Jekeseni wa Etanercept

Zamkati

• Musanagwiritse ntchito jakisoni wa etanercept,
• Etanercept itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirapo zotsatirazi kapena zomwe zatchulidwa MUCHIWERENGA CHENJEZO CHENJEZO, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Kugwiritsa ntchito jakisoni wa etanercept kumachepetsa kuthekera kwanu kothana ndi matenda ndikuwonjezera chiopsezo choti mungatenge matenda akulu, kuphatikiza matenda opatsirana a virus, bakiteriya, kapena fungal omwe amafalikira mthupi lonse. Matendawa angafunike kuthandizidwa kuchipatala ndipo atha kupha. Uzani dokotala wanu ngati nthawi zambiri mumakhala ndi matenda aliwonse kapena ngati mukuganiza kuti mutha kukhala ndi matenda aliwonse pano. Izi zimaphatikizapo matenda ang'onoang'ono (monga mabala otseguka kapena zilonda), matenda omwe amabwera ndikadutsa (monga zilonda zozizira) ndi matenda opatsirana omwe samatha. Muuzeni adotolo ngati mwadwalapo kapena munakhalapo ndi matenda ashuga, kachilombo ka HIV, kachilombo ka HIV, kapenanso vuto lina lililonse lomwe limakhudza chitetezo chamthupi. Muyeneranso kuuza dokotala wanu ngati mumakhala kapena munakhalapo m'malo monga zigwa za Ohio ndi Mississippi komwe matenda ofala a fungus amapezeka kwambiri. Funsani dokotala wanu ngati simukudziwa ngati matendawa amapezeka ponseponse m'dera lanu. Komanso uzani dokotala ngati mukumwa mankhwala omwe amachepetsa chitetezo chamthupi monga awa: abatacept (Orencia); anakinra (Kineret); azathioprine (Imuran); steroids kuphatikizapo dexamethasone, methylprednisolone (Medrol), prednisolone (Prelone) ndi prednisone; kapena methotrexate (Rheumatrex).

Dokotala wanu adzakuyang'anirani ngati muli ndi matendawa nthawi yayitali komanso mutangomaliza kulandira chithandizo. Ngati muli ndi zizindikiro zotsatirazi musanayambe kumwa mankhwala kapena ngati mukukumana ndi zizindikiro zotsatirazi mukamalandira chithandizo kapena mutangochoka kumene, pitani kuchipatala nthawi yomweyo: kufooka; thukuta; kuvuta kupuma; chikhure; chifuwa; kutsokomola ntchofu zamagazi; malungo; kuonda; kutopa kwambiri; kutsegula m'mimba; kupweteka m'mimba; zizindikiro ngati chimfine; khungu lofunda, lofiira, kapena lopweteka; kapena zizindikiro zina za matenda.

Mutha kukhala ndi chifuwa chachikulu (TB, mtundu wamatenda am'mapapo) kapena hepatitis B (mtundu wa matenda a chiwindi) koma mulibe zizindikiro zilizonse za matendawa. Poterepa, jakisoni wa etanercept ukhoza kuonjezera chiopsezo kuti matenda anu azikulirakulira ndipo mudzakhala ndi zizindikilo. Dokotala wanu adzakuyesani khungu kuti muwone ngati muli ndi kachilombo ka TB kosagwira ntchito ndipo atha kuyitanitsa kuyesa magazi kuti muwone ngati muli ndi matenda a hepatitis B. Ngati ndi kotheka, dokotala wanu adzakupatsani mankhwala ochizira matendawa musanayambe kugwiritsa ntchito jakisoni wa etanercept. Uzani dokotala wanu ngati mwakhalapo ndi TB kapena mudakhalapo ndi TB, ngati mudakhala m'dziko lomwe TB imafala, kapena ngati mudakhalapo ndi munthu amene ali ndi TB. Ngati muli ndi zizindikiro zotsatirazi za chifuwa chachikulu cha TB, kapena ngati muli ndi zina mwazizindikiro mukumwa mankhwala, pitani kuchipatala mwachangu: chifuwa, kuonda, kuchepa kwa minofu, kapena malungo. Komanso itanani dokotala wanu nthawi yomweyo ngati muli ndi zina mwazizindikiro za matenda a chiwindi a B kapena ngati muli ndi zina mwazizindikiro mukalandira kapena mutalandira chithandizo: kutopa kwambiri, khungu lachikaso kapena maso, kusowa chilakolako chambiri, nseru kapena kusanza, kupweteka kwa minofu, mkodzo wamdima, matumbo ofiira dongo, malungo, kuzizira, kupweteka m'mimba, kapena zotupa.

Ana ena ndi achinyamata omwe adalandira jakisoni wa etanercept ndi mankhwala ofanana nawo adayamba khansa yoopsa kapena yowopsa kuphatikizapo lymphoma (khansa yomwe imayamba m'maselo omwe amalimbana ndi matenda). Mwana wanu akayamba kudwala matendawa, itanani dokotala wake mwachangu: kuonda kosadziwika; zotupa zotupa pakhosi, pansi, kapena kubuula; kapena kuvulaza kosavuta kapena kutuluka magazi. Lankhulani ndi dokotala wa mwana wanu za kuopsa kobaya jakisoni wa etanercept kwa mwana wanu.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Chithandizo cha Mankhwala) mukayamba chithandizo ndi jakisoni wa etanercept ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa etanercept.

Etanercept imagwiritsidwa ntchito payokha kapena ndi mankhwala ena kuti athetse zizindikiritso zama autoimmune (mikhalidwe yomwe chitetezo chamthupi chimagwetsa ziwalo zathanzi za thupi ndikupangitsa kupweteka, kutupa, ndi kuwonongeka) kuphatikiza:

• nyamakazi ya nyamakazi (momwe thupi limagwirira ziwalo zake, zimapweteka, kutupa, komanso kutayika kwa ntchito) mwa akulu,
• psoriatic nyamakazi (vuto lomwe limayambitsa kupweteka kwamagulu ndi kutupa ndi masikelo pakhungu) mwa akulu,
• juvenile idiopathic arthritis (JIA; vuto lomwe limakhudza ana momwe thupi limagunda malo ake, kupweteketsa, kutupa, kutaya ntchito, ndikuchedwa kukula ndikukula) mwa ana azaka 2 kapena kupitirira,
• ankylosing spondylitis (momwe thupi limagwirira malo olumikizirana mafupa a msana ndi madera ena omwe amayambitsa kupweteka komanso kuwonongeka kwamagulu),
• matenda a plaque psoriasis (matenda akhungu pomwe pamakhala zigamba zofiira pamiyendo ina m'thupi) mwa akulu ndi ana azaka 4 kapena kupitirira omwe psoriasis yawo ndi yovuta kwambiri kuti angachiritsidwe ndi mankhwala apadera okha.

Etanercept ali mgulu la mankhwala otchedwa tumor-necrosis factor (TNF) inhibitors. Zimagwira ntchito poletsa zochita za TNF, chinthu m'thupi chomwe chimayambitsa kutupa

Jekeseni wa Etanercept imabwera ngati yankho (madzi) mu jakisoni woyikapo komanso chida chodziwikiratu, komanso ngati ufa wosakanizidwa ndi madzi omwe aperekedwa. Etanercept imayikidwa subcutaneously (pansi pa khungu). Nthawi zambiri amabayidwa kamodzi pamlungu. Pamene jakisoni wa etanercept amagwiritsidwa ntchito pochizira plaque psoriasis, imatha kubayidwa kawiri pamlungu m'miyezi itatu yoyamba yamankhwala ndipo kamodzi pamlungu miyezi itatu yoyambirira. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito etanercept monga momwe mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Mudzalandira mlingo wanu woyamba wa jakisoni wa etanercept muofesi ya dokotala. Pambuyo pake, mutha kubaya mankhwala nokha kunyumba kapena kuti nzanu kapena wachibale azibaya jakisoni. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni kapena munthu yemwe ati azichita jakisoni momwe angabayire etanercept. Werengani malangizo olembedwa omwe amabwera ndi jakisoni wa etanercept musanalembe mankhwala.

Mbale ya jakisoni wa etanercept itha kukhala ndi mankhwala okwanira osaposera kamodzi. Ngati muli ndi mankhwala okwanira mu botolo la mankhwala athunthu, ikani botolo m'firiji posachedwa, koma pasanathe maola 4 mutasakaniza. Mutha kusunga botolo la jakisoni wa etanercept mpaka masiku 14 mutatha kusakaniza ngati pali mankhwala okwanira pamlingo wathunthu. Komabe, simuyenera kuphatikiza zomwe zili m'mitsuko iwiri kapena kupitilira apo ya jakisoni wa etanercept kuti mupange mlingo wathunthu. Muyeneranso kusakaniza mankhwala ena aliwonse ndi jakisoni wa etanercept.

Ngati mankhwala anu abwera mu jakisoni woyambirira kapena chida chodzipangira chokha, gwiritsani ntchito syringe kapena chida chilichonse kamodzi ndikujambulitsa yankho mu syringe kapena chipangizocho. Ngakhale pangakhale yankho lomwe latsala mu syringe kapena chipangizocho, musachigwiritsenso ntchito. Kutaya singano zogwiritsidwa ntchito kale, ma syringe, ndi zida mu chidebe chosagundika. Lankhulani ndi dokotala wanu kapena wamankhwala za momwe mungatayire chidebe chosagwira mankhwala.

Ngati mukugwiritsa ntchito jakisoni woyambira, jekeseni woyeserera, kapena chidebe chomwe chakhala mufiriji, ikani syringe, chida, kapena botolo pamalo athyathyathya ndikulilola kutentha kwa firiji kwa mphindi 15-30 musanakonzekere jekeseni mankhwala. Osayesa kutenthetsa mankhwalawo powotenthetsa mu microwave, ndikuwayika m'madzi otentha, kapena njira ina iliyonse.

Musagwedeze jakisoni, jekeseni wodziwikiratu, kapena botolo lomwe lili ndi etanercept. Samalani kuti musagwetse chipangizocho pamalo olimba chifukwa izi zitha kuwononga chipangizocho, syringe, kapena singano.

Nthawi zonse yang'anani yankho la etanercept musanaibayize. Onetsetsani kuti tsiku lomaliza ladutsa komanso kuti madziwo ndiwosawoneka bwino. Madziwo amakhala ndi tinthu tating'onoting'ono toyera, koma sayenera kukhala ndi tinthu tating'ono kapena tating'ono. Musagwiritse ntchito cholembera kapena cholembera ngati chasweka kapena chathyoledwa, ngati chatha, kapena ngati madzi ali mitambo kapena muli tinthu tating'ono kapena tating'ono.

Malo abwino obaya jakisoni wa etanercept ndi kutsogolo kwa ntchafu zanu zapakati. Muthanso kubayitsa mankhwala m'mimba mwanu pansi pamchombo wanu, kupatula dera lamasentimita awiri kuzungulira mchombo wanu. Ngati wina akukupatsani jakisoni, munthu ameneyo amathanso kubaya mankhwalawo m'manja mwanu. Ngati etanercept imalowetsedwa m'manja kapena m'mimba, khungu m'deralo liyenera kutambasulidwa kuti likhale lolimba la jakisoni. Sankhani tsamba lina la jakisoni iliyonse. Osalowetsa malo omwe khungu ndi lofewa, lophwanyika, lofiira, lolimba, kapena pomwe pali zipsera kapena zotambasula. Ngati muli ndi psoriasis, musabayire khungu lofiira, lakuda, lotukuka, kapena lamankhwala.

