Kurwadziwa kwemajoini, kuzvimba, kuomarara mangwanani zvinoita kuti zviome kutambanudza makumbo ako... Chero ani zvake anorwadziwa nekurwadziwa uku anoziva kuti zvakaoma sei kurarama zuva rose nezviratidzo zvakaita seizvi. Dzimwe nguva, zvakaoma kudzora mamiriro aya nemishonga inonyaradza marwadzo. Muzviitiko zvakadaro, vanachiremba vanotendeukira kumishonga yakakosha seAbatacept, iyo inodzora chirwere ichi nekuchinja immune system yemuviri wako. Saka nhasi, ngatitaurei nezve mushonga uyu weAbatacept.
Chii chinonzi Abatacept (Orencia) chaizvo?
Zvichitaurwa zviri nyore, Abatacept mushonga unodzora mashandiro emuviri wako kusvika pamwero wakati. Zvirwere zvakaita serheumatoid arthritis zvinoitika kana immune system, iyo inofanirwa kunge iri dziviriro yemuviri wedu, ikarwisa majoini edu zvisirizvo. Saka mushonga uyu unoshanda nekudzora kurwiswa kusingadiwe.
Mushonga uyu unonyanya kushandiswa pa:
- Rheumatoid Arthritis: Chirwere chezvipfukuto zvinozvimba chinoitika kuvanhu vakuru.
- Psoriatic Arthritis: Kuzvimba kwemajoini kunoitika nechirwere cheganda chinonzi psoriasis.
- Juvenile Idiopathic Arthritis: Chirwere chemapfupa chinozvimba chinoitika muvana vadiki.
- Chirwere cheGraft-versus-Host: Dzimwe nguva, mushure mekuisirwa stem cell , masero akaisirwa anogona kurwisa muviri. Mushonga uyu unoshandiswawo kudzivirira chirwere ichocho.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Izvi zvakakosha zvikuru. Kuti uchengetedzeke, taurira chiremba wako zvese nezvenhoroondo yehutano hwako usingavanzi chero chinhu. Nyatsoteerera zvinhu izvi.
- Tiudzei nezvezvirwere zvamakasangana nazvo kana zvamakambosangana nazvo kare: kubva kuzvirwere zvidiki zvakaita sefuruwenza kana dzihwa kusvika kuzvirwere zvakaita seTB , hepatitis B , chickenpox, herpes, nezvimwewo. Tiudzei nezve chero kusangana kwamuchangobva kuita nemunhu ane TB.
- Matambudziko emuviri wekudzivirira chirwere: Tiudzei nezvezvimwe zvirwere zvinokanganisa muviri wenyu.
- Zvirwere zvine chekuita nemapapu: Kana uine zviratidzo zvakaita sekushaya mweya uye kukosora, kunyanya kana uine chirwere chakadai seCOPD (Chronic Obstructive Pulmonary Disease), tizivise.
- Nhoroondo yekenza: Iva nechokwadi chekutaura kana wakambova nekenza kare kana kuti uri kurapwa.
- Chirwere cheshuga: Kana uine chirwere cheshuga, zivisa chiremba wako.
- Kubaiwa nhomba: Udza chiremba wako kana wangobva kugamuchira mushonga wekudzivirira chirwere kana kuti wakarongerwa kuuwana mune ramangwana (kunyanya mushonga wekudzivirira chirwere uri mupenyu).
- Kuvhiyiwa: Kana muchizovhiyiwa mune ramangwana, ndapota tizivisei nezvazvo.
- Kurwara: Tiudzei kana muine allergies, kwete chete kumushonga uyu, asi kune mimwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri nekuyamwisa: Kana uine pamuviri, uchiedza kuva nepamuviri, kana kuyamwisa, unofanira kuudza chiremba wako usati watanga mushonga uyu.
Mushonga uyu ungashandiswa sei?
Kune nzira mbiri dzekushandisa Abatacept.
1. Kupinzwa mutsinga: Izvi zvinongoitwa muchipatara kana kukiriniki chete. Kufanana nekupa mushonga wemunyu, mushonga uyu unopinzwa mumuviri kuburikidza netsinga.
2. Jekiseni reSubcutaneous: Iri ijekiseni raunogona kuzvipa iwe pachako kumba. Chiremba wako achakupa sirinji yakazadzwa kare kana peni yakakosha (autoinjector) yeizvi. Zvakare, mukoti kana chiremba achakudzidzisa majekiseni nemazvo. Zvakakosha zvikuru kuwana jekiseni sezvakarairwa, pazuva rakakodzera, uye panguva yakakodzera.
Zvakakosha: Usamborasa tsono nemasirinji akamboshandiswa mumarara. Anofanira kuiswa mumudziyo wekuisa zvinhu zvinopinza . Kana usina, unogona kukumbira chiremba wako kuti akupe imwe.
Ko kana dose ikawedzera?
Kana ukatora mushonga wakawandisa netsaona, usavhunduka uye fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikarasikirwa nedosi?
