Abatacept (inzira y'imijyana, inzira yo munsi y'uruhu)
Amoko ahari
Orencia
Ibyerekeye uyu muti
Injeksiyon ya Abatacept ikoreshwa yonyine cyangwa hamwe n'imiti indi mu kuvura indwara ya rhumatoïde iterwa na arthrite ikomeye cyangwa cyane. Abatacept ifasha mu gukumira ko ubwangangire bw'ingingo bugenda bubi nyuma y'uko indi miti yarakoreshejwe kandi ikaba itarakoze neza. Injeksiyon ya Abatacept kandi ikoreshwa yonyine cyangwa hamwe na methotrexate mu kuvura indwara ya polyarticular juvenile idiopathic arthritis (pJIA) ikomeye cyangwa cyane. Injeksiyon ya Abatacept kandi ikoreshwa yonyine cyangwa hamwe n'imiti indi mu kuvura indwara ya psoriatic arthritis (PsA) iri gukora, ari yo ndwara ya arthrite itera ububabare no kubyimba mu ngingo hamwe n'ibice by'uruhu rufite ibibara mu bice bimwe na bimwe by'umubiri. Injeksiyon ya Abatacept kandi ikoreshwa hamwe n'indi miti (urugero, calcineurin inhibitor, methotrexate) mu gukumira indwara ya acute graft-versus-host disease (aGVHD) mu barwayi bagiye gukorerwa hematopoietic stem cell transplantation (HSCT) baturutse ku muntu ufite ubwoko bw'amaraso bumwe cyangwa ufite itandukaniro rimwe ry'allele utari umuryango wabo. Uyu muti uboneka gusa ufite resept ya muganga. Iyi miti iboneka mu buryo bukurikira bwo kuyikoresha:
Mbere yo gukoresha uyu muti
Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata imiti bigomba guhanurwa n'akamaro izagira. Iki ni icyemezo uzatanga hamwe na muganga wawe. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ugira uburwayi butasanzwe cyangwa ubwoko bw'uburwayi buterwa na iyi miti cyangwa izindi miti. Nanone, bwira umuganga wawe niba ufite izindi allergie, nko ku biribwa, amabara, ibintu byongera ubuzima bw'ibicuruzwa, cyangwa inyamaswa. Ku bicuruzwa bitagomba kuvugwa na muganga, soma witonze ibyanditse ku gipfunyika cyangwa ibintu birimo. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abana byabuza ikoreshwa ry'imiti ya abatacept ku bana bafite imyaka 2 n'irenga kuvura pJIA, kuvura PsA, no gukumira aGVHD. Ariko kandi, umutekano n'ingaruka nziza ntibyaragaragajwe ku bana bari munsi y'imyaka 2. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byabuza ikoreshwa ry'imiti ya abatacept ku bakuze. Ariko kandi, abarwayi bakuze bafite ubushobozi bwo kwakira ingaruka z'iyi miti kurusha abantu bakuze, kandi bafite ibyago byinshi byo kurwara kanseri n'indwara zikomeye, bishobora gusaba ubwitonzi ku barwayi bafata imiti ya abatacept. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago ku mwana mu gihe akoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ishobora kubaho. Muri uru rubanza, muganga wawe ashobora gushaka guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufata iyi miti, ni ngombwa cyane ko umuganga wawe azi niba ufata imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti ikurikira ntibisanzwe bisabwa, ariko bishobora gusabwa mubihe bimwe na bimwe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti ikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wewe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya ibiryo bimwe na bimwe kuko ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na imwe bishobora kandi gutera ishobora kubaho. Ganira n'abaganga bawe ku gukoresha imiti yawe hamwe n'ibiryo, inzoga cyangwa itabi. Kubaho kw'ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane:
Uburyo bwo gukoresha uyu muti
Umuforomokazi cyangwa undi wubatse ubumenyi mu buvuzi azaguha wowe cyangwa umwana wawe iki kiyiko. Iki kiyiko gitangwa nk'urushinge munsi y'uruhu cyangwa mu mutsi. Ku ivura ry'indwara ya rhumatoïde, indwara ya psoriasique, na polyarticulaire juvenile idiopathic arthritis:Niba iki kiyiko gitangwa binyuze mu mutsi wo mu kuboko kwawe, kigomba guterwa na muganga wawe buhoro buhoro kandi umuyoboro wawe wa IV ugomba kuguma aho uri iminota 30. Uzongera kubona iki kiyiko nyuma y'ibyumweru 2 n'ibyumweru 4 nyuma y'umwanya wawe wa mbere hanyuma buri byumweru 4 nyuma yaho. Kugira ngo wirinde indwara ya acute graft-versus-host (aGVHD):Iki kiyiko gitangwa binyuze mu mutsi wo mu kuboko kwawe. Kigomba guterwa na muganga wawe buhoro buhoro kandi umuyoboro wawe wa IV ugomba kuguma aho uri iminota 60 ku munsi mbere y'uko uhabwa urukingo (Umunsi -1). Uzongera kubona iki kiyiko ku minsi 5, 14, na 28 nyuma y'urukingo. Abatacept ishobora kandi gutangwa nk'urushinge munsi y'uruhu. Rimwe na rimwe ishobora gutangwa mu rugo ku barwayi badakeneye kuba mu bitaro. Niba wowe cyangwa umwana wawe mukora iki kiyiko murugo, muganga wawe cyangwa umuforomokazi bazakwigisha uburyo bwo gutegura no guterwa iki kiyiko. Menya neza ko usobanukiwe neza uko ukoresha iki kiyiko. Iki kiyiko kije hamwe n'amabwiriza y'abarwayi. Soma kandi ukurebereho aya mabwiriza neza. Baza muganga wawe cyangwa umuguzi w'imiti niba ufite ibibazo. Niba ukoresha iki kiyiko murugo, uzerekwa ibice by'umubiri aho uru rushinge rushobora guterwa. Koresha igice kitandukanye cy'umubiri buri gihe wiha wowe cyangwa umwana wawe urushinge. Jya ukora urutonde rw'aho uterera buri rushinge kugira ngo ugume uhindura ibice by'umubiri. Bizafasha kwirinda ibibazo by'uruhu. Iki kiyiko kiboneka mu buryo 3: icupa (ibikombe bya glasi), icupa ryuzuye, cyangwa ClickJect ™ autoinjector. Icupa ryuzuye na ClickJect ™ autoinjector ni ubwoko bw'imiti ushobora gukoresha murugo. Suzuma amazi ari mu icupa ryuzuye cyangwa ClickJect ™ autoinjector. Agomba kuba meza kandi adafite ibara cyangwa afite umuhondo muke. Ntukayikoreshe niba ari mwijima, ibara ryahindutse, cyangwa niba ubona ibice byayo. Ntukore icupa ryuzuye cyangwa ClickJect ™ autoinjector niba isa nkaho yacitse cyangwa yamenetse. Reka iminota 30 kugira ngo icupa rihindure ubushyuhe bw'icyumba. Ntukareke iki kiyiko gushyuha mu bundi buryo. Ntukuramo igifuniko cy'urugo ku icupa ryuzuye cyangwa igifuniko cya autoinjector mugihe utegereje ko imiti igere ku bushyuhe bw'icyumba. Kuraho gusa niba witeguye kuyikoresha. Suzuma niba umubare w'amazi ari mu icupa ryuzuye ari hejuru cyangwa hafi y'umurongo wuzuye. Niba icupa ritagira umubare ukwiye w'amazi, ntukayikoreshe. Ntukaterere mu bice by'uruhu byatukura, byahungabanye, byumva ububabare, byuzuye, cyangwa bikomeye, cyangwa bifite inkovu cyangwa ibimenyetso byo gukura. Igipimo cy'iki kiyiko kizaba kitandukanye ku barwayi batandukanye. Kora ibyo muganga wawe ategetse cyangwa amabwiriza ari ku kimenyetso. Amakuru akurikira harimo gusa ibipimo by'iki kiyiko. Niba igipimo cyawe kitandukanye, ntukigireho impinduka keretse muganga wawe akubwiye kubikora. Umubare w'imiti ufata ugaragaza imbaraga z'imiti. Nanone, umubare w'ibipimo ufata buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufata imiti biterwa n'ikibazo cy'ubuvuzi ukoresha imiti. Iki kiyiko kigomba gutangwa kuri gahunda yateganijwe. Niba ubuze igipimo cyangwa wibagiwe gukoresha imiti yawe, hamagara muganga wawe cyangwa umuguzi w'imiti kugira ngo akupe amabwiriza. Ububike muri firigo. Ntukabyinyegeze. Gabanya abana. Ntukagumane imiti ishaje cyangwa imiti idakenewe. Baza umwuga wita ku buzima uburyo wakwirukana imiti utabikoze. Jya ujya utera imishinge mu gikombe gikomeye, gifunze neza aho imishinge idashobora gucika. Gabanya iki gikombe kure y'abana n'amatungo.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.