Munyori: Janice Evans
Zuva Rekusika: 1 Chikunguru 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
OnabotulinumtoxinA jekiseni - Mushonga
OnabotulinumtoxinA jekiseni - Mushonga

Zvemukati

OnabotulinumtoxinA jekiseni rinopihwa seimwe jekiseni diki diki rinotarisirwa kungobata chete nzvimbo yakazvimbirwa.Nekudaro, zvinokwanisika kuti mushonga unogona kupararira kubva munzvimbo yejekiseni uye kukanganisa masuru mune dzimwe nzvimbo dzemuviri. Kana mhasuru idzo dzinodzora kufema uye kumedza dzichikanganiswa, unogona kukura matambudziko akakomba kufema kana kumedza izvo zvinogona kugara kwemwedzi yakati wandei uye zvinogona kukonzera kufa. Kana iwe uchinetseka kumedza, ungangoda kupihwa chikafu kuburikidza nechubhu yekudyisa kuti urege kuwana chikafu kana chinwiwa mumapapu ako.

InabotulinumtoxinA jekiseni inogona kupararira uye kukonzera zviratidzo muvanhu vezera ripi neripi vari kurapwa chero mamiriro, kunyangwe hazvo pasina munhu anga achigadzira zviratidzo izvi mushure mekugamuchira mushonga pane akakurudzirwa madosi ekurapa kuunyana, matambudziko eziso, kutemwa nemusoro, kana kudikitira kwakashata kwepasi. Njodzi yekuti mushonga unozopararira kupfuura nzvimbo yejekiseni ingangodaro iri yepamusoro kuvana vari kurapwa kurapwa (kuomarara kwemhasuru uye kuomarara) uye muvanhu, vane kana vakambove nematambudziko ekumedza, kana matambudziko ekufema, senge asthma kana emphysema; kana chero mamiriro ezvinhu anokanganisa mhasuru kana tsinga dzakadai seamyotrophic lateral sclerosis (ALS, chirwere chaLou Gehrig; mamiriro ezvinhu apo tsinga dzinodzora kufamba kwemhasuru dzinofa zvishoma nezvishoma, zvichikonzera tsandanyama kudzikira uye kupera simba), mota neuropathy (mamiriro umo mhasuru dzinoita shoma. nekufamba kwenguva), myasthenia gravis (mamiriro anoita kuti dzimwe tsandanyama dzishaye simba, kunyanya mushure mekuita), kana Lambert-Eaton syndrome (mamiriro anokonzeresa kushomeka kwemhasuru kunogona kuvandudza nebasa). Udza chiremba wako kana iwe wakambove kana nechero yeaya mamiriro.


Kupararira kweonabotulinumtoxinJekiseni munzvimbo dzisina kurapwa zvinogona kukonzera zvimwe zviratidzo mukuwedzera kunetseka kufema kana kumedza. Zviratidzo zvinogona kuitika mukati memaawa ejekiseni kana kumashure kwemavhiki akati wandei mushure mekurapwa. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira: kupera simba kana kushaya simba kwemhasuru muviri wese; kaviri kana kuona kwakashata; kudonhedza maziso kana pahuma; kunetseka kumedza kana kufema; kushatirwa kana kushanduka kana kurasikirwa nenzwi; kunetseka kutaura kana kutaura mazwi zvakajeka; kana kutadza kudzora weti.

Chiremba wako achakupa pepanhau reruzivo rwemurwere (reMedicine Gwaro) paunotanga kurapwa nejekiseni yeonabotulinumtoxinA uye nguva yega yega yaunowana kurapwa. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.


OnabotulinumtoxinA jekiseni (Botox, Botox Zvizorwa) inoshandiswa kurapa akati wandei mamiriro.

