Icyo Adalimumab-aaty ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Adalimumab-aaty ni umuti usa n'uwa adalimumab uzwi cyane, ukoreshwa mu kuvura indwara ziterwa n'umubiri w'umuntu wifata nk'umwanzi, ukora ugabanya imikorere y'umubiri w'umuntu wifata nk'umwanzi. Wibuke ko ari uburyo bwo kuvura bugamije gufasha kugarura uburinganire iyo umubiri w'umuntu wifata nk'umwanzi witiranya ibice byawo byiza.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa TNF blockers, ikora ibungabunga poroteyine yihariye itera umubiri kubyimba mu ndwara nka rheumatoid arthritis, indwara ya Crohn, na psoriasis. Uyu muti uzahabwa mu nshinge munsi y'uruhu, akenshi rimwe mu byumweru bibiri cyangwa buri kwezi, bitewe n'indwara yawe yihariye.

Adalimumab-aaty ni iki?

Adalimumab-aaty ni icyo abaganga bita umuti "biosimilar" wa adalimumab y'umwimerere. Biosimilar ni ishusho isa cyane n'umuti usanzwe ukoreshwa, wemejwe ko ufite umutekano kandi ukora neza nk'umwimerere.

Uyu muti ni poroteyine ikorwa muri laboratwari yigana imikorere y'imibiri y'umuntu yihariye umubiri wawe ukora. Ariko, aho kurwanya indwara, igamije by'umwihariko guhagarika poroteyine yitwa tumor necrosis factor-alpha (TNF-alpha) itera umubiri kubyimba cyane mu ndwara ziterwa n'umubiri w'umuntu wifata nk'umwanzi.

Igice cy'izina "-aaty" ni ikiranga cyihariye gifasha gutandukanya uyu muti wa biosimilar n'izindi miterere ya adalimumab. Ushobora kumva muganga wawe amuvuga ku izina ry'ubucuruzi cyangwa gusa nka "adalimumab biosimilar."

Adalimumab-aaty ikoreshwa mu kuvura iki?

Adalimumab-aaty ivura indwara nyinshi ziterwa n'umubiri w'umuntu wifata nk'umwanzi aho umubiri wawe wifata nk'umwanzi wibasira ibice byiza by'umubiri wawe. Muganga wawe ashobora kuwugushyiriraho iyo izindi miti itatanze umusaruro uhagije cyangwa iyo ukeneye umuti ukomeye wo kugenzura ibimenyetso byawe.

Ibyo ikunda kuvura cyane birimo indwara ya rheumatoid arthritis, aho ifasha kugabanya kuribwa kw'ingingo no kubyimba bishobora kwangiza ingingo zawe uko imyaka igenda. Ifasha cyane no ku ndwara ya psoriasis, ifasha gukuraho ibibara byinshi, byumye bigaragara ku ruhu rwawe.

Ku ndwara zo mu gifu, uyu muti ushobora guhindura ubuzima bw'abantu barwaye indwara ya Crohn cyangwa ulcerative colitis. Ifasha gukiza umubyimbirwe mu mara yawe kandi igabanya ibimenyetso nk'ububabare bwo mu nda, impiswi, no kuva amaraso.

Izindi ndwara muganga wawe ashobora kuvura akoresheje adalimumab-aaty zirimo ankylosing spondylitis (ubwoko bwa arthritis bugira ingaruka ku mugongo wawe), psoriatic arthritis, n'indwara zimwe na zimwe zo mu maso nka uveitis. Ku bana, rimwe na rimwe ikoreshwa mu ndwara ya arthritis ya juvenile iyo izindi nshuti zitagize icyo zikora neza.

Adalimumab-aaty ikora ite?

Adalimumab-aaty ikora ibuza poroteyine y'ububyimbirwe yihariye yitwa TNF-alpha umubiri wawe ukora cyane mu gihe cy'indwara ziterwa n'ubwirinzi bw'umubiri. Iyi poroteyine ikora nk'ikimenyetso cyo gutabaza gituma ubwirinzi bw'umubiri wawe bukora cyane, bigatuma habaho umubyimbirwe udashira no kwangirika kw'imitsi.

Iyo wateye adalimumab-aaty, ifatana na molekile za TNF-alpha mu maraso yawe ikababuza gutera umubyimbirwe. Bitekereze nk'uko ushyira buto yo gucecekesha ku bimenyetso by'ububyimbirwe bitera ibimenyetso byawe.

Uyu muti ufatwa nk'ubuvuzi bukomeye, bwihariye aho kuba ubuvuzi bworoheje. Yagenewe by'umwihariko indwara ziterwa n'ubwirinzi bw'umubiri bwo hagati kugeza ku bukomeye aho ubwirinzi bw'umubiri wawe bugomba gutuza cyane kugira ngo birinde kwangirika kw'ingingo zawe n'imitsi mu gihe kirekire.

Ingaruka zikunda gutangira mu byumweru 2-4 nyuma yo gutangira kuvurwa, nubwo abantu bamwe babona impinduka mbere. Inyungu nyinshi zikunda kugaragara mu mezi 3-6 yo gukoresha buri gihe, uko imikorere y'umubiri wawe igenda ituza buhoro buhoro.

Nkwiriye gufata Adalimumab-aaty nte?

Adalimumab-aaty iza nk'urushinge ruzuzuye mbere, wowe ubwawe uzishyira munsi y'uruhu, akenshi mu itako ryawe, mu gice cy'inda, cyangwa mu kuboko kwawe kw'igice cy'inyuma. Itsinda ry'abaganga bazakwigisha uburyo bukwiye bwo guterwa urushinge kandi bazagufasha kumva umeze neza muri urwo rugendo mbere yo kubikora mu rugo.

Abantu benshi baterwa uru rushinge rimwe mu byumweru bibiri, nubwo muganga wawe ashobora guhindura gahunda bitewe n'uburwayi bwawe bwihariye n'uburyo urwanya imiti. Ni ngombwa kuruterwa ku munsi umwe buri gihe kugirango urugero rwawo rugume ruringaniye mu maraso yawe.

Ushobora gufata uyu muti urya cyangwa utarya, kuko uterwa mu rushinge aho gufatwa mu kanwa. Ariko, ugomba kubika inshinge cyangwa amakaramu yuzuye mbere muri firigo hanyuma ukabireka bikagera ku bushyuhe busanzwe mu gihe cy'iminota 15-30 mbere yo guterwa urushinge.

Buri gihe ujye uhinduranya aho witerera urushinge kugirango wirinde kurakara cyangwa ibibyimba munsi y'uruhu rwawe. Jya ukurikirana aho watewe urushinge vuba aha hanyuma uhitemo ahantu hatandukanye buri gihe. Sukuza ahantu batera urushinge ukoresheje agapira karimo alukolo hanyuma ukareke kume neza mbere yo guterwa urushinge.

Niba uteye ubwoba bwo kwiterera urushinge wenyine, wibuke ko urushinge ruto cyane kandi abantu benshi babisanga bitaboroheye nkuko babyari babiteganyije. Umuganga wawe ashobora kandi kwandika umuti ugabanya ububabare niba wumva ububabare cyane iyo baterwa urushinge.

Mbona Nk'igihe Kangahe Ngomba Gufata Adalimumab-aaty?

Igihe cyo kuvura na adalimumab-aaty gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo urwanya imiti. Abantu benshi bafite indwara zidakira ziterwa n'ubwirinzi bw'umubiri bazifata imyaka myinshi kugirango bagumane ibimenyetso by'uburwayi kandi birinde ko indwara ikomeza.

Ku ndwara nka rheumatoid arthritis cyangwa Crohn's disease, ushobora gukenera kuvurwa igihe kirekire kuko izi ari indwara zidakira ubu zitagira imiti. Muganga wawe azakurikirana uko urwanya imiti hanyuma ahindure uburyo bwo kuvura uko bikwiye, ariko guhagarika kare akenshi bituma ibimenyetso by'uburwayi bisubira.

Abantu bamwe bafite psoriasis bashobora guhagarika imiti igihe uruhu rwabo rworoshye rwose rukamara igihe kirekire rworoshye. Ariko, iki cyemezo kigomba gufatwa buri gihe ugendeye ku buyobozi bwa muganga wawe, kuko guhagarika ako kanya rimwe na rimwe bishobora gutuma indwara yongera kwigaragaza.

