Sonke siyazi ukuthi ukulwa nomdlavuza akuyona indlela elula. Okwamanje, lapho udokotela esitshela ngomuthi omusha, ikakhulukazi umuthi wokugomela, kuyinto evamile ukuba nemibuzo nokwesaba. I-Alemtuzumab umuthi wokugomela okhethekile nonamandla osetshenziselwa ukwelapha umdlavuza onjalo. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi i-Alemtuzumab, ukuthi usebenza kanjani emzimbeni, lokho okudingeka sikuqaphele, kanye nemiphumela emibi engaba khona.
Iyini i-Alemtuzumab? Isebenza kanjani?
I-Alemtuzumab umuthi osetshenziswa kakhulu ukwelapha umdlavuza ohlobene negazi njenge-leukemia. Ungowesigaba sama -antibodies e-monoclonal .
Manje ungase uzibuze ukuthi iyini i-antibody ye-monoclonal. Cabanga ngayo njenge-missile eqeqeshwe ngokukhethekile, engenaphutha. Kukhona iphrotheni ekhethekile emzimbeni wethu esiza amangqamuzana omdlavuza ukuthi akhule, ahlukane, futhi ande. Lokho okwenziwa yilo muthi wokugomela i-Alemtuzumab ukuhlonza ngqo amangqamuzana omdlavuza analeyo phrotheni, anamathele kuwo, futhi awavimbe ekusebenzeni. Ngamanye amazwi, isebenza ngokuvala umnyango odingekayo ekukhuleni kwamangqamuzana omdlavuza. Ngenxa yalokho, ikhono lamangqamuzana omdlavuza lokukhula nokusabalala emzimbeni liyancishiswa, noma limiswe ngokuphelele.
Okukhethekile ngalo muthi ukuthi uhlasela kakhulu amangqamuzana omdlavuza kuphela. Ngakho-ke, umonakalo kumaseli aphilile ajwayelekile ungase ube mncane kunezinye izindlela zokwelapha umdlavuza.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukunikeza udokotela wakho isithombe esicacile sempilo yakho iyonke. Qiniseka ukuthi ubatshela ngalezi zinto ngokukhethekile.
- Izinkinga zesimiso somzimba sokuzivikela: Uma unobuthakathaka, inkinga, noma isimo esihlobene naso ohlelweni lwakho lokuzivikela komzimba.
- Ukutheleleka kwamanje: Uma okwamanje unezimo ezithelelanayo njengomkhuhlane, umkhuhlane, ukukhwehlela.
- Izinkinga zegazi: Uma wake waba nesimo lapho igazi lakho linenani eliphansi lamaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet.
- Ukugoma: Uma usanda kuthola noma yimiphi imijovo, noma uhlela ukuthola noma yimuphi esikhathini esizayo.
- Ukungezwani komzimba: Uma une-allergies emuthini i-Alemtuzumab, izithako ezisetshenziswa ukuwenza (isib. amaprotheni e-hamster), eminye imithi, ukudla, noma udayi.
- Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele nakanjani utshele udokotela wakho.
Lo muthi unikezwa futhi usetshenziswa kanjani?
Lo muthi akuyona into ongayithatha uye nayo ekhaya. Ungumjovo ofakwa emthanjeni . Ngakho-ke, unikezwa esibhedlela noma emtholampilo, ngaphansi kokuqondisa okugcwele kodokotela nabasebenzi abahlengikazi.
Kubaluleke kakhulu ukuthi uze esibhedlela ukuze uthole ukwelashwa ngezinsuku zakho ezihleliwe. Uma ngesizathu esithile ungakwazi ukufika ngosuku lwakho oluhleliwe, sicela wazise ithimba lakho lezokwelapha ngokushesha.
Njengoba lo muthi unikezwa esibhedlela, ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, kufanele wazise udokotela ngokushesha noma i-Emergency Treatment Unit (ETU) . Uma usola ukuthi kukhona okunobuthi, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele kakhulu ngesikhathi sokwelashwa
Udinga ukunakekela impilo yakho kancane ngenkathi uthatha lo muthi.
Ukubhekwa njalo kwezokwelapha
Udokotela wakho uzokuqapha eduze phakathi nokwelashwa kwakho. Kuzodingeka futhi ukuthi uhlolwe igazi njalo ukuze uqaphe imiphumela yemithi kanye nempilo yakho.
