Kodi muli ndi matenda oopsa monga nyamakazi kapena matenda a zilonda zam'mimba? Ndiye mukudziwa momwe angasokonezere moyo wanu watsiku ndi tsiku. Golimumab ndi mankhwala apadera komanso amakono omwe madokotala amagwiritsa ntchito poletsa matenda awa. Tiyeni tikambirane za izi lero.
Kodi Golimumab ndi chiyani?
Mwachidule, Golimumab ndi katemera amene amalamulira ntchito ya chitetezo cha m'thupi lanu. Nthawi zambiri, ntchito ya chitetezo chamthupi chathu ndi kutiteteza polimbana ndi majeremusi omwe amayambitsa matenda. Koma nthawi zina, dongosololi limakhala logwira ntchito mopitirira muyeso ndipo molakwika limayamba kuukira maselo athu abwino. Timati izi ndi matenda a autoimmune. Matenda a nyamakazi ndi zilonda
zam'mimba ndi matenda awiri otere. Golimumab imagwira ntchito pochepetsa chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso. Malinga ndi zamankhwala, ndi ya gulu la mankhwala otchedwa `TNF inhibitors`. Izi zikutanthauza kuti, imatseka kwakanthawi puloteni (TNF) m'thupi lathu yomwe imayambitsa kupweteka ndi kutupa. Ndi mtundu wa `monoclonal antibody`. Izi zikutanthauza kuti, puloteni yapadera yopangidwa mu labotale kuti igwire ntchito pa cholinga china chake chokha. Monga chida chomwe chimagunda cholinga chake.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Popeza mankhwalawa ndi amphamvu kwambiri, dokotala wanu ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Choncho, ngati muli ndi chilichonse mwa izi, uzani dokotala wanu
popanda kubisa chilichonse .
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani zimenezo n’zofunika? |
|---|
| Matenda omwe alipo kapena omwe angochitika kumene (malungo, chifuwa, chimfine) | Chifukwa golimumab imaletsa chitetezo chamthupi, matenda amatha kukulirakulira. |
| Chifuwa chachikulu , kapena kukhudzana kwambiri ndi munthu amene ali ndi chifuwa chachikulu. | Mankhwalawa amatha kuyambitsanso tizilombo toyambitsa matenda a chifuwa chachikulu m'thupi. |
| Kukhala ndi kapena kuchira ku khansa . | Dokotala ayenera kudziwa kuti mankhwalawa akhoza kukhala ndi zoopsa zina za khansa. |
| Matenda a mtima monga kulephera kwa mtima . | Nthawi zina, mankhwalawa amatha kukulitsa matenda a mtima. |
| Matenda a shuga | Chiwopsezo cha matenda a shuga chili kale chachikulu chifukwa cha matenda a shuga, ndipo mankhwalawa akhoza kuonjezera chiopsezocho kwambiri. |
| Kukhala ndi matenda a Hepatitis B. | Pali chiopsezo choti kachilombo ka hepatitis B komwe kali m'thupi kayambirenso kugwira ntchito chifukwa cha mankhwalawa. |
| Matenda a mitsempha (monga multiple sclerosis, Guillain-Barre syndrome). | Nthawi zina, mankhwalawa amatha kukhudza dongosolo lamanjenje. |
| Popeza mwalandira kapena mwakonzekera kulandira katemera posachedwapa . | Sikoyenera makamaka kulandira katemera wamoyo pamene mukumwa mankhwalawa. |
| Kuyesa kutenga mimba, kukhala ndi pakati , kapena kuyamwitsa . | Pazochitika izi, ndikofunikira kukambirana ndi dokotala wanu za zotsatira za mankhwalawo. |
| Kukhala ndi ziwengo ndi mankhwala ena, labala, latex, ndi zina zotero. | Izi ndizofunikira kuti mupewe vuto la ziwengo ku mankhwala kapena phukusi lake. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Golimumab ingaperekedwe m'njira ziwiri. 1.
Mu mitsempha: Nthawi zambiri imaperekedwa kuchipatala kapena ku chipatala ndi katswiri wa zaumoyo kudzera mu saline solution. 2.
Pansi pa khungu: Nthawi zina katemerayu amapangidwa kuti mudzipatse nokha kunyumba. Ngati zili choncho, dokotala wanu kapena namwino adzakuwonetsani momwe mungachitire.
Chofunika kwambiri: Ngati ndinu katemera wa kunyumba, musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ziyenera kuyikidwa mu chidebe chopangira zinthu zakuthwa . Ngati mulibe, funsani dokotala wanu.
Komanso, mudzalandira kabuku kapadera (`MedGuide`) komwe kali ndi tsatanetsatane wokhudza mankhwalawa. Werengani mosamala nthawi iliyonse. Kadzakufotokozerani zambiri zokhudza mankhwalawa.
Kodi mumapereka izi kwa ana aang'ono?
Inde, nthawi zina zapadera, mankhwalawa amaperekedwa kwa ana azaka ziwiri. Koma chisankho chimenecho chimapangidwa ndi dokotala wa ana.
Kodi ndingatani ngati ndaphonya nthawi yokumana ndi dokotala?
- Ngati mukupatsidwa mankhwala kuchipatala: Ngati simungathe kupita tsiku lomwe mwakonza, imbani chipatala kapena chipatala nthawi yomweyo ndipo muwadziwitse. Adzakupatsani tsiku lina.
- Ngati mukumwa mankhwala anu kunyumba: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri. Ngati simukudziwa, imbani dokotala wanu kuti akupatseni malangizo.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo chitanipo kanthu nthawi yomweyo.
Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Ndi mankhwala ena ati omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa?
