Yini i-Mycophenolate Intravenous: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Mycophenolate intravenous iyikhambi elinamandla elinikezwa ngomugqa we-IV ukuvimbela umzimba wakho ukuthi ungawenqabi ilungu elishintshiwe. Le mithi ecindezela amasosha omzimba ithambisa amasosha akho omzimba okwesikhashana ukuze angalihlaseli izinso zakho ezintsha, isibindi, noma inhliziyo njengokungathi yisitha sangaphandle.

Ungase uthole le mithi uma ungenakukwazi ukuthatha amaphilisi ngomlomo, njengoba nje ngemva kokuhlinzwa noma uma uhlangabezana nesicanucanu esibi. Ifomu le-IV linikeza izinzuzo ezifanayo zokuvikela njenge-mycophenolate yomlomo, ngendlela nje ehlukile esebenza ngokushesha futhi ngokwethembeka uma uhlelo lwakho lokugaya ukudla ludinga ikhefu.

Yini i-Mycophenolate Intravenous?

I-Mycophenolate intravenous iyifomu eliwuketshezi le-mycophenolate mofetil, umuthi ocindezela amasosha omzimba oza njengesixazululo esicacile sokujova. Ingowodwa yeqembu lemithi ebizwa ngokuthi ama-antimetabolites, asebenza ngokuvimba izindlela ezithile amaseli akho omzimba adinga ukuziphinda futhi ahlasela izicubu zangaphandle.

Lo muthi ufana ngamakhemikhali namathebulethi omlomo ongase uwajwayele, kodwa wenziwe ngokukhethekile ukuthi unikezwe ngokuphepha ngemithambo yakho. Ifomu le-IV liqinisekisa ukuthi u-100% womuthi ufika ngokushesha emgudwini wakho wegazi, okubaluleke kakhulu lapho ukucindezelwa kwamasosha omzimba okunembile kubalulekile ukuvikela ilungu lakho elishintshiwe.

Abahlinzeki bezempilo ngokuvamile basebenzisa indlela ye-intravenous uma ungenakukwazi ukugwinya amaphilisi, uhlinzwa, noma udinga ukumuncwa okuthembeke kakhulu kunalokho imithi yomlomo engakunikeza kona. Yibhuloho lesikhashana eligcina ukucindezelwa kwamasosha akho omzimba kuqhubeka ngesikhathi esinzima.

Isetshenziselwani i-Mycophenolate Intravenous?

Ukusetshenziswa okuyinhloko kwe-IV mycophenolate ukuvimbela ukwenqatshwa kwesitho ngemva kokufakelwa izinso, isibindi, noma inhliziyo. Isimiso sakho somzimba sokuzivikela ngokwemvelo sibona noma yisiphi isitho esifakelwe njengosongo futhi sizama ukusichitha, yilapho lo muthi ungena khona ukuze unikeze ukuvikelwa okubalulekile.

Odokotela babhala ifomu le-IV ngokuqondile lapho ungenakukwazi ukuthatha imithi yomlomo ngokwethembeka. Lokhu kungenzeka ngokushesha ngemva kokuhlinzwa kwakho kokufakelwa lapho usalulama khona ku-anesthesia, uhlangabezana nesicanucanu esibi noma ukuhlanza, noma unezinkinga ezithinta ikhono lakho lokugaya imithi kahle.

Ngezinye izikhathi uzothola i-IV mycophenolate ngesikhathi sokwenqatshwa kwesitho, lapho ithimba lakho lezokwelapha lidinga ukwandisa ngokushesha amazinga akho okucindezela amasosha omzimba. Indlela ye-intravenous iqinisekisa ukuthi umuthi usebenza ngokushesha ngaphandle kokulinda isimiso sakho sokugaya ukuba siwumunce.

Ezimweni ezingavamile, lo muthi ungase usetshenziselwe izimo ezimbi ze-autoimmune ezifana ne-lupus nephritis noma izinhlobo ezithile ze-vasculitis, nakuba lokhu kungavamile futhi ngokuvamile kugcinelwe izimo lapho ezinye izindlela zokwelapha zingasebenzi ngempumelelo.

Isebenza Kanjani I-Mycophenolate Intravenous?

