I-Abobotulinumtoxin Injection

-Delile

• Ngaphambi kokuthola umjovo we-abobotulinumtoxinA,
• Umjovo we-AbobotulinumtoxinUmjovo ungadala imiphumela emibi. Buza udokotela wakho ukuthi imiphi imiphumela emibi ongase uyithole ngoba eminye imiphumela emibi ingahle ihlobane (noma yenzeke kaningi) engxenyeni yomzimba lapho uthole khona umjovo. 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-abobotulinumtoxinA eningi kakhulu noma uma ugwinya umuthi, tshela udokotela wakho khona manjalo futhi utshele udokotela wakho uma uhlangabezana nalezi zimpawu ezilandelayo emasontweni ambalwa alandelayo:

Umjovo we-AbobotulinumtoxinUmjovo 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 amasonto ambalwa, bangadinga ukondliwa ngepayipi lokudla, futhi bangaphefumula ukudla noma isiphuzo emaphashini abo. Izimpawu zingenzeka kungakapheli amahora omjovo nge-abobotulinumtoxinA 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-abobotulinumtoxinA futhi isikhathi ngasinye 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-AbobotulinumtoxinUmjovo usetshenziselwa ukuqeda izimpawu ze-dystonia yomlomo wesibeletho (i-spasmodic torticollis; ukuqina okungalawuleki kwemisipha yentamo engadala ubuhlungu bentamo nezikhundla zekhanda ezingajwayelekile). Ibuye isetshenziselwe ukuxegisa okwesikhashana imigqa yokuswaca (imibimbi phakathi kwamashiya). Umjovo we-AbobotulinumtoxinUmjovo usetshenziselwa ukwelapha ukuqina (ukuqina kwemisipha nokuqina) kwezicubu ezingalweni nasemilenzeni kubantu abadala nasezinyangeni ezineminyaka emibili nangaphezulu. I-Abobotulinumtoxin Umjovo usesigabeni semithi ebizwa ngama-neurotoxin. Isebenza ngokuvimba amasiginali wezinzwa abangela ukuqina okungalawuleki nokunyakaza kwemisipha.

Umjovo we-Abobotulinumtoxin Umjovo uza njengempuphu ezohlanganiswa noketshezi bese ujovwa ngemisipha ethintekile ngudokotela. Udokotela wakho uzokhetha indawo engcono yokujova umuthi ukuze welaphe isimo sakho. Ungathola imijovo eyengeziwe ye-abobotulinumtoxinA njalo ezinyangeni ezi-3 kuya kwezi-4, kuya ngesimo sakho nokuthi imiphumela yokwelashwa ihlala isikhathi esingakanani.

Uma uthola umjovo we-abobotulinumtoxinA we-dystonia yomlomo wesibeletho, udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi futhi kancane kancane ashintshe umthamo wakho ngokusho kwempendulo yakho emithini.

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

Umjovo we-AbobotulinumtoxinUmjovo ungasiza ukulawula isimo sakho kepha ngeke uselaphe. Uma usebenzisa i-abobotulinumtoxinA ukwelapha i-dystonia yomlomo wesibeletho, kungathatha amasonto ama-2 noma ngaphezulu ngaphambi kokuthi uzwe inzuzo ephelele yomjovo we-abobotulinumtoxinA.

I-Abobotulinumtoxin Umjovo kwesinye isikhathi usetshenziselwa ukwelapha i-blepharospasm (ukuqina okungalawuleki kwemisipha yejwabu leso okungadala ukucwayiza, ukuqumba, nokunyakaza okungavamile kwejwabu leso) kubantu abadala. 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-abobotulinumtoxinA,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-abobotulinumtoxinA, incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), rimabotulinumtoxinB (Myobloc), noma imiphi eminye imithi, iprotheni yobisi lwenkomo, iprotheni yobisi lwenkomo, iprotheni yobisi lwenkomo ezinye izithako kumjovo we-abobotulinumtoxinA. 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 nokulala; kanye nezithambisi zokuphumula. Phinda utshele udokotela wakho uma uthole imijovo yanoma yimuphi umkhiqizo we-botulinum toxin ezinyangeni ezine ezedlule. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-abobotulinumtoxinA, 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-abobotulinumtoxinA izofakwa khona. Udokotela wakho ngeke awufake umuthi endaweni enegciwane.
• tshela udokotela wakho uma wake wahlinzwa iso noma ubuso; noma yimuphi umphumela ohlangothini ovela kunoma yimuphi umkhiqizo we-botulinum toxin futhi uma ngabe uke waba nezinguquko endleleni ubuso bakho obubukeka ngayo; izinkinga zokopha; isifo sikashukela; noma ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile.
• uma uzobe uthola i-abotulinumtoxinA yokwelapha imibimbi, udokotela wakho uzokuhlola ukuze abone ukuthi kungenzeka yini ukuthi lo muthi ungakusebenzela. I-AbotulinumtoxinA ingahle ingabhebhezeli imibimbi yakho noma ingadala ezinye izinkinga uma unamajwabu amehlo alengayo; unenkinga yokuphakamisa amashiya akho; isikhumba esiningi ngokweqile kumajwabu amehlo akho; isikhumba esijule kakhulu, esikhulu, noma esinamafutha; noma uma imibimbi yakho ingeke isuswe ngokusabalalisa ngaphandle kweminwe yakho.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-abobotulinumtoxinA, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-abobotulinumtoxinA.
• kufanele wazi ukuthi umjovo we-abobotulinumtoxinA ungadala ukulahleka kwamandla noma ubuthakathaka bemisipha emzimbeni wonke; ukungaboni kahle; noma amajwabu amehlo alengayo. 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-AbobotulinumtoxinUmjovo ungadala imiphumela emibi. Buza udokotela wakho ukuthi imiphi imiphumela emibi ongase uyithole ngoba eminye imiphumela emibi ingahle ihlobane (noma yenzeke kaningi) engxenyeni yomzimba lapho uthole khona umjovo. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubuhlungu, ukulinyazwa, ubomvu, noma isisa endaweni lapho uthole khona umjovo
• ikhanda
• umlomo owomile
• ubuhlungu bamathambo noma imisipha
• ubuhlungu ezingalweni noma emilenzeni
• ukukhathala
• isicanucanu
• ukudana
• ubunzima bokulala noma ukulala
• ukukhwehlela, ukuthimula, umkhuhlane, ukuminyana kwamakhala, noma umphimbo obuhlungu

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

• umbono uyashintsha
• ukuzwela ekukhanyeni
• ukuncipha kokucwayiza noma ukoma kwamehlo
• ukuvuvukala ijwabu leso, ukucasuka, noma ubuhlungu
• ukulunywa
• ukuqubuka
• isifuba
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukuphelelwa umoya
• isiyezi
• ukuquleka
• ukuwa noma izinkinga ngokusebenzisana
• igazi emchameni
• isithuthwane

Umjovo we-AbobotulinumtoxinUmjovo 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-abobotulinumtoxinA eningi kakhulu noma uma ugwinya umuthi, tshela udokotela wakho khona manjalo futhi utshele udokotela 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-abobotulinumtoxinA.

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.

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