Abobotulinumtoxin A Jekeseni

Zamkati

• Asanalandire jakisoni wa abobotulinumtoxinA,
• AbobotulinumtoxinJekeseni amatha kuyambitsa zovuta. Funsani dokotala wanu zomwe mungakumane nazo chifukwa zina zoyipa zimatha kukhala zokhudzana ndi (kapena zimachitika kawirikawiri) gawo la thupi lomwe mudalandira jakisoni. 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 abobotulinumtoxinA kapena ngati mwameza mankhwalawo, uzani dokotala nthawi yomweyo ndipo muuzeni adotolo ngati mukukumana ndi izi m'masabata angapo otsatira:

Abobotulinumtoxin Jekeseni amatha kufalikira kuchokera ku jakisoni ndikuwonetsa zizindikilo za botulism, kuphatikiza kupuma koopsa kapena kuwopseza moyo kupuma kapena kumeza. Anthu omwe amavutika kumeza panthawi yomwe amalandira mankhwalawa amatha kupitiriza kukhala ndi vutoli kwa milungu ingapo, angafunike kudyetsedwa kudzera mu chubu chodyetsera, ndipo amatha kupuma chakudya kapena chakumwa m'mapapu awo. Zizindikiro zimatha kuchitika mkati mwa maola ochepa a jakisoni wokhala ndi abobotulinumtoxinA 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 abobotulinumtoxinA 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.

AbobotulinumtoxinJekeseni amagwiritsidwa ntchito kuthetsa zizindikilo za khomo lachiberekero dystonia (spasmodic torticollis; kumangika kosalamulirika kwa minofu ya khosi komwe kumatha kupweteketsa khosi ndi mitu yayikulu). Amagwiritsidwanso ntchito kupewetsa mizere yopanda pake (makwinya pakati pa nsidze). AbobotulinumtoxinJekeseni amagwiritsidwa ntchito kuthana ndi kuchepa kwa minofu (kuuma ndi kulimba) kwa minofu m'manja ndi miyendo mwa akulu ndi ana azaka 2 kapena kupitirira. AbobotulinumtoxinJekeseni ali mgulu la mankhwala omwe amatchedwa ma neurotoxin. Zimagwira ntchito poletsa ziwonetsero zamitsempha zomwe zimayambitsa kumangika kosalamulirika ndikuyenda kwa minofu.

AbobotulinumtoxinJekeseni amabwera ngati ufa wosakanikirana ndi madzi ndikulowetsedwa m'minyewa yokhudzidwa ndi dokotala. Dokotala wanu amasankha malo abwino oti mubayire mankhwalawa kuti athetse vuto lanu. Mutha kulandira ma jakisoni owonjezera a abobotulinumtoxinA miyezi itatu kapena inayi iliyonse, kutengera momwe muliri komanso nthawi yayitali zomwe mankhwalawa atenga.

Ngati mukulandira jakisoni wa abobotulinumtoxin jekeseni wa khomo lachiberekero, dokotala wanu mwina angakuyambitseni pamlingo wochepa ndipo pang'onopang'ono musinthe mlingo wanu malinga ndi momwe mumayankhira.

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

AbobotulinumtoxinJekeseni angathandize kuchepetsa matenda anu koma sangachiritse. Ngati mukugwiritsa ntchito abobotulinumtoxinA kuchiza khomo lachiberekero dystonia, zimatha kutenga milungu iwiri kapena kupitilira apo musanapindule ndi jakisoni wa abobotulinumtoxinA.

Abobotulinumtoxin Jekeseni amagwiritsidwanso ntchito pochiza blepharospasm (kumangika kosalamulirika kwa minofu ya eyelid yomwe imatha kuyambitsa kupindika, kufinya, ndi kuyenda kwazizolowezi) kwa akulu. 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 abobotulinumtoxinA,

• auzeni dokotala kapena wamankhwala ngati mukugwirizana ndi abobotulinumtoxinA, incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), rimabotulinumtoxinB (Myobloc), mankhwala ena aliwonse, mapuloteni a mkaka wa ng'ombe, mapuloteni a mkaka wa ng'ombe, zosakaniza zina mu jakisoni wa abobotulinumtoxinA. 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, ndi kugona; ndi zotsegula minofu. Uzaninso dokotala wanu ngati mwalandira jakisoni wa mankhwala aliwonse a botulinum m'miyezi inayi yapitayi. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi abobotulinumtoxinA, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sawoneka pamndandandawu.
• Uzani dokotala wanu ngati muli ndi kutupa kapena zizindikiro zina za matenda m'dera lomwe abobotulinumtoxinA adzalowetsedwa. Dokotala wanu sangakupatseni mankhwalawo m'dera lomwe muli kachilomboka.
• uzani dokotala wanu ngati munachitidwapo opaleshoni ya maso kapena nkhope; kapena zoyipa zilizonse kuchokera ku chinthu chilichonse cha poizoni wa botulinum ndipo ngati mwasintha kapena mukusintha momwe nkhope yanu imawonekera; kutaya magazi; matenda ashuga; kapena kugunda kwapang'onopang'ono kapena kosasinthasintha.
• ngati mukulandira abotulinumtoxinA kuti muchiritse makwinya, dokotala wanu adzakufunsani kuti awone ngati mankhwalawa atha kukuthandizani. AbotulinumtoxinA mwina singasunthe makwinya anu kapena itha kubweretsa mavuto ena ngati muli ndi zikope zothothoka; vuto kukweza nsidze zanu; khungu lopitirira m'maso mwanu; zipsera zazikulu, zakuda, kapena zonenepa; kapena ngati makwinya anu sangasunthike powafalitsa ndi zala zanu.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukalandira jakisoni wa abobotulinumtoxinA, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukulandira jakisoni wa abobotulinumtoxinA.
• muyenera kudziwa kuti jakisoni wa abobotulinumtoxinA atha kubweretsa mphamvu kapena kufooka kwa thupi lonse; kusawona bwino; kapena zikope zothothoka. Ngati muli ndi izi, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita zinthu zina zowopsa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

AbobotulinumtoxinJekeseni amatha kuyambitsa zovuta. Funsani dokotala wanu zomwe mungakumane nazo chifukwa zina zoyipa zimatha kukhala zokhudzana ndi (kapena zimachitika kawirikawiri) gawo la thupi lomwe mudalandira jakisoni. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• ululu, mabala, kufiira, kapena kukoma komwe mudalandira jakisoni
• mutu
• pakamwa pouma
• kupweteka kwa mafupa kapena minofu
• kupweteka kwa mikono kapena miyendo
• kutopa
• nseru
• kukhumudwa
• kuvuta kugona kapena kugona
• chifuwa, kuyetsemula, malungo, kuchulukana m'mphuno, kapena zilonda zapakhosi

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

• masomphenya amasintha
• kutengeka ndi kuwala
• kuchepetsa kuphethira kapena kuuma kwa diso
• Kutupa kwa chikope, kupsa mtima, kapena kupweteka
• kuyabwa
• zidzolo
• ming'oma
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupuma movutikira
• chizungulire
• kukomoka
• kugwa kapena mavuto ndi mgwirizano
• magazi mkodzo
• kugwidwa

AbobotulinumtoxinJekeseni amatha 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 abobotulinumtoxinA kapena ngati mwameza mankhwalawo, uzani dokotala nthawi yomweyo ndipo muuzeni adotolo 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 abobotulinumtoxinA.

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.

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