Umuzunguzima wawe azagenzura buri gihe niba inyungu zigikomeza kurenga ibyago. Bazatekereza ibintu nk'uko ibimenyetso byawe bigenzurwa neza, ingaruka zose urimo guhura nazo, n'ibisubizo by'ibizamini by'amaraso bisanzwe bigenzura urwego rw'umubiri wawe w'ubudahangarwa.

Ntuzigere uhagarika gufata adalimumab-aaty ako kanya utabanje kubiganiraho na muganga wawe. Bashobora gushaka kugabanya buhoro buhoro urugero rwawe cyangwa bakaguherereza undi muti kugira ngo birinde ko ibimenyetso byawe bisubira inyuma mu buryo bukaze.

Ni izihe ngaruka ziterwa na Adalimumab-aaty?

Kimwe n'imiti yose igira ingaruka ku mubiri wawe w'ubudahangarwa, adalimumab-aaty ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Ingaruka zisanzwe zikunze kuba zoroshye kandi zishobora gucungwa neza hamwe n'ubuvuzi bukwiye no kugenzura.

Ingaruka zikunze kugaragara ushobora guhura nazo zirimo ibisubizo ahantu hakorerwa inshinge, nk'ubutukura, kubyimba, cyangwa ububabare buke busanzwe bukira mu munsi umwe cyangwa ibiri. Abantu bamwe kandi bahura n'ibimenyetso byoroheje bisa n'ibikonjo, kubabara umutwe, cyangwa kunanirwa igihe umubiri wabo uhinduka ku muti.

Hano hari ingaruka zisanzwe ugomba kumenya:

• Ibisubizo ahantu hakorerwa inshinge (ubutukura, kubyimba, kurigata)
• Indwara zo mu myanya y'ubuhumekero yo hejuru nk'ibikonjo cyangwa indwara zo mu mazuru
• Kubabara umutwe no kunanirwa gake
• Isesemi cyangwa kutumva neza mu gifu
• Uruhu ruruka cyangwa ibisubizo byoroheje by'uruhu
• Ibimenyetso byoroheje bisa n'ibicurane

Izi ngaruka zisanzwe zikunze gukira igihe umubiri wawe uhinduka ku muti, akenshi mu byumweru bike bya mbere by'ubuvuzi.

Ingaruka zikomeye zibaho gake ariko zisaba ubufasha bwihuse bw'abaganga. Kubera ko adalimumab-aaty ituma umubiri wawe udakora neza ku buryo bwo kurwanya indwara, ufite ibyago byinshi byo kurwara indwara zandura, harimo n'izishobora kuba zikomeye.

Dore ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga:

• Ibimenyetso byo kurwara indwara zikomeye (umuriro, guhinda umushyitsi, inkorora idahagarara, umunaniro udasanzwe)
• Ibimenyetso bya tuberculosis (inkorora idahagarara, kugabanya ibiro, ibyuya by'ijoro)
• Ibimenyetso by'ibibazo by'umwijima (uruhu cyangwa amaso y'umuhondo, inkari z'umukara, umunaniro ukabije)
• Ibimenyetso byo kunanirwa k'umutima (gufata umwuka muke, kubyimba amaguru cyangwa ibirenge)
• Gusohoka amaraso cyangwa gukomereka mu buryo budasanzwe
• Uruhu rwakomeretse cyane cyangwa imikurire mishya y'uruhu
• Ibimenyetso by'imitsi (ubugumba, kuribwa, guhinduka kw'imibonano)

Vugana n'umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye, kuko bishobora gusaba guhindura imiti cyangwa ubufasha bw'ubuvuzi bwiyongera.

Ingaruka zikomeye ariko zibaho gake zirimo kongera gukora kwa hepatite B (ku bantu bari barwaye iyi ndwara mbere), ubwoko runaka bwa kanseri, n'uburwayi bukomeye bwo kwibasirwa n'umubiri. Muganga wawe azagusuzuma ibi byago mbere yo gutangira kuvurwa kandi azakugenzura buri gihe.

Ninde utagomba gufata Adalimumab-aaty?

Adalimumab-aaty ntirinzwe kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Ubuzima runaka n'ibihe bituma uyu muti ugira ibyago cyangwa utabereye abantu bamwe.

Ntabwo ugomba gufata adalimumab-aaty niba urwaye indwara yandura, harimo indwara zikomeye nka tuberculosis, cyangwa niba urimo kurwanya indwara ziterwa na bagiteri, virusi, cyangwa fungi. Umubiri wawe ugomba gukora neza kugira ngo urwanye indwara, kandi uyu muti waba ukomereza muri urwo rugendo.

