Iminye imiphumela emibi kufanele ilandelwe kudokotela wakho ilungelo
Iyini Imuran (Azathioprine)?
I-Imuran (azathioprine) uhlobo lomuthi we-immunosuppressive antimetabolite. I-Imuran ingahle ibekwe ukuphatha izimo ezifana nesifo sofuba (IBD) noma isifo samathambo. Kungase futhi isetshenziswe ezigulini eziye zafakelwa isilwane, ukuze zivimbele umzimba ukuba unqabe isitho. Lesi sidakamizwa sithinta isistimu yomzimba.
Ezimweni eziningi, i-Imuran isetshenziselwa ukwelapha i-IBD ngemuva kweminye imithi engazange isebenze. Kungasetshenziswa futhi ngesikhathi esifanayo njenge-steroids.
Imithi ethinta amasosha omzimba ingakhuphula ingozi yokuhlaselwa isifo, futhi izinyathelo zokuqapha zingadingeka zithathwe ukuze zivikele ukulwa nezifo. Abantu abathatha i-Imuran akufanele bathole imishanguzo ephilayo. Kungase kudingeke futhi ukuba ugweme abantu abagulayo futhi noma yisiphi isibonakaliso sokutheleleka kufanele sikhulunywe nodokotela ngokushesha.
Isexwayiso se-Black Box
Amaphilisi e-Imuran aqukethe isixwayiso sebhokisi elimnyama elihlobene nalokho okukhona ekuthuthukiseni uhlobo oluthile lomdlavuza. Lokhu kuhloswe ngokukhethekile kubantu abathatha izidakamizwa futhi banayo i-IBD. Ingozi yokuba nomdlavuza kufanele ilinganiswe ngengozi yokungaphathi i-IBD ngalesi sidakamizwa.
Ingozi yengculaza kubantu abane-IBD namanje isifundo esiqhubekayo sokuphikisana nokucwaninga, ngakho-ke kubalulekile ukuthatha indlela yokuqonda lapho uhlola izingozi.
Ezinye izifundo zibonise ingozi, kodwa ezinye azikho. Qinisekisa ukuxoxa ngalomphumela omubi ongase ube nomthelela odokotela bakho ukuze ukwazi ukuqonda ingozi yakho ngabanye.
Ukucindezeleka okungapheli nge-IMURAN, i-purine antimetabolite yandisa ingozi yokulimala kubantu. Imibiko yokuhlukumeza ihlanganisa ukuthunyelwa kwe-lymphoma emva kokutshala kanye ne-hepatosplenic T-cell lymphoma (i-HSTCL) ezigulini ezinesifo sofuba esiswini. Odokotela abasebenzisa lesi sidakamizwa kumele bajwayelane nalokhu engozini kanye nokukwazi ukuguquka kwamatagenic kokubili amadoda nabesifazane kanye nezinyoka ezidakamizwa ze-hematologic. Odokotela kufanele bazise iziguli zengozini yokulimala nge-IMURAN.
Imiphumela Ejwayelekile Ye-Imuran
Hlola nodokotela wakho uma ngabe yimiphi imiphumela emibi elandelayo iqhubeka noma ihlupha:
- ukulahlekelwa ukudla
- isicasule noma ukuhlanza
Imiphumela emibi engavamile ye-Imuran
Hlola nodokotela wakho uma ngabe yimiphi imiphumela emibi elandelayo iqhubeka noma ihlupha:
- Ukukhwabanisa isikhumba
Yazisa njalo uDokotela
Okuvamile
- Isikhukhula, sishaya
- imfiva noma amahlumela
- ubuhlungu obuphansi emuva noma obuhlangothini
- ukuvuthwa okubuhlungu noma okunzima
- ukukhathala okungavamile, ubuthakathaka
Okuvamile Okuvamile
- Amnyama, ama-tarry esitokisini
- igazi emcimbini noma ezitheni
- shaya izindawo ezibomvu esikhumbeni
- ukuphapha okungavamile noma ukulimaza
Okuncane Okuvamile noma Okuvamile
- Ukushaya kwenhliziyo okusheshayo
- umkhuhlane (ngokuzumayo)
- ubuhlungu bomzimba noma ubuhlungu
- ukunxanxathela, ukuhlanza, nokuhuda (okunzima)
- ubomvu noma amabhanti esikhumbeni
- ukuphelelwa umoya
- izilonda emlonyeni, ezindebe
- ubuhlungu besisu
- ukuvuvukala kwezinyawo noma imilenze ephansi
- ukuzwa kabi noma ukugula (ngokuzumayo)
Amanye amanothi:
Udokotela wakho uzobukela noma yiziphi izinkinga zesibindi lomuthi ongase ubangele.
Ngenxa yendlela indlela lo muthi usebenza ngayo emzimbeni, kunethuba lokuthi kungabangela ezinye izinto ezingafuneki ezingahle zenzeke kuze kube izinyanga noma eminyakeni ngemuva kokuba umuthi usetshenziswe. Lezi zimo ezilibazisekile zingafaka izinhlobo ezithile zomdlavuza, njenge-leukemia, i-lymphoma, noma umdlavuza wesikhumba. Ingozi yomdlavuza iyancipha kulabo abathatha i-azathioprine ye-arthritis, futhi kufanele uxoxe ngalezi zinkinga ngomdokotela wakho.
Ngemuva kokumisa lo muthi, kungase kube neminye imiphumela emibi. Ngalesi sikhathi yazise udokotela wakho ngokushesha uma ubona noma yikuphi okulandelayo:
- amnyama, ama-tarry esitokisini
- igazi emcinini
- ukukhwehlela noma ukuphazamiseka
- imfiva noma amahlumela
- ubuhlungu obuphansi emuva noma obuhlangothini
- ukuvuthwa okubuhlungu noma okunzima
- shaya izindawo ezibomvu esikhumbeni
- ukuphapha okungavamile noma ukulimaza
Ezinye imiphumela emibi engabhalwanga ngenhla zingase zenzeke kwezinye iziguli. Uma ubona noma yimiphi imiphumela, hlola nodokotela wakho. Lolu lwazi luqondiswa kuphela njengeseluleko - njalo uxoxe nodokotela noma wemithi ukuze uthole ulwazi oluphelele mayelana nemithi yokwelashwa.
Umthombo:
I-Prometheus Laboratories Inc. "I- Imuran (azathioprine) Ukubhala Ulwazi ." FDA.gov. Feb 2014..
I-Armstrong RG, i-West J, iKhadi le-TR. "Ingozi yomdlavuza wesifo sofuba esifubeni siphathwa nge-azathioprin: isifundo se-UK-control-based control-population." Am J Gastroenterol . 2010 Jul; 105 (7): 1604-1609.