Mhlawumbe wena noma othile omaziyo unikezwe umuthi obizwa ngokuthi 'i-Siltuximab' (igama lomkhiqizo: i-Sylvant). Ukuzwa leli gama kungase kuzwakale kungavamile, ngoba lokhu akuwona umuthi esiwuzwa nsuku zonke futhi siwuthenga ekhemisi. Ngakho-ke, ungesabi. Namuhla, sizokhuluma ngalolu hlobo lokwelashwa olukhethekile olubizwa ngokuthi i-Siltuximab, isimo esilwelaphayo, kanye nezinto okudingeka uziqaphele lapho uthatha lolu hlobo lokwelashwa.
Kalula nje, iyini i-Siltuximab?
Ake sithi umzimba wethu unesimiso somzimba sokuzivikela. Yilokhu okulwa namagciwane abangela izifo. Lolu hlelo lunezingxenye ezikhethekile ezifana nesosha, esizibiza ngokuthi ' ama-antibodies '. I-Siltuximab injalo, kodwa uhlobo olukhethekile kakhulu lwe-antibody yokwenziwa eyenziwe elabhorethri. Uma sikhuluma iqiniso, 'yi- antibody ye-monoclonal' . Umsebenzi wayo ukuthola iphrotheni ethile esiza ekubangeleni izifo ezithile emzimbeni, ukuyiqondisa, futhi iyimise ukusebenza kwayo.
Lo muthi usetshenziswa kakhulu ukwelapha isimo esingavamile esibizwa ngokuthi isifo se-Castleman esine-multicentric (MCD) . Lesi yisimo lapho amangqamuzana kuma-lymph node ethu ekhula khona ngaphandle kokulawulwa. I-Siltuximab isebenza ngokulawula iphrotheni ebangela lokhu kukhula kwamangqamuzana okungafuneki, ngaleyo ndlela ilawula lesi sifo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Kubalulekile ukuthi ithimba lakho lezokwelapha liqaphele ngokugcwele isimo sakho sempilo ukuze linqume ukuthi lokhu kwelashwa kukufanele yini. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngazo ngaphandle kokuzifihla .
| Isimo okudingeka usibike | Incazelo |
|---|---|
| Ukutheleleka kwamanje | Uma une-HIV noma i-AIDS, noma uma okwamanje unezinye izinhlobo zokutheleleka (umkhuhlane, ukukhwehlela, umkhuhlane), okuhlanganisa izifo ezibangelwa amagciwane njenge-chickenpox noma i-herpes. |
| Ukugoma | Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola maduze. |
| Izinkinga zesisu noma zamathumbu | Uma unesifo sokuvuvukala kwesisu, i-gastritis, noma ezinye izinkinga ezihlobene naso. |
| Ukungezwani komzimba | Uma une-allergy ku-siltuximab noma kunoma yimuphi omunye umuthi, ukudla, noma idayi. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Uthola kanjani lo muthi?
Lokhu akuyona iphilisi noma isiraphu ongayithatha ekhaya. I-Siltuximab iyi - infusion enikezwa emzimbeni ngemithambo. Kalula nje, ifana nosawoti. Inikezwa kuphela esibhedlela noma emtholampilo, ngaphansi kokuqashwa okuseduze kochwepheshe bezokwelapha abaqeqeshiwe .
Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kunalowo owunikezwe udokotela, yazisa abasebenzi besibhedlela ngokushesha. Uma kwenzeka isimo esiphuthumayo, iya ngqo e-Emergency Treatment Unit (ETU) . Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuthola ulwazi olwengeziwe.
Kuthiwani uma ukwelashwa kuphuthelwe?
Uma uphuthelwa umthamo wakho ohleliwe, shayela udokotela wakho ngokushesha . Uzonquma ukuthi kufanele uwuthole nini umthamo wakho olandelayo. Ukuthola umthamo wakho ngesikhathi kubalulekile ukuze ukwelashwa kwakho kuphumelele.
Eminye imithi engase ihlangane ne-siltuximab
I-Siltuximab ingase ihlangane neminye imithi oyithathayo. Lokhu kubizwa ngokuthi 'ukusebenzisana kwemithi'. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi leyo enqunywe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yendabuko, ngisho nemithi ye -Ayurvedic ) .
