Created at:1/13/2025
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I-Obiltoxaximab iyimithi ekhethekile eyenzelwe ukwelapha ukutheleleka nge-anthrax, ikakhulukazi uma kubangelwa ukuhogela ama-spores e-anthrax. Le mithi isebenza njengomsizi oqondiswe ngqo ohlelweni lwakho lomzimba lokuzivikela, ilinikeza ukwesekwa okwengeziwe okudingayo ukuze kulwe nale nkinga enkulu yokutheleleka ngamagciwane. Ngokuvamile uzothola le mithi nge-IV esibhedlela, lapho ochwepheshe bezokwelapha bengaqapha ukusabela kwakho futhi baqinisekise ukuthi uthola ukunakekelwa okungcono kakhulu.
I-Obiltoxaximab iyimithi ye-monoclonal antibody eqondiswe ngqo e-anthrax toxins emzimbeni wakho. Cabanga ngayo njengochwepheshe oqeqeshwe kakhulu oqaphela futhi anqamule izinto eziyingozi ezikhiqizwa amagciwane e-anthrax. Ngokungafani nama-antibiotics avamile abulala amagciwane ngokuqondile, le mithi isebenza ngokuvimba ubuthi obenza i-anthrax ibe yingozi empilweni yakho.
Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-antitoxins, okusho ukuthi yenzelwe ukulwa nezinto ezinobuthi kunokuthi ihlasele amagciwane ngokwawo. Le ndlela eyingqayizivele yenza ibe yigugu ikakhulukazi uma ubhekene nokutheleleka nge-anthrax, ikakhulukazi ezimweni lapho ukuchayeka sekuvele kwenzekile futhi ubuthi buhamba ohlelweni lwakho.
I-Obiltoxaximab isetshenziselwa ikakhulukazi ukwelapha i-anthrax yokuphefumula kubantu abadala nezingane, okuhlanganisa nezimo lapho ukutheleleka sekuvele kuqhubekile. Le mithi ibaluleke kakhulu lapho ama-spores e-anthrax ehogelwe, njengoba lolu hlobo lokuchayeka lungaba yingozi kakhulu futhi ludinga ukunakekelwa kwezokwelapha ngokushesha.
Lo muthi usetshenziswa njengesinyathelo sokuvimbela ezimweni ezithile eziyingozi kakhulu. Uma uke wavezwa ku-anthrax kodwa ungakabi nazo izimpawu, udokotela wakho angase ancome lo muthi ukusiza ukuvimbela ukutheleleka ekuthathweni. Lokhu kusetshenziswa kokuvimbela kubaluleke kakhulu kubantu abangase bavezwe ku-anthrax ezigamekweni ze-bioterrorism noma ezingozini zaselabhorethri.
Kwezinye izimo, odokotela bangase basebenzise i-obiltoxaximab kanye nama-antibiotics ukuhlinzeka ngemithi ebanzi. Le ndlela yokuhlanganisa isiza ukubhekana ngqo namagciwane abangela ukutheleleka kanye nobuthi ababukhiqizayo, inike umzimba wakho ithuba elingcono lokululama ngokugcwele.
I-Obiltoxaximab isebenza ngokubopha ubuthi obuthile be-anthrax futhi ibavimbele ekulimaleni amaseli akho. Lapho amagciwane e-anthrax ehlasela umzimba wakho, akhipha ubuthi obungabangela umonakalo omkhulu ezithweni zakho nezicubu. Lo muthi usebenza njengendlovu, uqeda lobu buthi ngaphambi kokuba bungabangela umonakalo.
Lo muthi ubhekwa njengomuthi oqinile futhi osebenza kahle kakhulu ekwelapheni ukuchayeka ebuthini be-anthrax. Yenziwe ukuthi ibe eqondile kakhulu, okusho ukuthi iqondisa kuphela ubuthi be-anthrax futhi ayiphazamisi imisebenzi ejwayelekile yomzimba wakho. Lokhu kuqondisa kusiza ukunciphisa imiphumela emibi ngenkathi kwandisa inzuzo yokwelapha.
Uma umuthi usubophele ebuthini, izinqubo zomzimba wakho zemvelo zingakwazi ukuqeda ngokuphephile womabili umuthi nobuthi obungathathi hlangothi. Le nqubo ngokuvamile ithatha izinsuku eziningana kuya emavikini, ngesikhathi lapho uzoqashwa eduze yithimba lakho lezempilo ukuze kuqinisekiswe ukuthi ukwelashwa kusebenza ngempumelelo.
