I-RimabotulinumtoxinB Injection

-Delile

• Ngaphambi kokuthola umjovo we-rimabotulinumtoxinB,
• Umjovo we-RimabotulinumtoxinB ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile ngokuvamile aziveli ngemuva kokuthola umjovo. Uma uthola i-rimabotulinumtoxinB eningi kakhulu noma uma ugwinye umuthi, tshela udokotela wakho ngaso leso sikhathi futhi utshele nodokotela wakho uma uhlangabezana nalezi zimpawu ezilandelayo emasontweni ambalwa alandelayo:

Umjovo we-RimabotulinumtoxinB ungasakazeka usuka endaweni yomjovo futhi ubangele izimpawu ze-botulism, kufaka phakathi ubunzima obunzima noma obusongela impilo bokuphefumula noma ukugwinya. Abantu abahlangabezana nobunzima bokugwinya ngenkathi belashwa ngalo muthi bangaqhubeka nokuba nobunzima izinyanga ezimbalwa. Bangadinga ukondliwa ngepayipi lokudla ukuze bagweme ukuthola ukudla noma isiphuzo emaphashini abo. Izimpawu zingenzeka kungakapheli amahora omjovo nge-rimabotulinumtoxinB noma ngemuva kwamasonto ambalwa ukwelashwa. Izimpawu zingavela kubantu banoma yibuphi ubudala abaphathwa nganoma yisiphi isimo, kepha ingozi kungenzeka ukuthi iphezulu kakhulu ezinganeni ezilashelwa ukuqina (ukuqina kwemisipha nokuqina). Tshela udokotela wakho uma uke waba nezinkinga zokugwinya noma zokuphefumula, njenge-asthma noma i-emphysema, noma yisiphi isimo esithinta imisipha yakho noma izinzwa ezifana ne-amyotrophic lateral sclerosis (ALS, isifo sikaLou Gehrig; isimo lapho izinzwa lawula ukunyakaza kwemisipha kufe kancane, kubangele imisipha ukuncipha futhi yenze buthakathaka), motor neuropathy (isimo lapho imisipha iba buthaka khona ngokuhamba kwesikhathi), myasthenia gravis (isimo esibangela ukuthi imisipha ethile ibe buthakathaka, ikakhulukazi ngemuva komsebenzi), noma i-Lambert-Eaton syndrome ( isimo esidala ubuthakathaka bemisipha obungathuthuka ngomsebenzi). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukuncipha kwamandla noma ubuthakathaka bemisipha emzimbeni wonke; umbono ophindwe kabili noma ofiphele; amajwabu amehlo alengayo; ubunzima bokugwinya, ukuphefumula, noma ukukhuluma; noma ukungakwazi ukulawula ukuchama.

Udokotela wakho uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-rimabotulinumtoxinB futhi njalo lapho uthola ukwelashwa. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Umjovo we-RimabotulinumtoxinB usetshenziselwa ukukhulula izimpawu ze-dystonia yomlomo wesibeletho (i-spasmodic torticollis; ukuqiniswa okungalawuleki kwemisipha yentamo engadala ubuhlungu bentamo nezikhundla zekhanda ezingajwayelekile). Umjovo we-RimabotulinumtoxinB usetshenziselwa ukwelapha i-sialorrhea engapheli (ukukhipha amathe okuqhubekayo noma amathe amaningi). Umjovo we-RimabotulinumtoxinB usekilasini lemithi ebizwa ngama-neurotoxin. Lapho umjovo we-rimabotulinumtoxinB ufakwa emisipheni, usebenza ngokuvimba amasiginali wezinzwa abangela ukuqina okungalawuleki nokunyakaza kwemisipha. Lapho i-rimabotulinumtoxinB ifakwa kwizindlala zamathe, isebenza ngokuvimba amasiginali wezinzwa abangela ukukhiqizwa kwamathe ngokweqile.

