He aha te Adalimumab-aaty: Ngā Whakamahinga, te Inenga, Ngā Pānga taha me ētahi atu

Ko te Adalimumab-aaty he momo rongoā koiora o te rongoā rongonui adalimumab, i hangaia hei rongoā i ngā momo āhuatanga autoimmune mā te whakamārie i te pūnaha ārai mate kaha rawa o tō tinana. Whakaarohia he rongoā whāinga nui e āwhina ana ki te whakahoki i te taurite i te wā e whakaeke hē ana tō pūnaha ārai mate i ō kiko hauora ake.

No tētahi rōpū e kiia nei ko ngā aukati TNF tēnei rongoā, e mahi ana mā te aukati i tētahi pūmua motuhake e pā ana ki te mumura i ngā āhuatanga pēnei i te mate rūmātiki, te mate a Crohn, me te psoriasis. Ka whiwhi koe i tēnei mā te werohanga i raro i tō kiri, te tikanga kotahi ia rua wiki, ia marama rānei, i runga i tō āhuatanga motuhake.

He aha te Adalimumab-aaty?

Ko te Adalimumab-aaty te mea e kīia ana e ngā tākuta he rongoā "biosimilar" ki te adalimumab taketake. Ko te biosimilar he kape tata rite tonu ki tētahi rongoā koiora o mua kua whakamatauria he rite tonu te haumaru me te whai hua ki te taketake.

Ko tēnei rongoā he pūmua i hangaia i te taiwhanga e whai ana i ētahi paturopi e whakaputaina ana e tō pūnaha ārai mate. Heoi, hei utu mō te whawhai i ngā mate, ka whāia e ia, ka aukati i tētahi pūmua e kīia ana ko te tumor necrosis factor-alpha (TNF-alpha) e pā ana ki te mumura nui i ngā mate autoimmune.

Ko te wāhanga "-aaty" o te ingoa he tohu motuhake noa iho e āwhina ana ki te wehe i tēnei biosimilar mai i ētahi atu momo adalimumab. Ka rongo pea koe i tō tākuta e kōrero ana ki a ia i tōna ingoa waitohu, i te "adalimumab biosimilar" rānei.

He aha te Adalimumab-aaty e whakamahia ana?

Ka rongoā te Adalimumab-aaty i ētahi āhuatanga autoimmune e whakaeke ana tō pūnaha ārai mate i ngā kiko hauora o tō tinana. Ka tohua pea e tō tākuta i te wā kāore anō ētahi atu rongoā i whai hua, i te wā rānei e hiahia ana koe ki te rongoā kaha ake hei whakahaere i ō tohumate.

Ko ngā āhuatanga e tino pāpā ana ki te rongoā ko te rūmātiki, e āwhina ana ki te whakaiti i te mamae me te pōhēhē o ngā hononga, ka taea te whara i ō hononga i te wā. He tino whai hua hoki mō te psoriasis, e āwhina ana ki te whakawātea i ngā pāti matotoru, te kirikiri e puta ana i runga i tō kiri.

Mō ngā āhuatanga o te kōpū, ka taea e tēnei rongoā te huri i te oranga mō ngā tāngata e mate ana i te mate a Crohn, i te colitis ulcerative rānei. E āwhina ana ki te whakaora i te mumura i roto i ō whekau, ā, ka taea te whakaiti i ngā tohumate pēnei i te mamae o te puku, te korere, me te toto.

Ko ētahi atu āhuatanga ka taea e tō tākuta te rongoā ki te adalimumab-aaty ko te ankylosing spondylitis (he momo rūmātiki e pā ana ki tō tuarā), te rūmātiki psoriatic, me ētahi āhuatanga kanohi pēnei i te uveitis. I roto i ngā tamariki, i ētahi wā ka whakamahia mō te rūmātiki tamariki i te wā kāore anō ētahi atu rongoā i pai.

Me pēhea te mahi a Adalimumab-aaty?

Ka mahi a Adalimumab-aaty mā te aukati i tētahi pūmua mumura motuhake e kīia ana ko TNF-alpha e whakaputaina ana e tō pūnaha ārai mate i te nui rawa i te wā o ngā mate ārai-a-tinana. Ko tēnei pūmua e mahi ana pēnei i te tohu whakaoho e pupuri ana i tō pūnaha ārai mate i te kaha rawa, e pā ana ki te mumura tonu me te whara o te kiko.

I te wā e werohia ana e koe te adalimumab-aaty, ka herea ki ngā ngota TNF-alpha i roto i tō toto, ā, ka ārai i a rātou ki te whakaoho i te mumura. Whakaarohia me te pēhi i te pātene wahangu i runga i ngā tohu mumura e pā ana ki ō tohumate.

E whakaarohia ana tēnei rongoā he rongoā kaha, e whāia ana, kaua ki te rongoā ngawari. He mea hanga motuhake mō ngā āhuatanga ārai-a-tinana mō te āhua ki te kaha, i te wā e hiahia ana tō pūnaha ārai mate ki te whakamārie nui kia ārai i te whara wā-roa ki ō okana me ō kiko.

Ko ngā pānga ka tīmata i roto i te 2-4 wiki i te tīmatanga o te rongoā, ahakoa ka kite ētahi tāngata i ngā whakapainga i mua. Ko ngā painga nui rawa ka puta i te 3-6 marama o te whakamahi tonu, i te mea ka whakamārie haere ngā tukanga mumura o tō tinana.

Me pēhea taku tango i te Adalimumab-aaty?

Ka tae mai te Adalimumab-aaty hei werohanga kua whakakiia i mua, ka werohia e koe i raro i te kiri, i te huha, i te puku, i te ringa ranei. Ka whakaako to roopu hauora i a koe i te tikanga werohanga tika, ka awhina i a koe kia pai ki te mahi i mua i to mahi i te kainga.

Ko te nuinga o nga tangata ka werohia tenei rongoa kotahi i nga wiki e rua, ahakoa ka whakatika pea to taakuta i te waarangi i runga i to ahuatanga me to urupare. He mea nui ki te werohia i te ra kotahi i nga wa katoa kia mau tonu nga taumata i roto i to toto.

Ka taea e koe te tango i tenei rongoa me te kore kai ranei, na te mea ka werohia, kaua e tangohia ma te waha. Heoi, me penapena e koe nga syringe kua whakakiia i mua, i nga pene ranei i roto i to pouaka whakamātao, ka waiho kia tae ki te pāmahana rūma mo te 15-30 meneti i mua i te werohanga.

Me huri tonu o waahi werohanga hei aukati i te riri, i nga pupuhi ranei i raro i to kiri. Kia mau ki te waahi i werohia e koe i mua tata nei, ka kowhiri i tetahi waahi rereke i nga wa katoa. Horoi i te waahi werohanga ki te waipiro waipiro, ka waiho kia maroke rawa i mua i te werohanga.

Mena kei te mataku koe ki te werohia i a koe ano, kia mahara he angiangi rawa te ngira, a he maha nga tangata e kite ana he iti ake te mamae i ta ratou i tumanako. Ka taea hoki e to kaiwhakarato hauora te whakahau i te kirīmi whakamomori mena he tino tairongo koe ki nga werohanga.

Kia Pehea Te Roa E Tango Ai Au i te Adalimumab-aaty?

Ko te roa o te maimoatanga adalimumab-aaty ka rereke i runga i to ahuatanga me te pai o to urupare ki te rongoa. He maha nga tangata e mate ana i nga mate autoimmune mau tonu e tango ana mo nga tau ki te pupuri i te whakahaere tohu me te aukati i te ahunga whakamua o te mate.

Mo nga ahuatanga penei i te rumatoid arthritis, i te mate a Crohn ranei, ka hiahia pea koe ki te maimoatanga mo te wa roa na te mea he mate mau tonu enei kaore he rongoa i tenei wa. Ka aroturukihia e to taakuta to urupare me te whakatika i te maimoatanga i te mea e tika ana, engari ko te whakamutu wawe ka arahi ki te hokinga mai o nga tohu.

Ko ētahi tāngata e pā ana ki te psoriasis ka taea te okioki mai i te rongoā mena ka mārama katoa ō rātou kiri, ka noho mārama mō te wā roa. Heoi, me whakatau tonu tēnei whakatau me te āwhina o tō tākuta, nā te mea ko te whakamutu ohorere ka puta he mura.

Ka arotakehia e tō kaiwhakarato hauora i ngā wā katoa mēnā kei te nui tonu ngā painga i ngā tūponotanga. Ka whakaarohia e rātou ngā āhuatanga pēnei i te pai o te whakahaere i ō tohumate, ngā pānga taha e pā ana ki a koe, me ngā hua mai i ngā whakamātautau toto i ngā wā katoa e aroturuki ana i tō pūnaha ārai mate.

Kaua rawa e mutu te tango o te adalimumab-aaty ohorere me te kore e kōrero tuatahi ki tō tākuta. Ka hiahia pea rātou ki te whakaiti i tō horopeta, ki te huri rānei i a koe ki tētahi rongoā rerekē hei aukati i ō tohumate kia hoki kaha mai.

He aha ngā pānga taha o te Adalimumab-aaty?

Pērā i ngā rongoā katoa e pā ana ki tō pūnaha ārai mate, ka taea e te adalimumab-aaty te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko ngā pānga taha noa he ngawari noa iho, ā, ka taea te whakahaere mā te manaaki me te aroturuki tika.

Ko ngā pānga taha e pā ana ki a koe ko ngā tauhohenga i te wāhi werohanga, pēnei i te whero, te pūhi, te mamae ngawari rānei e ngaro ana i roto i te rā, e rua rānei. Ka pā hoki ētahi tāngata i ngā tohumate ngawari pēnei i te makariri, te mamae o te upoko, te ngenge rānei i te wā e urutau ana tō tinana ki te rongoā.

Anei ngā pānga taha noa e tika ana kia mōhio koe:

• Ngā tauhohenga wāhi werohanga (whero, pūhi, mānukanuka)
• Ngā mate i te ara rererangi o runga pēnei i te makariri, te mate sinus rānei
• Te mamae o te upoko me te ngenge ngawari
• Te whakapairuaki, te raru puku rānei
• Te pānga kiri, te tauhohenga kiri ngawari rānei
• Ngā tohumate ngawari pēnei i te rewharewha

Ko ēnei pānga taha noa ka pai ake i te wā e urutau ana tō tinana ki te rongoā, i roto i ngā wiki tuatahi o te rongoā.

He iti noa iho nga paanga kino e hiahia ana kia aro tonu mai te rongoa. I te mea ka aukati a adalimumab-aaty i tō pūnaha ārai mate, he nui ake te tūponotanga ki te whakawhanake i ngā mate, tae atu ki ētahi ka kaha.

Koinei ngā paanga kino e hiahia ana kia tere te rongoa:

• Ngā tohu o te mate nui (kirika, makariri, mare tonu, ngenge rerekē)
• Ngā tohu o te mate kohi (mare tonu, ngaro te taumaha, werawera i te pō)
• Ngā tohu o ngā raruraru ate (kowhai o te kiri, o ngā kanohi rānei, mimi pouri, ngenge nui)
• Ngā tohu o te korenga o te ngākau (pōkaikaha, pūhihi i ngā waewae, i ngā waewae rānei)
• Te rere toto rerekē, te pānga rānei
• Ngā tauhohenga kiri nui, ngā tipu kiri hou rānei
• Ngā tohu neurological (ngaro te mānawa, te ngau, te huringa o te tirohanga)

Whakapā atu ki tō tākuta i te wā tonu ki te pōkaikaha koe i ēnei tohu nui, nā te mea me whakatika te rongoa, me whai rongoa atu rānei.

Ko ngā paanga kino onge engari nui ka uru ki te whakaoho anō o te hepatitis B (i roto i ngā tāngata i pā ki tēnei mate i mua), ētahi momo mate pukupuku, me ngā tauhohenga mate pāwera nui. Ka tirotiro tō tākuta i a koe mō ēnei tūponotanga i mua i te tīmatanga o te rongoa, me te aroturuki i a koe i ngā wā katoa.

Ko wai kāore e tika kia tango Adalimumab-aaty?

Kāore i te haumaru a Adalimumab-aaty mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakarite. Ko ētahi āhuatanga hauora me ngā āhuatanga ka nui rawa te tūponotanga, ka kore e tika mō ētahi tāngata.

Kāore koe e tika kia tango adalimumab-aaty mēnā he mate kaha tō, tae atu ki ngā mate nui pēnei i te mate kohi, mēnā kei te whawhai koe i tētahi mate huakita, huaketo, harore rānei. Me tino mahi tō pūnaha ārai mate ki te whakahaere i ngā mate, ā, ka raru tēnei rongoa i taua tukanga.

Me mātakitaki te hunga e pangia ana e ngā mate pāwera roa ki te karo i tēnei rongoā. Ki te pangia koe e te hepatitis B, hepatitis C, HIV rānei, ka taea e te pēhi i te pūnaha ārai mate mai i te adalimumab-aaty te whakanui i ēnei āhuatanga, te uaua rānei ki te whakahaere.

Ko ngā āhuatanga matua ēnei e ārai ana i tētahi tangata ki te tango adalimumab-aaty:

• Ngā mate kaha o ngā momo katoa
• Hītori o te mate kohi, te pānga rānei ki te mate kohi
• Ngā mate huaketo roa (hepatitis B, hepatitis C, HIV)
• Te rongoā mate pukupuku o nāianei, o nā tata rānei
• Te ngoikore o te ngākau
• Te mōhiotanga ki te pānga ki te adalimumab, ki ngā rongoā rite rānei
• Ngā kano ārai mate ora o nā tata nei, ngā kano ārai mate ora rānei e whakamahere ana

Ka tūpato anō tō tākuta ki te whakahau i tēnei rongoā ki te pangia koe e te mate huka, te mate tākihi roa, te mate ate rānei, ki te neke atu rānei koe i te 65 tau te pakeke, nā te mea ka whakanui ēnei āhuatanga i tō tūponotanga ki ngā raruraru.

Me whai whakaaro motuhake ki te hapū me te whāngai ū. Ahakoa ka whakamahia pea te adalimumab-aaty i te wā e hapū ana i ētahi āhuatanga, ka āta whakatau tō tākuta i ngā painga ki ngā tūponotanga pea ki a koe me tō pēpi.

Ki te whakamahere koe i te pokanga, ka mutu pea tō tākuta i tō rongoā adalimumab-aaty mō tētahi wā poto hei whakaiti i te tūponotanga o te mate i te wā e ora ana. Me whakamōhio tonu ki ngā kaiwhakarato hauora e rongoā ana i a koe kei te tango koe i tēnei rongoā.

Ngā Ingoa Waitohu Adalimumab-aaty

Ko Adalimumab-aaty te ingoa whānui mō tēnei rongoā koiora rite, engari ka hokona anō i raro i te ingoa waitohu Hyrimoz. Ka taea e tō whare rongoā te tuku i te putanga whānui, i te putanga ingoa waitohu rānei, i runga i te inihua me te wātea.

Ko te rongoā adalimumab taketake ka hokona i raro i te ingoa waitohu Humira, ā, tērā pea ka mōhio koe ki tēnei mai i ngā pānuitanga, i ngā rongoā o mua rānei. I whakawhanakehia te adalimumab-aaty hei kōwhiringa utu iti ake ki a Humira i te wā e whakarato ana i ngā painga rongoā rite.

Inā tō tākuta e whakahau ana i tēnei rongoā, ka tuhia pea e rātou te "adalimumab-aaty" rānei "Hyrimoz" ki runga i tō rātou tohutohu. He rite tonu te rongoā e pā ana ki ēnei, no reira kaua e māharahara ki te kite koe i ngā ingoa rerekē i runga i tō tohutohu me te pōkai rongoā.

He pai pea ki tō kamupene inihua te kōwhiri i tētahi putanga e hipokina ana e rātou, nō reira he pai ki te pātai ki tō whare rongoā mō ngā rerekētanga utu i waenga i te ingoa waitohu me ngā putanga whānui.

Ngā Kōwhiringa kē mō Adalimumab-aaty

Mēnā kāore te adalimumab-aaty e pai ana ki a koe, e pāngia ana rānei e ngā pānga taha raruraru, he maha ngā rongoā kē atu ka taea te rongoā i ngā āhuatanga rite. Ka whakaaro tō tākuta ki tō āhuatanga motuhake, ngā rongoā o mua, me ngā āhuatanga hauora takitahi i te wā e tūhura ana i ētahi atu kōwhiringa.

Ko ētahi atu rongoā aukati TNF e mahi ana i te rite ki te adalimumab-aaty, ā, he pai pea ngā kōwhiringa kē. Kei roto i ēnei ko te etanercept (Enbrel), te infliximab (Remicade), me te golimumab (Simponi), ahakoa he rerekē ngā hōtaka inenga me ngā tikanga whakahaere.

Mō ētahi āhuatanga, ka whakaaro pea tō tākuta ki ngā momo rongoā koiora rerekē e aro ana ki ētahi atu wāhanga o tō pūnaha ārai mate. Kei roto i ēnei ko ngā rongoā pēnei i te rituximab, te abatacept, rānei te tocilizumab, e mahi ana mā ngā tikanga rerekē engari ka whai hua tonu.

