Kunezinhlobo ezahlukene zemikhiqizo yobuthi be-botulinum (ubuthi A no-B) obusetshenziswa ngendlela ehlukene (izinkinga zamehlo, ukuqina kwemisipha/ukuqaqamba, ukudumala kwekhanda, ubuhle, isinye esisebenza ngokweqile).Izinhlobo ezahlukene zalo muthi zinikeza amanani ahlukene omuthi.Udokotela wakho uzokukhethela umkhiqizo ofanele.
Ubuthi be-botulinum busetshenziselwa ukwelapha izifo ezithile zamehlo, njengokuphambana kwamehlo (i-strabismus) nokucwayiza okungalawuleki (i-blepharospasm), ukwelapha ukuqina kwemisipha/i-spasm noma ukuphazamiseka kokunyakaza (okufana ne-cervical dystonia, i-torticollis), kanye Nokunciphisa ukubukeka kwemibimbi.Ibuye isetshenziselwe ukuvimbela ubuhlungu bekhanda ezigulini ezinemigraines evame kakhulu.Ubuthi be-botulinum bukhulula imisipha ngokuvimbela ukukhululwa kwekhemikhali ebizwa ngokuthi i-acetylcholine.
Ubuthi be-botulinum busetshenziselwa ukwelapha esinyeni esisebenza ngokweqile ezigulini ezingaphenduli kwezinye izidakamizwa noma ezingakwazi ukubekezelela imiphumela engemihle yezinye izidakamizwa.Kuyasiza ukunciphisa ukuvuza komchamo, isidingo sokuchama ngokushesha, nokuvakasha njalo endlini yangasese.
Iphinde isetshenziselwe ukwelapha ukujuluka kwekhwapha okukhulu kanye nokuconsa/amathe amaningi.Ubuthi be-botulinum busebenza ngokuvimbela amakhemikhali avula izindlala zokujuluka nezindlala zamathe.
Ngemuva komjovo, umuthi ungasakazekela kwezinye izingxenye zomzimba, ubangele imiphumela emibi kakhulu (okungenzeka ebulalayo).Lokhu kungenzeka emahoreni noma ngisho namasonto ngemva komjovo.Kodwa-ke, lapho lesi sidakamizwa sisetshenziselwa i-migraines noma izifo zesikhumba (ezifana nemibimbi, amajaqamba, noma ukujuluka ngokweqile), amathuba okuba nemiphumela emibi enjalo mancane kakhulu.
Izingane ezelashelwa ukuqina/ukuqina kwemisipha kanye nanoma ubani onezimo ezithile zezokwelapha basengozini enkulu yale miphumela (bona ingxenye ethi “Izixwayiso”).Xoxa ngezingozi nezinzuzo zalo muthi nodokotela wakho.
Uma uba nanoma yimiphi imiphumela emibi kakhulu elandelayo, funa usizo lwezokwelapha ngokushesha: ubuhlungu besifuba, ukuphefumula kanzima, ubuthakathaka obudlulele bemisipha, ukushaya kwenhliziyo okungavamile, ubunzima obukhulu bokugwinya noma ukukhuluma, ukulahlekelwa ukulawula isinye.
Sicela ufunde umhlahlandlela wemithi kanye nencwajana yolwazi lwesiguli (uma ikhona) enikezwe usokhemisi ngaphambi kokuqala le mithi futhi ngaso sonke isikhathi uma uyijova.Uma unemibuzo mayelana nalolu lwazi, sicela uthintane nodokotela wakho noma usokhemisi.
Lo muthi unikezwa ngomjovo uchwepheshe wezempilo onesipiliyoni.Ekwelapheni izifo zamehlo, ukuqina kwemisipha/i-spasm kanye nemibimbi, ijovwa emisipha ethintekile (intramuscular).Uma isetshenziselwa ukuvimbela i-migraines, ijova emisipha yekhanda nentamo.Ijovwa esikhumbeni (i-intradermal) ukwelapha ukujuluka ngokweqile.Ukwelapha ukuvuza/amathe okweqile, lo muthi ujovwa ezindlaleni zamathe.Ekwelapheni isinye esisebenza kakhulu, sijovwa esinyeni.
Umthamo wakho, inombolo yomjovo, indawo yomjovo, nokuthi uthola kangaki umuthi kuzoncika esimweni sakho kanye nempendulo yakho ekwelashweni.Ezinganeni, umthamo nawo usekelwe esisindweni somzimba.Abantu abaningi bazoqala ukubona imiphumela phakathi kwezinsuku ezimbalwa kuya kumaviki angu-2, futhi imiphumela ngokuvamile ihlala izinyanga ezi-3 kuya kweziyisi-6.
Ngenxa yokuthi lo muthi unikezwa endaweni yesimo sakho, imiphumela emibi eminingi ivela eduze nendawo yomjovo.Ububomvu, imihuzuko, ukutheleleka, nobuhlungu kungenzeka endaweni yomjovo.
