Yu gɛt wan sik we dɛn kɔl rεumatoid at at , ɔr rεumatoid at? Ɔ yu dɔktɔ dɔn tɛl yu fɔ bigin wan mɛrɛsin we dɛn kɔl Tocilizumab? Na nɔmal tin fɔ fil smɔl frayd ɛn want fɔ no mɔ we yu yɛri bɔt dis kayn mɛrɛsin. Sɔntɛm yu gɛt bɔku kwɛstyɔn dɛn na yu maynd, lɛk wetin dis mɛrɛsin de fɔ, wetin i de du, ɛn if i gɛt bad bad tin dɛn . So tide, lɛ wi tɔk bɔt dis mɛrɛsin we dɛn kɔl Tocilizumab, insay wan rili simpul we we yu go ɔndastand.
Us kayn mɛrɛsin na Tocilizumab?
Fɔ tɔk am simpul wan, Tocilizumab na drɔg we de kɔntrol sɔm pan di prɔses dɛm na yu bɔdi in imyun sistɛm, we dɛn kin gi as shot. Sɔntɛnde, di imyun sistɛm na wi bɔdi kin wok pasmak ɛn bigin fɔ atak wi yon bɔdi in sɛl dɛn. Dɛn kin yuz dis mɛrɛsin mɔ fɔ kɔntrol sik dɛn we kin apin pan dɛn kayn tin ya.
Bɔku men tin dɛn de we dɔktɔ dɛn kin gi dis mɛrɛsin fɔ:
- Rimatɔyd Atraytis: Na wan sik we kin mek big pipul dɛn jɔyn dɛn swel, fil pen, ɛn stif.
- Juvenile Idiopathic Arthritis : Na jɔyn sik we kin apin to pikin dɛn we dɔn pas 2 ia.
- Jaynt Cell Arteritis: Na wan sik we kin mek di blɔd vesel dɛn wam .
- Cytokine Release Syndrome (CRS): Na bad bad tin we kin apin we dɛn de trit sɔm kansa.
- Sistem Sklerosis-Rεlatεd Lכng Disεs: Fכ kכntrכl di dεkrεshכn pan di lכng fכnshכn we kכz fכ sכm mεdikal kכndyushכn dεm.
Yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda tin dɛn we nɔ de na dis list.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Bifo yu bigin fɔ tek Tocilizumab, i impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri . Ɛspɛshali if yu gɛt ɛni wan pan dɛn tin ya:
| Wɛlbɔdi kɔndishɔn/prɔblɛm | Wetin mek yu fɔ bisin bɔt am? |
|---|---|
| Eni kayn infεkshכn (e.g. TB (TB), hεpi, chikinpoks, כda baktri כ vayral infεkshכn) | Dis mɛrɛsin kin mek di infɛkshɔn dɛn we dɔn de wɔs bikɔs i de ridyus di imyuniti. |
| Liva sik (e.g. Epataytis B) . | Di drɔg kin afɛkt di liva, ɛn ol infɛkshɔn kin mek i wok bak. |
| Kansa kɔndishɔn ɔ histri bɔt kansa | Dɛn biliv se dis mɛrɛsin kin mek pɔsin gɛt sɔm kansa. |
| Dayabetes, at sik, ay blɔd prɛshɔn, ay kɔlɔstrel | Dɛn kayn tin ya kin mek yu gɛt mɔ sik ɛn ɔda prɔblɛm dɛn. |
| Blɔd kɔnt we de go dɔŋ (wayt blɔd sɛl, pletlɛt, rɛd blɔd sɛl) | Mɛrɛsin kin ridyus dɛn sik ya mɔ. |
| Prɔblɛm dɛn we de na di intestinal (e.g. Divɛrtikulayt) . | Risk de fɔ mek di bɛlɛ ɔ di intestinal dɛn gɛt pɔrf (ta). |
| If yu jɔs dɔn gɛt vaysin ɔ yu dɔn arenj fɔ gɛt wan tumara bambay | Na mɔtalman, dɛn fɔ avɔyd layf vayrɔs vaysin. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ de gi pikin bɔbi | Yu fɔ tɔk to yu dɔktɔ if di mɛrɛsin kin afɛkt di pikin. |
Aw yu kin yuz dis mɛrɛsin?
Dɛn kin gi di Tocilizumab vaysin tu we: i kin go insay wan vein ɔ ɔnda di skin.
- Na ɔspitul ɔ klinik: Bɔku tɛm, na ɔspitul ɔ klinik we tren fɔ mɛn pipul dɛn kin gi dis vaysin.
- Aw fɔ gi yu di vaysin na os: Sɔntɛnde, yu dɔktɔ go tɛl yu aw fɔ gi di vaysin na os. If na so, yu fɔ tek di vaysin jɔs lɛk aw dɛn tɛl yu, di rayt tɛm, ɛn di rayt doz. Nɔ ɛva stɔp fɔ tek di vaysin pas yu dɔktɔ tɛl yu fɔ tek am.
Speshal not: Nɔ ɛva trowe yu nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Wan spɛshal kɔntena de fɔ dɛn (shap kɔntena). If yu nɔ gɛt wan, aks yu dɔktɔ fɔ wan. Dis rili impɔtant fɔ mek wi nɔ ambɔg di envayrɔmɛnt ɛn ɔda pipul dɛn.
Wetin yu kin du if yu mis apɔntinmɛnt fɔ tek mɛrɛsin?
I rili impɔtant fɔ tek yu mɛrɛsin di rayt tɛm. If yu nɔ ebul fɔ kip apɔntinmɛnt na di ɔspitul, tɛl yu dɔktɔ ɔ di ɔspitul wantɛm wantɛm. If yu de tek yu mɛrɛsin na os, if yu mis wan doz, tek da doz de as 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 di sem tɛm. If yu gɛt ɛni kwɛstyɔn bɔt dis, aks yu dɔktɔ.
Ɔda mɛrɛsin dɛn we yu nɔ fɔ yuz wit dis mɛrɛsin
Tocilizumab na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm, so yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛm).
- Wetin yu nɔ fɔ ɛva tek: Nɔ gɛt layf vayrɔs vaysin we yu de tek dis mɛrɛsin.
- Ɔda drɔgs dɛn we kin miks wit dɛnsɛf:
- Ɔda bayolojikal mɛrɛsin dɛn lɛk Abatacept, Adalimumab, Etanercept
- Pils dɛn we dɛn kin yuz fɔ kɔntrol pikin
- Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel, lɛk Atorvastatin ɛn Simvastatin
- Sayklɔspɔrin, Ɔmɛprazɔl, Tiɔfilin
- Stɛroyd mɛrɛsin dɛn lɛk Prednisone ɔ Cortisone
- Mɛrɛsin dɛn we de mek yu blɔd tan lɛk Warfarin
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔltin wae yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Tubakulosis Tɛst (TB Tɛst): .Dɛn go tɛst yu fɔ TB bifo yu bigin dis mɛrɛsin. If yu dɔktɔ gi yu mɛrɛsin fɔ TB, yu fɔ bigin tek da mɛrɛsin de ɛn dɔn di wan ol mɛrɛsin bifo yu bigin fɔ tek Tocilizumab.
- Risk fɔ gɛt di sik:
- Blɔd tɛst: Yu dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst ɔltɛm fɔ wach aw yu de fil we yu de tek di mɛrɛsin. Nɔ skip dɛn.
- Risk fɔ gɛt kansa: Sɔm pruf de fɔ se dis mɛrɛsin kin mek yu gɛt sɔm kayn kansa smɔl. If yu gɛt ɛni kwɛstyɔn bɔt dis, duya tɔk to yu dɔktɔ.
- Tocilizumab na pawaful mɛrɛsin we dɛn kin yuz fɔ trit sik dɛn we gɛt fɔ du wit di imyun bɔdi lɛk rεumatoid at.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Risk de fɔ gɛt infɛkshɔn we yu de tek dis mɛrɛsin. If yu gɛt sɔm sayn dɛn lɛk fiva, kɔf, ɔ yu trot we de at, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt sɔm sayn dɛn lɛk we yu gɛt siriɔs alɛji, yu liva prɔblɛm, ɔ yu bɛlɛ de at bad bad wan, go na ɔspitul wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ fred fɔ aks yu dɔktɔ.
Di tin we impɔtant pas ɔl! Dis mɛrɛsin de ridyus di wok we yu imyun sistɛm de du, so yu kin gɛt infɛkshɔn izi wan. If yu gɛt sɔm sayn dɛm lɛk fiva, kol, bɔdi pen, trot we de at, kɔf, nɔ tek paracetamol fɔ yusɛf, bɔt kɔl yu dɔktɔ wantɛm wantɛm. Nɔ de fa frɔm pipul dɛn we sik as yu ebul.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɔl mɛrɛsin, Tocilizumab kin mek yu gɛt sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt am.
| Di sayd ɛfɛkt ɛn di sayn dɛn we pɔsin kin gɛt | |
|---|---|
| Tin dɛn fɔ ripɔt wantɛm wantɛm to yu dɔktɔ ɔ di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) . | |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Dak yɔlɔ ɔ brawn urine, yu yay ɔ skin de yɔlɔ, pen na di ɔp rayt pat na di bɛlɛ, yu taya pasmak, yu nɔ go want fɔ it. |
| Pɔrfɔreshɔn na di bɛlɛ ɔ di insay | Ay fiva, bad bad bɛlɛ pen, chenj wantɛm wantɛm na yu bɔdi. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, trot we de at, kɔf, urinary tract infection. |
| Di sayn dɛm we de sho se di blɔd nɔ bɔku | Brus we nɔ kɔmɔn, blɔd, taya pasmak, i nɔ kin izi fɔ blo, i kin fɔdɔm. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ɛd we de at, we yu de tɔn diziz | Dis kin dɔn insay sɔm dez. |
| Pen, rɛdnɛs na di say we dɛn injɛkshɔn | I nɔmal fɔ mek yu fil smɔl pen ɔ rɛd na di say we dɛn injekt yu. |
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek di mɛrɛsin pasmak, 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.
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