Ko ngā rongoā whakarerekē i te mate tuku iho pēnei i te methotrexate, te sulfasalazine, rānei te leflunomide ka waiho pea hei kōwhiringa, ina koa kei te rapu koe i ngā rongoā waha kaua ki ngā werohanga. He iti ake te utu o ēnei i te nuinga o te wā engari ka roa pea te wā ki te whakaatu i ngā pānga.

Ka mahi tō tākuta ki a koe ki te kimi i te kōwhiringa pai rawa atu i runga i ō hiahia motuhake, ngā hiahia o te oranga, me te pēhea te urupare o tō tinana ki ngā rongoā rerekē. Ko te whāinga tonu ko te kimi i te rongoā whai hua rawa atu me te iti rawa o ngā pānga taha mō tō āhuatanga motuhake.

He Pai Anei te Adalimumab-aaty i te Humira?

I hangaia te Adalimumab-aaty kia whai hua rite tonu ki te Humira (te adalimumab taketake) mō te rongoā i ngā āhuatanga autoimmune. Hei biosimilar, me whakaatu mā ngā whakamātau haumanu whānui e mahi ana i te rite ki te rongoā taketake.

Mō te whai huatanga, ka taea e koe te tūmanako ka whakawhiwhia e te adalimumab-aaty te āwhina i ngā tohumate me te whakahaere i te mate rite tonu ki te Humira. He rite tonu te whakauru kaha me te pēhea te mahi i tō tinana, nō reira kāore e pā te huri i waenga i a rāua ki ngā hua o tō rongoā.

Ko te painga nui o te adalimumab-aaty ki te Humira ko te utu. He iti ake te utu o ngā rongoā biosimilar i ō rātou hoa waitohu, ā, ka hua tēnei i ngā utu iti ake, i ngā utu-a-pukoro rānei mō koe, i runga i tō inihua.

He pai ake te tahi i te tahi o ētahi tāngata i runga i ngā āhuatanga pēnei i te hoahoa pūrere werohanga, ngā whakaritenga rokiroki, te pēhea rānei te rongoā i te wā o te werohanga. Heoi, he iti noa iho ēnei rerekētanga, ā, ka heke iho ki te hiahia whaiaro, kaua ki te pai ake o te rongoā.

Mēnā kei te tango koe i te Humira i tēnei wā, ā, e kī ana tō tākuta kia huri ki te adalimumab-aaty, ka taea e koe te mōhio kei te whiwhi koe i te rongoā rite tonu. He māmā te huri, kāore he hiahia ki te whakatika i te inenga, i te wā rānei.

Ngā Pātai Auau mō Adalimumab-aaty

Q1. He Haumaru te Adalimumab-aaty mō te Tāngata e mate huka ana?

Ka taea te whakamahi i te Adalimumab-aaty e te tāngata e mate huka ana, engari me nui ake te aroturuki me te whakahaere tupato. Ka pā te mate huka ki te kaha o tō pūnaha ārai mate ki te whawhai i ngā mate, ā, ka pēhi tonu te adalimumab-aaty i te mahi ārai mate, ka piki ake pea te tūponotanga o te mate.

Ka mahi tahi tō tākuta me koe ki te aroturuki i ō taumata huka toto me te titiro ki ngā tohu o te mate urutā i te mea e tika ana. Ka mahi tahi pea rātou me tō endocrinologist, tō tohunga mate huka rānei, kia pai ai te whakahaere i tō mate huka i te wā e tango ana koe i tēnei rongoā.

He maha ngā tāngata e mate huka ana, e whai ana hoki i ngā āhuatanga autoimmune e tango angitu ana i te adalimumab-aaty me te tirotiro hauora tika. Ko te mea nui ko te pupuri i te mana whakahaere huka toto pai me te noho mataara ki te ārai i te mate urutā me te kite wawe.

Q2. Me pēhea ahau ki te whakamahi nui rawa atu i te Adalimumab-aaty?

Mēnā ka werohia e koe te nui rawa atu o te adalimumab-aaty i te mea i whakaritea, whakapā atu ki tō kaiwhakarato hauora i te wā tonu, ahakoa kei te pai koe. Ka taea e te nui rawa te whakanui i tō tūponotanga ki ngā mate urutā nui me ētahi atu raruraru, nō reira he mea nui te arotake hauora.

