RimabotulinumtoxinB Inaliti
Umxholo
- Ngaphambi kokufumana inaliti ye-rimabotulinumtoxinB,
- Inaliti ye-RimabotulinumtoxinB inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- Iimpawu libanda, aqhele ukubonakala kanye emva kokufumana inaliti. Ukuba ufumene i-rimabotulinumtoxinB okanye ukuba uthe waginya iyeza, xelela ugqirha ngoko nangoko kwaye uxelele ugqirha wakho ukuba unazo naziphi na kwezi mpawu kwezi veki zilandelayo:
Inaliti ye-RimabotulinumtoxinB inokusasazeka kwindawo yenaliti kwaye ibangele iimpawu ze-botulism, kubandakanya ubunzima okanye ukuphefumla okanye ukugwinya. Abantu abahlakulela ubunzima bokuginya ngexesha lonyango lwabo ngala mayeza banokuqhubeka nokuba nobunzima kangangeenyanga ezininzi. Basenokufuna ukondliwa ngetyhubhu yokondla ukunqanda ukufumana ukutya okanye ukusela kwimiphunga yabo. Iimpawu zinokwenzeka ngaphakathi kweeyure zenaliti ene-rimabotulinumtoxinB okanye emva kweeveki ezimbalwa emva konyango. Iimpawu zinokwenzeka kubantu bayo nayiphi na iminyaka ukuba baphathwe ngayo nayiphi na imeko, kodwa umngcipheko ngowona uphakamileyo kubantwana abaphathwa ukunyanga (ukuqina kwemisipha kunye nokuqina). Xelela ugqirha wakho ukuba ukhe wanengxaki yokuginya okanye yokuphefumla, enjenge-asthma okanye i-emphysema, okanye nayiphi na imeko echaphazela izihlunu zakho okanye imithambo-luvo efana ne-amyotrophic lateral sclerosis (ALS, isifo sikaLou Gehrig; imeko apho Ukulawula ukushukuma kwezihlunu ngokuthe ngcembe kuyafa, kubangele ukuba izihlunu zinciphe kwaye zenze buthathaka), motor neuropathy (imeko apho izihlunu ziba buthathaka ngokuhamba kwexesha), myasthenia gravis (imeko ebangela ukuba izihlunu ezithile zibuthathaka, ngakumbi emva komsebenzi), okanye iLambert-Eaton syndrome imeko ebangela ubuthathaka bemisipha enokuthi iphucule ngomsebenzi). Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko kugqirha: ukuphelelwa ngamandla okanye izihlunu ezibuthathaka emzimbeni wonke; ukubona kabini okanye ukungaboni kakuhle; ukuwa kweenkophe; ubunzima bokuginya, ukuphefumla, okanye ukuthetha; okanye ukungakwazi ukulawula ukuchama.
Ugqirha wakho uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango ngenaliti ye-rimabotulinumtoxinB kwaye ngalo lonke ixesha ufumana unyango. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.
Inaliti ye-RimabotulinumtoxinB isetyenziselwa ukunciphisa iimpawu zedystonia yomlomo wesibeleko (spasmodic torticollis; ukuqina okungalawulekiyo kwemisipha yentamo enokubangela iintlungu zentamo kunye nezikhundla zentloko ezingaqhelekanga). Inaliti ye-RimabotulinumtoxinB ikwasetyenziselwa ukunyanga i-sialorrhea engapheliyo (ukuvuza amathe okuqhubekayo okanye ukugcwala okugqithileyo). Inaliti yeRimabotulinumtoxinB ikudidi lwamayeza abizwa ngokuba zii-neurotoxins. Xa inaliti ye-rimabotulinumtoxinB ifakwe ngaphakathi kwimisipha, isebenza ngokuthintela imiqondiso ye-nerve ebangela ukuqiniswa okungalawulekiyo kunye nokuhamba kwezihlunu. Xa i-rimabotulinumtoxinB ifakwa kwiidlala zamathe, isebenza ngokuthintela imiqondiso ye-nerve ebangela ukuveliswa kwamathe okugqithileyo.
Inaliti ye-RimabotulinumtoxinB iza njengamanzi ukuze itofwe kwimisipha echaphazelekayo okanye kwiincindi zamathe ngugqirha. Ugqirha wakho uya kukhetha eyona ndawo ifanelekileyo yokufaka iyeza kunyango lwakho. Unokufumana iinaliti ezongezelelweyo ze-rimabotulinumtoxinB rhoqo kwiinyanga ezi-3 ukuya kwezi-4, kuxhomekeke kwimeko yakho kunye nokuba zide kangakanani iziphumo zonyango.