Jekeseni wa Etanercept itha kuthandizira kuwongolera matenda anu koma singachiritse. Pitirizani kugwiritsa ntchito jakisoni wa etanercept ngakhale mukumva bwino. Osasiya kugwiritsa ntchito etanercept osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jakisoni wa etanercept,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la etanercept kapena mankhwala ena aliwonse. Ngati mukugwiritsa ntchito jakisoni woyambira kapena jakisoni wodziwikiratu, uzani dokotala ngati inu kapena munthu amene akukupatsani jakisoni wamankhwalawa simukugwirizana ndi mphira kapena latex.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adalembedwa mgawo LOFUNIKITSA CHENJEZO, mankhwala a shuga, ndi cyclophosphamide (Cytoxan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena munagwapo; matenda omwe amakhudza dongosolo lanu lamanjenje, monga multiple sclerosis (MS; kuchepa kwa mgwirizano, kufooka, ndi dzanzi chifukwa cha kuwonongeka kwa mitsempha); transverse myelitis (kutupa kwa msana wam'mimba komwe kumatha kuyambitsa zowawa, kutaya mtima, kapena kutaya mphamvu yosuntha thupi lotsika); optic neuritis (kutupa kwa mitsempha yomwe imatumiza mauthenga kuchokera kumaso kupita kuubongo); kutaya magazi; matenda a chiwindi, kapena kulephera kwa mtima.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito etanercept, itanani dokotala wanu. Ngati mumagwiritsa ntchito jakisoni wa etanercept panthawi yomwe muli ndi pakati, onetsetsani kuti mwalankhula ndi dokotala wa mwana wanu izi zitabadwa. Mwana wanu angafunikire kulandira katemera wina mochedwa kuposa nthawi zonse.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito etanercept.
• mulibe katemera uliwonse mukamachiritsidwa ndi etanercept osalankhula ndi dokotala. Ngati mwana wanu adzalandira jakisoni wa etanercept, lankhulani ndi dokotala wake za katemera omwe ayenera kuperekedwa mankhwala asanayambe. Ngati kuli kotheka, mwana wanu ayenera kupatsidwa katemera aliyense wofunikira kwa ana azaka zake asanayambe kulandira chithandizo.
• ngati mukudwala nthomba mukamagwiritsa ntchito etanercept, itanani dokotala wanu mwachangu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni mlingo womwe mwaphonya mukangokumbukira. Ngati ili pafupi nthawi yamlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu la dosing. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya.

Etanercept itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kufiira, kuyabwa, kupweteka, kapena kutupa pamalo obayira
• mutu
• nseru
• kusanza
• kutentha pa chifuwa
• kupweteka m'mimba
• kufooka
• chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi zotsatirapo zotsatirazi kapena zomwe zatchulidwa MUCHIWERENGA CHENJEZO CHENJEZO, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kugwidwa
• kuvulaza
• magazi
• khungu lotumbululuka
• khungu lotupa
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa maso, nkhope, milomo, lilime, mmero, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• zidzolo kumaso ndi mikono zomwe zimawonjezeka padzuwa
• dzanzi kapena kumva kulasalasa
• mavuto owonera
• kufooka m'manja kapena m'miyendo
• chizungulire
• ofiira, amikanda kapena ziphuphu pakhungu

Akuluakulu omwe amalandira jakisoni wa etanercept mwina amakhala pachiwopsezo chachikulu chotenga lymphoma, leukemia (khansa yomwe imayamba m'maselo oyera a magazi), khansa yapakhungu, ndi mitundu ina ya khansa kuposa achikulire omwe samalandira mankhwalawa. Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa etanercept.

Jekeseni wa Etanercept itha kubweretsa 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani jakisoni wa etanercept mufiriji koma osazizira. Sungani mabotolo, ma syringe oyikapo kale, kapena zida za jakisoni m'makatoni awo oyambirira kuti muwateteze ku kuwala. Ngati mwasakaniza botolo la etanercept powder ndi madzi omwe mudapatsidwa, mutha kusunga yankho mufiriji kwa masiku 14.

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 amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira etanercept.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito etanercept.

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.

• Wolemba^®