I-Azathioprine, iThebhulethi yomlomo

Umxholo

• Amagqabantshintshi azathioprine
• Izilumkiso ezibalulekileyo
• Isilumkiso se-FDA: Umngcipheko womhlaza
  
• Ezinye izilumkiso
• Yintoni i-azathioprine?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeAzathioprine
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• I-Azathioprine inokusebenzisana namanye amayeza
• Iziyobisi zeGout
• Iziyobisi zesifo sokudumba
• Amachiza okudumba
• Amayeza achaphazela amajoni akho omzimba
• Uxinzelelo lwegazi iziyobisi
• Iziyobisi ezicothayo
• Iziyobisi zeHepatitis C
• Isitofu
• Izilumkiso zika-Azathioprine
• Isilumkiso somzimba
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Ungayithatha njani i-azathioprine
• Iifom zamachiza kunye namandla
• Isisombululo sokufakelwa kwezintso
• Isisombululo se-rheumatoid arthritis
• Ukuqwalaselwa okhethekileyo kwedosi
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-azathioprine
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ubuntununtunu belanga
• Ukufumaneka
• Ngaphambi kogunyaziso
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi azathioprine

1. Ithebhulethi yomlomo ka-Azathioprine iyafumaneka njengesiyobisi njengesiyobisi. Amagama eBrand: Imuran, Azasan.
2. I-Azathioprine iza ngeendlela ezimbini: ithebhulethi yomlomo kunye nesisombululo esinokujova.
3. Ithebhulethi yomlomo yeAzathioprine isetyenziselwa ukunyanga isifo samathambo kunye nokugcina amajoni akho omzimba ekuhlaseleni izintso ezintsha emva kokufakelwa.

Izilumkiso ezibalulekileyo

Isilumkiso se-FDA: Umngcipheko womhlaza

• Eli chiza linesilumkiso sebhokisi emnyama. Esi sisilumkiso esibi kakhulu esivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Isilumkiso sebhokisi emnyama silumkisa oogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Ukusetyenziswa kwexesha elide kwe-azathioprine kunokunyusa umngcipheko wokukhula kweentlobo ezithile zomhlaza, ezinje nge-lymphoma, leukemia, kunye nomhlaza wolusu.

Ezinye izilumkiso

• Ukwanda kwesilumkiso somngcipheko: Eli yeza linciphisa ukusebenza kwamajoni akho omzimba. Oku kunokunyusa umngcipheko wosulelo.
• Iziphumo zokuqala zonyango isilumkiso: I-Azathioprine inokukhokelela ekuphenduleni okunokubangela isicaphucaphu kunye nokugabha, kunye:
  • urhudo
  • irhashalala
  • ifiva
  • ukudinwa
  • iintlungu zemisipha
  • ukulimala kwesibindi
  • isiyezi
  • uxinzelelo lwegazi oluphantsi

Ezi ziphumo zihlala zenzeka kwiiveki zokuqala zokuqala iyeza. Ukuba ugqirha wakho uyeka unyango kunye neziyobisi, iimpawu zakho kufuneka zihambe.

• Iseli yegazi esezantsi ibala isilumkiso: I-Azathioprine yonyusa umngcipheko wokukhula kokubala kweeseli eziphantsi kwegazi, ezinje ngokubala kweeseli ezimhlophe. Ukuba neengxaki ezithile zemfuza kunokwandisa umngcipheko wokuphazamiseka kwegazi. Ugqirha wakho uya kukunika iimvavanyo zegazi ukuze ujonge ezi ngxaki zegazi. Banokuhlisa idosi yakho okanye bayeke unyango lwakho ngamayeza.

Yintoni i-azathioprine?

I-Azathioprine lunyango lonyango. Iza ngeendlela ezimbini: ithebhulethi yomlomo kunye nesisombululo esinokujova.

Ithebhulethi yomlomo ka-Azathioprine iyafumaneka njengegama leziyobisi Imuran kwaye Azasan. Ikwafumaneka kuhlobo oluqhelekileyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ngaphantsi kweenguqulelo zegama lophawu. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengamachiza anegama lophawu.

Eli chiza linokusetyenziswa njengenxalenye yonyango oludibeneyo. Oko kuthetha ukuba unokufuna ukuyithatha kunye nezinye iziyobisi.

Kutheni isetyenziswa

I-Azathioprine isetyenziselwa ukunyanga isifo samathambo (RA). Isetyenziselwa ukugcina amajoni akho omzimba ekuhlaseleni izintso ezisandula ukufakelwa.

Xa ufumana ukufakelwa kwezintso, amajoni akho omzimba ajonga izintso njengento engeyoyamzimba wakho. Oku kunokubangela ukuba umzimba wakho uhlasele izintso, ezinokukhokelela kwiingxaki ezinzulu zempilo okanye ukufa. I-Azathioprine isetyenziselwa ukunqanda amajoni akho omzimba ekuhlaseleni izintso zakho ezintsha.

Kwi-RA, umzimba wakho uhlasela amalungu akho, anokubangela ukudumba, iintlungu kunye nelahleko yomsebenzi. I-Azathioprine isetyenziselwa ukunqanda amajoni akho omzimba ekuhlaseleni amalungu akho.

Ingaba isebenza kanjani

I-Azathioprine ikudidi lweziyobisi ekuthiwa zii-immunosuppressants. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Azathioprine isebenza ngokunciphisa umsebenzi wamajoni omzimba wakho. KwiRA, oku kugcina amajoni akho omzimba ekuhlaseleni nasekonakaliseni amalungu akho. Ukufakelwa kwezintso, ichiza ligcina amajoni akho omzimba ekuhlaseleni izintso ezisandula ukufakelwa.

Iziphumo ebezingalindelekanga zeAzathioprine

I-tablet ye-Azathioprine yomlomo ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo eziqhelekileyo ezenzeka nge-azathioprine ziquka:

• iiseli zegazi ezimhlophe ezisezantsi
• usulelo
• iingxaki zesisu, kubandakanya isicaphucaphu, urhudo kunye nokugabha

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Amayeza esisu hypersensitivity. Iimpawu zingabandakanya:
  • isicaphucaphu nokugabha
  • urhudo
  • irhashalala
  • ifiva
  • iintlungu zemisipha
  • ukwanda kwenqanaba le-enzyme yesibindi
  • ukulimala kwesibindi
  • isiyezi
  • uxinzelelo lwegazi oluphantsi

Ezi ngxaki zihlala zenzeka kwiiveki zokuqala zokuqala iyeza. Ukuba ugqirha wakho uyeka unyango kunye neliyeza, iimpawu zakho kufuneka zihambe.

• Ipancreatitis. Iimpawu zingabandakanya:
  • iintlungu ezinzima zesisu
  • izitulo ezinamafutha
• Ukudinwa kakhulu
• Ukunciphisa umzimba ngokweqile
• Impendulo enamandla kakhulu. Iimpawu zingabandakanya:
  • ukuvutha
  • ukuqina kwesifuba
  • ukurhawuzelela
  • ukudumba kobuso bakho, imilebe, ulwimi, okanye umqala

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

I-Azathioprine inokusebenzisana namanye amayeza

Ithebhulethi yomlomo yeAzathioprine inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukusebenzisana ne-azathioprine zidweliswe apha ngezantsi.

Iziyobisi zeGout

Ukuthatha Zonke iinkonzo ze-intanethi nge-azathioprine inokunyusa amanqanaba e-azathioprine emzimbeni wakho kwaye yonyuse umngcipheko weziphumo ebezingalindelekanga. Ugqirha wakho unokuhlisa idosi ye-azathioprine ukuba uthatha i-allopurinol.

Ukuthatha febuxostat nge-azathioprine inokunyusa amanqanaba e-azathioprine emzimbeni wakho kwaye yonyuse umngcipheko weziphumo ebezingalindelekanga. La mayeza akufuneki asetyenziswe kunye.

Iziyobisi zesifo sokudumba

Ukuthatha iziyobisi kubizwa aminosalicylates nge-azathioprine inokunyusa amanqanaba e-azathioprin emzimbeni wakho kwaye yonyuse umngcipheko wokuphazamiseka kwegazi.

Amachiza okudumba

Ezi ziyobisi zokuguqula i-TNF. Basebenza ukunciphisa ukukrala kunye nokuphendula kwenkqubo yomzimba yokuzikhusela. Ukuthatha la machiza nge-azathioprine kunokunyusa umngcipheko wosulelo. Imizekelo yala machiza ibandakanya:

• adalimumab
• isiqinisekiso
• infyoximab
• golimumab

Amayeza achaphazela amajoni akho omzimba

Sebenzisa cotrimoxazole nge-azathioprine inokunciphisa inani leeseli ezimhlophe emzimbeni wakho ezifunekayo ukulwa nosulelo. Oku kwandisa umngcipheko wosulelo.

Sebenzisa eli chiza nge-azathioprine kunokunyusa umngcipheko weziphumo ebezingalindelekanga kuwo omabini la machiza.

Uxinzelelo lwegazi iziyobisi

Sebenzisa iziyobisi ezibizwa i-angiotensin-eguqula i-enzyme (ACE) inhibitors nge-azathioprine inokunyusa umngcipheko wokuphazamiseka kwegazi.

Iziyobisi ezicothayo

Sebenzisa iwarfarin nge-azathioprine inokwenza ukuba i-warfarin ingasebenzi kakuhle kuwe. Ugqirha wakho unokujonga esweni amanqanaba akho e-warfarin xa uqala kwaye uyeka unyango kunye ne-azathioprine.

Iziyobisi zeHepatitis C

Sebenzisa mzantsiweb nge-azathioprine inokunyusa amanqanaba e-azathioprine emzimbeni wakho kwaye yonyuse umngcipheko weziphumo ebezingalindelekanga.

Isitofu

Ukwamkela izitofu eziphilayo Ngelixa uthatha i-azathioprine inokunyusa umngcipheko weziphumo ebezingalunganga ezivela kwisitofu sokugonya. Imizekelo yokugonya okukhoyo kubandakanya:

• ugonyo lwempumlo yempumlo
• imasisi, uqwilikana, irubella
• irhashalala (varicella)

Ukufumana isitofu sokugonya esingasebenziyo Ngelixa uthatha i-azathioprine inokwenza isitofu sokugonya singasebenzi kakuhle.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango.Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zika-Azathioprine

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

I-Azathioprine inokubangela ukusabela okungafunekiyo. Iimpawu zingabandakanya:

• ingxaki yokuphefumla
• ukudumba komqala okanye ulwimi lwakho
• urhwebo

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abanesiphene se-thiopurine S-methyltransferase (TPMT): I-TPMT yi-enzyme emzimbeni wakho eyaphula i-azathioprine. Xa ungenayo i-TPMT eyaneleyo, usemngciphekweni owandayo weziphumo ebezingalindelekanga kunye nokuphazamiseka kwegazi kwi-azathioprine. Ugqirha wakho angenza uvavanyo ukujonga amanqanaba e-TPMT emzimbeni wakho.

Kubantu abanesibalo esisezantsi segazi: I-Azathioprine iphakamisa umngcipheko wokuhla kweeseli zegazi. Ukuba neengxaki ezithile zemfuza kunokwandisa umngcipheko. Ugqirha wakho angenza uvavanyo lwegazi, anciphise idosi ye-azathioprine, okanye ayeke unyango lwakho ngamayeza.

Kubantu abanesifo: Eli yeza linciphisa ukusebenza kwamajoni akho omzimba. Oku kunokwenza usulelo olubi nangakumbi.

Kubantu abaneengxaki zesibindi: I-Azathioprine inokunyusa umngcipheko weengxaki zesibindi, ihlala injalo kubantu abanezintso. Ugqirha wakho uya kuthatha uvavanyo lwegazi ukujonga ukuba isibindi sakho sisebenza njani. Iingxaki zesibindi zihlala zenzeka kwiinyanga ezi-6 zokufakelwa kwezintso kwaye zihlala zihamba xa i-azathioprine imisiwe.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: I-Azathioprine luluhlobo D lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:

1. Izifundo zibonisa umngcipheko weziphumo ezibi kwimveku engekazalwa xa umama ethatha ichiza.
2. Eli chiza kufuneka lisetyenziswe kuphela ngexesha lokukhulelwa kwiimeko ezinzima apho kufuneka khona ukunyanga imeko eyingozi kumama.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. I-Azathioprine kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa umngcipheko onokubakho.

Ukuba ukhulelwa ngelixa uthatha eli chiza, biza ugqirha wakho kwangoko.

Kubafazi abancancisayo: I-Azathioprine idlula kubisi lwebele kwaye inokubangela iziphumo ebezingalindelekanga emntwaneni oncanciswa. Ukuncancisa akukhuthazwa ngelixa uthatha eli yeza.

Kubantu abadala: Ukhuseleko kunye nokusebenza kwe-azathioprine khange kusekwe kubantu abaneminyaka eyi-65 nangaphezulu.

Kubantwana: Ukhuseleko kunye nokusebenza kwe-azathioprine akuzange kusekwe kubantu abangaphantsi kweminyaka eyi-18.

Ungayithatha njani i-azathioprine

Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kunye nokuba uyithatha kangaphi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Iifom zamachiza kunye namandla

Ngokwesiqhelo: I-Azathioprine

• Ifom: ithebhulethi yomlomo
• Amandla: 25 mg, 50 mg, 75 mg, 100 mg

Igama lebrand: Imuran

• Ifom: ithebhulethi yomlomo
• Ukomelela: 50 mg

Igama lebrand: Azasan

• Ifom: ithebhulethi yomlomo
• Amandla: 25 mg, 50 mg, 75 mg, 100 mg

Isisombululo sokufakelwa kwezintso

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

Idosi isekwe kubunzima bomntu ngokweekhilogram (kg).

• Isiqalo sokuqala sokuqala: 3-5 mg ngekhilogram ubunzima bomzimba yonke imihla, ukuqala ngexesha lokufakelwa. Kwiimeko ezithile, le dosi inokunikwa kwiintsuku eziyi-1-3 ngaphambi kokufakwa kwezintso.
• Umthamo wesondlo: 1-3 mg / kg yobunzima bomzimba ngosuku.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Idosi ekhuselekileyo nesebenzayo ayimiselwanga kweli qela leminyaka.

Isisombululo se-rheumatoid arthritis

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

Idosi isekwe kubunzima bomntu ngokweekhilogram (kg).

• Isiqalo sokuqala sokuqala: I-50-100 mg, ithathwa kube kanye ngemini okanye yahlulwe yaziidosi ezimbini zemihla ngemihla.
• Ukunyuka kwesilinganiso: Emva kweeveki ezi-6 ukuya kwezi-8 zokuba kwidosi yokuqala, ugqirha wakho unokunyusa idosi yakho nge-0.5 mg / kg yesisindo somzimba ngosuku. Emva koko, ugqirha wakho unokwenza utshintsho kumthamo rhoqo kwiiveki ezi-4 ukuba ziyafuneka.
• Ubuninzi besilinganiso: Elona dosi liphezulu lemihla ngemihla yi-2.5 mg / kg yobunzima bomzimba ngosuku.
• Umthamo wesondlo: Iidosi zinokwehliswa nge-0.5 mg / kg yesisindo somzimba ngosuku qho ngeeveki ezi-4.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Idosi ekhuselekileyo nesebenzayo ayimiselwanga kweli qela leminyaka.

Ukuqwalaselwa okhethekileyo kwedosi

Kubantu abaneengxaki zezintso: Umthamo wakho we-azathioprine unokufuna ukwehliswa ukuba uneengxaki zezintso ezikuthintela ekuchameni rhoqo.

Kubantu abanesiphene se-TPMT: Umthamo wakho we-azathioprine unokufuna ukwehliswa ukuba uvavanyo lubonisa ukuba uswele i-TPMT. Le enzyme inceda ukwahlula ichiza. Ukungabinayo ngokwaneleyo i-enzyme kungakhokelela kumngcipheko owandileyo weziphumo ebezingalindelekanga ezivela kweli chiza, kubandakanya iingxaki zokopha.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo yeAzathioprine isetyenziselwa unyango lwexesha elide. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba awuyithathi kwaphela: Ukuba uthatha ukufakelwa kwezintso, usemngciphekweni omkhulu wokuba neziphumo ebezingalunganga, ezinokubulala umntu ekufakweni kwakho, okanye kufuneka uphinde wenze olunye utshintsho lwezintso.

Ukuba uyithatha kwisifo samathambo, iimpawu zakho zisenokungaphucuki okanye zisenokuba mandundu ngokuhamba kwexesha.

Ukuba uyeka ukuthatha ngokukhawuleza: Ukuba uthatha eli chiza ukufakelwa izintso kwaye uyeke ukulithatha ngequbuliso, unokufumana ukwala ukufakelwa kunye nokusilela kwezintso.

Ukuba uthatha eli chiza kwi-rheumatoid arthritis kwaye uyeke ukulithatha ngokukhawuleza, iimpawu zakho zesifo samathambo zingabuya kwakhona.

