Momma yensua Tofacitinib aduru a wɔde di dwuma ho ade. Ɛho hia wo!

So oduruyɛfo bi akyerɛw aduru bi a wɔfrɛ no Tofacitinib ama wo anaa obi a wunim no? Ɛyɛ ade a ɛfata sɛ nsɛmmisa bɛba w’adwenem, ɛnte saa? "Dɛn ne saa aduru yi? Dɛn na ɛbɛba wɔ eyi ho? Dɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho?" Nneɛma a ɛtete saa. Enti ɛnnɛ, momma yɛnka saa aduru Tofacitinib yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw so a wubetumi ate ase. Te sɛ nea wo ne w’adamfo bi rekasa ara pɛ.

Aduru bɛn na Tofacitinib yɛ? Dɛn na wɔde di dwuma?

Sɛ yɛbɛka no tiawa a, Tofacitinib yɛ aduru a wɔde sa ntini mu yare ahorow bi ne nyarewa afoforo a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho. Ebia woate ntini mu yare ne psoriatic arthritis a ɛyɛ nkwaa mu nyarewa a ɛma obi ho hyehye no na ɛyɛ yaw ho asɛm. Wɔde saa aduru yi sa saa nyarewa ahorow no. Wɔde sa tebea bi a wɔfrɛ no polyarticular juvenile idiopathic arthritis, ankylosing spondylitis, ne ulcerative colitis a ɛka dwensɔtwaa nso.

Saa aduru yi yɛ adwuma denam yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa a ɛka so . Yɛwɔ nhyehyɛe bi wɔ yɛn nipadua mu a ɛbɔ yɛn ho ban fi nyarewa ho, ɛnte saa? Ɛno ne nea yɛfrɛ no nipadua no mu tumi a ɛko tia nyarewa. 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. Eyinom yɛ adwuma denam nipadua no mu tumi a ɛko tia nyarewa no dwumadi ahorow bi a wɔmpɛ a wodi so no so. Afei saa sɛnkyerɛnne ahorow no so tew, na wunya ahotɔ.

Wubetumi nso anya saa aduru yi afi nnurutɔnbea hɔ wɔ brand din `(Xeljanz)` ase. Ɛno nso yɛ aduru koro no ara.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?

Eyi ho hia yiye . Ansa na wubefi ase anom aduru yi no, ɛsɛ sɛ woka w’akwahosan ho nkyerɛkyerɛmu a edi mũ kyerɛ wo duruyɛfo. Mfa nsɛm nketenkete mpo nsie. Efisɛ, ɛsɛ sɛ wohwɛ yiye kɛse bere a wode saa aduru yi rema nnipa a wɔwɔ ayaresa tebea horow bi no.

Sɛ wowɔ saa nneɛma yi bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ:

• Mogya a ɛtwetwe ho nsɛm: So woanya mogya a ɛtɔ pɛn? Anaasɛ obi wɔ w’abusua mu a wanya bi?
• Kokoram: So wowɔ kokoram mprempren, anaasɛ woanya bi pɛn na wɔasa wo yare?
• Asikreyare: So wowɔ asikreyare?
• Koma mu yare: So wowɔ komayare?
• Mogya mmoroso: So nhyɛso no kɔ soro dodo?
• Cholesterol a ɛdɔɔso: So srade dɔɔso?
• HIV anaa AIDS: Wowɔ HIV anaa AIDS?
• Nkwammoaa a ɛko tia nyarewa a ɛyɛ mmerɛw: So wunim sɛ tumi a wo nipadua no tumi ko tia nyarewa no sua?
• Nyarewa a wɔtaa nya:So atiridii ne atiridii taa yare? Titiriw mmoawa a wɔde nyarewa ba te sɛ akokɔsrade ne akisikuru, mmoawa a wɔde nyarewa ba te sɛ nsamanwaw, ne fungal yare mmoawa.
• Asaabo mu Yare: So wowɔ asaabo mu haw?
• Berɛbo mu yare: So wowɔ mmerɛbo mu haw?
• Mogya mu yare: So mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa a ɛba fam?
• Ahurututu anaa ɔhome mu nyarewa: So wowɔ ɔhome mu haw te sɛ ayamtu anaa COPD?
• Akwaa a wɔde si ananmu: So wɔayɛ wo akwaa a wɔde si ananmu pɛn?
• Sigaretnom: So wonom sigaret?
• Yafunu anaa dwensɔtwaa mu haw: Nneɛma te sɛ yafunu mu akisikuru ne yafunu mu yare.
• Allergies: So wo ho yɛ wo hyew wɔ Tofacitinib, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho?
• Sɛ worebɔ mmɔden sɛ wubenyinsɛn anaasɛ woanyinsɛn a: Eyi ho hia paa.
• Sɛ woyɛ ɛna a ɔma nufu a.

Saa list yi ware kakra, nanso ne nyinaa yɛ w’ahobammɔ nti.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Saa aduru yi ba wɔ aduruyɛ mu. Ɛsɛ sɛ wode nsu kuruwa bi fa. Hwɛ yiye paa sɛ wobɛnom dodow a ɛfata, wɔ bere a ɛfata mu, sɛnea wo duruyɛfo ka kyerɛ wo no.

• Wubetumi anom eyi ansa na woadi anaasɛ woadi awie. Nanso, sɛ wote nka sɛ wo yafunu ayɛ wo yaw a, fa ka aduan ho.
• Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Mma nnyae nom mpofirim, sɛ wo ho atɔ wo mpo a.
• Sɛ wonya saa aduru yi firi nnurutɔnbea a, wɔbɛma wo akwankyerɛ krataa soronko bi a wɔfrɛ no ``MedGuide''. Kenkan no yiye bere nyinaa. Nsɛm a ɛho hia wom.

Sɛ wode saa aduru yi ma mmofra a: Wobetumi de saa aduru yi ama mmofra a wɔadi mfe 2 pɛ wɔ nsɛm titiriw bi mu. Nanso, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho na wudi n’akwankyerɛ akyi pɛpɛɛpɛ.

Nnuru a wɔnom boro so: Sɛ wususuw sɛ woanom nnuru pii a, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara anaasɛ wofrɛ baabi a wɔhwɛ awuduru so.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyɛ obi foforo da. Ebetumi apira wɔn.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Ɛno betumi aba, ɛnte saa? 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 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 abien prɛko pɛ da.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho? (Nnuru a Wɔde Di Dwuma) .

Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Nnuru bi wɔ hɔ a ebetumi de ɔhaw aba bere a wɔde ka Tofacitinib ho no.

Nnuru a ɛnsɛ sɛ wɔde ka aduru yi ho da:

• Upadacitinib a wɔde di dwuma

Nnuru afoforo a ebetumi ne aduru yi adi nkitaho:

• Nnuru a ekum ɔyare mmoawa a wɔde sa mmerɛbo mu yare, HIV, anaa AIDS.
• Azathioprine a wɔde di dwuma.
• Nnuru a wɔde yɛ abɔde mu nneɛma bi ne nnuru te sɛ Abatacept, Adalimumab, ne Tocilizumab. (Bere pii wɔ hɔ a, wo duruyɛfo behu ho asɛm.)
• Nnuru bi a wɔde sa fungal yare, te sɛ Fluconazole ne Ketoconazole.
• Nnuru bi a wɔde sa akisikuru te sɛ phenobarbital ne phenytoin.
• Cyclosporine a wɔde di dwuma.
• Nnuru a wɔde bɔ nkurɔfo ho ban a nkwa wom.
• Nnuru afoforo a ɛtew nipadua no tumi a ɛko tia nyarewa so.
• Rifampin na ɔkyerɛwee.
• Nnuru a wɔde ka aduan ho te sɛ St. John’s wort.
• Tacrolimus a wɔde di dwuma.

Saa list yi nwie pɛyɛ. Enti, ka nnuru a wonom (a wo duruyɛfo akyerɛw ama wo, woatɔ wɔ nnurutɔnbea, aduru a wɔde di dwuma wɔ amanne kwan so, nhabannuru, vitamin, aduannuru a wɔde ma) nyinaa kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wonom nnubɔne foforo a, ka kyerɛ wo duruyɛfo. Saa nneɛma yi tumi ne aduru no di nkitaho.

Dɛn na ɛsɛ sɛ mehwɛ bere a merenom aduru yi?

Bere a worenom saa aduru yi no, wo duruyɛfo bɛhwɛ w’akwahosan daa. Kɔ oduruyɛfo nkyɛn wɔ nna a wɔahyɛ da ayɛ no mu .

• Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ansɛe a, ka kyerɛ wo duruyɛfo.
• Ɛho behia sɛ woyɛ mogya mu nhwehwɛmu bere a worenom aduru yi. Ma wɔnyɛ wɔn yiye.
• Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya nyarewa no ayɛ kɛse kakra . Enti, sɛ wuhu sɛnkyerɛnne ahorow te sɛ atiridiinini, atiridiinini, menewam yaw, anaa atiridiinini a, nnyɛ wo ho aduru na hwehwɛ aduruyɛ mu afotu. Bɔ mmɔden sɛ wobɛtwe wo ho afi nnipa a wɔyare ho.
• Mfa nnuru a wɔde kum ɛyaw ne nnuru a ɛtew atiridii te sɛ aspirin, acetaminophen, ne ibuprofen a wunnya wo duruyɛfo afotu, efisɛ ebetumi akata atiridii a ɛwɔ hɔ so.
• 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.
• Kwati sɛ wubenyinsɛn: Nnyinsɛn bere a worenom aduru yi. Sɛ worebɔ mmɔden sɛ wubenyinsɛn, anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara. Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse .
• Kwati nufu a wobɛma no: Mma wo ba no nufu bere a worenom aduru yi anaa anyɛ yiye koraa no nnɔnhwerew 18 bere a woagyae aduru no akyi .

Nsunsuanso bɔne bɛn na ebia menya afi aduru yi mu?

Te sɛ aduru biara no, Tofacitinib betumi de nsunsuanso bɔne bi aba. Ɛnyɛ obiara na onya bi, nanso eye sɛ wobɛma w’ani ada hɔ.

Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, anofafa, tɛkrɛma, ne anim a ɛho ahonhon.
• Mogya a ɛtwetwe: Koko mu yaw, ɛyɛ den sɛ ɔbɛhome, anan mu yaw, ahohoro, anaa ɔhyew.
• Koma mu yare: Ɔhome a ɛyɛ den, ɛyɛ den anaa ɛyaw wɔ ne koko, kɔn, akyi, anaa abasa mu, ɔbrɛ a ɛtra so.
• Nyarewa: Atiridiinini, atiridiinini, ɔfe, menewa mu yaw, ɛyaw anaa ɛyɛ den sɛ wobɛtow.
• Nsu a wɔde kɔla yɛ hann.
• Mmɛn mu opira: Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ɔbrɛ, atiridiinini, aduan ho akɔnnɔ a ɛyera, ɛyaw wɔ yafunu no atifi nifa so, aniwa anaa honam ani yɛ kɔkɔɔ.
• Mogya mu nkwammoaa kɔkɔɔ a ɛba fam: ɔhome a ɛyɛ tiaa, ɔtotɔ piti, adwene a ɛyɛ basaa, ɔtopae, ɔbrɛ a ɛtra so.
• Akisikuru: Anisoadehunu a ɛsakra, adwene a ɛyɛ basaa, ɛyɛ den sɛ ɔbɛkasa anaa ɔbɛte aseɛ, tiyɛ a emu yɛ den, anim, abasa anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw mpofirim, ɛyɛ den sɛ ɔbɛnantew, adwenemhaw, adwene a ɛnkari pɛ.
• Nusu a ɛba yafunu anaa dwensɔtwaa mu: Atiridiinini, yafunu mu yaw, nsakrae a ɛba mpofirim wɔ dwensɔtwaa mu.

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:

• Ɔyare a ɛma obi dwensɔ (yafunu mu yaw) .
• Tipaeɛ
• Ntini mu yaw
• Anom a ɛyɛ den anaasɛ hwene a ɛtwetwe

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, ka ho asɛm kyerɛ wo duruyɛfo.

Ɔkwan bɛn so na ɛsɛ sɛ mede m’aduru sie?

• Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
• Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20 kosi 25 ntam).
• Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

Mɛyɛ dɛn atow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam agu?

• Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ baabi a ɛwɔ nhyehyɛe bi a wɔde bɛsan agye nnuru ahorow yi (anyɛ yiye koraa no, bisa wɔ nnurutɔnbea) na wode ama wɔn.
• Sɛ ɛnte saa a, hwɛ aduru toa anaa nea wɔakyerɛw so no mu hwɛ sɛ ɛwɔ akwankyerɛ a ɛfa sɛnea wɔbɛtow agu nwura anaa tiafi mu ho anaa. Sɛ wunnim a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ wubetumi atow agu nwura mu a, yi aduru no fi toa no mu, fra biribi te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam mu, fa gu kotoku anaa ade a wɔatoto mu denneennen mu, na tow gu nwura mu.

Awiei koraa no, ɛsɛ sɛ meka kyerɛ wo... (Take-Home Message)

Tofacitinib yɛ aduru a ɛho hia a ebetumi aboa ma wo tebea no afi hɔ. Nanso ma nneɛma yi ntra w’adwenem bere a wode redi dwuma no:

• Wo ne wo duruyɛfo nka biribiara ho asɛm: wo nyarewa afoforo, nnuru biara a wonom, ne ɔhaw biara a wubehyia.
• Di akwankyerɛ no akyi pɛpɛɛpɛ: fa dodow a wɔakyerɛw ama no, wɔ bere a wɔahyɛ no mu. Nnyae nom mpofirim.
• Ma w’ani da hɔ: Hwɛ yare no ho sɛnkyerɛnne foforo ne nea efi mu ba. Sɛ wowɔ biribi a ɛhaw wo a, ka kyerɛ wo duruyɛfo.
• Mfa nnuru nkyɛ: Eyi yɛ ma wo nkutoo.
• Hwɛ yiye titiriw bere a wonyinsɛn ne bere a worema nufu no.

Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo. Wɔbɛtumi aboa wo.

` Tofacitinib, Tofacitinib, ntini mu yare, nipadua mu ahoɔden a ɛko tia nyarewa, JAK inhibitor, Xeljanz, nkwaa mu yare