Jekeseni wa Belimumab

Zamkati

• Musanagwiritse ntchito belimumab,
• Belimumab ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'gawo la HOW, itanani dokotala wanu mwachangu:

Belimumab imagwiritsidwa ntchito ndi mankhwala ena kuti athetse mitundu ina ya systemic lupus erythematosus (SLE kapena lupus; matenda omwe amathandizirana ndi chitetezo cha mthupi momwe chitetezo chamthupi chimagwirira ziwalo zathanzi monga ziwalo, khungu, mitsempha yamagazi, ndi ziwalo) mwa akulu ndi ana 5 wazaka zakubadwa kapena kupitirira. Belimumab imagwiritsidwanso ntchito ndi mankhwala ena kuchiza lupus nephritis (matenda omwe amadzitchinjiriza m'mthupi momwe chitetezo chamthupi chimagwirira impso) mwa akulu. Belimumab ali mgulu la mankhwala otchedwa monoclonal antibodies. Zimagwira ntchito poletsa ntchito ya mapuloteni ena mwa anthu omwe ali ndi SLE ndi lupus nephritis.

Belimumab imabwera ngati ufa woti isakanikirane mu njira yothetsera jakisoni (mu mtsempha) mwa akulu ndi ana azaka 5 zakubadwa kapena kupitilira apo. Belimumab imabweranso ngati yankho (madzi) mu autoinjector kapena jakisoni woyikapo kale kuti alowe jakisoni (pansi pa khungu) mwa akulu. Mukaperekedwa kudzera m'mitsempha, nthawi zambiri imaperekedwa kwa ola limodzi ndi dokotala kapena namwino kamodzi pamasabata awiri pamiyeso itatu yoyambirira, kenako kamodzi pamasabata anayi. Dokotala wanu adzasankha kuti mulandire belimumab kangati kudzera m'mitsempha potengera momwe thupi lanu limayankhira mankhwalawa. Mukaperekedwa mwakachetechete, nthawi zambiri imaperekedwa kamodzi sabata iliyonse tsiku lomwelo sabata iliyonse.

Mudzalandira mankhwala anu oyamba a subcutaneous a belimumab mu ofesi ya dokotala wanu. Ngati mukubaya jekeseni wa belimumab modzidzimutsa nokha kunyumba kapena kukhala ndi mnzanu kapena wachibale akubayirani mankhwalawo, dokotala wanu akuwonetsani inu kapena munthu amene akulowetsani mankhwalawo momwe angawabayire. Inu ndi munthu amene mukubaya mankhwalawo muyeneranso kuwerenga malangizo omwe agwiritsidwe ntchito omwe amabwera ndi mankhwalawo.

Chotsani autoinjector kapena syringe yoyambira m'firiji ndikuilola kuti ifike kutentha kwa mphindi 30 musanakonzekere kubaya jekeseni wa belimumab. Osayesa kutenthetsa mankhwalawo powotenthetsa mu microwave, ndikuwayika m'madzi ofunda, kapena njira ina iliyonse. Yankho lake liyenera kukhala loyera kwa opalescent komanso lopanda utoto wachikaso. Itanani wamankhwala wanu ngati pali vuto lililonse ndi phukusi kapena syringe ndipo musabayire mankhwala.

Mutha kubaya jekeseni wa belimumab kutsogolo kwa ntchafu kapena kulikonse pamimba panu kupatula mchombo (batani la m'mimba) ndi malo awiri mainchesi mozungulira. Osabaya mankhwalawo pakhungu lofewa, lophwanyika, lofiira, lolimba, kapena losakhazikika. Sankhani malo osiyana nthawi iliyonse mukabaya mankhwala.

Belimumab imatha kuyambitsa mavuto ena mukamalandira mankhwala. Dokotala kapena namwino adzakuyang'anirani mosamala mukalandira kulowetsedwa komanso mutalowetsedwa kuti awonetsetse kuti simukukhudzidwa ndi mankhwalawo. Mutha kupatsidwa mankhwala ena kuti muzitha kuchiza kapena kuthandizira kupewa kuchititsa belimumab. Uzani dokotala wanu kapena namwino nthawi yomweyo ngati mukumane ndi izi zotsatirazi zomwe zingachitike mukalowetsedwa m'mitsempha kapena jakisoni wa subcutaneous kapena mpaka sabata mutalandira mankhwalawa: kuyabwa; ming'oma; kutupa kwa nkhope, maso, pakamwa, pakhosi, lilime, kapena milomo; kuvuta kupuma kapena kumeza; kupuma kapena kupuma movutikira; nkhawa; kuthamanga; chizungulire; kukomoka; mutu; nseru; malungo; kuzizira; kugwidwa; kupweteka kwa minofu; ndikuchedwa kugunda kwa mtima.