InabotulinumtoxinA jekiseni (Botox) inoshandiswa

  • bvisa zviratidzo zvecervical dystonia (spasmodic torticollis; kusadzora kusingadzoreki kwemhasuru dzemutsipa dzinogona kukonzera kurwadziwa kwemutsipa uye zvisina kujairika misoro yemusoro) muvanhu vane makore gumi nematanhatu zvichikwira;
  • bvisa zviratidzo zve strabismus (dambudziko remhasuru remaziso iro rinokonzeresa kuti ziso ripinde mukati kana kunze) uye blepharospasm (kusadzora kusingadzorwe kwemhasuru dzema eyelid dzinogona kukonzera kubwaira, kumonyoroka, nekufamba kusinganzwisisike kwema eyelid) muvanhu vane makore gumi nemaviri ekuberekwa nekure;
  • kudzivirira kutemwa nemusoro muvanhu vakura kupfuura makore gumi nemasere ekuberekwa vane chisingaperi migraine (yakaoma, inorwadza kutemwa nemusoro iyo dzimwe nguva inoperekedzwa nekusvotwa uye kunzwisisika kurira kana mwenje) vane mazuva gumi nemashanu kana anopfuura mwedzi wega wega nemusoro unogara maawa mana pazuva kana kupfuura;
  • bata yakanyanyisa kuita dundira (mamiriro umo tsinga dzedundira dzinobata zvisingaite uye dzinokonzeresa kuita weti, kukurumidza kuda kuita weti, uye kutadza kudzora weti) muvanhu vane makore gumi nemasere zvichikwira kana mimwe mishonga isingashande zvakakwana kana kutadza kutorwa;
  • kurapa kusagadzikana (kuburitsa weti) muvanhu vane makore gumi nemasere ekuberekwa neakanyanya bladder (mamiriro ayo mhasuru yedundira ine spasms isingadzoreke) inokonzerwa nematambudziko etsinga sekukuvara kwemuzongoza kana multiple sclerosis (MS; chirwere mune tsinga haishande nemazvo uye vanhu vanogona kushaya simba, chiveve, kurasikirwa nekubatana kwetsandanyama, nematambudziko ekuona, kutaura, uye kudzora dundira), vasingakwanise kurapwa nemushonga wemuromo;
  • kurapa kusimba (kuomarara kwemhasuru uye kuomarara) kwemhasuru mumaoko nemakumbo muvanhu vane makore maviri zvichikwira;
  • bata zvakanyanya kusapurika ruoko pasi pevanhu mune makore gumi nemasere zvichikwira vasingakwanise kurapwa nezvigadzirwa zvinoiswa paganda;

uye


InabotulinumtoxinA jekiseni (Botox cosmetic) inoshandiswa

  • kwenguva pfupi mitsetse yakasunga mafinya (makwinya pakati petsitsi) muvanhu vakuru vane makore gumi nemasere ekuberekwa nekure,
  • kwenguva pfupi makumbo etsoka dzamara dzakatsetseka (makwinya padyo nekona yekunze yeziso) muvakuru vane makore gumi nemasere zvichikwira,
  • uye kutsvedza kwenguva pfupi pamitsara yehuma muvanhu vakuru vane makore gumi nemasere zvichikwira.

OnabotulinumtoxinA jekiseni iri mukirasi yemishonga inonzi neurotoxins. Kana onabotulinumtoxinA yakajowa mumhasuru, inovhara maseru etsinga anokonzeresa kusimba kusadzora uye kufamba kwetsandanyama. Kana onabotulinumtoxinA ikabaiwa jekiseni dikita, inoderedza mashandiro echishongo kudzikisa ziya. Kana onabotulinumtoxinA yakajowa mudundira, inoderedza kupunzika kwedundira uye inovharidzira masign anotaurira system yemanjenje kuti dundira rizere.

OnabotulinumtoxinA jekiseni rinouya sehupfu hunosanganiswa nemvura uye kujowa mumhasuru, muganda, kana mumadziro edundira nechiremba. Chiremba wako achasarudza nzvimbo yakanakisa yekubaya mushonga kuitira kuti urape mamiriro ako. Kana iwe uri kugamuchira onabotulinumtoxinA yekurapa mitsara yakasunga, mitsara yehuma, mitsara yetsoka, cervical dystonia, blepharospasm, strabismus, spasticity, urinary incontinence, yakanyanyisa dundira, kana isingagumi migraine, unogona kuwana mamwe majekiseni mwedzi mitatu kusvika kumana, zvichienderana neyako. mamiriro uye nekureba kwemhedzisiro yekurapa. Kana iwe uri kugamuchira onabotulinumtoxinA jekiseni yekurapa yakanyanya underarm ziya, ungangoda kugamuchira mamwe majekiseni kamwe chete pamwedzi mitanhatu kusvika kumwedzi minomwe kana kana zviratidzo zvako zvichidzoka.

Kana iwe uri kugamuchira onabotulinumtoxinA jekiseni yekurapa zvakanyanya underarm dikita, chiremba wako angangoita bvunzo kuti awane nzvimbo dzinoda kurapwa. Chiremba wako anokuudza maitiro ekugadzirira bvunzo iyi. Iwe unogona kunge uchiudzwa kuveura ndebvu dzako uye kuti usashandise zvisina kunyorwa zvinodhaka kana zvinodzivirira kwemaawa makumi maviri nemaviri pamberi pekuedzwa.

Kana iwe uri kugamuchira onabotulinumtoxinA jekiseni yekurapa kusagadzikana kweweti, chiremba wako anogona kukupa maantibayoti iwe kuti utore kwemazuva 1-3 usati warapwa, pazuva rekurapwa kwako uye kwemazuva 1 kusvika matatu mushure mekurapwa kwako.

