Umlobi: Robert Simon
Usuku Lokudalwa: 17 Ujuni 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
I-Azathioprine, Ithebhulethi Yomlomo - Impilo
I-Azathioprine, Ithebhulethi Yomlomo - Impilo

-Delile

Okuvelele kwe-azathioprine

  1. Ithebhulethi yomlomo i-Azathioprine iyatholakala njengezidakamizwa ezinamagama futhi njengomuthi ojwayelekile. Amagama omkhiqizo: Imuran, Azasan.
  2. I-Azathioprine iza ngezindlela ezimbili: ithebhulethi yomlomo nesisombululo somjovo.
  3. Ithebhulethi yomlomo i-Azathioprine isetshenziselwa ukwelapha isifo samathambo nokugcina amasosha akho omzimba ekuhlaseleni izinso ezintsha ngemuva kokufakelwa.

Izexwayiso ezibalulekile

Isexwayiso se-FDA: Ingozi yomdlavuza

  • Lesi sidakamizwa sinesixwayiso sebhokisi elimnyama. Lesi yisexwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
  • Ukusetshenziswa kwesikhathi eside kwe-azathioprine kungakhuphula ubungozi bokuthuthukisa izinhlobo ezithile zomdlavuza, njenge-lymphoma, i-leukemia, nomdlavuza wesikhumba.

Ezinye izexwayiso

  • Ukwandisa isexwayiso sengozi yokutheleleka: Lo muthi unciphisa ukusebenza kwamasosha akho omzimba. Lokhu kungandisa ingozi yokutheleleka.
  • Isexwayiso sokuqala semiphumela yokwelashwa: I-Azathioprine ingaholela ekuphenduleni okungathi sína okungadala isicanucanu nokuhlanza, kanye ne:
    • isifo sohudo
    • ukuqubuka
    • imfiva
    • ukukhathala
    • ubuhlungu bemisipha
    • ukulimala kwesibindi
    • isiyezi
    • umfutho wegazi ophansi

Le miphumela ivame ukwenzeka emasontweni ambalwa okuqala okuqala umuthi. Uma udokotela wakho eyeka ukwelashwa kwakho nomuthi, izimpawu zakho kufanele ziphele.


  • Iseli legazi eliphansi libala isexwayiso: I-Azathioprine yandisa ubungozi bokuthola ukubalwa kwamaseli egazi aphansi, njengokubala kwamaseli amhlophe aphansi. Ukuba nezinkinga ezithile zofuzo nakho kungandisa ubungozi bokuphazamiseka kwegazi. Udokotela wakho uzokunikeza ukuhlolwa kwegazi ukuze ubheke lezi zinkinga zegazi. Bangase banciphise isilinganiso sakho salesi sidakamizwa noma bayeke ukwelashwa kwakho ngemithi.

Yini i-azathioprine?

I-Azathioprine ngumuthi kadokotela. Iza ngezindlela ezimbili: ithebhulethi yomlomo nesisombululo somjovo.

Ithebhulethi yomlomo i-Azathioprine iyatholakala njengezidakamizwa ezinegama lomkhiqizo Imuran futhi Azasan. Futhi iyatholakala kunguqulo ejwayelekile. Imithi ejwayelekile ijwayele ukubiza ngaphansi kwezinguqulo zamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengezidakamizwa ezinegama lomkhiqizo.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokho kusho ukuthi ungadinga ukuyithatha nezinye izidakamizwa.

Kungani kusetshenziswa

I-Azathioprine isetshenziselwa ukwelapha isifo samathambo (RA). Iphinde isetshenziselwe ukugcina amasosha akho omzimba ekuhlaseleni izinso ezisanda kutshalwa.


Uma uthola ukufakelwa izinso, amasosha omzimba akho abheka izinso njengento engeyona eyomzimba wakho. Lokhu kungadala ukuthi umzimba wakho uhlasele izinso, okungaholela ezinkingeni ezinkulu zempilo noma ekufeni. I-Azathioprine isetshenziselwa ukumisa amasosha omzimba wakho ekuhlaseleni izinso zakho ezintsha.

Ku-RA, umzimba wakho uhlasela amalunga akho, okungadala ukuvuvukala, ubuhlungu, nokulahlekelwa ngumsebenzi. I-Azathioprine isetshenziselwa ukumisa amasosha omzimba wakho ekuhlaseleni amalunga akho.

Isebenza kanjani

I-Azathioprine ingeyesigaba semithi ebizwa ngama-immunosuppressants. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Azathioprine isebenza ngokwehlisa ukusebenza kwamasosha omzimba omzimba wakho. Nge-RA, lokhu kugcina amasosha akho omzimba ekuhlaseleni nasekulimaleni amalunga akho. Ngokufakelwa kwezinso, umuthi ugcina amasosha akho omzimba ekuhlaseleni izinso ezisanda kutshalwa.

Imiphumela emibi ye-Azathioprine

Ithebhulethi yomlomo ye-Azathioprine ayibangeli ukozela, kodwa ingadala eminye imiphumela emibi.


Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile eyenzeka nge-azathioprine ifaka:

  • ukubalwa kwamaseli egazi amhlophe aphansi
  • izifo
  • izinkinga zesisu, kufaka phakathi isicanucanu, uhudo nokuhlanza

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

  • Izidakamizwa zesisu hypersensitivity. Izimpawu zingafaka:
    • isicanucanu nokuhlanza
    • isifo sohudo
    • ukuqubuka kwesikhumba
    • imfiva
    • ubuhlungu bemisipha
    • kukhuphuke amazinga e-enzyme yesibindi
    • ukulimala kwesibindi
    • isiyezi
    • umfutho wegazi ophansi

Lezi zinkinga zivame ukwenzeka emasontweni ambalwa okuqala okuqala umuthi. Uma udokotela wakho eyeka ukwelashwa kwakho ngalo muthi, izimpawu zakho kufanele ziphele.

  • I-Pancreatitis. Izimpawu zingafaka:
    • ubuhlungu obukhulu besisu
    • indle enamafutha
  • Ukukhathala okukhulu
  • Ukwehla kwesisindo ngokweqile
  • Ukusabela okweqile komzimba. Izimpawu zingafaka:
    • isifuba
    • ukuqina kwesifuba
    • ukulunywa
    • ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Azathioprine ingaxhumana neminye imithi

Ithebhulethi yomlomo ye-Azathioprine ingasebenzisana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukuhlangana ne-azathioprine zibhalwe ngezansi.

Izidakamizwa ze-gout

Ukuthatha ingulube nge-azathioprine kungakhuphula amazinga e-azathioprine emzimbeni wakho futhi kwandise ubungozi bemiphumela emibi. Udokotela wakho anganciphisa umthamo wakho we-azathioprine uma uthatha i-allopurinol.

Ukuthatha febuxostat nge-azathioprine kungakhuphula amazinga e-azathioprine emzimbeni wakho futhi kwandise ubungozi bemiphumela emibi. Le mithi akufanele isetshenziswe ndawonye.

Izidakamizwa zezifo ezivuthayo

Ukuthatha izidakamizwa kubizwe aminosalicylates nge-azathioprine kungakhuphula amazinga e-azathioprine emzimbeni wakho futhi kwandise ubungozi bokuphazamiseka kokopha.

Izidakamizwa zokuvuvukala

Lezi yizidakamizwa zokuguqula i-TNF. Basebenza ukunciphisa ukuvuvukala nokuphendula kwesistimu yomzimba. Ukuthatha le mithi nge-azathioprine kungakhuphula ubungozi bokutheleleka. Izibonelo zale mithi zifaka:

  • adalimumab
  • isitifiketi
  • infliximab
  • golimumab

Imithi ethinta amasosha akho omzimba

Isebenzisa cotrimoxazole nge-azathioprine kunganciphisa inani lamaseli amhlophe egazi emzimbeni wakho adingekayo ukulwa nokutheleleka. Lokhu kwandisa ingozi yokutheleleka.

Ukusebenzisa lesi sidakamizwa nge-azathioprine kungakhuphula nobungozi bakho bemiphumela emibi yomibili le mithi.

Izidakamizwa zomfutho wegazi

Kusetshenziswa izidakamizwa ezibizwa ama-angiotensin-converting enzyme (ACE) inhibitors nge-azathioprine kungandisa ubungozi bokuphazamiseka kwegazi.

Isidakamizwa sokuncipha kwegazi

Isebenzisa warfarin nge-azathioprine kungenza i-warfarin ingasebenzi kahle kuwe. Udokotela wakho angaqapha kakhulu amazinga akho e-warfarin lapho eqala futhi emisa ukwelashwa nge-azathioprine.

Isidakamizwa se-Hepatitis C

Isebenzisa ribavirin nge-azathioprine kungakhuphula amazinga e-azathioprine emzimbeni wakho futhi kwandise ubungozi bemiphumela emibi.

Imigomo

Iyamukela imithi yokugoma ephilayo ngenkathi uthatha i-azathioprine kungakhuphula ubungozi bakho bemiphumela engemihle evela emthonjeni wokugoma. Izibonelo zemithi yokugoma ebukhoma zifaka:

  • umuthi wokugomela umkhuhlane wamakhala
  • isimungumungwane, imvukuzane, umuthi wokugomela i-rubella
  • umuthi wokugomela inkukhu (varicella)

Ukuthola i- umuthi wokugoma ongasebenzi ngenkathi uthatha i-azathioprine ingenza umuthi wokugoma ungasebenzi kahle.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Azathioprine

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Azathioprine ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

  • inkinga yokuphefumula
  • ukuvuvukala komphimbo wakho noma ulimi
  • isifuba

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo se-thiopurine S-methyltransferase (TPMT): I-TPMT iyi-enzyme emzimbeni wakho ephula i-azathioprine. Uma ungenayo i-TPMT eyanele, usengozini enkulu yemiphumela emibi nokuphazamiseka kwegazi kusuka ku-azathioprine. Udokotela wakho angenza isivivinyo ukuhlola amazinga we-TPMT emzimbeni wakho.

Kubantu abanezibalo eziphansi zegazi: I-Azathioprine iphakamisa ubungozi bokwehla kokubalwa kwamaseli egazi. Ukuba nezinkinga ezithile zofuzo nakho kungandisa ubungozi bakho. Udokotela wakho angenza ukuhlolwa kwegazi, anciphise umthamo wakho we-azathioprine, noma ayeke ukwelashwa kwakho ngemithi.

Kubantu abanezifo: Lo muthi unciphisa ukusebenza kwamasosha akho omzimba. Lokhu kungenza ukutheleleka onakho kubi nakakhulu.

Kubantu abanezinkinga zesibindi: I-Azathioprine ingakhuphula ubungozi bezinkinga zesibindi, imvamisa kubantu abanokufakelwa kwezinso. Udokotela wakho uzohlola igazi ukuze abheke ukuthi isibindi sakho sisebenza kahle kangakanani.Izinkinga zesibindi zivame ukwenzeka ezinyangeni eziyisithupha zokufakelwa kwezinso futhi zivame ukuphela lapho i-azathioprine imiswa.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Azathioprine yisigaba D somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

  1. Ucwaningo lukhombisa ubungozi bemiphumela emibi embungwini lapho umama ethatha umuthi.
  2. Lesi sidakamizwa kufanele sisetshenziswe kuphela ngesikhathi sokukhulelwa ezimweni ezibucayi lapho kudingeka khona ukwelapha isimo esiyingozi kumama.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. I-Azathioprine kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona.

Uma ukhulelwa ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha.

Kwabesifazane abancelisayo: I-Azathioprine idlulela ebisini lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele. Ukuncelisa ibele akunconywa ngenkathi uthatha lo muthi.

Okwabadala: Ukuphepha nokusebenza kwe-azathioprine akukasungulwa kubantu abaneminyaka engama-65 nangaphezulu.

