Oko Kufuneka Ukwazi Ngokuphatha I-Lupus Yakho Ne-Cyclophosphamide
Ugqirha wakho unokumisela ukuba usebenzise izidakamizwa ze-immunosuppressant Cytoxan (cyclophosphamide) ukuba i-lupus yakho ifuthe. I-"standard standard" yezidakamizwa kwiirmimen zokunyanga i-lupus enamandla iCytoxan inxulumene ne-corticosteroid methylprednisolone.
I-Cytoxan ingumdlavuza womhlaza, kodwa kwizigulane ze-lupus, isetyenziselwa ukuphathwa kakubi kweengso (kuquka i- lupus nephritis ) okanye ezinye iingxaki ezizisongela iziko.
I-Cytoxan ineempembelelo ezibi kakhulu, kubandakanywa neziphene zokuzalwa, ngoko uya kufuna ukufunda okunye malunga nayo.
Indlela iCytoxan isebenza ngayo
I-Cytoxan isetyenziswe njenge-ejenti ye-chemotherapy e-cancers kuquka i- lymphomas , i- myeloma kunye ne- leukemia . Ngokutsho kwe-American College of Rheumatology, ikwalelwe ukuba i- arthritis enamandla, i- rheumatoid arthritis okanye ingxaki enkulu ye- lupus , myositis, i- scleroderma okanye i- vasculitis .
I-Cytoxan iklasi yeziyobisi ezibizwa ngokuba yi-alkylating agents. Oku kuthetha ukuthintela okanye ukuyeka ukukhula kweeseli ezinobungozi okanye ezinye iiseli ezihlukanayo ngokukhawuleza, njengeeseli ezimhlophe zegazi ezihlasela umzimba wakho ngexesha le-lupus flare.
Ii-Immunosuppressives ezifana ne-Cytoxan zisetyenziselwa unyango lwe-lupus ngezizathu ezibini ezibalulekileyo:
- Ziyizidakamizwa ezinamandla ezikunceda ukulawula umsebenzi wesifo kwiindawo ezinkulu.
- Basenokunciphisa okanye banciphise isidingo steroids.
I-Cytoxan idlalwa kuphela kwiinyanga ezintathu ukuya ezintandathu de kube isigulane singena kwi-lupus remission.
Isilwanyana sisoloko sithunyelwa kwangaphakathi, kodwa singathathwa ngomlomo. Kuthathwe ngomlomo, umyinge usekelwe kwimeko yakho yonyango, ubunzima, impendulo kwonyango kunye nezinye izibonelelo onokuyifumana. Ugqirha wakho uya kugqiba isilinganisi esifanelekileyo kunye neerimim yakho.
Ziziphi iimpembelelo ezingekho kwiCytoxan?
Esi sidakamizwa sinemiphumo emibi kakhulu, ngoko kufuneka ihlolwe ngokugqithiseleyo ngugqirha wakho.
I ziphumo ziquka:
- Zizinwele, zinwele
- Isikhumba esasimnyama nesinyanisiweyo
- Ukukhupha isikhumba okanye i-acne
- Ukulahlekelwa ngumdla okanye ubunzima
- Ukukhathala
- Isiqhamo
- Ukudibanisa
- Fever
- Utywala
- IChills
- Ukuqhawukelwa ngumphefumlo
- Hlunga umhombo
- I sizathu
- Ukuvutha
- Umchamo omnyama / wamanzi
- Izilonda zomlomo, ukuxhamla
- Intlungu ehlangeneyo
- Ukululaza / ukuphuma kwamanzi
- Izigubhu eziMnyama / ezigazini
- Intlungu esiswini / isisu esiswini
- Ukukhukhuma kweenyawo / iinyawo
- Umngcipheko wokunyuka kwengcipheko
- Ukungenzi lutho
Umele uthethe ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na imiphumo emibi kakhulu: igazi kumchamo wakho, imfiva, kunye ne-chills, ukukrakra okanye ukuphuma, ukuphefumula okufutshane okanye ukuvuvukala kweenyawo kunye neenyawo.
Kufuneka ukwazi nokuba iCytoxan i-carcinogenic. Oku kuthetha ukuba kudibene nokuphuhliswa kweentlobo zee-cancer, ingakumbi ngumhlaza wesibeletho .
Ngaphambi kokuba uqale ukuthatha iCytoxan, qiniseka ukuxelela ugqirha ukuba:
- Ngaba ukhulelwe, okanye ucinga ukuba ukhulelwe
- Ukuncelisa
- Ngaba uye wafumana isifo sesifo
- Ngaba ukuhlaselwa kwiphina imithi
Enye Indlela Omele Uyazi Ngayo
Isidakamizwa esincinci esichazayo esibizwa ngokuthi i-mycophenolic acid iye yaboniswa ukunciphisa kakhulu imilinganiselo ye-steroid kwizigulane ezine-lupus nephritis okanye i-lupus engaqinanga ngonyango. Kuthathwa njengonyango lokuqala lomgca we-lupus nephritis kwaye kaninzi kunokuthatha indawo yeCytoxan.
> Imithombo:
> Cyclophosphamide (iCytoxan). Ikholeji yaseMerika yaseRheumatology. Meyi 2015.
> Cyclophosphamide. I-MedlinePlus Iinkcukacha Zeziyobisi. NgoSeptemba 15, 2011.
> Abaxhasi bamachiza. Lupus Foundation yaseMelika.
> IGermomerular Diseases. Iintsholongwane kaZwelonke kunye neeNtsholongwane zoLondolozo lweNgcaciso. Upapasho lwe-NIH uNombolo 07-4358. Epreli 2006.