Pamwe chiremba wako akakunyorera jekiseni rinonzi Etanercept rekurwadziwa kwemajoini kunogara kwenguva refu kana chirwere cheganda. Zvakajairika kunzwa kutya, kuda kuziva, uye kuva nemibvunzo yakawanda paunonzwa nezvemushonga wakaita seuyu. Saka nhasi, ngatitaurei nezvemushonga uyu unonzi Etanercept uye zvaunofanira kungwarira paunenge uchiushandisa, nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Etanercept chaizvo?
Zvichitaurwa zviri nyore, Etanercept mushonga unodzora mashandiro emuviri wako. Dzimwe nguva dziviriro yemuviri wedu, iyo immune system, inonyura zvakanyanya yotanga kurwisa masero edu. Izvi tinozvidaidza kuti mamiriro ezvinhu e autoimmune.
Funga nezvezvirwere zvakaita sepsoriasis nedzimwe mhando dzearthritis. Etanercept inoshanda nekudzora kushanda zvakanyanya kwemasoja emuviri uye kudzora zviratidzo. Mushonga uyu uri muboka remishonga inonzi TNF inhibitors.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yehutano. Izvi zvakakosha kuti uchengetedzeke. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako usingavanzi chero chinhu .
- Kana uine chirwere chinoita kuti uderedze ropa zviri nyore.
- Kana wakamborwara negomarara kana kuti uri kurapwa pari zvino.
- Kana uine chirwere cheshuga.
- Kana uine chirwere chakadai segranulomatosis nepolyangiitis.
- Kana uine chirwere chemwoyo.
- Kana uine HIV kana AIDS.
- Kana paine zvimwe zvisina simba muimmune system.
- Kana pari zvino uine hutachiona hwebhakitiriya, fungus, kana hutachiona, kusanganisira Tuberculosis (TB).
- Kana uine chirwere chechiropa.
- Kana uine zvirwere zvetsinga zvakaita seGuillain-Barre syndrome, multiple sclerosis, kana kuti pfari.
- Kana wangobva kugamuchira kana kuti uri kutarisira kugamuchira mushonga wekudzivirira chirwere.
- Kana wakambova neallergy yemushonga uyu, Etanercept, rabha, latex, kana chero imwe mushonga kana chikafu.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa.
Kugovana ruzivo urwu nachiremba wako kuchakubatsira zvikuru kuwana kurapwa kwakachengeteka uye kwakarurama.
Unoshandisa sei jekiseni iri?
Mushonga uyu unopihwa sejekiseni pasi peganda. Chiremba wako kana nesi achakudzidzisa maitirwo awo. Zvakakosha zvikuru kutora mushonga wakakodzera pazuva rakakodzera. Ramba uchitora mushonga kusvika chiremba wako akuudza kuti urege.
Zvakakosha zvikuru:
- Usamborasa tsono nemasirinji akamboshandiswa mumarara . Zvinogona kuva nengozi kune vamwe.
- Izvi zvinofanirwa kuiswa mumudziyo wepurasitiki wakakora (mudziyo wezvakapinza) unogona kubviswa.
- Kana usina mudziyo wakadaro, bvunza chiremba wako kuti ungauwana sei.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete. Kana usina chokwadi, bvunza chiremba wako.
Ko kana ndikatora mushonga wakawandisa?
Kana ukangoerekana wafunga kuti watora mushonga unopfuura wakatarwa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Neimwe nzira, fonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kupindirana neEtanercept
Unofanira kuudza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini nemishonga yemishonga), sezvo mimwe mishonga inogona kukanganisa Etanercept.
| Rudzi rwemushonga / chikamu | Kunetseka kwakanyanya |
|---|---|
| Dzivisa kutora Etanercept neizvi. | |
| Mimwe mishonga yehupenyu yakaita seadalimumab neinfliximab | Hazvina kukodzera kuvatora pamwe chete nekuti vari muboka rimwe chete. |
| Majekiseni mhenyu | Njodzi yekutapukirwa yakakura nekuda kwekushomeka kwemasoja ekudzivirira chirwere. |
| Rilonacept | Matambudziko angamuka. |
| Bvunza chiremba wako nezvekutora Etanercept nemishonga iyi. | |
| Abatacept, Anakinra | Zvinogona kuwedzera njodzi yekutapukirwa. |
| Cyclophosphamide, Sulfasalazine | Migumisiro inogona kuitika. |
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
- Njodzi yekutapukirwa: Ichi ndicho chinhu chakakosha. Nekuti mushonga uyu unoderedza mashandiro emuviri wako, unogona kubatwa nezvirwere, kunyanya hutachiona . Saka kana uine zviratidzo zvakaita sefivha, dzihwa, pahuro, kukosora, kana maronda asingapore, usazvirape uye fonera chiremba wako nekukasika . Edza kugara kure nevanhu vanorwara.
- Kuongororwa kweTB: Uchaongororwa TB usati watanga mushonga uyu. Kana chiremba wako akakunyorera mushonga weTB, unofanira kutanga kutora mushonga iwoyo wopedza mushonga wese usati watanga kubaya jekiseni iri.
- Mishonga inonyaradza marwadzo: Usatore mishonga yakaita seaspirin neibuprofen usina kurairwa nachiremba, sezvo inogona kuderedza fivha yako uye kuita kuti zviome kuona kana uine hutachiona.
- Njodzi yegomarara: Ongororo dzakawana kuti kutora mushonga uyu kunogona kuwedzera njodzi yekubatwa negomarara. Musazvidya mwoyo nezveizvi, chiremba wenyu achakurukura nemi nezvenjodzi idzi nemabhenefiti asati akupai mushonga.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, Etanercept inogona kukonzera migumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Zvinhu zvikuru |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kurwara kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Kukundikana kwemoyo | Kutadza kufema zvakanaka, kuzvimba kwemakumbo netsoka, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Utachiona | Fivha, dzihwa, kukosora, pahuro panorwadza, maronda asingapore, hutachiona hwemunzira yeweti. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kurasikirwa nechido chekudya, kuda kurutsa, kutsvuka kweganda kana maziso, weti yakasviba. |
| Chirwere chakafanana neLupus | Kurwadziwa kwemajoini, kuzvimba, mapundu kumeso akaita seshavishavi, fivha, kuneta. |
| Matambudziko ehurongwa hwetsinga | Kushaya simba, kushaya simba, kuchinja kwemaonero, pfari. |
| Kubuda ropa kana kukwenya | Kukuvara uye kubuda ropa paganda zvisina kutsanangurwa. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kurwadziwa/kutsvuka panzvimbo yekubaiwa jekiseni | Izvi zvinowanzopera mukati memazuva mashoma. |
| Musoro | Musoro mudiki ungangoitika. |
| Kurwadziwa kwe sinus | Kumanikidzwa kana kurwadziwa kumativi ese echiso nepahuma. |
Mharidzo Yekuenda Nayo Kumba
- Usati watanga mushonga uyu, iva nechokwadi chekuudza chiremba wako nezvezvirwere zvako zvese pamwe nemimwe mishonga yauri kutora.
- Dzidzai kubaya jekiseni nemazvo. Rasai tsono dzakamboshandiswa zvakachengeteka.
- Paunenge uchitora mushonga, chenjerera zvikuru nezvezviratidzo zvehutachiona (fivha, kukosora, dzihwa). Kana ukaona zviratidzo, zivisa chiremba wako nekukasika.
- Usatore mimwe mishonga, kunyanya mishonga inoderedza marwadzo, usina kubvunza chiremba wako.
- Zvakakosha zvikuru kuenda kumisangano yese uye kuongororwa kwaunonyorerwa nachiremba wako nenguva. Usatya kubvunza chiremba wako chero mibvunzo yaunayo nezvemushonga uyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi peni yeEtanercept / Enbrel yekubaiwa jekiseni/kubaiwa jekiseni?
Uyu mushonga wemazuva ano unoshanda zvikuru (Biologic/TNF-blocker) unobayiwa kamwe/kaviri pasvondo pazvirwere zve autoimmune zvakaita se 'Rheumatoid Arthritis', Psoriasis, nezvimwewo! Unodzivirira kusashanda zvakanaka kwemajoini 100%.
💬 Mushonga uyu (Etanercept / TNF blocker) unodzivisa sei kuora kwemapfupa edu uye kuzvimba?
Kana uine arthritis, muviri wako unowanzo gadzira puroteni ine njodzi inonzi 'TNF-alpha'. Puroteni iyi ndiyo inopinda mumajoini uye inoadya/kuaparadza. Mushonga uyu (Soluble TNF receptor fusion protein) unoshanda semushonga wenhema! Kana ukabayiwa, unotora/kubata puroteni yeTNF-alpha muropa isati yasvika pamajoini uye unoivhara/kuiparadza zvachose.
💬 Ndeipi njodzi inouraya (Black Box Yambiro) kune avo vanobaya jekiseni iri (Enbrel) inokosha 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) kana hutachiona hwefungus uye murwere anogona kufa kamwe kamwe. Zvakare, zvakanzi vana nevechidiki vakave ne 'kenza itsva (Lymphoma)' mushure mekugamuchira mushonga uyu kwenguva yakati!
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