Abatacept (inowanikwa muchirwere, subcutaneous route)
Mhando dzinowanikwa
Orencia
Nezve mushonga uyu
Jekiseni yeAbatacept inoshandiswa ichinzi chete kana pamwe chete nemamwe mishonga kurapa marwadzo anorwadza zvakanyanya rheumatoid arthritis. Abatacept inobatsira kuchengetedza kukuvara kwejoini kubva pakuwedzera kuipa mushure mekunge mamwe mishonga ashandiswa asi asina kushanda zvakanaka. Jekiseni yeAbatacept inoshandiswawo ichinzi chete kana pamwe chete nemethotrexate kurapa marwadzo anorwadza zvakanyanya polyarticular juvenile idiopathic arthritis (pJIA). Jekiseni yeAbatacept inoshandiswawo ichinzi chete kana pamwe chete nemamwe mishonga kurapa psoriatic arthritis (PsA) inoshanda, iyo rudzi rwekurwadziwa kunoita kuti pave nekurwadziwa nekukura kwezvibatanidza pamwe nemapazi eganda rinoputika munzvimbo dzakati dzemuviri. Jekiseni yeAbatacept inoshandiswawo pamwe chete nemamwe mishonga (semuenzaniso, calcineurin inhibitor, methotrexate) kudzivirira acute graft-versus-host disease (aGVHD) muvarwere vanozofanira kuita hematopoietic stem cell transplantation (HSCT) kubva kune munyori anowirirana kana 1 allele-mismatched unrelated donor. Mushonga uyu unowanikwa chete nechirango chechiremba wako. Chigadzirwa ichi chinowanikwa mumaitiro anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nesachiremba wenyu muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisina kujairika kana chisina kujairika kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinhu zvakanyatsonaka. Zvidzidzo zvakakodzera zvakaitwa kusvika pari zvino hazvina kuratidza matambudziko chaiwo epediatric aizoita kuti kushandiswa kwe abatacept injection kuve kwakaoma muvana vane makore maviri ekuberekwa uye vakuru kuti varapwe pJIA, kuti varapwe PsA, uye kuti vidadzise aGVHD. Zvisinei, kuchengetedzeka uye kushanda hazvina kusimbiswa muvana vane makore asingasviki maviri ekuberekwa. Zvidzidzo zvakakodzera zvakaitwa kusvika pari zvino hazvina kuratidza matambudziko chaiwo egeriatric aizoita kuti kushandiswa kwe abatacept injection kuve kwakaoma muvakuru. Zvisinei, varwere vakwegura vanonyanya kunzwa migumisiro yemushonga uyu kupfuura vakuru vaduku uye vane mukana mukuru wekuve nekenza uye zvirwere zvakakomba, izvo zvinoda kungwarira muvarwere vanowana abatacept injection. Hapana zvidzidzo zvakakwana muvakadzi zvekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera zvakanaka zvinogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wako angada kuchinja dose, kana mamwe matanho angadiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune dzimwe nguzi. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa sei imwe kana mishonga yose. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kengozi yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa sei imwe kana mishonga yose. Mimwe mishonga haifaniri kushandiswa panguva kana pedyo nenguva yekudya kana kudya marudzi akati akati ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kurukurai nehutano hwako hwehutano kushandiswa kwemushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Munetsana kana mumwe munyanzvi wehutano akarovedzwa achakupa iwe kana mwana wako mushonga uyu. Mushonga uyu unopiwa seinjekiseni pasi peganda rako kana muropa. Pakurapa chirwere che rheumatoid arthritis, psoriatic arthritis, uye polyarticular juvenile idiopathic arthritis: Kana mushonga uyu ukapiwa kuburikidza neropa muruoko rwako, unofanira kuiswa zvishoma nezvishoma nachiremba wako uye chubhu yako yeIV ichafanira kuramba iripo kwemaminitsi makumi matatu. Uchazowana mushonga uyu zvakare mushure memavhiki maviri nemavhiki mana mushure medose yako yekutanga uye ipapo mavhhiki mana mushure. Pakudzivirira chirwere che acute graft-versus-host disease (aGVHD): Mushonga uyu unopiwa kuburikidza neropa muruoko rwako. Unofanira kuiswa zvishoma nezvishoma nachiremba wako uye chubhu yako yeIV ichafanira kuramba iripo kwemaminitsi makumi matanhatu pazuva risati rasvika kuwana kuisirwa (Zuva -1). Uchazowana mushonga uyu zvakare pamazuva 5, 14, ne28 mushure mekuisirwa. Abatacept inogona kupiwawo seinjekiseni pasi peganda. Dzimwe nguva inogona kupiwa kumba kune varwere vasina kudikanwa kuva muchipatara. Kana iwe kana mwana wako muri kushandisa mushonga uyu kumba, chiremba wako kana munetsana vachakudzidzisa maitiro ekugadzirira nekuisa mushonga. Ita shuwa kuti unonzwisisa chaizvo maitiro ekushandisa mushonga. Mushonga uyu unouya nemirayiridzo yevavarwere. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana mushonga kana uine mibvunzo ipi neipi. Kana ukashandisa mushonga uyu kumba, ucharatidzwa nzvimbo dzemuviri kwaunogona kuiswa iyi injeksheni. Shandisa nzvimbo yakasiyana yemuviri nguva dzose paunopa iwe kana mwana wako injeksheni. Chengeta rekodhi rekwauisa injeksheni imwe neimwe kuitira kuti uve nechokwadi chekuti unotenderera nzvimbo dzemuviri. Izvi zvichabatsira kudzivirira matambudziko eganda. Mushonga uyu uripo mumaitiro matatu: vial (chigaba chegirazi), syringe yakazadzwa kare, kana ClickJect ™ autoinjector. Syringe yakazadzwa kare neClickJect ™ autoinjector ndiyo mafomu ekudosa aunogona kushandisa kumba. Tarisa mvura iri mu syringe yakazadzwa kare kana ClickJect ™ autoinjector. Inofanira kunge yakajeka uye isina ruvara kana yero zvishoma. Usashandise kana iri yakasviba, yakachinja ruvara, kana ukaona zvinhu zvirimo. Usashandise syringe yakazadzwa kare kana ClickJect ™ autoinjector kana ichiratidzika kunge yakapwanyika kana yakaputsika. Rega ma miniti makumi matatu kuti syringe ipise kusvika kune tembiricha yekamuri. Usapisa mushonga uyu nenzira ipi zvayo. Usabvisa chifukidzo chetsitsi pane syringe yakazadzwa kare kana chivharo cheautoinjector paunenge uchirega mushonga uyu kusvika kune tembiricha yekamuri. Bvisa chete kana wakagadzirira kushandisa. Tarisa kuti huwandu hwemvura iri mu syringe yakazadzwa kare iri pamutsara wekuzadza kana iri pamusoro. Kana syringe isina huwandu hwemvura hwakakodzera, usashandise. Usapfuurira munzvimbo dze ganda dzine tsvuku, dzakakuvara, dzine marwadzo, dzakaoma, kana dzine mavanga kana zviratidzo zvekutambanudza. Dose yemushonga uyu ichave yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parabel. Ruzivo runotevera rinosanganisira chete ma dose epakati emushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akuudza kuti uite kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumidzwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Mushonga uyu unofanira kupiwa pane rondedzero yakatarwa. Kana ukasapfuura dose kana kukanganwa kushandisa mushonga wako, fonera chiremba wako kana mushonga kuti uwane mirairo. Chengetedza mufiriji. Usacheke. Chengetedza kure nevana. Usachengetere mushonga wakapfuura zuva kana mushonga usingachadikanwi. Bvunza nyanzvi yako yehutano maitiro ekurasa chero mushonga wausashandisi. Rasa ma needles akashandiswa muchigaba chakaoma, chakavharwa kwausingakwanisi kupfuura ma needles. Chengetedza chigadzirwa ichi kure nevana nembwa.