Incobotulinumtoxin A Jekeseni

Zamkati

• Asanalandire jakisoni wa incobotulinumtoxinA,
• IncobotulinumtoxinJekeseni 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 incobotulinumtoxinA yambiri kapena ngati mwameza mankhwalawo, uzani dokotala nthawi yomweyo ndipo muuzeni adotolo ngati mukukumana ndi izi m'masabata angapo otsatira:

Incobotulinumtoxin 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 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 incobotulinumtoxinA kapena kumapeto kwa milungu ingapo mutalandira chithandizo. Zizindikiro zimatha kupezeka kwa anthu amisinkhu iliyonse akuthandizidwa chifukwa cha vuto lililonse. Chiwopsezo chimakhala chachikulu kwambiri mwa ana omwe amathandizidwa chifukwa cha kupindika (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 incobotulinumtoxinA 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.

Incobotulinumtoxin Jekeseni amagwiritsidwa ntchito pochiza zinthu zingapo.

IncobotulinumtoxinJekeseni amagwiritsidwa ntchito motere:

• chitani matenda osachiritsika a sialorrhea (kukokomeza kopitilira muyeso kapena malovu opitirira muyeso) mwa akulu ndi ana azaka 2 kapena kupitirira;
• onetsetsani kuti minyewa ikuluikulu ili m'manja mwa achikulire;
• onetsetsani kuti kupindika (kulimba kwa minofu ndi kulimba) kwa minofu m'manja mwa ana azaka 2 kapena kupitilira apo omwe alibe matenda aubongo (zomwe zimayambitsa vuto la kuyenda ndi kusunthika);
• kuthetsa zizindikilo za khomo lachiberekero dystonia (spasmodic torticollis; kumangika kosalamulirika kwa minofu ya khosi komwe kumatha kupweteketsa khosi ndi mitu yayikulu pamutu) mwa akulu;
• chitani blepharospasm (kumangika kosalamulirika kwa minofu ya chikope yomwe ingayambitse kuphethira, kufinya, ndi kusuntha kwa chikope chachilendo) mwa akulu;
• ndi mizere yosalala kwakanthawi (makwinya pakati pa nsidze) mwa akulu.

IncobotulinumtoxinJekeseni ali mgulu la mankhwala omwe amatchedwa ma neurotoxin. Jekeseni wa incobotulinumtoxinA ikalowetsedwa m'matope amate, imatchinga zizindikilo zamitsempha zomwe zimayambitsa kupanga malovu kwambiri. Jekeseni ya incobotulinumtoxinA ikalowetsedwa mu mnofu, imatchinga ma sign a mitsempha omwe amayambitsa kulimba kosalamulirika ndikuyenda kwa minofu.

IncobotulinumtoxinJekeseni amabwera ngati ufa wosakanikirana ndi madzi ndikulowetsedwa m'matumbo am'mimbamo kapena minofu ndi dokotala. Dokotala wanu amasankha malo abwino oti mubayire mankhwalawa kuti athetse vuto lanu. Mutha kulandira jakisoni wowonjezera pakatha miyezi 3-4, kutengera momwe muliri komanso kutalika kwa zomwe mankhwalawa atenga.

Dokotala wanu mwina angakuyambitseni pa jakisoni wochepa wa jakisoni wa incobotulinumtoxinA ndipo pang'onopang'ono musinthe mlingo wanu malinga ndi kuyankha kwanu kwa mankhwalawo.

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

IncobotulinumtoxinJekeseni angathandize kuchepetsa matenda anu, koma sangachiritse. Zitha kutenga masiku ochepa kapena milungu ingapo musanapindule ndi jakisoni wa incobotulinumtoxinA.

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

Asanalandire jakisoni wa incobotulinumtoxinA,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la incobotulinumtoxinA, abobotulinumtoxinA (Dysport), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), rimabotulinumtoxinB (Myobloc), mankhwala ena aliwonse, kapena chilichonse cha mankhwala a incobot. 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; maanticoagulants ('oonda magazi'); mankhwala a chifuwa, chimfine, kapena kugona; ndi zotsekemera zaminyewa; 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 incobotulinumtoxinA, 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 incobotulinumtoxinA idzalowetsedwa. Dokotala wanu sangakupatseni mankhwalawo m'dera lomwe muli kachilomboka.
• uzani dokotala wanu ngati munakhalapo ndi vuto lililonse kuchokera ku mankhwala aliwonse a botulinum kapena opaleshoni yamaso kapena nkhope komanso ngati mwakhalapo ndi vuto lakukha magazi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukalandira jakisoni wa incobotulinumtoxinA, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukulandira jakisoni wa incobotulinumtoxinA.
• Muyenera kudziwa kuti jakisoni wa incobotulinumtoxinA jekeseni angapangitse kutaya mphamvu kapena kufooka kwa thupi pathupi lonse kapena kusawona bwino. Ngati muli ndi izi, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita zinthu zina zowopsa.
• ngati mukulandira jakisoni wa incobotulinumtoxinKuthandizira vuto lomwe lingakulepheretseni kuchita zambiri, lankhulani ndi dokotala wanu za zomwe mungachite mukamalandira chithandizo. Dokotala wanu mwina akufuna kuti muwonjezere zochita zanu pang'onopang'ono thupi lanu likazolowera zotsatira za mankhwala anu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

IncobotulinumtoxinJekeseni 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, kukoma, kapena kuvulaza komwe mudalandira jakisoni
• Kuchulukana kwa mphuno, pakhosi, kapena mphuno
• mutu
• pakamwa pouma
• mavuto ndi mano kapena m'kamwa
• kutsegula m'mimba
• kupweteka kwa mafupa, mafupa, kapena minofu
• maso owuma
• kuchepetsa kuphethira kapena kuchita bwino kwa kuphethira

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

• masomphenya amasintha
• chikope kutupa
• kupweteka kwa diso kapena kupsa mtima
• kugwidwa
• kupweteka kwa khosi
• kupuma movutikira
• kukomoka
• chizungulire
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi

IncobotulinumtoxinJekeseni 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 incobotulinumtoxinA yambiri 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 incobotulinumtoxinA jekeseni.

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.

• Xeomin^®

• Nkhani Yamasewera Othamanga
• BTA
• Mtundu wa Poizoni wa Botulinum