Ukusabela Kokumnika
Uma lo muthi unikezwa ngemithambo yegazi, abanye abantu bangase babe 'nokusabela kokufakwa'. Lokhu ukusabela okwenzeka ngokushesha ngemva kokuba umuthi unikezwe umzimba. Lokhu kungafaka phakathi ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi, nokuzizwa ubanda futhi ushisa. Ukuze unciphise le ngozi, udokotela wakho angakunika eminye imithi (njenge-paracetamol noma umuthi wokungezwani komzimba) ngaphambi komjovo we-Alemtuzumab. Ngakho-ke kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Ingozi yokutheleleka
Njengoba lo muthi unciphisa amasosha omzimba wethu, ungase uthole kalula izifo . Ngakho-ke, ungawunaki umkhuhlane omncane, umkhuhlane, ukukhwehlela, umphimbo obuhlungu, noma ubuhlungu bomzimba phakathi nalesi sikhathi. Ungaziniki imithi futhi ukhulume nodokotela wakho ngokushesha. Kuwukuhlakanipha futhi ukuhlala kude nabantu abagulayo futhi ugweme izindawo ezinabantu abaningi phakathi nalesi sikhathi.
Ingozi yokopha
Lo muthi ungathinta inani lama-platelet, okusiza igazi ukuthi lijiye. Lokhu kungabangela ukuthi uqhume kalula kunokujwayelekile, noma kwenze kube nzima ukuyeka ukuphuma kwegazi ngisho noma uqhume kancane. Uma uqhuma kalula, izinsini zakho ziphuma igazi uma uxubha amazinyo akho, noma uma uphuma igazi elingenakunqandwa, tshela udokotela wakho.
Ukukhulelwa, ukuncelisa kanye nokuzala
- Ukukhulelwa: Ngesikhathi uthatha lo muthi kanye nezinyanga ezi-3 ngemuva kokuyeka ukwelashwaUkukhulelwa kufanele kugwenywe ngokuphelele. Ngenxa yalokhu, kubalulekile ukuthi abesifazane nabesilisa basebenzise indlela yokuvimbela inzalo ephumelela kakhulu. Khuluma nodokotela wakho ngalokhu bese ukhetha indlela engcono kakhulu.
- Ukuncelisa: Gwema ukuncelisa ingane yakho ngesikhathi sokwelashwa kanye nezinyanga ezintathu ngemuva kokuyeka .
- Ukuzala: Lo muthi ungathinta ukuzala. Uma unenkinga ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho ngaphambi kokuqala ukwelashwa.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Alemtuzumab ingabangela imiphumela emibi. Nakuba kungebona bonke abantu abayitholayo, kubalulekile ukuqaphela, njengoba eminye yayo ingaba yingozi.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, ubuhlungu lapho uchama. |
| Ukusabela Kokumnika | Ubuhlungu esifubeni, ubunzima bokuphefumula, ukuphelelwa umoya, ukuquleka noma isiyezi. |
| Izimpawu zokubalwa kwamaseli egazi aphansi | Ukuphaphatheka, ukukhathala okungavamile, ukukhathala, ikhanda elibuhlungu, ukuphelelwa umoya (ukwehla kwamangqamuzana abomvu egazi). |
| Ukopha okungavamile | Ukuphuka ngaphandle kwesizathu, ukopha okungenakunqandwa, ukopha kwezinsini. |
| Ngokuvamile akuyona ingozi (kodwa tshela udokotela wakho uma iqhubeka) | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, Isicanucanu, Ukuhlanza. |
| Izinkinga zokulala | Ukungalali. |
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo. Ngesikhathi uthatha lo muthi, kufanele ugweme ukuthola imijovo yegciwane eliphilayo, ikakhulukazi leyo equkethe amagciwane aphilayo . Isibonelo, umuthi wokugomela i-measles, i-mumps, i-rubella (MMR), umuthi wokugomela i-chickenpox, njll. Lokhu kungenxa yokuthi, njengoba amasosha omzimba wakho ebuthakathaka, igciwane eliphilayo elibuthakathaka kule mijovo lingakwenza ugule. Ngakho-ke uma uzothola umuthi wokugomela, tshela udokotela wakho womdlavuza kusenesikhathi.
Ngaphezu kwalokho, tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo), kanye nokuthi uyabhema noma uyaphuza utshwala, njengoba ezinye izinto zingathintana nalo muthi.
Umlayezo Wokuya Nawe Ekhaya
- I-Alemtuzumab iwumuthi wokugomela okhethekile ohlasela futhi ubhubhise amangqamuzana omdlavuza, onikezwa umdlavuza onjenge-leukemia.
- Lokhu kwelashwa kunikezwa esibhedlela kuphela, ngaphansi kokuqashwa kwezokwelapha.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, kanye nayo yonke eminye imithi oyithathayo.
- Izingozi ezimbili eziyinhloko ukusabela kokufakwa kwe-infusion kanye nengozi eyengeziwe yokutheleleka. Qaphela izimpawu ezifana nomkhuhlane kanye nobunzima bokuphefumula.
- Kubalulekile ukulandela indlela eqinile yokuvimbela inzalo futhi ugweme ukuncelisa ngesikhathi sokwelashwa kanye nezinyanga ezi-3 ngemuva kokuyeka.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza ongase ube nakho phakathi nalolu hambo. Awuwedwa kule mpi.
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