Mukufuna kudziwa zambiri zokhudza mapiritsi a Tofacitinib Extended-release? Nawa mayankho a mafunso anu!

Kodi inuyo kapena munthu wina amene mumamudziwa adapatsidwa Tofacitinib ndi dokotala? Kapena mwamvapo za mankhwalawa kwinakwake ndipo mwabwera kuno kuti mudziwe zambiri za iwo? Komabe, m'nkhaniyi, tikambirana za mapiritsi a Tofacitinib otulutsidwa nthawi yayitali m'njira yosavuta kumva. Tiona zinthu zambiri, monga ntchito ya mankhwalawa, momwe angagwiritsire ntchito, komanso zomwe muyenera kusamala nazo.

Ndiye, kodi Tofacitinib ndi chiyani?

Mwachidule, Tofacitinib ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda enaake. Amagwiritsidwa ntchito makamaka ku:

• Matenda a Nyamakazi: Uwu ndi mtundu wa nyamakazi womwe umayambitsa kutupa, kupweteka kwa mafupa ndipo umakhalapo kwa nthawi yayitali.
• Matenda a Nyamakazi a Psoriatic: Uwu ndi mtundu wa nyamakazi. Nthawi zina umapezeka mwa anthu omwe ali ndi psoriasis.
• Matenda a Nyamakazi a Polyarticular Juvenile Idiopathic Arthritis: Uwu ndi mtundu wa nyamakazi womwe umakhudza mafupa ambiri ndipo umapezeka mwa ana aang'ono.
• Ankylosing Spondylitis: Iyi ndi matenda otupa omwe amakhudza kwambiri mafupa a msana.
• Ulcerative Colitis: Iyi ndi matenda otupa omwe amatenga nthawi yayitali omwe amayambitsa zilonda m'matumbo akulu.

Mankhwalawa amagwira ntchito poteteza chitetezo cha mthupi lanu. Chitetezo cha mthupi lathu nthawi zambiri chimatiteteza ku matenda. Koma nthawi zina dongosololi limakhala logwira ntchito mopitirira muyeso ndipo limayamba kuukira maselo a thupi lathu. Pamenepo ndi pomwe matenda omwe atchulidwa pamwambapa amachitikira. Mankhwala otchedwa Tofacitinib ndi a gulu la mankhwala otchedwa JAK inhibitors . Amagwira ntchito poletsa zina mwa zinthu zomwe sizili bwino ndi chitetezo cha mthupi. Kenako zizindikiro zimayamba kuchepa.

Mankhwalawa angagwiritsidwenso ntchito ndi madokotala pa matenda ena, kotero ngati muli ndi mafunso aliwonse, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Dzina lodziwika bwino la mankhwalawa ndi Xeljanz XR .

Kodi muyenera kuuza dokotala wanu chiyani musanayambe kumwa mankhwalawa?

Chabwino, tsopano tiyeni tiwone zomwe muyenera kuuza dokotala wanu kapena namwino musanayambe kumwa Tofacitinib. Izi ndizofunikira kwambiri, chifukwa mankhwalawa si oyenera aliyense. Ngati muli ndi vuto limodzi kapena angapo mwa awa, muyenera kuuza dokotala wanu :

• Magazi amaundana: Kodi munayamba mwakhala ndi magazi amaundana m'mitsempha yanu? Kapena kodi pali aliyense m'banja mwanu amene anakhalapo ndi magazi amaundana?
• Khansa:Kodi munakhalapo ndi khansa, kapena pali wina aliyense m'banja mwanu amene ali ndi khansa? Kodi dokotala anakuuzanipo kuti muli pachiwopsezo chotenga khansa?
• Matenda a shuga (kutanthauza matenda a shuga): Kodi muli ndi matenda a shuga?
• Matenda a mtima: Kodi muli ndi vuto la mtima?
• Kuthamanga kwa magazi: Kodi muli ndi kuthamanga kwa magazi?
• Kodi muli ndi cholesterol yambiri m'magazi?
• HIV kapena Edzi: Kodi pali matenda omwe amachepetsa chitetezo chamthupi ngati awa?
• Mavuto a chitetezo chamthupi: Kodi muli ndi matenda ena okhudzana ndi chitetezo chamthupi?
• Matenda: Kodi mumadwala matenda nthawi zambiri? Makamaka matenda opatsirana ndi mavairasi monga nkhupakupa, zilonda zozizira, herpes, ndi chiwindi cha mtundu wa B.
• Matenda a chifuwa chachikulu (TB) kapena matenda ena a bakiteriya, bowa, kapena mavairasi: Kodi panopa muli ndi chifuwa chachikulu, munadwalapo, kapena munalandirapo chithandizo cha chifuwachi?
• Matenda a impso: Kodi pali vuto lililonse ndi impso zanu?
• Matenda a chiwindi: Kodi pali matenda aliwonse a chiwindi?
• Kuchuluka kwa magazi m'magazi: Kodi muli ndi kuchuluka kochepa kwa maselo oyera a m'magazi, ma platelet, kapena maselo ofiira a m'magazi?
• Matenda a m'mapapo kapena kupuma: Kodi muli ndi mavuto opuma monga mphumu kapena COPD?
• Kusamutsa ziwalo: Kodi munasamutsa ziwalo?
• Kusuta fodya: Kodi mumasuta fodya?
• Mavuto a m'mimba kapena m'matumbo: Kodi muli ndi vuto lililonse monga zilonda zam'mimba?
• Kusamva bwino kwa tofacitinib kapena mankhwala ena, zakudya, utoto kapena zosungira: Kodi munayamba mwakhalapo ndi kusamva bwino kwa mankhwala awa kapena china chilichonse?
• Ngati muli ndi pakati kapena mukufuna kutenga mimba: Izi ndizofunikira kwambiri.
• Ngati mukuyamwitsa: Uzaninso dokotala wanu za izi.

