ICorticotropin, Injection Yokugcina

-Delile

• Ngaphambi kokusebenzisa umjovo wokugcina we-corticotropin,
• Umjovo wokugcina weCorticotropin ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngesikhathi noma ngemuva kokwelashwa kwakho, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

Umjovo wokugcina weCorticotropin usetshenziselwa ukwelapha lezi zimo ezilandelayo:

• ukuphazamiseka kwezinsana (ukuquleka okuvame ukuqala ngonyaka wokuqala wokuphila futhi kungalandelwa ukubambezeleka kokukhula) ezinganeni nasezinganeni ezingaphansi kweminyaka engu-2 ubudala;
• iziqephu zezimpawu kubantu abane-multiple sclerosis (MS; isifo lapho izinzwa zingasebenzi kahle futhi abantu bangathola ubuthakathaka, ukuba ndikindiki, ukulahlekelwa ukuhlangana kwemisipha, nezinkinga ngombono, ukukhuluma, nokulawula isinye);
• iziqephu zezimpawu kubantu abane-arthritis ye-rheumatoid (isimo lapho umzimba uhlasela khona amalunga awo, ubangele ubuhlungu, ukuvuvukala, nokulahlekelwa ngumsebenzi);
• iziqephu zezimpawu kubantu abane-psoriatic arthritis (isimo esidala ubuhlungu bamalunga nokuvuvukala nezikali esikhunjeni);
• iziqephu zezimpawu kubantu abane-ankylosing spondylitis (isimo lapho umzimba uhlasela khona amalunga omgogodla nezinye izindawo, okudala ubuhlungu nokulimala ngokuhlanganyela);
• i-lupus (isimo lapho umzimba uhlasela izitho zawo eziningi);
• i-systemic dermatomyositis (isimo esidala ubuthakathaka bemisipha nokuqubuka kwesikhumba) noma i-polymyositis (isimo esidala ubuthakathaka bemisipha kepha hhayi ukuqubuka kwesikhumba);
• ukusabela okweqile komzimba okuthinta isikhumba kufaka phakathi i-Stevens-Johnson syndrome (ukusabela okweqile okwedlulele okungadala ukuthi ungqimba oluphezulu lwesikhumba luqhume futhi luchitheke);
• ukugula kwe-serum (ukusabela okweqile okwenzeka emzimbeni okwenzeka ezinsukwini ezimbalwa ngemuva kokuthatha imithi ethile futhi kubangele ukuqubuka kwesikhumba, umkhuhlane, ubuhlungu bamalunga, nezinye izimpawu);
• ukusabela okweqile noma ezinye izimo ezibangela ukuvuvukala kwamehlo nendawo ezungezile;
• i-sarcoidosis (isimo lapho ama-clump amancane amangqamuzana omzimba akha izitho ezahlukahlukene njengamaphaphu, amehlo, isikhumba, nenhliziyo futhi kuphazamise ukusebenza kwalezi zitho);
• i-nephrotic syndrome (iqembu lezimpawu ezibandakanya amaprotheni emchameni; amazinga aphansi wamaprotheni egazini; amazinga aphezulu amafutha athile egazini; nokuvuvukala kwezingalo, izandla, izinyawo nemilenze).

Umjovo wokugcina weCorticotropin usesigabeni semithi ebizwa ngamahomoni. Yelapha izimo eziningi ngokunciphisa ukusebenza kwamasosha omzimba ukuze kungalimazi izitho. Akunalwazi olwanele lokutshela ukuthi umjovo wokugcina we-corticotropin usebenza kanjani ukwelapha ama-spasms wezinsana.

