So oduruyɛfo bi akyerɛw wo anaa obi a wunim no Tofacitinib? Anaasɛ woate saa aduru yi ho asɛm wɔ baabi na woaba ha abɛsua ho ade pii? Nanso, wɔ asɛm yi mu no, yɛbɛka Tofacitinib aduru a wɔde ma bere tenten ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ntease wom so. Yɛbɛhwɛ nneɛma pii te sɛ nea saa aduru yi yɛ, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Enti, dɛn ne Tofacitinib?
Sɛ yɛbɛka no tiawa a, Tofacitinib yɛ aduru a wɔde sa tebea pɔtee bi. Wɔde di dwuma titiriw de yɛ:
- Ntini mu Yare: Eyi yɛ ntini mu yare bi a ɛma nkwaa no hohoro na ɛyɛ yaw na ɛtra hɔ kyɛ.
- Psoriatic Arthritis: Eyi nso yɛ ntini mu yare bi. Ɛtɔ mmere bi a ɛba nnipa a wɔwɔ psoriasis so.
- Polyarticular Juvenile Idiopathic Arthritis: Eyi yɛ ntini mu yare bi a ɛka nkwaa pii na ɛba mmofra nkumaa so.
- Ankylosing Spondylitis: Eyi yɛ ɔyare a ɛma obi ho hyehye no a ɛka akyi berɛmo no nkwaa titiriw.
- Ulcerative Colitis: Eyi yɛ yare a ɛma obi ho hyehye no bere tenten a ɛma akuru ba dwensɔtwaa kɛse no mu.
Saa aduru yi yɛ adwuma denam wo nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no so . Yɛn nipadua mu tumi a ɛko tia nyarewa no taa bɔ yɛn ho ban fi nyarewa ho. Nanso ɛtɔ mmere bi a nhyehyɛe yi yɛ adwuma boro so na efi ase tow hyɛ yɛn ankasa nipadua mu nkwammoaa so. Ɛno na nyarewa a yɛaka ho asɛm wɔ atifi hɔ no ba. Aduru a wɔfrɛ no Tofacitinib no ka nnuru kuw bi a wɔfrɛ no JAK inhibitors ho . Ɛyɛ adwuma denam nneɛma bi a ɛnteɛ wɔ nipadua no mu tumi a ɛko tia nyarewa no ho no so. Afei sɛnkyerɛnne ahorow no fi ase so tew.
Ebia nnuruyɛfo nso de saa aduru yi bedi dwuma wɔ tebea afoforo ho, enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
Edin a wɔtaa de frɛ saa aduru yi ne Xeljanz XR .
Dɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase?
Okay, afei ma yɛnhwɛ nea ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ansa na woafi ase anom Tofacitinib. Eyinom ho hia paa, efisɛ saa aduru yi mfata obiara. Sɛ wowɔ tebea horow a edidi so yi mu biako anaa nea ɛboro saa a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo :
- Mogya a ɛtɔ: So mogya atɔ wo ntini mu pɛn? Anaasɛ w’abusua mu bi anya bi pɛn?
- Kokoram:So woanya kokoram pɛn, anaasɛ obi wɔ w’abusua mu a ɔwɔ kokoram? So oduruyɛfo bi aka akyerɛ wo sɛ asiane wɔ hɔ sɛ wubenya kokoram?
- Asikreyare (ɛno kyerɛ asikreyare): So woyɛ asikreyarefo?
- Koma mu yare: So wowɔ komayare bi?
- Mogya mmoroso: So wowɔ mogya mmoroso?
- Srade a ɛdɔɔso: So srade a ɛwɔ wo mogya mu no dɔɔso?
- HIV anaa AIDS: So yare bi wɔ hɔ a ɛtew nipadua no mu tumi a ɛko tia nyarewa so te sɛ eyi?
- Nsɛnnennen a ɛwɔ nipadua no mu a ɛko tia nyarewa: So wowɔ nyarewa foforo bi a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho?
- Nyarewa: So wotaa nya nyarewa? Titiriw no, ɔyare mmoawa te sɛ akokɔsrade, atiridiinini, herpes, ne hepatitis B.
