Ho itšireletsa ha motho ka tsela e tloaelehileng ke meriana e thibelang lithethefatsi eo ho nkoa e le sehlopha sa ho itšireletsa mafung le lik'hamphani tsa immunomodulating. E hlahisoa mali a bafani ba bophelo bo botle ba 'nileng ba e-ba le liteko tsa kliniki tse khethehileng le liteko tsa laboratori' me ha ba na bopaki ba tšoaetso ea mali (haholo-holo, tšoaetso ea HIV, lefu la sebete la C le B).
Karolo e ka sehloohong ea lithethefatsi ena ke karoloana ea immunologically e mafolofolo ea protheine ea mali, eo boholo ba eona e leng immunoglobulin G 'me e na le immunoglobulin M le immunoglobulin A tse nyenyane haholo. Ho itokisa ho hloekisitsoe hantle, ho tsepamisoa mohopolo le kokoana-hloko e sa sebetsoe nakong ea tlhahiso. Motho ea tloaelehileng ea immunoglobulin ha a na li-preservative le li-antibiotics, joalokaha setsi se tsitsitseng se na le glycine.
Ho lokolloa ha mokhoa le mokhoa oa ho sebelisa immunoglobulin e tloaelehileng ea motho
Meriana e ka hlahisoa ka mokhoa oa tharollo, e phuthetsoe ka ampoules, kapa e le lyophilizate bakeng sa ho etsa tharollo, e phuthetsoe ka libotlolo. Ka mofuta o mokelikeli ha o na mmala kapa o mosehla, o hlakileng. Ho phekola ha motho e le motho ea tloaelehileng ea immunoglobulin ke bofubelu bo bongata bo bobebe. Human immunoglobulin e sebelisetsoa ho sebelisa li-intramuscular (injections) le tsamaiso ea intravenous (dropper).
Matlotlo a tloaelehileng a immunoglobulin
Lithethefatsi li na le thepa ea immunoglobulin G, e fumanehang ho batho ba phetseng hantle. Ha e hlahisoa, liphello tse latelang li finyelloa:
- ho nchafatsa likokoana-hloko tsa IgG tse haellang, tse thusang ho fokotsa kotsi ea ho hlaolela mafu a sa tšoaneng;
- ho tsosolosoa ha boemo ba tlase ba IgG ho litekanyetso tse tloaelehileng;
- ho hanyetsa ho sa tsitsitseng ha 'mele oa motho;
- ho felisa likokoana-hloko tse sa tšoaneng, likokoana-hloko le mefuta e meng e tšoaetsanoang.
Lipontšo tsa tšebeliso ea motho ea tloaelehileng ea immunoglobulin:
- lefu la congenital anti-sufficiency syndrome;
- phetoho ea immunodeficiency e tloaelehileng;
- 'mele oa immunodeficiency;
- lefu la kankere ea mali e sa foleng ea lymphocytic;
- myeloma;
- thrombocytopenic purpura ea tšireletso ea 'mele ea ho itšireletsa mafung ka kotsi e eketsehileng ea mali;
- Lefu la Kawasaki;
- transplantation ea 'mele oa bone;
- tšoaetso e matla ea tšimoloho e sa tšoaneng;
- bacterial meningitis;
- Lefu la Guillain-Barre;
- ho nyenyefatsa ho ruruha ha pono ea mali ka mokhoa o sa foleng;
- hemolytic anemia;
- thrombocytopenia ea tlhaho ea sesole sa 'mele;
- autoimmune neutropenia;
- sele e khubelu ea sele e khubelu ea hematopoiesis;
- myasthenia gravis ;
- ho senyeheloa ha maikutlo hangata;
- lefu la sebete la A;
- masale;
- poliomyelitis;
- feberu;
- ho khohlela ho khohlela;
- meningococcal infections, joalo-joalo.
Litla-morao le li-contraindication tsa motho ea tloaelehileng ea immunoglobulin
Litla-morao tsa ho nka immunoglobulin e tloaelehileng ea motho:
- mocheso oa 'mele o eketsehileng;
- bohloko bo hloohong;
- ho nyekeloa ke pelo;
- tachycardia;
- bofubelu setsing sa injection;
- ho fufuleloa, joalo-joalo.
Ho hanyetsa ho kenngoa ha immunoglobulin e tloaelehileng ea motho:
- hypersensitivity ho motho ea immunoglobulin, lihlahisoa tsa mali;
- ho ba teng ha li-antibodies ho IgA.
Ka tlhokomelo, meriana e sebelisoa ha:
- ho ima, ho anyesa;
- lefu la tsoekere;
- ho fokotsa matla a mekhoa e fokolang;
- ho hlōleha ha renal;
- nephrite;
- migraines;
- ho senyeha ha pelo ho sa feleng;
- mafu a 'mele a tšoaetso ea mali;
- collagenosis, joalo-joalo.
Hape, ha u sebelisa lithethefatsi, ho nkoa hore ts'ebetso ea eona e fokotsa nakoana ea liphello tsa liente tse khahlanong le mafu a kang rubella, maselese, li-mumps le khoho ea khōhō.