Kana uri munhu anowana mushonga wekubaiwa kamwe chete pasvondo uri kumba, tora mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti uwane mushonga unotevera, svetuka mushonga wawakarasikirwa nawo wotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete. Kana uchipihwa mushonga kuchipatara, fonera chiremba wako nekukasika kana usingakwanise kuzadzisa nguva yako yekusangana.
Mimwe mishonga inobatanidzwa nemushonga uyu
Paunenge uchitora abatacept, kutora mimwe mishonga kunogona kukonzera matambudziko asingadiwe. Saka, udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Rudzi rwemushonga | Tsananguro nenjodzi |
|---|---|
| Chikamu 1: Usambofa wakatora pamwe chete | |
| Majekiseni mhenyu | Idzi ijekiseni dzine mavhairasi kana mabhakitiriya asina simba. Izvi zvinogona kukonzera hutachiona hwakakomba nekuti masoja emuviri wako anoshaya simba paunenge uchitora Abatacept. |
| Chikamu chechipiri: Mishonga inofanira kutorwa nekungwarira kwakanyanya (ita shuwa kuti waudza chiremba wako) | |
| Zvinodzivirira TNF | Mishonga yakaita seAdalimumab, Etanercept, uye Infliximab. Iyi inodzvinyirirawo masoja emuviri, saka njodzi yekutapukirwa inowedzera zvakanyanya kana ikatorwa neAbatacept. |
| Mimwe mishonga inodzvinyirira masoja emuviri | Mishonga yakaita seAnakinra, Rituximab, Tocilizumab, Tofacitinib. Iyi inowedzerawo njodzi yekutapukirwa. |
Zvinhu zvakakosha zvekuziva paunenge uchitora mushonga
- Njodzi yekutapukirwa: Mushonga uyu unoderedza mashandiro emuviri wako, saka uri panjodzi yakakura yekutapukirwa nezvirwere. Saka, kana ukaona zviratidzo zvakaita sefivha, dzihwa, kukosora, kurwadziwa pahuro, kana kupisa paunenge uchiita weti, usazvirape wega uye taurira chiremba wako nekukasika. Deredza kushanya kwako kunzvimbo dzine vanhu vanorwara.
- Kuongororwa kwechirwere cheTB: Usati watanga mushonga uyu, uchaongororwa kuti uone kana uine chirwere cheTB. Kana chiremba wako akakunyorera mushonga weTB, unofanira kutanga kuutora wopedza mushonga wacho wese usati watanga Abatacept.
- Chirwere cheshuga neshuga yeropa: Kana uine chirwere cheshuga uye uri kugamuchira mushonga uyu kuburikidza nekuiswa mushonga, glucometer yako inogona kuratidza kuverenga kwakanyanya pazuva rawakatora mushonga. Saka, taura nachiremba wako nezvenzira chaiyo yekuyera shuga yeropa rako pazuva iroro.
Ndezvipi migumisiro inogona kuitika?
Kufanana nemishonga yese, Abatacept inogona kukonzera mimwe migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Matambudziko ekufema | Kutadza kufema zvakanaka, kurwadziwa pachipfuva. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, kurwadziwa pahuro, hutachiona hwemunzira yeweti. |
| Zvimwe | Musoro (dzungu), kunzwa kuneta zvisina kujairika. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Matambudziko ekugaya chikafu | Kurwadziwa kwemudumbu, kuda kurutsa, manyoka (kuzvimba). |
| Musoro | Musoro unowanzoonekwa. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kutsvuka, kuvaviwa, kana kurwadziwa kudiki panzvimbo yekubaiwa jekiseni. |
Nzira yekuchengetedza mushonga uyu sei?
Kana ukapihwa sirinji kana autoinjector kuti ushandise kumba, ichengete kure nevana, pasherufu yemukati mefiriji, kwete pamusuwo (pakati pe2 ne8 degrees Celsius). Usamboichengeta mufiriji. Chengeta mushonga uri mupakeji yawo yekutanga, kure nechiedza. Rasa mushonga wapera basa.
Mharidzo Yekuenda Nayo Kumba
- Abatacept mushonga une simba unodzora mashandiro emasoja emuviri wako. Saka tevera mirairo yachiremba wako nemazvo.
- Udza chiremba wako nhoroondo yako yese yehutano, kunyanya nezvehutachiona nezvimwe zvirwere.
- Pane njodzi yakakura yekuwana hutachiona paunenge uchitora mushonga uyu. Kana ukaona zviratidzo zvakaita sefivha, kukosora, kana kurwadziwa pahuro, zivisa chiremba wako nekukasika.
- Kana uri kubaiwa majekiseni uri kumba, dzidza nzira chaiyo uye rasa tsono dzakamboshandiswa zvakachengeteka.
- Kana muine mibvunzo, zvinokunetsai, kana zvinokunetsai nezvemushonga uyu, musazvichengetere mega, asi taurai nachiremba wenyu.
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