Baricitinib (inzira yo kunywa)

Olumiant

Baricitinib ikoreshwa yonyine cyangwa hamwe n'imiti indi (urugero, methotrexate, DMARDs) mu kuvura indwara ya rhumatoïde iterwa na arthrite ikomeye cyane ku barwayi bamaze gufata imiti indi (urugero, tumor necrosis factor cyangwa TNF antagonist) itari yakize neza. Baricitinib kandi ikoreshwa mu kuvura indwara ya coronavirus 2019 (COVID-19) ku barwayi bari mu bitaro bakeneye ogisijeni cyangwa ubufasha mu guhumeka. Baricitinib kandi ikoreshwa mu kuvura alopecia areata ikomeye (indwara iterwa na système immunitaire ituma umusatsi ugwa mu duce). Baricitinib ni umuti uhagarika Janus kinase (JAK) ukora kuri système immunitaire. Uyu muti uboneka gusa ufite ibaruwa y'umuganga ivuga ko ugomba kuwufata ku ndwara ya rhumatoïde. Uyu muti ugomba guhabwa gusa na muganga cyangwa munsi y'ubuyobozi bwa muganga ku barwayi ba COVID-19. Iyi miti iboneka mu buryo bukurikira:

Mu gihe cyo gufata umuti, ibyago byo gufata uwo muti bigomba gutegerwa ku byiza bizakora. Iki ni cyemezo wowe na muganga wawe muzafatanya. Kuri uyu muti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi budasanzwe cyangwa ubwo kwangirika umuti uyu cyangwa indi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano iri hagati y'imyaka n'ingaruka za baricitinib mu kuvura indwara ya rhumatoïde n'indwara ya alopecia areata mu bana no kuvura COVID-19 mu bana bari munsi y'imyaka 2. Ubuziranenge n'ingaruka nziza ntibyarangiye. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byazagabanya ingaruka za baricitinib mu bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira ibibazo by'impyiko bifitanye isano n'imyaka, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata baricitinib. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha uyu muti mu gihe cyo konsa. Pima inyungu zishoboka ugereranije 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 uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufata uyu muti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufata imiti iri 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 bikenewe mubihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha uyu muti hamwe n'imiti ikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe n'imwe bishobora kandi gutera ikibazo kibaho. Ganira n'umuhanga mu by'ubuzima ku gukoresha umuti wawe hamwe n'ibiribwa, 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: