Tiyeni tiphunzire za mapiritsi a Tofacitinib. Ndi ofunika kwa inu!

Kodi dokotala wakupatsani mankhwala otchedwa Tofacitinib kapena munthu wina amene mumamudziwa? Ndi zachilendo kuti mafunso abwere m'maganizo, sichoncho? "Kodi mankhwala awa ndi chiyani? Kodi chidzachitike ndi chiyani? Ndiyenera kusamala ndi chiyani?" Zinthu ngati zimenezo. Lero, tiyeni tikambirane za mankhwala awa a Tofacitinib m'njira yosavuta yomwe mungamvetse. Monga kulankhula ndi mnzanu.

Kodi Tofacitinib ndi mankhwala amtundu wanji? Kodi amagwiritsidwa ntchito pa chiyani?

Mwachidule, Tofacitinib ndi mankhwala omwe amagwiritsidwa ntchito pochiza mitundu ina ya nyamakazi ndi matenda ena okhudzana ndi chitetezo chamthupi. Mwina mudamvapo za nyamakazi ya rheumatoid ndi psoriatic arthritis, zomwe ndi matenda otupa komanso opweteka a mafupa. Mankhwalawa amagwiritsidwa ntchito pochiza mitundu imeneyo ya matenda. Amagwiritsidwanso ntchito pochiza matenda otchedwa polyarticular juvenile idiopathic arthritis, ankylosing spondylitis, ndi ulcerative colitis, omwe amakhudza matumbo.

Mankhwalawa amagwira ntchito pokhudza chitetezo cha mthupi lathu. Tili ndi dongosolo m'thupi lathu lomwe limatiteteza ku matenda, sichoncho? Ndicho chimene timachitcha chitetezo cha mthupi. Nthawi zina dongosololi limakhala logwira ntchito mopitirira muyeso ndipo limayamba kuukira maselo a thupi lathu. Pamenepo ndi pamene matenda omwe atchulidwa pamwambapa amachitika. Mankhwala otchedwa Tofacitinib ndi a gulu la mankhwala otchedwa JAK inhibitors. Izi zimagwira ntchito poletsa zina mwa zinthu zosafunikira za chitetezo cha mthupi. Kenako zizindikiro zimenezo zimachepa, ndipo mumapeza mpumulo.

Mungapezenso mankhwala awa ku pharmacy pansi pa dzina la `(Xeljanz)`. Amenewo ndi mankhwala omwewo.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Izi ndizofunikira kwambiri . Musanayambe kumwa mankhwalawa, muyenera kuuza dokotala wanu kufotokozera kwathunthu za thanzi lanu. Musabise ngakhale mfundo zazing'ono. Chifukwa, muyenera kusamala kwambiri popereka mankhwalawa kwa anthu omwe ali ndi matenda enaake.

Ngati muli ndi chilichonse mwa zinthu izi, onetsetsani kuti mwauza dokotala wanu:

• Mavuto okhudza magazi: Kodi munayamba mwakhalapo ndi magazi oundana kale? Kapena pali wina aliyense m'banja mwanu amene anadwalapo magazi oundana?
• Khansa: Kodi muli ndi khansa panopa, kapena munali nayo kale ndipo munachira?
• Matenda a shuga mellitus: Kodi muli ndi matenda a shuga?
• Matenda a mtima: Kodi muli ndi matenda a mtima?
• Kuthamanga kwa magazi: Kodi kuthamanga kwa magazi n'kokwera kwambiri?
• Kodi cholesterol yambiri: kodi cholesterol yambiri?
• HIV kapena Edzi: Kodi muli ndi HIV kapena Edzi?
• Chitetezo chamthupi chofooka: Kodi mukudziwa kuti mphamvu ya thupi lanu yolimbana ndi matenda ndi yochepa?
• Matenda ofala:Kodi nthawi zambiri mumadwala chimfine ndi fuluwenza? Makamaka matenda opatsirana ndi mavairasi monga nsabwe ndi herpes, matenda a bakiteriya monga chifuwa chachikulu, ndi matenda a bowa.
• Matenda a Impso: Kodi muli ndi vuto la impso?
• Matenda a chiwindi: Kodi muli ndi vuto la chiwindi?
• Kusowa kwa magazi: Kodi pali malipoti aliwonse okhudza kuchepa kwa maselo oyera a magazi, maselo ofiira a magazi, kapena ma platelet?
• Matenda a m'mapapo kapena kupuma: Kodi muli ndi vuto la kupuma monga mphumu kapena COPD?
• Kusamutsa ziwalo: Kodi munasamutsa ziwalo?
• Kusuta: Kodi mumasuta ndudu?
• Mavuto a m'mimba kapena m'mimba: Zinthu monga zilonda zam'mimba ndi gastritis.
• Matenda a ziwengo: Kodi muli ndi vuto la Tofacitinib, mankhwala ena, zakudya, kapena utoto?
• Ngati mukufuna kutenga mimba kapena muli ndi pakati: Izi ndizofunikira kwambiri.
• Ngati ndinu mayi woyamwitsa.

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

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa amabwera ngati mapiritsi. Muyenera kumwa ndi kapu ya madzi. Samalani kwambiri kuti mumwe mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanu wakuuzani.

• Mungathe kumwa izi musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, imwani pamodzi ndi chakudya.
• Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa mwadzidzidzi, ngakhale mutamva bwino.
• Mukalandira mankhwala awa ku pharmacy, mudzapatsidwa kabuku ka malangizo apadera kotchedwa ``MedGuide''. Muziwerenga mosamala nthawi zonse. Kali ndi mfundo zofunika.

Ngati mupereka mankhwalawa kwa ana: Mankhwalawa angaperekedwe kwa ana azaka ziwiri kapena kuposerapo pazochitika zina zapadera. Komabe, muyenera kulankhula ndi dokotala wanu za izi ndikutsatira malangizo ake molondola.

Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kupita kuchipatala nthawi yomweyo kapena kuyimbira foni malo owongolera poizoni.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense. Angawavulaze.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ndizotheka, sichoncho? Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa? (Kuyanjana kwa Mankhwala)

Ichi ndi chinthu choyenera kusamala nacho kwambiri. Pali mankhwala ena omwe angayambitse mavuto akamwedwa pamodzi ndi Tofacitinib.

Mankhwala omwe sayenera kumwedwa ndi mankhwalawa:

• Upadacitinib

Mankhwala ena omwe angagwirizane ndi mankhwalawa:

• Mankhwala oletsa mavairasi a chiwindi, HIV, kapena Edzi.
• Azathioprine.
• Mankhwala achilengedwe akuphatikizapo mankhwala monga Abatacept, Adalimumab, ndi Tocilizumab. (Pali ena ambiri, dokotala wanu adzadziwa za iwo.)
• Mankhwala ena ochizira matenda a bowa, monga Fluconazole ndi Ketoconazole.
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a khunyu, monga phenobarbital ndi phenytoin.
• Cyclosporine.
• Katemera wamoyo.
• Mankhwala ena omwe amachepetsa chitetezo cha mthupi.
• Rifampin.
• Zowonjezera monga wort wa St. John.
• Tacrolimus.

Mndandanda uwu sunathe. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe dokotala wanu wakupatsani, omwe mwagula ku pharmacy, mankhwala achikhalidwe, zitsamba, mavitamini, zakudya zowonjezera). Komanso, uzani dokotala wanu ngati mumasuta ndudu, mumamwa mowa, kapena mukumwa mankhwala ena. Zinthuzi zimatha kusokonezana ndi mankhwalawo.

Kodi ndiyenera kudziwa chiyani ndikamamwa mankhwalawa?

Mukamwa mankhwalawa, dokotala wanu nthawi zonse amafufuza thanzi lanu. Pitani kwa dokotala masiku omwe akonzedwa .

• Ngati zizindikiro zanu sizikusintha, kapena ngati zikuipiraipira, uzani dokotala wanu.
• Muyenera kuyezetsa magazi pamene mukumwa mankhwalawa. Yambani bwino.
• Mankhwalawa angakulitse pang'ono chiopsezo chanu chotenga matenda . Chifukwa chake, ngati mukumva zizindikiro monga malungo, kuzizira, kupweteka pakhosi, kapena chimfine, musadzipatse mankhwala ndipo funsani upangiri kwa dokotala. Yesetsani kupewa anthu odwala.
• Musamwe mankhwala ochepetsa ululu ndi ochepetsa malungo monga aspirin, acetaminophen, ndi ibuprofen popanda upangiri wa dokotala, chifukwa amatha kubisa kutentha thupi.
• Lankhulani ndi dokotala wanu za chiopsezo chanu cha khansa. Kumwa mankhwalawa kungawonjezere pang'ono chiopsezo chanu chotenga mitundu ina ya khansa.
• Pewani kutenga mimba: Musatenge mimba mukumwa mankhwalawa. Ngati mukufuna kutenga mimba, kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa.
• Pewani kuyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa kapena kwa maola osachepera 18 mutasiya kumwa mankhwalawa.