Abantu bafite indwara zidakira na bo bagomba kwirinda iyi miti. Niba ufite hepatite B, hepatite C, cyangwa SIDA (HIV), imikorere y'umubiri idakora neza iterwa na adalimumab-aaty ishobora gutuma izi ndwara zirushaho kuba mbi cyangwa bigatuma bigoye kuzivura.

Dore indwara zikomeye zisanzwe zituma umuntu atabasha gufata adalimumab-aaty:

• Udukoko dukora imirimo yose
• Amateka y'igituntu cyangwa guhura n'igituntu
• Indwara zidakira ziterwa na virusi (hepatite B, hepatite C, SIDA (HIV))
• Ubuvuzi bwa kanseri buriho cyangwa buherutse gukorwa
• Kunanirwa gukora cyane k'umutima
• Allergie izwi kuri adalimumab cyangwa imiti isa nayo
• Inkingo ziherutse gukorwa cyangwa inkingo ziteganyijwe gukorwa

Muganga wawe azitonda cyane mu gutanga iyi miti niba ufite diyabete, indwara zidakira z'impyiko cyangwa umwijima, cyangwa niba urengeje imyaka 65, kuko ibi bintu bishobora kongera ibyago byo kugira ibibazo.

Gusama no konsa bisaba kwitonderwa by'umwihariko. Nubwo adalimumab-aaty ishobora gukoreshwa mugihe cyo gutwita mu bihe bimwe na bimwe, muganga wawe azagereranya neza inyungu n'ibyago bishobora kukubaho wowe n'umwana wawe.

Niba uteganya kubagwa, muganga wawe ashobora guhagarika by'agateganyo imiti yawe ya adalimumab-aaty kugirango agabanye ibyago byo kwandura mugihe cyo gukira. Buri gihe menyesha umuganga wese ukwitaho ko ufata iyi miti.

Amazina y'ubwoko bwa Adalimumab-aaty

Adalimumab-aaty ni izina rusange ry'iyi miti isa, ariko inazwi kandi ku izina ry'ubwoko rya Hyrimoz. Farumasi yawe ishobora gutanga ubwoko rusange cyangwa ubwoko bw'izina, bitewe n'ubwishingizi bwawe n'uko iboneka.

Umuti wa mbere wa adalimumab ugurishwa ku izina ry'ubwoko rya Humira, ushobora kuba uzi kuva mumamaza cyangwa ibyemezo bya mbere. Adalimumab-aaty yatejwe imbere nk'ubundi buryo buhendutse bwa Humira mugihe itanga inyungu zimwe zo kuvura.

Iyo muganga wawe akwandikiye uyu muti, ashobora kwandika "adalimumab-aaty" cyangwa "Hyrimoz" ku byangombwa byawe. Byombi bivuga umuti umwe, bityo ntugire impungenge niba ubonye amazina atandukanye ku byangombwa byawe ugereranije n'ibipaki by'imiti yawe.

Ikigo cy'ubwishingizi bwawe gishobora kugira ibyo gihitamo ku bijyanye n'ubwoko bw'umuti cyishyura, bityo ni byiza kubaza farumasi yawe ku bijyanye n'itandukaniro ry'ibiciro rishobora kubaho hagati y'izina ry'umuti n'ubwoko bwawo rusanzwe.

Izindi miti isimbura Adalimumab-aaty

Niba adalimumab-aaty itagukundiye cyangwa ikagutera ingaruka zitari nziza, hari imiti myinshi isimbura ishobora kuvura indwara zisa. Muganga wawe azatekereza ku ndwara yawe yihariye, imiti wakoresheje mbere, n'ibintu by'ubuzima bwawe bwite igihe ashakisha izindi nzira.

Iindi miti ikumira TNF ikora kimwe na adalimumab-aaty kandi ishobora kuba inzira nziza. Iyi irimo etanercept (Enbrel), infliximab (Remicade), na golimumab (Simponi), nubwo buri imwe ifite gahunda yo kuyikoresha n'uburyo bwo kuyitanga bitandukanye gato.