Belimumab amathandizira kuwongolera lupus koma samachiritsa. Dokotala wanu adzakuyang'anirani mosamala kuti awone momwe belimumab imagwirira ntchito kwa inu. Zitha kutenga nthawi kuti mumve phindu la belimumab. Ndikofunika kuuza dokotala momwe mukumvera mukamalandira chithandizo.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi belimumab ndipo nthawi iliyonse mukamadzaza 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.

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

Musanagwiritse ntchito belimumab,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la belimumab, mankhwala ena aliwonse, kapena zina zilizonse mu jakisoni wa belimumab. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mtsempha wa magazi wa cyclophosphamide; ndi ma monoclonal antibodies kapena mankhwala ena a biologic. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati muli ndi kachilombo kapena ngati mudakhalapo ndi matenda omwe amabwererabe, kukhumudwa kapena malingaliro odzivulaza kapena kudzipha nokha, kapena khansa.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Sizikudziwika ngati kutenga belimumab panthawi yapakati kumatha kuvulaza mwana wanu wosabadwa. Ngati mwasankha kupewa kutenga mimba, muyenera kugwiritsa ntchito njira yolerera yothandiza pakumwa mankhwala ndi belimumab komanso kwa miyezi 4 mutatha kumwa. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Mukakhala ndi pakati mukamalandira belimumab, itanani dokotala wanu.
• Uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito belimumab.
• mulibe katemera popanda kulankhula ndi dokotala. Uzani dokotala wanu ngati mwalandira katemera m'masiku 30 apitawa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mukaphonya nthawi kuti mulandire kulowetsedwa kwa belimumab, itanani dokotala wanu posachedwa.

Mukaphonya mankhwala anu a belimumab, jekeseni mlingo womwe mwaphonya mukangokumbukira. Kenako, jekeseni mlingo wanu wotsatira panthawi yomwe mwakhala mukukonzekera kapena pitilizani kumwa mankhwala sabata iliyonse kutengera tsiku latsopanolo. Osabaya jakisoni kawiri kuti mupange yomwe mwaphonya. Itanani dokotala wanu kapena wamankhwala ngati mukufuna thandizo kuti mudziwe nthawi yoyenera jekeseni wa belimumab.

Belimumab ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kupweteka mutu kapena migraine
• kuvuta kugona kapena kugona
• kufiira, kuyabwa, kutupa, kupweteka, kusintha kwa khungu, kapena kukwiya pamalo obayira
• kupweteka kwa mikono kapena miyendo
• mphuno

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa m'gawo la HOW, itanani dokotala wanu mwachangu:

• zidzolo
• ming'oma
• kuyabwa
• kupuma movutikira
• kutupa kwa nkhope, mmero, lilime, milomo, ndi maso
• kuvuta kupuma kapena kumeza
• malungo, zilonda zapakhosi, kuzizira, chifuwa, ndi zizindikiro zina za matenda
• ofunda; ofiira, kapena khungu lopweteka kapena zilonda mthupi lanu
• kuganiza zodzipweteka kapena kudzipha nokha kapena ena, kapena kukonzekera kapena kuyesa kutero
• kukhumudwa kwatsopano kapena kukulira koipa kapena kuda nkhawa
• kusintha kwachilendo pamakhalidwe anu kapena momwe mumamvera
• kuchita zofuna zawo zowopsa
• kukodza pafupipafupi, kupweteka, kapena kuvuta
• mitambo kapena mkodzo wamphamvu
• kukhosomola ntchofu
• masomphenya amasintha
• kuiwalika
• kuvuta kuganiza bwino
• kuvuta kulankhula kapena kuyenda
• chizungulire kapena kutayika bwino

Belimumab imatha kukulitsa chiopsezo cha khansa zina. Kafukufuku wasonyeza kuti anthu omwe adalandira belimumab amatha kufa pazifukwa zosiyanasiyana kuposa omwe sanatenge belimumab. Lankhulani ndi dokotala wanu za kuopsa kolandira mankhwalawa.

Belimumab imatha 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 mankhwalawa mu phukusi lomwe adalowamo, kutali ndi kuwala, kutsekedwa mwamphamvu, komanso komwe ana sangakwanitse. Musagwedeze ma autoinjectors kapena ma syringe omwe ali ndi belimumab. Sungani jekeseni wa belimumab mufiriji; osazizira. Pewani kutentha. Masirinji amatha kusungidwa kunja kwa firiji (mpaka 30 ° C) kwa maola 12 ngati atetezedwa ku dzuwa. Musagwiritse ntchito ma syringe ndipo musawaikenso mufiriji ngati simunafiriji kwa maola opitilira 12. Tayani mankhwala aliwonse akale kapena osafunikanso. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

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

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.

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.

Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudza jekeseni wa belimumab.

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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