Kwenzekani uma uhlelo lokuzivikela lomzimba wakho, okungukuthi, uhlelo lokuzivikela komzimba, luba buthakathaka? Kulula kakhulu, uqala ukugula kaningi. Amandla omzimba okulwa namagciwane ayancipha. I-IVIG iyindlela yokwelapha ekhethekile odokotela abayincomayo ukusiza abantu abanalezi zimo. Kungenzeka ukuthi uke wezwa leli gama. Ngakho-ke ake sixoxe ngakho konke kalula nangendlela enobungane namuhla.
Kalula nje, iyini i-IVIg?
Incazelo ephelele ye-IVIg ithi Intravenous Immunoglobulin . Intravenous isho ukuthi "ngokusebenzisa umthambo." I-Immunoglobulin uhlobo olukhethekile lweprotheyini egazini lethu olulwa nezifo . Siphinde sibize lawa ma-antibodies .
Ngakho-ke, ekwelashweni kwe-IVIg, ukuhlushwa kwala ma-antibodies, ahlukaniswe egazini labantu abaphilile, kunikezwa umzimba womuntu onesimiso somzimba esibuthakathaka ngomthambo. Kalula nje, kufana nokunikeza umzimba wakho ibutho elengeziwe lamasosha ukulwa nalesi sifo.
Lokhu kwelashwa ngezinye izikhathi kunikezwa esikhundleni seminye imithi (isibonelo, ama-immunosuppressants , ama-corticosteroids, noma imithi ye-biologic). Abanye abantu bangase bathole i-IVIg kanye nale mithi. Lokhu kunqunywa udokotela wakho.
Yiziphi izimo ezinikezwa ukwelashwa kwe-IVIg?
Ukwelashwa nge-IVIg kuvame ukusetshenziselwa ukwelapha izifo ezithinta isimiso somzimba sokuzivikela. Uma isimiso sakho somzimba sokuzivikela singasebenzi kahle, okusho ukuthi asikhiqizi amasosha omzimba anele, usengozini enkulu yokuthola izifo ezibangelwa amagciwane. I-IVIg iyasiza ukugcwalisa leso sikhala futhi ikuvikele ezifweni.
Ithebula elingezansi libala ezinye zezimo ezivame kakhulu lapho kusetshenziswa khona ukwelashwa kwe-IVIg.
| Isimo | Indlela i-IVIg Esiza Ngayo |
|---|---|
| Ukushoda kwamasosha omzimba - isib. I- Immune Thrombocytopenia (ITP) | Amasosha omzimba avimbela ukubhujiswa kwama-platelet egazi, okusiza ukulawula ukopha. |
| Isifo seKawasaki | Kunciphisa umonakalo emithanjeni yegazi yenhliziyo, ikakhulukazi kulesi sifo esitholakala ezinganeni. |
| I-Guillain-Barré syndrome | Amasosha omzimba alawula ubuthakathaka kanye nokungasebenzi kahle okubangelwa ukuhlasela imizwa. |
| Izifo ezithinta amasosha omzimba - isib. i-Lupus, i-Polymyositis | Ilawula ukubhujiswa kwamangqamuzana omzimba (amangqamuzana abomvu egazi, amangqamuzana emisipha). |
| Izifo ze-neurological - isib. i-Myasthenia gravis, i-Multiple Sclerosis, i-Peripheral Neuropathy | Kusiza ukulawula umonakalo ohlelweni lwezinzwa kanye nokusebenza kabi. |
| Ngemva kokufakelwa umnkantsha | Ihlinzeka ngesivikelo ezifweni zangaphandle lapho amasosha omzimba ebuthaka kakhulu. |
Lokhu kwelashwa kwenziwa kanjani?
Lolu udaba olubaluleke kakhulu. Lolu ketshezi olubizwa ngokuthi i-Immunoglobulin lutholakala ku-plasma yegazi yabanikeli begazi abanempilo. Le plasma iqoqwa futhi ihlolwe ngokucophelela izifo ezingathi sína njenge -Hepatitis ne -HIV . Bese ihlanzwa futhi ihlanzwe bese isetshenziselwa ukwelashwa. Ngakho-ke akukho okufanele kukhathazeke ngokuphepha kwayo.
Ngosuku lokwelashwa kwakho, umhlengikazi oqeqeshiwe uzofaka i-cannula encane emthanjeni osengalweni yakho, lapho umuthi uzofakwa khona emzimbeni wakho njengesikhwama sikasawoti. Le nqubo ingathatha amahora amabili kuya kwamane .
Esikhathini esiningi, lokhu kwelashwa kunikezwa esibhedlela, emtholampilo, noma esikhungweni sokufaka umuthi . Kodwa-ke, kwezinye izimo, uchwepheshe wezokwelapha oqeqeshiwe angafika ekhaya lakho akunikeze lokhu kwelashwa.