Ku ndwara zimwe na zimwe, muganga wawe ashobora gutekereza ku bwoko butandukanye bw'imiti ya biyolojiya igamije ibindi bice by'ubudahangarwa bwawe. Iyi irimo imiti nka rituximab, abatacept, cyangwa tocilizumab, ikora ikoresheje uburyo butandukanye ariko ishobora kugira akamaro kimwe.

Imiti isanzwe ihindura indwara nka methotrexate, sulfasalazine, cyangwa leflunomide nayo ishobora kuba inzira, cyane cyane niba ushaka imiti yo kunywa aho guterwa inshinge. Iyi akenshi ihendutse ariko ishobora gutwara igihe kirekire kugira ngo igaragaze ingaruka.

Muganga wawe azakorana nawe kugira ngo abone inzira nziza ishingiye ku byo ukeneye byihariye, uko ubaho, n'uko umubiri wawe witwara ku miti itandukanye. Intego ni ukubona imiti ifite akamaro kanini ifite ingaruka nke ku buzima bwawe bwihariye.

Ese Adalimumab-aaty iruta Humira?

Adalimumab-aaty yagenewe gukora neza nk'uko Humira (adalimumab y'umwimerere) ikora mu kuvura indwara ziterwa n'ubwirinzi bw'umubiri. Nka biosimilar, igomba kwerekana binyuze mu igeragezwa ryo kwa muganga ryagutse ko ikora kimwe n'umuti w'umwimerere.

Mu bijyanye n'imikorere, ushobora kwitega ko adalimumab-aaty itanga ubufasha bw'ibimenyetso kimwe no kugenzura indwara kimwe na Humira. Ibikoresho bikora n'uburyo bikora mu mubiri wawe ni kimwe, bityo guhindura hagati yabyo ntibigomba kugira ingaruka ku ngaruka z'ubuvuzi bwawe.

Inyungu nyamukuru ya adalimumab-aaty ugereranije na Humira ni igiciro. Imiti ya Biosimilar akenshi ihendutse kurusha izina ry'ubwoko bwabo, ibyo bishobora gutuma ugabanya amafaranga yishyurwa cyangwa amafaranga yo mu mufuka wawe, bitewe n'ubwishingizi bwawe.

Abantu bamwe bakunda uburyo bumwe kuruta ubundi bashingiye ku bintu nk'imikorere y'ibikoresho byo guterwa inshinge, ibikenewe byo kubika, cyangwa uko umuti wumva mugihe uterwa. Ariko, itandukaniro nk'iryo akenshi ni rito kandi rishingiye ku byo umuntu akunda kuruta uko ari ubushobozi bwo kwa muganga.

Niba uri gukoresha Humira kandi muganga wawe aguteye gutekereza guhindura kuri adalimumab-aaty, urashobora kumva ufite icyizere ko urimo kubona ubuvuzi bungana. Guhindura akenshi biragenda neza, nta mpamvu yo guhindura urugero cyangwa igihe.

Ibikunze Kubazwa Kuri Adalimumab-aaty

Q1. Ese Adalimumab-aaty irakwiriye abantu barwaye diyabete?

Adalimumab-aaty irashobora gukoreshwa n'abantu barwaye diyabete, ariko bisaba gukurikiranwa by'umwihariko no kuyobora neza. Diyabete irashobora kugira ingaruka ku bushobozi bw'ubwirinzi bw'umubiri wawe bwo kurwanya indwara, kandi adalimumab-aaty irongera igahagarika imikorere y'ubwirinzi bw'umubiri, bishobora kongera ibyago byo kwandura.

Muganga wawe azakorana nawe bya hafi kugira ngo akurikirane urugero rw'isukari mu maraso yawe kandi arebe ibimenyetso byose by'ubwandu neza kurusha uko bisanzwe. Ashobora kandi guhuza ibikorwa n'inzobere mu ndwara z'imisemburo cyangwa inzobere mu ndwara ya diyabete kugira ngo yemeze ko imicungire ya diyabete yawe ikomeza kuba myiza mugihe ufata uyu muti.

Abantu benshi barwaye diyabete n'indwara ziterwa n'ubwirinzi bw'umubiri bwite bafata neza adalimumab-aaty bafashijwe n'abaganga. Ikintu cy'ingenzi ni ukugenzura neza isukari mu maraso no kwitondera cyane kwirinda indwara no kuzimenya hakiri kare.

