Kumuntu ohlushwa umdlavuza noma othile emndenini wakhe, kuvamile ukuba nemibuzo eminingi kanye nokwesaba lapho udokotela wakho ekubhalela umuthi omusha. "Uyini lo muthi?", "Ingabe uzosiza ngempela?", "Ingabe kukhona imiphumela emibi?" Ungase uzibuze. Wake wazibuza ngomuthi wokugomela i-Cemiplimab? Ngakho ake sixoxe ngawo ngendlela enobungane nelula.
Uhlobo luni lomuthi i-Cemiplimab?
Kalula nje, i-Cemiplimab iwumuthi wokugomela okhethekile osetshenziselwa ukwelapha izinhlobo ezithile zomdlavuza, njengomdlavuza wesikhumba nomdlavuza wamaphaphu. Iyingxenye yemithi ebizwa ngokuthi "i-monoclonal antibody".
Cabanga ngakho, imizimba yethu inesimiso sokuzivikela esingokwemvelo esisivikela ezifweni, esibizwa ngokuthi isimiso sokuzivikela komzimba, akunjalo? Amaseli omdlavuza ayizinhlobo zamaseli ezinobuqili kakhulu. Ngezinye izikhathi ayacasha ohlelweni lwethu lokuzivikela, alukhohlise, futhi akhule.
Umuthi wokugomela i-Cemiplimab wenza into ehlakaniphile kakhulu. Uvimba iphrotheni ethile esiza amangqamuzana omdlavuza ukuba akhule. Lo muthi ube usuwuvimba. Lokhu kusho ukuthi amangqamuzana omdlavuza awakwazi ukucashela amasosha omzimba ethu. Amangqamuzana ethu omzimba angawabona amangqamuzana omdlavuza, awahlasele, futhi awabhubhise. Lokhu kusho ukuthi lo muthi usebenzisa izivikelo zomzimba wakho ukusiza ekulweni nomdlavuza.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Ngenxa yokuthi lo muthi usebenza nesimiso sethu somzimba sokuzivikela, kufanele unake kakhulu uma unezimo ezithile zezokwelapha.
Uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho:
- Uma uke wafakelwa i-allogeneic stem cell: Lolu ulwazi olubaluleke kakhulu.
- Izifo ezizenzakalelayo: Uma unesifo lapho amasosha omzimba ahlasela khona amangqamuzana awo aphilile, njengesifo sikaCrohn, i-ulcerative colitis, noma i-lupus.
- Isifo Sikashukela: Uma usuvele unesifo sikashukela noma uma othile emndenini wakho enaso.
- Izifo zesimiso sezinzwa: Uma unezifo ezihlobene nezinzwa ezifana ne-'Myasthenia gravis' noma i-'Guillain-Barre syndrome'.
- Uma uke wafakelwa isitho (`ukufakelwa isitho`): Uma uke wafakelwa isitho njengesinso noma isibindi.
- Uma uthola noma usanda kuthola ukwelashwa ngemisebe.
- Isifo se-thyroid: Uma unesifo lapho i-thyroid gland isebenza ngokweqile noma ingasebenzi kahle.
- Uma uzama ukukhulelwa noma ukhulelwe njengamanje:Lokhu kubaluleke kakhulu. Lo muthi ungalimaza kakhulu ingane ngesikhathi sokukhulelwa.
- Uma ungumama oncelisayo.
- Uma uke waba nokusabela kokungezwani komzimba ne-Cemiplimab noma yimuphi omunye umuthi, ukudla, noma idayi.
Khumbula, kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho ngisho nangesimo sezempilo esincane kakhulu onaso.
Indlela yokunikeza umuthi nezinto okufanele uziqaphele
Lo muthi awuyona into ongayisebenzisa ekhaya. Ungumjovo onikezwa ngesisombululo sikasawoti (esijovwe emthanjeni) esibhedlela noma emtholampilo yithimba lezokwelapha eliqeqeshiwe.
- Okufanele ukwenze uma uphuthelwe umthamo: Kubaluleke kakhulu ukuya kudokotela wakho bese uthola ukwelashwa kwakho ngezinsuku ezibekiwe. Uma ngesizathu esithile ungakwazi ukuya ngosuku oluhleliwe, shayela ithimba lakho lezokwelapha ngokushesha bese ubazisa.
