Ingabe ikhadi lokugoma lomntwana wakho lifanele? Noma ingabe udokotela wakho ukutshelile ukuthi uthole umuthi wokugomela i-Hepatitis B? Mhlawumbe uya kwelinye izwe ngenxa yomsebenzi. Kungakhathaliseki ukuthi yisiphi isizathu, cishe unemibuzo eminingi mayelana nomuthi wokugomela i-Hepatitis B. Kuvamile ukucabanga izinto ezinjengokuthi, "Ungowani?", "Uphephile?", "Ingabe kuzoba nemiphumela emibi?" Ngakho-ke namuhla, ake sixoxe ngomuthi wokugomela i-Hepatitis B ngendlela elula ongayiqonda.
Uyini lo muthi wokugomela i-hepatitis B?
Kalula nje, umuthi wokugomela i-Hepatitis B uwumuthi wokugomela ohlinzeka ngesivikelo emizimbeni yethu. Usivikela ekuthelelekeni okubangelwa yigciwane le-hepatitis B. Cabanga ngaleli gciwane njengesitha esingena ngokunyenya futhi silimaze esinye sezitho ezibaluleke kakhulu emzimbeni wethu, isibindi. Ngokuhamba kwesikhathi, lesi sitha singabangela ukuthi isibindi singasebenzi kancane kancane, okuholela ezimweni ezifana ne-cirrhosis, ngisho nomdlavuza wesibindi.
Ngakho-ke lokho okwenziwa yilo muthi wokugomela ukuqeqesha amasosha omzimba ethu ukuba abone igciwane langempela ngaphambi kokuba lingene emizimbeni yethu. Khona-ke, uma igciwane langempela like langena emizimbeni yethu, amasosha omzimba ethu azolibona ngokushesha, alilwe nalo, futhi alibhubhise.
Lo muthi wokugoma ungase ube ngaphansi kwamagama emikhiqizo ahlukene. Isibonelo, ungase ubone amagama anjengokuthi `(Engerix-B, HEPLISAV-B, Recombivax HB)`. Wonke lawa enza into efanayo.
Izinto ezibaluleke kakhulu okufanele uzitshele udokotela wakho ngaphambi kokugonywa
Lokhu kubaluleke kakhulu. Ngaphambi kokuba ugonywe, kubalulekile ukutshela udokotela wakho ulwazi olulandelayo, njengoba lokhu kungathinta kakhulu ukuphepha kwakho.
- Uma okwamanje unomkhuhlane noma ukutheleleka .
- Uma unesifo senhliziyo .
- Uma wazi ukuthi usuvele uthelelekile nge-hepatitis B.
- Uma unesimiso somzimba esibuthakathaka (isib. ukutheleleka nge-HIV, ukwelashwa komdlavuza).
- Uma unesifo sezinso .
- Uma uke waba nokusabela kokungezwani komzimba nolunye uhlobo lomjovo, imvubelo, eminye imithi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma ulindele umntwana.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela ngaphandle kokufihla lezi zinto.
Lo muthi wokugoma unikezwa kanjani?
Lo mjovo unikezwa ngomjovo emsipheni.Ngokuvamile inikezwa engalweni engenhla. Ezinganeni ezincane, inikezwa emsipheni wethanga. Lokhu kunikezwa esibhedlela noma emtholampilo nguchwepheshe wezempilo, njengodokotela noma umhlengikazi. Ngeke uvunyelwe ukuyithatha uye nayo ekhaya.
Ukuze uvikeleke ngokuphelele kwi-hepatitis B, kubalulekile ukuthola yonke imithamo enconywayo yomjovo ngezikhathi ezifanele. Ngokuvamile, kunikezwa imithamo emi-2 noma emi-3.
Lo mjovo unikezwa izinsana ezisanda kuzalwa ngaphansi koHlelo Lukazwelonke Lokugoma eSri Lanka. Ungathola okwengeziwe ngawo kumsebenzi wezempilo womndeni wakho (umbelethisi) noma udokotela wezingane.
Yini okufanele uyenze uma uphuthelwe ukugonywa?
Uma lokhu kwenzeka, ungesabi. Shayela udokotela wakho ngokushesha okukhulu bese uhlela isikhathi sakho esilandelayo sokubonana. Into ebaluleke kakhulu ukuqeda imithamo enqunyiwe.
Eminye imithi engathinta ukusebenza kahle komjovo
Kufanele futhi utshele udokotela wakho uma uthatha noma yimiphi imithi yezinye izimo. Ikakhulukazi, imithi elandelayo ingathinta ukusebenza kahle kwalo muthi wokugomela:
- Imithi yokucindezela amasosha omzimba: Isibonelo, imithi efana ne-`(adalimumab, infliximab)`.
- Ukwelashwa komdlavuza (i-Chemotherapy).
