Umlobi: Janice Evans
Usuku Lokudalwa: 3 Ujulayi 2021
Ukuvuselela Usuku: 1 Ujulayi 2024
Anonim
Ukujova kwe-Golimumab - Umuthi
Ukujova kwe-Golimumab - Umuthi

-Delile

Ukusebenzisa umjovo we-golimumab kunganciphisa ikhono lakho lokulwa nokutheleleka futhi kwandise ingozi yokuthi uzothola ukutheleleka okungathi sína, kufaka phakathi ukutheleleka okunzima kwe-fungal, bacterial, noma virus okusakazeka emzimbeni. Lezi zifo zingadinga ukwelashwa esibhedlela futhi zingadala nokufa. Tshela udokotela wakho uma uvame ukuthola noma yiluphi uhlobo lokutheleleka noma uma ucabanga ukuthi ungaba nanoma yiluphi uhlobo lokutheleleka manje. Lokhu kufaka ukutheleleka okuncane (njengokusikeka okuvulekile noma izilonda), izifo ezifika zidlule (njengezilonda ezibandayo) kanye nezifo ezingamahlalakhona ezingapheli. Phinda utshele udokotela wakho uma ngabe uke waba nesifo sikashukela noma unesifo sikashukela, i-human immunodeficiency virus (HIV), uthola i-immunodeficiency syndrome (i-AIDS), noma esinye isimo esithinta amasosha akho omzimba. Kufanele futhi utshele udokotela wakho uma uhlala noma owake wahlala ezindaweni ezinjengezigodi zemifula i-Ohio noma iMississippi lapho ukutheleleka okunzima kwefungal kuvame kakhulu. Buza udokotela wakho uma ungaqiniseki ukuthi lezi zifo zivamile yini endaweni yangakini. Tshela udokotela wakho uma uphuza imishanguzo eyehlisa ukusebenza kohlelo lokuzivikela komzimba njengokulandelayo: i-abatacept (i-Orencia); anakinra (Kineret); i-methotrexate (i-Rheumatrex); i-rituximab (i-Rituxan); ama-steroids afaka i-dexamethasone, i-methylprednisolone (Medrol), i-prednisolone (i-Prelone) ne-prednisone; i-tocilizumab (Actemra); namanye ama-TNF-blocker anjenge-adalimumab (Humira), i-certolizumab (i-Cimzia), i-etanercept (i-Enbrel), ne-infliximab (i-Remicade).


Udokotela wakho uzokuqapha ngezibonakaliso zokutheleleka ngesikhathi nangemva kokwelashwa kwakho. Uma unezinye zalezi zimpawu ezilandelayo ngaphambi kokuba uqale ukwelashwa kwakho noma uma uhlangabezana nalezi zimpawu ezilandelayo ngesikhathi noma ngemuva nje kokwelapha kwakho, shayela udokotela wakho ngokushesha: ubuthakathaka; ukujuluka; Umphimbo obuhlungu; ukukhwehlela; ukukhwehlela amafinyila anegazi; imfiva; ukuncipha komzimba; ukukhathala ngokweqile; isifo sohudo; ubuhlungu besisu; isikhumba esifudumele, esibomvu, noma esibuhlungu; izilonda esikhumbeni; ukuchama okubuhlungu, okunzima, noma okuvamile; noma ezinye izimpawu zokutheleleka.

Ungahle utheleleke ngesifo sofuba (i-TB, uhlobo lokutheleleka kwamaphaphu) noma i-hepatitis B (uhlobo lwesifo sesibindi) kodwa ungabi nazimpawu zesifo. Kulokhu, umjovo we-golimumab ungakhuphula ubungozi bokuthi ukutheleleka kwakho kuzoba kubi kakhulu futhi uzoba nezimpawu. Udokotela wakho uzohlola isikhumba ukuze abone ukuthi unesifo se-TB esingasebenzi yini futhi angahle ahlele ukuhlolwa kwegazi ukubona ukuthi unesifo se-hepatitis B esingasebenzi yini. Uma kunesidingo, udokotela wakho uzokunika imithi yokwelapha lesi sifo ngaphambi kokuqala ukusebenzisa umjovo we-golimumab. Tshela udokotela wakho uma ngabe uke waba ne-TB noma isifo sokusha kwesibindi kohlobo B, uma uvakashele noma yiliphi izwe lapho i-TB ijwayelekile, noma uma uke waba seduze komuntu one-TB. Uma unezinye zalezi zimpawu ze-TB ezilandelayo, noma uma uba nalezi zimpawu ngesikhathi sokwelashwa kwakho, shayela udokotela wakho ngokushesha: ukukhwehlela, ukwehla kwesisindo, ukulahleka kwethoni lezicubu, noma umkhuhlane. Phinda ushayele udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu zesifo sokusha kwesibindi kohlobo B noma uma uba nanoma yiziphi zalezi zimpawu ngesikhathi noma ngemuva kokwelashwa kwakho: ukukhathala ngokweqile, ukuphuzi kwesikhumba noma kwamehlo, ukulahlekelwa isifiso sokudla, isicanucanu noma ukuhlanza, izinhlungu zemisipha, umchamo omnyama, ukuhamba kwamathumbu anombala wobumba, umkhuhlane, amakhaza, ubuhlungu besisu, noma ukuqubuka.


Ezinye izingane, intsha, nabantu abadala abasebancane abathole umjovo we-golimumab nemithi efanayo baye baba nomdlavuza onzima noma osongela ukuphila kubandakanya i-lymphoma (umdlavuza oqala kumaseli alwa nokutheleleka). Abanye besilisa abadala nentsha asebekhulile abathathe i-golimumab noma imishanguzo efanayo baba ne-hepatosplenic T-cell lymphoma (HSTCL), uhlobo lomdlavuza olubi kakhulu oluvame ukubulala esikhathini esifushane. Iningi labantu abathuthukise i-HSTCL babelashelwa isifo sikaCrohn (isimo lapho umzimba uhlasela ulwelwesi lwendlela yokugaya, kubangela ubuhlungu, isifo sohudo, ukuncipha komzimba nomkhuhlane) noma i-ulcerative colitis (isimo esidala ukuvuvukala nezilonda. ulwelwesi lwekholoni [amathumbu amakhulu] ne-rectum) ne-golimumab noma umuthi ofanayo kanye nomunye umuthi obizwa nge-azathioprine (Imuran) noma u-6-mercaptopurine (Purinethol). Izingane nentsha akufanele zivame ukuthola umjovo we-golimumab, kodwa kwezinye izimo, udokotela anganquma ukuthi umjovo we-golimumab umuthi ongcono kakhulu wokwelapha isimo sengane. Uma umjovo we-golimumab unikezwe ingane yakho, kufanele ukhulume nodokotela wengane yakho ngezingozi nezinzuzo zokusebenzisa lo muthi. Uma ingane yakho iba nalezi zimpawu phakathi nokwelashwa kwayo, shayela udokotela wayo ngokushesha: ukuncipha kwesisindo okungachazeki; izindlala ezivuvukile entanyeni, ngaphansi kwekhwapha, noma emgodini; noma ukulimaza okulula noma ukopha.


Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa ngomjovo we-golimumab futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. 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.

Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-golimumab.

Umjovo we-Golimumab (Simponi) usetshenziselwa ukuqeda izimpawu zokuphazamiseka komzimba (izimo lapho amasosha omzimba ahlasela khona izingxenye ezinempilo zomzimba futhi abangele ubuhlungu, ukuvuvukala, nokulimala) kufaka phakathi:

  • i-rheumatoid arthritis (isimo lapho umzimba uhlasela khona amalunga ayo okubangela ubuhlungu, ukuvuvukala, nokulahleka kokusebenza) kanye ne-methotrexate (Otrexup, Rasuvo, Trexall) kubantu abadala,
  • i-ankylosing spondylitis (isimo lapho umzimba uhlasela khona amalunga omgogodla nezinye izindawo okubangela ubuhlungu nokulimala ngokuhlanganyela) kubantu abadala,
  • i-psoriatic arthritis (isimo esidala ubuhlungu obuhlangene nokuvuvukala nezikali esikhumbeni) sisodwa noma sihlanganiswe ne-methotrexate kubantu abadala, futhi
  • i-ulcerative colitis (isimo esidala ukuvuvukala nezilonda emgqeni wekholoni [amathumbu amakhulu] kanye ne-rectum) lapho eminye imithi nokwelashwa kungasizanga noma kungabekezeleleki.

Umjovo we-Golimumab (i-Simponi Aria) uyasetshenziswa ukukhulula izimpawu zezinkinga ezithile ze-autoimmune ezibandakanya:

  • i-rheumatoid arthritis (isimo lapho umzimba uhlasela khona amalunga ayo okubangela ubuhlungu, ukuvuvukala, nokulahleka kokusebenza) kanye ne-methotrexate (Otrexup, Rasuvo, Trexall) kubantu abadala,
  • i-ankylosing spondylitis (isimo lapho umzimba uhlasela khona amalunga omgogodla nezinye izindawo okubangela ubuhlungu nokulimala ngokuhlanganyela) kubantu abadala,
  • i-psoriatic arthritis (isimo esidala ubuhlungu bamalunga nokuvuvukala kanye nezikali esikhumbeni) kubantu abadala nasezinyangeni ezineminyaka emibili nangaphezulu,
  • i-polyarticular juvenile idiopathic arthritis (i-PJIA; uhlobo lwesifo samathambo ebuntwaneni oluthinta amalunga amahlanu noma ngaphezulu phakathi nezinyanga eziyisithupha zokuqala zesimo, kubangele ubuhlungu, ukuvuvukala, kanye nokulahleka kokusebenza) ezinganeni ezineminyaka engu-2 nangaphezulu.

UGolimumab usesigabeni semithi ebizwa nge-tumor necrosis factor (TNF) inhibitors. Isebenza ngokuvimba isenzo se-TNF, into esemzimbeni ebangela ukuvuvukala.

Umjovo we-Golimumab uza njengesisombululo (uketshezi) ukujova ngomgogodla (ngaphansi kwesikhumba) noma ngemithambo (emthanjeni). Lapho i-golimumab inikezwa ngaphansi kwesikhashana ukwelapha i-rheumatoid arthritis, i-psoriatic arthritis, noma i-ankylosing spondylitis, ivame ukunikezwa kanye ngenyanga. Lapho i-golimumab inikezwa ngaphansi kwesikhashana ukwelapha i-ulcerative colitis, imvamisa inikezwa kanye njalo ngesonto emithamo emibili yokuqala (ngeviki 0 nangesonto 2) bese kanye kanye njalo emavikini amane ngemuva kwalokho. Lapho i-golimumab inikezwa ngemithambo yegazi ngudokotela noma umhlengikazi endaweni yokunakekelwa kwezempilo ukwelapha isifo samathambo, i-ankylosing spondylitis. i-psoriatic arthritis, noma i-polyarticular juvenile idiopathic arthritis, imvamisa inikezwa ngaphezu kwemizuzu engama-30 kanye njalo ngesonto ngamanani amabili okuqala (ngesonto 0 nangesonto 2) bese kuthi kanye njalo emavikini amane ngemuva kwalokho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo we-golimumab njengoba uqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyijoje kaningi kunokuyalelwa ngudokotela wakho.

Uzothola umthamo wakho wokuqala ongaphansi komjovo we-golimumab ehhovisi likadokotela wakho. Ngemuva kwalokho, udokotela wakho angakuvumela ukuthi ujove i-golimumab ngokwakho noma ube nomngane noma isihlobo esenza imijovo. Ngaphambi kokusebenzisa umjovo we-golimumab ngokwakho okokuqala, funda imiyalo ebhaliwe eza nayo. Buza udokotela wakho noma usokhemisi ukuthi akubonise noma umuntu ozobe ejova umuthi ukuthi ungawujova kanjani.

Umjovo we-Golimumab (Simponi) uza ngamasirinji akhethiwe nakumadivayisi we-auto-injection ngomjovo ongaphansi. Sebenzisa isirinji ngayinye noma idivaysi kanye kuphela bese ujova sonke isixazululo esirinji noma edivayisini. Noma ngabe kusekhona isixazululo esisele esirinji noma ipeni ngemuva kokujova, musa ukujova futhi. Lahla imijovo namadivayisi asetshenzisiwe esitsheni esingamelana nokubhoboza. Khuluma nodokotela wakho noma usokhemisi mayelana nokuthi ungasilahla kanjani isitsha esingamelana nokubhoboza.

Susa isirinji efakiwe noma i-autoinjector efakwe efrijini bese uyivumela ukuba ifudumale ekamelweni lokushisa imizuzu engama-30 ngaphambi kokuyisebenzisa. Yikhiphe ebhokisini layo, bese uyivumela ukuthi ihlale endaweni eyisicaba ukuze ikwazi ukufudumala ekamelweni lokushisa. Ungazami ukufudumeza umuthi ngokuwufudumeza ngemicrowave, uwubeke emanzini ashisayo, noma ngenye indlela.

Ungasusi ikepisi kudivayisi yokujova okuzenzakalelayo noma ikhava kusuka kusirinji ekhethiwe ngenkathi umuthi ufudumala. Kufanele ususe ikepisi noma umboze kungadluli imizuzu emihlanu ngaphambi kokujova umuthi. Musa ukufaka ikepisi noma ikhava ngemuva kokuyisusa. Ungasebenzisi isirinji noma idivaysi uma uyilahla phansi ngenkathi ingavuliwe noma ingamboziwe.

Ungalokothi unyakazise idivayisi yomjovo wokuzenzakalela noma isirinji ekhethiwe. Lokhu kungalimaza umuthi.

Njalo bheka umjovo we-golimumab ngaphambi kokuwujova. Bheka usuku lokuphelelwa yisikhathi oluprintwe kudivayisi ye-auto-injection noma ibhokisi, futhi ungasebenzisi umuthi uma usuku lokuphelelwa yisikhathi seludlulile. Ungasebenzisi isirinji oyifakile noma umjovo wokuzenzakalela obonakala ulimele, futhi ungasebenzisi idivaysi yokujova ngokuzenzakalela uma uphawu lokuphepha luphukile. Bheka ngefasitela lokubuka kusirinji oyifakile noma nge-auto-injection device. Okuwuketshezi ngaphakathi kufanele kucace futhi kungabi nombala noma kuphuzi kancane, kepha kungaqukatha izinhlayiya ezincane ezimhlophe noma igwebu lomoya. Ungayisebenzisi isirinji noma idivaysi uma umuthi unamafu noma ubala umbala noma uqukethe izinhlayiya ezinkulu.

Indawo ekahle yokujova i-golimumab ingaphambili lamathanga aphakathi. Kodwa-ke, ungafaka futhi i-golimumab esiswini sakho esingezansi ngaphansi kwenkaba yakho, ngaphandle kwendawo engamasentimitha ama-5 ezungeze inkaba. Uma omunye umuntu ekujova, lowo muntu angajova umuthi ezingalweni zakho ezingaphezulu. Khetha indawo ehlukile yokujova umuthi nsuku zonke. Ungafaki endaweni lapho isikhumba sakho sibomvu, silimele, sithambile, siqinile noma sinesikhumba, noma lapho unezibazi noma izimpawu zokwelula.

Umjovo we-Golimumab ungasiza ukulawula isimo sakho kepha ngeke uselaphe. Qhubeka nokusebenzisa umjovo we-golimumab noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa umjovo we-golimumab ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokusebenzisa umjovo we-golimumab,

  • Tshela udokotela wakho kanye nosokhemisi uma une-aleji kumjovo we-golimumab, noma imiphi eminye imithi, noma iziphi izithako zomjovo we-golimumab. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako. Phinda utshele udokotela wakho uma wena noma umuntu ozokusiza ukujova umjovo we-golimumab uxabana ne-latex noma i-rubber.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SOKUXWAYISA kanye nanoma imiphi yale mithi elandelayo: ama-anticoagulants ('ama-blood thinner') afana ne-warfarin (i-Coumadin), i-cyclosporine (i-Gengraf, i-Neoral, i-Sandimmune), ne-theophylline (Theochron, Theolair, Uniphyl ). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • Tshela udokotela wakho uma uke waba nomdlavuza noma wake waba nawo, i-psoriasis (isifo sesikhumba lapho kumila khona amabala amnyama esikhunjeni esikhunjeni), noma isiphi isimo esithinta isistimu yakho yezinzwa njenge-multiple sclerosis (MS, isifo lapho izinzwa zingasebenzi khona ukusebenza kahle kubangele ubuthakathaka, ukuba ndikindiki, ukulahleka kokuhlangana kwemisipha nezinkinga ngombono, ukukhuluma, nokulawula isinye) noma i-Guillain Barre syndrome (ubuthakathaka, ukuncinza, nokukhubazeka okungenzeka ngenxa yokulimala okungazelelwe kwezinzwa), inombolo ephansi yanoma yiluphi uhlobo lweseli legazi , noma isifo senhliziyo.
  • tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa.Uma ukhulelwa ngenkathi usebenzisa umjovo we-golimumab, shayela udokotela wakho. Uma usebenzisa umjovo we-golimumab ngesikhathi sokukhulelwa kwakho, qiniseka ukuthi ukhuluma nodokotela wengane yakho ngalokhu ngemuva kokuzalwa kwengane yakho. Ingane yakho ingadinga ukuthola imigomo ethile sekwedlule isikhathi kunokujwayelekile.
  • ungenayo imigomo ngaphandle kokukhuluma nodokotela wakho.

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

Jova umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula, bese ujova umthamo wakho olandelayo ngesikhathi esihleliwe esijwayelekile. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Musa ukujova umthamo ophindwe kabili ukwenzela okulahlekile. Shayela udokotela wakho noma usokhemisi uma ungazi ukuthi uzojova nini umjovo we-golimumab.

Umjovo we-Golimumab ungadala imiphumela emibi. Tshela udokotela wakho uma enye yalezi zimpawu inzima noma ingapheli:

  • ububomvu, ukulunywa, ukulinyazwa, ubuhlungu, noma ukuvuvukala endaweni lapho kwafakwa khona i-golimumab
  • isiyezi

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

  • ubuhlungu besifuba
  • ukuphelelwa umoya
  • ukuvuvukala kwamaqakala noma imilenze engezansi
  • umbono uyashintsha
  • ubuthakathaka, ukuba ndikindiki, noma ukuncinza kwezingalo noma imilenze
  • amabala abomvu ama-scaly noma amaqhubu agcwele ubomvu esikhunjeni
  • amabhamuza
  • ubuhlungu engxenyeni engenhla kwesokudla yesisu
  • ukulinyazwa okulula noma ukopha
  • isikhumba esiphaphathekile
  • ukuqubuka ezihlathini noma enye ingxenye yomzimba
  • ukuzwela elangeni
  • ubuhlungu obuhlangene
  • isifuba
  • ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, noma umphimbo
  • ukuphefumula kanzima noma ukugwinya

Umjovo we-Golimumab ungakhuphula ingozi yokuthola i-melanoma (uhlobo lomdlavuza wesikhumba), i-lymphoma (umdlavuza oqala kumaseli alwa nokutheleleka), i-leukemia (umdlavuza oqala kumaseli amhlophe egazi), nezinye izinhlobo zomdlavuza kunabantu ungawutholi umuthi. Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-golimumab.

Umjovo we-Golimumab 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).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine esiqandisini kodwa ungayiqandi. Gcina umuthi kwikhathoni yoqobo ukuze uyivikele ekukhanyeni.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

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.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

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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Kugcine ukubuyekezwa - 12/15/2020

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