Cia peb kawm txog cov tshuaj tiv thaiv kab mob Natalizumab. Koj puas tau raug sau tshuaj no rau koj thiab?

Thaum ib tug kws kho mob pom zoo kom koj lossis ib tug neeg koj paub siv tshuaj tiv thaiv kab mob hu ua Natalizumab, nws yog ib qho ib txwm muaj ntau cov lus nug txog nws. "Qhov no muab rau kab mob dab tsi?", "Nws puas yuav kho tau tiag?", "Puas muaj tej yam tshwm sim tsis zoo?" Tej zaum koj yuav xav tib yam. Yog li, hnub no, cia peb tham txog cov tshuaj no hu ua Natalizumab hauv txoj kev yooj yim uas koj nkag siab tau.

Natalizumab yog hom tshuaj dab tsi?

Hais yooj yim xwb, Natalizumab yog ib qho kev kho mob. Qhov ntawd yog, nws tsis kho tau tus kab mob tag nrho, tab sis nws pab tswj cov tsos mob thiab txo qhov zaus ntawm kev rov tshwm sim. Cov tshuaj no feem ntau yog siv rau ob yam mob.

1. Rau cov mob ntawm Rov Qab Mob Multiple Sclerosis:

Xav txog nws li no: peb lub paj hlwb zoo li ib txoj hlua uas nqa cov teeb liab hluav taws xob. Hauv ib qho kab mob hu ua multiple sclerosis, lub npog tiv thaiv (myelin) nyob ib puag ncig cov hlab ntsha no raug puas tsuaj. Tom qab ntawd cov teeb liab hluav taws xob ntawd tsis mus ncig zoo. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li nyuaj taug kev, teeb meem pom kev, nyuaj hais lus, thiab tsis nco qab. Natalizumab ua haujlwm los ntawm kev tswj qhov kev puas tsuaj no thiab txo qhov zaus ntawm kev ua rau mob hnyav dua.

2. Rau tus kab mob Crohn:

Kab mob Crohn yog ib qho mob o ntawm lub cev zom zaub mov, tshwj xeeb tshaj yog cov hnyuv. Nws tuaj yeem ua rau muaj cov tsos mob xws li mob plab, o, thiab poob phaus. Cov kws kho mob yuav pom zoo kom siv tshuaj Natalizumab thaum lwm yam kev kho mob tsis ua haujlwm.

Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav txiav txim siab seb cov tshuaj no puas yog rau koj thiab koj yuav tsum noj ntev npaum li cas. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li nws cov lus qhia.

Cov kws kho mob kuj tseem siv tau cov tshuaj no rau lwm yam mob. Yog tias koj muaj lus nug txog nws, nug koj tus kws kho mob lossis kws muag tshuaj. Lub npe hom tshuaj no yog Tysabri.

Ua ntej kuv noj cov tshuaj no, kuv yuav tsum qhia rau tus kws kho mob li cas?

Ua ntej koj pib noj Natalizumab, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj pab neeg saib xyuas kev noj qab haus huv (piv txwv li, cov kws kho mob thiab cov kws tu mob) qee cov ntaub ntawv, vim tias cov ntaub ntawv ntawd yuav pab lawv txiav txim siab seb cov tshuaj no puas yog rau koj lossis yog tias koj xav tau kev ceev faj tshwj xeeb.

Yog tias koj muaj cov no, qhia meej tias koj muaj:

