Pali matenda ena omwe ndi ovuta kuwathetsa ndi mankhwala wamba. Makamaka matenda monga nyamakazi omwe amayamba chifukwa cha mavuto ena m'thupi lathu, kapena matenda ena osowa omwe amayambitsa malungo pafupipafupi, amagwera m'gululi. Chifukwa chake, nthawi ngati izi, madokotala amagwiritsa ntchito mankhwala apadera komanso amphamvu. Mankhwala amodzi otere ndi Canakinumab. Mankhwalawa amaperekedwa ngati katemera.
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Kodi Canakinumab ndi chiyani?
Mwachidule, canakinumab ndi mankhwala omwe amasintha momwe chitetezo cha mthupi lathu chimagwirira ntchito pang'ono komanso kuwongolera zizindikiro. Si mankhwala, koma angakuthandizeni kuwongolera matendawa ndikukhala moyo wabwinobwino.
Mankhwalawa amagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
- Mitundu ina ya nyamakazi mwa ana ndi akuluakulu: Mwachitsanzo, matenda monga matenda a Still.
- Matenda Osowa, Omwe Amakhudza Mafinya Nthawi ndi Nthawi: Awa amadziwika ndi mayina ovuta pang'ono. Mwachitsanzo:
- Matenda Okhudzana ndi Cryopyrin (CAPS)
- Matenda a Nthawi ndi Nthawi a Tumor Necrosis Factor Receptor Associated Periodic Syndrome (TRAPS)
- Matenda a Hyperimmunoglobulin D (HIDS)
- Matenda a Chifuwa cha ku Mediterranean (FMF)
Chofunika kwambiri ndichakuti katswiri yekha amene amafufuza matenda anu ndi amene angasankhe ngati agwiritse ntchito kapena ayi mankhwalawa komanso nthawi yomwe ayenera kumwa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe chithandizochi
Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kuti mudziwitse dokotala wanu za mbiri yanu yonse ya thanzi musanayambe kulandira chithandizo. Musanyalanyaze, poganiza kuti ndi chinthu chaching'ono. Chifukwa ngakhale chinthu chaching'onocho chingakhudze chithandizo chanu.
| Uzani dokotala wanu ngati muli ndi vuto lililonse mwa izi: | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda omwe alipo kapena omwe angochitika kumene (monga nthenda ya nkhuku, herpes, zilonda zozizira) | Chifukwa chakuti mankhwalawa amachepetsa chitetezo chamthupi, matenda amatha kukulirakulira. |
| Chifuwa chachikulu , kuyezetsa khungu komwe kwapezeka kuti ndi kachilombo ka TB, kapena kukhudzana kwambiri ndi munthu amene ali ndi chifuwa chachikulu. | Musanayambe kumwa mankhwala, muyenera kuyezetsa chifuwa chachikulu ndipo, ngati kuli kofunikira, yambani kulandira chithandizo. |
| Mavuto ena a chitetezo chamthupi , HIV kapena Edzi. | Muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa m'mikhalidwe yotereyi. |
| Kukhala ndi mbiri ya khansa . | Dokotala wanu ayenera kudziwa izi. |
| Matenda monga kuchepa kwa maselo oyera m'magazi . | Matendawa amatha kukhudzidwanso ndi mankhwala. |
| Kukhala ndi pakati kapena kuyesera kutenga mimba. | Lankhulani ndi dokotala wanu za zotsatira za mankhwalawa panthawi ya mimba. |
| Kuyamwitsa mwana. | Muyenera kukambirana ndi dokotala wanu ngati mankhwalawa angakhudze mwana kudzera mu mkaka wa m'mawere. |
| Kulandira katemera posachedwapa kapena kukonzedwa kuti adzalandire katemera wina mtsogolo. | Makamaka, katemera wa kachilombo kamoyo sangamwedwe ndi mankhwalawa. |
| Kukhala ndi vuto la ziwengo ku mankhwala ena, zakudya kapena zinthu zina. | Izi ndizofunikira kuti mutsimikizire ngati muli ndi vuto la canakinumab kapena chilichonse mwa zosakaniza zake. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Mankhwala awa si omwe mungapite nawo kunyumba ndikudzipatsa nokha. Awa ndi jakisoni pansi pa khungu. Nthawi zambiri amaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala .
Musanayambe chithandizo chilichonse, mudzapatsidwa kabuku kapadera kodziwitsa za mankhwalawa (MedGuide). Ndikofunikira kuwerenga ndi kumvetsetsa mosamala nthawi iliyonse.
Kodi mankhwalawa ayenera kuperekedwa kwa ana?
Pa matenda ena osankhidwa, mankhwalawa angapatsidwe ana azaka ziwiri. Komabe, dokotala wa ana amasankha izi. Ngati mukupereka mankhwalawa kwa mwana, onetsetsani kuti mwakambirana bwino ndi dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi sizingachitike chifukwa zimaperekedwa kuchipatala. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe), chifukwa mankhwala ena amatha kusokonezana ndi awa.
| Musamwe canakinumab ndi izi konse. | |
|---|---|
| Mankhwala achilengedwe | Mwachitsanzo: adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab |
| Katemera wa kachilombo ka moyo | Mwachitsanzo, katemera wa chikuku, mumps, rubella (MMR), katemera wa chickenpox |
| Uzani dokotala wanu chifukwa pakhoza kukhala kuyanjana ndi izi. | |
| Mankhwala ena omwe amaletsa chitetezo chamthupi | abatacept, baricitinib, rilonacept, rituximab, sarilumab, tocilizumab, tofactinib |
| Warfarin | Mankhwala operekedwa kuti magazi asaundane |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Samalani ndi matenda: Mankhwalawa amaletsa chitetezo chamthupi chanu, zomwe zimapangitsa kuti mukhale ndi matenda ambiri. Chifukwa chake, ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, kapena mphuno yotuluka madzi , musadzichiritse nokha. Imbani dokotala wanu nthawi yomweyo kuti akupatseni malangizo. Yesetsani kupewa anthu odwala.
- Kuyezetsa chifuwa chachikulu (TB): Mudzayezetsa chifuwa chachikulu (TB) musanayambe kulandira chithandizo. Ngati dokotala wanu akulemberani mankhwala a chifuwa chachikulu, muyenera kuyamba kumwa mankhwalawa musanayambe kugwiritsa ntchito canakinumab. Ndipo muyenera kumwa mankhwalawo kwa nthawi yonse yomwe mwapatsidwa.
- Kuyang'aniridwa ndi dokotala: Dokotala wanu apitiliza kuyang'anira matenda anu pamene mukumwa mankhwala awa. Iyenso adzalamula kuti muyesedwe magazi ngati pakufunika kutero. Ngati zizindikiro zanu sizikusintha kapena kuipiraipira, uzani dokotala wanu .
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma | Kupuma movutikira, kufinya chifuwa. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Chizungulire kapena kukomoka | Kumva chizungulire, kumva wopanda moyo, kugwa. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka pokodza. |
| Kutupa kwa khungu, kufiira, kapena kutentha | Makamaka kwinakwake kupatula malo obayira jakisoni. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira: | |
| Kutsegula m'mimba | Mutu |
| Kusanza ndi kusanza | Mphuno yotuluka madzi, ngati chimfine |
| Chizungulire | Ululu, kufiira, kapena kutupa pang'ono pamalo omwe jakisoniyo adayikidwa |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, musaope kulankhula ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Canakinumab ndi katemera wamphamvu wogwiritsidwa ntchito pochiza matenda okhudzana ndi chitetezo chamthupi monga nyamakazi ndi matenda ena otupa omwe sapezeka kawirikawiri.
- Musanayambe chithandizochi, ndikofunikira kuti mudziwitse dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Mankhwalawa amawonjezera chiopsezo cha matenda, choncho nthawi zonse dziwani zizindikiro monga malungo, chifuwa, ndi zilonda za pakhosi.
- Ngati mukukumana ndi mavuto ena aakulu, monga kupuma movutikira kapena ziwengo zoopsa, funsani upangiri wa dokotala nthawi yomweyo.
- Pitirizani kulankhulana ndi dokotala wanu nthawi zonse. Musamalumphe nthawi yokumana ndi dokotala. Kambiranani naye nkhawa zilizonse.
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