I-Obiltoxaximab ihlale inikezwa njenge-infusion ye-intravenous esibhedlela noma endaweni yezokwelapha. Awukwazi ukuthatha lo muthi ekhaya, njengoba kudinga ukuqapha okucophelelayo nokuphathwa ngobungcweti. I-infusion ngokuvamile ithatha amahora amaningana ukuqedwa, futhi kuzodingeka uhlale endaweni yezokwelapha ngalesi sikhathi.
Ngaphambi kokuthola umuthi, ithimba lakho lezempilo cishe lizokunika eminye imithi ukusiza ukuvimbela ukusabela komzimba. Lokhu kungabandakanya ama-antihistamines noma ama-corticosteroids, asiza umzimba wakho ukuba ubekezelele i-infusion kangcono. Akudingeki ukuthi ugweme ukudla noma ukuphuza ngaphambi kokwelashwa, kodwa ithimba lakho lezokwelapha lizohlinzeka ngemiyalelo ethile ngokusekelwe esimweni sakho.
Ngesikhathi se-infusion, abahlengikazi bazoqapha izimpawu zakho ezibalulekile futhi baqaphele noma yiziphi izimpawu zokungahambi kahle. Umuthi ugeleza kancane ngomugqa we-IV, futhi izinga lingalungiswa uma uzwa noma yikuphi ukungakhululeki. Uma uzwa noma yiziphi izimpawu ezingavamile ngesikhathi se-infusion, kubalulekile ukutshela ithimba lakho lezempilo ngokushesha.
Abantu abaningi bathola i-obiltoxaximab njengeseshini eyodwa yokwelashwa, nakuba i-infusion ngokwayo ithatha amahora amaningana ukuqedwa. Ngokungafani nemithi yansuku zonke ongayithatha ekhaya, lokhu ngokuvamile ukwelashwa kwesikhathi esisodwa okuhloswe ukuhlinzeka ngokushesha nokuvikela okuhlala njalo emathini e-anthrax.
Kwezinye izimo, ikakhulukazi uma une-anthrax enkulu noma ukutheleleka, udokotela wakho angase ancome imithamo eyengeziwe. Isinqumo sokuphinda ukwelashwa sincike ezintweni ezifana nokuphendula kwakho emthini wokuqala, ubukhulu bokuchayeka kwakho, kanye nesimo sakho sempilo esiphelele.
Ngemva kokuthola umuthi, cishe uzoqhubeka nokwelashwa ngama-antibiotic amasonto amaningana. Le ndlela yokuhlanganisa iqinisekisa ukuthi kokubili amagciwane kanye nama-toxins awo abhekwa ngokwanele, ekunikeza umphumela ongcono kakhulu.
Njengazo zonke izidakamizwa, i-obiltoxaximab ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi ungakhathazeki kakhulu ngemithi yakho.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ikhanda elibuhlungu, ukukhathala, nesicanucanu esincane. Lezi zimpawu zivame ukulawuleka futhi zithambekele ekuthuthukiseni ngosuku olulodwa noma ezimbili ngemva kokwelashwa. Ungase futhi uqaphele ubuhlungu obuthile noma ukuvuvukala endaweni ye-IV, okuvamile futhi okufanele kulungiswe ngokushesha.
Abanye abantu bathola okuthiwa ukusabela kokufakwa ngesikhathi noma ngemva nje kokuthola umuthi. Lokhu kungahlanganisa izimpawu ezinjengalezi:
Lezi zindlela zokuphendula zivame ukuba mnene futhi zingalawulwa ngokunciphisa izinga lokufakwa noma ukukunikeza imithi eyengeziwe. Ithimba lakho lezempilo lilungiswe kahle ukubhekana nalezi zimo futhi lizokuqapha eduze ngesikhathi sokwelashwa.
Imiphumela emibi engathi sína ayivamile kodwa ingenzeka. Lokhu kungase kuhlanganise ukusabela okukhulu komzimba, izinguquko ezinkulu emfutheni wegazi, noma ukuvuvukala okungavamile. Uma uthola noma yiziphi izimpawu ezikhathazayo ngesikhathi noma ngemva kokwelashwa, ithimba lakho lezokwelapha lizozixazulula ngokushesha nangokufanele.
