Ngaba unesifo esibizwa ngokuba yi-rheumatoid arthritis , okanye i-rheumatoid arthritis? Okanye ngaba ugqirha wakho ukunike umyalelo wokuba uqale unyango olubizwa ngokuba yi-Tocilizumab? Kuqhelekile ukuba uzive usoyika kwaye unomdla xa usiva ngolu hlobo lonyango. Mhlawumbi unemibuzo emininzi engqondweni yakho, njengokuthi le yeza lenzelwe ntoni, lenza ntoni, kwaye ingaba linemiphumo emibi na . Ke namhlanje, masithethe ngale yeza elibizwa ngokuba yi-Tocilizumab, ngendlela elula kakhulu onokuyiqonda.
Luhlobo luni lweyeza iTocilizumab?
Ngamafutshane, iTocilizumab liyeza elilawula ezinye zeenkqubo kwinkqubo yomzimba wakho yokuzikhusela , edla ngokunikezelwa njengenaliti. Inkqubo yomzimba wethu yokuzikhusela ngamanye amaxesha iba namandla kakhulu ize iqale ukuhlasela iiseli zomzimba wethu. Eli yeza lisetyenziswa kakhulu ukulawula izifo ezenzeka kwiimeko ezinjalo.
Kukho iimeko ezininzi eziphambili zonyango apho oogqirha badla ngokunika eli yeza:
- I-Rheumatoid Arthritis: Imeko ebangela ukudumba, iintlungu, kunye nokuqina kwamalungu abantu abadala.
- Isifo samathambo esibizwa ngokuba yiJuvenile Idiopathic Arthritis : Sisifo samalungu esichaphazela abantwana abaneminyaka engaphezu kwemi-2 ubudala.
- I-Giant Cell Arteritis: Imeko ebangela ukudumba kwemithambo yegazi .
- I-Cytokine Release Syndrome (CRS): Ingxaki enkulu enokwenzeka ngexesha lonyango lomhlaza.
- Isifo Semiphunga Esinxulumene Nesifo Sengqondo: Ukulawula ukwehla kokusebenza kwemiphunga okubangelwa ziimeko ezithile zempilo.
Ugqirha wakho angakunika eli yeza nakwezinye iimeko ezingekho kolu luhlu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukuthatha iTocilizumab, kubalulekile ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo . Ingakumbi ukuba unayo nayiphi na kwezi meko zilandelayo:
| Imeko/ingxaki yempilo | Kutheni ufanele ukhathalele? |
|---|---|
| Naluphi na uhlobo losulelo** (umz. isifo sephepha (TB), i-herpes, i-chickenpox, ezinye izifo ezibangelwa yibhaktiriya okanye zentsholongwane) | Eli yeza linokwenza ukuba izifo ezikhoyo zibe mandundu ngakumbi kuba linciphisa amajoni omzimba. |
| **Izifo zesibindi** (umz. iHepatitis B) | Eli yeza linokuchaphazela isibindi, kwaye izifo ezindala zisenokuphinda zisebenze. |
| **Umhlaza** imeko okanye imbali yomhlaza | Kukho inkolelo yokuba eli yeza linokunyusa umngcipheko wezinye iintlobo zomhlaza. |
| **Isifo seswekile**, isifo sentliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu | Ezi meko zinokunyusa umngcipheko wosulelo kunye nezinye iingxaki. |
| **Ukwehla kwenani legazi** (iiseli ezimhlophe zegazi, iiplatelets, iiseli ezibomvu zegazi) | Amayeza angazinciphisa ngakumbi ezi meko. |
| Iingxaki zamathumbu (umz. i-Diverticulitis) | Kukho umngcipheko wokugqobhoka (iinyembezi) esiswini okanye emathunjini. |
| Ukuba usandul' ukufumana ugonyo** okanye ucwangciselwe ukulufumana kwixesha elizayo | Ngokukodwa, imijovo yentsholongwane ephilayo kufuneka ithintelwe. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye **uncancisa** | Ufanele uxoxe nogqirha wakho malunga nokuba amayeza anokuchaphazela umntwana na. |
Ulisebenzisa njani eli yeza?
Isitofu sokugonya iTocilizumab sinikezelwa ngeendlela ezimbini: nokuba singena emthanjeni okanye phantsi kolusu.
- Esibhedlele okanye ekliniki: Ngokuqhelekileyo, olu gonyo lunikwa esibhedlele okanye ekliniki ngabasebenzi bezonyango abaqeqeshiweyo.
- Ukunikezelwa kweyeza ekhaya: Kwezinye iimeko, ugqirha wakho uya kukuxelela indlela yokunika ijekti ekhaya. Ukuba kunjalo, kufuneka uthathe ijekti ngqo njengoko kuyalelwe, ngexesha elifanelekileyo, kwaye kwidosi echanekileyo. Ungaze uyeke ukuthatha ijekti ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo.
Inqaku elikhethekileyo: Ungaze ulahle iinaliti zakho ezisetyenzisiweyo kunye neesirinji emgqomeni wenkunkuma. Kukho isitya esikhethekileyo sazo (isitya esibukhali). Ukuba awunaso, cela ugqirha wakho akunike esinye. Oku kubaluleke kakhulu ukuze ungonakalisi okusingqongileyo kunye nabanye.
Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?
Kubaluleke kakhulu ukusela amayeza akho ngexesha. Ukuba awukwazi ukugcina idinga esibhedlele, xelela ugqirha wakho okanye isibhedlele ngoko nangoko. Ukuba usela amayeza akho ekhaya, ukuba uphoswe yidosi, thatha loo dosi ngokukhawuleza njengoko ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yeka idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye. Ukuba unemibuzo malunga noku, buza ugqirha wakho.
Amanye amayeza angafanele asetyenziswe kunye nale yeza
I-Tocilizumab liyeza elinokusebenzisana namanye amayeza, ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
- Oko ungafanele ukukusela: Musa ukufumana imijovo yentsholongwane ephilayo ngelixa usela eli yeza.
- Amanye amayeza anokusebenzisana:
- Amanye amayeza ebhayoloji afana ne-Abatacept, i-Adalimumab, ne-Etanercept
- Iipilisi zokulawula inzala
- Amanye amayeza okwehlisa i-cholesterol, afana ne-Atorvastatin kunye ne-Simvastatin
- I-Cyclosporine, i-Omeprazole, i-Theophylline
- Amayeza e-steroid afana nePrednisone okanye iCortisone
- Amayeza okunciphisa igazi afana neWarfarin
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Uvavanyo lweSifo sePhepha (Uvavanyo lweSifo sePhepha):Uza kuvavanywa isifo sephepha ngaphambi kokuba uqale eli yeza. Ukuba ugqirha wakho ukunike amayeza esifo sephepha, kufuneka uqale ukusela elo yeza uze ugqibezele yonke imithi ngaphambi kokuba uqale iTocilizumab.
- Umngcipheko wosulelo:
- Uvavanyo lwegazi: Ugqirha wakho uza kuyalela uvavanyo lwegazi rhoqo ukuze ajonge imeko yakho ngelixa usela amayeza. Musa ukuwatyeshela.
- Umngcipheko womhlaza: Kukho ubungqina bokuba eli yeza linokunyusa kancinci umngcipheko weentlobo ezithile zomhlaza. Ukuba unemibuzo malunga noku, nceda uthethe nogqirha wakho.
- I-Tocilizumab liyeza elinamandla elisetyenziselwa ukunyanga izifo ezinxulumene nomzimba ezifana ne-rheumatoid arthritis.
- Ngaphambi kokuba uqalise amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo.
- Kukho umngcipheko okhulayo wokosuleleka ngelixa usebenzisa eli yeza. Ukuba ubonakalisa iimpawu ezifana nomkhuhlane, ukukhwehlela, okanye umphimbo obuhlungu, funa ingcebiso kagqirha ngoko nangoko.
- Ukuba ufumana iimpawu ezifana nokunganyamezelani kakuhle komzimba, iingxaki zesibindi, okanye iintlungu zesisu eziqatha, yiya esibhedlele ngokukhawuleza.
- Ukuba unemibuzo malunga nale yeza, ungoyiki ukubuza ugqirha wakho.
Okubaluleke kakhulu! Eli yeza linciphisa ukusebenza kwenkqubo yakho yokuzikhusela komzimba, ngoko ke kunokwenzeka ukuba ufumane usulelo ngokulula. Ukuba ufumana iimpawu ezinje ngomkhuhlane, ukubanda, iintlungu zomzimba, umphimbo obuhlungu, ukukhwehlela, musa ukuthatha i-paracetamol wedwa, kodwa tsalela umnxeba ugqirha wakho ngoko nangoko. Hlala kude nabantu abagulayo kangangoko unako.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengazo zonke iziyobisi, iTocilizumab inokubangela iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.
| Iziphumo ebezingalindelekanga kunye neempawu | |
|---|---|
| Izinto onokuzixela ngoko nangoko kugqirha wakho okanye kwiSebe leeNgxamiseko lesibhedlele (i-ETU) | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Iimpawu zomonakalo wesibindi | Umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu, iintlungu kwinxalenye ephezulu ngasekunene yesisu, ukudinwa kakhulu, ukungabi namdla wokutya. |
| Ukugqobhoka kwesisu okanye amathumbu | Umkhuhlane ophezulu, iintlungu zesisu eziqatha, utshintsho olukhawulezileyo kwindlela yokuzilungisa. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, usulelo lomchamo. |
| Iimpawu zokubala igazi eliphantsi | Ukudumba okungaqhelekanga, ukopha, ukudinwa kakhulu, ubunzima bokuphefumla, ukuquleka. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu, isiyezi | Oku kudla ngokuphela emva kweentsuku ezimbalwa. |
| Intlungu, ukubomvu kwindawo yokutofa | Kuqhelekile ukuba nentlungu encinci okanye ukubomvu kwindawo efakwe kuyo inaliti. |
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
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