I-Antihemophilic factor (indlela ye-intravenous)
Imikhiqizo etholakalayo
Advate, Adynovate, Afstyla, Altuviiio, Eloctate, Esperoct, Helixate FS, Hemofil-M, Hyate:C, Jivi, Koate DVI, Obizur
Mayelana naleli khambi
Ukuchomeka kwe-Antihemophilic factor (AHF) kusetshenziswa ukwelapha, ukulawula, ukuvimba, nokunciphisa ukwenzeka kwezehlakalo zokopha, nokuvimba ukopha ngesikhathi sokuhlinzwa kubantu abane-hemophilia A (ukuntuleka kwe-Factor VIII ezelwe nayo). I-Antihemophilic factor (AHF) iyipuroteni eyenziwa ngokwemvelo emzimbeni. Iyasiza igazi ukuba lenze ama-clot ukuyeka ukopha futhi ivimbe izinkinga zokopha ezingahle zenzeke njalo. I-Hemophilia A, ebizwa nangokuthi i-hemophilia yendabuko, yisimo lapho umzimba ungenzi khona i-AHF eyanele. Uma ungenayo i-AHF eyanele futhi ulimale, igazi lakho ngeke lenze ama-clot kahle. Ungase ukope futhi ulimaze imisipha yakho namajwayelekayo. Ukuchomeka kwe-AHF kunikezwa ukwandisa amazinga e-AHF egazini. Kunezinhlobo eziningi ze-AHF. Zenziwe egazini lomuntu noma ngokwenziwa ngokwenziwa komuntu (recombinant). I-AHF eyenziwe egazini lomuntu iye yaphathwa futhi akunakwenzeka ukuthi iqukethe ama-virus abulalayo, njenge-hepatitis B, i-hepatitis C, noma i-human immunodeficiency virus (HIV), i-virus ebangela i-acquired immunodeficiency syndrome (AIDS). Imikhiqizo ye-AHF eyenziwe ngumuntu ayinawo lawa ma-virus. Lona umuthi utholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma kunquma ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqhelile noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bezempilo uma unanoma yiluphi olunye uhlobo lwezifo ezingaleki, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezingalinda ukusetshenziswa kokudubula kwe-antihemophilic factor kubantwana. Ayikho imininingwane etholakalayo ngokuphathelene nobudlelwano bobukhulu nemiphumela yeHemofil® M kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Azikho izifundo ezifanele ezenziwe ngokuphathelene nobudlelwano bobukhulu nemiphumela ye-Advate®, i-Adynovate®, i-Eloctate™, i-Kogenate® FS, i-Kovaltry®, i-Novoeight®, i-Xyntha®, noma i-Xyntha® Solofuse® kubantu abadala, azikho izinkinga ezikhethekile zabantu abadala ezibhalwe kuze kube manje. Noma kunjalo, abantu abadala banesibopho esikhulu sokuba nezinkinga zezempilo ezihlobene nobudala, okungase kudinge ukunakekela nokulungiswa komthamo kwabaguli abamukela le mithi. Ayikho imininingwane etholakalayo ngokuphathelene nobudlelwano bobukhulu nemiphumela yeHemofil® M kubantu abadala. Azikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokusebenzisa le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Tshela ochwepheshe bezempilo uma usebenzisa noma iyiphi enye imithi yokuqaphela noma engaphandle kwelayisensi (over-the-counter [OTC]). Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze nesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungase futhi kubangele ukusebenzisana. Xoxa nochwepheshe bezempilo bakho ngokusebenzisa imithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezempilo kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unanoma yiziphi ezinye izinkinga zezempilo, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Udokotela noma omunye ochwepheshe bezempilo oqeqeshwe ngokufanele uzokunika wena noma ingane yakho le miyekezo esibhedlela noma ekliniki. Le miyekezo inikezwa ngenhlanzi ebekwe kwenye yezinsimbi zakho. Le miyekezo inganikezwa ekhaya kubantu abangadingi ukuba esibhedlela noma ekliniki. Uma wena noma ingane yakho usebenzisa le miyekezo ekhaya, udokotela wakho uzokufundisa ukuthi ungayilungiselela kanjani futhi uyibeke kanjani imithi. Qiniseka ukuthi uyayiqonda yonke imiyalo ngaphambi kokuzinika wena uqobo ukugxilwa. Umthamo wakho ungashintsha kuye ngokuthi ukhona kuphi ukuphuza igazi. Ungasebenzisi imithi eminingi noma uyisebenzise kaningi kunalokho udokotela wakho akutshele khona. Sebenzisa kuphela uhlobo lale miyekezo udokotela wakho alimisele. Akuwona wonke ama-brand alungiswe ngendlela efanayo futhi umthamo ungase uhluke. Iphakheji ngayinye yemithi iza nepheshana lolwazi lwabaguli. Funda futhi ulandele imiyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Ukuze ulungiselele imithi usebenzisa amabhodlela (ama-vials) noma izitsha ezimbili: Ukuze ulungiselele imithi usebenzisa i-syringe ene-dual-chamber ezele (Xyntha® ne-Xyntha® Solofuse®): Sebenzisa le ngxube phakathi kwamahora angu-3 noma angu-4 ngemuva kokulungiswa. Akufanele igcinwe bese isetshenziswa kamuva. Ungayifaki le ngxube esiqandisini. Ungaphinda usebenzise ama-syringe nama-needles. Beka ama-syringe nama-needles asebenziwe esitsheni esingaphuli esingaphuli, noma uwabeke njengoba udokotela wakho akuqondisile. Khuluma nodokotela wakho ngaphambi kokuhamba. Kufanele uhlele ukuletha imithi eyanele yokwelashwa kwakho uma uhamba. Umthamo wale miyekezo uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esitikhwini. Ulwazi olulandelayo luhlanganisa kuphela imithamo yale miyekezo. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Shaya udokotela wakho noma umthengisi wemithi ukuze uthole imiyalo. Gcina ungafinyeleleki ezinganeni. Ungagcini imithi esephelile noma imithi engasasetshenziswa. Buza ochwepheshe bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi noma esiqandisini, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungaganduki. Uma igcinwe ekushiseni kwegumbi, imithi izoqeda ezinyangeni ezintathu noma ngemuva komhla wokuphelelwa yisikhathi, noma yikuphi okufika kuqala. Uma ususa imithi esiqandisini uye ekushiseni kwegumbi, bhala usuku oluyithatha esiqandisini esitsheni. Ubude besikhathi imithi engaba khona ekushiseni kwegumbi kuzoxhomeka ebrand oyisebenzisayo. Uma usuvele ugcine imithi ekushiseni kwegumbi, ungayibuyisi esiqandisini. Uma ungayisebenzisi imithi ngaphakathi kwesikhathi esinconywe umenzi, kufanele uyichithile imithi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.