- Kuthiwani uma ngiphuza umuthi omningi kakhulu?: Lokhu kunikezwa esibhedlela ngakho amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi uke wakwenza, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Ukukhulelwa Nokuncelisa: Lo muthi awunconywa uma uzama ukukhulelwa. Uzohlolwa ukuze kuqinisekiswe ukuthi awukhulelwe ngaphambi kokuqala ukwelashwa. Kumelwe usebenzise uhlobo lokuvimbela inzalo oluthembekile ngesikhathi sokwelashwa kanye nezinyanga ezine ngemva kokuyeka ukwelashwa . Futhi, ungancelisi ingane yakho ngesikhathi sokwelashwa kanye nezinyanga ezine ngemva kokuyeka ukwelashwa.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi onamandla, i-Cemiplimab ingabangela imiphumela emibi. Lokhu kungenxa yokuthi umuthi usebenza kokubili kumaseli omdlavuza kanye namaseli anempilo ngezinga elithile. Into ebaluleke kakhulu ukuqaphela lokhu futhi wazise udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile.
Ake sikuqonde kahle lokhu kusukela kuthebula elingezansi.
| Uhlobo lomphumela ongemuhle | Izimpawu ongase uzibone |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba / ukusabela kokuminza | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula, ubuhlungu besifuba, ukuquleka. |
| Ukusabela okukhulu kwesikhumba | Izimpawu zomkhuhlane noma umkhuhlane zifaka phakathi amabhamuza abomvu noma onsomi esikhumbeni, isikhumba esiqhekekayo, izilonda emlonyeni, kanye nama-lymph node avuvukele entanyeni noma emakhwapheni. |
| Izinkinga ezihlobene namaphaphu | Ukukhwehlela okomile okungachazeki, ubunzima bokuphefumula, ukuphefumula kanzima. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama, ukukhathala okungavamile. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, umchamo obomvu noma onsundu omnyama, umchamo onegwebu, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izinkinga ngezindlala zama-hormone (i-thyroid, i-adrenal) | Ukushaya kwenhliziyo okusheshayo, ukwehla kwesisindo, ukujuluka ngokweqile, ukuthuthumela, ukuzizwa ubanda kakhulu, ukuqunjelwa, ukukhuluphala, ukucindezeleka, ukukhathala okungavamile, isiyezi. |
| Amazinga aphezulu kashukela egazini (i-Hyperglycemia) | Ukuzizwa womile kakhulu, udinga ukuchama njalo, ukukhathala okungavamile, ukubona okufiphele. |
| Ezinye izimpawu ezinkulu | Izinguquko embonweni, ubuhlungu bamehlo, ikhanda elibuhlungu kakhulu, ubuhlungu bentamo, ukuhlanza, uhudo olunegazi, ubuhlungu obukhulu besisu, ukungazweli ezithweni zomzimba, ubunzima bokuhamba. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Imiphumela emibi evamile | Ubuhlungu bamathambo, ubuhlungu bemisipha, isifo sohudo. |
Ingabe kungaba nezinkinga ngeminye imithi?
Akukafundwa ngokugcwele ukuthi lo muthi uxhumana kanjani neminye imithi, amavithamini, noma imithi yamakhambi. Ngakho-ke, ukuze uphephe, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini.
Umlayezo Wokuya Nawe Ekhaya
- I-Cemiplimab umuthi onamandla ovuselela amasosha omzimba wakho ukuze alwe namaseli omdlavuza.
- Ngaphambi kokuqala ukwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi izifo ezihlasela amasosha omzimba, ukufakelwa kwezitho zomzimba).
- Ngesikhathi uthatha umuthi, qaphela kakhulu nganoma yiziphi izinguquko zesikhumba, ubunzima bokuphefumula, izinguquko zombono, noma ezinye izimpawu ezingavamile. Uma ubona noma yini, yazisa udokotela wakho ngokushesha.
- Ungaphuthelwa yizikhathi ezinikezwe udokotela. Uma uhlangabezana nanoma yikuphi ukuphazamiseka, sicela usazise kusenesikhathi.
- Landela ngokuqinile iseluleko sezokwelapha mayelana nokukhulelwa nokuncelisa.
- Ukwelashwa komdlavuza kuwuhambo. Kuvamile ukuzizwa ungakhululekile futhi wesaba phakathi nalolu hambo. Ithimba lakho lezokwelapha likhona ukukusekela. Ngakho ungesabi ukubuza noma yimiphi imibuzo onayo.
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