- Nsamanwaw (TB) anaa ɔyare mmoawa, fungal, anaa mmoawa afoforo: So wowɔ nsamanwaw mprempren, woanya bi pɛn, anaasɛ wɔasa wo yare?
- Asaabo mu yare: So ɔhaw bi wɔ w’asaabo ho?
- Berɛbo mu yare: So mmerɛbo mu yare bi wɔ hɔ?
- Mogya dodow a ɛba fam: So worehu mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa kɔkɔɔ a ɛba fam?
- Ahurututu anaa ɔhome mu yare: So wowɔ ɔhome mu haw te sɛ ayamtu anaa COPD?
- Akwaa a wɔde si ananmu: So wɔayɛ wo akwaa a wɔde si ananmu?
- Nom tawa sigaret: So wonom sigaret?
- Yafunu anaa dwensɔtwaa mu haw: So wowɔ ɔhaw bi te sɛ yafunu mu akuru?
- Tofacitinib anaa nnuru foforo, nnuan, nnuru a wɔde yɛ nneɛma anaa nneɛma a wɔde siw ano ho adwenemhaw: So woanya aduru yi anaa biribi foforo biara ho adwenemhaw pɛn?
- Sɛ woanyinsɛn anaa worebɔ mmɔden sɛ wubenyinsɛn a: Eyi ho hia paa.
- Sɛ worenom nufu a: Ka eyi nso ho asɛm kyerɛ wo duruyɛfo .
Saa list yi ware kakra, nanso ne nyinaa yɛ w’ahobammɔ nti.
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Ɛsɛ sɛ wɔde ano ka aduru yi a wɔde nsu ka ho . Ɛyɛ papa sɛ wobɛnom bere koro mu da biara , sɛnea wo duruyɛfo aka akyerɛ wo no.
Nea ɛho hia: Ntwitwa, ntwitwa, anaa nwe saa aduru yi. Mene tablet no nyinaa.
Wubetumi de eyi aka aduan ho anaasɛ wunhia. Nanso, sɛ wote nka sɛ wo yafunu ayɛ wo yaw a, fa ka aduan ho. Ɛsɛ sɛ wokɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Sɛ nnurutɔnbea no ma wo saa aduru yi a, wɔbɛma wo akwankyerɛ krataa titiriw bi nso (MedGuide) . Ɛsɛ sɛ wokenkan krataa yi yiye bere biara a wobɛnom aduru no, ne bere a woasan ahyɛ mu ma no. Nsɛm a ɛho hia wom.
Ɛsɛ sɛ wohwɛ yiye titiriw bere a wode aduru yi rema mmofra nkumaa no , enti wo ne wo ba no duruyɛfo nka ho asɛm.
Dodow a ɛboro so: Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ anaa beae a wɔhwɛ awuduru so a ɛbɛn wo ntɛm ara.
Ade biako bio: Saa aduru yi yɛ wo nkutoo dea. Mfa nkyɛ afoforo, ɛyɛ?
Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Eyi nso yɛ asɛm a ɛho hia paa. Nnuru bi betumi de ɔhaw aba sɛ wɔde ka Tofacitinib ho a.
Mfa Tofacitinib nka nnuru a edidi so yi ho:
- Upadacitinib a wɔde di dwuma
Bio nso, nnuru a edidi so yi betumi ne Tofacitinib adi nkitaho (a ɛkyerɛ sɛ ebetumi de ɔhaw ahorow aba):
- Nnuru bi a ekum ɔyare mmoawa a wɔde sa mmerɛbo mu yare, HIV, anaa AIDS
- Azathioprine a wɔde di dwuma
- Nnuru bi a ɛwɔ abɔde mu (nhwɛso: abatacept, adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab, ofatumumab, rituximab, sarilumab, secukinumab, tocilizumab, ustekinumab, vedolizumab) .
- Nnuru bi a wɔde sa fungal yare (nhwɛso ahorow: fluconazole, itraconazole, ketoconazole, voriconazole ) .
- Nnuru bi a wɔde sa tebea horow te sɛ akisikuru (fits) (nhwɛso ahorow: carbamazepine, phenobarbital, phenytoin ) .
- Cyclosporine a wɔde di dwuma
- Live vaccines ( ɛnsɛ sɛ wɔde vaccines bi ma bere a wɔrenom saa aduru yi) .
- Nnuru a ɛma wo nipadua no tumi ko tia nyarewa
- Rifampin (aduru a wɔde sa nsamanwaw) .
- Nneɛma bi a wɔde ka aduan ho, sɛ nhwɛso no , St. John’s wort
- Tacrolimus a wɔde di dwuma
Saa nsɛm a wɔahyehyɛ yi nka nnuru nyinaa ho. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nhabannuru, vitamin, nnuru a wɔtɔn, nnuru a wɔde di dwuma wɔ amanne kwan so, ne nnuru a wɔde ka aduan ho ka ho.Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ɛsɛ sɛ woka ho asɛm kyerɛ wɔn, efisɛ nneɛma bi betumi ne aduru yi adi nkitaho.
Dɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a mede saa aduru yi redi dwuma no?
Bere a worenom aduru yi no, wo duruyɛfo no bɛhwɛ w’akwahosan daa (wɔbɛhwɛ wo daa) . Kɔ oduruyɛfo nkyɛn daa. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo .
Ɛho behia nso sɛ woma wɔyɛ mogya adwuma bere a worenom aduru yi.
Ade foforo ne sɛ, aduru yi fã a wɔde kata so no ntumi nsɛe. Ɛno yɛ ade a ɛfata. Ebia wubehu sɛ aduru no fã a wɔde kata so no ne wo nsu a ɛwɔ wo nsu mu no repue. Sɛ wuhu a, mma ɛnhaw wo. Ɛnyɛ ɔhaw. Wɔde aduru no fã a ɛyɛ aduru no akɔ nipadua no mu.
Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya nyarewa no ayɛ kɛse kakra. Enti, sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, wo menewam yaw, anaa wo hwene mu nsuo a, nnyɛ wo ho aduru na hwehwɛ aduruyɛfoɔ afotuo. Bɔ mmɔden sɛ wobɛtwe wo ho afi nnipa a wɔyare ho.
Mfa nnuru a ɛtew atiridiinini ne ɛyaw ano te sɛ aspirin, acetaminophen, ibuprofen, naproxen, ne ketoprofen a wunnyaa wo duruyɛfo afotu. Saa nnuru yi betumi asiw atiridiinini no ano na ebetumi ama ayɛ den sɛ wobehu ɔyare mmoawa bi.
Wo ne wo duruyɛfo nkasa mfa asiane a ɛwɔ hɔ sɛ kokoram wom no ho . Saa aduru yi a wobɛnom no betumi ama asiane a ɛwɔ hɔ sɛ wubenya kokoram ahorow bi no ayɛ kɛse kakra.
Adwene titiriw a ɛfa nyinsɛn ne nufu a wɔde ma ho:
Nnyinsɛn bere a worenom aduru yi. Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara. Ebetumi apira wo ba a ɔhyɛ yafunu mu no kɛse. Bisa wo duruyɛfo ma ɔmma no nsɛm pii.
Mma wo ba no nufu bere a worenom aduru yi ne anyɛ yiye koraa no nnɔnhwerew 36 bere a woagyae aduru no akyi.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Okay, afei momma yɛnka nsunsuanso bɔne a ebia nnipa binom benya bere a wɔde saa aduru yi redi dwuma no ho asɛm. Ɛnyɛ obiara na onya eyinom, nanso eye sɛ wobɛma w’ani ada hɔ.
Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ:
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, anaasɛ akisikuru; anim, ano, anaa tɛkrɛma a ɛho ahonhon.
- Mogya a ɛtɔ: Koko mu yaw; ɛyɛ den sɛ wobɛhome; nan a ɛyɛ yaw, ɛho ahonhon, anaa ɔhyew nka.
- Koma mu yare: Ɛyɛ den sɛ wobɛhome; ɛyaw anaa nea ɛyɛ den wɔ koko, kɔn, akyi, anaa abasa mu; te nka sɛ wayɛ mmerɛw anaasɛ wabrɛ wɔ ɔkwan soronko so.
- Nsaneɛ:Atiridiinini, atiridiinini, ɔfe, menewam yaw, ɛyaw anaa ɛyɛ den sɛ wobɛtow.
- Nsuo a ɛyɛ kɔla a ɛyɛ hare.
- mmerɛbo mu opira: nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; sɛ obi te nka sɛ ne ho nyɛ no dɛ anaasɛ ɔte sɛ atiridii ho sɛnkyerɛnne; aduan ho akɔnnɔ a ɛyera, ɛyaw a ɛba yafunu nifa atifi; mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko, aniwa anaa honam ani yɛ kɔkɔɔ.
- Mogya mu nkwammoaa kɔkɔɔ dodow a ɛba fam: Ɔhome a ɛyɛ tiaa; obi a ɔtotɔ piti; sɛ obi te nka sɛ ne ti ayɛ no basaa anaasɛ ne ti ayɛ hare; mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko.
- Akisikuru: Anisoadehu sesa; kesereneeyɛ; kasa anaa ntease a ɛyɛ den; tiyɛ a emu yɛ den; anim, abasa, anaa nan a ɛyɛ mmerɛw anaa mmerɛwyɛ mpofirim; ɛyɛ den sɛ wobɛnantew; adwenemhaw a ɛma obi ho kyere no; kari pɛ a wɔhwere.
- Nusu a ɛba yafunu anaa dwensɔtwaa mu: atiridii; yafunu mu yaw; nsakrae a ɛba mpofirim wɔ dwensɔtwaa mu.
Mpɛn pii no, ɔhaw kɛse biara nni hɔ, nanso sɛ ɛkɔ so a, nneɛma bi a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ni :
Mpɛn pii no, eyinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so haw a, ka kyerɛ wo duruyɛfo :
- Ayamtuo
- Tipaeɛ
- Ntini mu yaw
- Nasal congestion - hwene mu nsuo a ewo anaase ekyere
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, yɛsrɛ wo bisa wo duruyɛfo no ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie? Sɛ biribi aka a, dɛn na mɛyɛ?
Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 20 kosi 25, digrii Fahrenheit 68 kosi 77) . Mfa nnuru a ne bere atwam nni dwuma. Ɛsɛ sɛ wɔtow gu.
Sɛnea wɔtow nnuru a wɔmfa nni dwuma ne nea ne bere atwam agu:
- Fa aduru no ma nhyehyɛe bi a wɔde san fa nnuru no. Wubetumi abisa wo nnurutɔnbea anaa polisifo beae a ɛte saa ho asɛm.
- Sɛ wuntumi nsan mfa saa kwan no so a, hwɛ nea wɔakyerɛw so anaa nea wɔde ahyɛ mu no mu hwɛ sɛ ɛsɛ sɛ wɔtow saa aduru yi gu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnim a, bisa wo duruyɛfo anaa nnuruyɛfo.
- Sɛ wubetumi atow agu nwura mu a, yi aduru no fi toa/packet no mu, fra biribi te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam, fa gu kotoku anaa ade a wɔatoto mu denneennen mu, na tow gu nwura mu.
Adeɛ a ɛho hia paa - kae! (Nkrasɛm a Wɔde Kɔ Fie)
Tofacitinib betumi ayɛ aduru a mfaso wɔ so kɛse, nanso sɛ wɔde di dwuma yiye nkutoo a.
- Fa w’aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ bere nyinaa.
- Dɛn na wowɔ?Sɛ wunya ɔhaw biara a, ka ho asɛm kyerɛ wo duruyɛfo .
- Saa aduru yi yɛ ma wo nko ara, mma nkyɛ afoforo.
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, mma wofɛre sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo .
Saa nsɛm krataa yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia emu nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo nkasa.
` Tofacitinib, Tofacitinib, Xeljanz XR, ntini mu yare, nkwaa mu ɔfe, JAK inhibitor, nipadua mu ahoɔden a ɛko tia nyarewa, akisikuru a ɛyɛ akisikuru
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