Jekeseni wa Sarilumab

Zamkati

• Musanalandire jakisoni wa sarilumab,
• Majekeseni a Sarilumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Jekeseni wa Sarilumab ungachepetse kuthekera kwanu kothana ndi matenda ndikuwonjezera chiopsezo choti mutenge matenda akulu, kuphatikiza matenda owopsa a fungal, bakiteriya, kapena ma virus 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 adotolo ngati mukukhala, mudakhalako, ngati mwapita kumadera monga zigwa za Ohio kapena Mississippi komwe matenda ofala a fungus amapezeka kwambiri. Funsani dokotala wanu ngati simukudziwa ngati matendawa ndiofala m'dera lanu. Uzani dokotala ngati mukumwa mankhwala omwe amachepetsa chitetezo chamthupi monga awa: abatacept (Orencia); adalimumab (Humira); anakinra (Kineret); chitsimikizo cha peolol (Cimzia); etanercept (Enbrel); golimumab (Simponi); infliximab (Remicade); methotrexate (Otrexup, Rasuvo, Trexall); rituximab (Rituxan); steroids kuphatikizapo dexamethasone, methylprednisolone (A-Methapred, Medrol, Solu-Medrol), prednisolone (Orapred, Pediapred), ndi prednisone (Rayos); tocilizumab (Actemra) ndi tofacitinib (Xeljanz).

Dokotala wanu adzakuyang'anirani ngati muli ndi matendawa mukamalandira chithandizo chake. Ngati muli ndi zizindikiro zotsatirazi musanayambe kumwa mankhwala kapena ngati mukukumana ndi zizindikiro zotsatirazi mukamalandira chithandizo kapena mutangochoka kumene, pitani kuchipatala nthawi yomweyo: malungo; thukuta; kuzizira; kupweteka kwa minofu; chifuwa; kutsokomola ntchofu zamagazi; kupuma movutikira; kuonda; khungu lofunda, lofiira, kapena lopweteka; zilonda pakhungu; kumverera pafupipafupi, kupweteka, kapena kutentha nthawi yokodza; kutsegula m'mimba; kupweteka m'mimba; kapena kutopa kwambiri.

Mutha kukhala kuti mwadwala kale chifuwa chachikulu (TB; matenda akulu am'mapapo) koma mulibe zizindikiro zilizonse za matendawa. Poterepa, kugwiritsa ntchito jakisoni wa sarilumab kungapangitse matenda anu kukhala owopsa ndikupangitsani kukhala ndi zizindikilo. Dokotala wanu adzakuyesani khungu kuti muwone ngati muli ndi kachilombo koyambitsa matenda a TB musanayambe mankhwala anu ndi jakisoni wa sarilumab. Ngati ndi kotheka, dokotala wanu adzakupatsani mankhwala ochizira matendawa musanayambe kugwiritsa ntchito jakisoni wa sarilumab. Uzani dokotala ngati mwadwalapo kapena munakhalapo ndi TB, ngati munakhalako kapena munapitako kudziko kumene TB imafala, kapena ngati munakhalapo ndi munthu amene ali ndi TB. Ngati muli ndi zizindikiro zotsatirazi za chifuwa chachikulu cha TB, kapena ngati muli ndi zina mwazizindikiro mukamalandira chithandizo, pitani kuchipatala nthawi yomweyo: kutsokomola, kutsokomola ntchofu zamagazi, kuonda, kuchepa kwa minofu, kapena malungo.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi jakisoni wa sarilumab 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.

Jakisoni wa Sarilumab amagwiritsidwa ntchito payekha kapena ndi mankhwala ena kuchiza nyamakazi (RA: momwe thupi limagwirira ntchito ziwalo zake zomwe zimayambitsa kupweteka, kutupa, komanso kutayika kwa ntchito). Sarilumab nthawi zambiri amagwiritsidwa ntchito ndi anthu omwe sanathandizidwe ndi mankhwala ena a RA kapena omwe samatha kumwa mankhwalawa. Jakisoni wa Sarilumab ali mgulu la mankhwala otchedwa interleukin-6 (IL-6) receptor inhibitors. Zimagwira ntchito poletsa ntchito ya interleukin-6, chinthu m'thupi chomwe chimayambitsa kutupa.

Jekeseni wa Sarilumab umabwera ngati jakisoni woyambira kubaya pansi pake (pansi pa khungu). Nthawi zambiri amagwiritsidwa ntchito kamodzi pamasabata awiri.Dokotala wanu akhoza kusankha kuti inu kapena amene amakusamalirani mutha kupanga jakisoni kunyumba. Dokotala wanu akuwonetsani inu kapena munthu yemwe ati adzalandire mankhwalawo momwe angabayire. Inu kapena munthu amene adzalandire mankhwalawa muyeneranso kuwerenga malangizo olembedwa omwe mungagwiritse ntchito ndi mankhwalawo. Onetsetsani kuti mufunse dokotala kapena wamankhwala ngati muli ndi mafunso okhudza kubayitsa mankhwala.

Chotsani mankhwalawa mufiriji mphindi 30 musanakonzekere kulandira mankhwala. Ikani pabwino pamalo olola kuti izitha kutentha. Mukamachotsa jakisoni woyikidwa m'kabokosi, samalani kuti mugwire pakatikati pa jekeseni ndipo musagwedeze syringe kapena kuchotsa kapu yophimba singano. Osayesa kutenthetsa mankhwalawo powotenthetsa mu microwave, ndikuwayika m'madzi ofunda kapena dzuwa, kapena njira ina iliyonse.

Musana jekeseni, yang'anani jakisoni woyikiratu kuti mutsimikize kuti tsiku lomaliza kusindikizidwa paphukusili silinadutse. Yang'anani mosamala madzi omwe ali mu syringe. Madziwo ayenera kukhala oyera kapena otumbululuka achikasu ndipo sayenera kukhala mitambo kapena yopaka utoto kapena kukhala ndi zotumphukira kapena tinthu tating'onoting'ono. Onetsetsani ngati syringe ikuwoneka yowonongeka kapena ngati kapu ya singano ikusowa kapena ayi. Itanani wamankhwala wanu ngati pali zovuta ndipo musabayire mankhwala.

Mutha kubaya jakisoni wa sarilumab kutsogolo kwa ntchafu kapena kulikonse pamimba panu kupatula mchombo wanu (batani lamimba) ndi dera mainchesi awiri mozungulira. Ngati wina akubaya jakisoni wamankhwala anu, malo akunja am'manja atha kugwiritsidwanso ntchito. Osabaya mankhwalawo pakhungu lomwe ndi lofewa, lophwanyika, lowonongeka, kapena lazipsera. Sankhani malo osiyana nthawi iliyonse mukabaya mankhwala.

Musagwiritsenso ntchito majakisoni oyambitsidwa ndi sarilumab ndipo musabwererenso ma syringe mukatha kugwiritsa ntchito. Tayani masirinji ogwiritsidwa ntchito muchidebe chosagwiritsika ntchito ndipo funsani wamankhwala wanu momwe angataye chidebecho.

Dokotala wanu adzakuyang'anirani mosamala kuti muwone momwe jakisoni wa sarilumab imagwirira ntchito kwa inu. Dokotala wanu amatha kusintha mlingo wanu kapena kuchedwetsa kapena kuyimitsa chithandizo chanu kutengera kuyankha kwanu kwa mankhwalawa. Ndikofunika kuuza dokotala momwe mukumvera mukamalandira chithandizo.

Jekeseni wa Sarilumab itha kuthandizira kuwongolera zizindikilo zanu, koma sizingathetse vuto lanu. Pitirizani kugwiritsa ntchito jakisoni wa sarilumab ngakhale mukumva bwino. Osasiya kugwiritsa ntchito jakisoni wa sarilumab osalankhula ndi dokotala.

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

Musanalandire jakisoni wa sarilumab,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi sarilumab, mankhwala ena aliwonse, kapena zina zilizonse zophatikizira jakisoni wa sarilumab. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze 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 mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO LENJEZO ndi zina mwa izi: aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Anaprox, ena); atorvastatin (Lipitor, mu Caduet); clarithromycin (Biaxin, mu Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (EES, Eryc, PCE); lovastatin (Altoprev); njira zakulera zam'kamwa (mapiritsi olera); quinidine (mu Nuedexta); simvastatin (Zocor, ku Vytorin); sirolimus (Rapamune, Torisel); tacrolimus (Astagraf, Envarsus XR, Prograf); telithromycin (Ketek); theophylline (Theo-24, Theochron); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi jakisoni wa sarilumab, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• Uzani dokotala wanu ngati mwakhalapo ndi diverticulitis (timatumba tating'onoting'ono tomwe timayaka m'matumbo), zilonda m'mimba kapena m'matumbo, khansa, kapena hepatitis B kapena matenda ena a chiwindi. Uzaninso dokotala wanu ngati mukufuna kuchitidwa opaleshoni kapena chithandizo chamankhwala posachedwa.
• uzani dokotala wanu ngati mwalandira kumene kapena mukuyenera kulandira katemera uliwonse. Simuyenera kulandira katemera aliyense mukamagwiritsa ntchito jakisoni wa sarilumab osalankhula ndi dokotala.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa jakisoni wa sarilumab, itanani dokotala wanu. Ngati munalandira jakisoni wa sarilumab muli ndi pakati, uzani dokotala wanu asanalandire katemera aliyense.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa jakisoni wa sarilumab.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Funsani dokotala wanu choti muchite ngati muiwala kubaya jakisoni. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Majekeseni a Sarilumab angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• yothina kapena yothamanga m'mphuno
• kufiira kapena kuyabwa pafupi ndi pomwe mankhwalawo adalowetsedwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kutuluka magazi kapena kuphwanya mosavuta
• zidzolo
• ming'oma
• zovuta kumeza kapena kupuma
• kutupa kwa milomo yanu, lilime, kapena nkhope
• kupweteka pachifuwa
• kumva chizungulire kapena kukomoka
• kupweteka m'mimba
• kusanza
• khungu lopweteka, lotentha, lopindika, kapena lotupa pakhungu lanu

Mankhwala ofanana ndi jakisoni wa sarilumab atha kubweretsa chiopsezo chowonjezeka chokhala ndi khansa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Jekeseni wa Sarilumab ingayambitse 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 katoni yomwe idabwera kuti muwateteze ku kuwala, kutsekedwa mwamphamvu, komanso kuti ana asakufikire. Sungani mu firiji koma osazizira. Ngati mankhwalawa adasungidwa mufiriji, ayenera kugwiritsidwa ntchito pasanathe 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.

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 sarilumab.

Musalole kuti aliyense azimwa 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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