Kune zvimwe zvirwere, kurwadziwa nekusagadzikana zvinouya nazvo zvakaoma kurarama nazvo. Vanhu vazhinji vanotambura nezvirwere zve autoimmune, kunyanya izvo zvinokonzerwa nematambudziko akati wandei mu immune system yemuviri. Saka nhasi tichataura nezve injection yeAdalimumab, mushonga wepamusoro-soro unoshandiswa kurapa zvirwere zvakadaro. Izvi zvinogona kunge zvakanyorerwa nachiremba wako pasi pezita rekuti Humira.
Mushonga uyu unoshandiswa kuzvirwere zvipi?
Adalimumab haisi mushonga unopihwa kurapa chirwere chimwe chete. Inonyanya kubatsira kudzora zvirwere zvinokonzerwa nemasoja emuviri anorwisa masero awo ane hutano. Zvichitaurwa zviri nyore, inodzora kuzvimba nekuzvimba zvisingadiwi mumuviri.
Heano mamwe ematambudziko makuru ayo chiremba wako anogona kukupa mushonga uyu:
- Rheumatoid Arthritis (RA): Ichi chirwere chinowanzoitika kuvanhu vakuru uye chinokonzera kuzvimba, kuomarara, uye kurwadziwa kwemajoini.
- Juvenile Idiopathic Arthritis (JIA): Chirwere chinokanganisa vana vane makore anopfuura maviri uye chinokonzera kuzvimba nekurwadziwa kwemajoini, pamwe nekuchinja kukura kwemwana.
- Chirwere cheCrohn: Chirwere chinokonzera kuzvimba kwemudumbu, kunyanya ura. Izvi zvinokonzera zviratidzo zvakaita sekurwadziwa mudumbu, kuzvimba, uye kudzikira kwehuremu.
- Ulcerative Colitis: Ichi chirwere chinokonzera kuzvimba uye maronda muura nemudumbu.
- Ankylosing Spondylitis: Izvi zvinonyanya kukanganisa majoini emusana, zvichikonzera kurwadziwa kwemusana nekuomarara.
- Psoriatic Arthritis: Chirwere cheganda chinonzi psoriasis chinoperekedzwa nekuzvimba kwemajoini.
- Hidradenitis Suppurativa: Chirwere cheganda chinokonzera mamota anorwadza uye mapundu akafanana neacne munzvimbo dzine dikita dzakadai semuhapwa nepahudyu.
- Uveitis : Chirwere chinokonzera kuzvimba kwemukati meziso, zvichikonzera kutsvuka nekurwadziwa.
- Plaque Psoriasis: Chirwere cheganda chinowanzo konzera mavanga matsvuku, ane mavanga paganda.
Mushonga uyu unoshanda sei mumuviri?
Kuti tinzwisise izvi, ngatitangei tanzwisisa zvishoma nezvekusashanda zvakanaka kwedziviriro yemuviri. Fungidzira kuti dziviriro yemuviri wedu (dziviriro yemuviri) inotanga kupenga zvishoma yotanga kurwisa masero edu ane hutano nematishu panzvimbo pehutachiona hwekunze. Izvi ndizvo zvinokonzera zvirwere zvakawanda zvatataura nezvazvo.
Kana masoja emuviri asingashande zvakanaka nenzira iyi, mukati memuviriPuroteni inonzi Tumor Necrosis Factor (TNF) inogadzirwa yakawanda. Puroteni iyi yeTNF ndiyo inokonzera zviratidzo zvakaita sekurwadziwa, kuzvimba, uye kuzvimba, uye inokuvadza masero ane hutano.
Adalimumab inoshanda zviri nyore. Yakafanana nepfuti inonanga zvakananga kune chinangwa chayo. Kana mushonga uyu ukapinda mumuviri, unotsvaga mapuroteni eTNF anogadzirwa zvakanyanya uye unoadzima. Zvakanyanya kunaka, unovhara kugona kwemapuroteni eTNF kukuvadza masero ane hutano. Zvadaro kurwadziwa, kuzvimba, uye kuzvimba zvinodzorwa zvishoma nezvishoma.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Izvi zvakakosha zvikuru. Usati wakupa Adalimumab, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Kana uine kenza kana kuti wakamboirwara nayo kare.
- Kana uine chirwere cheshuga.
- Kana wakarongerwa kuvhiyiwa munguva pfupi iri kutevera.
- Kana uine chirwere chemwoyo.
- Kana uine hutachiona hweHepatitis B.
- Kana paine zvimwe zvisina simba muimmune system.
- Kana uine hutachiona mumuviri wako parizvino, semuenzaniso, TB (TB) kana humwe hutachiona hwebhakitiriya, fungus, kana hutachiona.
- Kana uine chirwere chetsinga dzakadai se multiple sclerosis.
- Kana wangobva kugamuchira kana kuti wava kuda kugamuchira mushonga wekudzivirira chirwere.
- Kana uine allergies kune adalimumab kana kune rabha kana latex.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, Adalimumab inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Chinhu chakakosha ndechekuziva izvi uye kutora matanho kana paine zviratidzo zvakakomba.
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Mhedzisiro/chiratidzo | Tsananguro |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, kukosora, pahuro panorwadza, kurwadziwa pakuita weti. |
| Zviratidzo zveKukundikana kweMwoyo | Kutadza kufema zvakanaka, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuwedzera uremu kamwe kamwe, kuzvimba kwezvitsitsinho, tsoka, maoko, kuneta zvakanyanya. |
| Zviratidzo zveKukuvara kwechiropa | Weti yero yakasviba kana yebrown, maziso kana ganda richitsvuka, kushaya chido chekudya, kurwadziwa kumusoro kwemudumbu. |
| Matambudziko ehurongwa hwetsinga | Kuchinja kwekuona, dzungu, kusanzwa, kurwadziwa kana kurasikirwa nemanzwiro mumakumbo, kushaya simba kwetsandanyama. |
| Zvimwe zviratidzo zvakakomba | Kubuda ropa kana mavanga asingawanzoitiki, mapundu kana ma lymph nodes akazvimba mumutsipa, muhapwa, muhudyu, mavanga matsvuku kana mapundu paganda. |
| Migumisiro isingawanzova yakanyanya (asi inofanira kutaurwa kuna chiremba kana ikaramba iripo) | |
|---|---|
| Musoro | Kusvotwa kana kurutsa |
| Kutsvuka, kuvaviwa, kana kurwadziwa kwakapihwa jekiseni | Zviratidzo zvakaita sechando (snot, izvi zvinofanira kunge zviri "mhino inoyerera kana mhino yakazadza") - mhino inoyerera kana mhino yakazadza |
Unoshandisa sei jekiseni iri?
Mushonga uyu unopihwa sejekiseni repasi peganda. Kazhinji uchadzidziswa maitirwo awo kuchipatara kana kukiriniki. Zvakakosha kutora mushonga chaiwo pazuva chairo, sezvawakaudzwa nachiremba wako. Unofanira kuramba uchitora mushonga kusvika akuudza kuti urege.
Usamborasa tsono nemasirinji akamboshandiswa mumarara . Anofanira kuiswa mumudziyo wekuisa mushonga unopinza. Kana usina, bvunza chiremba wako kuti ungaawana sei.
Mushonga uyu unogona kuderedza zvishoma kugona kwemuviri wako kurwisa zvirwere (immune system). Nokudaro, njodzi yekubatwa nehutachiona yakanyanya. Kana ukaona zviratidzo zvakaita sefivha kana dzihwa, usazvirape wega wofonera chiremba wako. Edza kugara kure nevanhu vanorwara.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete. Zvakanaka kutaura nachiremba wako nezve zvekuita kana ukarasikirwa nedosi.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Nzira yekuchengetedza mushonga uyu sei?
Zvakakoshawo kuchengetedza izvi nemazvo.
- Mufiriji: Chengeta patembiricha iri pakati pe2 ne8 degrees Celsius (mukati mefiriji, kwete pamusuwo). Usachengete mufiriji. Usashandise mushonga kana wakaoma.
- Patembiricha yemukamuri: Kana zvichidikanwa, mushonga uyu unogona kuchengetwa patembiricha yemukamuri kwemazuva anosvika gumi nemana. Zvisinei, kana zvakadaro, udzivirire kubva kuchiedza uye rasa zvasara mushure memazuva gumi nemana.
- Rasa mishonga yapera basa zvakanaka kure nevana nezvipfuyo.
Mharidzo Yekuenda Nayo Kumba
- Adalimumab mushonga une simba unodzora zvirwere zvinokonzerwa nematambudziko ekudzivirira muviri.
- Usati watanga mushonga, udza chiremba wako nezveruzivo rwese rwehutano hwako nemimwe mishonga yauri kutora.
- Zvakakosha kudzidza kubaya jekiseni nemazvo.
- Paunenge uchitora mushonga, gara wakangwarira zviratidzo zvehutachiona (fivha, kukosora) kana zvimwe migumisiro yakaipa. Kana ukaona chimwe cheizvi, zivisa chiremba wako nekukasika.
- Usagovane mushonga wako nemumwe munhu chero chikonzero chipi zvacho.
- Chengeta mushonga nemazvo, patembiricha yakakodzera.
- Kana muine mibvunzo nezvemushonga uyu, musatya kukurukura nezvawo nachiremba wenyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Ko mushonga wekudzivirira weAdalimumab (Adalimumab / Humira) mushonga wezvirwere zveganda here?
Uyu hausi mushonga waunogona kungotenga kubva ku pharmacy! Uyu mushonga wemazuva ano unoshanda zvikuru, unopihwa nechipatara (Biologic/TNF-blocker) wezvirwere zvinorwisa muviri zvakaita se 'Rheumatoid Arthritis', Psoriasis, uye chirwere cheCrohn!
💬 Mushonga uyu (Adalimumab) unomisa sei kuzvimba kwakanyanya mumuviri?
Iyi (Antibody) inorwisa zvakananga puroteni ine njodzi inonzi 'TNF-alpha' inogadzirwa nemasoja emuviri wedu. Iyi puroteni ndiyo inoparadza majoini/matumbu edu uye inokonzera kuzvimba kwakanyanya. Kana mushonga uyu ukapinda mumuviri, unowana puroteni ye'TNF-alpha' woivhara/kuiparadza zvachose. Ipapo majoini akakura, mapundu eganda, nematambudziko emudumbu zvinorapwa nekukurumidza.
💬 Ndeipi njodzi inouraya (Black Box Yambiro) kune avo vanobaya mushonga uyu (Humira) unokosha mamiriyoni emadhora?
Izvi zvinoderedza simba remuviri wedu wese, saka hapana anogona kukuponesa kubva ku 'hutachiona hwakakomba'! (Zvirwere Zvakakomba). Kunyangwe dzihwa rinogona kushanduka kuita pneumonia (TB) uye murwere anogona kufa kamwe kamwe. Zvakare, kwave nemishumo pasi rose yekuti vamwe vanhu vakave ne 'kenza itsva (Lymphoma/Cancer)' mushure mekugamuchira mushonga uyu kwenguva yakati!
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga