Yini i-Adalimumab-aaty: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Adalimumab-aaty iyinguqulo ye-biosimilar yomuthi owaziwayo i-adalimumab, eyenzelwe ukwelapha izimo ezihlukahlukene ze-autoimmune ngokuthulisa amasosha omzimba akho asebenzayo ngokweqile. Cabanga ngayo njengokwelashwa okuqondiswe kakhulu okusiza ukubuyisela ibhalansi lapho amasosha akho omzimba ngokungafanele ehlasela izicubu zakho ezinempilo.

Lo muthi ungowesigaba esibizwa ngokuthi ama-TNF blockers, asebenza ngokuvimba iphrotheni ethile ebangela ukuvuvukala ezimweni ezinjengokuhlaselwa ngumzimba kwamalunga, isifo sikaCrohn, kanye ne-psoriasis. Uzoyithola njengomjovo ngaphansi kwesikhumba sakho, ngokuvamile kanye njalo emavikini amabili noma njalo ngenyanga, kuye ngesimo sakho esithile.

Yini i-Adalimumab-aaty?

I-Adalimumab-aaty yilokho odokotela abakubiza ngokuthi umuthi we-

Izimo ezivame kakhulu ezilashwa yizo zihlanganisa i-rheumatoid arthritis, lapho isiza ukunciphisa ubuhlungu emalungeni nokuvuvukala okungalimaza amalunga akho ngokuhamba kwesikhathi. Iphinde isebenze kahle kakhulu nge-psoriasis, isiza ukususa izindawo eziqine, ezinama-scaly ezivela esikhumbeni sakho.

Ezimweni zokugaya ukudla, lo muthi ungashintsha impilo yabantu abanesifo sikaCrohn noma i-ulcerative colitis. Usiza ukuphulukisa ukuvuvukala emathunjini akho futhi unganciphisa izimpawu ezinjengobuhlungu besisu, isifo sohudo, nokopha.

Ezinye izimo udokotela wakho angase azelaphe nge-adalimumab-aaty zihlanganisa i-ankylosing spondylitis (uhlobo lwe-arthritis oluthinta umgogodla wakho), i-psoriatic arthritis, kanye nezimo ezithile zamehlo njenge-uveitis. Ezinganeni, ngezinye izikhathi isetshenziselwa i-juvenile arthritis lapho ezinye izindlela zokwelapha zingasebenzi kahle ngokwanele.

Isebenza Kanjani I-Adalimumab-aaty?

I-Adalimumab-aaty isebenza ngokuvimba iphrotheni ethile evuthayo ebizwa nge-TNF-alpha esetshenziswa amasosha akho omzimba ngokweqile ngesikhathi sezifo ze-autoimmune. Le phrotheni isebenza njengesiginali ye-alamu egcina amasosha akho omzimba esebenza ngokweqile, okubangela ukuvuvukala okuqhubekayo nokulimala kwezicubu.

Uma ujova i-adalimumab-aaty, ibopha kuma-molecule e-TNF-alpha egazini lakho futhi ibavimbela ukuthi bangabangeli ukuvuvukala. Cabanga ngakho njengokubeka inkinobho yokuthulisa ezimpawini ezivuthayo ezibangela izimpawu zakho.

Lo muthi ubhekwa njengokwelashwa okuqinile, okuhloswe ngakho kunokwelashwa okuncane. Yenzelwe ngokuqondile izimo ze-autoimmune eziphakathi nendawo kuya kwezinkulu lapho amasosha akho omzimba edinga ukuthuliswa okukhulu ukuvimbela ukulimala kwesikhathi eside ezingxenyeni zakho zomzimba nezicubu.

Imiphumela ngokuvamile iqala phakathi kwamasonto angu-2-4 ngemuva kokuqala ukwelashwa, nakuba abanye abantu beqaphela ukuthuthuka ngokushesha. Izinzuzo eziphezulu ngokuvamile zithuthuka phakathi nezinyanga ezingu-3-6 zokusetshenziswa okuqhubekayo, njengoba izinqubo zomzimba wakho ezivuthayo zithula kancane kancane.

Kufanele Ngiyithathe Kanjani I-Adalimumab-aaty?