Umjovo weRimabotulinumtoxinB uza njengoketshezi oluzofakwa emisipheni ethintekile noma kwizindlala zamathe ngudokotela. Udokotela wakho uzokhetha indawo engcono yokujova umuthi ukuze welaphe isimo sakho. Ungathola imijovo eyengeziwe ye-rimabotulinumtoxinB njalo ezinyangeni ezi-3 kuya kwezi-4, kuya ngesimo sakho nokuthi imiphumela yokwelashwa ihlala isikhathi esingakanani.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi womjovo we-rimabotulinumtoxinB futhi kancane kancane ashintshe umthamo wakho ngokusho kwempendulo yakho emithini.

Uhlobo olulodwa noma uhlobo lwe-toxin ye-botulinum alunakufakwa esikhundleni salolunye.

Umjovo we-RimabotulinumtoxinB kwesinye isikhathi usetshenziselwa ukwelapha ezinye izimo lapho ukuqina kwemisipha okungavamile kubangela ubuhlungu, ukunyakaza okungavamile, noma ezinye izimpawu. Umjovo we-RimabotulinumtoxinB kwesinye isikhathi usetshenziselwa ukwelapha izinhlobo ezithile ze-migraine, isinye esisebenza ngokweqile (isimo lapho imisipha yesinye ihlangana khona ngokungalawuleki futhi ibangele ukuchama kaningi, isidingo esiphuthumayo sokuchama, nokungakwazi ukulawula ukuchama), kanye nokuqhekeka kwe-anal (ukuhlukana noma ukukhala ezicutshini eziseduze nendawo engunxande). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola umjovo we-rimabotulinumtoxinB,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-rimabotulinumtoxinB, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), noma imuphi omunye umuthi, noma yimuphi umjovo we-insulinum ku-rimabot. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antibiotic athile afana ne-amikacin, clindamycin (Cleocin), colistimethate (Coly-Mycin), gentamicin, lincomycin (Lincocin), neomycin, polymyxin, streptomycin, ne-tobramycin; imithi yokwaliwa yizifo, imikhuhlane, noma ukulala; kanye nezithambisi zokuphumula. Phinda utshele udokotela wakho uma uthole imijovo yanoma yimuphi umkhiqizo we-botulinum toxin ezinyangeni ezine ezidlule. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-rimabotulinumtoxinB, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma unesifo sokuvuvukala noma ezinye izimpawu zokutheleleka endaweni lapho i-rimabotulinumtoxinB izofakwa khona. Udokotela wakho ngeke awufake umuthi endaweni enegciwane.
• Tshela udokotela wakho uma ngabe uhlinziwe ebusweni bakho, noma uma uke waba nomthelela ongemuhle kunoma yimuphi umkhiqizo we-botulinum toxin noma izinkinga zokopha.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-rimabotulinumtoxinB, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-rimabotulinumtoxinB.
• kufanele wazi ukuthi umjovo we-rimabotulinumtoxinB ungadala ukulahleka kwamandla noma ubuthakathaka bemisipha emzimbeni wonke noma ukungaboni kahle. Uma unezinye zalezi zimpawu, ungashayeli imoto, sebenzisa imishini, noma wenze ezinye izinto eziyingozi.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Umjovo we-RimabotulinumtoxinB ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubuhlungu noma isisa endaweni lapho umjovo wafakwa khona
• iqolo, intamo, noma ubuhlungu bamalunga
• ikhanda
• isicanucanu
• isilungulela
• umlomo owomile
• ukukhwehlela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukulunywa
• ukuqubuka
• isifuba
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
• ukuphelelwa umoya
• isifuba
• isiyezi
• ukuquleka

Umjovo we-RimabotulinumtoxinB ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile ngokuvamile aziveli ngemuva kokuthola umjovo. Uma uthola i-rimabotulinumtoxinB eningi kakhulu noma uma ugwinye umuthi, tshela udokotela wakho ngaso leso sikhathi futhi utshele nodokotela wakho uma uhlangabezana nalezi zimpawu ezilandelayo emasontweni ambalwa alandelayo:

• ubuthakathaka
• ubunzima bokuhambisa noma iyiphi ingxenye yomzimba wakho
• ukuphefumula kanzima

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nomjovo we-rimabotulinumtoxinB.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Myobloc^®

• I-BoNT-B
• I-BTB
• Uhlobo lwe-Botulinum Toxin Uhlobo B