Sɔm sik de, de pen ɛn diskɔmfɔt wae kin kam wit dɛm kin rili tranga fɔ liv wit. Bɔku pipul dɛn kin gɛt sik dɛn we dɛn kin gɛt we dɛn de fɛt dɛnsɛf, mɔ di wan dɛn we kin kam wit sɔm prɔblɛm dɛn we de na di bɔdi in imyun sistɛm. So tide wi go tɔk bɔt Adalimumab injɛkshɔn, we na wan mɛrɛsin we dɔn go bifo smɔl we dɛn kin yuz fɔ mɛn bɔku pan dɛn kayn sik ya. Dis kin bi se na yu dɔktɔ gi yu ɔnda di brand nem Humira.
Us sik dɛn de yuz dis mɛrɛsin fɔ?
Adalimumab nɔto mɛrɛsin we dɛn kin gi fɔ mɛn wan sik. I de ɛp mɔ fɔ kɔntrol sik dɛn we di bɔdi in imyun sistɛm de atak in yon wɛlbɔdi sɛl dɛn. Fɔ tɔk am simpul wan, i de kɔntrol di inflamɛns ɛn swɛlin we nɔ nid na di bɔdi.
Na sɔm pan di men tin dɛn we yu dɔktɔ kin gi yu dis mɛrɛsin fɔ:
- Rimatɔyd Atraytis (RA): Dis na wan sik we kin apin mɔ pan big pipul dɛn ɛn i kin mek di jɔyn dɛn swel, stif, ɛn pen.
- Juvenile Idiopathic Arthritis (JIA): Na sik we kin afɛkt pikin dɛn we dɔn pas 2 ia ɛn kin mek dɛn jɔyn dɛn swel ɛn fil pen, ɛn i kin afɛkt di pikin in grow.
- Crohn’s Disease: Na sik we de mek di dijestiv sistɛm inflamɛns, mɔ di intestinal. Dis kin mek yu gɛt sɔm sayn dɛm lɛk bɛlɛ pen, blo, ɛn fɔ lɛf fɔ it bɔku bɔku it.
- Ulcerative Colitis: Dis na sik bak we de mek yu gɛt inflamɛns ɛn ɔlsa na di kɔlon ɛn rɛktum.
- Ankylosing Spondylitis: Dis kin mɔs afɛkt di jɔyn dɛn na di spayna, we kin mek bak pen ɛn stif.
- Psoriatic Arthritis: Na wan sik wae de kam wit di skin sik wae de kam wit inflameshn na di joyn dɛm.
- Hidradenitis Suppurativa: Na wan sik we de mek yu bɔdi de fil pen ɛn yu gɛt bɔmp dɛn we tan lɛk akni na say dɛn we yu de swet lɛk di armpit ɛn di groin.
- Uveitis : Na wan sik we de mek di insay pat dɛn na di yay inflamɛns, we kin mek di yay rɛd ɛn pen.
- Plɛk Psoriasis: Na kɔmɔn sik na di skin we kin mek yu gɛt rɛd, skel pat na di skin.
Aw dis mɛrɛsin de wok na di bɔdi?
Fɔ ɔndastand dis, lɛ wi ɔndastand smɔl fɔs bɔt di imyun sistɛm we nɔ de wok fayn. Imajin se di difεns dεm na wi bכdi (di imyun sistεm) de kray sכmtεm εn bigin fכ atak wi yon hεlty sεl dεm εn tisu dεm insted fכ fכrin jεm dεm. Dis na aw bɔku pan di sik dɛn we wi bin dɔn tɔk bɔt ɔp kin kam.
we di imyun sistεm nכ de wok fayn dis we, insay di bכdiwan protin we dεn kכl Tumor Necrosis Factor (TNF) de prodyuz pasmak. dis TNF protin na in de mek yu si di sik lεk pen, swεla, εn inflameshn, εn i de pwεl di hεlty sεl dεm.
