Ingabe udokotela wakho ukunike wena noma othile emndenini wakho ukuthi niqale ukuthatha umuthi i-Rituximab? Kuvamile ukuzizwa wesaba futhi unelukuluku uma uzwa igama lomuthi onamandla kangaka. "Kuzokwenzekani ngalokhu?", "Kufanele ngikhathazeke ngani?", njll. Cishe unemibuzo eminingi engqondweni yakho. Yingakho, namuhla, sizoxoxa kalula nangobungane ngalo muthi i-Rituximab, ukuthi wenzani, nokuthi yiziphi izinto okufanele uzikhathalele lapho uwuthatha.
Kalula nje, iyini i-Rituximab?
I-Rituximab umuthi okhethekile kakhulu ongowesigaba semithi ebizwa ngokuthi ama-monoclonal antibodies. Cabanga ngayo njengeprotheni eyenziwe ngokukhethekile elabhorethri ukusiza uhlelo lokuzivikela lomzimba wethu (uhlelo lokuzivikela). Umsebenzi wayo oyinhloko ukuqaphela nokuhlasela nokubhubhisa amanye amangqamuzana angajwayelekile emzimbeni wethu, ikakhulukazi amangqamuzana omdlavuza. Iphinde isize ekulawuleni ezinye izifo ezibangelwa ukungasebenzi kahle kohlelo lokuzivikela lomzimba.
Kunezimo eziningana lapho lo muthi usetshenziswa khona kakhulu.
| Isigaba sesifo | Igama lesifo |
|---|---|
| Izinhlobo Zomdlavuza | I-Non-Hodgkin lymphoma |
| I-leukemia ye-lymphocytic engapheli (CLL) | |
| Izifo Zokuzivikela Ezizenzakalelayo | Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis |
| I-granulomatosis ene-polyangiitis | |
| I-Microscopic polyangiitis | |
| I-Pemphigus vulgaris - isifo sesikhumba |
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Lokhu kubaluleke kakhulu. Ukuze uphephe, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo ngaphambi kokuqala ukwelashwa.
- Ubuhlungu besifuba noma isifo senhliziyo: Uma unesifo senhliziyo noma uke waba nobuhlungu besifuba ngaphambili.
- Ukutheleleka: Noma yikuphi ukutheleleka kwamanje, ikakhulukazi ukutheleleka ngegciwane njenge-chickenpox, i-herpes, kanye ne-hepatitis B.
- Ubuthakathaka besistimu somzimba: Uma unezinkinga ngesistimu yakho yomzimba.
- Ukushaya kwenhliziyo okungajwayelekile: Uma ukushaya kwenhliziyo kungajwayelekile.
- Isifo sezinso: Uma unesifo esihlobene nezinso.
- Inani eliphansi lamaseli egazi: Uma kunemibiko yamaseli amhlophe egazi aphansi, ama-platelet, noma amaseli abomvu egazi.
- Isifo samaphaphu: Uma unesifo samaphaphu.
- Ukugonywa: Uma usanda kuthola umuthi wokugoma noma uhlela ukuwuthola esikhathini esizayo.
- Ukungezwani komzimba: Uma une-allergy ku-Rituximab, noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa noma ukuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Lo muthi unikezwa kanjani emzimbeni?
Lo muthi awuyona into ongayisebenzisa ekhaya. Unikezwa udokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo njengokufakwa emthanjeni. Le nqubo ingathatha amahora amaningana.
Into ebaluleke kakhulu ukuya esibhedlela ngosuku oluhleliwe ukuze uthole ukwelashwa. Uma ngesizathu esithile ungakwazi ukuya ngosuku oluhleliwe, qiniseka ukuthi ushayela udokotela wakho umtshele.
Ngisho nasezinganeni, lo muthi unikezwa kwezinye izimo ezikhethekile (isibonelo, izingane ezingaphezu kwezinyanga eziyisithupha ubudala). Kodwa wenziwa ngokucophelela okukhulu futhi kuphela ngeseluleko sikadokotela ochwepheshe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi uphuze ngokweqile, kubikele ngokushesha i-Emergency Treatment Unit (ETU) yesibhedlela. Ngaphandle kwalokho, ungashayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuvikelwa ezifweni:Lo muthi ungase wehlise amasosha omzimba wakho, wandise ingozi yakho yokugula nokutheleleka. Ngakho-ke, uma ubona izimpawu ezifana nomkhuhlane, umkhuhlane, noma umphimbo obuhlungu, ungaziphilisi bese utshela udokotela wakho. Gwema ukuya ezindaweni ezinabantu abaningi nokuxhumana nabantu abagulayo ngangokunokwenzeka.