Okwezingane: Ukuphepha nokusebenza kwe-azathioprine akukasungulwa kubantu abangaphansi kweminyaka engu-18.

Ungayithatha kanjani i-azathioprine

Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

  • iminyaka yakho
  • isimo esilashwa
  • sinzima kangakanani isimo sakho
  • ezinye izimo zezokwelapha onazo
  • ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Azathioprine

  • Ifomu: ithebhulethi yomlomo
  • Amandla: 25 mg, 50 mg, 75 mg, 100 mg

Umkhiqizo: Imuran

  • Ifomu: ithebhulethi yomlomo
  • Amandla: 50 mg

Umkhiqizo: Azasan

  • Ifomu: ithebhulethi yomlomo
  • Amandla: 25 mg, 50 mg, 75 mg, 100 mg

Isikali sokufakelwa kwezinso

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Isilinganiso sincike esisindweni somuntu ngamakhilogremu (kg).

  • Isilinganiso sokuqala sokuqala: 3-5 mg ikhilogremu lesisindo somzimba nsuku zonke, ukuqala ngesikhathi sokufakelwa kabusha. Kwezinye izimo, lo mthamo unganikezwa ezinsukwini eziyi-1-3 ngaphambi kokufakelwa kwezinso.
  • Isilinganiso sesondlo: 1-3 mg / kg wesisindo somzimba ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Umthamo ophephile futhi osebenzayo awusungulwanga leli qembu leminyaka.

Isilinganiso se-rheumatoid arthritis

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Isilinganiso sincike esisindweni somuntu ngamakhilogremu (kg).

  • Isilinganiso sokuqala sokuqala: U-50-100 mg, uthathwe kanye ngosuku noma uhlukaniswe ngemithamo emibili yansuku zonke.
  • Isikali siyanda: Ngemuva kwamaviki angu-6-8 wokuba sesilinganisweni sokuqala, udokotela wakho angakhuphula isilinganiso sakho ngo-0.5 mg / kg wesisindo somzimba ngosuku. Ngemuva kwalokho, udokotela wakho angenza izinguquko zomthamo njalo emavikini amane uma kudingeka.
  • Umthamo omkhulu: Isilinganiso sansuku zonke esiphezulu ngu-2.5 mg / kg wesisindo somzimba ngosuku.
  • Isilinganiso sesondlo: Imithamo ingancishiswa ngo-0.5 mg / kg wesisindo somzimba ngosuku njalo emavikini amane.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Umthamo ophephile futhi osebenzayo awusungulwanga leli qembu leminyaka.

Ukucatshangelwa okukhethekile komthamo

Kubantu abanezinkinga zezinso: Umthamo wakho we-azathioprine ungadinga ukwehliswa uma unezinkinga zezinso ezikuvimbela ekuchameni njalo.

Kubantu abanokushoda kwe-TPMT: Umthamo wakho we-azathioprine ungadinga ukwehliswa uma ukuhlolwa kukhombisa ukuthi unokuntuleka kwe-TPMT. Le enzyme isiza ukudiliza umuthi. Ukungabi nayo i-enzyme eyanele kungaholela engcupheni eyengeziwe yemiphumela emibi evela kulo muthi, kufaka phakathi nezinkinga zokopha.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Azathioprine isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma ungayithathi nhlobo: Uma uthatha ukufakelwa izinso, usengozini enkulu yokuba nemiphumela engemihle, okungenzeka ibe yingozi ekufakelweni kwakho, noma kufanele uphinde ufakelwe esinye isifo sezinso.

Uma uthatha i-rheumatoid arthritis, izimpawu zakho zingase zingabi ngcono noma zingase zibe zimbi ngokuhamba kwesikhathi.

Uma uyeka ukuthatha ngokuzumayo: Uma uthatha lo muthi ukufakelwa izinso futhi uyeka ukuwuthatha ngokuzumayo, ungahle uzwe ukwenqatshwa kokufakelwa kanye nokwehluleka kwezinso.

