Jekeseni wa Belatacept

Zamkati

• Asanalandire jakisoni wa belatacept,
• Kubayira kwa Belatacept kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Kulandila jakisoni wa belatacept kungapangitse kuti mukhale ndi vuto loti mutenge matenda opatsirana a lymphoproliferative (PTLD, vuto lalikulu ndikukula mwachangu kwamaselo oyera, omwe atha kukhala khansa). Chiwopsezo chokhala ndi PTLD ndichokwera kwambiri ngati simunapezeke ndi kachilombo ka Epstein-Barr (EBV, kachilombo koyambitsa mononucleosis kapena '' mono '') kapena ngati muli ndi matenda a cytomegalovirus (CMV) kapena mwalandira mankhwala ena omwe amachepetsa T lymphocytes (mtundu wa maselo oyera a magazi) m'magazi anu. Dokotala wanu adzaitanitsa mayeso ena a labu kuti awone ngati mwayamba kumwa mankhwalawa. Ngati simunapezeke ndi kachilombo ka Epstein-Barr, dokotala wanu sangakupatseni jakisoni wa belatacept. Ngati mukumane ndi izi mwazizindikiro mukalandira jakisoni wa belatacept, itanani dokotala wanu mwachangu: kusokonezeka, kuganiza movutikira, mavuto amakumbukiro, kusintha malingaliro kapena machitidwe anu wamba, kusintha momwe mumayendera kapena kuyankhulira, kuchepa mphamvu kapena kufooka pa chimodzi mbali ya thupi lanu, kapena kusintha kwa masomphenya.

Kulandira jakisoni wa belatacept kungapangitsenso chiopsezo chotenga khansa, kuphatikiza khansa yapakhungu, komanso matenda opatsirana, kuphatikizapo chifuwa chachikulu (TB, matenda am'mapapo a bakiteriya) ndi leukoencephalopathy (PML, matenda osowa kwambiri, am'magazi). Ngati mukumane ndi zizindikiro zotsatirazi mutalandira belatacept, itanani dokotala wanu nthawi yomweyo: chotupa chatsopano pakhungu kapena chotupa, kapena kusintha kwa kukula kapena mtundu wa mole, malungo, zilonda zapakhosi, kuzizira, chifuwa, ndi zizindikilo zina za matenda; thukuta usiku; kutopa komwe sikuchoka; kuonda; zotupa zaminyewa zotupa; zizindikiro ngati chimfine; kupweteka m'mimba; kusanza; kutsegula m'mimba; Kukoma mtima kwa dera la impso zosungidwa; pafupipafupi kapena zopweteka pokodza; magazi mkodzo; kusakhazikika; kukula kufooka; kusintha kwa umunthu; kapena kusintha kwa masomphenya ndi kuyankhula.

Jekeseni wa Belatacept uyenera kuperekedwa kuchipatala moyang'aniridwa ndi dokotala yemwe amadziwa bwino kuchiritsa anthu omwe adamupatsira impso komanso kupereka mankhwala omwe amachepetsa chitetezo chamthupi.

Jekeseni wa Belatacept itha kuyambitsa kukana chiwindi chatsopano kapena kufa kwa anthu omwe adadwala chiwindi. Mankhwalawa sayenera kuperekedwa pofuna kupewa kukana kuyika chiwindi.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi jakisoni wa belatacept 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 kolandila belatacept.

Jekeseni wa Belatacept imagwiritsidwa ntchito limodzi ndi mankhwala ena kuti mupewe kukana (kuwukira kwa chiwalo choikidwa ndi chitetezo cha mthupi cha munthu wolandila chiwalo) chofalitsa cha impso. Jekeseni wa Belatacept uli mgulu la mankhwala otchedwa immunosuppressants. Zimagwira ntchito pochepetsa kuchepa kwa chitetezo cha mthupi kuti chiteteze impso zomwe zaikidwa.

Jakisoni wa Belatacept amabwera ngati yankho (madzi) kuti alandire mphindi 30 mumtsempha, nthawi zambiri ndi dokotala kapena namwino kuchipatala kapena kuchipatala. Nthawi zambiri amaperekedwa patsiku lodzala, masiku 5 mutabzala, kumapeto kwa masabata 2 ndi 4, kamodzi pamasabata anayi.

Dokotala wanu adzakuyang'anirani mosamala. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo.

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

Asanalandire jakisoni wa belatacept,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la belatacept kapena mankhwala ena aliwonse, kapena zina zilizonse zophatikizira jakisoni wa belatacept. 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. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati mukudwala.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa jakisoni wa belatacept, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukulandira jakisoni wa belatacept.
• konzekerani kupewa kuwononga dzuwa kosafunikira kapena kwakanthawi, mabedi ofufuta, ndi nyali zadzuwa. Belatacept imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa. Valani zovala zodzitetezera, magalasi a dzuwa, ndi zotchinga dzuwa ndi chitetezo chachikulu (SPF) mukamayenera kukhala padzuwa mukamalandira chithandizo.
• mulibe katemera popanda kulankhula ndi dokotala.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwaphonya nthawi yoti mulandire jakisoni, itanani dokotala wanu posachedwa.

Kubayira kwa Belatacept kumatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kutopa kwambiri
• khungu lotumbululuka
• kuthamanga kwa mtima
• kufooka
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kudzimbidwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mgawo la CHENJEZO LOFUNIKA, itanani dokotala wanu mwachangu:

• kupuma movutikira

Kubayira kwa Belatacept kumatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).

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.

Zizindikiro za bongo zingaphatikizepo izi:

• chisokonezo
• zovuta kukumbukira
• kusintha momwe akumvera, umunthu, kapena machitidwe
• chibwibwi
• kusintha poyenda kapena polankhula
• kuchepa mphamvu kapena kufooka mbali imodzi ya thupi
• kusintha masomphenya kapena malankhulidwe

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

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.

• Nulojix^®