Baricitinib (inowanikwa nemuromo)
Mhando dzinowanikwa
Olumiant
Nezve mushonga uyu
Baricitinib inoshandiswa ichinzi chete kana pamwe chete nemamwe mishonga (semuenzaniso, methotrexate, DMARDs) kurapa chirwere che rheumatoid arthritis chine simba pakati kusvika kukuru muvarwere vakatora mamwe mishonga (semuenzaniso, tumor necrosis factor kana TNF antagonist) ayo akanga asashanda zvakanaka. Baricitinib inoshandiswawo kurapa chirwere che coronavirus 2019 (COVID-19) muvarwere vari muchipatara vanoda oksijeni kana rubatsiro rwekufema. Baricitinib inoshandiswawo kurapa alopecia areata yakakomba (chirwere che autoimmune chinokonzera kurasikirwa nevhudzi). Baricitinib ndiyo Janus kinase (JAK) inhibitor inoshanda pane immune system. Uyu mushonga unowanikwa chete nechirango chechiremba wako we rheumatoid arthritis. Uyu mushonga unofanirwa kupiwa chete ne kana pasi pekutarisirwa kwakananga kwemuchiremba wako we COVID-19. 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 mhinduro isingawanzoitika kana chirwere cheallergy kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yekuchengetedza utano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakeji kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye baricitinib kurapa rheumatoid arthritis ne alopecia areata muvana ne kurapa COVID-19 muvana vane makore asingasviki maviri ekuberekwa. Kuchengetedzwa uye kushanda zvakanaka hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo echirwere chevakwegura aizoita kuti kushandiswa kwe baricitinib kuve kwakaoma muvakuru. Zvisinei, varwere vakwegura vane mukana wakakura wekuva nematambudziko ekidney ane hukama nezera, izvo zvinoda kungwarira uye kugadziriswa kwemishonga kune varwere vanotora baricitinib. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona 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. Muzviitiko izvi, chiremba wako angada kuchinja chiyero, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yekuchengetedza utano 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 kungadiwa mune dzimwe nguzi. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti kazhinji unoshandisa imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kengozi yemigumisiro yakati, asi kushandisa mishonga yese kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti kazhinji unoshandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva kana pedyo nenguva yekudya kana kudya marudzi akati akati ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemamwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kurukurai nemunyanzvi wako wekuchengetedza utano 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
KuCOVID-19: Kune marwadzo ekudzungaira uye alopecia areata: Shandisa mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda kana zvishoma, usatore kazhinji, uye usatore kwenguva yakareba kupfuura zvakarayirwa nachiremba wako. Mushonga uyu unouya neGwara reMishonga nemirayiridzo yevagoni. Verenga utevedzere mirayiridzo iyi zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Unogona kutora mushonga uyu uchidyisa kana usina kudya. Udza chiremba wako kana usingakwanisi kumira piritsi rose. Piritsi rinogona kusanganiswa nemvura wozonwa nekukurumidza. Rinogona zvakare kupihwa kuburikidza netube yegastrostomy, tube ye nasogastric, kana tube ye orogastric. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera rinosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko remuviri rauri kushandisa mushonga. Kana ukasapotsa dose yemushonga uyu, itora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yeku dose yako inotevera, siya dose yakarasika udzokere kune yako dosing schedule yakajairwa. Usatore doses kaviri. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chenjera kuti urege kuomarara. Chengetedza kure nevana. Usachengetse mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yehutano maitiro aunofanira kubvisa mishonga ipi neipi yausingashandisi.