I-Mycophenolate intravenous isebenza ngokuvimba i-enzyme ebizwa ngokuthi i-inosine monophosphate dehydrogenase, okuzwakala kuyinkimbinkimbi kodwa empeleni kusho ukuthi imisa amaseli akho omzimba ukuthi enze izinto abazidingayo ukuze zande. Cabanga ngakho njengokususa izinto zokwakha isimiso sakho somzimba sokuzivikela esidinga ukwakha ibutho elilwa nesitho sakho esifakelwe.

Lo muthi ubhekwa njengonamandla ngokulinganisela emhlabeni wama-immunosuppressants. Awunamandla njengemithi ethile efana nama-steroid amaningi, kodwa inamandla kakhulu kunama-modulators amancane omzimba, yingakho ukuqapha ngokucophelela kubalulekile.

Ifomu le-IV liqala ukusebenza kungakapheli amahora ngemuva kokunikezwa, yize kungenzeka ungezwa imiphumela ngokushesha ngoba lisebenza buthule ngemuva. Isistimu yakho yokuzivikela emzimbeni kancane kancane iba ngaphansi kokulwa ngokuqondene nethambo lakho elishintshiwe, idala isihlangu esivikelayo esisiza ukuqinisekisa impumelelo yesikhathi eside.

Okuthuthukisa lo muthi ukuthi usebenza ngokuqondile ezinhlotsheni zamaseli okuzivikela emzimbeni abangela ukwenqatshwa kwethambo kuyilapho eshiya ezinye izingxenye zesistimu yakho yokuzivikela emzimbeni zihleli kahle. Le ndlela ekhethiwe isiza ukulinganisa ukuvikelwa kwethambo lakho elishintshiwe nokugcina ikhono elithile lokulwa nezifo.

Kufanele Ngiyithathe Kanjani I-Mycophenolate Intravenous?

Ngeke ngempela “uthatha” lo muthi ngokwakho ngoba unikezwa ochwepheshe bezempilo abaqeqeshiwe ngomugqa we-IV engalweni yakho noma i-catheter emaphakathi. Umuthi uza njengempushana enakekeli noma osokhemisi abaxuba ngamanzi ahlanzekile ukuze bakhe isixazululo esicacile esifakwa kancane emgudwini wakho wegazi.

Ukufakwa kuvame ukuthatha cishe amahora angu-2, okuzodingeka ngesikhathi sokuhlala unganyakazi futhi ukhululekile. Ithimba lakho lezempilo lizokuqapha eduze kuyo yonke inqubo, lihlole izimpawu zakho ezibalulekile futhi libuke noma yiziphi izindlela eziphendulayo ngokushesha.

Akudingeki ukhathazeke ngokuthatha lo muthi nokudla noma ngaphandle kokudla ngoba udlula ngokuphelele uhlelo lwakho lokugaya ukudla. Kodwa-ke, kubalulekile ukuhlala unamanzi ngaphambi nangemuva kokufakwa ukuze usize izinso zakho ukucubungula umuthi ngempumelelo.

Ithimba lakho lezokwelapha cishe lizohlela lokhu kufakwa ngezikhathi ezithile, ngokuvamile kabili ngosuku, kuze kube yilapho ukwazi ukushintshela emithini yomlomo. Isikhathi esiqondile sincike ekululameni kwakho komuntu ngamunye kanye nekhono lokubekezelela amaphilisi futhi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Mycophenolate Intravenous?

Abantu abaningi bathola i-mycophenolate ye-IV izinsuku ezimbalwa kuya emavikini ambalwa ngaphambi kokushintshela emithini yomlomo. Ifomu le-IV ngokuvamile liyibhulo elingelesikhashana elisetshenziswa ngesikhathi esiseduze ngemuva kokufakelwa noma uma uhlangabezana nezinkinga ezikuvimbela ukuthi ungathathi amaphilisi.

Ithimba lakho lokufakelwa lizosebenza ukukushintshela ku-mycophenolate yomlomo ngokushesha nje lapho kuphephile futhi kulula ukwenza kanjalo. Lokhu kuvamile ukwenzeka uma udla ngokujwayelekile, ugcina ukudla phansi ngaphandle kwesicanucanu, futhi uhlelo lwakho lokugaya ukudla lusebenza kahle ngokwanele ukumunca imithi ngokuthembeka.

Kodwa-ke, uma uqhubeka nokuba nezinkinga ngemithi yomlomo ngenxa yesicanucanu esiqhubekayo, i-gastroparesis, noma ezinye izinkinga zokugaya ukudla, udokotela wakho angase ancome izifundo ezinde zokwelashwa nge-IV. Abanye abantu bangase badinge imithamo ye-IV ngezikhathi ezithile ngesikhathi sokugula noma izinkinga eziphazamisa okwesikhashana ikhono labo lokuthatha imithi yomlomo.

