Kodi mukudwalanso matenda a Rheumatoid Arthritis, matenda omwe amayambitsa kupweteka kwa mafupa, kutupa, komanso kuuma kwa m'mawa? Uwu ndi matenda ovutitsa kwambiri. Sarilumab ndi jakisoni wapadera womwe umagwiritsidwa ntchito kuchepetsa ululuwu ndikuchepetsa mafupa. Mankhwalawa nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, momwe amagwirira ntchito, komanso zomwe tiyenera kusamala nazo, mwanjira yabwino komanso yosavuta.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yonse ya thanzi lanu. Mankhwalawa si oyenera aliyense. Ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe/Nthawi | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Matenda omwe alipo kapena omwe angobwera kumene (monga matenda opatsirana ndi mavairasi monga nkhuku, herpes, ndi chimfine) | Chifukwa chakuti Sarilumab imaletsa chitetezo chamthupi pang'ono, matenda amatha kukhala oopsa kwambiri. |
| Chifuwa chachikulu , kukhala ndi mayeso a pakhungu otsimikizira kuti ali ndi chifuwa chachikulu, kapena kukhala pafupi ndi munthu amene ali ndi chifuwa chachikulu. | Pali chiopsezo chakuti chifuwa chachikulu chobisika chiyambenso kugwira ntchito. |
| Kukhala ndi vuto la khansa kapena kukhala ndi mbiri ya khansa. | Mankhwalawa angakhudze chiopsezo cha khansa zina. |
| Kukhala ndi mbiri ya matenda a chiwindi , makamaka Hepatitis B. | Kugwira ntchito kwa chiwindi kungakhudzidwe, ndipo kachilombo ka Hepatitis B kangayambirenso kugwira ntchito. |
| Matenda a shuga kapena mavuto ena a chitetezo chamthupi. | Chiwopsezo cha matenda chikhoza kuwonjezeka kwambiri. |
| Kuchepa kwa zigawo za magazi (kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet). | Mankhwalawa amatha kuchepetsa kwambiri zigawo za magazi. |
| Matenda monga diverticulitis m'matumbo. | Pali chiopsezo chochepa kwambiri cha kuboola matumbo. |
| Kulandira katemera posachedwapa kapena kukonzedwa kuti adzalandire katemera wina mtsogolo. | Sikoyenera makamaka kulandira katemera wa kachilombo kamoyo. |
| Akukonzekera kuchitidwa opaleshoni mtsogolo. | Kungakhale kofunikira kusiya kumwa mankhwala kwakanthawi musanachite opaleshoni. |
| Kukhala ndi pakati , kuyesera kutenga pakati, kapena kuyamwitsa . | Pazochitikazi, chitetezo cha mankhwala chiyenera kukambidwa ndi dokotala. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Sarilumab ndi jakisoni woperekedwa pansi pa khungu . Nthawi zambiri umabwera munjira yomwe mungadzibayire nokha kunyumba. Dokotala wanu kapena namwino adzakufotokozerani momwe mungachitire izi.
- Imwani katemerayu pa nthawi yake: Imwani katemerayu kamodzi pa masiku angapo, monga momwe dokotala wanu wanenera. Musamwe katemera wochulukirapo kapena wochepera kuposa kuchuluka komwe mwapatsidwa.
- Tayani singano mosamala: Izi ndizofunikira kwambiri. Musataye singano, ma syringe, kapena mapeni ogwiritsidwa ntchito kale m'zinyalala wamba .Ziyenera kuyikidwa mu chidebe chapadera cha sharps. Ngati mulibe, funsani dokotala wanu momwe mungapezere chimodzi.
Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa katemera tsiku lomwe muyenera kumwa, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri .
Nanga bwanji ngati nditatenga zambiri molakwika?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), chifukwa mankhwala ena amatha kusokonezana ndi Sarilumab.
- Katemera wa kachilombo ka moyo: Sikoyenera kulandira katemerayu mukumwa mankhwalawa.
- Mankhwala otsatirawa amatha kuyambitsa zotsatirapo:
- Mankhwala ena achilengedwe omwe amalamulira chitetezo chamthupi: Mwachitsanzo, mankhwala monga Abatacept, Adalimumab, Etanercept, Tocilizumab, Tofacitinib.
