Une chirwere chinonzi rheumatoid arthritis here, kana rheumatoid arthritis? Kana kuti chiremba wako akakurayira kuti utange mushonga unonzi Tocilizumab? Zvakajairika kuti unzwe kutya uye kuda kuziva kana ukanzwa nezverudzi urwu rwemushonga. Pamwe une mibvunzo yakawanda mupfungwa dzako, yakaita sekuti mushonga uyu unoshandiswei, unoita sei, uye kana une migumisiro yakaipa . Saka nhasi, ngatitaurei nezvemushonga uyu unonzi Tocilizumab, nenzira iri nyore yaunogona kunzwisisa.
Tocilizumab mushonga werudzii?
Muchidimbu, Tocilizumab mushonga unodzora mamwe maitiro emuviri wako, unowanzopihwa sejekiseni. Dzimwe nguva masoja emuviri wedu anotanga kushanda zvakanyanya uye otanga kurwisa masero emuviri wedu. Mushonga uyu unonyanya kushandiswa kudzora zvirwere zvinoitika muzviitiko zvakadaro.
Kune zvirwere zvakawanda zvinowanzo nyorwa navanachiremba nezvemushonga uyu:
- Rheumatoid Arthritis: Chirwere chinokonzera kuzvimba, kurwadziwa, uye kuomarara kwemajoini evanhu vakuru.
- Juvenile Idiopathic Arthritis : Chirwere chepfundo chinowanikwa muvana vane makore anopfuura maviri.
- Giant Cell Arteritis: Chirwere chinokonzera kuzvimba kwetsinga dzeropa .
- Cytokine Release Syndrome (CRS): Kurwara kwakanyanya kunogona kuitika panguva yekurapwa kwegomarara.
- Chirwere cheMapapu Chine Chekuita neSclerosis: Kudzora kudzikira kwebasa remapapu kunokonzerwa nezvimwe zvirwere.
Chiremba wako anogonawo kunyora mushonga uyu kune zvimwe zvirwere zvisiri pane urongwa uhwu.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Izvi zvakakosha zvikuru. Usati watanga kutora Tocilizumab, zvakakosha kuudza chiremba wako nezvenhoroondo yako yese yehutano . Kunyanya kana uine chimwe chezvirwere zvinotevera:
| Dambudziko/hutano | Sei uchifanira kuva nehanya nazvo? |
|---|---|
| Chero rudzi rwe **utachiona** (semuenzaniso TB, herpes, chickenpox, mamwe hutachiona hwebhakitiriya kana hwemavhairasi) | Mushonga uyu unogona kuwedzera hutachiona huripo nekuti unoderedza dziviriro yemuviri. |
| **Zvirwere zvechiropa** (semuenzaniso Hepatitis B) | Mushonga uyu unogona kukanganisa chiropa, uye hutachiona hwekare hunogona kumukazve. |
| **Kenza** mamiriro kana nhoroondo yekenza | Pane fungidziro yekuti mushonga uyu unogona kuwedzera njodzi yekubatwa nekenza. |
| **Shuga**, chirwere chemwoyo, BP yakakwira, cholesterol yakakwira | Mamiriro aya anogona kuwedzera njodzi yekutapukirwa nezvimwe zvinetso. |
| **Kuderera kwehuwandu hweropa** (masero machena eropa, maplatelet, masero matsvuku eropa) | Mishonga inogona kuderedza zvimwe zvirwere izvi. |
| Matambudziko emudumbu (semuenzaniso Diverticulitis) | Pane njodzi yekuboorwa (misodzi) mudumbu kana muura. |
| Kana wangobva kugamuchira **kubaiwa** kana kuti wakarongerwa kugamuchira imwe mune ramangwana | Zvikuru sei, majekiseni ehutachiona hwemhenyu anofanira kudzivirirwa. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana **uchiyamwisa** | Unofanira kukurukura nachiremba wako kana mushonga wacho ungakanganisa mwana. |
Mushonga uyu munoshandiswa sei?
Mushonga weTocilizumab unopiwa nenzira mbiri: kungava mutsinga kana pasi peganda.
- Muchipatara kana kiriniki: Kazhinji, mushonga uyu unopihwa muchipatara kana kiriniki nevashandi vekurapa vakadzidziswa.
- Kupiwa mushonga kumba: Dzimwe nguva, chiremba wako achakuudza maitirwo ekupa mushonga kumba. Kana zvakadaro, unofanira kutora mushonga wacho sezvakarayirwa, panguva chaiyo, uye nechiyero chakakodzera. Usamborega kutora mushonga wacho kunze kwekunge chiremba wako akuudza kuti uite kudaro.
Chinhu chakakosha: Usamborasa tsono nemasirinji ako awakamboshandisa mumarara. Pane mudziyo wakakosha wavanoisa (mudziyo unopinza). Kana usina, bvunza chiremba wako. Izvi zvakakosha kudzivirira kukuvadza nharaunda nezvimwe.
Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?
Zvakakosha zvikuru kutora mushonga wako nenguva. Kana usingakwanise kuenderera mberi nenguva kuchipatara, udza chiremba wako kana kuchipatara nekukasika. Kana uri kutora mushonga wako kumba, kana ukarasikirwa nedosi, tora mushonga iwoyo nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora mushonga wako unotevera, siya mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete. Kana uine mibvunzo nezveizvi, bvunza chiremba wako.
Mimwe mishonga isingafanirwe kushandiswa nemushonga uyu
Tocilizumab mushonga unogona kushanda pamwe chete nemimwe mishonga, saka unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
- Zvausingafaniri kutora: Usapihwe majekiseni ehutachiona huri mhenyu paunenge uchitora mushonga uyu.
- Mimwe mishonga inogona kupindirana:
- Mimwe mishonga yezvehupenyu yakaita seAbatacept, Adalimumab, Etanercept
- Mapiritsi ekudzivirira pamuviri
- Mimwe mishonga inoderedza cholesterol, yakadai seAtorvastatin neSimvastatin
- Cyclosporine, Omeprazole, Theophylline
- Mishonga yeSteroid yakaita sePrednisone kana Cortisone
- Mishonga inobvisa ropa rakanyanya senge Warfarin
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvese zvaunotora.
Zvinhu zvekurangarira kana uchitora mushonga
- Kuongororwa kweChirwere cheTB (Kuongororwa kweTB):Uchaongororwa chirwere cheTB usati watanga mushonga uyu. Kana chiremba wako akakunyorera mushonga weTB, unofanira kutanga kutora mushonga iwoyo wopedza mushonga wese usati watanga Tocilizumab.
- Njodzi yekutapukirwa:
- Kuongororwa kweropa: Chiremba wako achakuraira kuongororwa ropa nguva dzose kuti aongorore mamiriro ako paunenge uchitora mushonga. Usazvirega.
- Njodzi yegomarara: Pane humbowo hunoratidza kuti mushonga uyu unogona kuwedzera njodzi yemamwe marudzi egomarara. Kana muine mibvunzo nezveizvi, ndapota taurai nachiremba wenyu.
- Tocilizumab mushonga une simba unoshandiswa kurapa zvirwere zvine chekuita nekudzivirira muviri zvakaita serheumatoid arthritis.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese nemimwe mishonga yauri kutora.
- Pane mukana wakawedzerwa wekutapukirwa nechirwere panguva yekutora mushonga uyu. Kana ukaona zviratidzo zvakaita sefivha, kukosora, kana kurwadziwa pahuro, tsvaga rubatsiro rwechiremba nekukasika.
- Kana ukaona zviratidzo zvakaita sekurwara zvakanyanya, matambudziko echiropa, kana kurwadziwa kwakanyanya mudumbu, enda kuchipatara nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, musatya kubvunza chiremba wenyu.
Chinonyanya kukosha! Mushonga uyu unoderedza mashandiro emuviri wako, saka unogona kutapukirwa nezvirwere zviri nyore. Kana ukaona zviratidzo zvakaita sefivha, dzihwa, kurwadziwa kwemuviri, pahuro, kukosora, usatore paracetamol wega, asi fonera chiremba wako nekukasika. Gara kure nevanhu vanorwara zvakanyanya sezvinobvira.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemishonga yese, Tocilizumab inogona kukonzera migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.
| Migumisiro nezviratidzo | |
|---|---|
| Zvinhu zvekukurumidzira kuzivisa chiremba wako kana Dhipatimendi reEmergency (ETU) rechipatara | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi, kuoma kufema. |
| Zviratidzo zvekukuvara kwechiropa | Weti yero yakasviba kana yebrown, maziso kana ganda rakatsvuka, kurwadziwa mudumbu rekumusoro kurudyi, kuneta kwakanyanya, kushaya chido chekudya. |
| Kuboorwa kwedumbu kana ura | Fivha yakanyanya, kurwadziwa kwakanyanya mudumbu, kuchinja kamwe kamwe kwemaitiro emudumbu. |
| Zviratidzo zvehutachiona | Fivha, dzihwa, pahuro panorwadza, kukosora, hutachiona hwemunzira yeweti. |
| Zviratidzo zveropa rakaderera | Maronda asingawanzoitiki, kubuda ropa, kuneta zvakanyanya, kunetseka kufema, kufenda. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Musoro, dzungu | Izvi zvinowanzopera mumazuva mashoma. |
| Kurwadziwa, kutsvuka panzvimbo yekubaiwa jekiseni | Zvakajairika kunzwa kurwadziwa kudiki kana kutsvuka panzvimbo yekubaiwa jekiseni. |
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti washandisa zvinodhaka zvakanyanya, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
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