Wake wezwa ukuthi uhlelo lokuzivikela lomzimba wethu, uhlelo olusivikela ezifweni, ngezinye izikhathi lusebenza ngokumelene nathi? Noma ukuthi ngemva kokuba othile ethole ukufakelwa, njengezinso, umzimba wakhe uzama ukwenqaba isitho esisha? Namuhla, sizokhuluma ngeklasi ekhethekile yemithi odokotela abayinikeza ukulawula ukusebenza kwesimiso sethu sokuzivikela ezifweni ezimweni ezibucayi kangaka.
Ziyini lezi zinto ezicindezela amasosha omzimba?
Kalula nje, lezi yizidakamizwa ezinciphisa noma ezicindezela ukusebenza kwesimiso somzimba wakho sokuzivikela. Ngokuvamile, isimiso sethu sokuzivikela sinjengebutho elivikela izwe. Uma libona izitha zakwamanye amazwe, njengama-virus, amabhaktheriya, namaseli omdlavuza, leli butho liyalwa futhi lisivikele.
Kodwa ngezinye izikhathi, leli butho lenza iphutha bese liqala ukuhlasela amangqamuzana ethu aphilile nezicubu, licabanga ukuthi, "Nalezi ziyizitha." Ngezikhathi ezinjalo, sinikeza lawa ma-immunosuppressants ukuze athobise ibutho elisebenza ngokweqile.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi ngenxa yokuthi le mithi yenza buthaka amasosha omzimba, ingozi yokuthola izifo ezivela kumagciwane namagciwane iyanda.
Kuziphi izimo lapho le mithi isetshenziswa khona?
Odokotela batusa kakhulu le mithi ezimweni ezimbili.
1. Ngezifo Ezivikela Amasosha Omzimba
Lesi yisimo lapho amasosha omzimba ethu esihlasela khona. Uma lokhu kwenzeka, amangqamuzana anempilo emzimbeni ayabhujiswa bese kuqala ukuvuvukala. Le mithi imisa ukuhlasela okungafuneki kwamasosha omzimba futhi ilawule izimpawu. Le mithi ingalawula ngisho nezinye izifo ngokuphelele futhi izifake esimeni esingcono ngaphandle kwezimpawu.
Ezinye zezifo zokuzivikela komzimba ezisetshenziswa kakhulu lo muthi yilezi:
- Ukulahlekelwa izinwele okunamachashazi (i-Alopecia areata)
- Isifo samathumbu esivuvukalayo , njengesifo sikaCrohn kanye ne -ulcerative colitis
- I-Lupus
- I-Multiple sclerosis (MS)
- I-Psoriasis kanye ne-arthritis ehambisanayo
- I-rheumatoid arthritis (RA) , eyaziwa nangokuthi i-rheumatoid arthritis
2. Ekutshalweni Kwezitho Nezitho Zesitho
Cabanga ngomuntu othola ukufakelwa isitho, njengesinso, isibindi, noma inhliziyo. Amasosha omzimba abheka lesi sitho esisha “njengomfokazi.” Ngakho-ke acabanga ukuthi singaphandle kwesakhiwo futhi asihlasele, ezama ukusenqaba (ukwenqatshwa kwesitho). Ukuze kuvinjelwe lokho, okungukuthi, ukwenza umzimba wamukele isitho esisha, kunikezwa lo muthi (Immunosuppressant) .
Ngokufanayo, amaseli okuqala atshalwa kabusha ngenxa yomdlavuza wegazi njenge-leukemia kanye ne-thalassemia. Amasosha omzimba avela kula maseli amasha angahlasela umzimba omdala. Lokhu kubizwa ngokuthi (isifo se-Graft-versus-host - GvHD) . Lo muthi ubalulekile futhi ukuvimbela lesi simo.
Ngiyithola kanjani le mithi futhi isikhathi esingakanani?
Le mithi ingathathwa njengamaphilisi, uketshezi, imijovo, noma ngemithambo yegazi (IV) . Kuye ngesimo sakho, kungadingeka ukuthi uphuze le mithi izinyanga eziningana, unyaka, noma impilo yakho yonke. Ikakhulukazi uma uke wafakelwa isitho, kungadingeka uqhubeke uphuze le mithi isikhathi eside njengoba udokotela wakho ekutshela.
Yiziphi izinhlobo ezivame ukusetshenziswa kakhulu zemithi yokucindezela amasosha omzimba?
Kunezinhlobo eziningi zale mithi. Kuye ngesimo sakho, udokotela wakho uzokhetha umuthi noma inhlanganisela yemithi ekufanele kakhulu.
| Uhlobo lomuthi | Incazelo elula |
|---|---|
| Ama-Corticosteroids Isibonelo: i-Prednisone | Lezi yizinhlobo ezisetshenziswa kakhulu. Zilawula ngokushesha ukusebenza kwamasosha omzimba kanye nokuvuvukala. |
| I-Biologicals Isibonelo: I-Adalimumab, i-Infliximab | Lokhu kukhiqizwa elabhorethri futhi kuhloswe izingxenye ezithile zesimiso somzimba sokuzivikela. |
| Izithibi zeCalcineurin Isibonelo: i-Tacrolimus, i-Cyclosporine | Ivimba i-enzyme evuselela ama-T-cell (uhlobo lweseli elimhlophe legazi) alwa nokutheleleka. |
| Ezinye izinhlobo ezahlukene (izithibi ze-IMDH, izithibi ze-Janus kinase, izithibi ze-mTOR) | Lokhu kulawula izinto ezifana nokukhula kwamaseli, ama-enzyme okuvuvukala, kanye nokwanda kwamaseli. |
Yiziphi izinzuzo, imiphumela emibi, kanye nezingozi zale mithi?
Nakuba le mithi inikeza izinzuzo ezisindisa impilo, ingabangela nemiphumela emibi kanye nezingozi.
Imiphumela emibi engaba khona
Lena imithi enamandla kakhulu futhi ingabangela imiphumela emibi eyahlukahlukene. Akuwona wonke umuntu ozobhekana nayo yonke le miphumela.
- Induna
- Ingozi yokuba nesifo sikashukela
- Ukukhathala ngokweqile komzimba
- Ukulahlekelwa izinwele noma ukukhula okungafuneki
- Ikhanda elibuhlungu
- Umfutho wegazi ophakeme
- Izilonda zomlomo
- I-Osteoporosis
- Ukuthuthumela
- Ukwanda kwesisindo
- Ukuphazamiseka kwesisu, isicanucanu, nokuhlanza
Uma uhlangabezana nemiphumela emibi eminingi kunokujwayelekile, tshela udokotela wakho ngokushesha. Angase akwazi ukushintsha umthamo noma akunikeze omunye umuthi.
Izingozi ezikhethekile kanye nezinkinga
1. Ukweqa imithi
Lokhu kuyindaba engathi sína kakhulu. Ungayeki umthamo owodwa walo muthi nganoma yisiphi isizathu noma ngaphandle kweseluleko sikadokotela wakho. Uma umuntu onesifo sokuzivikela komzimba enza lokhu, lesi sifo singaba sibi kakhulu ngokuzumayo. Uma umuntu oke wafakelwa isitho eyeka ukuthatha umuthi, umzimba uzoqala ukwenqaba isitho.
2. Ingozi eyengeziwe yokutheleleka
Njengoba sixoxile ngaphambili, le mithi yenza buthaka isimiso somzimba sokuzivikela. Lokhu kusho ukuthi izivikelo zomzimba wakho ziyancipha. Lokhu kukwenza (ube buthakathaka) , okusho ukuthi isimiso sakho somzimba sokuzivikela sibuthakathaka. Lokhu kusho ukuthi ungathola izifo ezingathi sína kalula kunomuntu ovamile. Izibonelo:
- I-Sepsis (ukutheleleka kwegazi)
- Ukutheleleka ngefungus (isb., i-thrush)
- Ukutheleleka kwesikhumba (i-Cellulitis)
- Izifo zokuphefumula (isib., umkhuhlane, i-pneumonia)
Yini engingayenza ukuze ngihlale ngiphilile ngesikhathi sokwelashwa?
Kulesi sikhathi sokwehliswa kwamasosha omzimba ngamabomu, udinga ukucabanga ngokuphepha kwakho kunanini ngaphambili.
- Geza izandla zakho njalo ngensipho namanzi. Lena yindlela engcono kakhulu yokuvimbela ukutheleleka.
- Khuluma nodokotela wakho mayelana nokugoma. Mbuze ukuthi yimiphi imijovo okufanele uyithole nengafanele uyithole.
- Yidla ukudla okunomsoco. Yidla ukudla okulinganiselayo okunemifino ephekiwe kahle, izithelo, okusanhlamvu okuphelele kanye namaprotheni.
- Lala ngokwanele. Ukulala kahle kusekela amasosha omzimba.
- Gwema izindawo ezinabantu abaningi nezindawo lapho abantu abagulayo betholakala khona ngangokunokwenzeka.
Ingabe le mithi inawo umphumela ngesikhathi sokukhulelwa?
Yebo, kungakwenza lokho. Noma ubani othatha lo muthi futhi ohlela ukuba nomntwana kufanele akhulume nodokotela wakhe kusengaphambili. Eminye imithi ingaba yingozi enganeni esibelethweni futhi ingabangela ukukhubazeka kokuzalwa. Futhi, eminye imithi ayifaneleki ngesikhathi sokuncelisa. Ngakho-ke, uma udokotela wakho efuna, angakushintshela kumuthi ophephile ofanele ukukhulelwa.
Umlayezo Wokuya Nawe Ekhaya
- Ama-immunosuppressants ayiqembu lemithi enamandla kakhulu esetshenziselwa izimo ezibucayi njengezifo ezizimele kanye nokufakelwa kwezitho zomzimba.
- Ungalokothi weqe umthamo noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Ngenxa yokuthi ingozi yokutheleleka iyanda lapho uthatha lo muthi, kubaluleke kakhulu ukulandela izinyathelo zokuphepha njengokugeza izandla njalo nokuhlala kude neziguli ezigulayo.
- Yazisa udokotela wakho ngokushesha nganoma yimiphi imiphumela emibi noma izimpawu ezingavamile ozizwayo.
- Uma ukhulelwe, qiniseka ukuthi uthintana nodokotela wakho ngaphambi kokuhlela ukukhulelwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho