Jekeseni wa Abatacept

Zamkati

• Musanagwiritse ntchito abatacept,
• Abatacept angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Abatacept amagwiritsidwa ntchito paokha kapena kuphatikiza ndi mankhwala ena ochepetsa kupweteka, kutupa, kuvutika ndi zochitika za tsiku ndi tsiku, komanso kuwonongeka kwamagulu komwe kumayambitsidwa ndi nyamakazi ya nyamakazi (momwe thupi limagwirira mafupa ake omwe amachititsa kupweteka, kutupa, ndi kutayika kwa ntchito) akuluakulu omwe sanathandizidwe ndi mankhwala ena. Amagwiritsidwanso ntchito payokha kapena kuphatikiza methotrexate (Trexall) kuchiza matenda opatsirana a ana ambiri (PJIA; mtundu wamatenda aunyamata omwe amakhudza ziwalo zisanu kapena zingapo m'miyezi isanu ndi umodzi yoyambirira ya vutoli, ndikupweteka, kutupa, ndi kutaya function) mwa ana azaka 2 kapena kupitirira. Abatacept imagwiritsidwanso ntchito payokha kapena kuphatikiza mankhwala ena ochizira nyamakazi ya psoriatic (zomwe zimayambitsa kupweteka kwa mafupa ndi kutupa ndi masikelo pakhungu) mwa akulu. Abatacept ali mgulu la mankhwala otchedwa selective costimulation modulators (ma immunomodulators). Zimagwira ntchito poletsa ntchito ya T-cell, mtundu wa chitetezo chamthupi mthupi chomwe chimayambitsa kutupa ndi kuwonongeka kwamagulu mwa anthu omwe ali ndi nyamakazi.

Abatacept amabwera ngati ufa woti azisakanizidwa ndi madzi osabereka kuti apatsidwe kudzera m'mitsempha (mumtsempha) komanso ngati yankho (madzi) mu syringe yokhayokha kapena autoinjector kuti iperekedwe mosavomerezeka (pansi pa khungu). Nthawi zambiri amaperekedwa ndi dokotala kapena namwino kuofesi ya udokotala kapena malo azaumoyo akapatsidwa kudzera m'mitsempha. Amandipatsanso subcutaneous ndi dotolo kapena namwino kapena inu kapena wondisamalira angauzidwe kuti ndibayire mankhwalawo mobisa kunyumba. Pamene abatacept amaperekedwa kudzera m'mitsempha yothandizira nyamakazi kapena psoriatic nyamakazi, imaperekedwa kwamasabata awiri aliwonse pazoyambira zitatu zoyambirira kenako milungu inayi iliyonse bola chithandizo chikapitirire. Pamene abatacept amaperekedwa kudzera m'mitsempha kuti azitha kuchiza matenda a ana omwe ali ndi zaka 6 kapena kupitilira apo, nthawi zambiri amapatsidwa milungu iwiri iliyonse pazoyeserera ziwiri zoyambirira kenako milungu inayi bola chithandizo chikapitirire. Zitenga pafupifupi mphindi 30 kuti mulandire mlingo wanu wonse wa abatacept kudzera m'mitsempha. Pamene abatacept amaperekedwa mochiritsira kuti azichiza nyamakazi kapena psoriatic nyamakazi mwa akulu komanso polyarticular ana idiopathic nyamakazi mwa ana azaka ziwiri kapena kupitilira apo, imaperekedwa kamodzi pamlungu.

Ngati mukubayitsa jakisoni wokha kunyumba kapena kukhala ndi mnzanu kapena wachibale akubayirani mankhwalawo, funsani adotolo kuti akuwonetseni kapena munthu amene akumubaya mankhwalawo kuti amubayire. Inu ndi munthu amene mudzabaye mankhwalawo muyeneranso kuwerenga malangizo a wopanga kuti agwiritse ntchito omwe amabwera ndi mankhwalawo.

Musanatsegule phukusi lokhala ndi mankhwala anu, onetsetsani kuti tsiku lomaliza lakusindikizidwa phukusilo silinadutse. Mukatsegula phukusili, yang'anani mosamala madzi omwe ali mu syringe. Madziwo ayenera kukhala oyera kapena otumbululuka achikasu ndipo sayenera kukhala ndi tinthu tating'ono tambiri. Itanani wamankhwala wanu, ngati pali zovuta zilizonse ndi phukusi kapena syringe. Osabaya mankhwala.

Mutha kubaya jakisoni wakubaceptive paliponse pamimba kapena ntchafu zanu kupatula mchombo wanu (batani lamimba) ndi dera mainchesi awiri mozungulira iwo. Ngati wina akukubayirani mankhwalawa, munthu ameneyo amathanso kumubaya m'khosi lakunja. Gwiritsani ntchito malo osiyana jekeseni iliyonse. Osabaya jakisoni wa Sacacept pamalo omwe ndi ofewa, otupa, ofiira, kapena olimba. Komanso, musabayire malo okhala ndi zipsera kapena zotambasula.