Mndandanda uwu ndi wautali pang'ono, koma zonse ndi za chitetezo chanu.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa ayenera kumwedwa pakamwa ndi madzi . Ndi bwino kumwa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera.

Chofunika: Musadule, kuphwanya, kapena kutafuna piritsi ili. Mezani piritsi lonse.

Mungathe kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, tengani limodzi ndi chakudya. Muyenera kupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.

Mukapatsidwa mankhwala awa ndi pharmacy, mudzapatsidwanso kabuku ka malangizo apadera (MedGuide) . Muyenera kuwerenga kabukuka mosamala nthawi iliyonse mukamwa mankhwalawo, komanso mukadzalandira mankhwala ena. Kabukuka kali ndi mfundo zofunika.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana aang'ono , choncho lankhulani ndi dokotala wa mwana wanu za vutoli.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani dipatimenti yapafupi yadzidzidzi kapena malo owongolera poizoni nthawi yomweyo.

Chinthu china: Mankhwalawa ndi a inu nokha. Musagawane ndi ena, chabwino?

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

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 mlingo wowirikiza kawiri.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena angayambitse mavuto ngati atengedwa pamodzi ndi Tofacitinib.

Musamwe Tofacitinib pamodzi ndi mankhwala otsatirawa:

• Upadacitinib

Kuphatikiza apo, mankhwala otsatirawa angagwirizane ndi Tofacitinib (kutanthauza kuti angayambitse zotsatirapo zake):

• Mankhwala ena oletsa mavairasi a chiwindi, HIV, kapena Edzi
• Azathioprine
• Mankhwala ena a biologic (zitsanzo: abatacept, adalimumab, anakinra, certolizumab, etanercept, golimumab, infliximab, ofatumumab, rituximab, sarilumab, secukinumab, tocilizumab, ustekinumab, vedolizumab)
• Mankhwala ena a matenda a bowa (zitsanzo: fluconazole, itraconazole, ketoconazole, voriconazole )
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga khunyu (zitsanzo: carbamazepine, phenobarbital, phenytoin )
• Cyclosporine
• Katemera wamoyo ( katemera wina sayenera kuperekedwa pamene mukumwa mankhwalawa)
• Mankhwala omwe amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda
• Rifampin (mankhwala a chifuwa chachikulu)
• Zakudya zina zowonjezera, mwachitsanzo wort wa St. John
• Tacrolimus

Mndandandawu suli ndi mankhwala onse. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo zitsamba, mavitamini, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, ndi zowonjezera zakudya.Komanso, ngati mukusuta ndudu, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo, muyenera kuwauza za izi, chifukwa zinthu zina zimatha kusokonezana ndi mankhwalawa.

Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawa?

Mukumwa mankhwalawa, dokotala wanu adzayang'ana thanzi lanu nthawi zonse (kuyesedwa pafupipafupi) . Pitani kwa dokotala nthawi zonse. Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira.

Muyeneranso kuchita ntchito ya magazi pamene mukumwa mankhwalawa.

Chinanso n'chakuti, gawo lophimba la mankhwala awa silisungunuka. Zimenezo ndi zachilendo. Mutha kuwona gawo lophimba la piritsi likutuluka ndi ndowe zanu. Musadandaule nazo. Si vuto. Gawo la mankhwala la mankhwala lalowa m'thupi.

Mankhwalawa angakulitse pang'ono chiopsezo chanu chotenga matenda. Chifukwa chake, ngati mukuyamba zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena mphuno yotuluka madzi, musadzipatse mankhwala ndipo funsani upangiri kwa dokotala. Yesetsani kupewa anthu odwala.

