Ingabe ugula njalo? Ingabe kuthatha isikhathi eside ukuqeda umkhuhlane? Noma ingabe udokotela wakho ukutshelile ukuthi amandla omzimba wakho okumelana nokugula, okungukuthi, amasosha omzimba wakho, anciphile, kungaba ngenxa yesinye isifo onaso noma ngenxa yomuthi owuthathayo? Namuhla sizokhuluma ngendlela yokwelapha ekhethekile odokotela abayisebenzisayo ukunikeza amasosha omzimba wethu 'usizo' ngezikhathi ezinjalo. Lokho ukwelashwa kwe-IVIG.
Iyini ngempela i-IVIG? Ake sikuqonde kalula.
Kulungile, ake siqale senze leli gama libe lula kancane. I-IVIG imele i- Intravenous Immunoglobulin . Nakuba lokhu kungase kuzwakale njengegama lezokwelapha, empeleni kulula kakhulu.
- I-Intravenous (IV): Lokhu kusho "ukungena emthanjeni." Uma wake wanikezwa usawoti, cishe uyazi ukuthi unikezwa emthanjeni. Yileyo ndlela yokwelashwa okunikezwa ngayo.
- I-Immunoglobulin: Leli yiqhawe lendaba. Kalula nje, ama-immunoglobulin angama -antibodies alwa nezifo emizimbeni yethu. Njengebutho elivikela izwe lethu, ibutho elivikela imizimba yethu ezifweni liyisimiso somzimba sokuzivikela. Ama-antibodies angamasosha akhethekile kuleli butho.
Kalula nje, i-IVIG iwukwelashwa okunikezwa emzimbeni ngomthambo, kusetshenziswa iqoqo lama-antibodies athathwe kubantu abanempilo.
Cabanga ukuthi amasosha omzimba wakho abuthakathaka kancane. Kunzima ngawo ukulwa nezitha ezifana namagciwane namagciwane ngokwawo. Ngaleso sikhathi, lokhu kwelashwa kwe-IVIG kufana neqembu lamasosha aqeqeshwe, anamandla (okungukuthi ama-antibodies) avela ngaphandle ukuzosiza ibutho lakho. Lolu sizo lunikeza umzimba wakho amandla amaningi okulwa nezifo. Lesi simo sibizwa ngokuthi i-Immunodeficiency .
Ubani odinga lolu hlobo lokwelashwa lwe-IVIG?
Ukwelashwa nge-IVIG kuvame ukudingwa kubantu abanamasosha omzimba angasebenzi kahle, okungukuthi, ababuthakathaka. Lokhu kungaba ngenxa yezizathu eziningana. Ngezinye izikhathi kungaba ngenxa yesimo sezokwelapha, ngezinye izikhathi kungaba umphumela wesinye ukwelashwa.
Ungathola umbono omuhle ngalokhu kuthebula elingezansi.
| Isizathu | Izibonelo |
|---|---|
| Izifo ezenza buthaka isimiso somzimba sokuzivikela |
|
| Ezinye izindlela zokwelapha ezenza buthaka isimiso somzimba sokuzivikela |
|
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela onganquma ukuthi uyaludinga yini lolu hlobo lokwelashwa noma cha. Ngakho-ke uma unalesi simo, kungcono ukukhuluma nodokotela wakho ngaso.
Kulungile, manje ake sibone ukuthi lokhu kwelashwa kwe-IVIG kusebenza kanjani emizimbeni yethu.
Indlela lokhu okusebenza ngayo iyamangalisa. Kufana nokumpontshelwa igazi, kodwa lapha awutholi igazi, uthola ama-antibodies kuphela alwa nezifo.
Lesi sixazululo se-IVIG senziwa ngokuqoqa i-plasma yegazi yabantu abayizinkulungwane abaphilile, siyihlukanise futhi siyihlanze ukuze ihlukanise ama-antibodies. Ngenxa yokuthi ama-antibodies ezinkulungwane zabantu ayaqoqwa, siqukethe inani elikhulu lama-antibodies angalwa nezifo ezahlukahlukene.
