ICorticotropin, Inaliti yokuGcina

Umxholo

• Ngaphambi kokusebenzisa inaliti yokugcinwa kwecorticotropin,
• Inaliti yokugcinwa kweCorticotropin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu ngexesha okanye emva konyango lwakho, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

Inaliti yokugcina iCorticotropin isetyenziselwa ukunyanga le miqathango ilandelayo:

• usana lweentsana (ukuxhuzula okuhlala kuqala kunyaka wokuqala wobomi kwaye kunokulandelwa kukulibaziseka ekukhuleni) kwiintsana nakubantwana abangaphantsi kweminyaka emi-2 ubudala;
• iziqendu zeempawu kubantu abane-multiple sclerosis (MS; isifo apho imithambo-luvo ingasebenzi kakuhle kwaye abantu banokufumana ubuthathaka, ukuba ndindisholo, ukuphulukana nokulungelelaniswa kwezihlunu, kunye neengxaki zombono, intetho, kunye nolawulo lwesinyi);
• iziqendu zeempawu kubantu abane-rheumatoid arthritis (imeko apho umzimba uhlasela amalungu ayo, ubangela iintlungu, ukudumba, kunye nokuphulukana nomsebenzi);
• iziqendu zeempawu kubantu abane-psoriatic arthritis (imeko ebangela iintlungu ngokudibeneyo kunye nokudumba kunye nezikali esikhumbeni);
• iziqendu zeempawu kubantu abane-ankylosing spondylitis (imeko apho umzimba uhlasela amalungu omqolo kunye nezinye iindawo, kubangela iintlungu kunye nomonakalo odibeneyo);
• i-lupus (imeko apho umzimba uhlasela uninzi lwamalungu ayo);
• inkqubo yedermatomyositis (imeko ebangela ubuthathaka bemisipha kunye nerhashalala lolusu) okanye i-polymyositis (imeko ebangela ubuthathaka bemisipha kodwa hayi irhashalala);
• iimpendulo ezibi kakhulu ezichaphazela ulusu kubandakanya iStevens-Johnson syndrome (ukusabela okungalunganga okunokubangela ukuba ungqimba oluphezulu lwesikhumba luqhume kwaye luphalaze);
• ukugula kwe-serum (ukungahambi kakuhle komzimba okwenzeka kwiintsuku ezimbalwa emva kokuthatha amayeza athile kwaye kubangele irhashalala, umkhuhlane, iintlungu ezidibeneyo kunye nezinye iimpawu);
• ukuphikisa okanye ezinye iimeko ezibangela ukudumba kwamehlo kunye nendawo ejikeleze bona;
• sarcoidosis (imeko apho izihlunu ezincinci zeeseli zomzimba ezisebenza kumalungu ahlukeneyo anje ngemiphunga, amehlo, ulusu, nentliziyo kunye nokuphazamisa ukusebenza kwala malungu);
• I-nephrotic syndrome (iqela leempawu kubandakanya iprotheni kumchamo; amanqanaba asezantsi eprotein egazini; amanqanaba aphezulu amafutha athile egazini; kunye nokudumba kweengalo, izandla, iinyawo, kunye nemilenze).

Inaliti yokugcinwa kweCorticotropin ikudidi lwamayeza abizwa ngokuba zihomoni. Iphatha iimeko ezininzi ngokunciphisa umsebenzi wamajoni omzimba ukuze ingabangeli monakalo kumalungu. Akukho lwazi lwaneleyo ukuxelela indlela inaliti yokugcina i-corticotropin esebenza ngayo ukunyanga i-spasms zeentsana.