Ezinye zezinhlobo eziyinhloko zemithi engabangela izinkinga yilezi:
- `atorvastatin`, `lovastatin` (imithi yokwehlisa i-cholesterol)
- Amaphilisi okuvimbela inzalo
- `cyclosporine` (umuthi ocindezela amasosha omzimba)
- Imithi yokugomela igciwane ephilayo
- `theophylline` (umuthi osetshenziselwa izifo zokuphefumula ezifana ne -asthma )
- `i-warfarin` (umuthi ovimbela ukujiya kwegazi )
Khumbula, lolu hlu aluphelele. Into ephephile ongayenza ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele ngesikhathi sokwelashwa
Zivikele ezifweni
Lo muthi unciphisa kancane ikhono lomzimba wakho lokulwa nezifo (amasosha omzimba). Lokhu kukwenza ube namathuba amaningi okuthola izifo .
- Uma uba nezimpawu ezifana nomkhuhlane, umkhuhlane, umphimbo obuhlungu, noma ukukhwehlela, ungaziniki imithi bese utshela udokotela wakho ngokushesha .
- Nciphisa ukuya ezindaweni ezinabantu abaningi futhi usondele kubantu abagulayo ngangokunokwenzeka.
Ukukhulelwa kanye nokulawula ukubeletha
Lolu udaba olubaluleke kakhulu.
- Amaphilisi okuvimbela inzalo angase angasebenzi kahle uma uthatha i-siltuximab. Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo, njengamakhondomu.
- Kufanele ugweme ngokuphelele ukukhulelwa ngenkathi uthatha lo muthi futhi izinyanga ezi-3 ngemuva komthamo wokugcina , ngoba kungabangela umonakalo omkhulu enganeni engakazalwa.
- Uma ulindele ukukhulelwa noma usola ngisho nokuncane ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.
Ukuncelisa
Ungamncelisi umntwana wakho ibele ngesikhathi uthatha lo muthi futhi izinyanga ezi-3 ngemuva komthamo wokugcina.
Ukuhlolwa kwezokwelapha
Ngesikhathi sokwelashwa, udokotela wakho uvame uku-oda ukuhlolwa kwegazi ukuze aqaphe isimo sakho. Kubalulekile ukuthi lezi zivivinyo zenziwe ngesikhathi futhi ngaphandle kokuzigwema ukuqinisekisa impumelelo yokwelashwa kwakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Siltuximab ingabangela imiphumela emibi kwabanye abantu. Iningi lale mithi ayimbi kangako, kodwa kunezinto okufanele uziqaphele kakhulu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izimpawu okufanele zibikwe kudokotela wakho noma kubasebenzi basesibhedlela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima, umuzwa wokuqina esifubeni. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, iphelelwa amandla. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, umphimbo obuhlungu, ubuhlungu lapho uchama. |
| Ezinye izimpawu ezinkulu | Ikhanda elibuhlungu kakhulu, ubuhlungu besisu, ubuhlungu bomhlane, isicanucanu, nokuhlanza. |
| Izimpawu okufanele zibikwe kudokotela uma ziqhubeka noma zikhathaza | |
| Ukwanda kwesisindo | Ukwanda kwesisindo. |
| Ukuvuvukala kwemilenze | Ukuvuvukala emilenzeni noma eqakaleni. |
| Izinguquko ohlelweni lokugaya ukudla | Ukuqunjelwa noma uhudo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Siltuximab iyindlela ethile yokwelapha isifo esingavamile esibizwa ngokuthi isifo se-Castleman esine-multicentric (MCD), esinikezwa ngemithambo yegazi esibhedlela.
- Tshela udokotela wakho ngezinye izifo zakho kanye nayo yonke imithi oyiphuzayo ngaphambi kokuqala ukwelashwa.
- Lo muthi unganciphisa amasosha omzimba. Ngakho-ke, uma uba nezimpawu zokutheleleka njengomkhuhlane nokukhwehlela, tshela udokotela wakho ngokushesha.
- Gwema ukukhulelwa ngesikhathi sokwelashwa kanye nezinyanga ezi-3 ngemuva kokuyeka. Sebenzisa uhlobo olwengeziwe lokuvimbela inzalo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengokusabela kokungezwani komzimba noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
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