Uma lo muthi usetshenziselwa ukuphumula imisipha, isiyezi, ubunzima obuncane bokugwinya, izifo zokuphefumula (ezifana nokubanda noma umkhuhlane), ubuhlungu, isicanucanu, ikhanda elibuhlungu, nobuthakathaka bemisipha kungenzeka.Kungase futhi kube ne-diplopia, ukushona kwelanga noma ukuvuvukala kwamajwabu amehlo, ukucasuka kwamehlo, amehlo omile, ukudabuka, ukuncipha kokucwayiza, kanye nokuzwela okukhulu ekukhanyeni.
Uma noma iyiphi yale miphumela iqhubeka noma iba yimbi, sicela wazise udokotela wakho noma usokhemisi ngokushesha.Kungase kudingeke ukuthi usebenzise amaconsi/izinto zokugcoba ezivikela amehlo, izifihla-buso zamehlo, noma ezinye izindlela zokwelapha.
Uma lesi sidakamizwa sisetshenziselwa ukuvimbela i-migraines, imiphumela emibi efana nekhanda elibuhlungu, ubuhlungu bentamo, namajwabu amehlo alengayo angase avele.
Uma lesi sidakamizwa sisetshenziselwa ukujuluka ngokweqile, imiphumela emibi efana nokujuluka okungewona amakhwapha, umkhuhlane noma izifo zokuphefumula zomkhuhlane, ikhanda elibuhlungu, imfiva, intamo noma iqolo, nokukhathazeka kungase kwenzeke.
Uma lesi sidakamizwa sisetshenziselwa esinyeni esisebenza ngokweqile, imiphumela emibi efana nokutheleleka komgudu womchamo, ukuchama okushisayo/okubuhlungu, imfiva noma i-dysuria ingase ivele.
Khumbula, udokotela wakho unikeza lo muthi ngoba uye wahlulela ukuthi inzuzo kuwe idlula ingozi yemiphumela emibi.Abantu abaningi abasebenzisa lesi sidakamizwa abanayo imiphumela emibi kakhulu.
Ukungezwani okukhulu kakhulu nalesi sidakamizwa akuvamile.Kodwa-ke, uma ubona noma yiziphi izimpawu zokungezwani komzimba okukhulu, funa usizo lwezokwelapha ngokushesha, okuhlanganisa: ukulunywa/ukuvuvukala (ikakhulukazi ubuso/ulimi/umphimbo), ukuqubuka kwesikhumba, isiyezi esinzima, ukuphefumula kanzima.
Lolu akulona uhlu oluphelele lwemiphumela emibi engase ibe khona.Uma ubona eminye imiphumela engabaliwe ngenhla, sicela uxhumane nodokotela wakho noma usokhemisi.
Shayela udokotela wakho futhi ucele iseluleko sezokwelapha mayelana nemiphumela engemihle.Ungashayela ku-1-800-FDA-1088 noma uvakashele ku-www.fda.gov/medwatch ukuze ubike imiphumela engemihle ku-FDA.
E-Canada-shayela udokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela engemihle.Ungabika imiphumela emibi ku-Health Canada kokuthi 1-866-234-2345.
Ngaphambi kokusebenzisa le mithi, uma i-allergic kuyo, sicela utshele udokotela wakho noma usokhemisi;noma uma uneminye i-allergies.Lo mkhiqizo ungase uqukathe izithako ezingasebenzi (njengeprotheyini yobisi etholakala kweminye imikhiqizo), engabangela ukungezwani komzimba noma ezinye izinkinga.Ukuze uthole ukwaziswa okwengeziwe, sicela uxhumane nosokhemisi wakho.
Ngaphambi kokusebenzisa le mithi, sicela utshele udokotela wakho umlando wakho wezokwelapha, ikakhulukazi: izinkinga zokopha, ukuhlinzwa kwamehlo, izinkinga ezithile zamehlo (i-glaucoma), isifo senhliziyo, isifo sikashukela, izimpawu zokutheleleka eduze nendawo yomjovo, izifo ze-urinary tract, Ukungakwazi ukuchama, imisipha. / izifo zesistimu yezinzwa (njengesifo sika-Lou Gehrig-ALS, i-myasthenia gravis), ukuquleka, i-dysphagia (dysphagia), izinkinga zokuphefumula (njengesifuba somoya, i-emphysema, i-aspiration pneumonia), noma yikuphi ukwelashwa komkhiqizo we-botulinum Toxin (ikakhulukazi izinyanga ezingu-4 zokugcina).
Lo muthi ungase ubangele ubuthakathaka bemisipha, amajwabu amehlo axege, noma angaboni kahle.Ungashayeli, usebenzise imishini, noma wenze noma yimiphi imisebenzi edinga ukuqapha noma ukubona okucacile uze uqiniseke ukuthi ungayenza imisebenzi enjalo ngokuphepha.Nciphisa uphuzo oludakayo.