Cabanga ngesikhukhula esikhulu edolobheni, yonke imigwaqo inodaka ngokuphelele , futhi umsebenzi uphazamisekile. Kunzima ngabasebenzi bomkhandlu wedolobha bodwa ukuwuhlanza. Ngaleso sikhathi, kunjengokungathi ithimba eliqeqeshwe ngokukhethekile labasebenzi abavela ngaphandle liza ukuzosiza. Ama-antibodies atholakala ku-IVIG, kanye nama-antibodies abuthakathaka asevele esemzimbeni wakho, abhubhisa amagciwane abangela izifo. Lokhu kunikeza amasosha omzimba wakho amandla amakhulu.
Ingabe udinga ukulungiselela ngaphambi kokwelashwa nge-IVIG?
Lokhu ngokuvamile akudingi ukulungiswa okukhethekile. Ungadla futhi uphuze njengenjwayelo bese uthatha imithi yakho evamile.
Kodwa-ke, ngezinye izikhathi udokotela wakho kungadingeka enze izinto ezithile njengokuhlolwa kwegazi ukuze ahlole impilo yakho ngaphambi kokuqala ukwelashwa. Ngakho-ke, kungcono ukubuza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko endleleni yakho yokuphila ngosuku olungaphambi kokwelashwa.
Yini ongayilindela ngosuku lokuphathwa kwe-IVIG?
Lokhu kuvame ukwenziwa esibhedlela noma emtholampilo. Umhlengikazi noma udokotela ufaka i-cannula encane emthanjeni osengalweni yakho, lapho uketshezi lwe-IVIG lufakwa khona kancane kancane emzimbeni wakho.
Lokhu kwelashwa kungathatha amahora amaningana. Isizathu salokhu ukuthi lolu ketshezi aluthunyelwa emzimbeni ngesikhathi esisodwa. Ukwenza kanjalo kungabangela imiphumela emibi. Yingakho lunikezwa kancane kakhulu.
Ngakho-ke, ungalungiselela into efana nokufunda incwadi, ukubukela i-movie efonini yakho, noma ukulalela ingoma. Ngemuva kwalokho ungachitha isikhathi ngaphandle kokukhathala.
Abahlengikazi bazohlala bekuqapha ngesikhathi sokwelashwa kwakho. Uma uzizwa ungakhululekile, ungesabi ukubatshela.
Yiziphi izinzuzo zokwelashwa nge-IVIG?
I-IVIG iyindlela ephephile kakhulu futhi ephumelelayo yokuphatha izimo zokuntuleka kwamasosha omzimba. Lokhu kwelashwa kubhekwa njengokuphephile ngisho nakwabesifazane abakhulelwe. Ingathathwa neminye imithi oyithathayo.
Inzuzo enkulu yalokhu ukuthi kuqinisa amasosha omzimba wakho. Lokhu kusho ukuthi cishe awuguli kakhulu. Ngisho noma ugula, kuzoba nzima kakhulu futhi kukusize ululame ngokushesha. Lokhu kuyimpumuzo enkulu kumuntu onesimiso somzimba esibuthakathaka.
Ingabe i-IVIG iyindlela yokwelapha eyingozi? Iyini imiphumela emibi?
Cha, i-IVIG iyindlela yokwelapha enengozi encane kakhulu. Ayivamile ukubangela imiphumela emibi kakhulu. Ucwaningo lusikisela ukuthi abantu abangaphansi kuka-5% babhekana nemiphumela emibi emaphakathi noma enzima.