Isikhathi esiphelele sokwelashwa nge-mycophenolate (kungakhathaliseki ukuthi i-IV noma yomlomo) ngokuvamile impilo yonke kubantu abathole ukufakelwa, nakuba ingxenye ye-IV ngokuvamile iyona emfushane kulolu hambo. Ithimba lakho lezokwelapha lizohlela ngokucophelela ukushintshela ukuze liqinisekise ukuvikelwa okuqhubekayo kwelungu lakho elafakelwa.

Yiziphi Imiphumela Eceleni Ye-Mycophenolate Intravenous?

Njengayo yonke imithi ecindezela amasosha omzimba, i-mycophenolate ye-IV ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Izinkinga ezivamile ongase uzithole zihlobene nohlelo lwakho lokuzivikela olucindezelwe kanye nemiphumela yemithi emangqamuzaneni ahlukana ngokushesha emzimbeni wakho.

Nawa amanye imiphumela emibi ejwayelekile okufanele uyazi ngayo, uqonda ukuthi ukuzwa okunye kwalokhu akusho ukuthi imithi ayisebenzi noma ukuthi kufanele uyeke ukuyithatha:

• Ubungozi obukhulu bokutheleleka ngenxa yesimiso sakho somzimba sokuzivikela esicindezelwe
• Izinkinga zokugaya ukudla njengokucasuka kwesisu, ukuhlanza, noma isifo sohudo
• Ukwehla kwesibalo samangqamuzana amhlophe egazi, okuzoqashwa udokotela wakho ngezivivinyo zegazi ezivamile
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukucasuka kwekhanda noma isiyezi
• Ukuthuthumela noma ukuzamazama ezandleni zakho
• Ukuvuvukala ezandleni zakho, ezinyaweni, noma emaqakaleni

Le miphumela emibi ejwayelekile ivamise ukulawuleka futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Ithimba lakho lokunakekelwa kwezempilo linolwazi lokusiza iziguli ukuthi ziqondise lezi zinselelo.

Kukhona nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezempilo ngokushesha, nakuba lokhu kwenzeka ngesilinganiso esincane sabantu:

• Izimpawu zokutheleleka okukhulu njengomkhuhlane oqhubekayo, amakhaza, noma ukukhathala okungajwayelekile
• Isifo sohudo esibi esingathuthuki noma esiqukethe igazi
• Ukulimala noma ukuphuma kwegazi okungajwayelekile
• Ukukhwehlela okuqhubekayo noma ubunzima bokuphefumula
• Ubuhlungu obukhulu besisu
• Ukuphuzi kwesikhumba sakho noma amehlo

Izinkinga ezingavamile kodwa ezinzima zingabandakanya ingozi eyengeziwe yezinye izinhlobo zomdlavuza, ikakhulukazi imidlavuza yesikhumba nama-lymphomas, nakuba le ngozi ithuthuka eminyakeni kunokuba ngokushesha. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela nganoma yiziphi izimpawu zakuqala futhi linikeze isiqondiso ngezinyathelo zokuzivikela.

Abanye abantu bangase babe nokusabela okuhlobene nokufakwa ngesikhathi noma ngemva nje kokuthola umuthi we-IV, njengokubomvu, ukushaya kwenhliziyo okusheshayo, noma ukusabela okuncane komzimba. Lokhu kuvamise ukulawuleka ngokunciphisa izinga lokufakwa noma ukuhlinzeka ngemithi esekelayo.

Ubani Ongafanele Athole I-Mycophenolate Intravenous?

Abantu abathile kufanele bagweme i-mycophenolate intravenous ngenxa yobungozi obukhulu noma izinkinga ezingaba khona. Uma wazi ukuthi unokungezwani komzimba ne-mycophenolate mofetil noma ezinye izinto zokwakheka kwe-IV, lo muthi akuphephile ngawe.

Ukukhulelwa kuyisithiyo esikhulu kulo muthi ngoba kungadala ukukhubazeka okukhulu kokuzalwa nokulahlekelwa ukukhulelwa. Abesifazane abaneminyaka yokuzala badinga izindlela zokuvimbela ukukhulelwa ezithembekile nokuhlolwa kokukhulelwa njalo ngenkathi bethola lokhu kwelashwa.