Inaliti yokugcinwa kweCorticotropin iza njengejeli ende ebambekayo yokufaka inaliti phantsi kolusu okanye kwimisipha. Xa kusetyenziswa inaliti yokugcina i-corticotropin ukunyanga i-infasms yeentsana, ihlala itofwa kwimisipha kabini ngemini iiveki ezimbini emva koko itofelwe kwishedyuli ethe chu yokuncipha kwezinye iiveki ezimbini. Xa kusetyenziswa inaliti yokugcina i-corticotropin ukunyanga i-multiple sclerosis, ihlala itofwa kanye ngemini iiveki ezi-2 ukuya kwezi-3, emva koko ithamo liyehla kancinci. Xa inaliti yokugcina i-corticotropin isetyenziselwa ukunyanga ezinye iimeko, itofwa kanye rhoqo emva kweeyure ezingama-24 ukuya kwezingama-72, kuxhomekeke kwimeko yokunyangwa kunye nokuba lisebenza njani iyeza ukunyanga le meko. Faka inaliti yokugcinwa kwe-corticotropin ngexesha elifanayo (okanye) losuku yonke imihla oxelelwa ukuba uyitofe. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa inaliti yokugcinwa kwecorticotropin ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Qhubeka nokusebenzisa inaliti yokugcinwa kwe-corticotropin logama nje umiselwe ngugqirha. Sukuyeka ukusebenzisa inaliti yokugcina i-corticotropin ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukusebenzisa inaliti yokugcinwa kwecorticotropin, unokufumana iimpawu ezinje ngobuthathaka, ukudinwa, ulusu oluthuthu, utshintsho kumbala wolusu, ukwehla kobunzima, iintlungu zesisu kunye nokuphelelwa ngumdla. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

Unokufaka inaliti yokugcinwa kwe-corticotropin ngokwakho okanye unesihlobo okanye umhlobo otofa iyeza. Wena okanye umntu oza kwenza inaliti kufuneka ufunde umkhombandlela womenzi wokufaka iyeza iyeza ngaphambi kokuba ulitofe okokuqala ekhaya. Ugqirha wakho uya kukubonisa okanye umntu oza kufaka iyeza ngendlela yokwenza inaliti, okanye ugqirha wakho angalungiselela ukuba umongikazi eze ekhayeni lakho azokubonisa ukuba ungalitofa njani na iyeza.

Uya kudinga inaliti kunye nesirinji ukujova i-corticotropin. Buza ugqirha wakho ukuba loluphi uhlobo lwenaliti kunye nesirinji omele ukuyisebenzisa. Musa ukwabelana ngeenaliti okanye iisirinji okanye uzisebenzise ngaphezu kwesinye. Lahla iinaliti kunye neesirinji esele zisetyenzisiwe. Buza ugqirha wakho okanye usokhemesti ukuba usilahla njani isikhongozeli sokungqina.

Ukuba utofa inaliti yokugcinwa kwecorticotropin phantsi kolusu lwakho, ungayifaka naphi na ethangeni lakho elingaphezulu, engalweni ephezulu, okanye kwindawo yesisu ngaphandle kwenkaba yakho (iqhosha lesisu) kunye nendawo ye-intshi eyi-1 ejikeleze yona. Ukuba utofa inaliti yokugcina i-corticotropin kwimisipha, ungayifaka naphi na kwingalo yakho ephezulu okanye ethangeni elingaphandle. Ukuba unika umntwana inaliti kufuneka uyijoje ethangeni elingaphezulu. Khetha indawo entsha ubuncinci i-intshi enye kude nendawo apho sele ungenile iyeza ngalo lonke ixesha ulifaka. Musa ukujova amayeza nakweyiphi na indawo ebomvu, edumbileyo, ebuhlungu, enzima, okanye ebuthathaka, okanye eneetattoo, iintsumpa, amanxeba, okanye iimpawu zokuzalwa. Musa ukujova amayeza emadolweni okanye kwiindawo zokugcoba.

Jonga ibhotile yenaliti yokugcinwa kwe-corticotropin ngaphambi kokuba ulungiselele idosi yakho. Qiniseka ukuba ibhotile inelebhile enegama elichanekileyo lonyango kunye nomhla wokuphelelwa kwayo ongadlulanga.Iyeza elikwibhotile kufuneka licace kwaye lingenambala kwaye akufuneki libe ngamafu okanye liqulathe iiflecks okanye amasuntswana. Ukuba awunalo iyeza elifanelekileyo, ukuba iyeza lakho liphelelwe lixesha okanye ukuba alibukeki lifanelekile, tsalela usokhemesti wakho kwaye ungasisebenzisi eso sitya.

Vumela amayeza akho ukuba afudumale kwiqondo lobushushu kwigumbi ngaphambi kokuyifaka. Ungalifudumeza iyeza ngokuqengqa ibhotile phakathi kwezandla zakho okanye ulibambe phantsi kwengalo yakho okwemizuzu embalwa.