Uma uthatha lo muthi nge-rheumatoid arthritis futhi uyeka ukuwuthatha ngokuzumayo, izimpawu zakho zesifo samathambo zingabuya futhi.

Uma ungayithathi ngesikhathi: Ungahle ungaboni inzuzo ephelele yalomuthi. Uma uwuphindaphinda umthamo wakho noma uwuthatha usondele kakhulu esikhathini sakho esilandelayo, ungahle ube sengozini enkulu yokuba nemiphumela emibi kakhulu.

Okufanele ukwenze uma uphuthelwa umthamo: Uma uphuthelwa umthamo, wuthathe ngokushesha ngangokunokwenzeka. Kodwa-ke, uma kungamahora ambalwa kuphela kuze kufike umthamo wakho olandelayo, weqa umthamo ophuthelwe bese uthatha olandelayo kuphela.

Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

  • isicanucanu
  • ukuhlanza
  • isifo sohudo
  • umphimbo obuhlungu, umkhuhlane, amakhaza nezinye izimpawu zokutheleleka

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Ungasho kanjani ukuthi umuthi uyasebenza: Uma uthatha lo muthi ukufakelwa izinso, izinso zakho kufanele zisebenze futhi akufanele ube nezimpawu zokwaliwa komzimba. Lezi zimpawu zingafaka ukungakhululeki noma ukugula, umkhuhlane, izimpawu ezifana nomkhuhlane, nobuhlungu noma ukuvuvukala okuzungeze isitho. Udokotela wakho uzokwenza nokuhlolwa kwegazi ukuze ahlole ukulimala kwezinso.

Uma uthatha lo muthi nge-rheumatoid arthritis, kufanele ube nokuvuvukala okuncane nobuhlungu emajoyintini akho. Kufanele futhi ukwazi ukuhambahamba kangcono. Le miphumela kufanele yenzeke ngemuva kwamasonto angaba ngu-12 wokuba semithini.

Ukucatshangelwa okubalulekile kokuthatha i-azathioprine

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-azathioprine.

Jikelele

  • Thatha le mithi ngemuva kokudla. Lokhu kungasiza ukwehlisa ubungozi bezinkinga zesisu.

Isitoreji

  • Gcina le mithi ezingeni lokushisa eliphakathi kuka-59 ° F no-77 ° F (15 ° C no-25 ° C).
  • Vikela lesi sidakamizwa ekukhanyeni.
  • Ungafaki i-azathioprine.
  • Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

  • Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
  • Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
  • Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
  • Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Udokotela wakho angenza izivivinyo ezithile ngesikhathi sokwelashwa kwakho nalesi sidakamizwa. Zingafaka:

  • Ukuhlolwa kwegazi: Udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole ukuphazamiseka kwegazi kanye ngesonto ngenyanga yokuqala yokwelashwa ngalo muthi. Ngemuva kwalokho, bazohlola igazi kabili ngenyanga ezinyangeni ezimbili ezizayo. Uma udokotela wakho eshintsha isilinganiso sakho se-azathioprine, bazokwenza ukuhlolwa kwegazi kanye ngenyanga noma kaningi.
  • Ukuhlolwa kwesibindi nezinso: Udokotela wakho angenza ukuhlolwa kwegazi ngezikhathi ezithile ukuze abheke ukuthi isibindi nezinso zakho zisebenza kahle kangakanani.
  • Ukuhlolwa kokushoda kwe-TPMT: Udokotela wakho angenza ukuhlolwa kwegazi ukubona ukuthi unenkinga ye-TPMT, ngoba lesi simo singadala ukuphazamiseka kokopha uma uthatha lo muthi.

Ukuzwela kwelanga

Abantu abathatha le mithi bangaba nengozi enkulu yomdlavuza wesikhumba ekuvezweni kakhulu yilanga. Gqoka isikrini selanga esinokuvikela okuphezulu. Gqoka nezimpahla zokuzivikela, njengesigqoko nemikhono emide.

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.

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