I-Adalimumab-aaty iza njengomjovo ogcwaliswe ngaphambili ozowuzenzela ngaphansi kwesikhumba, ngokuvamile ethangeni lakho, endaweni yesisu, noma engalweni engenhla. Ithimba lakho lezempilo lizokufundisa indlela efanele yokujova futhi likusize uzizwe ukhululekile ngenqubo ngaphambi kokuba uyenze ekhaya.

Abantu abaningi bajova lo muthi kanye njalo emavikini amabili, nakuba udokotela wakho angase alungise isimiso ngokusekelwe esimweni sakho esithile nokuphendula kwakho. Kubalulekile ukuwujova ngosuku olufanayo njalo ukuze kugcinwe amazinga aqhubekayo egazini lakho.

Ungawuthatha lo muthi ngaphandle kokudla noma ngaphandle kokudla, ngoba ujovwa esikhundleni sokuthathwa ngomlomo. Nokho, kufanele ugcine imijovo egcwaliswe ngaphambili noma amapeni esiqandisini sakho futhi uwavumele ukuba afike ezingeni lokushisa legumbi cishe imizuzu engu-15-30 ngaphambi kokujova.

Njalo shintshanisa izindawo zakho zokujova ukuze uvimbele ukucasuka noma amaqhuma ngaphansi kwesikhumba sakho. Gcina umkhondo wokuthi uke wajova kuphi muva nje bese ukhetha indawo ehlukile njalo. Hlanza indawo yokujova nge-alcohol swab bese uyiyeka yome ngokuphelele ngaphambi kokujova.

Uma uzizwa unovalo ngokuzijova, khumbula ukuthi inaliti incane kakhulu futhi abantu abaningi bakuthola kungakhululekile kangako kunalokho abebelindele. Umhlinzeki wakho wezempilo angase futhi anqume ukhilimu wokuthulisa uma uzwela kakhulu emijovweni.

Kufanele Ngithathe Isikhathi Esingakanani I-Adalimumab-aaty?

Ubude bokwelashwa nge-adalimumab-aaty buhluka kakhulu kuye ngesimo sakho esithile nokuthi uphendula kahle kangakanani emuthini. Abantu abaningi abanezimo ezingapheli ze-autoimmune bayithatha iminyaka eminingi ukuze bagcine ukulawulwa kwezimpawu futhi bavimbele ukuqhubeka kwesifo.

Ezimweni ezinjenge-rheumatoid arthritis noma isifo sikaCrohn, ungase udinge ukwelashwa kwesikhathi eside ngoba lezi yizimo ezingapheli ezinganayo imithi yamanje. Udokotela wakho uzoqapha ukusabela kwakho futhi alungise ukwelashwa njengoba kudingeka, kodwa ukuyeka ngaphambi kwesikhathi kuvame ukuholela ekubuyeni kwezimpawu.

Abanye abantu abane-psoriasis bangase bakwazi ukuphumula emithini uma isikhumba sabo sicwetheka ngokuphelele futhi sihlale sicwethekile isikhathi eside. Nokho, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso sikadokotela wakho, njengoba ukuyeka kungazelelwe ngezinye izikhathi kungaholela ekuvukeni kabusha.

Umhlinzeki wakho wezempilo uzohlola njalo ukuthi ngabe izinzuzo zisaqhubeka zidlula noma yiziphi izingozi. Bazocabangela izinto ezinjengokuthi izimpawu zakho zilawulwa kahle kangakanani, noma yimaphi imiphumela emibi oyitholayo, nemiphumela evela ekuhlolweni kwegazi okuvamile okuqapha amasosha akho omzimba.

Ungalokothi uyeke ukuthatha i-adalimumab-aaty ngokuzumayo ngaphandle kokuxoxa ngayo nodokotela wakho kuqala. Bangase bafune ukunciphisa kancane kancane umthamo wakho noma bakushintshele emuthini ohlukile ukuze bavimbele izimpawu zakho ukuthi zingabuyi ngendlela enolaka.

Yini Imiphumela Emibi ye-Adalimumab-aaty?