Musamwe mankhwala ochepetsa kutentha thupi komanso ochepetsa ululu monga aspirin, acetaminophen, ibuprofen, naproxen, ndi ketoprofen popanda upangiri wa dokotala. Mankhwalawa amatha kuchepetsa kutentha thupi ndikupangitsa kuti zikhale zovuta kuzindikira matenda.

Lankhulani ndi dokotala wanu za chiopsezo chanu cha khansa . Kumwa mankhwalawa kungawonjezere pang'ono chiopsezo chanu chotenga mitundu ina ya khansa.

Chisamaliro chapadera pa mimba ndi kuyamwitsa:

Musatenge mimba mukumwa mankhwalawa. Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Zingayambitse mavuto aakulu kwa mwana wanu wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri.

Musayamwitse mwana wanu pamene mukumwa mankhwalawa komanso kwa maola osachepera 36 mutasiya kumwa mankhwalawa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Chabwino, tsopano tiyeni tikambirane za zotsatirapo zomwe anthu ena angakumane nazo akamagwiritsa ntchito mankhwalawa. Si aliyense amene amalandira izi, koma ndibwino kuzidziwa.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, kapena ziphuphu; kutupa kwa nkhope, milomo, kapena lilime.
• Kuuma kwa magazi: Kupweteka pachifuwa; kuvutika kupuma; kupweteka kwa mwendo, kutupa, kapena kumva kutentha.
• Matenda a mtima: Kuvutika kupuma; kupweteka kapena kulimba pachifuwa, pakhosi, msana, kapena m'manja; kumva kufooka kwambiri kapena kutopa.
• Matenda:Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Chidendene chowala bwino.
• Kuvulala kwa chiwindi: mkodzo wakuda wachikasu kapena bulauni; kumva kusapeza bwino kapena zizindikiro zofanana ndi chimfine; kusowa chilakolako cha chakudya, kupweteka m'mimba yakumanja; kufooka kapena kutopa kosazolowereka, maso kapena khungu kukhala lachikasu.
• Kuchuluka kwa maselo ofiira m'magazi: Kupuma movutikira; kukomoka; kumva chizungulire kapena mutu wopepuka; kufooka kapena kutopa kosazolowereka.
• Stroke: Kusintha kwa masomphenya; chisokonezo; kuvutika kulankhula kapena kumvetsetsa; mutu waukulu; dzanzi mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo; kuvutika kuyenda; chizungulire; kulephera kulinganiza bwino.
• Misozi m'mimba kapena m'matumbo: malungo; kupweteka m'mimba; kusintha mwadzidzidzi kwa machitidwe a m'matumbo.

Kawirikawiri palibe vuto lalikulu, koma ngati likupitirira, nazi zina zomwe muyenera kuuza dokotala wanu :

Izi nthawi zambiri sizimakhala zovuta, koma ngati zikupitirizabe kukuvutitsani, uzani dokotala wanu :

• Kutsegula m'mimba
• Mutu
• Kupweteka kwa minofu
• Mphuno yodzaza - mphuno yotuluka madzi kapena yotsekeka

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, chonde funsani dokotala wanu za izi.

Kodi ndiyenera kusunga bwanji mankhwalawo? Ndingatani ngati pali ena otsala?

Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .

Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit) . Musagwiritse ntchito mankhwala otha ntchito. Ayenera kutayidwa.

Momwe mungatayire mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito:

• Perekani mankhwala kwa anthu omwe akutenga mankhwala. Mutha kufunsa malo otere ku pharmacy yanu kapena apolisi.
• Ngati simungathe kubweza mankhwalawo mwanjira imeneyo, yang'anani chizindikiro kapena phukusi kuti muwone ngati mankhwalawo ayenera kutayidwa kapena kutsukidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuitaya mu zinyalala, tengani mankhwalawo mu botolo/paketi, sakanizani ndi zinthu monga zinyalala za amphaka, dothi, kapena khofi, ikani mu thumba kapena chidebe chotsekedwa bwino, ndikuitaya mu zinyalala.

Chofunika kwambiri - kumbukirani! (Uthenga Wopita Nawo Kunyumba)

Tofacitinib ikhoza kukhala mankhwala othandiza kwambiri, koma pokhapokha ngati yagwiritsidwa ntchito moyenera.

• Nthawi zonse imwani mankhwala anu monga momwe dokotala wanu wanenera.
• Uli ndi chiyani?Ngati mukukumana ndi zotsatirapo zilizonse zoyipa, uzani dokotala wanu za izo.
• Mankhwalawa ndi a inu nokha, musawagawire ena.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musachite manyazi kufunsa dokotala wanu kapena wamankhwala .

Tsamba lazidziwitso ili ndi chidule chokha. Silingakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Tofacitinib , Tofacitinib, Xeljanz XR, nyamakazi, kutupa kwa mafupa, choletsa JAK, chitetezo chamthupi, matenda a zilonda zam'mimba