Umjovo wokugcina weCorticotropin uza njengejeli elisebenza isikhathi eside ukujova ngaphansi kwesikhumba noma emsipheni. Lapho umjovo we-corticotropin repository usetshenziselwa ukwelapha imiphefumulo yezinsana, imvamisa ifakwa emsipheni kabili ngosuku amasonto amabili bese ijojazwa ohlelweni olwehla kancane kancane kwamanye amasonto amabili. Lapho umjovo we-corticotropin repository usetshenziselwa ukwelapha i-multiple sclerosis, uvamise ukujova kanye ngosuku amasonto ama-2 kuye kwangama-3, bese kuthi umthamo wehle kancane kancane. Lapho umjovo wokugcina we-corticotropin usetshenziselwa ukwelapha ezinye izimo, ujovwa kanye njalo emahoreni angama-24 kuye kwangama-72, kuya ngesimo esiphethwe nokuthi umuthi usebenza kahle kanjani ukwelapha lesi simo. Jova umjovo wokugcina we-corticotropin cishe ngesikhathi esifanayo (s) sosuku nsuku zonke otshelwa ukuthi ujova ngaso. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo wokugcina we-corticotropin njengoba uqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Qhubeka nokusebenzisa umjovo wokugcina we-corticotropin inqobo nje uma kunqunywe udokotela wakho. Ungayeki ukusebenzisa umjovo wokugcina we-corticotropin ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukusebenzisa umjovo wokugcina we-corticotropin, ungahlangabezana nezimpawu ezinjengobuthakathaka, ukukhathala, isikhumba esiphaphathekile, izinguquko kumbala wesikhumba, ukwehla kwesisindo, ubuhlungu besisu, nokungabi nesifiso sokudla. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Ungafaka umjovo we-corticotropin repository ngokwakho noma ube nesihlobo noma umngane ojova umuthi. Wena noma umuntu ozokwenza imijovo kufanele ufunde izinkomba zomkhiqizi zokujova umuthi ngaphambi kokuwufaka okokuqala ekhaya. Udokotela wakho uzokukhombisa noma umuntu ozojova umuthi ukuthi angawenza kanjani umjovo, noma udokotela wakho angahlela ukuthi umhlengikazi eze ekhaya lakho azokubonisa ukuthi ungawujova kanjani umuthi.

Uzodinga inaliti nomjovo ukuze ujove i-corticotropin. Buza udokotela wakho ukuthi yiluphi uhlobo lwenaliti nomjovo okufanele ulusebenzise. Ungabelani ngezinaliti noma amasirinji noma uwasebenzise kaningi. Lahla izinaliti nemijovo esetshenzisiwe esitsheni esiqinisekisa ukubhoboza. Buza udokotela wakho noma usokhemisi ukuthi ungasilahla kanjani isiqukathi esingavimba ukubhoboza.

Uma ujova umjovo wokugcina we-corticotropin ngaphansi kwesikhumba sakho, ungawujova noma kuphi ethangeni lakho eliphezulu, engalweni engenhla, noma endaweni yesisu ngaphandle kwenkaba yakho (inkinobho yesisu) nendawo eyi-intshi eyi-1 ezungezile. Uma ujova umjovo wokugcina we-corticotropin emisipheni, ungawujova noma kuphi engalweni yakho ephezulu noma ethangeni elingaphandle elingaphezulu. Uma unika ingane umjovo kufanele uyijoje ethangeni elingaphezulu elingaphezulu. Khetha indawo entsha okungenani u-1 intshi kude nendawo lapho usujove khona umuthi njalo lapho uwajova. Ungafaki umuthi kunoma iyiphi indawo ebomvu, evuvukile, ebuhlungu, eqinile, noma ebucayi, noma enamathambo, izinsumpa, izibazi, noma izimpawu zokuzalwa. Ungafaki umuthi endaweni yakho yamadolo noma yezimbila.

Bheka isitsha somjovo wokugcina we-corticotropin ngaphambi kokulungiselela umthamo wakho. Qiniseka ukuthi i-vial ibhalwe igama elifanele lomuthi kanye nosuku lokuphelelwa yisikhathi olungadlulanga.Imithi esesitsheni kufanele icace futhi ingenambala futhi akufanele ibe namafu noma iqukathe ama-flecks noma izinhlayiya. Uma ungenayo imithi efanele, uma imithi yakho iphelelwe yisikhathi noma uma ingabonakali ngendlela efanele, shayela usokhemisi wakho futhi ungayisebenzisi leyo vial.