• Teeb meem ntawm lub cev tiv thaiv kab mob: Yog tias koj muaj teeb meem lossis qaug zog nrog koj lub cev tiv thaiv kab mob (lub cev tiv thaiv kab mob), qhia rau peb paub txog nws. Qhov no yog vim tias cov tshuaj no kuj cuam tshuam rau lub cev tiv thaiv kab mob, yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.
• Ib yam mob hu ua Progressive Multifocal Leukoencephalopathy (PML):Qhov no yog ib qho kab mob hauv lub hlwb uas tsis tshua muaj tab sis txaus ntshai heev. Yog tias koj tau muaj tus mob no dua, koj yuav tsum qhia rau peb paub.
• Yog tias koj muaj kev tsis haum tshuaj rau Natalizumab lossis lwm yam tshuaj, khoom noj, xim, lossis cov tshuaj preservatives: Ib txhia neeg tuaj yeem ua xua rau qee yam tshuaj. Yog li ntawd, yog tias koj tau muaj kev tsis haum tshuaj rau cov tshuaj no lossis lwm yam tshuaj yav dhau los, qhia rau koj tus kws kho mob.
• Yog tias koj cev xeeb tub lossis tab tom sim cev xeeb tub: Qee cov tshuaj tuaj yeem ua rau tus menyuam raug mob thaum cev xeeb tub, yog li nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov no.
• Yog koj yog ib leej niam uas pub niam mis rau menyuam: Qee cov tshuaj tuaj yeem hla mus rau koj tus menyuam los ntawm cov kua mis niam. Yog li ntawd, qhia rau koj tus kws kho mob txog qhov no thiab.

Ntxiv rau cov no, nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj (cov tshuaj uas kws kho mob sau ntawv kom noj, cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav, cov tshuaj ib txwm muaj, cov vitamins, cov tshuaj ntsuab).

Koj siv cov tshuaj no li cas?

Natalizumab yog muab rau hauv cov hlab ntsha. Nws zoo li muab cov kua ntsev. Koj ua tsis tau qhov no hauv tsev. Nws yog muab rau koj los ntawm tus kws kho mob, xws li tus kws kho mob lossis tus nais maum, hauv tsev kho mob lossis chaw kho mob.

Cov tshuaj no feem ntau muab rau koj li ib hlis ib zaug, tab sis qhov no yuav txawv nyob ntawm koj tus mob.

Thaum koj tau txais cov tshuaj no, lub tsev muag tshuaj yuav muab ib phau ntawv qhia tshwj xeeb (MedGuide) . Koj yuav tau txais qhov no nrog txhua daim ntawv qhia tshuaj, txhua zaus koj tau txais cov tshuaj. Nws yog ib qho tseem ceeb heev uas yuav tsum nyeem qhov no kom zoo zoo. Nws muaj cov ntaub ntawv hais txog cov tshuaj, cov kev mob tshwm sim, thiab tej yam uas yuav tsum tau ceev faj txog. Yog tias muaj dab tsi uas koj tsis nkag siab, tsis txhob ntshai nug koj tus kws kho mob lossis kws muag tshuaj.

Cov tshuaj no puas muab tau rau menyuam yaus?

Cov tshuaj no feem ntau tsis tau pom zoo rau kev siv rau menyuam yaus. Yog tias koj xav txog cov tshuaj no rau koj tus menyuam, koj yuav tsum nrog koj tus kws kho mob menyuam tham txog nws.

Yuav ua li cas yog tias koj noj tshuaj ntau dhau (Overdose)?

Vim tias qhov no yog muab rau hauv tsev kho mob, qhov muaj feem yuav tshwm sim tsawg heev. Txawm li cas los xij, yog tias koj xav tias koj tau noj tshuaj ntau dhau, hu rau chaw tswj tshuaj lom lossis chav kho mob ceev tam sim ntawd.

Cov tshuaj no tsuas yog rau koj xwb! Qhov no yog ib yam uas tus kws kho mob tau sau rau koj tus mob thiab koj lub cev. Yog li ntawd, tsis txhob muab cov tshuaj no rau lwm tus.

Yog koj tsis nco qab noj tshuaj ib zaug, koj yuav ua li cas?

Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj no raws sijhawm. Yog tias koj tsis tuaj raws sijhawm teem tseg, hu rau koj tus kws kho mob lossis tus kws tshaj lij kev noj qab haus huv tam sim ntawd. Lawv yuav qhia koj tias yuav ua li cas tom ntej. Tsis txhob txiav txim siab ntawm koj tus kheej.

Cov tshuaj twg lwm yam uas yuav cuam tshuam (sib txawv) nrog cov tshuaj no?

Qhov no yog ib qho tseem ceeb heev. Muaj qee cov tshuaj uas tuaj yeem ua rau muaj teeb meem thaum noj nrog Natalizumab. Yog li ntawd, nws yog ib qho tseem ceeb uas koj tus kws kho mob paub txog txhua yam tshuaj uas koj noj.

Tsis txhob noj Natalizumab nrog cov tshuaj hauv qab no:

• Cov tshuaj kho mob biologic, xws li adalimumab, certolizumab, etanercept, golimumab, thiab infliximab, kuj cuam tshuam rau lub cev tiv thaiv kab mob, yog li lawv tuaj yeem ua rau muaj kev pheej hmoo ntawm kev kis kab mob loj.

Cov tshuaj no kuj tseem yuav cuam tshuam nrog Natalizumab:

• Azathioprine
• Cyclosporine
• Cov tshuaj interferon
• 6-mercaptopurine
• Methotrexate
• Lwm cov tshuaj uas txo koj txoj kev pheej hmoo ntawm kev sib kis kab mob
• Cov tshuaj steroid - piv txwv li: prednisone lossis cortisone
• Tshuaj Tiv Thaiv Kab Mob - Yuav tsum ceev faj thaum txhaj tshuaj tiv thaiv kab mob uas muaj sia, tshwj xeeb tshaj yog. Tham nrog koj tus kws kho mob txog qhov no.

Daim ntawv teev npe no yuav tsis suav nrog txhua yam tshuaj. Yog li ntawd, qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov tshuaj ntsuab, cov tshuaj uas tsis tas yuav muaj ntawv yuav tshuaj, thiab cov tshuaj noj ntxiv), thiab yog tias koj haus luam yeeb, haus cawv, lossis siv cov tshuaj tsis raug cai. Qee yam tuaj yeem cuam tshuam nrog koj cov tshuaj.

Yuav tsum ceev faj txog dab tsi thaum noj cov tshuaj no?

Thaum koj noj cov tshuaj no, koj tus kws kho mob yuav kuaj xyuas koj tsis tu ncua. Nco ntsoov mus ntsib koj tus kws kho mob raws li hnub teem tseg. Qhia rau koj tus kws kho mob yog tias koj cov tsos mob tsis zoo dua, yog tias lawv hnyav zuj zus, lossis yog tias lawv tseem muaj.

Nyob deb ntawm cov neeg mob. Cov tshuaj no yuav cuam tshuam me ntsis rau koj lub cev tiv thaiv kab mob, ua rau koj muaj feem yuav kis tau kab mob. Yog tias koj muaj cov tsos mob xws li kub taub hau, mob khaub thuas, mob caj pas, lossis ntswg ntws, hu rau koj tus kws kho mob tam sim ntawd kom tau lus qhia. Tsis txhob mus nrhiav tshuaj ib leeg xwb.

Cov lus ceeb toom tseem ceeb heev: kev pheej hmoo ntawm kev kis kab mob hauv lub hlwb (PML)

Qhov no yuav zoo li ntshai me ntsis, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub. Rau qee tus neeg mob, txawm tias tsis tshua muaj, cov tshuaj Natalizumab tuaj yeem ua rau muaj kev kis kab mob hauv lub hlwb loj heev hu ua Progressive Multifocal Leukoencephalopathy (PML) . Qhov no tuaj yeem ua rau tuag taus.

Yog li ntawd, yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd:

• Kev hloov pauv ntawm qhov muag pom (piv txwv li, pom kev tsis meej tam sim ntawd, pom ob sab)
• Teeb meem kev xav (piv txwv li, kev ntxhov siab, kev nco tsis zoo, kev txiav txim siab nyuaj)
• Teeb meem hais lus (piv txwv li, hais lus tsis meej, hais tsis tau lus meej)
• Nyuaj taug kev (piv txwv li, tsis muaj zog, tsis muaj peev xwm taug kev kom raug)
• Nyuaj siab sawv ntsug

Yog koj hu tsis tau koj tus kws kho mob, mus rau chav kho mob ceev tam sim ntawd. Tsis txhob tsis quav ntsej qhov no. Cov tsos mob no tej zaum yuav yog lossis tsis yog cov cim qhia ntawm PML. Tab sis nws yog qhov zoo tshaj plaws kom mus kuaj mob.

Cov tshuaj no tej zaum yuav muaj tej yam tshwm sim tsis zoo li cas?