Abantu abanezinkinga ezithile zofuzo, ikakhulukazi lezo ezithinta i-enzyme ebizwa ngokuthi i-hypoxanthine-guanine phosphoribosyl-transferase (HGPRT), akufanele bathole lo muthi. Nakuba kungavamile, lesi simo senza ukuthi umuthi ube yingozi kunokuba usize.

Udokotela wakho uzoba nokuqapha okukhethekile uma unezifo eziqhubekayo, ezingathi sína ngoba lo muthi ucindezela amasosha akho omzimba ngokuqhubekayo. Ngezinye izikhathi ukwelashwa kudingeka kulibaziseke kuze kube yilapho izifo zilawulwa, nakuba lokhu kumele kulinganiswe ngokucophelela ngokumelene nengozi yokwenqatshwa kwesitho.

Abantu abanezifo ezinzima zezinso bangase badinge ukulungiswa komthamo noma ezinye izindlela zokwelapha, njengoba umuthi ungenza ukuthi izinso ezivele zikhubazekile zicindezeleke ngokwengeziwe. Ithimba lakho lokufakelwa izitho lizohlola ngokucophelela lezi zingozi ngokumelene nezinzuzo zokuvimbela ukwenqatshwa.

Uma uncelisa, udokotela wakho cishe uzoncoma ezinye izindlela zokondla ngoba umuthi ungangena obisini futhi ungase uthinte amasosha omzimba engane yakho athuthukayo.

Amagama Omkhiqizo we-Mycophenolate Intravenous

Igama lomkhiqizo elivamile le-mycophenolate intravenous yi-CellCept IV, ekhiqizwa yi-Roche. Le yinkampani efanayo eyenza inguqulo yomlomo ye-CellCept, ngakho ungase uzijwayeze kakade ngegama lomkhiqizo.

Izinhlobo ze-IV mycophenolate ezivamile nazo ziyatholakala ezinkampanini ezihlukahlukene zemithi, futhi lezi ziqukethe isithako esisebenzayo esifanayo esinempumelelo efanayo. Ikhemisi lakho lesibhedlela noma lomtholampilo ngokuvamile lizogcina noma iyiphi inguqulo enikeza inhlanganisela engcono kakhulu yekhwalithi kanye nokusebenza kahle kwezindleko.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile akufanele kuthinte imiphumela yakho yokwelashwa, njengoba kokubili kufanele kuhlangabezane nezindinganiso eziqinile ze-FDA zokuphepha nokusebenza kahle. Ithimba lakho lokunakekelwa kwezempilo lizoqinisekisa ukuthi uthola ifomula efanele ngaphandle komkhiqizi.

Ezinye Izindlela Zokwelapha Nge-Mycophenolate Intravenous

Uma ungakwazi ukubekezelela i-IV mycophenolate noma ingafaneleki esimweni sakho, imithi eminingi yokuvimbela ukuzivikela emzimbeni ingaba yizinketho. Ukukhetha kuncike ohlotsheni lwakho oluthile lokufakelwa, umlando wezokwelapha, nokuphendula komuntu ngamunye ekwelashweni okuhlukene.

I-Azathioprine iyisivimbeli sokuzivikela emzimbeni esidala esivame ukusetshenziswa njengenye indlela, nakuba ngokuvamile kubhekwa njengengasebenzi kangako kune-mycophenolate ekuvikeleni ukwenqatshwa kwesitho. Kungase kukhethwe uma unezinto ezingabekezeleleki noma izinto ezingavumelani ne-mycophenolate.

I-Tacrolimus noma i-cyclosporine zivame ukusetshenziswa kanye ne-mycophenolate kodwa ngezinye izikhathi zingalungiswa zibe imithamo ephezulu uma i-mycophenolate idinga ukuyekiswa. Le mithi isebenza ngezindlela ezihlukene futhi ingase ibekezelelwe kangcono abanye abantu.

Ama-ejenti amasha afana ne-everolimus noma i-sirolimus angase acabangelwe ezimweni ezithile, ikakhulukazi uma uhlangabezana nemiphumela emibi evela ezivimbelini zokuzivikela emzimbeni zendabuko noma unezici eziyingozi ezithile ezenza izindlela ezingezinye zikhetheke.

