Mwina dokotala wanu wakupatsani jakisoni wotchedwa Etanercept chifukwa cha kupweteka kosalekeza kwa mafupa kapena vuto la khungu. Ndizachilendo kumva mantha pang'ono, chidwi, komanso kukhala ndi mafunso ambiri mukamva za mankhwala ngati awa. Lero, tiyeni tikambirane za mankhwala otchedwa Etanercept ndi chiyani komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito, m'njira yosavuta yomwe mungamvetse.
Kodi Etanercept ndi chiyani kwenikweni?
Mwachidule, Etanercept ndi mankhwala omwe amalamulira ntchito ya chitetezo cha mthupi lanu. Nthawi zina chitetezo cha mthupi lathu, chitetezo cha mthupi, chimakhala chogwira ntchito mopitirira muyeso ndipo chimayamba kuukira maselo athu. Izi timazitcha kuti matenda a autoimmune.
Ganizirani za matenda monga psoriasis ndi mitundu ina ya nyamakazi. Etanercept imagwira ntchito pochepetsa mphamvu ya chitetezo chamthupi yogwira ntchito mopitirira muyeso komanso kuletsa zizindikiro. Mankhwalawa ndi a gulu la mankhwala otchedwa TNF inhibitors.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi. Izi ndizofunikira kuti mukhale otetezeka. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu popanda kubisa chilichonse .
- Ngati muli ndi vuto lomwe limakupangitsani kutuluka magazi mosavuta.
- Ngati munadwalapo khansa kale kapena mukulandira chithandizo chamankhwala.
- Ngati muli ndi matenda a shuga.
- Ngati muli ndi vuto monga granulomatosis yokhala ndi polyangiitis.
- Ngati muli ndi vuto la mtima.
- Ngati muli ndi kachilombo ka HIV kapena Edzi.
- Ngati pali zofooka zina mu chitetezo chamthupi.
- Ngati pakadali pano muli ndi matenda aliwonse a bakiteriya, bowa, kapena kachilombo, kuphatikizapo chifuwa chachikulu (TB).
- Ngati muli ndi matenda a chiwindi.
- Ngati muli ndi matenda a mitsempha monga Guillain-Barre syndrome, multiple sclerosis, kapena khunyu.
- Ngati mwalandira katemera posachedwapa kapena mukuyembekezera kulandira katemera aliyense.
- Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala awa, Etanercept, rabara, latex, kapena mankhwala ena aliwonse kapena chakudya.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kugawana izi ndi dokotala wanu kudzakuthandizani kwambiri kulandira chithandizo chotetezeka komanso cholondola.
Kodi mumagwiritsa ntchito bwanji jakisoni uyu?
Mankhwalawa amaperekedwa ngati jakisoni pansi pa khungu. Dokotala wanu kapena namwino adzakuphunzitsani momwe mungaperekere. Ndikofunikira kwambiri kumwa mlingo woyenera patsiku loyenera. Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
Chofunika kwambiri:
- Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala chifukwa akhoza kukhala oopsa kwa ena.
- Izi ziyenera kuyikidwa mu chidebe chapadera chapulasitiki chokhuthala (chidebe cha sharp) chomwe chingachotsedwe.
- Ngati mulibe chidebe chotere, funsani dokotala wanu momwe mungapezere chimodzi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi. Ngati simukudziwa, funsani dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi Etanercept
Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), chifukwa mankhwala ena amatha kusokonezana ndi Etanercept.
| Mtundu wa mankhwala / gulu | Mulingo wa nkhawa |
|---|---|
| Pewani kumwa Etanercept ndi izi. | |
| Mankhwala ena achilengedwe monga adalimumab ndi infliximab | Sikoyenera kuwatenga pamodzi chifukwa ali m'gulu limodzi. |
| Katemera wamoyo | Chiwopsezo cha matenda ndi chachikulu chifukwa cha chitetezo chochepa cha mthupi. |
| Rilonacept | Mavuto angabuke. |
| Funsani dokotala wanu za kumwa Etanercept ndi mankhwala awa. | |
| Abatacept, Anakinra | Zingawonjezere chiopsezo cha matenda. |
| Cyclophosphamide, Sulfasalazine | Zotsatirapo zake zingachitike. |
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
- Kuopsa kwa matenda: Ichi ndiye chinthu chofunikira kwambiri. Chifukwa chakuti mankhwalawa amachepetsa mphamvu ya chitetezo chamthupi chanu, mumakhala pachiwopsezo chachikulu cha matenda, makamaka matenda . Chifukwa chake ngati muli ndi zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, kapena mabala omwe sachira, musadzipatse mankhwala ndipo imbani dokotala nthawi yomweyo . Yesetsani kupewa anthu odwala.