Adalimumab de wok rili simpul wan. I tan lɛk mishɔl we de go stret usay i want fɔ go. we dis dכg go insay di bכdi, i de sכk dεn TNF protin dεm we dεn de prodyuz pasmak εn i de dεaktiv dεm. mכr prεsis, i de blכk di abiliti fכ dεn TNF protin dεm fכ damej hεlty sεl dεm. Dɔn dɛn kin kɔntrol di pen, di swɛlin, ɛn di inflamɛns smɔl smɔl.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Bifo yu gi yu Adalimumab, yu dɔktɔ fɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- If yu gɛt kansa ɔ yu dɔn gɛt am bifo.
- If yu gɛt dayabitis.
- If dɛn dɔn arenj fɔ mek dɛn du yu ɔpreshɔn jisnɔ.
- If yu gɛt at sik.
- If yu gɛt di sik we dɛn kɔl Epatitis B.
- If ɔda wikɛd tin dɛn de na di imyun sistɛm.
- If yu gɛt wan sik naw na yu bɔdi, fɔ ɛgzampul, TB (TB) ɔ ɔda baktri, fɛns, ɔ vayral infɛkshɔn.
- If yu gɛt wan sik na yu nervɔs sistɛm lɛk multiple sclerosis.
- If yu jɔs dɔn gɛt ɔ yu de kam fɔ gɛt di vaysin.
- If yu gɛt alɛji to adalimumab ɔ to rɔba ɔ latɛks.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, Adalimumab kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. De tin wae impɔtant pas ɔl na fɔ no bɔt dɛn tin ya ɛn tek akshɔn if ɛni siriɔs sayn de kam.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Sayd ɛfɛkt/simptom | Tɔk bɔt |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, pen we yu de pis. |
| Sayn dɛn we de sho se pɔsin in at pwɛl | I nɔ izi fɔ blo, yu at de bit fast ɔ i nɔ de bit ɔltɛm, yu de gɛt bɔku bɔku wet wantɛm wantɛm, yu anklɛ, yu fut, yu an dɛn de swel, yu taya pasmak. |
| Sayn dɛn we de sho se pɔsin gɛt injuri na di liva | Dak yɔlɔ ɔ brawn urine, yu yay ɔ skin de yɔlɔ, yu nɔ de want fɔ it, i de pen na di ɔp rayt say na di bɛlɛ. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Yu kin chenj di we aw yu de si, yu ed kin tɔn, yu kin swɛla, yu kin fil pen ɔ yu nɔ kin fil fayn na yu an ɛn fut, yu mɔsul dɛn kin wik. |
| Ɔda siriɔs sayn dɛn | Blɔd ɔ brus we nɔ kɔmɔn, lumps ɔ swɛlin limf no dɛm na di nɛk, armpit, groin, rɛd spat ɔ bɔmp na di skin. |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs (bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu fɔ de) . | |
|---|---|
| Ed de at | Nɔs ɔ vɔmit |
| Rɛd, it, ɔ pen usay dɛn gi di injɛkshɔn | Di sayn dɛm we tan lɛk kol (snot, dis fɔ bi "nɔs we de rɔn ɔ nos we de stɔf") - nos we de rɔn ɔ nos we de stɔp |
Aw yu kin yuz dis injɛkshɔn?
Dɛn kin gi dis mɛrɛsin as injɛkshɔn we dɛn kin put ɔnda di bɔdi. Bɔku tɛm dɛn go tich yu aw fɔ tek am na ɔspitul ɔ klinik. I rili impɔtant fɔ tek di rayt doz di rayt de, lɛk aw yu dɔktɔ tɛl yu. Yu fɔ kɔntinyu fɔ tek di mɛrɛsin te i tɛl yu fɔ stɔp.
Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti . Dɛn fɔ put dɛn na kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ aw fɔ gɛt wan.
Dis mɛrɛsin kin mek yu bɔdi nɔr ebul fɔ fɛt sik (immunity) smɔl smɔl. So, di risk fɔ gɛt infɛkshɔn kin bɔku. If yu gɛt sɔm kayn sik lɛk fiva ɔr kol, nɔr de mɛn yusɛf ɛn kɔl yu dɔktɔ. Tray fɔ de fa frɔm pipul dɛn we sik.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta 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. I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt wetin fɔ du if yu mis wan doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Aw fɔ kip di mɛrɛsin?
I rili impɔtant bak fɔ kip dis kɔrɛkt wan.
- Insay frij: Stɔr am na di tɛmpracha bitwin 2 ɛn 8 digri sɛlshiɔs (insay frij, nɔto insay di domɔt). Nɔ kip am na friza. Nɔ yuz di mɛrɛsin if i friz.
- Na rum tɛmpracha: If nid de, yu kin kip dis mɛrɛsin na rum tɛmpracha fɔ te 14 dez. Bɔt if na so i bi, protɛkt am frɔm layt ɛn trowe ɛnitin we lɛf afta 14 dez.
- Trowe di mɛrɛsin dɛn we dɔn pas sef wan usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
Mɛsej we dɛn kin kɛr go na os
- Adalimumab na pawaful mɛrɛsin wae de kɔntrol sik dɛm wae de kam wit prɔblɛm wit di imyun sistɛm.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi infɔmeshɔn ɛn ɔda mɛrɛsin dɛn we yu de tek.
- I impɔtant fɔ lan aw fɔ gi di injɛkshɔn kɔrɛkt wan.
- We yu de tek di mɛrɛsin, de wach ɔltɛm fɔ sayn dɛn we de sho se yu gɛt di sik (fiva, kɔf) ɔ ɔda siriɔs sayd ɛfɛkt. If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ sheb yu mɛrɛsin wit ɔda pɔsin fɔ ɛni rizin.
- Stɔr di mɛrɛsin kɔrɛkt wan, na di kɔrɛkt tɛmpracha.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Di Adalimumab (Adalimumab / Humira) vaysin na mɛrɛsin fɔ sik dɛn na di skin?
Dis nɔto mɛrɛsin we yu kin jɔs bay na famasi! Dis na wan vaysin we rili wok fayn, we de naw (Biologic/TNF-blocker) we ɔspitul dɔn gi fɔ ɔtoimyun sik dɛn lɛk siriɔs ‘Rheumatoid Arthritis’, Psoriasis, ɛn Crohn’s disease!
💬 Aw dis vaysin (Adalimumab) de stɔp bad bad swɛlin ɛn inflamɛns na di bɔdi?
dis (Antibody) de atak wan denja protin we dεn kכl ‘TNF-alpha’ we wi bכdi in imyun sistεm de prodyuz dεn wan dεm. dis protin na di wan we de pwεl wi כwn jכint/intestinal dεm εn mek wi inflameshn bad bad wan. we dis vaksin go insay di bכdi, i de fכnshכn se ‘TNF-alpha’ protin εn i de blכk/dεstroy am kכmplit wan. Dɔn di jɔyn dɛn we dɔn big, di skin we de rɔsh, ɛn di prɔblɛm dɛn we de na di bɛlɛ kin wɛl wantɛm wantɛm.
💬 Wetin na di fatal risk (Black Box Warning) fɔ di wan dɛn we de injekt dis vaysin (Humira) we gɛt valyu fɔ bɔku bɔku mɔni?
Dis kin mek wi ɔl imyun sistɛm wik, so nɔbɔdi nɔ go ebul fɔ sev yu frɔm ‘siriɔs infɛkshɔn’! (Siriɔs Infɛkshɔn dɛn). Ivin kɔmɔn kol kin tɔn to siriɔs nyumonia (TB) ɛn di pɔsin kin day wantɛm wantɛm. Dɔn bak, ripɔt dɔn de na di wɔl se sɔm pipul dɛn dɔn gɛt ‘nyu kansa (Lymphoma/Cancer)’ afta dɛn dɔn gɛt dis vaysin fɔ sɔm tɛm!
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