Ithimba lakho lokufakelwa izitho lizohlola ngokucophelela noma yisiphi isidingo sokushintsha imithi, njengoba ukushintsha izivimbeli zokuzivikela emzimbeni kudinga ukuqapha eduze ukuze kuqinisekiswe ukuthi isitho sakho esifakelwe sihlala sivikelekile kuyo yonke le nkathi yokuguquka.

Ingabe i-Mycophenolate Intravenous Ingcono Kune-Azathioprine?

Kubantu abaningi abamukela ukufakelwa, i-mycophenolate intravenous ithathwa njengempumelelo enkulu kune-azathioprine ekuvikeleni ukwenqatshwa kwesitho. Izifundo zomtholampilo zibonise ngokuqhubekayo ukuthi i-mycophenolate inciphisa ingozi yezigameko zokwenqatshwa uma iqhathaniswa ne-azathioprine, yingakho sekuyisinqumo esikhethwayo ezinhlelweni eziningi zokufakelwa.

I-Mycophenolate isebenza ngokuqondile kumaseli omzimba abangela ukwenqatshwa kwesitho, kuyilapho i-azathioprine inethonya elibanzi kodwa elingaqondisiwe emzimbeni. Lokhu kuqondisa ngokuvamile kuhumusha emiphumeleni engcono enezinkinga ezimbalwa ezingase zibe khona ezigulini eziningi.

Nokho,

Udktela wakho uzoqapha ukusebenza kwezinso zakho ngokucophelela ngemihlolokhono yegazi ejwayelekile, eqaphela noma yiziphi izinguquko emazingeni e-creatinine noma ezinye izimpawu zempilo yezinso. Uma ukusebenza kwezinso zakho kwehla, umthamo kungenzeka udingeke ukuthi ulungiswe, kodwa lokhu akusho ukuthi awukwazi ukuqhubeka nomuthi.

Abantu abanezifo ezinzima zezinso bangase badinge imithamo ephansi noma ukuqapha kaningi, kodwa umuthi uvame ukuhlala uyingxenye ebalulekile yohlelo lwabo lokucindezela amasosha omzimba. Okubalulekile ukuthola ibhalansi efanele phakathi kokuvikela ukufakelwa kwakho nokugcina impilo yezinso.

Kufanele ngenzeni uma ngithola ngokungenhloso i-Mycophenolate eningi nge-Intravenous?

Uma usola ukuthi uthole i-mycophenolate eningi nge-IV yakho, yazisa ithimba lakho lezempilo ngokushesha. Njengoba lo muthi unikezwa ochwepheshe abaqeqeshiwe ezindaweni ezilawulwayo, ukweqisa akavamile, kodwa kungenzeka ngenxa yamaphutha okubala noma ukungasebenzi kahle kwemishini.

Izimpawu ze-mycophenolate eningi zingabandakanya isicanucanu esibi, ukuhlanza, isifo sohudo, ukukhathala okungavamile, noma izimpawu zokucindezelwa kwamasosha omzimba njengomkhuhlane noma izifo ezingavamile. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela futhi lingase lidingeke ukuthi lihlole amazinga egazi omuthi.

Akukho okwelapha ngokuqondile ukweqisa kwe-mycophenolate, kodwa ukunakekelwa okusekelayo kungasiza ekuphatheni izimpawu ngenkathi umzimba wakho usebenza ngemithi eningi. Lokhu kungabandakanya uketshezi lwe-IV, imithi yokulawula isicanucanu, nokuqapha okuseduze kokubalwa kwegazi lakho nokusebenza kwezitho.

Izindaba ezinhle ukuthi ukweqisa kwe-mycophenolate kuvamile ukuphathwa ngokunakekelwa okufanele kwezokwelapha, futhi abantu abaningi bayalulama ngokugcwele ngokwelashwa okufanele nokuqapha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Mycophenolate Intravenous?

Njengoba i-mycophenolate intravenous inikezwa ochwepheshe bezempilo ezibhedlela noma ezikhungweni zemitholampilo, ukweqa umthamo ngokuvamile akuyona into okudingeka ukhathazeke ngayo wena uqobo. Ithimba lakho lezokwelapha lilawula ukuhlelwa futhi lizoqinisekisa ukuthi uthola imithamo njengoba kunqunywe.

Uma umthamo ulibaziseka ngenxa yezinqubo zezokwelapha, izimo eziphuthumayo, noma ezinye izinkinga ezihlobene nesibhedlela, ithimba lakho lezempilo lizolungisa isikhathi ngendlela efanele. Bangase banikeze umthamo oweqiwe ngokushesha ngangokunokwenzeka noma balungise uhlelo ukuze bagcine ukucindezelwa komzimba okungaguquki.

