I-Alefacept iyimithi kadokotela esiza ukuphatha i-psoriasis emaphakathi kuya kokukhulu ngokusebenza nesistimu yakho yokuzivikela. Lo muthi we-biologic wakhelwe ngqo ukuthi uqondise amaseli omzimba okuzivikela abangela iziqephu eziqindilili, ezinama-scaly eziqondene ne-psoriasis. Nakuba ingasatholakali kabanzi emazweni amaningi, ukuqonda ukuthi isebenza kanjani kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nezinketho zakho zokwelapha i-psoriasis.
Yini i-Alefacept?
I-Alefacept iyimithi ye-biologic eyisigaba semithi ebizwa ngokuthi ama-immunosuppressants. Yiphrotheni eyenziwe ngumuntu elingisa amaprotheni athile emvelo emzimbeni wakho ukusiza ukulawula impendulo yesistimu yakho yokuzivikela. Cabanga ngayo njengomthunywa otshela amaseli athile okuzivikela ukuthi azole futhi ayeke ukuhlasela amaseli esikhumba anempilo.
Umuthi uza njengempushana exutshwa ngamanzi ahlanzekile futhi ifakwe emsipheni wakho, ngokuvamile ethangeni lakho noma engalweni engenhla. Umhlinzeki wakho wezempilo ngokuvamile uzokunika lo mjovo ehhovisi lakhe kanye ngesonto. Le ndlela yokulethwa kwe-intramuscular isiza umuthi ukuthi ufinyelele ngempumelelo emgudwini wakho wegazi ukuze uqondise amaseli okuzivikela emzimbeni wakho wonke.
Isetshenziselwani i-Alefacept?
I-Alefacept isetshenziswa ikakhulukazi ukwelapha i-psoriasis emaphakathi kuya kokukhulu kubantu abadala. I-Plaque psoriasis iyona fomu evame kakhulu ye-psoriasis, ebangela iziqephu eziphakanyisiwe, ezibomvu ezimbozwe ngamakala esiliva esikhumbeni sakho. Lezi ziqephu zivame ukuvela emadolweni akho, emadolweni, ekhanda, nasemuva, nakuba zingavela noma yikuphi emzimbeni wakho.
Udokotela wakho angase acabangele i-alefacept uma ezinye izindlela zokwelapha zingasebenzi kahle noma uma une-psoriasis emboza ingxenye enkulu yomzimba wakho. Umuthi ngokuvamile ugcinelwe abantu abane-psoriasis ethinta kakhulu impilo yabo yansuku zonke kanye nekhwalithi yokuphila. Abanye odokotela babesebenzisa futhi uma iziguli zazingakwazi ukubekezelela eminye imithi ye-psoriasis ngenxa yemiphumela emibi.
Kufanele kuqashelwe ukuthi i-alefacept ayisetshenziswa kwezinye izinhlobo ze-psoriasis njenge-pustular noma i-erythrodermic psoriasis. Lezi zinhlobo zidinga izindlela zokwelapha ezihlukene, futhi udokotela wakho uzoncoma umuthi ofanele kakhulu ngokuya ngohlobo lwakho oluthile lwe-psoriasis.
Isebenza Kanjani I-Alefacept?
I-Alefacept isebenza ngokugxila kumaseli athile omzimba abizwa ngokuthi ama-T-cells adlala indima enkulu ekuthuthukisweni kwe-psoriasis. Kubantu abane-psoriasis, la ma-T-cells aba matasa ngokweqile futhi abangele ukuvuvukala esikhumbeni. Umuthi ubopha kula ma-T-cells futhi usiza ukunciphisa izinombolo zawo, ikakhulukazi ama-T-cells ememori akhumbula ukuqhubeka nokuhlasela isikhumba sakho.
Lokhu kuthathwa njengendlela enamandla aphakathi nendawo yokwelapha i-psoriasis. Ngokungafani nezinye izindlela zokucindezela amasosha omzimba ezinamandla ezigxilisa ngokuphana wonke amasosha akho omzimba, i-alefacept isebenza ngokukhetha okwengeziwe. Igxila ngokuqondile kuma-T-cells abambe iqhaza ku-psoriasis ngenkathi ishiya ezinye izingxenye zamasosha akho omzimba zihlala zihlelekile.
Umuthi awusebenzi ngokushesha njengoba umelaphi wezinhlungu engasebenza. Kunalokho, kancane kancane kunciphisa inani lama-T-cells anezinkinga emavikini amaningana. Abantu abaningi baqala ukuqaphela ukuthuthuka kwe-psoriasis yabo ngemva kwamasonto angaba ngu-2-3 okwelashwa, ngemiphumela emihle kakhulu evame ukubonakala ngemva kokuqeda inkambo ephelele yokwelapha.
Kufanele Ngiyithathe Kanjani I-Alefacept?
I-Alefacept inikezwa njengomjovo we-intramuscular, okusho ukuthi ifakwa ngokuqondile emsipheni wakho. Umhlinzeki wakho wezempilo uzokwenza lo mjovo ehhovisi lakhe, emtholampilo, noma esibhedlela. Umthamo ojwayelekile ngokuvamile ungama-milligramu angu-15 anikezwa kanye ngesonto amasonto angu-12, nakuba udokotela wakho engase akulungise lokhu ngokusekelwe ezidingweni zakho ezithile.
Ngaphambi komjovo ngamunye, umhlinzeki wakho wokunakekelwa kwezempilo uzohlola ukubalwa kwegazi lakho ukuze aqiniseke ukuthi amasosha akho omzimba ayaphendula ngendlela efanele. Lokhu kuhlanganisa ukuhlolwa kwegazi okulula okulinganisa ukubalwa kwamaseli akho e-CD4+ T kanye nezinye izimpawu ezibalulekile zokuzivikela komzimba. Uma ukubalwa kwamaseli akho e-T kwehle kakhulu, udokotela wakho angase amise ukwelashwa kuze kube yilapho kubuyela ezingeni eliphephile.
Akudingeki ukuthi wenze noma yini ekhethekile ukulungiselela umjovo mayelana nokudla noma ukuphuza. Kodwa-ke, kuyasiza ukugqoka izingubo ezikhululekile ezivumela ukufinyelela kalula endaweni yakho yokujova. Umjovo ngokwawo uthatha imizuzu embalwa nje, futhi ngokuvamile ungaqhubeka nemisebenzi yakho evamile ngokushesha ngemva kwalokho.
Qiniseka ukuthi ugcina zonke izikhathi zakho ezihleliwe, ngisho noma uzizwa ungcono. Ukuqina ngeshejuli yomjovo kubalulekile ukuze umuthi usebenze ngempumelelo. Uma udinga ukungaphuthelwa isikhathi, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha ukuze uhlele kabusha.
Kufanele Ngithathe Isikhathi Esingakanani I-Alefacept?
Inkambo yokwelashwa ejwayelekile ye-alefacept imijovo yamasonto onke engu-12, okulingana nezinyanga ezintathu zokwelashwa. Ngemva kokuqeda le nkambo yokuqala, ngokuvamile uzothatha ikhefu emuthini okungenani amasonto angu-12 ukuze uvumele amasosha akho omzimba ukuthi alulame.
Udokotela wakho uzoqapha impendulo yakho kuyo yonke inkathi yokwelashwa kanye nezinyanga eziningana ngemva kwalokho. Abanye abantu babona imiphumela emihle ngemva kwenkambo eyodwa nje yokwelashwa, kuyilapho abanye bangazuza enkambweni yesibili ngemva kwesikhathi sokulinda. Isinqumo sokuphinda ukwelashwa sincike ekutheni i-psoriasis yakho iphendule kahle kangakanani nokuthi amasosha akho omzimba akusingathe kanjani inkambo yokuqala.
Kubalulekile ukuqonda ukuthi imiphumela ye-alefacept ingaqhubeka ngisho nangemva kokuyeka ukuyithatha. Umuthi usebenza ngokunciphisa inani lama-T-cells emzimbeni wakho, futhi kuthatha isikhathi ukuthi la maseli abuyele emazingeni avamile kancane kancane. Lokhu kusho ukuthi kungenzeka uqhubeke nokubona ngcono i-psoriasis yakho izinyanga eziningana ngemuva komjovo wakho wokugcina.
Ungalokothi uyeke ukwelashwa ngaphambi kwesikhathi ngaphandle kokuxoxa ngakho nomhlinzeki wakho wezempilo kuqala. Noma ngabe i-psoriasis yakho ibonakala ithuthuka, ukuqeda inkambo ephelele kukunikeza ithuba elingcono lokuzuza imiphumela ehlala isikhathi eside.
Ziyini Imiphumela Eceleni ye-Alefacept?
Njengayo yonke imithi, i-alefacept ingabangela imiphumela emibi, yize kungewona wonke umuntu oyitholayo. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.
Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ilawuleka. Lezi zinkinga zansuku zonke zithinta abantu abaningi kodwa ngokuvamile azidingi ukuyeka umuthi:
- Ukuphendula kwendawo yokujova njengobubomvu, ukuvuvukala, noma ukuba nobumnene
- Ikhanda elingase livele ngaphakathi kosuku olulodwa noma ezimbili ngemuva komjovo
- Ukukhathala noma ukuzizwa ukhathele kakhulu kunokujwayelekile
- Ukuqaqamba kwemisipha noma ubuhlungu bamalunga
- Isiyezi, ikakhulukazi ngemuva komjovo
- Isicanucanu noma isisu esincane
- Izimpawu zomkhuhlane ezivamile njengamakhala agobhozayo noma umphimbo obuhlungu
Le miphumela emibi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi, futhi abantu abaningi bathola ukuthi iba ngaphansi kokukhathaza ngokuhamba kwesikhathi.
Imiphumela emibi engathi sína idinga ukunakekelwa kwezempilo ngokushesha, yize ingavamile. Lezi zimpawu ezikhathazayo zidinga ukuhlolwa okusheshayo ngoba zingabonisa izinkinga:
- Izimpawu zokutheleleka okukhulu njengomkhuhlane, amaqhwa, noma izimpawu eziqhubekayo ezinjengomkhuhlane
- Ukuphuma igazi okungajwayelekile noma ukulimala okubonakala ngaphandle kokulimala
- Ukuphendula okukhulu komzimba okuhlanganisa ubunzima bokuphefumula noma ukuvuvukala kobuso nomphimbo
- Ikhanda eliqhubekayo noma elibuhlungu elingaphenduli emithini ejwayelekile
- Ubuhlungu besifuba noma ubunzima bokuphefumula
- Ukusabela okukhulu endaweni yokujova ngobubomvu obusabalalayo noma i-pus
Izinkinga ezingavamile kodwa ezinzima zingahlanganisa ukutheleleka okukhulu, izifo zegazi, noma izinkinga zesibindi. Umhlinzeki wakho wezempilo uzokuqapha eduze ngezivivinyo zegazi ezijwayelekile ukuze abambe noma yiziphi izinkinga ezingaba khona ekuqaleni. Uma uqaphela noma yiziphi izimpawu ezingajwayelekile noma uzizwa ukhathazekile ngendlela ozabela ngayo emuthini, unganqikazi ukuxhumana nethimba lakho lezempilo.
Ubani Ongafanele Athathe I-Alefacept?
I-Alefacept ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Umuthi uthinta amasosha akho omzimba, ngakho izimo ezithile zezempilo zenza kungaphephile ukuwusebenzisa.
Akufanele uthathe i-alefacept uma unokutheleleka okusebenzayo noma umlando wokutheleleka okuningi okukhulu. Njengoba umuthi ucindezela ingxenye yamasosha akho omzimba, ungenza kube nzima ngomzimba wakho ukulwa namagciwane, amagciwane, noma amanye amagciwane. Lokhu kuhlanganisa kokubili ukutheleleka kwamanje nokutheleleka okungapheli okungase kuphinde kusebenze.
Abantu abanezifo ezithile zohlelo lokuzivikela komzimba kufanele bagweme i-alefacept. Lokhu kuhlanganisa izimo ezinjenge-HIV/AIDS, lapho amasosha omzimba esivele ekhubazekile. Umuthi ungaqhubeka ubuthaka ikhono lakho lokulwa nokutheleleka, udale izingozi zempilo eziyingozi.
Abesifazane abakhulelwe kanye nalabo abahlela ukukhulelwa akufanele basebenzise i-alefacept. Umuthi ungase ulimaze ingane esakhula, futhi alukho ulwazi olwanele lokuphepha lokuthola ukuthi luphephile yini ngesikhathi sokukhulelwa. Uma uncelisa, xoxa ngezingozi nezinzuzo nodokotela wakho, njengoba kungacaci ukuthi umuthi udlulela emanzini obisi.
Izingane nentsha engaphansi kweminyaka engu-18 akufanele ithathe i-alefacept, njengoba ukuphepha nokusebenza kwayo kungakahlolwa emaqenjini amancane obudala. Amasistimu abo omzimba avikelayo asathuthuka angase asabele ngendlela ehlukile emuthini, futhi imiphumela yesikhathi eside ayaziwa.
Uma unomlando womdlavuza othile, ikakhulukazi imidlavuza yegazi efana ne-lymphoma, udokotela wakho uzodinga ukukala izingozi nezinzuzo ngokucophelela kakhulu. Imiphumela yomuthi ohlelweni lomzimba lokuzivikela ingase ithinte ukuhlolwa komdlavuza noma ukwelashwa.
Amagama Omkhiqizo we-Alefacept
I-Alefacept yayithengiswa ekuqaleni ngaphansi kwegama lomkhiqizo elithi Amevive. Leli kwakuyigama eliyinhloko lomkhiqizo elalisetshenziswa e-United States nakwamanye amazwe lapho umuthi wawutholakala khona. Uma abahlinzeki bezempilo noma osokhemisi bekhuluma nge-alefacept, bangase basebenzise igama elivamile elithi "alefacept" noma igama lomkhiqizo elithi "Amevive."
Kubalulekile ukuqaphela ukuthi i-Amevive ayisatholakali kabanzi emazweni amaningi. Umkhiqizi wayeka ukukhiqiza umuthi ezimakethe eziningana, okuhlanganisa i-United States, ngenxa yesidingo esilinganiselwe nokutholakala kwezindlela zokwelapha i-psoriasis entsha. Uma njengamanje uthatha i-alefacept noma uyicabangela njengenketho yokwelashwa, udokotela wakho uzodinga ukuqinisekisa ukutholakala kwayo endaweni yakho.
Kwezinye izifunda, i-alefacept ingase itholakale ngezinhlelo zokufinyelela ezikhethekile noma izinhlelo zokusetshenziswa ngomusa ezigulini eziye zazama ezinye izindlela zokwelapha ngaphandle kwempumelelo. Umhlinzeki wakho wezempilo angakusiza ukuthi uqonde ukuthi yiziphi izinketho ezingase zitholakale endaweni yakho ethile.
Ezinye Izindlela ze-Alefacept
Eminye imithi eminingi ingelapha ngempumelelo i-psoriasis ephakathi nendawo kuya kweqine uma i-alefacept ingatholakali noma ingakulungele. Lezi ezinye izindlela zisebenza ngezindlela ezihlukene kodwa zingahlinzeka ngemiphumela efanayo noma engcono kubantu abaningi.
Imithi emisha ye-biologic inikeza ezinye izindlela ezinhle kakhulu ze-alefacept. Ama-TNF inhibitors afana ne-adalimumab (Humira), etanercept (Enbrel), kanye ne-infliximab (Remicade) asebenza ngokuvimba enye ingxenye yamasosha omzimba. Le mithi ivame ukuhlinzeka ngemiphumela esheshayo kune-alefacept futhi ingase isebenze kahle kakhulu kwabanye abantu.
Ama-IL-17 inhibitors amelela enye ikilasi lama-biologics amasha angasebenza kahle kakhulu. Imithi efana ne-secukinumab (Cosentyx) kanye ne-ixekizumab (Taltz) iqondise iphrotheni ethile ebandakanyeka ekuvuvukeni kwe-psoriasis. Abantu abaningi bathola ukuthi le mithi isebenza ngokushesha futhi ngempumelelo kunezinketho ezindala njenge-alefacept.
Kubantu abakhetha imithi yomlomo, izinketho ezintsha njenge-apremilast (Otezla) zinikeza enye indlela yokujova. Nakuba ingasebenzi njengama-biologics, imithi yomlomo ingasebenza kahle ku-psoriasis ephakathi nendawo futhi inikeze lula lokuthatha iphilisi esikhundleni sokuthola imijovo.
Imithi yamasistimu yendabuko efana ne-methotrexate, cyclosporine, noma i-acitretin ihlala iyizindlela ezibalulekile, ikakhulukazi kubantu abangafaneleki noma abangakwazi ukufinyelela kuma-biologics amasha. Le mithi isetshenziswe amashumi eminyaka futhi ingasebenza kahle kakhulu, nakuba ingase ibe namaphrofayili ahlukene emiphumeleni emibi.
Ingabe i-Alefacept Ingcono Kune-Methotrexate?
Ukuqhathanisa i-alefacept ne-methotrexate akulula ngoba zisebenza ngendlela ehlukile futhi zinezinto ezinhle nezimbi ezihlukile. Yomibili imithi ingelapha ngempumelelo i-psoriasis ephakathi nendawo kuya kweqine, kodwa ilungele abantu abahlukene nezimo.
I-Alefacept ivame ukuba iqondiswe kakhulu endleleni yayo, ikakhulukazi ithinta amaseli e-T abambe iqhaza ku-psoriasis ngenkathi ishiya ezinye izitho zomzimba wakho zivikelekile. Lokhu kungasho imiphumela emincane emibi kwabanye abantu, ikakhulukazi labo abanezinkinga zesibindi noma zesisu nge-methotrexate. Uhlelo lokujova i-alefacept lungase futhi lube lula kubantu abanobunzima bokuthatha amaphilisi nsuku zonke noma masonto onke.
I-Methotrexate, ngakolunye uhlangothi, ivame ukutholakala kalula futhi ibiza kancane kune-alefacept. Isetshenziswe ukwelapha i-psoriasis amashumi eminyaka, ngakho odokotela banolwazi oluningi ngayo. Abanye abantu basabela kangcono endleleni ebanzi ye-methotrexate yokucindezela amasosha omzimba, futhi ingathathwa njengepilisi kunokuthi idinge imijovo.
Ukushesha kwemiphumela kungahluka phakathi kwemithi emibili. Abanye abantu babona ngcono ngokushesha nge-methotrexate, kanti abanye bathola ukuthi i-alefacept inikeza imiphumela eneqhubu kodwa ehlala isikhathi eside. Udokotela wakho uzocabangela izinto ezinjengempilo yakho yonke, eminye imithi oyithathayo, nezintandokazi zakho lapho enquma ukuthi iyiphi imithi engasebenza kangcono kuwe.
Akukho mithi enye engcono kunenye. Ukukhetha okungcono kuncike esimweni sakho ngasinye, okuhlanganisa umlando wakho wezokwelapha, ubukhulu be-psoriasis yakho, nokuthi usabele kanjani kwezinye izindlela zokwelapha. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise izinzuzo nobubi benketho ngayinye ngokusekelwe ezidingweni zakho ezithile.
Imibuzo Evame Ukubuzwa Nge-Alefacept
Ingabe i-Alefacept iphephile kubantu abanesifo sikashukela?
I-Alefacept ngokuvamile ingasetshenziswa ngokuphepha kubantu abanesifo sikashukela, kodwa idinga ukuqapha okucophelelayo. Umuthi awuthinti ngokuqondile amazinga kashukela egazini, kodwa abantu abanesifo sikashukela bangase babe sengozini enkulu yokutheleleka, okungase kube yinkinga nganoma yimuphi umuthi ocindezela amasosha omzimba.
Udktela wakho uzonaka kakhulu ingozi yakho yokutheleleka futhi angase akuqaphele eduze uma unesifo sikashukela. Lokhu kubaluleke kakhulu uma isifo sakho sikashukela singalawulwa kahle, njengoba ushukela ophezulu wegazi ungakwenza ukuthi uthambekele ekuthelelekeni. Ukuphathwa okuhle kwesifo sikashukela kubaluleka nakakhulu uma uthatha i-alefacept.
Uma unesifo sikashukela futhi ucabangela i-alefacept, qiniseka ukuthi udokotela wakho wezifo zesikhumba kanye nodokotela wakho wesifo sikashukela bayazi ngayo yonke imithi yakho. Bangasebenzisana ukuqinisekisa ukuthi uhlelo lwakho lokwelapha luphephile futhi lusebenza kahle kuzo zombili izimo.
Kufanele ngenzeni uma ngiphuthelwa ngengozi umthamo we-Alefacept?
Uma uphuthelwa umjovo we-alefacept ohleliwe, xhumana nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Ungazami ukwenza umthamo ophuthelwe ngokuthola imijovo emibili eduze, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi.
Udktela wakho uzonquma indlela engcono kakhulu yokuqhubeka nokwelashwa kwakho ngokusekelwe ukuthi isikhathi esingakanani esidlulile kusukela ekuhlanganyeleni kwakho okuphuthelwe. Ezimweni eziningi, uzoqhubeka nje nohlelo lwakho olujwayelekile ngomjovo olandelayo ohleliwe. Ukuphuthelwa umthamo owodwa ngokuvamile akuthinti ngokuphawulekayo ukusebenza kahle kokwelashwa kwakho.
Ukuze ugweme ukuphuthelwa imithamo, cabangela ukusetha izikhumbuzi ocingweni lwakho noma ekhalendeni lakho lemihlangano yakho yokujova. Abanye abantu bakuthola kuwusizo ukuhlela imijovo yabo ngosuku olufanayo lwesonto ngesikhathi esifanayo ukuze basungule isimiso.
Kufanele ngenzeni uma ngithola imiphumela emibi engathi sína?
Uma uthola noma yimiphi imiphumela emibi engathi sína evela ku-alefacept, funa usizo lwezokwelapha ngokushesha. Ukusabela okukhulu kungabandakanya izimpawu zokutheleleka okungathi sína, ukusabela komzimba, noma ukopha okungavamile noma ukulimala. Ungalindi ukubona ukuthi izimpawu ziyathuthuka zodwa.
Ezimweni eziphuthumayo ezinjengokuphefumula kanzima, ubuhlungu besifuba, noma izimpawu zokungezwani komzimba okukhulu, shayela izinsiza eziphuthumayo noma uye egumbini eliphuthumayo eliseduze. Ngezimpawu ezinye ezikhathazayo njengomkhuhlane oqhubekayo, ukukhathala okungavamile, noma ukusabela okukhulu endaweni yokujova, xhumana nomhlinzeki wakho wezempilo ngokushesha.
Gcina uhlu lwemithi yakho kanye nolwazi lokuxhumana nodokotela wakho kalula. Uma udinga ukunakekelwa okuphuthumayo, lolu lwazi luzosiza ochwepheshe bezokwelapha ukuthi banikeze ukwelashwa okufanele futhi baqonde ukusebenzisana okungenzeka kwemithi.
Ngingayeka nini ukuthatha i-Alefacept?
Kufanele uyeke ukuthatha i-alefacept ngaphansi kwesiqondiso somhlinzeki wakho wezempilo. Noma ngabe i-psoriasis yakho ibonakala ithuthuka kakhulu, ukuqeda inkambo ephelele yamasonto angu-12 kukunika ithuba elingcono lokuzuza imiphumela ehlala njalo.
Udokotela wakho uzohlola ukusabela kwakho ekwelashweni kuyo yonke inkambo futhi akusize unqume ukuthi kufanele uyeke nini. Abanye abantu baqeda inkambo eyodwa futhi bagcine ukuthuthuka izinyanga noma iminyaka, kanti abanye bangazuza enkambweni yesibili ngemuva kwesikhathi sokulinda.
Uma uhlangabezana nemiphumela emibi ekhathazayo, xoxa ngayo nodokotela wakho kunokuyeka imithi ngokwakho. Bangase bakwazi ukulungisa uhlelo lwakho lokwelashwa noma bancomise izindlela zokuphatha imiphumela emibi ngenkathi uqhubeka nokuzuza emithini.
Ngingayithola yini imigomo ngenkathi ngithatha i-Alefacept?
Imigomo idinga ukucatshangelwa okukhethekile uma uthatha i-alefacept ngoba imithi ithinta amasosha akho omzimba. Imigomo ebukhoma kufanele igwenywe ngokujwayelekile ngenkathi uthatha i-alefacept kanye nesikhathi esithile ngemuva kokuyeka, ngoba ingase ibangele izifo.
Imithi yokugoma engasebenzi noma "ebulaliwe" ngokuvamile iphephe kakhulu, kodwa ingase ingasebenzi kahle ngenkathi usebenzisa i-alefacept ngoba impendulo yamasosha akho omzimba ingase yehliswe. Udokotela wakho uzodinga ukuhlola umuthi ngamunye wokugoma ngamunye ngokuya ngesimo sakho esithile kanye nesikhathi sokwelashwa kwakho.
Uma udinga ukugonywa ngenkathi usebenzisa i-alefacept, hlela kusengaphambili futhi uxoxe ngalokhu nomhlinzeki wakho wokunakekelwa kwezempilo ngaphambi kokuba kuqale uhlelo lwakho lokujova. Bangakusiza ukuthi unqume isikhathi esingcono kakhulu sanoma yimiphi imithi yokugoma edingekayo ukuze kuqinisekiswe kokubili ukuphepha kwakho nokusebenza kahle kwemithi yokugoma.