Izinhlobo ezithile zalo muthi zine-albumin eyenziwe ngegazi lomuntu.Nakuba igazi lihlolwa ngokucophelela futhi umuthi udlula enqubweni ekhethekile yokukhiqiza, ithuba lokuthi uthole isifo esiyingozi ngenxa yomuthi mancane kakhulu.Ukuze uthole ulwazi olwengeziwe, sicela uxhumane nodokotela wakho noma usokhemisi.
Abantu abadala abasebenzisa lesi sidakamizwa ukwelapha isinye esisebenza ngokweqile bangase bazwele kakhulu emiphumeleni engathandeki yalesi sidakamizwa, ikakhulukazi imiphumela yaso ohlelweni lomchamo.
Izingane ezisebenzisa lo muthi ukwelapha amajaqamba emisipha zingase zizizwele kakhudlwana emiphumeleni emibi yalo muthi, kuhlanganise nobunzima bokuphefumula noma ukugwinya.Bona isigaba sesixwayiso.Xoxa ngezingozi nezinzuzo nodokotela wakho.
Lo muthi kufanele usetshenziswe kuphela uma kudingeka ngokucacile ngesikhathi sokukhulelwa.Xoxa ngezingozi nezinzuzo nodokotela wakho.Akunconywa ukusebenzisa izindlela zokwelapha zokulungisa imibimbi ngesikhathi sokukhulelwa.
Ukusebenzisana kwezidakamizwa kungase kushintshe indlela izidakamizwa ezisebenza ngayo noma kwandise ingozi yemiphumela emibi kakhulu.Lo mbhalo awuqukethe konke ukusebenzisana kwezidakamizwa okungaba khona.Gcina uhlu lwayo yonke imikhiqizo oyisebenzisayo (okuhlanganisa nemithi kadokotela/okuthengiswa ngaphandle kwekhawunta kanye nemikhiqizo yamakhambi) bese wabelana ngayo nodokotela wakho kanye nosokhemisi.Ungaqali, umise noma uguqule umthamo wanoma yimuphi umuthi ngaphandle kwemvume kadokotela wakho.
Eminye imikhiqizo engase ihlangane nomuthi ihlanganisa: ama-antibiotic athile (okuhlanganisa nezidakamizwa ze-aminoglycoside, njenge-gentamicin, i-polymyxin), ama-anticoagulants (njenge-warfarin), izidakamizwa zesifo se-Alzheimer's ( Njenge-galantamine, i-rivastigmine, i-tacrine), izidakamizwa ze-myasthenia gravis (njenge i-amphetamine, i-pyridostigmine), i-quinidine.
Uma othile ephuza ngokweqile futhi enezimpawu ezinzima ezifana nokuquleka noma ukuphefumula kanzima, sicela ushayele ku-911. Uma kungenjalo, sicela ushayele Isikhungo Sokulawula Ubuthi ngokushesha.Izakhamizi zase-US zingashayela isikhungo sazo sokulawula ushevu ku-1-800-222-1222.Izakhamizi zaseCanada zingashayela isikhungo sokulawula ubuthi sesifundazwe.Ama-antitoxin ayatholakala, kodwa kufanele asetshenziswe ngaphambi kokuba kubonakale izimpawu zokudlula ngokweqile.Izimpawu zokweqisa izidakamizwa zingase zibambezeleke futhi zingabandakanya ubuthakathaka obukhulu bemisipha, izinkinga zokuphefumula, nokukhubazeka.
Kubalulekile ukuqonda ubungozi nezinzuzo zalokhu kwelashwa.Xoxa nganoma yimiphi imibuzo noma okukukhathazayo nochwepheshe bakho bezempilo.
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Izimo zokusetshenziswa: Ulwazi olukule datha egciniwe luhloselwe ukwengeza esikhundleni sokuthatha indawo yolwazi lochwepheshe nokwahlulela kochwepheshe bezokunakekelwa kwempilo.Lolu lwazi aluhloselwe ukuhlanganisa konke ukusetshenziswa okungase kube khona, imiyalelo, izinyathelo zokuphepha, ukusebenzisana kwezidakamizwa, noma ukusabela okungekuhle, futhi akufanele kuhunyushwe ukuze kuboniswe ukuthi ukusetshenziswa komuthi othile kuphephile, kufanelekile, noma kuyasebenza kuwe noma kunoma yimuphi omunye umuntu.Ngaphambi kokuthatha noma yimiphi imithi, ukushintsha noma yikuphi ukudla, noma ukuqala noma ukuyeka noma iyiphi inkambo yokwelashwa, kufanele uthintane nochwepheshe bezempilo.
Isikhathi sokuthumela: Aug-30-2021