Kubalulekile ukuthi ungazami ukuzenzela "ukwenza ngaphezulu" imithamo eyeqiwe wedwa, ngoba lokhu kungaholela emithini eminingi kakhulu ohlelweni lwakho. Njalo vumela ithimba lakho lezempilo ukuthi liphathe isikhathi somthamo nokulungiswa.

Uma ukhathazekile ngemithamo eyeqiwe noma isikhathi esingajwayelekile, xoxa ngalokhu nomhlengikazi wakho noma udokotela. Bangachaza ukuthi isikhathi somthamo sithinta kanjani ukwelashwa kwakho nokuthi yiziphi izinyathelo ezikhona zokuqinisekisa ukulethwa kwemithi okuqhubekayo.

Ngingayeka nini ukuthatha i-Mycophenolate Intravenous?

Ngokuvamile ungaqeda i-IV mycophenolate uma usukwazi ukuthatha ngokuthembeka futhi umunce imithi yomlomo futhi. Lokhu kushintsha ngokuvamile kwenzeka phakathi kwezinsuku kuya emavikini ngemuva kokuqala ukwelashwa kwe-IV, kuye ngokuthi ukululama kwakho nokukwazi ukubekezelela amaphilisi.

Ithimba lakho lezempilo lizohlola izici eziningana ngaphambi kokwenza lolu shintsho, okuhlanganisa ikhono lakho lokugcina imithi yomlomo phansi, ukusebenza okuvamile kokugaya ukudla, namazinga egazi azinzile lapho uthatha amaphilisi. Bazovame ukwenza ushintsho oluncane, baqale imithamo yomlomo ngenkathi benciphisa imithamo ye-IV.

Noma kunjalo, ukuyeka zonke izinhlobo ze-mycophenolate ngokuphelele yisinqumo esiyinkimbinkimbi kakhulu esincike esimweni sakho sokufakelwa kwesitho somzimba. Abamukeli abaningi bokufakelwa kwesitho somzimba badinga ukucindezelwa komzimba impilo yonke, nakuba imithi ethile nemithamo ingashintsha ngokuhamba kwesikhathi.

Ungayeki ukuthatha i-mycophenolate (kunoma iyiphi indlela) ngaphandle kokuxoxa nethimba lakho lokufakelwa kuqala. Ngisho noma uzizwa kahle, amasosha akho omzimba angase aqale ngokushesha ukuhlasela ilungu lakho elifakelwe uma ukucindezelwa komzimba kumiswa kungazelelwe.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithola i-Mycophenolate Intravenous?

Ngokuvamile kungcono ukugwema utshwala ngenkathi uthola i-IV mycophenolate, ikakhulukazi ngesikhathi sokuqala sokwelashwa lapho kungenzeka ukuthi ululama emsebenzini wokufakelwa noma ubhekene nezinkinga zezokwelapha. Utshwala bungaphazamisa amasosha akho omzimba futhi bungase buqhubekisele phambili eminye imiphumela emibi yomuthi.

Utshwala bungase futhi busebenzisane neminye imithi okungenzeka ukuthi uyayithatha kanye ne-mycophenolate, njengemithi yokwelapha ubuhlungu, ama-antibiotics, noma ezinye izinto ezicindezela amasosha omzimba. Lokhu kusebenzisana kungaba okungalindelekile futhi kungaba yingozi.

Isibindi sakho sesivele sisebenza ukucubungula i-mycophenolate neminye imithi, ngakho ukwengeza utshwala emxube kungadala ukucindezeleka okwengeziwe kuleli lungu elibalulekile. Lokhu kukhathaza ikakhulukazi uma uthole ukufakelwa kwesibindi noma unezinkinga ezihlobene nesibindi.

Uma usuzinzile futhi ushintshele emithini yomlomo, ithimba lakho lokufakelwa lingakunikeza isiqondiso esiqondile mayelana nokusetshenziswa kotshwala ngokusekelwe esimweni sakho ngasinye. Abamukeli abaningi bokufakelwa bangajabulela ukuphuza utshwala ngezikhathi ezithile, ngokulinganisela uma sebemisiwe kahle ekwelashweni kwabo, kodwa lokhu kufanele kuxoxwe nethimba lakho lezempilo kuqala.