Joint na, swelling, zing lama i taksa peng hrang hrang tihzauh harsa titu... Hetiang natna vei tu pawhin hetiang symptoms neia ni khat chhunga hman a harsat zia an hria. A châng chuan, natna tidamtu pangngai hmanga heng dinhmunte hi thunun a harsa ṭhin. Chutiang hunah chuan doctor-te chuan damdawi bik Abatacept ang chi an pan a, chu chuan i taksa immune system a nghawng a, natna chu a thunun a ni. Chuvangin vawiin hian he Abatacept vaccine chungchang hi han sawi mai ila.
Abatacept (Orencia) hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Abatacept hi damdawi a ni a, i taksa immune system hnathawh dan chu eng emaw chen a control thei a ni. Rheumatoid arthritis ang natna hi kan taksa vengtu nia ngaih immune system-in kan taksa ruh (joint) ngei a rawn beih palh hian a lo awm thin. Chuvangin he damdawi hian chu duh loh taka beihna chu thununin hna a thawk a ni.
He damdawi hi a bik takin:
- Rheumatoid Arthritis: Ruh natna (inflammatory joint disease) a ni a, puitlingah a awm thin.
- Psoriatic Arthritis: Vun natna psoriasis nena inzawm, ruh natna (joint inflammation condition) a ni.
- Juvenile Idiopathic Arthritis: Naupang tê tête zingah ruh natna (inflammatory joint disease) a ni.
- Graft-versus-Host Disease: A châng chuan, stem cell transplant hnuah , transplanted cells te hian taksa lakah hna an thawk thei a. He damdawi hi chutiang dinhmun venna atan pawh hman a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. Engmah thup lovin i hriselna chanchin zawng zawng doctor hnenah hrilh vek chu nangmah himna tur a ni. Chûng thute chu a bîk takin ngaihven rawh.
- Hri kai tawh emaw, tun hmaa i lo neih tawh emaw min hrilh teh: natna tenau flu emaw khawsik emaw atanga natna chi hrang hrang tuberculosis , hepatitis B , chickenpox, herpes, etc. Tun hnaia TB vei nena in inzawmna eng pawh min hrilh rawh.
- Immune system disorders: I immune system tichhe thei damdawi dang eng pawh min hrilh ang che.
- Lung kaihhnawih natna: Thâwk harsa leh khuh ang chi symptom i neih chuan, a bik takin COPD (Chronic Obstructive Pulmonary Disease) ang chi natna i neih chuan min hriattir ang che.
- Cancer history: Cancer i vei tawh emaw, enkawl mek emaw i nih chuan sawi tel ngei ang che.
- Diabetes: Zunthlum vei i nih chuan doctor hnenah hriattir tur a ni.
- Vaccine pek dan: Tun hnaia vaccine i dawn emaw, nakin lawka i dawng tura ruahman (a bik takin vaccine nung) i doctor hnenah hrilh rawh.
- Surgery: Nakin lawka surgery i neih dawn chuan min hriattir dawn nia.
- Allergy: He damdawi chauh ni lovin, damdawi dang, ei tur, dye dang allergy i neih chuan min hrilh rawh.
- Naupai leh naupai: Naupai i nih chuan, naupai tum i nih chuan, naupai lai i nih chuan he damdawi hi i ei tan hmain i doctor hnenah i hrilh ngei ang.
Damdawi hi engtin nge hman ang?
Abatacept hi pek dan kawng hnih a awm.
1. Intravenous Infusion: Hei hi damdawi in emaw, clinic emaw-ah chauh tih a ni. Saline pek ang bawkin damdawi chu vein hmangin taksaah a lut a ni.
2. Subcutaneous Injection: Hei hi in lama mahni in pek theih a ni. Chumi atan chuan i doctor chuan pre-filled syringe emaw, pen bik (autoinjector) emaw a pe ang che. Tin, nurse emaw doctor emaw in inject dan dik a zirtir ang che. Injection pek dan tur dik tak, ni dik takah leh a hun takah pek a pawimawh hle.
Pawimawh tak: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Sharps container ah dah tur a ni . I neih loh chuan i doctor hnenah dil theih a ni.
Dose a san chuan engtin nge ni ang?
Damdawi i ei tam lutuk chuan hlauthawng suh la, Colombo National Hospital-a National Poisons Information Center-ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Dose pakhat ka miss a nih chuan engtin nge ni ang?
Kar khatah vawi khat in lama vaccine dawng thin i nih chuan i hriatreng veleh missed dose kha ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Vawi khatah vawi hnih ei ngai suh. Damdawi inah damdawi pek i nih chuan i appointment i zawm theih loh chuan doctor ko nghal rawh.
He damdawi nena inzawm damdawi dang
Abatacept ei lai hian damdawi dang thenkhat ei hian duh loh zawng a thlen thei a ni. Chuvangin i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh la.
| Ruihhlo chi hrang hrang | A sawifiahna leh risk |
|---|---|
| Category 1: Engtikah mah la khawm suh | |
| Vaccine nung tak tak te | Hengte hi virus emaw bacteria nung chak lo tak tak awmna vaccine an ni. Hengte hian natna khirh tak a thlen thei a, a chhan chu Abatacept i ei laiin i immune system a chak lo a ni. |
| Category 2: Damdawi fimkhur hle tur (doctor hnenah hrilh ngei ang che) . | |
| TNF blocker te an ni | Damdawi Adalimumab, Etanercept, leh Infliximab te ang chi te. Hengte hian immune system a titawp bawk a, chuvangin Abatacept nena ei hian natna kai theihna a sang hle. |
| Immune system titawp thei damdawi dang | Damdawi Anakinra, Rituximab, Tocilizumab, Tofacitinib te ang chi te hi a ni. Chungte chuan hri kai theihna a tipung bawk. |
Damdawi ei huna fimkhur tur thil bik
- Infection hlauhawmna: He damdawi hian i immune system hnathawh a tihtlem avangin natna kai theihna chance a sang deuh hlek a ni. Chuvangin, khawsik, khawsik, khuh, ril na, emaw zun laiin kang ang chi symptoms i neih chuan mahni indam lo la , doctor hnenah hrilh nghal rawh. Mi damlohna hmuna i tlawh hi tlem berah dah la.
- Tuberculosis test: He damdawi hi i tan hma hian Tuberculosis (TB) i vei em tih enfiah hmasa phawt ang che. I doctor-in TB damdawi a pek chuan Abatacept i ei tan hmain i ei tan tur a ni a, a course kimchang i zo tur a ni.
- Zunthlum leh thisen sugar: Zunthlum vei i nih a, he damdawi hi infusion hmanga i dawng a nih chuan i glucometer hian i pek ni-ah dik lo takin a sang tih a lantir thei a ni. Chuvangin, chumi ni chuan i thisen sugar teh dan dik tak chu i doctor nen inbia ang che.
Eng side effect nge a awm theih?
Damdawi zawng zawng ang bawkin Abatacept hian side effect engemaw zat a nei thei a, mahse mi zawng zawngin an vei vek lo.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Thâwk lak harsat | Thâwk harsa, rilru na. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, khuh, ril na, zun kawng infection. |
| Thildang | Lu na (dizziness), a danglam bik taka chau tih hriat. |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Digestive system lama harsatna awm thei | Pum na, luak chhuak, luak chhuak (bloating). |
| Lu na | Lu na tlangpui. |
| Injection na hmuna natna | Injection na hmunah a sen, a hring emaw, a na deuh emaw. |
Damdawi hi engtin nge kan dahkhawm ang?
In lama hman tur syringe emaw autoinjector emaw pek i nih chuan naupangte hmuh theih lohna hmunah dah la, refrigerator chhunga shelf-ah dah la, kawngkaah (2 leh 8 degree Celsius inkar) ni lovin . Freezer-ah dah ngai suh. Damdawi chu a original packaging-ah dah la, light atanga hla takah dah rawh. Damdawi expire tawh chu paih vek rawh.
Take-Home Thuchah a ni
- Abatacept hi damdawi chak tak a ni a, i immune system hnathawh a control thei a ni. Chuvangin i doctor thupek ang chiah kha zawm rawh.
- I doctor hnenah i hriselna chanchin kimchang hrilh la, a bik takin hri kai leh natna dang chungchang hrilh rawh.
- He damdawi ei lai hian natna hrik kai theihna a sang zawk. Khawsik, khuh, ril na ang chi symptom i neih chuan doctor hnenah hriattir nghal rawh.
- In lama vaccine i lak dawn chuan a hman dan dik zir la, needle hman tawhte chu him takin paih rawh.
- He damdawi chungchangah hian zawhna, ngaihtuahna leh ngaihtuahna i neih chuan i rilruah dah suh la, i doctor nen inbia ang che.
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