Kaua e mataku, engari me rapu wawe i te āwhina hauora. Ka hiahia pea tō tākuta ki te aroturuki i a koe i te tata atu ki ngā tohu o te mate urutā, ētahi atu pānga taha rānei i roto i ngā wiki e whai ake nei. Ka whakatika pea rātou i tō inenga e whai ake nei, ka whakamutu rānei i te rongoā.

Kawea mai te mōkihi rongoā ki tō hui kia taea ai e tō kaiwhakarato hauora te whakatau mō te nui rawa o te rongoā i whiwhi koe. Mā tēnei mōhiohio e āwhina i a rātou ki te aromatawai i tō tūponotanga me te whakamahere i te aroturuki tika.

Q3. Me pēhea ahau ki te ngaro i te inenga o te Adalimumab-aaty?

Mēnā ka ngaro koe i te inenga o te adalimumab-aaty, werohia i te wā tonu ka mahara koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. I taua wā, waiho te inenga i ngaro, ka haere tonu ki tō hōtaka auau, kaua e rua.

Whakamātau ki te hoki ki tō hōtaka auau i te wa e taea ai, i te mea ko ngā taumata riterite o te rongoā i roto i tō toto e āwhina ana ki te pupuri i te mana whakahaere tohu. Mēnā kāore koe i te mōhio ki te wā, waea atu ki tō kaiwhakarato hauora, ki te kaimātai rongoā rānei mō te āwhina.

Kāore pea he raruraru tonu ki te ngaro i te horopeta i etahi wa, engari ki te ngaro i nga horopeta maha ka hoki mai ano ō tohu. Whakaarohia te whakatakoto i nga whakamaharatanga waea, te whakamahi ranei i te taupānga aroturuki rongoā hei awhina i a koe ki te mahara ki te waarangi werohanga.

Q4. Ahea Ka Taea e Au te Kati te Tango Adalimumab-aaty?

Me mutu noa koe ki te tango adalimumab-aaty i raro i te tirotiro a tō tākuta, ahakoa kei te pai ake koe. Ko te nuinga o nga mate autoimmune e hiahia ana ki te rongoā tonu hei aukati i te hokinga mai o nga tohu me te tiaki i nga kino o te okana mo te wa roa.

Ka arotakehia e tō tākuta i nga wa katoa mena kei te hiahia tonu koe i te rongoā ma te arotake i ō tohu, te whakahaere i nga whakamatautau tinana, me te arotake i nga whakamatautau taiwhanga. Ka whakaaro pea ratou ki te whakaiti i te horopeta, ki te whakaroa ranei i te wa i waenga i nga werohanga i mua i te whakamutu katoa.

Ka taea e etahi tangata te whakamutu i te adalimumab-aaty mena kua noho ratou i roto i te murunga mo nga wa roa, engari ko tenei whakatau e hiahia ana ki te arotake hauora tupato. Ka hangaia e tō tākuta he mahere mo te aroturuki i tō āhua i muri i te whakamutu kia mau ai i nga tohu e hoki wawe ana.

Q5. Ka Taea e Au te Whiwhi Kano ārai mate i te wa e tango ana i te Adalimumab-aaty?

Ka taea e koe te whiwhi i te nuinga o nga kano ārai mate i te wa e tango ana i te adalimumab-aaty, engari me karo katoa e koe nga kano ārai mate ora. Kei roto i nga kano ārai mate ora nga huaketo ngoikore engari e ora ana, nga huakita ranei ka raru pea nga mate nui ina pehia tō punaha ārai mate.

Ko nga kano ārai mate kore (pēnei i te pupuhi rewharewha, te kano ārai mate pneumonia, te kano ārai mate COVID-19 ranei) he haumaru noa, e taunakitia ana i te wa e tango ana i te adalimumab-aaty. Heoi, kare pea e pai te mahi pera i te punaha ārai mate e tino mahi ana.

Me whakamohio tonu ki nga kaiwhakarato hauora e hoatu ana ki a koe nga kano ārai mate kei te tango koe i te adalimumab-aaty. Ka taea e ratou te tohutohu ki a koe mo te wa o te kano ārai mate me te awhina i te whakarite kia whiwhi koe i nga kano ārai mate tino whakamarumaru mo tō āhuatanga i te wa e noho haumaru ana.