Sarilumab (indlela yokungenisa ngaphansi kwesikhumba)
Imikhiqizo etholakalayo
Kevzara
Mayelana naleli khambi
Isikhubekiso seSarilumab sisetshenziswa sodwa noma ngokubambisana nezinye izidakamizwa ukuze kuphathwe izimpawu ze-rheumatoid arthritis ezingaphakathi nendawo kuya kwezinkulu ezithola ukwelashwa kwezinye izidakamizwa (isib. imethotrexate) ezingazange zisebenze kahle noma ezingakwazanga ukubekezeleleka. Lena imithi isetshenziswa futhi ekwelapheni i-polymyalgia rheumatica kubantu abake baphathwa ngezinye izidakamizwa (isib. ama-corticosteroids) ezingazange zisebenze kahle noma ezingakwazanga ukubekezeleleka. Lena imithi itholakala kuphela ngomyalelo wochwepheshe wezokwelapha. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa le mishini, kufanele kuqhathaniswe ingozi yokusebenzisa le mishini nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Ngale mishini, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa uketshezi kule mishini noma kwezinye izidakamizwa. Tshela futhi ochwepheshe bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Akwenziwanga ucwaningo olufanele mayelana nobudlelwano bobudala nemiphumela yokubeka isilinganiso se-sarilumab kubantwana. Ukuphepha nokuphumelela akukaqiniswa. Ucwaningo olufanele oluqediwe kuze kube manje alubonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kokubeka isilinganiso se-sarilumab kubantu abadala. Noma kunjalo, abantu abadala banesikhathi esiningi sokuthola ukutheleleka okukhulu, okungadinga ukuqapha kubantu abamukela ukubeka isilinganiso se-sarilumab. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mishini ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mishini ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mishini, kubaluleke kakhulu ukuthi ochwepheshe bezempilo bakwazi uma uthatha noma iyiphi imishini ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mishini nanoma iyiphi imishini elandelayo ngokuvamile akusikholisi, kodwa kungadingeka kwezinye izimo. Uma kokubili imishini ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imishini. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshako nanoma iyiphi imishini kungabangela ukuhlangana. Xoxa nochwepheshe bezempilo bakho ngokusetshenziswa kwemishini yakho ngokudla, utshwala, noma utshako. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mishini. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Leli lemithi liniwa njengoba isibopho phansi kwesikhumba sakho. I-Sarilumab ngezinye izikhathi inganikezwa ekhaya kubantu abangadingi ukuba esibhedlela. Uma wena noma ingane yakho usebenzisa le mithi ekhaya, udokotela wakho noma usesi wakho uzokufundisa ukuthi ungayilungiselela kanjani futhi uyibeke kanjani le mithi. Qiniseka ukuthi uyayiqonda kahle indlela yokusebenzisa le mithi. Le mithi iza ne-Medication Guide nemiyalo yomuntu. Funda futhi ulandele le miyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Le mithi iyatholakala ngezindlela ezimbili: Ungasebenzisa i-aprefilled syringe noma i-aprefilled pen. Uma usebenzisa le mithi ekhaya, uzoboniswa izindawo zomzimba lapho le sibopho singanikezwa khona. Sebenzisa indawo ehlukile yomzimba njalo lapho uzinikeza khona isibopho. Gcina uqapha ukuthi unikeza kuphi isibopho ngasinye ukuqinisekisa ukuthi uqala izindawo zomzimba. Lokhu kuzosiza ukuvimbela izinkinga zesikhumba. Vumela le mithi ukuba ifudumele kubushushu begumbi imizuzu engama-30 (ye-prefilled syringe) noma imizuzu engama-60 (ye-prefilled pen) ngaphambi kokuyisebenzisa. Ungayifudumisi le mithi nganoma iyiphi enye indlela. Hlola isiliva eliku-prefilled syringe noma ipeni. Kufanele ibe sobala futhi ingenalutho kuya emhlophe obomvu. Ungayisebenzisi le mithi uma i-cloudy, i-discolored, noma inezingxenye kuyo, noma uma i-prefilled syringe yonakele noma iphukile. Ungayidlidlizi le mithi. Ungayifaki ezindaweni zesikhumba ezipula, ezinamabala, ezibuhlungu, ezinzima, noma ezinamabala noma imikhawulo. Ungayisusi ikhava yensimbi ku-prefilled syringe noma ipeni kuze kube yilapho usulungele ukuyisebenzisa. Awungase usebenzisi yonke imithi ku-prefilled syringe ngayinye noma ipeni. Sebenzisa i-prefilled syringe ngayinye nepeni kanye kuphela. Ungayigcini i-syringe evuliwe noma ipeni. Umthamo wale mithi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo elabelini. Ulwazi olulandelayo luhlanganisa kuphela imithamo yale mithi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo wale mithi, uwuthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola imithi. Ungawandisi imithamo. Gcina kude nezingane. Ungayigcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi. Gcina esihlalweni. Ungayigandisi. Gcina imithi ebhokisini layo lokuqala ukuze uyivikele ekukhanyeni. Ungayisebenzisi uma iye yagandiswa. Ungagcina futhi imithi kubushushu begumbi kuze kube izinsuku ezingama-14. Lahla imithi engasetshenzisiwe ngemva kwezinsuku ezingama-14. Lahla izinsimbi ezisetshenzisiwe ebhodweni eliqinile, evaliwe, lapho izinsimbi zingakwazi ukugqoka khona. Gcina leli bhodwe kude nezingane nezilwane ezifuywayo.
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.