Vumela imithi yakho ukuthi ifudumale ekamelweni lokushisa ngaphambi kokuyijova. Ungayifudumeza le mithi ngokugoqa isitsha phakathi kwezandla zakho noma ukusibamba ngaphansi kwengalo imizuzu embalwa.

Uma unika umjovo wokugcina we-corticotropin enganeni yakho, ungabamba ingane yakho ethangeni lakho noma wenze ingane yakho ilale phansi ngenkathi unika umjovo. Ungakuthola kuwusizo ukuthi omunye umuntu abeke ingane esikhundleni noma aphazamise ingane ngethoyizi elinomsindo ngenkathi ufaka umuthi. Ungasiza ekunciphiseni ubuhlungu bengane yakho ngokubeka i-ice cube lapho uzofaka khona umuthi ngaphambi noma ngemuva komjovo.

Uma unika umjovo wokugcina we-corticotropin enganeni yakho ukwelapha imishanguzo yezinsana, udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho ingane yakho iqala ukwelashwa ngomjovo wokugcina we-corticotropin futhi isikhathi ngasinye lapho ugcwalisa khona incwadi kadokotela. 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.

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

Ngaphambi kokusebenzisa umjovo wokugcina we-corticotropin,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji kumjovo we-corticotropin repository, noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-corticotropin repository, noma amaprotheni e-porcine (pig). Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhalisiwe, amavithamini, izithako zokudla okunempilo, noma imikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyakhuluma ngama-diuretics (’amaphilisi amanzi’). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma une-scleroderma (ukukhula okungajwayelekile kwezicubu ezixhumanayo ezingadala ukuqina nokuqina kwesikhumba kanye nokulimala emithanjeni yegazi nezitho zangaphakathi), i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphuke kalula), ukutheleleka kwefungal okusabalale emzimbeni wakho, ukutheleleka kwe-herpes esweni lakho, ukwehluleka kwenhliziyo, umfutho wegazi ophakeme, noma yisiphi isimo esithinta indlela izindlala zakho ze-adrenal (izindlala ezincane eziseduze nezinso) ezisebenza ngayo. Phinda utshele udokotela wakho uma usanda kuhlinzwa futhi uma uke waba nesilonda esiswini. Uma uzonika ingane yakho umjovo wokugcina i-corticotropin, tshela udokotela wakho uma ingane yakho ithelelekile ngaphambi noma ngesikhathi izalwa. Udokotela wakho angakutshela ukuthi ungasebenzisi umjovo we-corticotropin repository noma uwunikeze ingane yakho uma wena noma ingane yakho ninazo lezi zimo.
• Tshela udokotela wakho uma wazi ukuthi unanoma yiluphi uhlobo lokutheleleka, uma unomkhuhlane, ukukhwehlela, ukuhlanza, isifo sohudo, izimpawu zomkhuhlane, noma ezinye izimpawu zokutheleleka, noma uma unelungu lomndeni elinesifo noma izimpawu yokutheleleka. Phinda utshele udokotela wakho uma unesifo sofuba (i-TB; ukutheleleka okunzima kwamaphaphu), uma wazi ukuthi uke wachayeka ku-TB, noma uma wake wahlolelwa i-TB kahle esikhunjeni. Phinda utshele udokotela wakho uma uke waba nesifo sikashukela noma esingakaze sisebenze, indlala yegilo engasebenzi, izimo ezithinta izinzwa noma imisipha yakho efana ne-myasthenia gravis (MG; isimo esidala ubuthakathaka bemisipha ethile), izinkinga ngesisu sakho noma amathumbu, imizwa izinkinga, i-psychosis (ubunzima bokuqaphela iqiniso), noma isifo sesibindi noma sezinso.

• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa umjovo wokugcina we-corticotropin, shayela udokotela wakho.

• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma udinga ukwelashwa okuphuthumayo, tshela udokotela, udokotela wamazinyo, noma abasebenzi bezokwelapha ukuthi usebenzisa umjovo wokugcina we-corticotropin. Kufanele uphathe ikhadi noma ufake isongo elinalo lwazi uma kwenzeka ungakwazi ukukhuluma esimweni esiphuthumayo sezokwelapha.
• ungenayo imigomo ngaphandle kokukhuluma nodokotela wakho. Phinda utshele udokotela wakho uma kukhona amalungu omndeni wakho ahlelelwe ukuthola imigomo ngesikhathi sokwelashwa kwakho.
• kufanele wazi ukuthi umfutho wegazi wakho ungakhuphuka ngenkathi welashwa ngomjovo wokugcina we-corticotropin. Udokotela wakho uzohlola umfutho wegazi lakho njalo ngesikhathi sokwelashwa kwakho.
• kufanele wazi ukuthi ukusebenzisa umjovo wokugcina we-corticotropin kungakhuphula ubungozi bokuthola ukutheleleka. Qiniseka ukuthi ugeza izandla njalo futhi uhlala kude nabantu abagulayo ngesikhathi sokwelashwa kwakho.

Udokotela wakho angakutshela ukuthi ulandele ukudla okuphansi kwe-sodium noma okuphezulu kwe-potassium. Udokotela wakho futhi angakutshela ukuthi uthathe isengezo se-potassium ngesikhathi sokwelashwa kwakho. Buza udokotela wakho ukuthola eminye imininingwane.

Jova umthamo ophuthelwe ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Musa ukujova umthamo ophindwe kabili ukwenzela okulahlekile.

Umjovo wokugcina weCorticotropin ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukwanda noma ukuncipha kwesifiso sokudla
• ukuzuza kwesisindo
• ukucasuka
• izinguquko kumzwelo noma ubuntu
• imizwa ejabule ngokungavamile noma ejabule
• ubunzima bokulala noma ukulala

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngesikhathi noma ngemuva kokwelashwa kwakho, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• umphimbo obuhlungu, umkhuhlane, ukukhwehlela, ukuhlanza, isifo sohudo, noma ezinye izimpawu zokutheleleka
• ukusikeka noma izilonda
• ukukhukhumeza noma ukugcwala ebusweni
• ukwanda kwamafutha entanyeni, kepha hhayi izingalo noma imilenze
• isikhumba esincane
• izimpawu zokwelula esikhunjeni sesisu, emathangeni, nasemabeleni
• ukulinyazwa okulula
• ubuthakathaka bemisipha
• ubuhlungu besisu
• uhlanza olunegazi noma olubukeka njengezizathu zekhofi
• igazi elibomvu elikhanyayo ezitulweni
• indle emnyama noma yokulibala
• ukudana
• ubunzima bokubona iqiniso
• izinkinga zokubona
• ukukhathala ngokweqile
• ukoma okwandisiwe
• ukushaya kwenhliziyo okusheshayo
• ukuqubuka
• ukuvuvukala kobuso, ulimi, izindebe, noma umphimbo
• ukuphefumula kanzima
• ukuqubuka okusha noma okuhlukile

Umjovo wokugcina weCorticotropin unganciphisa ukukhula nentuthuko ezinganeni. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wakho ngezingozi zokunikeza ingane yakho lo muthi.

Sebenzisa umjovo wokugcina we-corticotropin kungandisa ubungozi bokuthi uzoba ne-osteoporosis. Udokotela wakho angalawula ukuhlolwa ukuze ahlole ukuminyana kwethambo lakho ngesikhathi sokwelashwa kwakho. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi nangezinto ongazenza ukunciphisa amathuba okuthi uzoba nesifo samathambo.

Umjovo wokugcina weCorticotropin ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa 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.

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.

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

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.

Gcina wonke ama-aphoyintimenti nodokotela wakho. Udokotela wakho uzoqapha impilo yakho kahle ngesikhathi nangemva kokwelashwa kwakho.

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.

• U-H.P. I-Acthar Gel^®