- Mankhwala ena ochepetsa mafuta m'thupi: Atorvastatin, Lovastatin, Simvastatin.
- Mankhwala oletsa magazi kuundana: Mankhwala monga Warfarin, Apixaban, Rivaroxaban.
- Mitundu ya steroid: Prednisone, Cortisone, ndi zina zotero.
- Mapiritsi oletsa kubereka.
- Theophylline.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Samalani ndi matenda: Mankhwalawa angachepetse pang'ono mphamvu ya thupi lanu yolimbana ndi matenda (chitetezo cha mthupi). Chifukwa chake, mumakhala ndi mwayi wopeza matenda . Ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, chifuwa, kapena kupweteka mukamakodza, musadzipatse mankhwala ndipo pitani kwa dokotala nthawi yomweyo.
- Pewani anthu odwala: Yesetsani kupewa anthu odwala matenda monga chimfine. Ngati mwakumana ndi munthu wodwala matenda monga chikuku kapena chikuku, uzani dokotala wanu nthawi yomweyo.
- Kuyezetsa magazi: Dokotala wanu adzakulamulani kuti muyeze magazi kangapo nthawi ndi nthawi pamene mukumwa mankhwala awa. Musaphonye chilichonse mwa izi.
- Kuopsa kwa khansa: Pakhoza kukhala chiopsezo chochepa kwambiri chotenga mitundu ina ya khansa mukamwa mankhwala amtunduwu. Lankhulani ndi dokotala wanu za izi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, Sarilumab ingayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amazipeza. Tiyeni tiphunzire zambiri za izo mu tebulo ili m'munsimu.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zinthu zoti muuze dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa chosatha, kupweteka pakhosi, matenda a mkodzo. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso/khungu limasintha chikasu, kupweteka kumanja kwa m'mimba, nseru, kutopa kwambiri. |
| Kuchepa kwa magazi | Kuchuluka kwa magazi, matenda obwerezabwereza, kutopa kwambiri (izi zimatsimikiziridwa ndi mayeso a magazi). |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa, kuvutika kupuma, kukomoka, kupweteka m'mimba mwadzidzidzi komanso kusanza. |
| Kawirikawiri si nkhani yaikulu, koma ngati ikupitirira, uzani dokotala wanu. | |
| Malo operekera katemera | Kupweteka pang'ono, kufiira, kapena kutupa. |
| Mphuno yotuluka madzi | Mphuno yodzaza kapena yotuluka madzi. |
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani mufiriji: Sungani pamalo omwe ana sangafikire, kutentha kwa madigiri 2 mpaka 8 Celsius (m'malo abwinobwino a firiji). Musasunge mufiriji . Musalole kuti mankhwalawo azizire.
- Tetezani ku kuwala: Sungani mankhwalawo m'bokosi loyambirira.
- Kusunga kutentha kwa chipinda: Ngati kuli kofunikira, ikhoza kusungidwa kutentha kwa chipinda pansi pa madigiri 25 Celsius (77 F) kwa masiku 14. Komabe, ngati sikugwiritsidwa ntchito patatha masiku 14, iyenera kutayidwa.
- Mankhwala akatha ntchito: Musagwiritse ntchito mankhwala omwe atha ntchito kale.
Uthenga Wopita Nawo Kunyumba
- Sarilumab ndi jakisoni wopangidwa pansi pa khungu lomwe limagwiritsidwa ntchito pochiza nyamakazi ya m'mafupa (RA).
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Mukamamwa mankhwala, samalani kwambiri ndi zizindikiro za matenda monga malungo, chifuwa, ndi zilonda za pakhosi. Ngati chilichonse mwa izi chichitika, funsani upangiri wa dokotala nthawi yomweyo.
- Dziwani zizindikiro za zotsatirapo zoyipa , monga ziwengo ndi mavuto a chiwindi.
- Nthawi zonse tayani singano ndi ma syringe omwe agwiritsidwa ntchito mosamala .
- Mankhwalawa ndi anu okha. Musawagawire ndi wina aliyense . Ngati muli ndi mafunso okhudza mankhwalawo, funsani dokotala wanu.
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