Ukuba unika inaliti yokugcina i-corticotropin emntwaneni wakho, ungambamba umntwana emathangeni akho okanye ulale umntwana wakho ethe tyaba ngelixa unika inaliti. Unokukufumanisa kuluncedo ukuba nomnye umntu abambe umntwana endaweni okanye aphazamise umntwana ngento yokudlala enengxolo ngelixa utofa iyeza. Unganceda ukunciphisa iintlungu zomntwana wakho ngokubeka ityhubhu yomkhenkce kwindawo oza kulifaka kuyo iyeza ngaphambi okanye emva kwenaliti.

Ukuba unika inaliti yokugcinwa kwe-corticotropin emntwaneni wakho ukuba anyange i-spasms yeentsana, ugqirha wakho okanye usokhemesti uya kukunika iphepha lolwazi lomguli (Isikhokelo seMithi) xa umntwana wakho eqala unyango ngenaliti yokugcina i-corticotropin kwaye ngalo lonke ixesha ugcwalisa amayeza akho. 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.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inaliti yokugcinwa kwecorticotropin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nenaliti ye-corticotropin, nawaphi na amanye amayeza, naziphi na izithako ezikuyo inaliti yokugcinwa kwe-corticotropin, okanye iiproteni zeporcine (ihagu). Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, okanye iimveliso zamayeza ozithathayo okanye oceba ukuzithatha. Qinisekisa ukukhankanya i-diuretics ('iipilisi zamanzi'). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ngaba une-scleroderma (ukukhula okungaqhelekanga kwezihlunu ezinokubangela ukuqina kunye nokuqina kwesikhumba kunye nokonakala kwemithambo yegazi kunye namalungu angaphakathi), i-osteoporosis (imeko apho amathambo aya ebhitya, athathaka kwaye aphule lula), usulelo lokungunda oluthe lwasasazeka emzimbeni wakho, usulelo lwe-herpes kwiliso lakho, ukusilela kwentliziyo, uxinzelelo lwegazi oluphezulu, okanye nayiphi na imeko echaphazela indlela esebenza ngayo iincindi zamadlala (amadlala amancinane ecaleni kwezintso). Xelela ugqirha wakho ukuba ubusandokuhlinzwa kwaye ukuba ukhe wanaso isilonda esiswini. Ukuba uza kunika inaliti yokugcina umntwana i-corticotropin, xelela ugqirha wakho ukuba ngaba umntwana wakho wosulelekile ngaphambi okanye ngexesha lokuzalwa kwakhe. Ugqirha wakho unokukuxelela ukuba ungasebenzisi inaliti yokugcinwa kwecorticotropin okanye uyinike umntwana wakho ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi meko.
• xelela ugqirha wakho ukuba uyazi ukuba unalo naluphi na uhlobo losulelo, ukuba unefiva, ukhohlokhohlo, ukugabha, urhudo, iimpawu zomkhuhlane, okanye naziphi na ezinye iimpawu zosulelo, okanye ukuba unelungu losapho elinosulelo okanye imiqondiso yosulelo. Xelela ugqirha wakho ukuba unesifo sephepha (i-TB; isifo esosulelayo semiphunga), ukuba uyazi ukuba ukhe wahlaselwa yi-TB, okanye ukuba wakha wavavanyelwa i-TB ulusu oluqinisekileyo. Xelela ugqirha wakho ukuba ukhe unesifo seswekile, i-thyroid gland engasebenziyo, iimeko ezichaphazela imithambo-luvo okanye izihlunu ezinje nge-myasthenia gravis (MG; imeko ebangela ubuthathaka bemisipha ethile), iingxaki zesisu okanye amathumbu, imvakalelo iingxaki, isifo sengqondo (ubunzima bokuqonda inyani), okanye isibindi okanye isifo sezintso.

• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa inaliti yokugcinwa kwecorticotropin, tsalela ugqirha wakho.