Abantu abaningi bangathola ngokuphepha i-obiltoxaximab uma kudingeka ngokwezokwelapha, kodwa kunezimo ezithile lapho kudingeka khona ukuqapha okwengeziwe. Uma unokungezwani komzimba okwaziwayo kulo muthi noma ama-monoclonal antibodies afanayo, udokotela wakho uzodinga ukukala izingozi nezinzuzo ngokucophelela.
Abantu abanezinkinga ezinkulu zesimiso somzimba sokuzivikela emzimbeni bangase badinge ukuqapha okukhethekile ngesikhathi sokwelashwa. Nakuba umuthi ngokwawo ngokuvamile ungabangeli izinkinga zesimiso somzimba sokuzivikela emzimbeni, isimo sakho esiyisisekelo singase sithinte indlela umzimba wakho osabela ngayo ekwelashweni.
Uma ukhulelwe noma uncelisa, udokotela wakho uzoxoxa nawe ngezingozi ezingase zibe khona nezinzuzo. Ezimweni zokuchayeka ku-anthrax, izinzuzo zokwelashwa ngokuvamile zidlula izingozi ezingase zibe khona, kodwa lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubonisana nomhlinzeki wakho wezempilo.
Izingane zingathola lo muthi uma kudingeka, kodwa umthamo uzolungiswa ngokucophelela ngokusekelwe esisindweni sabo nobudala babo. Iziguli ze-pediatric ngokuvamile zidinga ukuqapha okuseduze ngesikhathi nangemva kokwelashwa.
I-Obiltoxaximab ithengiswa ngaphansi kwegama lomkhiqizo elithi Anthim. Leli igama ozolibona emalebula emithi nasemarekhodi ezokwelapha, nakuba abahlinzeki bezempilo bengase babhekisele kuyo ngegama lomkhiqizo noma igama elivamile.
I-Anthim ikhiqizwa yi-Elusys Therapeutics futhi ivunyelwe ngokuqondile ukwelapha izifo ze-anthrax. Umuthi uza ngama-vials aqukethe isixazululo esigxilile, esincishiswa ngaphambi kokuthi sinikezwe nge-IV infusion.
Ngenkathi i-obiltoxaximab isebenza kahle kakhulu ekwelapheni i-anthrax, zikhona ezinye izinketho zokwelashwa ezitholakalayo. Ezinye izindlela ezivamile zihlanganisa ezinye izinto ezilwa ne-anthrax ezifana ne-raxibacumab, esebenza ngendlela efanayo ngokungathathi hlangothi ubuthi be-anthrax emzimbeni wakho.
Ukwelashwa ngama-antibiotic kuhlala kuyisisekelo sokwelashwa kwe-anthrax futhi kuvame ukusetshenziswa kanye noma esikhundleni semithi elwa nobuthi. Ama-antibiotics ajwayelekile e-anthrax afaka i-ciprofloxacin, i-doxycycline, ne-penicillin, kuye ngezimo ezithile zecala lakho.
Udokotela wakho uzokhetha indlela yokwelashwa engcono kakhulu ngokusekelwe ezintweni ezifana nohlobo lokuchayeka ku-anthrax, ukuthi kudlule isikhathi esingakanani ukuchayeka, nesimo sakho sempilo ngamunye. Ngezinye izikhathi inhlanganisela yokwelashwa inikeza ukuvikelwa okuphelele kakhulu.
Bobili toxaximab kanye ne-raxibacumab yizinto ezilwa ne-anthrax eziphumelelayo, futhi ukukhetha phakathi kwazo kuvame ukuncika ekutholakaleni kanye nezici ezithile zomtholampilo. Yomibili imithi isebenza ngezindlela ezifanayo, ibopha futhi ingathathi hlangothi ubuthi be-anthrax emzimbeni wakho.
Ezinye izifundo zikhomba ukuthi i-obiltoxaximab ingase ibe nomphumela ohlala isikhathi eside, kodwa yomibili imithi ithathwa njengephumelela kakhulu ekwelapheni ukuchayeka ebuthini be-anthrax. Into ebaluleke kakhulu ukuthola ukwelashwa okufanele ngokushesha ngangokunokwenzeka, kungakhathaliseki ukuthi iyiphi i-antitoxin ethile esetshenziswayo.
Ithimba lakho lezempilo lizokhetha umuthi ofanele kakhulu ngokusekelwe kulokho okutholakalayo kanye nalokho abakholelwa ukuthi kuzosebenza kangcono esimweni sakho esithile. Zombili izinketho ziboniswe ziphephile futhi zisebenza kahle ezivivinyweni zomtholampilo nasempilweni yangempela.