Kodi ndi zotsatirapo zotani zomwe ndingapeze kuchokera ku mankhwalawa?

Monga mankhwala ena aliwonse, Tofacitinib ingayambitse zotsatira zina zoyipa. Si aliyense amene amalandira, koma ndibwino kudziwa za izo.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime, ndi nkhope.
• Kuuma kwa magazi: Kupweteka pachifuwa, kuvutika kupuma, kupweteka kwa miyendo, kutupa, kapena kutentha.
• Matenda a mtima: Kuvutika kupuma, kupsinjika kapena kupweteka pachifuwa, pakhosi, kumbuyo, kapena m'manja, kutopa kwambiri.
• Matenda: Malungo, kuzizira, chifuwa, kupweteka pakhosi, kupweteka kapena kuvutika kukodza.
• Zopondapo zowala.
• Kuvulala kwa chiwindi: Mkodzo wakuda wachikasu kapena bulauni, kutopa, malungo, kusowa chilakolako cha chakudya, kupweteka kumtunda kwa kumanja kwa m'mimba, maso kapena khungu kukhala lachikasu.
• Maselo ofiira ochepa m'magazi: kupuma movutikira, kukomoka, kumva chizungulire, kukomoka, kutopa kwambiri.
• Kudwala sitiroko: Kusintha kwa masomphenya, chisokonezo, kuvutika kulankhula kapena kumvetsetsa, mutu waukulu, dzanzi mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kuyenda, chizungulire, kulephera kukhazikika bwino.
• Misozi m'mimba kapena m'matumbo: Malungo, kupweteka m'mimba, kusintha mwadzidzidzi kwa matumbo.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba (kupweteka m'mimba)
• Mutu
• Kupweteka kwa minofu
• Kutsekeka kwa mphuno kapena mphuno yotuluka madzi

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

Kodi ndiyenera kusunga bwanji mankhwala anga?

• Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
• Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius).
• Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Kodi ndingathe bwanji kutaya mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito?

• Chinthu chabwino kwambiri choti muchite ndikupita ku malo omwe ali ndi pulogalamu yoti akatenge mitundu iyi ya mankhwala (osachepera funsani ku pharmacy) ndikuwapatsa.
• Ngati sichoncho, yang'anani botolo la mankhwala kapena chizindikiro chake kuti muwone ngati lili ndi malangizo amomwe mungatayire m'zinyalala kapena m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati mungathe kuitaya m'zinyalala, tengani mankhwalawo m'botolo, sakanizani ndi zinthu monga zinyalala za amphaka, dothi, kapena khofi, ikani m'thumba kapena chidebe chotsekedwa bwino, ndikuitaya m'zinyalala.

Pomaliza, ndiyenera kukuuzani... (Uthenga Wopita Nawo Kunyumba)

Tofacitinib ndi mankhwala ofunikira omwe angathandize kuchepetsa vuto lanu. Koma kumbukirani zinthu izi mukamagwiritsa ntchito:

• Lankhulani ndi dokotala wanu za chilichonse: matenda ena omwe mumakhala nawo, mankhwala aliwonse omwe mumamwa, ndi zotsatirapo zilizonse zomwe mumakumana nazo.
• Tsatirani malangizowo molondola: imwani mlingo wolembedwa, panthawi yolembedwa. Musasiye kumwa mwadzidzidzi.
• Khalani tcheru: Dziwani zizindikiro zatsopano ndi zotsatirapo zake. Ngati muli ndi nkhawa iliyonse, uzani dokotala wanu.
• Musagawire mankhwala: Izi ndi za inu nokha.
• Samalani kwambiri panthawi ya mimba ndi kuyamwitsa.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Adzakuthandizani.

Tofacitinib , Tofacitinib, nyamakazi, chitetezo chamthupi, choletsa JAK, Xeljanz, matenda a mafupa