Ufuna ukwazi okwengeziwe ngamaphilisi e-Tofacitinib akhululwe isikhathi eside? Nazi izimpendulo zemibuzo yakho!

Ingabe wena noma othile omaziyo uke wanikezwa i-Tofacitinib ngudokotela? Noma uke wezwa ngalo muthi ndawana thize futhi weza lapha ukuzofunda kabanzi ngawo? Kodwa-ke, kulesi sihloko, sizokhuluma ngamaphilisi e-Tofacitinib akhululwa isikhathi eside ngendlela elula neqondakalayo. Sizobheka izinto eziningi njengokuthi lo muthi usebenza kuphi, ukuthi uwusebenzisa kanjani, nokuthi yini okufanele uyiqaphele.

Ngakho-ke, iyini i-Tofacitinib?

Kalula nje, i-Tofacitinib umuthi osetshenziselwa ukwelapha izimo ezithile ezithile. Isetshenziswa kakhulu uku:

• I-Rheumatoid Arthritis: Lolu uhlobo lwe-arthritis olubangela ukuvuvukala nobuhlungu emalungeni futhi luhlala isikhathi eside.
• I-Psoriatic Arthritis: Lolu uhlobo lwe-arthritis. Ngezinye izikhathi luyenzeka kubantu abane-psoriasis.
• I-Polyarticular Juvenile Idiopathic Arthritis: Lolu uhlobo lwe-arthritis oluthinta amalunga amaningi futhi luvela ezinganeni ezincane.
• I-Ankylosing Spondylitis: Lesi yisimo sokuvuvukala esithinta kakhulu amalunga omgogodla.
• I-Ulcerative Colitis: Lesi yisifo sokuvuvukala isikhathi eside esibangela izilonda olwelwesini lwamathumbu amakhulu.

Lo muthi usebenza ngokusebenza ohlelweni lokuzivikela lomzimba wakho. Uhlelo lokuzivikela lomzimba wethu luvame ukusivikela ezifweni. Kodwa ngezinye izikhathi lolu hlelo luba namandla ngokweqile bese luqala ukuhlasela amangqamuzana omzimba wethu. Yilapho kuvela khona lezi zifo ezibalwe ngenhla. Umuthi obizwa ngokuthi i-Tofacitinib ungoweqembu lemithi ebizwa ngokuthi i-JAK inhibitors . Usebenza ngokulawula ezinye zezinto ezingalungile ohlelweni lokuzivikela lomzimba. Ngemuva kwalokho izimpawu ziqala ukwehla.

Lo muthi ungasetshenziswa nodokotela kwezinye izimo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Igama lomkhiqizo elivamile lalo muthi yi- Xeljanz XR .

Yini okufanele uyitshele udokotela wakho ngaphambi kokuqala lo muthi?

Kulungile, manje ake sibone ukuthi yini okudingeka uyitshele udokotela wakho noma umhlengikazi ngaphambi kokuba uqale ukuthatha i-Tofacitinib. Lokhu kubaluleke kakhulu, ngoba lo muthi awufanele wonke umuntu. Uma unesinye noma ngaphezulu kwalezi zimo ezilandelayo, kufanele utshele udokotela wakho :

• Amahlule egazi: Wake waba namahlule egazi emithanjeni yakho ngaphambili? Noma ukhona yini emndenini wakho owake waba nawo?
• Umdlavuza:Wake waba nomdlavuza, noma kukhona emndenini wakho onomdlavuza? Ingabe udokotela ukutshelile ukuthi usengozini yokuba nomdlavuza?
• Isifo Sikashukela (okusho isifo sikashukela): Ingabe unesifo sikashukela?
• Isifo senhliziyo: Ingabe unesifo senhliziyo?
• Umfutho wegazi ophezulu: Ingabe unomfutho wegazi ophezulu?
• I-cholesterol ephezulu: Ingabe unamazinga aphezulu e-cholesterol egazini?
• I-HIV noma i-AIDS: Ingabe kukhona isifo esinciphisa amasosha omzimba njengalesi?
• Izinkinga zesimiso somzimba sokuzivikela: Ingabe unazo ezinye izifo ezihlobene nesimiso somzimba sokuzivikela?
• Ukutheleleka: Ingabe uthola izifo njalo? Ikakhulukazi izifo ezibangelwa amagciwane njenge -chickenpox, izilonda zomkhuhlane, i-herpes, kanye ne-hepatitis B.
• Isifo sofuba (TB) noma ezinye izifo ezibangelwa amagciwane, isikhunta, noma amagciwane: Ingabe unesifo sofuba njengamanje, wake waba naso, noma wake welashwa ngaso?
• Isifo sezinso: Ingabe kukhona inkinga ngezinso zakho?
• Isifo sesibindi: Ingabe kukhona isifo sesibindi?
• Ukubalwa kwegazi okuphansi: Ingabe ubhekene nokubalwa kwamangqamuzana amhlophe egazi, ama-platelet, noma abomvu egazi okuphansi?
• Isifo samaphaphu noma sokuphefumula: Ingabe unezinkinga zokuphefumula ezifana ne-asthma noma i-COPD?
• Ukufakelwa isitho: Uke wafakelwa isitho?
• Ukubhema ugwayi: Uyabhema ugwayi?
• Izinkinga zesisu noma zamathumbu: Ingabe unezinkinga ezifana nezilonda zesisu?
• Ukusabela kokungezwani komzimba ne-tofacitinib noma eminye imithi, ukudla, udayi noma izithasiselo: Wake waba nokusabela kokungezwani komzimba kulo muthi noma yini enye?
• Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu.
• Uma uncelisa: Tshela udokotela wakho ngalokhu futhi.

Lolu hlu lude kancane, kodwa konke kungenxa yokuphepha kwakho.

Uyisebenzisa kanjani kahle le mithi?

Lomuthi kufanele uphuzwe ngomlomo ngamanzi . Kungcono ukuwuthatha ngesikhathi esifanayo nsuku zonke , njengoba udokotela wakho ekutshelile.

Okubalulekile: Ungayisiki, ungayichobozi, noma ungayihlafuni le philisi. Gwinya yonke iphilisi.

Ungawuthatha lo muthi nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzizwa uphatheke kabi esiswini, thatha nokudla. Kufanele uqhubeke nokuphuza lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Uma unikezwa lo muthi yikhemisi, uzonikezwa nencwajana yemiyalelo ekhethekile (i-MedGuide) . Kufanele ulifunde ngokucophelela leli pheshana isikhathi ngasinye lapho uthatha umuthi, nalapho uthola ukugcwalisa kabusha. Liqukethe ulwazi olubalulekile.

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane , ngakho khuluma nodokotela wengane yakho ngakho.

Ukweqisa: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela umnyango wezimo eziphuthumayo wesibhedlela esiseduze noma isikhungo sokulawula ubuthi ngokushesha.

Okunye futhi: Lo muthi ungowakho wedwa. Ungawabelani nabanye, kulungile?

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Naleli futhi iphuzu elibaluleke kakhulu. Eminye imithi ingabangela izinkinga uma ithathwa kanye ne-Tofacitinib.

Ungayithathi i-Tofacitinib kanye nemithi elandelayo:

• I-Upadacitinib

Ngaphezu kwalokho, imithi elandelayo ingasebenzisana ne-Tofacitinib (okusho ukuthi ingabangela imiphumela emibi):

• Eminye imithi yokulwa namagciwane yesifo sofuba, i-HIV, noma i-AIDS
• I-Azathioprine
• Eminye imithi ye-biologic (izibonelo: i-abatacept, i-adalimumab, i-anakinra, i-certolizumab, i-etanercept, i-golimumab, i-infliximab, i-ofatumumab, i-rituximab, i-sarilumab, i-secukinumab, i-tocilizumab, ustekinumab, i-vedolizumab)
• Eminye imithi yokwelapha izifo zesikhunta (izibonelo: i-fluconazole, i-itraconazole, i-ketoconazole, i-voriconazole )
• Eminye imithi esetshenziselwa ukwelapha izimo ezifana nesifo sokuwa (ukukhubazeka) (izibonelo: i-carbamazepine, i-phenobarbital, i-phenytoin )
• I-Cyclosporine
• Imithi yokugoma ephilayo ( eminye imithi yokugoma akufanele inikezwe ngesikhathi uthatha lo muthi)
• Imithi enciphisa ikhono lomzimba wakho lokulwa nezifo
• I-Rifampin (umuthi wesifo sofuba)
• Ezinye izithako, isibonelo i-St. John's wort
• I-Tacrolimus

Lolu hlu aluhlanganisi yonke imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amakhambi, amavithamini, imithi etholakala ngaphandle kwemithi kadokotela, imithi yendabuko, kanye nezithasiselo zokudla.Futhi, uma ubhema ugwayi, uphuza utshwala, noma usebenzisa ezinye izidakamizwa, kufanele ubatshele ngakho, ngoba ezinye izinto zingathintana nalo muthi.

Yini okufanele ngiyiqaphele lapho ngisebenzisa lo muthi?

Ngesikhathi uthatha lo muthi, udokotela wakho uzohlola impilo yakho njalo (ukuhlolwa okuvamile) . Yiya kudokotela njalo. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.

Kuzodingeka futhi ukuthi kwenziwe umsebenzi wegazi ngenkathi uthatha lo muthi.

Enye into ukuthi, ingxenye yokubopha yalo muthi ayincibiliki. Lokho kuyinto evamile. Ungase ubone ingxenye yokubopha yephilisi iphuma nendle yakho. Ungakhathazeki ngakho. Akuyona inkinga. Ingxenye yokwelapha yomuthi isingene emzimbeni.

Lo muthi ungandisa kancane ingozi yakho yokuthola izifo. Ngakho-ke, uma uba nezimpawu ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma impumulo egobhozayo, ungaziphilisi futhi ufune iseluleko sezokwelapha. Zama ukuhlala kude nabantu abagulayo.

Ungathathi imithi yokunciphisa umkhuhlane neqeda ubuhlungu njenge -aspirin, i-acetaminophen, i-ibuprofen, i-naproxen, ne-ketoprofen ngaphandle kweseluleko sikadokotela wakho. Lokhu kunganciphisa umkhuhlane futhi kwenze kube nzima ukuthola ukutheleleka.

Khuluma nodokotela wakho ngengozi yakho yomdlavuza . Ukuthatha lo muthi kungandisa kancane ingozi yakho yokuthola izinhlobo ezithile zomdlavuza.

Ukunakwa okukhethekile mayelana nokukhulelwa nokuncelisa:

Ungakhulelwa ngenkathi uthatha lo muthi. Uma uhlela ukukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Kungabangela umonakalo omkhulu enganeni yakho engakazalwa. Cela udokotela wakho ukuthola ulwazi olwengeziwe.

Ungamncelisi umntwana wakho ibele ngenkathi uthatha lo muthi futhi okungenani amahora angu-36 ngemva kokuyeka umuthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Kulungile, manje ake sixoxe ngemiphumela emibi abanye abantu abangase bayizwe lapho besebenzisa lo muthi. Akuwona wonke umuntu oyitholayo le mithi, kodwa kuhle ukuqaphela.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bona udokotela ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, noma ukuqubuka; ukuvuvukala kobuso, izindebe, noma ulimi.
• Ukugoba kwegazi: Ubuhlungu besifuba; ubunzima bokuphefumula; ubuhlungu bomlenze, ukuvuvukala, noma umuzwa ofudumele.
• Ukuhlaselwa yinhliziyo: Ubunzima bokuphefumula; ubuhlungu noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni; ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile.
• Ukutheleleka:Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu, ubuhlungu noma ubunzima bokuchama.
• Isihlalo esinombala okhanyayo.
• Ukulimala kwesibindi: umchamo ophuzi omnyama noma onsundu; ukuzizwa ungaphilile kahle noma izimpawu ezifana nomkhuhlane; ukulahlekelwa yisifiso sokudla, ubuhlungu esiswini esingaphezulu kwesokudla; ​​ubuthakathaka noma ukukhathala okungavamile, ukuphuzi kwamehlo noma isikhumba.
• Inani lamaseli abomvu egazini eliphansi: Ukuphefumula kanzima; ukuquleka; ukuzizwa unesizungu noma ukhathazekile; ubuthakathaka noma ukukhathala okungavamile.
• Isifo sohlangothi: Ukushintsha kombono; ukudideka; ubunzima bokukhuluma noma ukuqonda; ikhanda elibuhlungu; ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni; ubunzima bokuhamba; isiyezi; ukulahlekelwa yibhalansi.
• Izinyembezi esiswini noma emathunjini: umkhuhlane; ubuhlungu besisu; ushintsho oluzumayo emikhubeni yamathumbu.

Ngokuvamile akukho nkinga enkulu, kodwa uma iqhubeka, nansi eminye yemibuzo okufanele uyitshele udokotela wakho :

Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka nokuba yinkinga, tshela udokotela wakho :

• Uhudo
• Ikhanda elibuhlungu
• Ubuhlungu bemisipha
• Ukuminyana kwamakhala - impumulo egobhozayo noma evalekile

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwale, sicela ubuze udokotela wakho ngayo.

Kufanele ngiwugcine kanjani umuthi? Ngenzenjani uma kukhona okusele?

Gcina lo muthi kude nezingane nezilwane ezifuywayo .

Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25, phakathi kwama-degree Fahrenheit angu-68 no-77) . Ungasebenzisi imithi ephelelwe yisikhathi. Kufanele ilahlwe.

Indlela yokulahla imithi engasetshenziswanga nephelelwe yisikhathi:

• Nikeza umuthi ohlelweni lokubuyisela imithi. Ungabuza ikhemisi lakho noma amaphoyisa ngendawo enjalo.
• Uma ungakwazi ukuyibuyisela ngaleyo ndlela, hlola ilebula noma iphakheji ukuze ubone ukuthi lo muthi kufanele ulahlwe noma uhlanzwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ungawulahla emgqonyeni kadoti, khipha umuthi ebhodleleni/ephaketheni, uwuxube nento efana nodoti wekati, inhlabathi, noma ikhofi, uwufake esikhwameni noma esitsheni esivalwe kahle, bese uwulahla emgqonyeni kadoti.

Into ebaluleke kakhulu - khumbula! (Umyalezo Wokuya Ekhaya)

I-Tofacitinib ingaba umuthi owusizo kakhulu, kodwa kuphela uma isetshenziswa kahle.

• Njalo thatha imithi yakho njengoba nje udokotela wakho ekutshelile.
• Unayo ini?Uma uhlangabezana nanoma yimiphi imiphumela emibi, tshela udokotela wakho ngayo.
• Lo muthi ungowakho wedwa, ungawubelani nabanye.
• Uma unemibuzo noma ukungabaza, ungabi namahloni okubuza udokotela wakho noma usokhemisi .

Leli phepha lolwazi liyisifinyezo kuphela. Lingase lingabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

I- Tofacitinib, i-Tofacitinib, i-Xeljanz XR, isifo samathambo, ukuvuvukala kwamalunga, i-JAK inhibitor, isimiso somzimba sokuzivikela, i-ulcerative colitis