Jɔyn pen, swel, stif na mɔnin we de mek i nɔ izi fɔ strɛch yu an ɛn fut... Ɛnibɔdi we de sɔfa wit dis pen no aw i at fɔ pas di de wit simptom lɛk dis. Sɔmtɛm, e kin tranga fɔ kɔntrol dɛn kayn tin ya wit ɔdinari pen kil. If dɛn kayn tin ya kin apin, dɔktɔ dɛn kin tɔn to spɛshal mɛrɛsin dɛn lɛk Abatacept, we kin kɔntrol di sik bay we dɛn kin afɛkt yu bɔdi in imyun sistɛm. So tide, lɛ wi tɔk jɔs bɔt dis Abatacept vaysin.
Wetin na Abatacept (Orencia) rili?
Fɔ tɔk am simpul wan, Abatacept na mɛrɛsin we de kɔntrol di wok we yu bɔdi in imyun sistɛm de du te to sɔm mak. Sik dɛm lɛk rεumatoid at at sik kin kam we di imyun sistεm we dεn se na in de protɛkt wi bɔdi, kin mistek atak wi yon jכint dεm. So dis drɔg de wok bay we i de kɔntrol da atak de we dɛn nɔ want.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ:
- Rimatɔyd Atraytis: Na inflammatory joint disease we kin apin pan big pipul dɛm.
- Psoriatic Arthritis: Na di joyn inflamɛns kɔndishɔn we kin apin wit di skin sik we dɛn kɔl psoriasis.
- Juvenile Idiopathic Arthritis: Na inflammatory joint disease we kin apin pan yɔŋ pikin dɛm.
- Graft-versus-Host Disease: Sɔntɛnde, afta dɛn dɔn transplant stem sɛl , di sɛl dɛn we dɛn transplant kin wok agens di bɔdi. Dɛn kin yuz dis mɛrɛsin bak fɔ mek dɛn nɔ gɛt da sik de.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Dis rili impɔtant. Na fɔ yu yone sef fɔ tɛl yu dɔktɔ ɔltin bɔt yu wɛl bɔdi istri ɛn nɔ ayd ɛnitin. Pe atɛnshɔn mɔ to dɛn pɔynt dɛn ya.
- Tɛl wi bɔt ɛni infɛkshɔn we yu dɔn gɛt ɔ yu dɔn gɛt trade: ɛnitin frɔm smɔl sik lɛk di flu ɔr kol to infɛkshɔn lɛk TB , ɛpatitis B , chikinpoks, hεpi, ɛn ɔda tin dɛn Tɛl wi bɔt ɛni kɔntakt we yu jɔs dɔn gɛt wit pɔsin we gɛt TB.
- Imyun sistɛm disɔda: Tɛl wi bɔt ɛni ɔda mɛrɛsin we de afɛkt yu imyun sistɛm.
- Sik dɛm wae gɛt fɔ du wit yu lɔng: If yu gɛt sɔm kayn sik lɛk wae yu nɔr de blo fayn ɛn yu de kɔf, mɔ if yu gɛt sik lɛk COPD (Chronic Obstructive Pulmonary Disease), lɛ wi no.
- Kansa histri: Mek shɔ se yu tɔk if yu dɔn gɛt kansa bifo ɔ yu de gɛt tritmɛnt.
- Dayabitis: If yu gɛt dayabitis, tɛl yu dɔktɔ.
- Vaysin: Tɛl yu dɔktɔ if yu jɔs gɛt vaysin ɔ yu dɔn arenj fɔ gɛt wan tumara bambay (especially live vaccine).
- Ɔpreshɔn: If yu go gɛt ɔpreshɔn tumara bambay, duya tɛl wi bɔt am.
- Alɛji: Tɛl wi if yu gɛt ɛni alɛji, nɔto jɔs to dis mɛrɛsin, bɔt to ɛni ɔda mɛrɛsin, it, ɔ day.
- Bεlε εn bεlε: If yu bεlε, yu de tray fכ bεlε, כ yu de gi bεlε, yu fכ rili tεl yu dכkta bifo yu bigin dis mεdikeshכn.
Aw fɔ yuz di mɛrɛsin?
Tu we dɛn de fɔ gi Abatacept.
1. Intravenous Infusion: Na ɔspitul ɔ klinik nɔmɔ dɛn kin du dis. Jɔs lɛk aw dɛn de gi salin, dɛn kin gi di mɛrɛsin insay di bɔdi tru wan vein.
2. Subcutaneous Injection: Dis na injɛkshɔn we yu kin gi yusɛf na os. Yu dɔktɔ go gi yu sirinj we dɛn dɔn ful-ɔp ɔ spɛshal pen (ɔtoinjɛkta) fɔ dis. Dɔn bak, nɔs ɔ dɔktɔ go tich yu aw fɔ injekt am kɔrɛkt wan. I rili impɔtant fɔ gɛt di injɛkshɔn jɔs lɛk aw dɛn tɛl yu, di rayt de, ɛn di rayt tɛm.
I rili impɔtant: Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn fɔ put dɛn insay kɔntena we gɛt shap tin dɛn . If yu nɔ gɛt wan, yu kin aks yu dɔktɔ fɔ wan.
Wetin fɔ du if di doz go ɔp?
If yu aksidɛntli tek bɔku mɛrɛsin, nɔ panik ɛn kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a mis wan doz?
If yu na pɔsin we de gɛt di vaysin wan tɛm insay di wik na os, tek di doz we yu mis jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm. If dɛn de gi yu di mɛrɛsin na ɔspitul, kɔl yu dɔktɔ wantɛm wantɛm if yu nɔ ebul fɔ kip yu apɔntinmɛnt.
Ɔda mɛrɛsin dɛn we de miks wit dis mɛrɛsin
We yu de tek abatacept, if yu tek sɔm ɔda mɛrɛsin dɛn, dat kin mek yu gɛt prɔblɛm dɛn we yu nɔ want. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
| Di kayn drɔg we dɛn kin yuz | Diskripshɔn ɛn risk |
|---|---|
| Kategori 1: Nɔ ɛva tek togɛda | |
| Layf vaysin dɛn | Dis na vaysin dɛm we gɛt layf vayrɔs ɔ baktri dɛm we wik. Dɛn tin ya kin mek yu gɛt siriɔs infɛkshɔn bikɔs yu imyun sistɛm kin wik we yu de tek Abatacept. |
| Kategori 2: Drɔg dɛn we yu fɔ tek wit rili kɔt (mek shɔ se yu tɛl yu dɔktɔ) . | |
| TNF blɔk dɛn | Mɛrɛsin dɛn lɛk Adalimumab, Etanercept, ɛn Infliximab. Dɛn tin ya de stɔp di imyun sistɛm bak, so di risk fɔ gɛt di sik kin bɔku pasmak we dɛn tek am wit Abatacept. |
| Ɔda mɛrɛsin dɛn we de stɔp di imyun sistɛm | Mεdikeshכn dεm lεk Anakinra, Rituximab, Tocilizumab, Tofacitinib. Dɛn tin ya kin mek bak di risk fɔ gɛt di sik. |
Speshal pɔynt dɛn we yu fɔ no we yu de tek di mɛrɛsin
- Risk fɔ gɛt infɛkshɔn: Dis mɛrɛsin de ridyus di wok we yu imyun sistɛm de du, so yu de pan risk smɔl fɔ gɛt infɛkshɔn. So, if yu gɛt sɔm sayn dɛn lɛk fiva, kol, kɔf, trot we de at, ɔ bɔn we yu de pis, nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm. Nɔ mek yu nɔ go na say dɛn we pipul dɛn sik.
- Tubakulosis tɛst: Bifo yu bigin dis mɛrɛsin, dɛn go tɛst yu fɔ si if yu gɛt TB (TB). If yu dɔktɔ gi yu mɛrɛsin fɔ TB, yu fɔ bigin fɔ tek am ɛn dɔn di ful kɔs bifo yu bigin Abatacept.
- Dayabitis ɛn blɔd shuga: If yu gɛt dayabitis ɛn yu de tek dis mɛrɛsin tru infushɔn, yu glukomita kin sho se i rid lay lay wan di de we dɛn gi yu. So, tɔk to yu dɔktɔ bɔt di kɔrɛkt we fɔ mɛzhɔ yu blɔd shuga da de de.
Us sayd ɛfɛkt dɛn kin apin?
Lɛk ɔl mɛrɛsin, Abatacept kin mek sɔm sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt dɛn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| I nɔ izi fɔ blo | I nɔ izi fɔ blo, pen na yu chɛst. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, urinary tract infection. |
| Ɔda | Ed pen (diziz), fil fɔ taya pasmak. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ de at, nɔs, dayarɛa (blɔt). |
| Ed de at | Kɔmɔn ed pen. |
| Pen na di say we dɛn injɛkshɔn | Rɛd, it, ɔ smɔl pen na di say we dɛn injekt. |
Aw fɔ kip di mɛrɛsin?
If dɛn gi yu sirinj ɔ ɔtoinjɛkta fɔ yuz na os, kip am usay pikin dɛn nɔ go ebul fɔ rich, na wan insay shelf na di frij, nɔto na di domɔt (bitwin 2 ɛn 8 digri sɛlshiɔs). Nɔ ɛva kip am na friza. Kip di mɛrɛsin insay di fɔs pak, fa frɔm layt. Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Abatacept na pawaful mɛrɛsin we de kɔntrol di wok we yu imyun sistɛm de du. So fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tɛl yu dɔktɔ yu kɔmplit wɛlbɔdi istri, mɔ bɔt infɛkshɔn ɛn ɔda sik dɛn.
- Risk de fɔ gɛt infɛkshɔn we yu de tek dis mɛrɛsin. If yu gɛt sɔm sayn dɛn lɛk fiva, kɔf, ɔ trot we de at, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu de gɛt di vaysin na os, lan di kɔrɛkt we ɛn trowe di nidul dɛn we yu dɔn yuz fayn fayn wan.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr wɔri bɔt dis mɛrɛsin, nɔr kip am to yusɛf, bɔt tɔk to yu dɔktɔ.
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