Ib yam li lwm yam tshuaj, Natalizumab muaj peev xwm ua rau muaj qee yam kev mob tshwm sim. Tsis yog txhua tus neeg yuav mob, tab sis nws yog ib qho zoo uas yuav tsum paub txog lawv.

Cov kev mob tshwm sim uas yuav tsum tau qhia rau koj tus kws kho mob lossis tus kws kho mob tam sim ntawd:

• Kev ua xua: Cov tsos mob xws li tawv nqaij tawm pob, khaus, ua pob khaus, o ntawm lub ntsej muag, daim di ncauj, thiab tus nplaig.
• Ua pa nyuaj.
• Kev hloov pauv ntawm kev pom kev.
• Mob hauv siab.
• Kev tsis meej pem, kev ntxhov siab.
• Kev nyuaj siab, zoo li koj poob koj txoj kev xyiv fab.
• Kiv taub hau.
• Hnov ​​​​qhov tsaus ntuj; lub taub hau me me; ntog.
• mob hnyav lossis cov tsos mob zoo li mob khaub thuas.
• Poob ntawm kev nco.
• Cov poj niam uas tsis muaj hli raws li hnub uas lawv yuav yug me nyuam (Missed menstrual periods).
• Cov leeg tsis muaj zog.
• Teeb meem nrog kev sib npaug, kev hais lus, lossis kev taug kev. (Cov no kuj tuaj yeem yog cov cim qhia ntawm PML, yog li ceev faj tshwj xeeb!)
• Cov cim thiab cov tsos mob ntawm kev raug mob siab: Cov zis daj tsaus lossis xim av; xav tias tsis zoo, kub taub hau; quav daj ntseg; tsis xav noj mov; xeev siab; mob rau sab xis saum toj ntawm lub plab; qaug zog lossis tsis muaj zog txawv txawv; daj ntawm lub qhov muag lossis daim tawv nqaij.
• Xav txog kev tua tus kheej, kev hloov pauv ntawm tus cwj pwm.
• Mob nqaij tawv lossis los ntshav txawv txawv.
• Tsis muaj zog lossis nkees nkees.

Cov kev mob tshwm sim uas feem ntau tsis tas yuav tsum tau kev qhia los ntawm kws kho mob (tab sis yuav tsum tau qhia rau kws kho mob yog tias lawv tseem muaj lossis ua rau mob):

• Mob taub hau
• Mob pob qij txha
• Mob nqaij ntshiv
• Mob nqaij
• Xeev siab, ntuav
• Mob, liab, lossis khaus ntawm qhov chaw uas txhaj tshuaj
• Kev nkees nkees

Daim ntawv teev npe no yuav tsis suav nrog txhua yam kev mob tshwm sim. Yog tias koj pom muaj dab tsi txawv txawv ntxiv rau cov no, nug koj tus kws kho mob.

Koj khaws cov tshuaj no rau qhov twg?

Koj yuav tsis raug tso cai coj cov tshuaj no mus tsev. Nws muaj thiab muab rau koj ntawm tsev kho mob lossis chaw kho mob. Yog li ntawd, koj tsis tas yuav txhawj txog yuav khaws cia li cas.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li peb tau tham ntau txog Natalizumab. Yog tias koj muaj lus nug ntxiv txog cov tshuaj no, tsis txhob ntshai nug koj tus kws kho mob, tus nais maum, lossis tus kws muag tshuaj. Lawv yuav pab koj.

Qhov tseem ceeb tshaj plaws yog noj tshuaj raws li koj tus kws kho mob qhia rau koj, thaum lub sijhawm zoo, thiab raws li txoj kev zoo. Ceev faj txog cov kev mob tshwm sim, tshwj xeeb tshaj yog cov tsos mob ntawm tus mob hu ua PML. Yog tias koj pom muaj dab tsi txawv txawv, qhia rau koj tus kws kho mob tam sim ntawd.

Cov tshuaj no yuav pab tau koj tswj koj tus mob. Yog li ntawd, ua kom koj lub zog khov kho thiab mus ntsib kws kho mob. Xav kom koj zoo sai sai!

Natalizumab , Multiple Sclerosis, Crohn's kab mob, PML, Cov kev mob tshwm sim ntawm cov tshuaj, Kev kho mob tiv thaiv kab mob, Tysabri