Ubuhlungu bamalunga, ukuvuvukala, ukuqina kwamalunga ekuseni okwenza kube nzima ukwelula imilenze yakho... Noma ubani ohlushwa yilolu buhlungu uyazi ukuthi kunzima kangakanani ukubekezelela usuku lonke unezimpawu ezinjengalezi. Ngezinye izikhathi, kunzima ukulawula lezi zimo ngamaphilisi obuhlungu avamile. Ezimweni ezinjalo, odokotela baphendukela emithini ekhethekile njenge-Abatacept, elawula lesi sifo ngokuthinta amasosha omzimba wakho. Ngakho-ke namuhla, ake sixoxe nje ngalo muthi wokugomela i-Abatacept.
Iyini ngempela i-Abatacept (i-Orencia)?
Kalula nje, i-Abatacept umuthi olawula ukusebenza kwesimiso somzimba wakho sokuzivikela ngezinga elithile. Izifo ezifana ne-rheumatoid arthritis zenzeka lapho isimiso somzimba sokuzivikela, okufanele sibe umvikeli womzimba wethu, sihlasela amalunga ethu ngephutha. Ngakho-ke lo muthi usebenza ngokulawula lokho kuhlasela okungafuneki.
Lomuthi usetshenziswa kakhulu ku:
- I-Rheumatoid Arthritis: Isifo samalunga esivuvukalayo esenzeka kubantu abadala.
- I-Psoriatic Arthritis: Isimo sokuvuvukala kwamalunga esenzeka ngesifo sesikhumba i-psoriasis.
- I-Juvenile Idiopathic Arthritis: Isifo samalunga esivuvukalayo esenzeka ezinganeni ezincane.
- Isifo Sokufakelwa Kwesitho Esibizwa Nge-Graft-versus: Ngezinye izikhathi, ngemva kokufakelwa kweseli lesiqu , amangqamuzana atshaliwe angasebenza ngokumelene nomzimba. Lo muthi usetshenziselwa futhi ukuvimbela leso simo.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Lokhu kubaluleke kakhulu. Kuphephile kuwe ukutshela udokotela wakho konke ngomlando wakho wezempilo ngaphandle kokufihla lutho. Naka ngokukhethekile la maphuzu.
- Sitshele nganoma yiziphi izifo oke waba nazo noma oke waba nazo esikhathini esidlule: noma yini kusukela ezifweni ezincane njengomkhuhlane noma umkhuhlane kuya ezifweni ezifana nesifo sofuba , i-hepatitis B , i-chickenpox, i-herpes, njll. Sitshele nganoma yikuphi ukuxhumana kwamuva nomuntu onesifo sofuba.
- Izinkinga zesimiso somzimba: Sitshele nganoma yiziphi ezinye izimo zezokwelapha ezithinta isimiso sakho somzimba.
- Izifo ezihlobene namaphaphu: Uma unezimpawu ezifana nokuphelelwa umoya nokukhwehlela, ikakhulukazi uma unesifo esifana ne -COPD (Isifo Esingapheli Sokuvimbela Amaphaphu), sazise.
- Umlando womdlavuza: Qiniseka ukuthi uyasho ukuthi uke waba nomdlavuza ngaphambili noma uselashwa.
- Isifo Sikashukela: Uma unesifo sikashukela, yazisa udokotela wakho.
- Ukugoma: Tshela udokotela wakho uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo (ikakhulukazi imijovo ephilayo).
- Ukuhlinzwa: Uma uzohlinzwa esikhathini esizayo, sicela usazise ngakho.
- Ukungezwani komzimba: Sitshele uma une-allergies, hhayi nje kulo muthi, kodwa nanoma yimuphi omunye umuthi, ukudla, noma udayi.
- Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma ukuncelisa, kufanele nakanjani utshele udokotela wakho ngaphambi kokuqala lo muthi.
Ungayisebenzisa kanjani imithi?
Kunezindlela ezimbili zokusebenzisa i-Abatacept.
1. Ukumnika Ngomjovo: Lokhu kwenziwa esibhedlela noma emtholampilo kuphela. Njengokunikeza usawoti, umuthi ufakwa emzimbeni ngomthambo.
2. Umjovo Ongaphansi Kwesikhumba: Lona umjovo ongazijova wona ekhaya. Udokotela wakho uzokunika isirinji esigcwaliswe kusengaphambili noma ipeni ekhethekile (i-autoinjector) yalokhu. Futhi, umhlengikazi noma udokotela uzokufundisa ukuthi ungawujova kanjani ngendlela efanele. Kubaluleke kakhulu ukuthola umjovo njengoba nje kuyalelwe, ngosuku olufanele, nangesikhathi esifanele.
Kubaluleke kakhulu: Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye namasirinji emgqonyeni kadoti. Kufanele zifakwe esitsheni esibukhali . Uma ungenayo, ungacela udokotela wakho ukuthi akunike yona.
Kuthiwani uma umthamo ukhuphuka?
Uma ngengozi uthatha umuthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo?
Uma ungumuntu othola umuthi wokugoma kanye ngesonto ekhaya, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Uma unikezwa umuthi esibhedlela, shayela udokotela wakho ngokushesha uma ungakwazi ukugcina isikhathi sakho sokubonana nodokotela.
Eminye imithi esebenzisana nalo muthi
Ngesikhathi uthatha i-abatacept, ukuphuza eminye imithi ethile kungabangela imiphumela engafuneki. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Uhlobo lwesidakamizwa | Incazelo kanye nengozi |
|---|---|
| Isigaba 1: Ungalokothi uthathe ndawonye | |
| Imithi yokugoma ephilayo | Lena imijovo equkethe amagciwane noma amabhaktheriya aphilayo abuthakathaka. Lokhu kungabangela ukutheleleka okukhulu ngoba amasosha omzimba wakho aba buthaka ngenkathi uthatha i-Abatacept. |
| Isigaba 2: Imithi okufanele ithathwe ngokucophelela okukhulu (qiniseka ukuthi uyatshela udokotela wakho) | |
| Ama-blocker e-TNF | Imithi efana ne-Adalimumab, i-Etanercept, kanye ne-Infliximab. Le mithi icindezela futhi amasosha omzimba, ngakho-ke ingozi yokutheleleka iyanda kakhulu uma ithathwa nge-Abatacept. |
| Eminye imithi yokucindezela amasosha omzimba | Imithi efana ne-Anakinra, i-Rituximab, i-Tocilizumab, ne-Tofacitinib. Lokhu kwandisa nengozi yokutheleleka. |
Amaphuzu akhethekile okufanele uwaqaphele lapho uthatha umuthi
- Ingozi yokutheleleka: Lo muthi unciphisa ukusebenza kwesimiso sakho somzimba, ngakho-ke usengozini enkulu kancane yokuthola izifo. Ngakho-ke, uma uzwa izimpawu ezifana nomkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, noma ukushisa lapho uchama, ungaziphilisi futhi utshele udokotela wakho ngokushesha. Nciphisa ukuvakashela kwakho izindawo lapho abantu begula khona.
- Ukuhlolwa kwesifo sofuba: Ngaphambi kokuqala lo muthi, uzohlolwa ukuze kubonakale ukuthi unesifo sofuba (TB). Uma udokotela wakho ekunike umuthi wesifo sofuba, kufanele uqale ukuwuthatha bese uqeda inkambo ephelele ngaphambi kokuqala i-Abatacept.
- Isifo sikashukela kanye noshukela egazini: Uma unesifo sikashukela futhi uthola lo muthi ngokuwufaka, i-glucometer yakho ingabonisa ukufundwa okuphezulu ngokungeyikho ngosuku lokusetshenziswa. Ngakho-ke, khuluma nodokotela wakho ngendlela efanele yokukala ushukela egazini lakho ngalolo suku.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Abatacept ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ubuhlungu besifuba. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ukutheleleka komgudu womchamo. |
| Okunye | Ikhanda elibuhlungu (isiyezi), ukuzizwa ukhathele ngendlela engavamile. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ubuhlungu besisu, isicanucanu, isifo sohudo (ukuqunjelwa). |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivamile. |
| Ubuhlungu endaweni yokujova | Ubomvu, ukulunywa, noma ubuhlungu obuncane endaweni yokujova. |
Ungawugcina kanjani umuthi?
Uma unikezwa i-syringe noma i-autoinjector ukuze uyisebenzise ekhaya, yigcine kude nezingane, eshalofini elingaphakathi lefriji, hhayi emnyango (phakathi kwama-degree Celsius angu-2 no-8). Ungalokothi uyigcine efrijini. Gcina umuthi usephaketheni lawo lokuqala, kude nokukhanya. Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Abatacept iwumuthi onamandla olawula ukusebenza kwesimiso sakho somzimba. Ngakho-ke landela imiyalelo kadokotela wakho ngqo.
- Tshela udokotela wakho umlando wakho wezempilo ophelele, ikakhulukazi mayelana nezifo ezithathelwanayo nezinye izifo.
- Kukhona ingozi enkulu yokuthola izifo ngenkathi uthatha lo muthi. Uma uba nezimpawu ezifana nomkhuhlane, ukukhwehlela, noma umphimbo obuhlungu, yazisa udokotela wakho ngokushesha.
- Uma ugonywa ekhaya, funda indlela efanele bese ulahla izinaliti ezisetshenzisiwe ngokuphephile.
- Uma unemibuzo, ukukhathazeka, noma ukukhathazeka ngalo muthi, ungawugcini kuwe, kodwa khuluma nodokotela wakho.
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