Njengayo yonke imithi ethinta amasosha akho omzimba, i-adalimumab-aaty ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ilawuleka ngokunakekelwa okufanele nokuqapha.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukusabela endaweni yokujova, njengobubomvu, ukuvuvukala, noma ubuhlungu obuncane obuvame ukuxazululwa ngosuku olulodwa noma ezimbili. Abanye abantu futhi bathola izimpawu ezincane ezifana nomkhuhlane, ikhanda, noma ukukhathala njengoba umzimba wabo uzivumela emuthini.

Nansi imiphumela emibi evame kakhulu okufanele uyazi:

• Ukusabela endaweni yokujova (ububomvu, ukuvuvukala, ukuluma)
• Ukutheleleka okuphezulu kwemigudu yokuphefumula njengomkhuhlane noma ukutheleleka kwama-sinus
• Ikhanda nokukhathala okuncane
• Isicanucanu noma ukuphatheka kabi kwesisu
• Ukuqubuka kwesikhumba noma ukusabela kwesikhumba okuncane
• Izimpawu ezincane ezifana nomkhuhlane

Le miphumela emibi evamile ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini, ngokuvamile emasontweni ambalwa okuqala kokwelashwa.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Njengoba i-adalimumab-aaty icindezela amasosha akho omzimba, unengozi enkulu yokuthuthukisa izifo, okuhlanganisa ezinye ezingaba zimbi.

Nawa imiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha:

• Izimpawu zokutheleleka okungathi sína (umkhuhlane, amaqhafuqhafu, ukukhwehlela okuqhubekayo, ukukhathala okungavamile)
• Izimpawu zokukhwehlela (ukukhwehlela okuqhubekayo, ukuncipha kwesisindo, ukujuluka ebusuku)
• Izimpawu zezinkinga zesibindi (ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, ukukhathala okukhulu)
• Izimpawu zokuhluleka kwenhliziyo (ukuphefumula kanzima, ukuvuvukala emilenzeni noma ezinyaweni)
• Ukuphuma igazi okungavamile noma ukuqaqeka
• Ukuphendula kwesikhumba okukhulu noma ukukhula kwesikhumba okusha
• Izimpawu zemizwa (ubuthuntu, ukuluma, izinguquko embonweni)

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, njengoba zingase zidinge ukulungiswa kokwelashwa noma ukunakekelwa kwezempilo okwengeziwe.

Imiphumela emibi engavamile kodwa engathi sína ingahlanganisa ukuvuselelwa kwe-hepatitis B (kubantu abake baba nale nkinga), izinhlobo ezithile zomdlavuza, nokuphendula okukhulu komzimba. Udokotela wakho uzokuhlola lezi zingozi ngaphambi kokuqala ukwelashwa futhi akuqaphele njalo.

Ubani Ongafanele Athole I-Adalimumab-aaty?

I-Adalimumab-aaty ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zezempilo nezimo zenza lo muthi ube yingozi kakhulu noma ungafaneleki kwabanye abantu.

Akufanele uthathe i-adalimumab-aaty uma unokutheleleka okusebenzayo, okuhlanganisa izifo ezingathi sína njengokukhwehlela, noma uma njengamanje ulwa nanoma yiziphi izifo zamagciwane, amagciwane, noma isikhunta. Amasosha akho omzimba adinga ukusebenza ngokugcwele ukuze abhekane nezifo, futhi lo muthi uzophazamisa le nqubo.

Abantu abanezifo ezingapheli ezithile nabo badinga ukugwema lo muthi. Uma une-hepatitis B, hepatitis C, noma i-HIV, ukucindezelwa komzimba okubangelwa yi-adalimumab-aaty kungenza lezi zimo zibe zimbi noma kube nzima ukuzilawula.

Nazi izimo eziyinhloko ezivame ukuvimbela umuntu ukuthi angawuthathi i-adalimumab-aaty:

• Izifo ezisebenzayo zanoma yiluphi uhlobo
• Umlando we-tuberculosis noma ukuchayeka ku-tuberculosis
• Izifo ezingapheli ze-viral (hepatitis B, hepatitis C, HIV)
• Ukwelashwa komdlavuza kwamanje noma okusanda kwenzeka
• Ukwehluleka kwenhliziyo okukhulu
• Ukungezwani okwaziwayo ne-adalimumab noma imithi efanayo
• Imithi yokugomela esanda kuthathwa noma imithi yokugomela ehleliwe

Udokotela wakho uzophinda aqaphele ngokuncoma lo muthi uma unesifo sikashukela, isifo sezinso esingapheli noma isifo sesibindi, noma uma uneminyaka engaphezu kwengama-65 ubudala, njengoba lezi zinto zingakhuphula ingozi yakho yezinkinga.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile. Ngenkathi i-adalimumab-aaty ingasetshenziswa ngesikhathi sokukhulelwa ezimweni ezithile, udokotela wakho uzohlola ngokucophelela izinzuzo ngokumelene nezingozi ezingaba khona kuwe nomntwana wakho.

Uma uhlela ukuhlinzwa, udokotela wakho angase amise okwesikhashana ukwelashwa kwakho nge-adalimumab-aaty ukuze kuncishiswe ingozi yokutheleleka ngesikhathi sokwelashwa. Njalo yazisa noma yimuphi umhlinzeki wezempilo okwelashayo ukuthi uthatha lo muthi.

Amagama Omkhiqizo we-Adalimumab-aaty

I-Adalimumab-aaty igama elivamile lalo muthi we-biosimilar, kodwa futhi ithengiswa ngaphansi kwegama lomkhiqizo elithi Hyrimoz. Ikhemisi lakho lingase linikeze kokubili inguqulo ejwayelekile noma inguqulo yegama lomkhiqizo, kuye ngokuthi umshwalense wakho uhlanganisa ini nokutholakala.

Umuthi wokuqala we-adalimumab uthengiswa ngaphansi kwegama lomkhiqizo elithi Humira, ongase ulazi ezikhangisweni noma emiyalweni yangaphambilini. I-Adalimumab-aaty yathuthukiswa njengenye indlela engabizi kakhulu ku-Humira ngenkathi inikeza izinzuzo ezifanayo zokwelapha.

Uma udokotela wakho ekunika lo muthi, angase abhale ukuthi "adalimumab-aaty" noma "Hyrimoz" emyalelweni wakho. Zombili zisho umuthi ofanayo, ngakho-ke ungakhathazeki uma ubona amagama ahlukene emyalelweni wakho uma uqhathanisa nokupakishwa komuthi wakho.

Inkampani yakho yomshuwalense ingase ibe nezintandokazi zokuthi iyiphi inguqulo ezoyikhokhela, ngakho-ke kufanelekile ukuxhumana nekhemisi lakho mayelana nanoma iyiphi imininingwane yezindleko ezingase zibe khona phakathi kwamagama omkhiqizo kanye nezinguqulo ezivamile.

Ezinye Izindlela Zokwelapha Zokuthi Adalimumab-aaty

Uma i-adalimumab-aaty ingasebenzi kahle kuwe noma idala imiphumela engathandeki, imithi eminingi ehlukile ingelapha izimo ezifanayo. Udokotela wakho uzocabangela isimo sakho esithile, ukwelashwa kwangaphambilini, kanye nezinto ezithinta impilo yakho lapho ehlola ezinye izinketho.

Eminye imithi evimbela i-TNF isebenza ngendlela efana ne-adalimumab-aaty futhi ingase ibe ezinye izindlela ezinhle zokwelapha. Lokhu kufaka phakathi i-etanercept (Enbrel), i-infliximab (Remicade), kanye ne-golimumab (Simponi), nakuba ngamunye enezikhathi zokulinganisa ezihlukile nezindlela zokuphatha.

Kwezinye izimo, udokotela wakho angase acabangele izinhlobo ezahlukene zemithi ye-biologic eqondiswe kwezinye izingxenye zesimiso sakho somzimba sokuzivikela. Lokhu kufaka phakathi imithi efana ne-rituximab, abatacept, noma i-tocilizumab, esebenza ngezindlela ezihlukene kodwa engasebenza kahle ngokulinganayo.

Imithi yendabuko yokuguqula izifo efana ne-methotrexate, sulfasalazine, noma leflunomide ingase futhi ibe yizinketho, ikakhulukazi uma ufuna imithi yomlomo esikhundleni sokujova. Lezi zivame ukungabizi kakhulu kodwa zingathatha isikhathi eside ukukhombisa imiphumela.

Udokotela wakho uzosebenza nawe ukuthola enye indlela engcono kakhulu esekelwe ezidingweni zakho ezithile, izintandokazi zokuphila, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene. Umgomo uhlala ukuthola ukwelashwa okuphumelela kakhulu ngemiphumela emincane kakhulu eceleni esimweni sakho esithile.

Ingabe i-Adalimumab-aaty Ingcono Kune-Humira?

I-Adalimumab-aaty yakhelwe ukuba isebenze kahle njenge-Humira (i-adalimumab yasekuqaleni) ekwelapheni izimo ze-autoimmune. Njenge-biosimilar, kufanele ifakazele ngezivivinyo eziningi zomtholampilo ukuthi isebenza ngokulingana nomuthi wokuqala.

Ngokuqondene nokusebenza kahle, ungalindela ukuthi i-adalimumab-aaty inikeze ukukhululeka okufanayo kwezimpawu nokulawulwa kwesifo njenge-Humira. Isithako esisebenzayo nendlela esisebenza ngayo emzimbeni wakho cishe iyafana, ngakho ukushintsha phakathi kwazo akufanele kuthinte imiphumela yakho yokwelashwa.

Inzuzo enkulu ye-adalimumab-aaty ngaphezu kwe-Humira ngokuvamile izindleko. Imithi ye-Biosimilar ngokuvamile ibiza kancane kunezinto zabo ezigama zabo, okungaholela ekunciphiseni ama-copays noma izindleko eziphuma ephaketheni lakho, kuye ngomshuwalense wakho.

Abanye abantu bakhetha ukwakheka okukodwa kunokunye ngokusekelwe ezintweni ezinjengokwakheka kwedivayisi yokujova, izidingo zokugcina, noma indlela umuthi ozizwa ngayo ngesikhathi sokujova. Kodwa-ke, lezi zinto ezihlukene zivame ukuba zincane futhi zehlele ekukhetheni komuntu siqu kunokuba zibe ngcono ngokwezokwelapha.

Uma njengamanje uthatha i-Humira futhi udokotela wakho uphakamisa ukushintshela ku-adalimumab-aaty, ungezwa uqiniseka ukuthi uthola ukwelashwa okulinganayo. Ukushintsha kuvamile ukuthi akuhambisani, ngaphandle kwesidingo sokulungisa umthamo noma isikhathi.

Imibuzo Evame Ukubuzwa Mayelana ne-Adalimumab-aaty

Q1. Ingabe i-Adalimumab-aaty iphephile kubantu abanesifo sikashukela?

I-Adalimumab-aaty ingasetshenziswa ngabantu abanesifo sikashukela, kodwa idinga ukuqapha okwengeziwe nokuphathwa ngokucophelela. Isifo sikashukela singathinta ikhono lomzimba wakho lokulwa nezifo, futhi i-adalimumab-aaty icindezela ngokuqhubekayo umsebenzi wokuzivikela komzimba, okungenzeka ukuthi kwandise ingozi yokutheleleka.

Udkt wakho uzosebenza eduze nawe ukuqapha amazinga kashukela wegazi lakho futhi aqaphele noma yiziphi izimpawu zokutheleleka ngokucophelela okukhulu kunokujwayelekile. Bangase futhi bahlele nodokotela wakho we-endocrinologist noma onguchwepheshe we-diabetes ukuqinisekisa ukuthi ukuphathwa kwakho isifo sikashukela kuhlala kulungile ngenkathi uthatha lo muthi.

Abantu abaningi abanesifo sikashukela nezimo ze-autoimmune bathatha ngempumelelo i-adalimumab-aaty ngaphansi kokuqondiswa okufanele kwezokwelapha. Okubalulekile ukugcina ukulawulwa okuhle kukashukela wegazi nokuhlala uqaphile mayelana nokuvimbela ukutheleleka nokutholwa kwasekuqaleni.

Umbuzo 2. Kufanele ngenzeni uma ngingahlosi ukusebenzisa i-Adalimumab-aaty eningi kakhulu?

Uma ngempela ujova i-adalimumab-aaty eningi kunaleyo ebekiwe, xhumana nomhlinzeki wakho wezempilo ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungandisa ingozi yakho yokutheleleka okukhulu nezinye izinkinga, ngakho-ke ukuhlolwa kwezokwelapha kubalulekile.

Ungashayi uvalo, kodwa funa ukunakekelwa kwezokwelapha ngokushesha. Udokotela wakho angase afune ukukuqapha eduze ukuze uthole izimpawu zokutheleleka noma eminye imiphumela emibi emasontweni ambalwa alandelayo. Bangase futhi balungise umthamo wakho olandelayo ohleliwe noma bamise ukwelashwa okwesikhashana.

Letha ukupakishwa komuthi nawe ekuqokweni kwakho ukuze umhlinzeki wakho wezempilo akwazi ukunquma kahle ukuthi ungakanani umuthi owengeziwe owutholile. Lolu lwazi lubasiza ukuthi bahlole ingozi yakho futhi bahlele ukuqapha okufanele.

Umbuzo 3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Adalimumab-aaty?

Uma uphuthelwa umthamo we-adalimumab-aaty, yi-jova ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile kunokuthi uphinde kabili.

Zama ukubuyela eshedyulini yakho ejwayelekile ngokushesha ngangokunokwenzeka, njengoba amazinga aqhubekayo omuthi egazini lakho asiza ukugcina ukulawulwa kwezimpawu. Uma ungaqiniseki ngesikhathi, shayela umhlinzeki wakho wezempilo noma usokhemisi ukuze uthole isiqondiso.

Ukuphuthelwa umthamo ngezikhathi ezithile ngokuvamile ngeke kubangele izinkinga ngokushesha, kodwa ukuphuthelwa imithamo eminingi kungavumela izimpawu zakho ukuthi zibuye. Cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa uhlelo lokulandela imithi ukukusiza ukuthi ukhumbule isimiso sakho sokujova.

Q4. Ngingayeka nini ukuthatha i-Adalimumab-aaty?

Kufanele uyeke kuphela ukuthatha i-adalimumab-aaty ngaphansi kokuqondiswa udokotela wakho, ngisho noma uzizwa ungcono kakhulu. Izimo eziningi ze-autoimmune zidinga ukwelashwa okuqhubekayo ukuvimbela izimpawu ukuthi zingabuyi futhi zivikele ekulimaleni kwamalungu esikhathi eside.

Udokotela wakho uzohlola njalo ukuthi usayidinga yini imithi ngokuhlola izimpawu zakho, enze izivivinyo zomzimba, futhi abuke izivivinyo zaselabhorathri. Bangase bacabange ukunciphisa umthamo noma ukwelula isikhathi phakathi kokujova ngaphambi kokuyeka ngokuphelele.

Abanye abantu bangayeka ngempumelelo i-adalimumab-aaty uma bebesesimweni sokuxolelwa isikhathi eside, kodwa lesi sinqumo sidinga ukuhlolwa kwezokwelapha okucophelelayo. Udokotela wakho uzokwenza uhlelo lokuqapha isimo sakho ngokucophelela ngemuva kokuyeka ukuze ubambe noma yiziphi izimpawu zokubuya ngokushesha.

Q5. Ngingakwazi yini ukuthola imithi yokugoma ngenkathi ngithatha i-Adalimumab-aaty?

Ungathola imithi yokugoma eminingi ngenkathi uthatha i-adalimumab-aaty, kodwa kufanele ugweme imithi yokugoma ephilayo ngokuphelele. Imithi yokugoma ephilayo iqukethe amagciwane noma amabhaktheriya abuthakathaka kodwa aphilayo angabangela izifo ezinzima lapho amasosha akho omzimba ecindezelwe.

Imithi yokugoma engasebenzi (njengomjovo womkhuhlane, umjovo wamaphaphu, noma imithi yokugoma ye-COVID-19) ngokuvamile iphephile futhi inconywa ngenkathi uthatha i-adalimumab-aaty. Kodwa-ke, kungenzeka ingasebenzi kahle njengoba ingenza ngamasosha omzimba asebenza ngokugcwele.

Njalo yazisa noma yimuphi umhlinzeki wezempilo okunikeza imithi yokugoma ukuthi uthatha i-adalimumab-aaty. Bangakweluleka ngesikhathi sokugoma futhi bakusize uqinisekise ukuthi uthola imithi yokugoma evikelayo kakhulu esimweni sakho ngenkathi uhlala uphephile.