Golimumab ndi mankhwala omwe amakhudza chitetezo cha mthupi, kotero kungakhale koopsa kumwa pamodzi ndi mankhwala ena omwe amachita chimodzimodzi.
Pewani kumwa mankhwala otsatirawa ndi golimumab:Katemera wa Abatacept, Adalimumab, Anakinra, Certolizumab, Etanercept, Infliximab, Rilonacept, Rituximab, Tocilizumab ndi ma virus amoyo.
Kuphatikiza apo, mankhwala ena amatha kusokonezana ndi mankhwalawa.
- Cyclosporine
- Theophylline
- Warfarin (mankhwala ochepetsa magazi)
- Katemera wina
Mndandandawu sunathe. Chifukwa chake,
ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala achikhalidwe, ndi zowonjezera. Ndiyenera kusamala ndi chiyani ndikamamwa mankhwala?
- Kuyezetsa matenda nthawi zonse: Pitani kuzipatala nthawi zomwe dokotala wanu wakupatsani ndipo fufuzani momwe mulili.
- Kuyezetsa TB: Mudzayezetsa chifuwa chachikulu musanayambe kumwa mankhwalawa. Ngati mayesowo akusonyeza kuti muli ndi majeremusi a chifuwa chachikulu m'thupi lanu, muyenera kuyamba ndi kumaliza mankhwala onse a chifuwa chachikulu musanayambe kumwa golimumab.
- Chitetezo ku matenda : Mankhwalawa amachepetsa chitetezo chamthupi chanu pang'ono, kotero mumakhala ndi mwayi wodwala. Chifukwa chake, ngati muli ndi zizindikiro monga malungo, chimfine , chifuwa, ndi zina zotero, musadzipatse mankhwala ndipo muuzeni dokotala wanu. Yesetsani kupewa anthu odwala.
- Kuopsa kwa khansa : Pakhoza kukhala kuwonjezeka pang'ono kwa chiopsezo chotenga mitundu ina ya khansa mukamwa mankhwalawa. Musanachite mantha, kambiranani momasuka ndi dokotala wanu za izi ndipo mvetsetsani zoopsa zanu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena onse, golimumab ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amalandira.
Zotsatirapo zoyipa zomwe ziyenera kunenedwa kwa dokotala wanu nthawi yomweyo: Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma ziyenera kunenedwa
kwa dokotala wanu ngati zikupitirira.
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo aakulu, kuzizira, kupweteka pakhosi, mabala osachiritsa, kupweteka pokodza. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Matenda ofanana ndi a Lupus | Kupweteka kapena kutupa kwa mafupa, mawanga ooneka ngati gulugufe pankhope, ziphuphu zomwe zimakula kwambiri zikawotchedwa ndi dzuwa, malungo. |
| Kutuluka magazi kapena kuvulala | Kutupa popanda chifukwa kapena kutuluka magazi ambiri chifukwa cha kuvulala pang'ono. |
| Makhalidwe a dongosolo lamanjenje | Kusanza, kumva kuwawa, kusintha kwa masomphenya, ndi kufooka kwa thupi. |
| Chizungulire | Kufiira, kuyabwa, kapena kupweteka pamalo omwe jakisoni amaperekedwa. |
| Malungo | Kupweteka pakhosi, mphuno yotuluka madzi, kapena mphuno yotsekeka. |
Kodi mankhwalawo angasungidwe bwanji? (Kwa omwe amagwiritsa ntchito kunyumba)
Ngati mukugwiritsa ntchito katemerayu kunyumba, ndikofunikira kwambiri kumusunga bwino.
- Kusunga mufiriji (njira yabwino): Sungani pamalo abwinobwino mufiriji (pakati pa madigiri 2-8 Celsius). Musasunge mufiriji. Musagwiritse ntchito mankhwalawo ngati azizira.
- Kusunga kutentha kwa chipinda:Ngati pakufunika, mankhwalawa akhoza kusungidwa kutentha kwa chipinda (pansi pa madigiri 25 Celsius) kwa masiku 30. Komabe, mukangochotsa mankhwalawo mufiriji, musawabwezeretse mufiriji. Ngati sanagwiritsidwe ntchito mkati mwa masiku 30, muwachotse.
- Mfundo zina: Sungani mankhwalawo m'maphukusi ake oyambirira, kutali ndi kuwala. Musagwedeze botolo la mankhwala kapena sirinji musanagwiritse ntchito.
Funsani dokotala wanu momwe mungatayire mankhwala omwe atha ntchito kapena omwe sakufunikanso.
Uthenga Wopita Nawo Kunyumba
- Golimumab ndi mankhwala ofunikira kwambiri komanso amphamvu pa matenda odziteteza ku matenda a autoimmune. Chifukwa chake, nthawi zonse mugwiritse ntchito pokhapokha ngati mwalangizidwa ndi dokotala.
- Musanayambe kulandira chithandizo, uzani dokotala wanu zonse zokhudza matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Samalani kwambiri kuti mudziteteze ku matenda pamene mukumwa mankhwalawa. Ngati mukumva zizindikiro monga malungo ndi chifuwa, funsani upangiri wa dokotala nthawi yomweyo.
- Imwani mlingo wolembedwa pa nthawi yolembedwa. Ngati mwaphonya mlingo, musachite mantha ndipo funsani dokotala wanu. Musamwe mlingo umodzi nthawi imodzi.
- Ngati mugwiritsa ntchito katemerayu kunyumba, tayani singano ndi ma syringe omwe agwiritsidwa ntchito mosamala kwambiri, koma m'chidebe chapadera chopangira zinthu zowongoka.
Golimumab, nyamakazi, matenda a zilonda
zam'mimba , autoimmune, TNF inhibitor, katemera, zotsatirapo zake
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