Katemera wa Abatacept (Orencia) wa matenda a mafupa: Tiyeni tikambirane za izi!

Kupweteka kwa mafupa, kutupa, kuuma kwa m'mawa komwe kumapangitsa kuti zikhale zovuta kutambasula miyendo yanu... Aliyense amene akuvutika ndi ululuwu amadziwa momwe zimakhalira zovuta kupirira tsiku lonse ndi zizindikiro ngati izi. Nthawi zina, zimakhala zovuta kuwongolera matendawa ndi mankhwala wamba ochepetsa ululu. Pazochitika zotere, madokotala amagwiritsa ntchito mankhwala apadera monga Abatacept, omwe amawongolera matendawa pokhudza chitetezo cha mthupi lanu. Chifukwa chake lero, tiyeni tikambirane mwachidule za katemera wa Abatacept uyu.

Kodi Abatacept (Orencia) ndi chiyani kwenikweni?

Mwachidule, Abatacept ndi mankhwala omwe amalamulira ntchito ya chitetezo cha mthupi lanu pamlingo winawake. Matenda monga nyamakazi ya nyamakazi amapezeka pamene chitetezo cha mthupi, chomwe chimayenera kukhala chitetezo cha thupi lathu, chikaukira molakwika mafupa athu. Choncho mankhwalawa amagwira ntchito poletsa kuukira kosafunikirako.

Mankhwalawa amagwiritsidwa ntchito makamaka pa:

• Matenda a nyamakazi: Matenda otupa a mafupa omwe amapezeka mwa akuluakulu.
• Matenda a Psoriatic Arthritis: Matenda otupa mafupa omwe amapezeka ndi matenda a pakhungu otchedwa psoriasis.
• Matenda a Juvenile Idiopathic Arthritis: Matenda otupa a mafupa omwe amapezeka mwa ana aang'ono.
• Matenda a Graft-versus-Host: Nthawi zina, pambuyo poika maselo oyambira , maselo oikidwawo amatha kuchitapo kanthu motsutsana ndi thupi. Mankhwalawa amagwiritsidwanso ntchito popewa vutoli.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala

Izi ndizofunikira kwambiri. Ndi chitetezo chanu kuuza dokotala wanu zonse zokhudza mbiri yanu ya thanzi popanda kubisa chilichonse. Samalani kwambiri mfundo izi.

• Tiuzeni za matenda aliwonse omwe mudakumana nawo kapena omwe mudakumana nawo kale: kuyambira matenda ang'onoang'ono monga chimfine kapena chimfine mpaka matenda monga chifuwa chachikulu , chiwindi cha chiwindi B , katsabola, herpes, ndi zina zotero. Tiuzeni za kukhudzana kulikonse ndi munthu amene ali ndi chifuwa chachikulu posachedwapa.
• Matenda a chitetezo chamthupi: Tiuzeni za matenda ena aliwonse omwe amakhudza chitetezo chamthupi chanu.
• Matenda okhudzana ndi mapapo: Ngati muli ndi zizindikiro monga kupuma movutikira komanso chifuwa, makamaka ngati muli ndi matenda monga COPD (Chronic Obstructive Pulmonary Disease), tidziwitseni.
• Mbiri ya khansa: Onetsetsani kuti mwatchula ngati munadwalapo khansa kale kapena mukulandira chithandizo.
• Matenda a shuga: Ngati muli ndi matenda a shuga, dziwitsani dokotala wanu.
• Katemera: Uzani dokotala wanu ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera wina mtsogolo (makamaka katemera wamoyo).
• Maopaleshoni: Ngati mukuchita opaleshoni mtsogolomu, chonde tidziwitseni za opaleshoniyo.
• Matenda a ziwengo: Tiuzeni ngati muli ndi vuto lililonse la ziwengo, osati mankhwala awa okha, komanso mankhwala ena aliwonse, chakudya, kapena utoto.
• Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa.

Kodi mankhwalawa angagwiritsidwe ntchito bwanji?

Pali njira ziwiri zoperekera Abatacept.

1. Kulowetsedwa m'mitsempha: Izi zimachitika kuchipatala kapena ku chipatala kokha. Monga momwe zimakhalira popereka saline, mankhwalawo amaperekedwa m'thupi kudzera m'mitsempha.

2. Jakisoni wa Subcutaneous: Iyi ndi jakisoni yomwe mungadzipatse nokha kunyumba. Dokotala wanu adzakupatsani syringe yodzazidwa kale kapena cholembera chapadera (autoinjector) cha izi. Komanso, namwino kapena dokotala adzakuphunzitsani momwe mungabayire jakisoni moyenera. Ndikofunikira kwambiri kulandira jakisoni monga momwe mwalangizidwira, tsiku loyenera, komanso nthawi yoyenera.

Nanga bwanji ngati mlingo ukuwonjezeka?

Ngati mwamwa mankhwala ochulukirapo mwangozi, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.

Nanga bwanji ngati ndaphonya mlingo?

Ngati ndinu munthu amene mumalandira katemera kamodzi pa sabata kunyumba, imwani mlingo wosowa mwamsanga mukakumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo wosowa ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi. Ngati mukupatsidwa mankhwala kuchipatala, imbani dokotala wanu nthawi yomweyo ngati simungathe kukwaniritsa nthawi yanu yokumana.

Mankhwala ena omwe amagwirizana ndi mankhwalawa

Mukamamwa abatacept, kumwa mankhwala ena kungayambitse zotsatira zosafunikira. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).

Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala

• Kuopsa kwa matenda: Mankhwalawa amachepetsa mphamvu ya chitetezo cha mthupi lanu, kotero muli pachiwopsezo chachikulu chotenga matenda. Chifukwa chake, ngati mukumva zizindikiro monga malungo, kuzizira, chifuwa, kupweteka pakhosi, kapena kutentha mukamakodza, musadzipatse mankhwala ndipo uzani dokotala wanu nthawi yomweyo. Chepetsani kupita kumalo komwe anthu akudwala.
• Kuyezetsa chifuwa chachikulu: Musanayambe kumwa mankhwalawa, mudzayesedwa kuti muwone ngati muli ndi chifuwa chachikulu (TB). Ngati dokotala wanu wakupatsani mankhwala a chifuwa chachikulu, muyenera kuyamba kumwa ndi kumaliza kumwa mankhwala onse musanayambe kumwa Abatacept.
• Shuga ndi shuga m'magazi: Ngati muli ndi matenda a shuga ndipo mukulandira mankhwalawa kudzera mu infusion, glucometer yanu ingasonyeze kuchuluka kwa shuga m'magazi anu patsiku lomwe munapatsidwa. Chifukwa chake, lankhulani ndi dokotala wanu za njira yoyenera yoyezera shuga m'magazi anu tsiku lomwelo.

Ndi zotsatirapo ziti zomwe zingachitike?

Monga mankhwala ena onse, Abatacept ingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amalandira.

Kodi mankhwalawo angasungidwe bwanji?

Ngati mwapatsidwa syringe kapena autoinjector kuti mugwiritse ntchito kunyumba, isungeni pamalo omwe ana sangafikire, pa shelufu yamkati mwa firiji, osati pakhomo (pakati pa madigiri 2 ndi 8 Celsius). Musaisunge mufiriji. Sungani mankhwalawo m'mabokosi ake oyambirira, kutali ndi kuwala. Tayani mankhwala omwe atha ntchito.