye amayeza anokuchasana nePasireotide.
| Uhlobo lweyeza | Kutheni ufanele ukhathalele? |
|---|---|
| Ungaze uthathe iPasireotide kunye nale yeza. | |
| ICisapride, iDronedarone, iPimozide, iThioridazine | Ezi zinto zinokuchaphazela kakhulu ukusebenza kwentliziyo. |
| Ukuba usebenzisa eli yeza, qiniseka ukuba uxelele ugqirha wakho. | |
| Ii-Beta-blockers - umz. iMetoprolol, iPropranolol | Isantya sentliziyo sinokwehla ngendlela engaqhelekanga. |
| Izithinteli zeCalcium channel - umz. iDiltiazem, iVerapamil | Ezi zinokuchaphazela nokubetha kwentliziyo. |
| I-Bromocriptine, iCyclosporine, iDigoxin | I-Pasireotide inokutshintsha indlela esebenza ngayo la mayeza. |
| Amanye amayeza andisa ixesha le-QT (amayeza okwandisa i-QT) - umz. iDofetilide | Iyandisa umngcipheko wokuba nentliziyo engasebenzi kakuhle. |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo. Mxelele nokuba uyatshaya okanye usela utywala.
Zithini iziphumo ebezingalindelekanga ezinokubakho xa usebenzisa amayeza?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iimpawu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpawu zamanqanaba aphezulu eswekile egazini:
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| Iimpawu eziqhele ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Ungayigcina njani iyeza?
- Yigcine kude nabantwana .
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius).
- Zikhusele ekukhanyeni.
- Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- IPasireotide lunyango oluthile lwesifo sikaCushing. Yenzelwe wena kuphela. Ungaze wabelane ngeli yeza nabanye abantu.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Eli yeza linokubangela amanqanaba aphezulu eswekile egazini. Lumka kwiimpawu ezinje ngokunxanwa kakhulu kunye nokuchama rhoqo.
- Ukuba usela amayeza amaninzi kakhulu okanye ufumana isiphumo esibi kakhulu, yazisa i-ETU ngoko nangoko okanye iZiko loLwazi lweePoisons leSizwe .
- Zive ukhululekile ukuthetha nogqirha wakho malunga nemibuzo okanye iinkxalabo onazo malunga nale mithi.
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