I-Obiltoxaximab ngokuvamile ithathwa njengephephile kubantu abanezimo zenhliziyo, nakuba uzodinga ukuqapha okuseduze ngesikhathi sokwelashwa. Umuthi ngokuvamile awubangeli izinkinga eziqondile zenhliziyo, kodwa ukucindezeleka kwanoma yisiphi isifo esibi noma ukwelashwa kungase kuthinte uhlelo lwakho lwe-cardiovascular.
Uma unesifo senhliziyo, ithimba lakho lezokwelapha lizokwazi ukubheka umfutho wegazi lakho kanye nezinga lokushaya kwenhliziyo kaningi ngesikhathi sokufakwa. Bangase futhi balungise izinga lokufakwa ukuze baqinisekise ukuthi umzimba wakho uyakubekezelela ukwelashwa kahle. Izinzuzo zokwelapha ukuchayeka kwe-anthrax ngokuvamile zidlula izingozi kubantu abanezimo zenhliziyo.
Uma uqaphela noma yiziphi izimpawu ezingavamile ngesikhathi sokufakwa kwe-obiltoxaximab, tshela ithimba lakho lezempilo ngokushesha. Baqeqeshwe ukubona nokuphatha ukusabela kokufakwa futhi bangakwazi ukulungisa ukwelashwa kwakho ngokushesha uma kudingeka.
Izinto ezenzeka njalo njengokuba nobuhlungu bekhanda obuncane noma isicanucanu ngokuvamile zingalawulwa ngaphandle kokumisa ukufakwa. Ukuze uthole izinto ezenzeka kakhulu, iqembu lakho linganciphisa izinga lokufakwa noma likunikeze imithi eyengeziwe ukukusiza ukuthi uzizwe ukhululekile. Khumbula ukuthi usendaweni ephephile, eqashwe lapho usizo lutholakala khona ngokushesha.
Njengoba i-obiltoxaximab ngokuvamile inikezwa njengokwelashwa okukodwa endaweni yasesibhedlela, ukuphuthelwa umthamo akuyona into okufanele ukhathazeke ngayo ngendlela yendabuko. Kodwa-ke, uma ukwelashwa kwakho kulibaziseka nganoma yisiphi isizathu, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uhlele kabusha.
Isikhathi singaba esibalulekile lapho kulashwa ukuchayeka ku-anthrax, ngakho-ke kubalulekile ukuthola ukwelashwa ngokushesha okukhulu. Ithimba lakho lezokwelapha lizosebenza nawe ukuthola i-aphoyintimenti esheshayo etholakalayo futhi liqinisekise ukuthi uthola ukunakekelwa okudingayo ngokushesha.
Abantu abaningi bangabuyela emisebenzini elula phakathi nosuku olulodwa noma ezimbili ngemuva kokuthola i-obiltoxaximab, yize kufanele ugweme ukuzivocavoca okunzima okungenani amahora angama-24. Umzimba wakho udinga isikhathi sokucubungula imithi nokululama enqubweni yokufakwa.
Kungenzeka udinga ukuqhubeka nokuthatha ama-antibiotics amasonto amaningi ngemuva kokwelashwa kwakho nge-obiltoxaximab, ngakho-ke landela imiyalelo kadokotela wakho ngokucophelela. Ithimba lakho lezempilo lizokwazisa ukuthi kuphephile nini ukuqala kabusha yonke imisebenzi yakho ejwayelekile, okuhlanganisa umsebenzi nokuzivocavoca.
I-Obiltoxaximab ingahlala esistemini yakho amasonto amaningi kuya ezinyangeni, okuyinto enenzuzo ngempela ngoba inikeza ukuvikelwa okwandisiwe ebuthini be-anthrax. Umuthi uhlakazwa kancane kancane futhi uqedwe yizinqubo zomzimba wakho zemvelo.
Ukuba khona okweluliwe ngokuvamile akubangeli izinkinga, kodwa kubalulekile ukutshela noma yibaphi abahlinzeki bezempilo ngemithi yakho uma udinga ukunakekelwa kwezempilo ezinyangeni ezilandelayo. Umuthi ngeke uphazamise ezinye izindlela zokwelapha eziningi, kodwa odokotela bakho kufanele bazi umlando wakho wezokwelapha.