• ukuba wenza utyando, kubandakanya utyando lwamazinyo, okanye ufuna unyango olungxamisekileyo, xelela ugqirha, ugqirha wamazinyo, okanye abasebenzi bezonyango ukuba usebenzisa inaliti yokugcinwa kwecorticotropin. Kuya kufuneka uphathe ikhadi okanye unxibe isongo esinolu lwazi kwimeko yokuba awukwazi ukuthetha kwimeko kaxakeka kwezonyango.
• awunalo ugonyo ngaphandle kokuthetha nogqirha wakho. Xelela ugqirha wakho ukuba kukho nawaphi na amalungu osapho acwangciselwe ukufumana ugonyo ngexesha lonyango lwakho.
• Kuya kufuneka uyazi ukuba uxinzelelo lwegazi lwakho lunokunyuka ngexesha lonyango lwakho ngenaliti yokugcinwa kwecorticotropin. Ugqirha wakho uya kujonga uxinzelelo lwegazi rhoqo ngexesha lonyango lwakho.
• Kuya kufuneka uyazi ukuba ukusebenzisa inaliti yokugcina i-corticotropin kunokunyusa umngcipheko wokufumana usulelo. Qiniseka ukuba uhlamba izandla rhoqo kwaye uhlale kude nabantu abagulayo ngexesha lonyango lwakho.

Ugqirha wakho unokukuxelela ukuba ulandele isodiyamu esezantsi okanye ukutya okuphezulu kwe potassium. Ugqirha wakho unokukuxelela ukuba uthathe isongezelelo se potassium ngexesha lonyango lwakho. Buza ugqirha wakho ngolwazi olungakumbi.

Faka isitofu esilahlekileyo ngokukhawuleza nje emva kokuba usikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukujoba idosi ephindwe kabini ukulungiselela eyilahlekileyo.

Inaliti yokugcinwa kweCorticotropin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukwanda okanye ukunciphisa ukutya
• ukutyeba kwakho
• ukucaphuka
• utshintsho kwiimvakalelo okanye kubuntu
• ukonwaba ngokungaqhelekanga okanye ukonwaba
• ubunzima bokulala okanye ukulala

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu ngexesha okanye emva konyango lwakho, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• umqala obuhlungu, umkhuhlane, ukukhohlela, ukugabha, urhudo, okanye ezinye iimpawu zosulelo
• ukusikeka okanye izilonda
• ukudumba okanye ukugcwala ebusweni
• ukwanda kwamanqatha entanyeni, kodwa hayi iingalo okanye imilenze
• ulusu olubhityileyo
• ukolula amanqaku kulusu lwesisu, emathangeni, nasemabeleni
• ukutyunyuzwa ngokulula
• ubuthathaka bemisipha
• isisu esibuhlungu
• ukugabha okunegazi okanye okujongeka njengendawo yekofu
• Igazi elibomvu elibomvu kwizitulo
• ezimnyama okanye ezilindileyo
• ukudakumba
• ubunzima bokuqonda inyani
• iingxaki zombono
• ukudinwa kakhulu
• ukwanda kokoma
• ukubetha kwentliziyo ngokukhawuleza
• irhashalala
• ukudumba kobuso, ulwimi, imilebe, okanye umqala
• ubunzima bokuphefumla
• ukuxhuzula okutsha okanye okwahlukileyo

Inaliti yokugcinwa kweCorticotropin inokunciphisa ukukhula kunye nokukhula kwabantwana. Ugqirha womntwana wakho uya kujonga ukukhula kwakhe ngononophelo. Thetha nogqirha wakho malunga neengozi zokunika umntwana wakho eli yeza.

Sebenzisa inaliti yokugcina i-corticotropin kunokunyusa umngcipheko wokuba uza kuphuhlisa i-osteoporosis. Ugqirha wakho unokuyalela iimvavanyo zokujonga ubungakanani bethambo lakho ngexesha lonyango lwakho. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa eli yeza kunye nezinto onokuzenza ukunciphisa amathuba okuba ube ne-osteoporosis.

Inaliti yokugcinwa kweCorticotropin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

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).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Gcina kwifriji.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

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.

Gcina lonke ixesha lokudibana nogqirha wakho. Ugqirha wakho uya kuyibeka esweni impilo yakho ngexesha nasemva konyango lwakho.

Musa ukuvumela omnye umntu asebenzise amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

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.

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