Chotsani jakisoni woyikiratu kapena mafuta oyikiratu m'firiji ndikuwalola kuti azitha kutentha kwa mphindi 30 musanagwiritse ntchito. Osatenthetsa jakisoni wamadzi otentha m'madzi otentha, ma microwave, kapena kuyika dzuwa. Musachotse chivundikiro cha singano kwinaku mukuloleza kuti jakisoni woyenerayo azitha kutentha.

Dokotala wanu adzakupatsani pepala lazidziwitso za wopanga kuti muwerenge musanalandire mlingo uliwonse wa abatacept. Werengani nkhaniyi mosamala ndikufunsani dokotala mafunso omwe muli nawo.

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

Musanagwiritse ntchito abatacept,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi abatacept, mankhwala ena aliwonse, kapena zina zilizonse zophatikizira jakisoni. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: anakinra (Kineret), adalimumab (Humira), etanercept (Enbrel), ndi infliximab (Remicade). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi matenda kulikonse m'thupi, kuphatikizapo matenda omwe amabwera ndikumatha, monga zilonda zozizira, ndi matenda opatsirana omwe samatha, kapena ngati mumakhala ndi matenda amtundu uliwonse monga chikhodzodzo. Muuzeni adotolo ngati mwadwala kapena mwakhalapo ndi matenda otsekeka m'mapapo mwanga (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema); matenda aliwonse omwe amakhudza dongosolo lanu lamanjenje, monga multiple sclerosis; Matenda aliwonse omwe amakhudza chitetezo cha mthupi mwanu, monga khansa, kachilombo ka HIV (HIV), omwe amapezeka ndi matenda a immunodeficiency syndrome (AIDS), kapena matenda ophatikizana a immunodeficiency (SCID). Komanso muuzeni dokotala ngati mwakhalapo kapena munakhalapo ndi chifuwa chachikulu (TB; matenda am'mapapo omwe sangayambitse matenda kwa zaka zambiri ndipo omwe angafalikire mbali zina za thupi) kapena ngati mwakhala muli pafupi ndi munthu amene ali ndi chifuwa chachikulu . Dokotala wanu angakupimeni khungu kuti muwone ngati muli ndi chifuwa chachikulu. Uzani dokotala wanu ngati mudayesedwapo khungu m'mbuyomu.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito abatacept, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito abatacept.
• uzani dokotala wanu ngati mwalandira kumene kapena mukuyenera kulandira katemera uliwonse. Simuyenera kukhala ndi katemera aliyense mukamagwiritsa ntchito abatacept kapena kwa miyezi itatu mutamaliza mankhwalawa musanalankhule ndi dokotala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukulandira abatacept kudzera m'mitsempha ndikusowa nthawi yoti mulandire kulowetsedwa kwa abatacept, itanani dokotala wanu posachedwa.

Ngati mukulandira abatacept mwakachetechete ndikusowa mulingo, funsani adotolo kuti mupeze ndandanda yatsopano.

Abatacept angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• mphuno
• chikhure
• nseru
• chizungulire
• kutentha pa chifuwa
• kupweteka kwa msana
• kupweteka kwa mkono kapena mwendo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• ming'oma
• zotupa pakhungu
• kuyabwa
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• kuvuta kupuma kapena kumeza
• kupuma movutikira
• malungo, kuzizira, ndi zizindikiro zina za matenda
• chifuwa chowuma chomwe sichitha
• kuonda
• thukuta usiku
• kukodza pafupipafupi kapena kufunika kwadzidzidzi nthawi yomweyo
• kutentha pa nthawi yokodza
• cellulitis (malo ofiira, otentha, otupa pakhungu)

Abatacept atha kuwonjezera chiopsezo chokhala ndi mitundu ina ya khansa kuphatikiza lymphoma (khansa yomwe imayamba m'maselo omwe amalimbana ndi matenda) ndi khansa yapakhungu. Anthu omwe akhala akudwala nyamakazi kwa nthawi yayitali atha kukhala pachiwopsezo chachikulu chotenga khansa iyi ngakhale sagwiritsa ntchito abatacept. Dokotala wanu adzawonanso khungu lanu ngati lingasinthe mukamalandira chithandizo. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Abatacept angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Sungani ma syringe oyikiratu ndi ma autoinjector mu katoni yoyambirira yomwe idabwera kuti iwateteze ku kuwala komanso kosafikirika ndi ana. Sungani ma syringe kapena ma autoinjector osungidwa m'mafiriji ndipo musazime.

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 kuti aone momwe thupi lanu lingayankhire jakisoni wa abatacept.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito jakisoni wa abatacept.

Ngati mukudwala matenda ashuga ndikulandila abatacept kudzera m'mitsempha, jakisoni wamatayala amatha kukupatsani kuwerengetsa magazi patsiku lomwe mudalowetsedwa. Lankhulani ndi dokotala kapena wamankhwala za kuwunika kwa magazi poyeserera kuti mugwiritse ntchito mukamalandira chithandizo.

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.

• Orencia^®