Q2. Nkwiriye gukora iki niba nifatiyeho adalimumab-aaty nyinshi bitunguranye?

Niba witereyeho adalimumab-aaty nyinshi kurusha uko byategetswe, vugana n'umuganga wawe ako kanya, kabone niyo wumva umeze neza. Kubona umuti mwinshi bishobora kongera ibyago byo kurwara indwara zikomeye n'izindi ngorane, bityo gusuzumwa n'abaganga ni ingenzi.

Ntugahungabane, ariko jya kwa muganga vuba. Muganga wawe ashobora kwifuza kukugenzura neza ibimenyetso by'ubwandu cyangwa izindi ngaruka muminsi mike iri imbere. Ashobora kandi guhindura urugero rwawe rukurikira cyangwa guhagarika imiti by'agateganyo.

Zana ibikoresho by'imiti hamwe nawe mugihe cyo kwisuzumisha kugira ngo umuganga wawe ashobore kumenya neza umuti mwinshi wahawe. Iri somo ribafasha gusuzuma ibyago byawe no gutegura uburyo bwo kugenzura bukwiye.

Q3. Nkwiriye gukora iki niba nciwe urugero rwa adalimumab-aaty?

Niba waciwe urugero rwa adalimumab-aaty, wifateho ako kanya wibuka, keretse igihe cyegereje urugero rwawe rukurikira. Muricyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe aho kugwiza.

Gerageza gusubira muri gahunda yawe isanzwe vuba bishoboka, kuko urugero ruhamye rw'umuti mu maraso yawe rufasha kugenzura ibimenyetso. Niba utazi neza igihe, hamagara umuganga wawe cyangwa umufarumasiti kugira ngo bagufashe.

Kutabona urugero rumwe na rimwe ntibisanzwe gutera ibibazo byihuse, ariko kutabona urugero rwinshi bishobora gutuma ibimenyetso byawe bisubira. Tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha porogaramu ikurikirana imiti kugirango igufashe kwibuka gahunda yawe yo guterwa inshinge.

Q4. Ni ryari nshobora guhagarika gufata Adalimumab-aaty?

Ugomba guhagarika gufata adalimumab-aaty gusa uyobowe na muganga wawe, kabone niyo wumva umeze neza cyane. Ibyiciro byinshi byo kwivumbura bisaba kuvurwa buri gihe kugirango birinde ko ibimenyetso bisubira kandi birinde kwangirika kw'ingingo mu gihe kirekire.

Muganga wawe azagenzura buri gihe niba ukeneye umuti ukoresheje gusuzuma ibimenyetso byawe, gukora ibizamini byumubiri, no gusuzuma ibizamini bya laboratoire. Barashobora gutekereza kugabanya urugero cyangwa kongera igihe hagati yo guterwa inshinge mbere yo guhagarika rwose.

Abantu bamwe barashobora guhagarika neza adalimumab-aaty niba bamaze igihe kirekire barimo gukira, ariko iki cyemezo gisaba isuzuma ry'ubuvuzi ryitondewe. Muganga wawe azakora gahunda yo gukurikirana neza uko umeze nyuma yo guhagarika kugirango afate ibimenyetso byose bisubira hakiri kare.

Q5. Nshobora guhabwa inkingo nkanwa nkafataga Adalimumab-aaty?

Urashobora guhabwa inkingo nyinshi mugihe ufata adalimumab-aaty, ariko ugomba kwirinda inkingo zifite ubuzima rwose. Inkingo zifite ubuzima zirimo virusi cyangwa bagiteri zidakomeye ariko zifite ubuzima zishobora gutera indwara zikomeye mugihe sisitemu yawe y'ubudahangarwa yagabanutse.

Inkingo zitagira ubuzima (nk'urukingo rwa grip, urukingo rwa pneumoniya, cyangwa inkingo za COVID-19) muri rusange zirinzwe kandi zirashimwa mugihe ufata adalimumab-aaty. Ariko, ntibishobora gukora neza nkuko byakora hamwe na sisitemu y'ubudahangarwa ikora neza.

Buri gihe menyesha umuganga wese uguha inkingo ko ufata adalimumab-aaty. Barashobora kukugira inama yo gutegura inkingo kandi bagafasha kumenya ko urimo kubona inkingo zirinda cyane uko umeze mugihe ukomeje kugira umutekano.