Chiremba wako anogona kuchinja dhizaini yako yeonabotulinumtoxinA jekiseni kuti uwane iro rinozoshanda zvakanyanya kwauri.

Chiremba wako anogona kushandisa anesthetic cream, kana inotonhorera pakiti, kuti ubate ganda rako, kana madonhwe eziso kuti abvise maziso ako usati wajova onabotulinumtoxinA.

Imwe mhando kana mhando ye botulinum toxin haigone kutsiviwa neimwe.

InabotulinumtoxinJekiseni rinogona kubatsira kudzora mamiriro ako asi risingarape. Zvinogona kutora mazuva mashoma kana kusvika kumavhiki akati wandei usati wanzwa kubatsirwa kuzere kweonabotulinumtoxinA jekiseni. Kumbira chiremba wako paunogona kutarisira kuona kuvandudzwa, uye danaidza chiremba wako kana zviratidzo zvako zvisingaiti munguva inotarisirwa.

OnabotulinumtoxinA jekiseni zvakare dzimwe nguva inoshandiswa kurapa mamwe mamiriro umo kusanzwisisika kwemhasuru kusimbisa kunokonzeresa kurwadziwa, kufamba zvisina kujairika, kana zvimwe zviratidzo. OnabotulinumtoxinA jekiseni dzimwe nguva inoshandiswa kurapa kudikitira kwakanyanya kwemaoko, mhando zhinji dzemakwenzi echiso, kudedera (kusadzora kusadzora kwechikamu chemuviri), uye zvipenga zvemashure (kupatsanurwa kana kubvaruka munyama padhuze nenharaunda) . Iyo mishonga zvakare dzimwe nguva inoshandiswa kugadzirisa kugona kufamba muvana vane cerebral palsy (mamiriro anokonzeresa nekufamba uye kuenzanisa). Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati wagamuchira onabotulinumtoxinA jekiseni,

  • udza chiremba wako uye wemishonga kana uri weergoria kune onabotulinumtoxinA, abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), prabotulinumtoxinA-xvfs (Jeuveau), kana rimabotulinumtoxinB (Myobloc). Uyezve, udza chiremba wako kana uri weergoria kune chero mimwe mishonga kana chimwe chezvinhu zvinosanganiswa muonabotulinumtoxinA jekiseni. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: mamwe maantibayoti akadai seamikacin, clindamycin (Cleocin), colistimethate (Coly-Mycin), gentamicin, kanamycin, lincomycin (Lincocin), neomycin, polymyxin, streptomycin, uye tobramycin; anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); antihistamines; asipurini uye mamwe asiri -steroidal anti-anogumbura mishonga (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); c heparin; mishonga yekurwara, dzihwa, kana kurara; tsandanyama relaxants; uye platelet inhibitors senge clopidogrel (Plavix). dipyridamole (Persantine, muAgrenrenox), prasugrel (Effient), uye ticlopidine (Ticlid). Uyezve udza chiremba wako kana iwe wakagamuchira majekiseni echinhu chipi nechipi che botulinum chepfu inosanganisira abobotulinumtoxinA (Dysport), incobotulinumtoxinA (Xeomin), prabotulinumtoxinA-xvfs (Jeuveau), kana rimabotulinumtoxinB (Myobloc) mukati memwedzi mina yapfuura. Chiremba wako angangoda kushandura madhizaini kana chirongwa chemishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neonabotulinumtoxinA, saka ive shuwa yekuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kana iwe uine kuzvimba kana zvimwe zviratidzo zvehutachiona kana kushaya simba munzvimbo iyo onabotulinumtoxinA ichajowa. Chiremba wako haazopinza mushonga munzvimbo inotapukirwa kana kushaya simba.
  • kana iwe uchizogamuchira onabotulinumtoxinA jekiseni yekurapa kusagadzikana kweweti, udza chiremba wako kana uine chirwere chekuvhenekera (UTI), iyo inogona kusanganisira zviratidzo sekurwadziwa kana kutsva kana iwe uchiita weti, kazhinji weti, kana fivha; kana kana uine urinary chengetedzo (kutadza kuburitsa zvizere dundira) uye usarambe uchidurura dundira rako nekachetere. Chiremba wako angangodaro asingakubate iwe neonabotulinumtoxinA jekiseni.
  • udza chiremba wako kana iwe wakambove nechero mhedzisiro kubva kune chero botulinum toxin chigadzirwa, kana ziso kana kumeso kuvhiyiwa, kana iwe uine kana wakambove uine matambudziko ekubuda ropa; pfari; hyperthyroidism (mamiriro anoitika kana chirwere chetachiona chaburitsa hutachiona hwakawanda kwazvo), chirwere cheshuga, kana mapapu kana chirwere chemwoyo.
  • kana iwe uchizogamuchira onabotulinumtoxinA jekiseni yekurapa makwinya, chiremba wako achakuongorora kuti aone kana mushonga wacho ungangokushandira. InabotulinumtoxinJekiseni rinogona kusatsetseka makwikwi ako kana kukonzeresa mamwe matambudziko kana uine maziso anodonha; kunetseka kusimudza tsiye dzako; kana chero imwe shanduko munzira iyo chiso chako chinowanzo tarisa.
  • kana iwe uine makore makumi matanhatu nemashanu zvichikwira uye uchizogamuchira onabotulinumtoxinA (Botox Cosmetic) jekiseni kuti unotsvedzerera tsoka dzegungu, mitsara yehuma, kana mitsara yakasunga, iwe unofanirwa kuziva kuti kurapwa uku hakuna kushanda zvakare kune vakuru vakuru zvichienzaniswa nevakuru vadiki pane makumi matanhatu nemashanu. makore ekukura.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri paunenge uchigamuchira onabotulinumtoxinA jekiseni, fonera chiremba wako.
  • kana iwe uchivhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikugamuchira onabotulinumtoxinA jekiseni.
  • iwe unofanirwa kuziva kuti onabotulinumtoxinA jekiseni inogona kukonzera kurasikirwa kwesimba kana kushaya simba kwemhasuru kwese muviri kana kusaona zvakanaka. Kana uine chimwe chezviratidzo izvi, usatyaire mota, shandisa michina, kana kuita zvimwe zvinhu zvine njodzi.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

