Isimiso somzimba wakho sokuzivikela sinjengebutho elivikela izwe. Umsebenzi webutho ukusivikela ngokulwa namagciwane nezifo zakwamanye amazwe. Kodwa ngezinye izikhathi lolu hlelo luyadideka kancane futhi lungakwazi ukubona ukuthi izitha zakwamanye amazwe zingobani noma ukuthi yiziphi izingxenye zomzimba wakho. Bese luqala ukuhlasela amangqamuzana omzimba wakho. Yilapho izifo ezifana ne-rheumatoid arthritis, ezibangela ubuhlungu obuvuvukile, obuqinile, nobungenakubekezeleleka, ziqala khona. Ngakho-ke, namuhla sikhuluma ngomuthi okhethekile othoba umoya futhi olawula isimiso somzimba sokuzivikela esisebenza ngokweqile. Lowo umuthi wokugomela i-Anakinra.
Kalula nje, uyini lo Anakinra?
I-Anakinra iwumuthi wokugoma ongazijova ngaphansi kwesikhumba. Ivame ukuthengiswa ngaphansi kwegama elithi `Kineret`.
Lomuthi usetshenziswa kakhulu ku:
- I-Rheumatoid Arthritis: Isimo esibangela ukuvuvukala nobuhlungu emalungeni kubantu abadala.
- Ezinye Izimo Zokuvuvukala: Isibonelo, lo muthi unikezwa futhi ukulawula izimo ezingavamile kodwa ezingathi sína ezenzeka ezinsaneni ezisanda kuzalwa, njenge-"Neonatal-Onset Multisystem Inflammatory Disease (NOMID)" kanye ne-"Deficiency of Interleukin-1 Receptor Antagonist (DIRA)".
Kalula nje, lo muthi usebenza ngokulawula kancane ukusebenza ngokweqile kwesimiso sakho somzimba nokunciphisa umonakalo owubangela emzimbeni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lena yingxenye ebaluleke kakhulu. Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyamtshela udokotela wakho.
- Uma une -asthma .
- Uma uke waba nomdlavuza noma uke waba nawo.
- Uma kunezinye izinkinga ngesimiso somzimba sokuzivikela .
- Uma unegciwane elingakaphathwa, isibonelo, isifo sofuba (TB), isikhunta, amagciwane, noma ukutheleleka ngegciwane.
- Uma unesifo sezinso .
- Uma ukuhlolwa kwegazi lakho kubonisa amazinga aphansi amangqamuzana amhlophe egazi .
- Uma usanda kuthola umuthi wokugoma noma uhlela ukuwuthola maduze.
- Uma une -allergy ku-Anakinra, eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha.
Ngingawusebenzisa kanjani umuthi?
Lona umjovo ojovwa ngaphansi kwesikhumba. Udokotela wakho noma umhlengikazi uvame ukukukhombisa ukuthi uwujova kanjani wena. Kubaluleke kakhulu ukuthatha umthamo ofanele, ngesikhathi esifanele, nangesikhathi esifanayo nsuku zonke. Kufanele uqhubeke uwusebenzisa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Kubaluleke kakhulu: Ungalokothi ulahle izinaliti ezisetshenzisiwe kanye nesirinji emgqonyeni kadoti. Kufanele zifakwe esitsheni esikhethekile se-sharp esinikeziwe. Uma ungenayo, buza ithimba lakho lezempilo ukuthi ungayithola kanjani.
Kuthiwani uma umthamo womuthi ukhuphuka?
Uma ucabanga ukuthi kungenzeka ukuthi uthathe imithi eminingi kunaleyo oyinikezwe udokotela, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane nalo muthi
Ngenxa yokuthi i-Anakinra iyisidakamizwa esithinta amasosha omzimba, kungaba yingozi ukuyithatha kanye neminye imithi ethile. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lwesidakamizwa | Izibonelo nezincazelo |
|---|---|
| Imithi okungafanele ithathwe ne-Anakinra | |
| Imithi yezinto eziphilayo | Lokhu kuthinta nesimiso somzimba sokuzivikela, ngakho-ke ukuthatha kokubili ndawonye kwandisa kakhulu ingozi yokutheleleka. Isibonelo: (adalimumab), (etanercept), (infliximab), (certolizumab), (golimumab). |
| Imithi yokugomela igciwane ephilayo | Imijovo ephilayo ingabangela isifo esifanayo ngoba amasosha omzimba aba buthaka uma kuthathwa i-Anakinra. |
| Eminye imithi engase ihlangane ne-Anakinra (kuphoqelekile ukufuna iseluleko sezokwelapha) | |
| Eminye imithi yokucindezela amasosha omzimba | Imithi efana ne-(Abatacept), (Baricitinib), (Canakinumab), (Rituximab), (Sarilumab), (Tocilizumab), (Tofacitinib), (Upadacitinib). |
| Imithi enciphisa ikhono lokulwa nezifo | Izinto ezifana nama-steroid kanye nemithi yokulwa nomdlavuza. |
Lolu hlu aluphelele. Tshela udokotela wakho ngawo wonke amavithamini, imikhiqizo yamakhambi, kanye neminye imithi oyithathayo.
Izinto okufanele uzicabangele lapho uthatha umuthi
- Ukuqapha njalo: Udokotela wakho uzokukuhlola njalo ngenkathi uthatha lo muthi. Angase futhi akucele ukuhlolwa kwegazi . Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.
- Ukuhlolwa Kwesifo Sofuba (TB): Uzohlolwa isifo sofuba (TB) ngaphambi kokuqala lo muthi. Uma unikezwe umuthi, kufanele uqale ukuwuthatha ngaphambi kokuqala i-Anakinra bese uwuthatha isikhathi esiphelele osinikeziwe.
- Ingozi yokutheleleka: Lo muthi unciphisa ukusebenza kwesimiso somzimba sokuzivikela, ngakho-ke usengozini enkulu yokuthola izifo. Ngakho-ke, uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela, amanxeba angapholi, noma ubuhlungu lapho uchama, ungaziphilisi bese ushayela udokotela wakho ngokushesha. Kungumqondo omuhle futhi ukugwema izindawo lapho abantu begula khona.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Anakinra ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, amanxeba angapholi, izifo zomgudu womchamo. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Ukungakhululeki endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala. (Lokhu kuvamile kakhulu) |
| Ezinye izici ezijwayelekile | Ikhanda elibuhlungu, isicanucanu, ukuhlanza, ubuhlungu besisu, isifo sohudo, ubuhlungu bamalunga, ubuhlungu be-sinus. |
Ungawugcina kanjani umuthi?
- Gcina esiqandisini , kodwa ungalokothi ufakwe efrijini.
- Ungawushukumisi umuthi.
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina umuthi wokugoma ephaketheni lawo lokuqala kude nokukhanya kuze kube yisikhathi sokuwuthola.
- Lahla imithi ephelelwe yisikhathi. Buza udokotela wakho ukuthi ungayilahla kanjani ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Anakinra iwumuthi wokugomela osetshenziselwa ukulawula izifo ezibangelwa amasosha omzimba asebenza ngokweqile, njenge-rheumatoid arthritis.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Funda ukuthi ungawufaka kanjani umuthi wokugoma ngendlela efanele nokuthi ungazilahla kanjani ngokuphephile izinaliti ezisetshenzisiwe.
- Hlala uqaphele izimpawu zokutheleleka njengomkhuhlane, ukukhwehlela, nomphimbo obuhlungu. Uma uba nanoma yiziphi izimpawu ezinjalo, yazisa udokotela wakho ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
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