Ese nawe urwaye indwara ya Rumatizime, indwara itera ububabare mu ngingo, kubyimba no kubabara mu gitondo? Iyi ni indwara iteye inkeke cyane. Sarilumab ni urushinge rwihariye rukoreshwa mu kugabanya ubu bubabare no gutanga ihumure ku ngingo. Uyu muti ukunze gukoreshwa hamwe n'indi miti. None rero uyu munsi, reka tuganire kuri uyu muti, uko ukora, n'ibyo tugomba kwitondera, mu buryo bwuje urugwiro kandi bworoshye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka y’ubuzima bwawe bwose. Uyu muti ntukwiriye buri wese. Niba ufite imwe mu ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe.
| Imiterere/Ibihe | Kuki wagombye kubyitaho? |
|---|---|
| Ubwandu buriho cyangwa buherutse kwandura (urugero: indwara za virusi nka inzoka y'inkoko, herpes, n'ibicurane bisanzwe) | Kubera ko Sarilumab igabanya ubudahangarwa bw'umubiri ku rugero runaka, indwara zishobora kwiyongera cyane. |
| Igituntu , gupimwa uruhu rw’igituntu, cyangwa kuba warahuye n’umuntu urwaye igituntu. | Hari ibyago byo kongera kugira igituntu cyihishe. |
| Kuba ufite indwara ya kanseri cyangwa kuba warigeze kurwara kanseri. | Iyi miti ishobora kugira ingaruka ku byago byo kurwara kanseri zimwe na zimwe. |
| Kuba ufite amateka yo kurwara umwijima , cyane cyane Hepatite B. | Imikorere y'umwijima ishobora kugira ingaruka, kandi virusi ya Hepatite B ishobora kongera gukora. |
| Diyabete cyangwa ibindi bibazo by’ubudahangarwa bw’umubiri. | Ibyago byo kwandura bishobora kwiyongera kurushaho. |
| Kugabanuka kw'ibice by'amaraso (kugabanuka kw'uturemangingo tw'amaraso twera, uturemangingo dutukura, cyangwa uduce duto tw'amaraso). | Uyu muti ushobora kugabanya cyane ibice bigize amaraso. |
| Indwara nka diverticulitis mu mara. | Hari ibyago bike cyane byo gutobora amara. |
| Kuba uherutse guhabwa urukingo cyangwa kuba uteganijwe kuzahabwa mu gihe kiri imbere. | Ntabwo ari byiza cyane guhabwa inkingo za virusi nzima. |
| Biteganyijwe ko azakorerwa operasiyo mu gihe kiri imbere. | Bishobora kuba ngombwa guhagarika by'agateganyo imiti mbere yo kubagwa. |
| Gutwita , kugerageza gutwita, cyangwa konsa . | Muri ibi bihe, umutekano w'umuti ugomba kuganirwaho na muganga. |
Nigute nkwiye gukoresha uyu muti?
Sarilumab ni urushinge rutangwa munsi y'uruhu . Akenshi ruza mu buryo ushobora kwitera urushinge mu rugo. Muganga wawe cyangwa umuforomo azagusobanurira uko wabikora.
- Fata urukingo ku gihe: Fata urukingo rimwe mu minsi mike, nk'uko muganga yabigutegetse. Ntugafate urukingo rurenze cyangwa ruto kurusha urwo wahawe.
- Shyira inshinge mu buryo bwizewe: Ibi ni ingenzi cyane. Ntukigere ujugunya inshinge zakoreshejwe, inshinge, cyangwa amakaramu mu myanda isanzwe .Bigomba gushyirwa mu gikoresho cyihariye cyo gukaraba. Niba udafite, baza muganga wawe uko wayigura.
Icyitonderwa: Uyu muti wanditswe kuri wewe gusa . Ntukigere uwusangira n'undi muntu uwo ari we wese.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata urukingo ku munsi wagombaga kurufata, fata ako kanya wibuka. Ariko niba igihe cyo gufata urukingo rutaha kigeze, rekeraho gufata urukingo rutaha hanyuma ufate urundi ku gihe cyagenwe. Ntukigere ufata urukingo kabiri .
Bite ho niba nfashe byinshi cyane nkibeshya?
Niba ubona ko wafashe imiti myinshi cyane wibeshye, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Ubundi buryo, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera), kuko imwe mu miti ishobora kugira ingaruka kuri Sarilumab.
- Urukingo rwa virusi nzima: Ntibyemewe guhabwa izi mu gihe ufata uyu muti.
- Ibishobora kubaho iyo ukoresheje imiti ikurikira:
- Indi miti ya biyoloji igenzura ubudahangarwa bw'umubiri: Urugero, imiti nka Abatacept, Adalimumab, Etanercept, Tocilizumab, Tofacitinib.
