Adalimumab (inzira yo munsi y'uruhu)

ABRILADA, Amjevita, Cyltezo, Hadlima, Hulio, Humira, Hyrimoz, Idacio, Simlandi, Yuflyma, Yusimry

Injeksiyon ya Adalimumab ikoreshwa mu kuvura ibimenyetso no gukumira kwaguka kw'indwara ya rhumatoïde ikora cyane ndetse na ankylosing spondylitis. Ikoreshwa ku bana bafite imyaka 2 n'irenga mu kuvura indwara ya juvenile idiopathic arthritis. Ubu buti imiti kandi ikoreshwa mu kuvura psoriatic arthritis, ubwoko bw'indwara y'amagufa itera ububabare no kubyimba mu ngingo hamwe n'ibice by'uruhu rufite ibibara mu bice bimwe na bimwe by'umubiri. Psoriatic arthritis isanzwe ibaho hamwe n'uburwayi bw'uruhu bwitwa psoriasis. Adalimumab ishobora gukoreshwa yonyine cyangwa ifatanyije n'imiti (urugero, methotrexate cyangwa DMARDs). Injeksiyon ya Adalimumab kandi ikoreshwa mu kuvura ibimenyetso by'indwara ya Crohn ikora cyane mu bakuru n'abana bafite imyaka 6 n'irenga batarabashije gufashwa n'indi miti, harimo na infliximab. Ikoreshwa kandi mu kuvura ulcerative colitis yo hagati cyangwa ikomeye mu bakuru n'abana bafite imyaka 5 n'irenga bavuwe n'indi miti (urugero, azathioprine, corticosteroids, cyangwa 6-mercaptopurine) itatanze umusaruro. Injeksiyon ya Adalimumab ishobora kandi gukoreshwa mu kuvura chronic plaque psoriasis, ubwoko bw'indwara y'uruhu ifite ibice by'umutuku n'ibibara byera bidakira. Ikoreshwa kandi mu kuvura hidradenitis suppurativa yo hagati cyangwa ikomeye, indwara y'uruhu idakira ifite ibice bito, bibabaza biri munsi y'uruhu mu bakuru n'abana bafite imyaka 12 n'irenga. Ubu buti imiti kandi bukoreshwa mu kuvura non-infectious intermediate, posterior na panuveitis mu bakuru n'abana bafite imyaka 2 n'irenga. Ubu buti imiti buboneka gusa ku rupapuro rw'umuganga. Iyi miti iboneka mu buryo bukurikira:

Mu gihe cyo gufata umuti, ibyago byo gufata uwo muti bigomba gupimirwa ugereranyije n'akamaro uzabona. Iki ni cyemezo uzatanga hamwe na muganga wawe. Kuri uyu muti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ufite uburwayi butunguranye cyangwa ubwoko bw'uburwayi buterwa na allergie kuri uyu muti cyangwa ibindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite izindi allergie, nko ku biribwa, amabara, ibintu byongera ubuzima bw'ibicuruzwa, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikubiye mu kinyamakuru cyangwa mu bicuruzwa. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abana byabuza ikoreshwa ry'urushinge rwa adalimumab mu kuvura indwara ya arthrite ya juvenile idiopathic na uveitis idatera kwandura mu bana bafite imyaka 2 n'irenga, mu kuvura indwara ya Crohn mu bana bafite imyaka 6 n'irenga, mu kuvura indwara ya ulcerative colitis mu bana bafite imyaka 5 n'irenga, cyangwa mu kuvura indwara ya hidradenitis suppurativa mu bana bafite imyaka 12 n'irenga. Ariko kandi, umutekano n'ingaruka nziza ntibyagaragajwe mu bana bari munsi y'imyaka 2 ku ndwara ya juvenile idiopathic arthritis na uveitis idatera kwandura, mu bana bari munsi y'imyaka 5 ku ndwara ya ulcerative colitis, mu bana bari munsi y'imyaka 6 ku ndwara ya Crohn, mu bana bari munsi y'imyaka 12 ku ndwara ya hidradenitis suppurativa, no mu bana ku zindi ndwara. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abakuze byabuza ikoreshwa ry'urushinge rwa adalimumab mu bakuze. Ariko kandi, uyu muti ushobora gutera indwara zikomeye n'ubwandu bwa kanseri kenshi mu bakuze, bishobora gusaba ubwitonzi mu barwayi bafata urushinge rwa adalimumab. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha uyu muti mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije n'ibyago bishoboka mbere yo gufata uyu muti 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 ikibazo gishobora kubaho. Muri ibyo bihe, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe uyu muti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti ibiri kuri urutonde ruri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha uyu muti hamwe n'imiti ikurikira ntibisanzwe bisabwa, ariko bishobora kuba ngombwa mubindi bihe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko ukoresha umwe cyangwa bombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya ibiryo bimwe na bimwe kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na yo bishobora gutera ibibazo. Muganire n'umuhanga mu by'ubuzima ku ikoreshwa ry'umuti wawe hamwe n'ibiryo, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'uyu muti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: