Baricitinib (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Olumiant
Mayelana naleli khambi
I-Baricitinib isetshenziswa yodwa noma kanye nezinye izidakamizwa (umz., i-methotrexate, i-DMARDs) ukuze ikwelaphe isifo se-rheumatoid arthritis esiphakathi ukuya esinamandla kakhulu kubantu abaye bathatha ezinye izidakamizwa (umz., i-tumor necrosis factor noma i-TNF antagonist) ezingazange zisebenze kahle. I-Baricitinib isetshenziswa futhi ukuze ikwelaphe isifo se-coronavirus 2019 (i-COVID-19) kubantu abasisibhedlela abadinga i-oksijini noma usizo lokuphuma umoya. I-Baricitinib isetshenziswa futhi ukuze ikwelaphe i-alopecia areata eqatha (isifo sokuziphatha komzimba esibangela ukulahleka kwezinwele ngezicucu). I-Baricitinib iyi-Janus kinase (JAK) inhibitor esebenza ohlelweni lokuvikela umzimba. Lena imithi itholakala kuphela ngomyalelo wodokotela wakho we-rheumatoid arthritis. Lena imithi kufanele inikezwe kuphela ngudokotela wakho noma ngaphansi kokunakekelwa kwakhe ngqo kwe-COVID-19. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Umakuqondisa ekusebenziseni imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqhelile noma oluhambisana nokwelapha imithi noma ezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-baricitinib yokwelapha isifo se-rheumatoid arthritis ne-alopecia areata kubantwana kanye nokwelapha i-COVID-19 kubantwana abaneminyaka engaphansi kwengu-2. Ukuphepha nokusebenza kahle akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kwe-baricitinib kubantu abadala. Noma kunjalo, abantu abadala banesikhathi esiningi sokuhlupheka ngezinkinga zezinkalankala ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kubantu abamukela i-baricitinib. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo akuvamile ukunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma yimiphi imithi kungabangela ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Ngokuqondene ne-COVID-19: Ngokuqondene nohlobo oluhlungu lwamaciwane oluqabula amalunga omzimba kanye nokuphelelwa yizinwele: Sebenzisa le miyekezo ngokuqondile njengoba udokotela wakho ayalele. Ungayithathi ngaphezulu noma ngaphansi kwalokho, ungayithathi kaningi, futhi ungayithathi isikhathi eside kunalokho udokotela wakho akuyalile. Le miyekezo ifika neNcwadi Yokwelapha nemiyalelo yokuqondisa iziguli. Funda futhi ulandele le miyalelo ngokucophelela. Buza udokotela wakho uma unemibuzo. Ungayithatha le miyekezo ngokudla noma ngaphandle kokudla. Tshela udokotela wakho uma ungakwazi ukugwinya ithebhulethi yonke. Ithebhulethi ingaxutshwa emanzini bese iginjwa ngokushesha. Inganikezwa futhi ngompompi we-gastrostomy, umpompi we-nasogastric, noma umpompi we-orogastric. Inani lemiyekezo elizothathwa lizohlukahluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalelo esempahleni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale miyekezo. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani lemiyekezo oyithathayo lixhomekeke emandleni yemithi. Futhi, inani lemiyekezo oyithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwemithi, nobude besikhathi oyithatha khona imithi kuya ngesimo sezempilo owayisebenzisa ngaso imithi. Uma uphuthelwa yidosi yale miyekezo, yithatha ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sedosi yakho elandelayo, tshela idosi oyiphothile bese ubuyela esimweni sakho sokuthola imithi. Ungawandisi amanani emithi. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukuba iqhube. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.