- Imiti imwe igabanya cholesterol: Atorvastatin, Lovastatin, Simvastatin.
- Imiti ibuza amaraso kuzura: Imiti nka Warfarin, Apixaban, Rivaroxaban.
- Ubwoko bwa steroid: Prednisone, Cortisone, n'ibindi.
- Ibinini byo kuboneza urubyaro.
- Theophylline.
Ibintu ugomba kwitondera mu gihe ufata imiti
- Itondere indwara zandura: Uyu muti ushobora kugabanya gato ubushobozi bw'umubiri wawe bwo kurwanya indwara (ubudahangarwa bw'umubiri). Kubwibyo, uba ufite amahirwe menshi yo kwandura indwara . Niba ugaragaje ibimenyetso nk'umuriro, ubukonje, kuribwa mu muhogo, inkorora, cyangwa ububabare mu gihe uri kunyara, ntukivure wiyandikire kandi uhite ubonana na muganga.
- Irinde abantu barwaye: Gerageza kwirinda abantu barwaye indwara nk'ibicurane uko bishoboka kose. Niba uhuye n'umuntu urwaye indwara nk'inkoko cyangwa iseru, bwira muganga wawe ako kanya.
- Gupima amaraso: Muganga wawe azagutegeka gupima amaraso inshuro nyinshi mu gihe ufata uyu muti. Ntukabure na kimwe muri byo.
- Ingaruka za kanseri: Hashobora kubaho ibyago bike cyane byo kurwara ubwoko bumwe na bumwe bwa kanseri mu gihe ufata ubwo bwoko bw'imiti. Vugana na muganga wawe kuri ibi.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Kimwe n'indi miti yose, Sarilumab ishobora gutera ingaruka mbi, nubwo atari buri wese uzibona. Reka tumenye byinshi kuri zo mu mbonerahamwe iri hepfo.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ibintu ugomba gutangariza muganga ako kanya | |
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka. |
| Ibimenyetso by'ubwandu | Umuriro, ubukonje, inkorora idashira, kuribwa mu muhogo, kwandura indwara zo mu nzira y'inkari. |
| Ibimenyetso by'indwara y'umwijima | Inkari z'umuhondo wijimye/umukara, amaso/uruhu rugahinduka umuhondo, ububabare mu gice cy'iburyo cy'igifu, isesemi, umunaniro ukabije. |
| Kugabanuka kw'umubare w'amaraso | Kuva amaraso menshi, kurwara kenshi, umunaniro ukabije (ibi byemezwa n'ibipimo by'amaraso). |
| Ibindi bimenyetso bikomeye | Kubabara mu gituza, guhumeka bigoranye, gucika intege, kubabara mu gifu bitunguranye no kuruka. |
| Ubusanzwe ntabwo ari ikibazo gikomeye, ariko niba kigikomeje, bwira muganga wawe. | |
| Aho gukingirwa | Ububabare buto, gutukura, cyangwa kubyimba. |
| Izuru riva | Izuru ripfutse cyangwa rivamo amazi. |
Ni gute nabika umuti?
- Bika muri firigo: Bika ahantu abana batagera, ku bushyuhe buri hagati ya dogere selisiyusi 2 na 8 (mu gice gisanzwe cya firigo). Ntubike muri firigo . Ntureke umuti ukonje.
- Rinda urumuri: Bika umuti mu gakarito k'umwimerere.
- Kubika mu bushyuhe bw'icyumba: Niba bibaye ngombwa, bishobora kubikwa mu bushyuhe buri munsi ya dogere selisiyusi 25 (77 F) kugeza ku minsi 14. Ariko, niba bidakoreshejwe nyuma y'iminsi 14, bigomba gutabwa.
- Nyuma yo kurangira: Ntugakoreshe umuti warengeje igihe cyo kurangira.
Ubutumwa bwo kujyana mu rugo
- Sarilumab ni urushinge rwo munsi y'umubiri rukoreshwa mu kuvura rubagimpande (RA).
- Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'imiti yose ufata.
- Mu gihe ufata umuti, witondere cyane ibimenyetso by'indwara nk'umuriro, inkorora, no kubabara mu muhogo. Niba hari kimwe muri ibi kibayeho, shaka ubufasha kwa muganga vuba.
- Menya ibimenyetso by'ingaruka zikomeye , nko kugira ubwivumbure n'ibibazo by'umwijima.
- Buri gihe jugunya inshinge n'inshinge zakoreshejwe mu buryo bwizewe .
- Uyu muti ni uwawe gusa. Ntuwusangize undi muntu uwo ari we wese . Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, baza muganga wawe.
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