RimabotulinumtoxinB Jekeseni

Zamkati

• Asanalandire jakisoni wa rimabotulinumtoxinB,
• Jekeseni wa RimabotulinumtoxinB imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo nthawi zambiri sizimawoneka mukangolandira jakisoni. Ngati mwalandira rimabotulinumtoxinB yochuluka kwambiri kapena ngati mwameza mankhwalawo, uzani dokotala nthawi yomweyo ndipo muuzeni dokotala ngati mukukumana ndi izi m'masabata angapo otsatira:

Jekeseni wa RimabotulinumtoxinB imatha kufalikira kuchokera ku jakisoni ndipo imayambitsa zizindikilo za botulism, kuphatikiza kupuma koopsa kapena koopsa kupuma kapena kumeza. Anthu omwe amavutika kumeza panthawi yomwe amalandira mankhwalawa amatha kupitiriza kukhala ndi vuto ili kwa miyezi ingapo. Angafunikire kudyetsedwa kudzera mu chubu lodyetsera kuti asapeze chakudya kapena chakumwa m'mapapu awo. Zizindikiro zimatha kuchitika mkati mwa maola ochepa a jakisoni wokhala ndi rimabotulinumtoxinB kapena kumapeto kwa milungu ingapo mutalandira chithandizo. Zizindikiro zimatha kupezeka kwa anthu amisinkhu iliyonse omwe amathandizidwa pachikhalidwe chilichonse, koma chiopsezo chimakhala chachikulu kwambiri mwa ana omwe amathandizidwa chifukwa cha kuchepa kwa minofu (kuuma kwa minofu ndi kulimba). Uzani dokotala wanu ngati mwakhalapo ndi vuto lakumeza kapena kupuma, monga mphumu kapena emphysema, kapena vuto lililonse lomwe limakhudza minofu kapena mitsempha yanu monga amyotrophic lateral sclerosis (ALS, matenda a Lou Gehrig; momwe minyewa yomwe kuyendetsa kusuntha kwa minofu kumafera pang'onopang'ono, ndikupangitsa kufooka kwa minofu ndikufooka), motor neuropathy (momwe minofu imafooka pakapita nthawi), myasthenia gravis (vuto lomwe limapangitsa kuti minofu ina ifooke, makamaka pambuyo pochita), kapena matenda a Lambert-Eaton ( chikhalidwe chomwe chimayambitsa kufooka kwa minofu komwe kumatha kusintha ndi zochitika). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kutaya mphamvu kapena kufooka kwa thupi lonse; masomphenya awiri kapena kusawona; zikope zothothoka; zovuta kumeza, kupuma, kapena kulankhula; kapena kulephera kuletsa kukodza.

Dokotala wanu adzakupatsani pepala lazidziwitso za wodwala (Medication Guide) mukayamba chithandizo ndi jakisoni wa rimabotulinumtoxinB ndipo nthawi iliyonse mukalandira chithandizo. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Jekeseni wa RimabotulinumtoxinB imagwiritsidwa ntchito kuthana ndi zizindikiritso za khomo lachiberekero dystonia (spasmodic torticollis; kumangika kosalamulirika kwa minofu ya khosi komwe kumatha kubweretsa kupweteka kwa khosi komanso mitu yayikulu). Jekeseni wa RimabotulinumtoxinB imagwiritsidwanso ntchito pochiza sialorrhea yanthawi yayitali (kukokoloka kwam'madzi kopitilira muyeso kapena kutaya malovu kwambiri). RimabotulinumtoxinB jakisoni ali mgulu la mankhwala otchedwa ma neurotoxin. Jekeseni wa rimabotulinumtoxinB ikalowetsedwa mu mnofu, imagwira ntchito poletsa ziwonetsero zamitsempha zomwe zimayambitsa kulimba kosalamulirika ndikuyenda kwa minofu. RimabotulinumtoxinB ikalowetsedwa m'matumbo am'matumbo, imagwira ntchito poletsa minyewa yomwe imayambitsa malovu ambiri.