- Kuyezetsa TB: Mudzayezetsa TB musanayambe kumwa mankhwalawa. Ngati dokotala wanu akulemberani mankhwala a TB, muyenera kuyamba kumwa mankhwalawo ndikumaliza mankhwala onse musanayambe jakisoni.
- Mankhwala ochepetsa ululu: Musamwe mankhwala monga aspirin ndi ibuprofen popanda upangiri wa dokotala, chifukwa amatha kuchepetsa kutentha thupi kwanu ndikupangitsa kuti zikhale zovuta kudziwa ngati muli ndi matenda.
- Kuopsa kwa khansa: Kafukufuku wapeza kuti kumwa mankhwalawa kungawonjezere pang'ono chiopsezo chotenga mitundu ina ya khansa. Musadandaule ndi izi, dokotala wanu adzakambirana nanu za zoopsa ndi ubwino wake asanakupatseni mankhwalawo.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Etanercept ingayambitse zotsatirapo zina. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Zotsatira zoyipa | Zinthu zazikulu |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Zotsatira zoopsa za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo ndi mapazi, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Matenda | Malungo, kuzizira, chifuwa, kupweteka pakhosi, mabala osachiritsa, matenda opatsirana m'mitsempha ya mkodzo. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Matenda ofanana ndi a Lupus | Kupweteka kwa mafupa, kutupa, ziphuphu pankhope ngati gulugufe, malungo, kutopa. |
| Mavuto a mitsempha | Kusanza, kufooka, kusintha kwa masomphenya, khunyu. |
| Kutuluka magazi kapena kuvulala | Kutupa kosamveka bwino komanso kutuluka magazi pakhungu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Ululu/kufiira pamalo omwe jakisoni adayikidwa | Izi nthawi zambiri zimatha patatha masiku ochepa. |
| Mutu | Mutu pang'ono ungachitike. |
| Kupweteka kwa sinus | Kupsinjika kapena kupweteka mbali zonse ziwiri za nkhope ndi pamphumi. |
Uthenga Wopita Nawo Kunyumba
- Musanayambe kumwa mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Phunzirani momwe mungaperekere jakisoni moyenera. Tayani singano zomwe mwagwiritsa ntchito mosamala.
- Mukamamwa mankhwala, samalani kwambiri ndi zizindikiro za matenda (malungo, chifuwa, kuzizira). Ngati muwona zizindikiro zilizonse, dziwitsani dokotala wanu nthawi yomweyo.
- Musamwe mankhwala ena aliwonse, makamaka ochepetsa ululu, popanda kufunsa dokotala wanu.
- Ndikofunikira kwambiri kupezeka pa nthawi yake ndi mayeso onse omwe dokotala wanu wakupatsani. Musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo okhudza mankhwalawa.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi cholembera cha Etanercept / Enbrel chojambulira/chojambulira n'chiyani?
Iyi ndi mankhwala amphamvu kwambiri, amakono (Biologic/TNF-blocker) omwe amabayidwa kamodzi/kawiri pa sabata pa matenda odziteteza ku matenda monga 'Rheumatoid Arthritis', Psoriasis, ndi zina zotero! Amaletsa kugwira ntchito bwino kwa mafupa 100%.
💬 Kodi katemera uyu (Etanercept / TNF blocker) amaletsa bwanji mafupa athu kuti asawole ndi kutupa?
Mukakhala ndi nyamakazi, thupi lanu nthawi zambiri limapanga puloteni yoopsa kwambiri yotchedwa 'TNF-alpha'. Puloteni iyi ndi yomwe imalowa m'mafupa ndikudya/kuwononga. Mankhwalawa (Soluble TNF receptor fusion protein) amagwira ntchito ngati mbola/msampha wabodza! Akabayidwa, amayamwa/kugwira puloteni ya TNF-alpha m'magazi isanafike m'mafupa ndikuitseka/kuiwononga kwathunthu.
💬 Kodi chiopsezo chachikulu (Black Box Chenjezo) kwa iwo omwe amabaya katemera uyu (Enbrel) ndi chiyani?
Izi zimafooketsa chitetezo chathu chonse cha mthupi, kotero palibe amene angakupulumutseni ku 'matenda oopsa'! (Matenda Oopsa). Ngakhale chimfine chofala chingasanduke chibayo chachikulu (TB) kapena matenda a bowa ndipo wodwalayo angamwalire mwadzidzidzi. Komanso, zanenedwa kuti ana ndi achinyamata ayamba 'khansa yatsopano (Lymphoma)' atalandira katemerayu kwa kanthawi!
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