Okudingeka Ukwazi Ngokuphatha I-Lupus Yakho Nge-Cyclophosphamide
Udokotela wakho kungenzeka ukuthi ubeke umuthi we-immunosuppressant Cytoxan (cyclophosphamide) uma i-lupus yakho ifinyelele kanzima. I-"standard standard" yemithi yokwelashwa yokwelapha i-lupus enamandla i-Cytoxan inhlanganisela ne-corticosteroid methylprednisolone.
I-Cytoxan empeleni iyimithi yomdlavuza, kodwa kuyiziguli ze-lupus, isetshenziselwa ukwelapha ukuvuvukala kwezinso (kubandakanya i- lupus nephritis ) noma ezinye izinkinga ezisongela izitho.
I-Cytoxan ineemiphumela emibi kakhulu, kuhlanganise nokukhubazeka kokuzalwa, ngakho-ke uzofuna ukufunda kabanzi ngakho.
Indlela i-Cytoxan isebenza ngayo
I-Cytoxan isetshenziselwa i-agent ye-chemotherapy yama-cancer efaka i- lymphomas , i- myeloma ne- leukemia . Ngokusho kwe-American College of Rheumatology, futhi kunqunywe ukugula okunamandla, okuphazamisayo kwesifo se-rheumatoid noma izinkinga ezinkulu ze- lupus , myositis, scleroderma noma i- vasculitis .
I-Cytoxan iklasini lemithi eyaziwa ngokuthi ama-alkylating agents. Lokhu kusho ukuthi kunciphisa noma kuvimbela ukukhula kwamangqamuzana abulalayo noma amanye amaseli ahlukanisa ngokushesha, njengamaseli egazi amhlophe ahlasele umzimba wakho ngesikhathi se-lupus flare.
Ama-immunosuppressives afana ne-Cytoxan asetshenziselwa ukwelapha i-lupus ngezizathu ezimbili ezibalulekile:
- Ziyizidakamizwa ezinamandla ezisiza ukulawula umsebenzi wesifo ezinhlanganweni ezinkulu.
- Bangase banciphise noma basuse isidingo se-steroids.
I-Cytoxan ivame ukunikezwa izinyanga ezintathu ukuya kweziyisithupha ize isiguli singene lupus remission.
Isidakamizwa sivame ukukhululwa ngaphakathi, kepha singathathwa ngomlomo. Kuthathwa ngomlomo, umthamo usekelwe esimweni sakho sezokwelapha, isisindo, impendulo yokwelashwa nezinye izifo ongase uzithole. Udokotela wakho uzokhipha isilinganiso esifanele kanye nesimiso sakho.
Yiziphi Imiphumela Ezingezansi ze-Cytoxan?
Lesi sidakamizwa sinemiphumela emibi eminingi, ngakho kufanele ihlolwe ngokucophelela udokotela wakho.
Imiphumela emibi ihlanganisa:
- Izinwele ezibuhlungu, ezinamafutha
- Isikhumba esimnyama nesinyanyisiwe
- Isikhumba sesikhumba noma i-acne
- Ukulahlekelwa kwesifiso noma isisindo
- Ukukhathala
- Isikhukhula
- Ukubamba
- Fever
- Isizungu
- Ama-Chills
- Ukuphelelwa umoya
- Hlunga umhombo
- I-nausea
- Ukuvota
- Umchamo we-pink / igazi
- Izilonda zomlomo, ukuphumula
- Ubuhlungu obuhlangene
- Ukuchoboza kalula / ukuphuma
- Izitshalo ezimnyama / zamanzi
- Ubuhlungu besisu / isisu esiswini
- Ukuvuvukala kwamazinyo / izinyawo
- Ingozi eyengeziwe yokwehla
- Ukungenzi lutho
Kufanele ukhulume nodokotela wakho ngokushesha uma uhlangabezana nanoma yimuphi wale mibi emibi kakhulu: igazi emcibeni wakho, umkhuhlane, nezikhukhula, ukululaza noma ukuphuma okulula, ukuphefumula noma ukuvuvukala kwezinyawo nezinyawo.
Kufanele futhi wazi ukuthi i-Cytoxan i-carcinogenic. Lokhu kusho ukuthi kuhlotshaniswa nokuthuthukiswa kwezinhlobo ezithile zegciwane, ikakhulukazi umdlavuza wesibeletho .
Ngaphambi kokuba uqale ukuthatha i-Cytoxan, qiniseka ukuthi utshele udokotela wakho uma:
- Ukhulelwe, noma ucabanga ukuthi ukhulelwe
- Ukuncelisa
- Wake waba nesifo sezinso
- Ingabe i-allergic kunoma imiphi imithi
Okunye Okufanele Kumelwe Ukwazi Ngawo
Isidakamizwa esincane esinobuthi okuthiwa i-mycophenolic acid siboniswe ukuthi sinciphise kakhulu isilinganiso se-steroid iziguli ezine-lupus nephritis noma i-lupus engaxilanga ukwelashwa. Kubhekwa njengendlela yokwelashwa kwemigqa yokuqala ye-lupus nephritis futhi ingasetshenziswa esikhundleni se-Cytoxan.
> Imithombo:
> Cyclophosphamide (i-Cytoxan). I-American College of Rheumatology. May 2015.
> Cyclophosphamide. Imininingwane yeDruglinePlus. Ngo-Septhemba 15, 2011.
> Abacindezeli be-Immune. Lupus Foundation of America.
> Izifo ze-glomerular. I-National Isney ne-Urological Diseases Information Clearinghouse. I-NIH Publication No. 07-4358. April 2006.