Ukuthi udinga kangaki ukuthola lokhu kwelashwa kuncike ezintweni eziningi, okuhlanganisa isimo sakho sezokwelapha kanye nendlela umzimba wakho osabela ngayo. Abantu abaningi bavame ukunikezwa lokhu kwelashwa njalo emavikini ama-3-4.
Ingabe ikhona imiphumela emibi yokwelashwa nge-IVIg?
Iningi labantu liyakubekezelela lokhu kwelashwa kahle. Kodwa-ke, njenganoma yimuphi umuthi, kungabangela imiphumela emibi. Esikhathini esiningi, lokhu kuncane futhi kungenzeka ngokushesha ngemva kokwelashwa.
| Imiphumela emibi yokwelashwa kwe-IVIg | |
|---|---|
| Imiphumela emibi evamile (engeyona embi kakhulu) | |
| Ikhanda elibuhlungu | Ukuzizwa ukhathele, ubuhlungu bemisipha |
| Umkhuhlane omncane, uzizwa ubanda | Ukuluma, ukubomvu, ukuqubuka kwesikhumba |
| Ubuhlungu besisu esingaphezulu | Ukuvuvukala |
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha (lena ayivamile) | |
| Ikhanda elibuhlungu kakhulu, intamo eqinile | Ubunzima bokuphefumula, ukuqina kwesifuba, ukuphefumula kanzima |
| Ukuphuka noma ukuphuma kwegazi okungavamile | Ubuhlungu ebusweni, eduze kwamehlo, ukukhwehlela kanye ne-phlegm |
| Okubalulekile: Uma uzwa izimpawu zokungezwani komzimba (isib., ukuqunjelwa, ukuqina kwesifuba, ukukhwehlela), hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU). | |
Enye into ukuthi ezinsukwini ezimbalwa zokuqala ngemva kokwelashwa, ungase uzizwe uphilile kakhulu. Lokho kungenxa yokuthi amazinga omzimba wakho asezingeni eliphezulu kakhulu. Kodwa njengoba ukwelashwa okulandelayo kusondela, ngemva kokuba lawo ma-antibodies esengene emzimbeni wakho, ungase uzizwe ukhathele futhi ubuthakathaka. Lokhu kuvamile.
Ulungiselela kanjani ukwelashwa?
Kubaluleke kakhulu ukulungiselela nokukhululeka ngosuku lokwelashwa kwakho. Nanka amanye amathiphu angakusiza:
- Phuza amanzi amaningi: Phuza amanzi amaningi kanye noketshezi ngosuku olwandulela ukwelashwa kwakho, ngesikhathi nangemva kokwelashwa kwakho. Lokhu kuzonciphisa kakhulu ingozi yemiphumela emibi njengobuhlungu bekhanda.
- Buza ngemithi yakho: Uma uphuza imithi yezinye izimo, buza udokotela wakho noma umhlengikazi ukuthi kufanele yini uyithathe leyo mithi noma cha ngosuku lokwelashwa kwakho.
- Letha okuthile okuzokujabulisa: Njengoba uzoba sendaweni eyodwa amahora amaningana, ukuletha okuthile okuzokujabulisa, njengencwadi, umagazini, noma i-movie efonini yakho, kungakusiza ukuthi uhlale umatasa.
- Gqoka izingubo ezikhululekile: Gqoka izingubo ezikhululekile futhi okulula ukufaka i-cannula kuzo. Ungase uzizwe ubanda ngoba isikhungo sokwelapha sine-AC. Ngakho-ke kuwumqondo omuhle ukuletha into ozoyimboza ngayo noma ijezi.
- Yabelana ngokuhlangenwe nakho kwesikhathi esidlule: Uma uke waba nemiphumela emibi ngenxa yokwelashwa nge-IVIg esikhathini esidlule, tshela umhlengikazi ngaphambi kokuqala ukwelashwa ukuze akwazi ukuyiqaphela.
Umlayezo Wokuya Nawe Ekhaya
- I-IVIg iwukwelashwa okusebenzisa ama-antibodies athathwe egazini labantu abaphilile bese enikezwa ngemithambo yegazi kumuntu onesimiso somzimba esibuthakathaka.
- Lokhu kunikeza umzimba wakho amandla engeziwe okulwa nezifo.
- Lokhu kwelashwa kusetshenziselwa izifo eziningi ezibangelwa ukuzivikela komzimba kanye nezinkinga zezinzwa, njenge-Lupus, i-ITP, kanye ne-Myasthenia Gravis.
- Ukwelashwa kuthatha amahora ambalwa, futhi imiphumela emibi emincane ingenzeka, kodwa emibi kakhulu ayivamile. Khuluma nodokotela wakho nganoma yikuphi ukungakhululeki.
- Imiphumela emibi ingancishiswa ngokulungiselela kahle ngaphambi kokwelashwa (ikakhulukazi ngokuphuza amanzi amaningi).
- Khuluma nodokotela wakho ngokukhululekile mayelana nokuthi lokhu kwelashwa kulungile yini kuwe kanye nezinzuzo kanye nokubi kwako.
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