- Imithi yohlobo lwe-steroid: njenge-`(prednisone, cortisone)`.
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
Imiphumela emibi engaba khona ngemva kokuthola umuthi wokugomela
Njenganoma yimuphi umuthi wokugoma, eminye imiphumela emibi emincane ingase ivele ngemva kokuthola lo muthi wokugoma. Iningi lale miphumela ayimibi kakhulu. Kodwa-ke, ezimweni ezingavamile, imiphumela emibi emibi ingase ivele, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma kuvela lezi zimpawu, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela. | |
| Ukusabela Okubi Kakhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima, okwenza umsindo lapho uphefumula. |
| Ezinye izimpawu ezinkulu | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukukhathala okukhulu okubangelwa umkhuhlane, ukuba ndikindiki noma ubuhlungu ezithweni, ukuxhuzula, ukuzizwa ubuthakathaka kakhulu. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka noma zikhathaza | |
| Ukungakhululeki endaweni yokujova | Ubuhlungu, ukubomvu, ukuvuvukala, noma ukulunywa okuncane endaweni. |
| Ezinye izici ezincane | Ikhanda elibuhlungu, umkhuhlane omncane, izinhlungu zemisipha, isicanucanu, uhudo, ukulahlekelwa yisifiso sokudla, ukukhathala okuvamile. |
Kuthiwani uma ngisebenzisa ngokweqile ngengozi?
Lo mjovo unikezwa uchwepheshe wezempilo, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi kukhona okwenzekile, yazisa udokotela wakho ngokushesha noma ushayele iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi wokugomela i-Hepatitis B uwumuthi wokugomela obaluleke kakhulu ovikela wena nezingane zakho egciwaneni eliyingozi elilimaza isibindi.
- Ngaphambi kokuthola umuthi wokugomela, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Kubaluleke kakhulu ukuthola yonke imithamo yokugoma edingekayo ngesikhathi ukuze uvikeleke ngokuphelele.
- Qaphela izimpawu zemiphumela emibi kakhulu (njengobunzima bokuphefumula, ukuvuvukala) bese ucela iseluleko sezokwelapha ngokushesha uma ubona noma yikuphi kwalokhu.
- Lesi sihloko senzelwe ulwazi olujwayelekile kuphela. Sicela uxoxe nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho nodokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Uyini uMjovo Wokugomela I-Hepatitis B (Umjovo Wokugomela I-Hepatitis B / Engerix-B, Recombivax HB)?
Lona 'umuthi wokugomela' ophumelela kakhulu futhi osindisa impilo emhlabeni! Lokhu kwenzelwa ukuvimbela unomphela igciwane eliyingozi kakhulu 'le-Hepatitis B (HBV)', eliyimbangela eyinhloko yomdlavuza wesibindi kanye ne-cirrhosis, ukuthi lingangeni emizimbeni yethu (ngegazi noma ngokuxhumana ngokocansi). Lokhu kunikezwa izingane lapho zizalwa, futhi kuyimpoqo kubasebenzi bezempilo.
💬 Singazakha kanjani izivikelo zomzimba wethu ngalo muthi wokugoma ngaphandle kokufaka igciwane emzimbeni (ubuchwepheshe be-Recombinant DNA)?
Yilokho okumangazayo kulokhu! Akunalo igciwane noma igciwane elifile. Odokotela (abasebenzisa amaseli emvubelo) badale kuphela igobolondo/ijazi langaphandle (i-HBsAg / i-Surface Antigen) legciwane le-HBV futhi balifaka kulo. Uma lo muthi wokugomela unikezwa, amasosha ethu omzimba acabanga ukuthi igciwane langempela selifikile. Bese lidala ama-antibodies ukuhlasela lelo gobolondo elilodwa bese lifaka 'amasosha okuzivikela' emzimbeni wonke. Uma igciwane langempela lifika ngolunye usuku, lizolibulala khona lapho.
💬 Kungani lo muthi wokugomela (i-Hepatitis B Vaccine) unikezwa ngemithamo emi-3? Ingabe ikhona imiphumela emibi?
Kunikezwa imithamo emi-3 (0, 1, 6 izinyanga) (Umphumela we-Booster), ngoba inani elincane lama-antibodies likhiqizwa emzimbeni ngemva komthamo owodwa. Kodwa umthamo wesithathu (ezinyangeni ezi-6) uqinisa isivikelo emzimbeni wethu impilo yonke (ukuzivikela komzimba impilo yonke) kuze kufike ku-100%. Njengoba lokhu kwenziwa ngemvubelo, akuvunyelwe ukuthola lokhu uma umuntu ene-allergy enkulu (i-Anaphylaxis) 'kumvubelo/isinkwa/ukudla kwe-bakery'! Ngaphandle kwalokho, azikho ezinye imiphumela emibi emikhulu (umkhuhlane/ukukhwehlela kuphela).
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