Anakinra
Zamkati
- Pobayira jekeseni, tsatirani izi:
- Asanatenge anakinra,
- Anakinra angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
Anakinra amagwiritsidwa ntchito, payekha kapena kuphatikiza mankhwala ena, kuti achepetse ululu ndi kutupa komwe kumakhudzana ndi nyamakazi ya nyamakazi. Anakinra ali mgulu la mankhwala otchedwa interleukin antagonists. Zimagwira ntchito poletsa ntchito ya interleukin, puloteni m'thupi yomwe imawononga molumikizana.
Anakinra imabwera ngati yankho lobaya jakisoni (pansi pa khungu). Nthawi zambiri amabayidwa kamodzi patsiku, nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito anakinra ndendende monga momwe adauzira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.
Anakinra amabwera m'makina oyendetsera galasi. Pali ma syringe 7 m'bokosi lililonse, limodzi tsiku lililonse la sabata. Gwiritsani ntchito sirinji iliyonse kamodzi ndikuitanitsa yankho lonse mu syringe. Ngakhale pangakhale yankho lomwe linatsala mu syringe mutabayitsa, musabayenso. Tayani masirinji ogwiritsidwa ntchito m'chidebe chosagwira. Lankhulani ndi dokotala wanu kapena wamankhwala za momwe mungatayire chidebe chosagwira mankhwala.
Musagwedeze ma syringe oyikitsidwa kale. Ngati yankho lake lili thovu, lolani syringe kuti ikhale kwa mphindi zochepa mpaka itatha. Musagwiritse ntchito sirinji ngati zomwe zili mkatizi zikuwoneka ngati zatsuka kapena zamitambo kapena ngati zili ndi chilichonse choyandama.
Mutha kubaya anakinra mu ntchafu yakunja kapena mmimba. Ngati wina akukupatsani jekeseni, itha kubayidwa kumbuyo kwa mikono kapena matako. Kuti muchepetse mwayi wowawa kapena kufiira, gwiritsani ntchito tsamba lina la jakisoni aliyense. Simuyenera kusintha gawo la thupi tsiku lililonse, koma jakisoni watsopano ayenera kuperekedwa pafupifupi 1 inchi (2.5 masentimita) kutali ndi jakisoni wapitawo. Osabaya jekeseni pafupi ndi mtsempha womwe mungathe kuwona pansi pa khungu.
Musanagwiritse ntchito anakinra kwa nthawi yoyamba, werengani zidziwitso za wopanga za wodwala yemwe amabwera nazo. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni momwe mungabayire anakinra.
Pobayira jekeseni, tsatirani izi:
- Sambani malo opangira jekeseni ndi chopukutira mowa pogwiritsa ntchito zozungulira, kuyambira pakati ndikusunthira panja. Lolani malo awume kwathunthu.
- Gwirani sirinji ndikukoka chivundikiro cha singano potembenuza chivundikirocho mukachikoka. Osakhudza singano.
- Gwirani sirinji m'manja yomwe mumagwiritsa ntchito kudzipiritsa. Ngati ndi kotheka, gwiritsani ntchito dzanja lanu kutsina khungu lanu pamalo obayira jekeseni. Osayika syringe pansi kapena kulola kuti singano igwire chilichonse.
- Gwirani jekeseni pakati pa chala chanu chachikulu ndi zala zanu kuti muzitha kuwongolera. Ikani singano pakhungu mwachangu, mwachidule pang'onopang'ono cha 45 mpaka 90 degree. Singano iyenera kuyikidwa osachepera theka.
- Pewani khungu pang'onopang'ono, koma onetsetsani kuti singano imakhalabe pakhungu lanu. Pepani pang'onopang'ono mu jekeseni mpaka itayima.
- Chotsani singano ndipo musabwererenso. Sindikizani gauze wouma (OSATI chopukutira mowa) pamalo obayira.
- Mutha kuyika bandeji yaying'ono yomata pamalo obayira.
- Ikani syringe yonse yogwiritsidwa ntchito muchidebe chosagwira.
Zitha kutenga milungu ingapo musanapindule ndi anakinra.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanatenge anakinra,
- Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la anakinra, mapuloteni omwe amapangidwa kuchokera m'maselo abakiteriya (E. coli), latex, kapena mankhwala ena aliwonse.
- auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: etanercept (Enbrel); infliximab (Remicade); ndi mankhwala omwe amapondereza chitetezo cha mthupi monga azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), ndi tacrolimus (Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu ngati muli ndi matenda, mphumu, kachirombo ka HIV kapena Edzi, kapena matenda a impso.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito anakinra, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito anakinra.
- mulibe katemera (mwachitsanzo, chikuku kapena kuwombera chimfine) osalankhula ndi dokotala.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.
Anakinra angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kufiira, kutupa, kuphwanya, kapena kupweteka pamalo obayira
- mutu
- nseru
- kutsegula m'mimba
- mphuno
- kupweteka m'mimba
Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- zidzolo
- zizindikiro ngati chimfine
- malungo, zilonda zapakhosi, kuzizira, ndi zizindikiro zina za matenda
- kutsokomola, kupweteka, kapena kupweteka pachifuwa
- malo otentha, ofiira, otupa pakhungu
Anakinra amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani ma syringe ndi zopangira jekeseni pomwe ana sangakwanitse. Sungani ma syringes a anakinra mufiriji. Osazizira. Tetezani ku kuwala. Musagwiritse ntchito sirinji yomwe yakhala ikutentha kwa maola oposa 24.
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu asanadye komanso akamalandira chithandizo kuti awone kuyankha kwa thupi lanu kwa anakinra.
Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
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