Ungahlala kanjani uphilile uma uthatha i-immunosuppressant

Imininingwane Yezidakamizwa

Imithi ethile ayisho lutho ezimangalisweni zeziguli ezizidingayo. Imithi efana ne-biologics, izidakamizwa zokulwa nokwaliwa, i-chemotherapy, ne-corticosteroids zisindisa impilo ezigulini eziningi, kepha njengezindlela eziningi zokwelapha, lezi zimangaliso zemithi ziza nemiphumela emibi. Futhi okungenani owodwa wale miphumela emibi udinga ukulungiswa okuthile kwendlela yokuphila engaba namandla.

Umphumela oseceleni okukhulunywa ngawo? Le mithi ingakhuphula ubungozi bokutheleleka .

Ngamanye amagama, i- adalimumab , umabhebhana , vincristine , noma tacrolimus oyithathayo kungalimaza amasosha akho omzimba. Ziyizidakamizwa zokuzivikela emzimbeni.

Kuzwakala kuthusa, kepha kusho ukuthini?

Kusho ukuthini uma umuthi uyi-immunosuppressant?

Kusho ukuthi umuthi unamandla okuphazamisa izinqubo emzimbeni ezivimbela ukutheleleka, kusho UJeff Fortner, Pharm.D ., Usolwazi osebenza naye ePacific University eForest Grove, e-Oregon. Uyachaza ukuthi lokhu kuphazamiseka yikhona okuvumela ukuthi umuthi usebenze.

Lokhu kwenzeka kanjani nokuthi kungani lokhu kuya ngomuthi othile, kusho uDkt. Fortner. Ngokuvamile, noma kunjalo, umuthi ubangela ukuthi konke noma ingxenye yamasosha akho omzimba icishe ukuze umzimba wakho ungangeni kumodi yokuhlasela, ulwe nanoma yini ekubona njengomhlaseli wangaphandle.

Ngokwesibonelo, i-Chemotherapy ibulala amangqamuzana amhlophe egazi. Amaseli egazi amhlophe alwa nokutheleleka, ngakho-ke ambalwa amangqamuzana amhlophe egazi aholela engcupheni yokutheleleka, i- Izikhungo Zokulawulwa Kwezifo (CDC) iyachaza. Ngezidakamizwa ze-biologic njenge Humira , esetshenziselwa ukwelapha izimo ezahlukahlukene zokuzivikela komzimba ezifana nesifo sikaCrohn nesifo samathambo, kuthinteka kuphela izamukeli ezithile zokuvuvukala, ikakhulukazi i-tumor necrosis factor alpha. Ama-steroid kanye nemithi elwa nokwenqatshwa ibhekise kuma-T-cell, angama-lymphocyte alawula ukuphendula komzimba.

I-anti-rejection [umthetho olandelwayo] imane nje iwukuqhuma kwesistimu yakho ukucindezela yonke into, kusho uRamzi Yacoub, Pharm.D., Isikhulu esiphezulu sekhemisi kwaSingleCare.

Kulungile, ngabe lokhu kusho ukuthi uma uphuza owodwa wale mithi uzogula njalo uma udlula komunye onomuntu ohogelayo? Noma ingabe yizinto ezinkulu kuphela, njenge umkhuhlane noma isifo sofuba? Ngabe uzodinga ukuhlala kubhamuza ukusuka lapha kuye phambili?

Iyini imiphumela emibi yama-immunosuppressants?

Ngenhlanhla, ezimweni eziningi, i zamanje bubble ngeke kudingeke. Kodwa-ke, kubaluleke kakhulu ukuqonda izinzuzo zokuphila nesistimu yomzimba ekhubazekile ukuze ukwazi ukuzivikela kanye / noma nomndeni wakho nabangane bakho abasengozini yokuzivikela ezifweni, uthi Ali Olyaei, Pharm.D ., usokhemisi kanye nokufakelwa kwemithi e-Oregon Health and Science University ePortland, e-Oregon.

Imiphumela emibi yemithi yokuzivikela emzimbeni ingafaka izinkinga zesisu ezifana nohudo, isicanucanu nokuhlanza. Kodwa-ke, imiphumela emibi kakhulu yokuthatha i-immunosuppressant yingozi yokutheleleka.

Lokho kungasho ukubamba yonke i-bug eyodwa ingane yakho iletha ekhaya ivela esikoleni noma kungenzeka impela ukuthi ukuxilongwa ngumkhuhlane kuzokufaka esibhedlela. Kungenzeka futhi ukuthi ube nezinkinga ezivela ezifweni ezibangelwa ukudla, ukulunywa yizimbungulu, kanye nezingozi zemvelo (njengesikhunta). O, futhi uyakwazi konke lokho ukuqubuka kwesimungumungwane muva nje ? Ungaba sengozini, noma ngabe ubesesikhathini kwi-MMR yakho ngaphambi kokuba uqale ukuthatha umuthi wakho omusha. Ama-immunosuppressants nawo akushiya engozini yokungajwayelekile futhi okunzima ukwelapha izifo, njenge-fungal pneumonia nezinye izinhlobo ezithile ze-lymphoma.

Unamathele phakathi kwedwala nendawo enzima, kusho uDkt. Olyaei, enezela ukuthi izinga lakho lobungozi lithembele emithini oyiphuzayo kanye nezinye izinto eziningi (yize isifundo esisodwa sakamuva kuveze ukuthi ezigulini ezithatha i-corticosteroids, ama-milligram ama-5 akhuphuka kumthamo ohambisana nokwanda okungu-13% kwengozi yokutheleleka).

Ungahlala kanjani uphilile ngenkathi uthatha ama-immunosuppressants

Ngakho-ke, yini okufanele yenziwe umuntu okhubazeke ekuzivikeleni komzimba? Nawa amathiphu ambalwa:

1. Yiba nenkuthalo ngezinqubo eziyisisekelo zokuhlanzeka njengokugeza izandla . Wonke umuntu uyazi ukuthi ukugeza izandla kuyinto enhle kakhulu ongayenza ukugwema ukugula, kodwa kunjalo Okuningi kubalulekile kulabo abahlukunyezwa ngamasosha omzimba nanoma ngubani ohlangana nabo.
2. Qiniseka ukuthi ugeza izithelo nemifino .
3. Gwema abantu abanezifo ezisebenzayo (ungabi namahloni ngokutshela abantu ukuthi bahlale kude nabo, noma).
4. Ungahle udinge ukugqoka imaski ngezikhathi ezithile (uma usendizeni futhi abantu bekhwehlela, ngokwesibonelo), futhi kuwukuhlakanipha ukugwema izixuku ezinkulu.
5. Ukuhlala usesikhathini kuyo yonke imigomo yakho kubaluleke kakhulu.
6. Yamukela imikhuba yokuphila enempilo (thola ukulala okuningi, uvivinye umzimba, futhi udle ukudla okunempilo).
7. Qiniseka ukuthi ugqoka amagilavu lapho usebenza ngezinto ezifana nendle yezilwane.

Uma ucabanga ukuthi ungagula noma ubonise izimpawu zokutheleleka, shayela udokotela wakho ngokushesha. Uhlelo lokulinda nokubona olusebenza kwabanye abantu abaningi luyasebenza hhayi zisebenza kubantu abangenakuqedwa. Lokhu kuyiqiniso ikakhulukazi ngemfiva.

Uma benomkhuhlane omkhulu, badinga ukugijimela egumbini lezimo eziphuthumayo ukuze babone abahlinzeki bezempilo, kusho uDkt. Olyaei.