Cirbadeynta PrabotulinumtoxinA-xvfs

Qanacsan

• Kahor intaadan helin cirbadeynta prabotulinumtoxinA-xvfs,
• Cirbadda PrabotulinumtoxinA-xvfs waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wakhti kasta inta lagu jiro dhowrka toddobaad ee ugu horreeya daaweyntaada, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah badiyaa uma soo baxaan isla marka la helo duritaanka. Haddii aad heshay wax badan oo ah prabotulinumtoxinA-xvfs ama haddii aad liqday dawada, isla markiiba u sheeg dhakhtarkaaga sidoo kalena u sheeg dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamaha soo socda inta lagu jiro toddobaadyada soo socda:

Cirbadda PrabotulinumtoxinA-xvfs ayaa laga yaabaa inay ka faafo aagga la duray oo ay keento astaamo botulism ah, oo ay ku jiraan neefsashada ama liqitaanka oo dhib ku ah nolosha. Dadka ay ku adkaato wax liqitaanku inta ay ku guda jiraan daweyntan dawadan ayaa laga yaabaa inay sii wadaan dhibaatadan dhowr bilood. Waxaa laga yaabaa inay u baahdaan in lagu quudiyo tubada quudinta si looga fogaado inay cunto ama cabitaan u galaan sambabadooda. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa isku aragtay dhibaatooyin wax liqitaan, ama dhibaatooyin neefsashada ah, sida neef ama emphysema; ama xaalad kasta oo saameysa muruqyada ama neerfayaasha sida amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; xaalad ay dareemayaasha xakameynaya dhaqdhaqaaqa muruqyada si tartiib ah u dhintaan, taasoo keeneysa murqaha inay yaraadaan oo daciifaan), myasthenia gravis (xaalad sababa muruqyada qaarkood inay daciif, gaar ahaan dhaqdhaqaaqa ka dib), ama Lambert-Eaton syndrome (xaalad sababa daciifnimo muruq oo laga yaabo inay ku fiicnaato dhaqdhaqaaqa).

Ku faafida prabotulinumtoxinA-xvfs aagagga aan la daweyn waxay sababi kartaa calaamado kale oo dheeraad ah marka lagu daro neefsashada ama liqitaanka oo dhib ku ah. Calaamaduhu waxay ku dhici karaan saacado gudahood mudista ama ugu dambayn dhowr toddobaad daaweynta ka dib. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad hesho daaweyn caafimaad oo deg-deg ah: luminta awoodda ama daciifnimada murqaha jirka oo dhan; labalaab ama aragga aragga; baalalka indhaha ama hoos u dhaca; dhib liqidda ama neefsashada; ama ay ku adkaato ku hadalka ama ku dhahida ereyada si cad.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilawdo daaweynta cirbadeynta prabotulinumtoxinA-xvfs iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Cirbadeynta PrabotulinumtoxinA-xvfs waxaa loo isticmaalaa in si ku meelgaar ah loogu nadiifiyo khadadka cakiran (laalaabku inta udhaxeysa sunnayaasha) dadka waaweyn. Waxay ku jirtaa nooc ka mid ah daawooyinka loo yaqaan 'neurotoxins'. Waxay ku shaqeysaa iyadoo la xakameynayo calaamadaha neerfaha ee keena cidhiidhi aan la xakamayn karin iyo dhaqdhaqaaqa murqaha.

Cirbadda PrabotulinumtoxinA-xvfs waxay u timaadaa sidii budo ah oo lagu qaso dareere si dhakhtar loogu mudo muruqa. Waxaa laga yaabaa inaad hesho cirbado dheeri ah, oo aan ka badnayn 3dii biloodba mar, iyadoo kuxiran inta ay leegtahay saameynta daaweynta.

Dhakhtarkaagu wuxuu dooran doonaa qiyaastaada irbadda prabotulinumtoxinA-xvfs isagoo ku saleynaya xaaladdaada hadhowna wuu u beddeli karaa si uu u helo qiyaasta sida ugu fiican adiga kuu shaqeyn doonta.

Hal nooc ama nooc ka mid ah sunta botulinum laguma beddeli karo mid kale.

Cirbadda PrabotulinumtoxinA-xvfs ayaa laga yaabaa inay gacan ka geysato xakameynta xaaladdaada laakiin ma daaweyn doonto. Waxay qaadan kartaa dhowr maalmood ama ilaa dhowr toddobaad ka hor intaadan dareemin faa'iidada buuxda ee cirbadeynta prabotulinumtoxinA-xvfs. Weydii dhakhtarkaaga goorta aad filan karto inaad aragto horumar, una wac dhakhtarkaaga haddii calaamadahaagu aysan fiicnayn muddada la filayo.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan helin cirbadeynta prabotulinumtoxinA-xvfs,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay cirbadeynta prabotulinumtoxinA-xvfs, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), onabotulinumtoxinA (Botox), ama rimabotulinumtoxinB (Myobloc). Sidoo kale, u sheeg dhakhtarkaaga haddii aad xasaasiyad ku leedahay daawooyin kale ama mid ka mid ah waxyaabaha ku jira irbadda prabotulinumtoxinA-xvfs. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antibiyootikada aminoglycoside sida amikacin, gentamicin, kanamycin, neomycin, streptomycin, ama vancomycin; daawooyinka xasaasiyadda, hargabka, ama hurdada; daawooyinka glaucoma, cudurada caloosha ee caabuqa, jirrada dhaqdhaqaaqa, cudurka Parkinson, boogaha, ama dhibaatooyinka kaadi mareenka; ama nasashada murqaha. Sidoo kale u sheeg dhakhtarkaaga haddii lagaa duray waxkasta oo sunta botulinum ah oo ay ku jiraan abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), ama rimabotulinumtoxinB (Myobloc) horey, gaar ahaan afartii bilood ee la soo dhaafay. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay barar ama calaamado kale oo infekshan ah oo ah meesha lagu durayo prabotulinumtoxinA-xvfs. Dhakhtarkaagu kuma duri doono dawada aagga cudurka qaba.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa wax saameyn ah ku yeelatay wax kasta oo sunta botulinum ah, dhibaatooyinka dhiigbaxa, ama cudurka wadnaha.
• dhakhtarkaaga ayaa ku baari doona si loo fiiriyo in daawada ay u badan tahay inay adiga kuu shaqeyn karto. Cirbadda PrabotulinumtoxinA-xvfs ayaa laga yaabaa inaanay laalaabka duuduubku kaa simin ama waxay u geysan kartaa dhibaatooyin kale haddii aad leedahay baalal indhaha oo hoos u dhacaya; Dhibaatada kor u qaadista sunnayaasha; ama barar ama daciifnimo murqaha wejigaaga.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanayso cirbadda prabotulinumtoxinA-xvfs, wac dhakhtarkaaga.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso cirbadeynta prabotulinumtoxinA-xvfs.
• waa inaad ogaataa in cirbadeynta prabotulinumtoxinA-xvfs ay sababi karto xoog yaraan ama daciifnimo muruq ah oo jirka oo dhan ah ama aragga oo daciifa. Haddii aad leedahay mid ka mid ah astaamahan, ha kaxeyn baabuur, ha ku shaqeynin mishiinno, ama ha sameynin waxyaabo kale oo khatar ah.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Cirbadda PrabotulinumtoxinA-xvfs waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax xanuun
• ciriiriga sanka, sanka oo dareera, hindhiso, ama cuna xanuun
• xanuun, barar, casaan, dhiig bax, nabar, ama damqasho aagga daawada lagu duray

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wakhti kasta inta lagu jiro dhowrka toddobaad ee ugu horreeya daaweyntaada, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• finan
• cuncun
• finan
• neefta oo ku qabata
• barar gacmaha, cagaha, anqawyada, ama lugaha hoose
• wareer ama miyir beelid

Cirbadda PrabotulinumtoxinA-xvfs waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn inta aad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah badiyaa uma soo baxaan isla marka la helo duritaanka. Haddii aad heshay wax badan oo ah prabotulinumtoxinA-xvfs ama haddii aad liqday dawada, isla markiiba u sheeg dhakhtarkaaga sidoo kalena u sheeg dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamaha soo socda inta lagu jiro toddobaadyada soo socda:

• daciifnimada muruqyada
• neefsashada oo adkaata

Dhammaan ballamaha la dhig dhakhtarkaaga.

Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto tallaalka prabotulinumtoxinA-xvfs.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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