Ugqirha wakho uya kukuqala ngedosi esezantsi yenaliti ye-rimabotulinumtoxinB kwaye ngokuthe ngcembe utshintshe idosi ngokwendlela ophendula ngayo kunyango.
Olunye uphawu okanye uhlobo lwe-botulinum toxin alunakufakwa endaweni yenye.
Inaliti ye-RimabotulinumtoxinB ngamanye amaxesha isetyenziselwa ukunyanga ezinye iimeko apho ukuqina kwesihlunu okungaqhelekanga kubangela iintlungu, iintshukumo ezingaqhelekanga, okanye ezinye iimpawu. Inaliti ye-RimabotulinumtoxinB ngamanye amaxesha isetyenziselwa ukunyanga iintlobo ezithile ze-migraine, isinyi esingaphezulu (imeko apho izihlunu zesinyi zisebenza ngokungalawulekiyo kwaye zibangela ukuchama rhoqo, isidingo esingxamisekileyo sokuchama, kunye nokungakwazi ukulawula ukuchama), kunye nokuqhekeka kwe-anal (ukwahlukana okanye ukulila kwizihlunu ezikufutshane nendawo eyixande). Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokufumana inaliti ye-rimabotulinumtoxinB,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-rimabotulinumtoxinB, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), nawaphi na amanye amayeza, okanye naziphi na izithako ze-insulin kwi-rimabot. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: amayeza athile afana ne-amikacin, clindamycin (Cleocin), colistimethate (Coly-Mycin), gentamicin, lincomycin (Lincocin), neomycin, polymyxin, streptomycin, kunye tobramycin; amayeza e-aleji, ukubanda, okanye ukulala; kunye nezihlaziyi zemisipha. Xelela ugqirha wakho ukuba ufumene inaliti yayo nayiphi na imveliso ye-botulinum kwiinyanga ezi-4 ezidlulileyo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-rimabotulinumtoxinB, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
- xelela ugqirha wakho ukuba unokudumba okanye ezinye iimpawu zosulelo kwindawo apho i-rimabotulinumtoxinB iya kutofelwa khona. Ugqirha wakho akazukuyifaka iyeza kwindawo enesifo.
- xelela ugqirha wakho ukuba uye wenziwa utyando ebusweni bakho, okanye ukuba ukhe wanazo naziphi na iziphumo ebezingalindelekanga ezivela kuyo nayiphi na imveliso yetyhefu ye-botulinum okanye iingxaki zokopha.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa ufumana inaliti ye-rimabotulinumtoxinB, tsalela ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba ufumana inaliti ye-rimabotulinumtoxinB.
- Kuya kufuneka uyazi ukuba inaliti ye-rimabotulinumtoxinB inokubangela ukulahleka kwamandla okanye ubuthathaka bemisipha kuwo wonke umzimba okanye umbono ongalunganga. Ukuba unayo nayiphi na kwezi mpawu, musa ukuqhuba imoto, sebenzisa oomatshini, okanye wenze ezinye izinto eziyingozi.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Inaliti ye-RimabotulinumtoxinB inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- iintlungu okanye ukuthamba kwindawo apho lalifakwe khona iyeza
- umqolo, intamo, okanye iintlungu ezidibeneyo
- intloko ebuhlungu
- isicaphucaphu
- isilungulela
- umlomo owomileyo
- ukukhohlela
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko:
- ukurhawuzelela
- irhashalala
- urhwebo
- ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo
- ukuqhawukelwa ngumphefumlo
- ukuvutha
- isiyezi
- isiqaqa
Inaliti ye-RimabotulinumtoxinB inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa ufumana eliyeza.
Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Iimpawu libanda, aqhele ukubonakala kanye emva kokufumana inaliti. Ukuba ufumene i-rimabotulinumtoxinB okanye ukuba uthe waginya iyeza, xelela ugqirha ngoko nangoko kwaye uxelele ugqirha wakho ukuba unazo naziphi na kwezi mpawu kwezi veki zilandelayo:
- ubuthathaka
- ubunzima bokuhambisa naliphi na ilungu lomzimba wakho
- ubunzima bokuphefumla
Gcina lonke ixesha lokudibana nogqirha wakho.
Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nenaliti ye-rimabotulinumtoxinB.
Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.
- Myobloc®
- I-BoNT-B
- BTB
- Uhlobo lweBotulinum Toxin