Noma kunjalo, kungase kube nemiphumela emibi emincane. Ngokuvamile ayibi mibi kakhulu.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi emincane evamile | |
| Ikhanda elibuhlungu | Lona umphumela ovame ukubonakala kakhulu. |
| Ukuhlanza kanye nesicanucanu | Kungase kuzwakale njengokungakhululeki esiswini. |
| Imfiva | Ungase uzizwe umkhuhlane omncane. |
| Ubuhlungu bemisipha (i-Myalgia) | Umzimba wakho ungase uzwe ubuhlungu. |
| Ubuhlungu besifuba noma umhlane | Abanye abantu bangase babhekane nalolu hlobo lobuhlungu. |
| Imiphumela emibi engavamile kakhulu | |
| Ukusabela kokungezwani komzimba | Ukungezwani komzimba okukhulu njengokuqubuka kwesikhumba (urticaria) kanye nokulunywa (pruritus). |
| Izinguquko zomfutho wegazi | Umfutho wegazi ophezulu (umfutho wegazi ophakeme) noma umfutho wegazi ophansi (umfutho wegazi ophansi). |
| Ukwehluleka kwezinso | Lokhu kuyinto eyenzeka kaningi kakhulu. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ubunzima bokuphefumula. |
Iningi lale miphumela emibi emincane iyanyamalala yodwa emahoreni ambalwa noma ezinsukwini ezimbalwa ngemva kokwelashwa.
Kuthatha isikhathi esingakanani lokhu kwelashwa?
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bakwazi ukuthola impumuzo ekwelashweni okukodwa nje. Kodwa-ke, abantu abaningi kuzodingeka baqhubeke nokuthola ukwelashwa okuningana, njengokwelashwa kwamasonto onke noma kwanyanga zonke .
Udokotela wakho uzonquma ukuthi udinga lokhu kwelashwa isikhathi esingakanani nokuthi kangaki. Lokhu kuzoncika ezintweni eziningi, okuhlanganisa isimo sakho sezokwelapha kanye nendlela umzimba wakho osabela ngayo ekwelashweni.
Kufanele ubonane nodokotela wakho ngasiphi isikhathi?
Lokhu kubaluleke kakhulu. Uma uzwa ukungakhululeki noma imiphumela emibi , kungaba ngesikhathi sokwelashwa noma ngemva kwalokho, tshela udokotela wakho noma umhlengikazi ngokushesha.
Kubaluleke kakhulu ukubika ngisho nemiphumela emibi emincane, njengoba lokhu kungasiza udokotela wakho ukuthi alungise izinga noma umthamo we-IVIG ngesikhathi sokwelashwa okulandelayo ukuze avimbele imiphumela emibi ukuthi ingenzeki.
Ungakhathazeki, eminingi yale miphumela emibi ingalawulwa. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nabasebenzi bezokwelapha ngendlela ozizwa ngayo.
I-IVIG iyindlela yokwelapha ephephile engaqinisa kakhulu amasosha omzimba wakho. Ingathuthukisa kakhulu ikhwalithi yokuphila kwakho futhi ikusize ugweme ukugula kaningi. Uma udokotela wakho ekuncome lokhu kwelashwa, asikho isizathu sokwesaba.
Umlayezo Wokuya Nawe Ekhaya
- I-IVIG (Intravenous Immunoglobulin) iyindlela yokwelapha lapho iqoqo lama-antibodies athathwe kubantu abaphilile lifakwa emzimbeni ngemithambo yegazi.
- Lokhu kunikeza abantu abanesimiso somzimba esibuthakathaka (ukuntuleka kwamasosha omzimba) amandla okulwa nezifo.
- Lokhu kuyindlela yokwelapha ephephile kakhulu futhi imiphumela emibi emibi ayivamile. Imiphumela emibi emincane efana nekhanda elibuhlungu kanye nomkhuhlane ingase ivele.
- Ukwelashwa kungathatha amahora amaningana, futhi udokotela wakho uzonquma ukuthi kuyadingeka isikhathi esingakanani.
- Uma uzwa noma yikuphi ukungakhululeki noma imiphumela emibi ngesikhathi noma ngemva kokwelashwa, yazisa udokotela wakho ngokushesha . Kubalulekile ukubika noma yikuphi ukungakhululeki okuncane.
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