Sarilumab (inowaniswa pasi peganda)
Mhando dzinowanikwa
Kevzara
Nezve mushonga uyu
Jekiseni yeSarilumab inoshandiswa ichinzi chete kana pamwe chete nemamwe mishonga kurapa zviratidzo zve rheumatoid arthritis ine simba rakaoma kusvika pakanyanya, kune avo vakapihwa mishonga yakawanda (semuenzaniso, methotrexate) asi isina kubatsira kana kuti vakanga vasina kutsungirira. Mushonga uyu unoshandiswawo kurapa polymyalgia rheumatica muvarwere vakapihwa mishonga yakawanda (semuenzaniso, corticosteroids) asi isina kubatsira kana kuti vakanga vasina kutsungirira. Mushonga uyu unowanikwa chete kana uine chinyorwa chechiremba. Chigadzirwa ichi chinowanikwa mumaumbirwo anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, njodzi dzekutora mushonga unofanirwa kuyerwa nemabhenefiti awo. Iyi sarudzo iwe nesachiremba wenyu muchaita. Kune mushonga uyu, zvinotevera zvinofanirwa kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana chirwere cheallergy 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 zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yekupinza sarilumab muvana. Kwakachengeteka uye kushanda kwakanaka hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kwe sarilumab injection muvakuru kukanganiswe. Zvisinei, varwere vakwegura vane mukana wakakura wekuwana hutachiona hwakakomba, izvo zvinoda kungwarira muvarwere vanogamuchira sarilumab injection. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana panguva yekunwa mushonga uyu panguva yekuyamwisa. Yengetera mabhenefiti anogona kuitika pamwe nenjodzi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyangwe mimwe mishonga isingafanirwe kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyangwe kuwirirana kungavepo. Mune izvi, chiremba wako angada kuchinja huwandu, kana mamwe matanho angave anodiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune zvimwe zviitiko. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa sei imwe kana ese mishonga. Mimwe mishonga haifanirwe kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemamwe mishonga kunogona zvakare kukonzera kuwirirana. Kurukurai nehutano hwako hwenyanzvi 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
Murapa uyu unopihwa seinjekiseni pasi peganda rako. Sarilumab dzimwe nguva inogona kupihwa kumba kune varwere vasina kudikanwa kuva muchipatara. Kana iwe kana mwana wako muri kushandisa mushonga uyu kumba, chiremba wako kana mukoti vachakudzidzisa maitiro ekugadzirira nekuisa mushonga. Ita shuwa kuti unonzwisisa chaizvo maitiro ekushandisa mushonga uyu. Mushonga uyu unouya neGwara reMishonga nemirayiridzo yevagoni. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Mushonga uyu uripo mumaitiro maviri: Unogona kushandisa syringe yakazadzwa kare kana peni yakazadzwa kare. Kana ukashandisa mushonga uyu kumba, ucharatidzwa nzvimbo dzemuviri kwaunogona kupihwa jekiseni iyi. Shandisa nzvimbo yakasiyana yemuviri nguva imwe neimwe paunopa jekiseni. Chengeta rekodhi rekwaupa jekiseni imwe neimwe kuti uve nechokwadi chekuti unotenderera nzvimbo dzemuviri. Izvi zvichabatsira kudzivirira matambudziko eganda. Rega mushonga ufambe kusvika kutonhora kwenzvimbo kwemaminitsi makumi matatu (ye syringe yakazadzwa kare) kana maminitsi makumi matanhatu (yepeni yakazadzwa kare) usati washandisa. Usapisa mushonga uyu nenzira ipi zvayo. Tarisa mvura iri mu syringe yakazadzwa kare kana peni. Inofanira kunge yakajeka uye isina ruvara kusvika kune yero yakapfava. Usashandise mushonga uyu kana uri wakasviba, wakachinja ruvara, kana uine zvinhu zviri mukati, kana syringe yakazadzwa kare yakakuvadzwa kana yakaputswa. Usazunza mushonga. Usapfuurira munzvimbo dze ganda dzine tsvuku, dzakakuvadzwa, dzine marwadzo, dzakasimba, kana dzine mabvi kana mavara. Usabvisa chivharo chetsono kubva ku syringe yakazadzwa kare kana peni kusvika wagadzirira kushandisa. Ungasashandisa mushonga wese uri mu syringe imwe neimwe yakazadzwa kare kana peni. Shandisa syringe imwe neimwe yakazadzwa kare nepeni kamwe chete. Usachengetse syringe yakavhurwa kana peni. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parabel. 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 ukashaikwa dose yemushonga uyu, tora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yeku dose yako inotevera, siya dose yakarasika uye dzoka kune yako dosing schedule yakajairwa. Usapindise doses. Chengetedza kure nevana. Usachengetse mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano maitiro ekurasa mushonga ipi zvayo yausingashandise. Chengetedza mufiriji. Usagadzire. Chengetedza mushonga mukatoni yayo yekutanga kuti uchengetedze kubva muchiedza. Usashandise kana wakagadzira. Unogonawo kuchengeta mushonga kutonhora kwenzvimbo kwemazuva gumi nemana. Rasa mushonga usingashandiswe mushure memazuva gumi nemana. Rasa zvinyorwa zvakashandiswa muhari yakaoma, yakavharwa iyo zvinyorwa zvisingakwanisi kupfuura. Chengetedza hari iyi kure nevana nembwa.