Jakisoni wa RimabotulinumtoxinB umabwera ngati madzi olowetsedwa m'minyewa kapena malovu am'mimbamo ndi dokotala. Dokotala wanu amasankha malo abwino oti mubayire mankhwalawa kuti athetse vuto lanu. Mutha kulandira jakisoni wowonjezera wa rimabotulinumtoxinB miyezi itatu kapena inayi iliyonse, kutengera momwe muliri komanso momwe zotsatira za mankhwalawa zimatha.

Dokotala wanu angayambe ndi mlingo wochepa wa jekeseni wa rimabotulinumtoxinB ndipo pang'onopang'ono musinthe mlingo wanu malinga ndi momwe mumayankhira mankhwala.

Mtundu wina kapena mtundu wa poizoni wa botulinum sungalowe m'malo wina.

Jakisoni wa RimabotulinumtoxinB nthawi zina amagwiritsidwanso ntchito kuthana ndi zovuta zina zomwe kumangika kwaminyewa kwamphamvu kumayambitsa kupweteka, mayendedwe achilendo, kapena zizindikilo zina. RimabotulinumtoxinB jakisoni amagwiritsidwanso ntchito pochiza mitundu ina ya mutu waching'alang'ala, chikhodzodzo chopitilira muyeso (mkhalidwe womwe minofu ya chikhodzodzo imalumikizana mosalamulirika ndikupangitsa kukodza pafupipafupi, kufunikira kukodza mwachangu, komanso kulephera kuyendetsa kukodza), mu minofu pafupi ndi malo am'mbali). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Asanalandire jakisoni wa rimabotulinumtoxinB,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la rimabotulinumtoxinB, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), mankhwala ena aliwonse, kapena mankhwala aliwonse a mu rimabot Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maantibayotiki ena monga amikacin, clindamycin (Cleocin), colistimethate (Coly-Mycin), gentamicin, lincomycin (Lincocin), neomycin, polymyxin, streptomycin, ndi tobramycin; mankhwala a chifuwa, chimfine, kapena kugona; ndi zotsegula minofu. Uzaninso dokotala wanu ngati mwalandira jakisoni wa mankhwala aliwonse a botulinum m'miyezi 4 yapitayi. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi rimabotulinumtoxinB, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati muli ndi kutupa kapena zizindikiro zina za matenda m'dera lomwe jekeseni wa rimabotulinumtoxinB adzalowetsedwa. Dokotala wanu sangakupatseni mankhwalawo m'dera lomwe muli kachilomboka.
• uzani dokotala wanu ngati mwachitidwapo opaleshoni pankhope panu, kapena ngati mwakhalapo ndi vuto lililonse kuchokera ku mankhwala aliwonse a botulinum kapena mavuto a kutuluka magazi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukalandira jakisoni wa rimabotulinumtoxinB, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukulandira jakisoni wa rimabotulinumtoxinB.
• muyenera kudziwa kuti jakisoni wa rimabotulinumtoxinB imatha kupangitsa mphamvu kapena kufooka kwa thupi pathupi lonse kapena masomphenya osokonezeka. Ngati muli ndi izi, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita zinthu zina zowopsa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa RimabotulinumtoxinB imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka kapena kukoma m'dera lomwe mankhwala adalowetsedwa
• msana, khosi, kapena kupweteka kwamalumikizidwe
• mutu
• nseru
• kutentha pa chifuwa
• pakamwa pouma
• chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

• kuyabwa
• zidzolo
• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, kapena maso
• kupuma movutikira
• kupuma
• chizungulire
• kukomoka

Jekeseni wa RimabotulinumtoxinB imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo nthawi zambiri sizimawoneka mukangolandira jakisoni. Ngati mwalandira rimabotulinumtoxinB yochuluka kwambiri kapena ngati mwameza mankhwalawo, uzani dokotala nthawi yomweyo ndipo muuzeni dokotala ngati mukukumana ndi izi m'masabata angapo otsatira:

• kufooka
• zovuta kusuntha gawo lirilonse la thupi lanu
• kuvuta kupuma

Sungani maimidwe onse ndi dokotala wanu.

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza jekeseni wa rimabotulinumtoxinB.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Myobloc^®

• Nkhani Yamasewera Othamanga
• BTB
• Mtundu wa Poizoni wa Botulinum B