Ukuba awuyithathi ngexesha: Ngekhe ubone isibonelelo esipheleleyo sonyango. Ukuba uyayiphinda kabini idosi yakho okanye uyisondeze kufutshane nexesha lakho elizayo, unokuba semngciphekweni omkhulu wokuba nemiphumo emibi.

Yintoni omele uyenze xa uphosa idosi: Ukuba uphosa idosi, yithabathe ngokukhawuleza. Nangona kunjalo, ukuba ngaba ziiyure nje ezimbalwa kude kufike idosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uthathe elandelayo kuphela.

Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ukuba uthatha kakhulu: Unokuba namanqanaba ayingozi amachiza emzimbeni wakho. Iimpawu libanda, eli chiza kungabandakanya:

• isicaphucaphu
• ukugabha
• urhudo
• umqala obuhlungu, umkhuhlane, ukubanda, kunye neminye imiqondiso yosulelo

Ukuba ucinga ukuba uthathe kakhulu eli chiza, biza ugqirha wakho okanye ufune isikhokelo kuMbutho waseMelika wamaZiko oLawulo lweTyhefu e800-222-1222 okanye ngesixhobo sabo se-Intanethi. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Ungaxela njani ukuba ichiza liyasebenza: Ukuba uthatha eli chiza ukufakelwa izintso, izintso zakho kufuneka ukuba zisebenze kwaye akufuneki ube neempawu zokwaliwa komzimba. Ezi mpawu zinokubandakanya ukungonwabi okanye ukugula, umkhuhlane, iimpawu ezinje ngomkhuhlane, kunye nentlungu okanye ukudumba okujikeleze ilungu. Ugqirha wakho uya kwenza uvavanyo lwegazi ukukhangela umonakalo wezintso.

Ukuba uthatha eli chiza kwi-rheumatoid arthritis, kuya kufuneka ube nokudumba okungaphantsi kunye nentlungu kumalungu akho. Kuya kufuneka kwakhona ukuba ukwazi ukuhambahamba ngcono. Ezi ziphumo kufuneka zenzeke emva kweeveki ezili-12 zokuba usemayeza.

Ukuqwalaselwa okubalulekileyo kokuthatha i-azathioprine

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-azathioprine.

Ngokubanzi

• Thatha la mayeza emva kwesidlo. Oku kunokukunceda ukunciphisa umngcipheko weengxaki zesisu.

Ukugcina

• Gcina eli yeza kubushushu obuphakathi kwe-59 ° F kunye ne-77 ° F (15 ° C kunye ne-25 ° C).
• Khusela eli chiza ekukhanyeni.
• Musa ukumisa i-azathioprine.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Ugqirha wakho unokwenza uvavanyo oluthile ngexesha lonyango lwakho neli chiza. Banokubandakanya:

• Uvavanyo lwegazi: Ugqirha wakho unokwenza uvavanyo lwegazi ukukhangela ukuphazamiseka kwegazi kanye ngeveki kwinyanga yokuqala yonyango ngala mayeza. Emva koko, baya kwenza uvavanyo lwegazi kabini ngenyanga kwiinyanga ezimbini ezizayo. Ukuba ugqirha utshintsha idosi ye-azathioprine, baya kwenza uvavanyo lwegazi kube kanye ngenyanga okanye rhoqo.
• Uvavanyo lwesibindi kunye nezintso: Ugqirha wakho unokwenza uvavanyo lwegazi ngamaxesha athile ukujonga ukuba isibindi sakho kunye nezintso zisebenza kakuhle kangakanani.
• Uvavanyo lokusilela kwe-TPMT: Ugqirha wakho unokwenza uvavanyo lwegazi ukuze abone ukuba unengxaki ye-TPMT, kuba le meko inokubangela ukuphazamiseka kokopha xa uthatha eli chiza.

Ubuntununtunu belanga

Abantu abathatha la mayeza banokuba semngciphekweni omkhulu womhlaza wolusu kukuvezwa lilanga kakhulu. Nxiba i-sunscreen ekhusela kakhulu. Nxiba iimpahla zokuzikhusela, ezinje ngomnqwazi kunye nemikhono emide.

Ukufumaneka

Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba ikhemesti yakho iyayiphatha.

Ngaphambi kogunyaziso

Iinkampani ezininzi zeinshurensi zifuna ukugunyazwa kwangaphambili kwesi siyobisi. Oku kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule amayeza.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.