- Izinguquko zesikhumba: Ngezinye izikhathi, ngisho namasonto ambalwa ngemva kokuqala umuthi, ukusabela okukhulu kwesikhumba kungavela. Uma ukhula amabhamuza abomvu noma onsomi, izilonda, isikhumba esixebukayo, noma umkhuhlane, tshela udokotela wakho ngokushesha.
- Ukusabela kokujova: Abanye abantu bangase babe nokusabela kokungezwani komzimba lapho umuthi unikezwa ngemithambo yegazi. Ukuze kuncishiswe lokhu, udokotela wakho angakunika eminye imithi (isib. iPanadol, iPyridoxine) ngaphambi komjovo. Uma uzizwa ungakhululekile ngesikhathi somjovo, tshela umhlengikazi noma udokotela ngokushesha.
- Ukukhulelwa nokuncelisa: Lokhu kubaluleke kakhulu. Kufanele ugweme ukukhulelwa ngenkathi uthatha lo muthi kanye nezinyanga eziyi-12 ngemuva kokuyeka ukwelashwa . Khuluma nodokotela wakho mayelana nokusebenzisa izithibela-nzalo. Futhi, gwema ukuncelisa izinyanga eziyi-6 ngemuva kokuyeka ukwelashwa .
- Imiphumela engaba khona ebuchosheni: Akuvamile ukuthi ezinye iziguli zibe nesifo esingathi sína esithinta ubuchopho ngenxa yalo muthi. Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izinguquko noma izinkinga ngokubona kwakho, ukucabanga, ukukhuluma, ukuhamba, noma ukuma .
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Rituximab ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ake sibheke kabanzi etafuleni elingezansi.
| Ukuhlukaniswa kwemiphumela emibi ye-Rituximab | |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa; ukuvuvukala kobuso, izindebe, ulimi. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ukutheleleka komgudu womchamo. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubunzima bokuphefumula; ubuhlungu noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Ukuvuvukala komzimba (i-Edema) | Ukukhuluphala okungazelelwe; ukuvuvukala kwamaqakala, izinyawo, izandla; ubunzima bokuphefumula. |
| Ukulimala kwezinso | Ukwehla noma ukushintsha inani lomchamo ophumayo. |
| Ukulimala kwesibindi | Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni). |
| Ukopha okungavamile | Ukuphuka noma ukuphuma kwegazi esikhumbeni ngaphandle kwesizathu. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu elivamile. |
| Ubuhlungu bamalunga | Ubuhlungu bamalunga. |
| Ubuhlungu bemisipha | Ukuqhaqhazela kwemisipha noma ubuhlungu. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
Eminye imithi engase ihlangane ne-Rituximab (Ukusebenzisana)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Izinto ezingase zihlangane ne-Rituximab ikakhulukazi zifaka:
- Imithi yokugoma ephilayo: Kufanele ugweme ukuthola imithi yokugoma ephilayo ngenkathi uthatha lo muthi.
- I-Cisplatin: I-Rituximab ingase ihlangane ne-Cisplatin, omunye umuthi womdlavuza.
Lolu hlu aluphelele, ngakho-ke sicela wazise udokotela wakho ngakho konke okuthathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Rituximab iwumuthi onamandla, okhethekile onikezwa esibhedlela wezifo zomdlavuza kanye nezivikelo zomzimba.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo.
- Qaphela ukusabela kokufakwa kwemithi kanye nezimpawu zokutheleleka (umkhuhlane, ukukhwehlela) lapho unikeza umuthi.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nokuqubuka kwesikhumba, ubunzima bokuphefumula, noma ubuhlungu besifuba.
- Kubalulekile ukugwema ukukhulelwa nokuncelisa (izinyanga eziyi-6) ngesikhathi sokwelashwa futhi uma nje udokotela wakho ekuncoma (izinyanga eziyi-12).
- Kubaluleke kakhulu ukuya emihlanganweni yakho yokwelashwa ngaphandle kokuphuthelwa yimihlangano.
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