InabotulinumtoxinA jekiseni inogona kukonzera mhedzisiro. Kumbira chiremba wako kuti ndeapi mhedzisiro yaunogona kusangana nayo, nekuti mimwe mhedzisiro inogona kuitika kazhinji muchikamu chemuviri kwawakagamuchira jekiseni. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kurwadziwa, unyoro, kuzvimba, kutsvuka, kubuda ropa, kana kupwanya munzvimbo yawakagamuchira jekiseni
  • kuneta
  • kurwadziwa kwemutsipa
  • musoro
  • kutsimwaira
  • kurwadziwa kwemhasuru, kuomarara, kuomarara, kushaya simba, kana kupenga
  • kurwadziwa kana kuomesa kumeso kana muhuro
  • muromo wakaoma
  • kusvotwa
  • kuvimbiswa
  • kushushikana
  • vangadikitira kubva kunhengo dzemuviri dzisiri dzepasi
  • kukosora, kuhotsira, kupisa muviri, kusungwa kwemhuno, kana kurwadziwa pahuro

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona chimwe chezviratidzo izvi, kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, chero nguva mukati memavhiki ekutanga mushure mekurapwa kwako, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • kaviri, kusajeka, kana kuderera kwemaonero
  • eyelid kuzvimba
  • maonero anochinja (akadai sekunzwisisa kwechiedza kana kuona kwakashata)
  • kuoma, kutsamwa, kana kurwadziwa
  • kuoma kufambisa kumeso
  • pfari
  • kurova kwemoyo zvisina kujairika
  • kurwadziwa pachipfuva
  • kurwadziwa mumaoko, musana, mutsipa, kana shaya
  • mweya wekufema
  • kufenda
  • dzungu
  • mapundu
  • mikoko
  • kuvava
  • kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
  • kukosora, kukosora mamota, fivha, kana kutonhora
  • kutadza kuburitsa dundira rako wega
  • kurwadziwa kana kupisa kana weti kana kuita weti kakawanda
  • ropa mune weti
  • kupindwa nechando

InabotulinumtoxinA jekiseni inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge uchigamuchira mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza hazviwanzo kuoneka kana uchinge wagamuchira jekiseni. Kana iwe wakagamuchira yakawandisa onabotulinumtoxinA kana kana iwe ukamedza mushonga, udza chiremba wako ipapo uye udzawo chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona zviratidzo zvinotevera mukati memavhiki anoverengeka anotevera:

  • kushaya simba
  • kuoma kufambisa chero chikamu chemuviri wako
  • kunetseka kufema
  • kunetseka kumedza

Chengetedza zvese zvakagadzwa nachiremba wako.

Kumbira wemishonga wako chero mibvunzo iwe unayo nezve onabotulinumtoxinA jekiseni.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Botox®
  • Botox® Zvizorwa
  • BoNT-A
  • BTA
  • Botulinum Toxin Rudzi rweA
Yekupedzisira Yakagadziridzwa - 09/15/2020

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