Anakinra
Zvemukati
- Kugonesa jekiseni, tevera nhanho idzi:
- Asati atora anakinra,
- Anakinra inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
Anakinra inoshandiswa, iri yoga kana musanganiswa nemimwe mishonga, kudzikisa marwadzo uye kuzvimba kwakabatana nerheumatoid arthritis. Anakinra ari mukirasi yemishonga inonzi interleukin vanopikisana. Inoshanda nekudzivirira chiitiko che interleukin, puroteni mumuviri inokanganisa kubatana.
Anakinra inouya semhinduro yekujekesa subcutaneously (pasi peganda). Inowanzojowa kamwe pazuva, panguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa anakinra chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.
Anakinra anouya akafarira magirazi majekiseni. Kune majekiseni manomwe mubhokisi rega rega, rimwe chete pazuva rega revhiki. Shandisa sirinji imwe chete kamwe uye jekiseni mhinduro yese mujekiseni. Kunyangwe paine imwe mhinduro yasara musyinji mushure mekunge wabaya jekiseni, usabaya zvakare. Rasa majekiseni akamboshandiswa mumudziyo unodzivira. Taura nachiremba wako kana wemabhizimusi nezve maratidziro aungaita mudziyo usingadzivirirwe.
Usazununguse majekiseni akafanirwa. Kana mhinduro yacho yakapupa furo, tendera sirinji kuti igare kwemaminetsi mashoma kusvikira yajeka. Usashandise sirinji kana zvirimo zvichitaridzika kuve zvine ruvara kana makore kana kana paine chero chinhu chiri kuyangarara machiri.
Unogona kubaya anakinra muhudyu yekunze kana mudumbu. Kana mumwe munhu ari kukubaira jekiseni, rinogona kuiswa jekiseni kumashure kwemaoko kana magaro. Kuti uderedze mikana yekusuwa kana kutsvuka, shandisa imwe saiti jekiseni rega rega. Haufanire kushandura chikamu chemuviri zuva rega rega, asi jekiseni idzva rinofanira kupihwa anenge 1 inch (2.5 masentimita) kure neiyo jekiseni rapfuura Usabaya jekiseni padhuze netsinga yaunogona kuona pasi peganda.
Usati washandisa anakinra kekutanga, verenga ruzivo rwemugadziri wemurwere unouya naro. Kumbira chiremba wako kana wemishonga kuti akuratidze maitiro ekubaya anakinra.
Kugonesa jekiseni, tevera nhanho idzi:
- Chenesa iyo jekiseni saiti nedoro pukuta uchishandisa denderedzwa kufamba, uchitanga kubva pakati uye uchienda kunze. Rega nzvimbo yacho iome zvachose.
- Bata sirinji uye dhonza iyo tsono yekuvhara nekumonyanisa iyo buti uchidhonza pairi. Usabata tsono.
- Bata sirinji muruoko rwaunoshandisa kuzvibaya. Kana zvichikwanisika, shandisa rumwe ruoko rwako kupeta ganda reganda panzvimbo yejojo. Usaise sirinji pasi kana kubvumira iyo tsono kubata chero chinhu.
- Bata sirinji pakati pechigunwe chako nezvigunwe kuti ugone kudzora. Pinza tsono mukati meganda nekukasira, kupfupika kufamba pa45 kusvika 90 degree degree. Tsono inofanira kuiswa kanokwana pakati.
- Zvinyoronyoro rega kuenda kweganda, asi ita shuwa kuti tsono inoramba iri muganda rako. Zvishoma nezvishoma sundira plunger pasi mujekiseni kusvikira yamira.
- Bvisa tsono uye usadzorerezve. Dhinda rakaoma gauze (HAPANA chinodhaka doro) pamusoro peiyo jekiseni saiti.
- Iwe unogona kuisa diki rekunamatira bhandeji pane iyo jekiseni saiti.
- Isa sirinji yese yakashandiswa mumudziyo unodzivira.
Zvinogona kutora vhiki dzinoverengeka usati wanzwa kuzara kwakanakinra.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Asati atora anakinra,
- udza chiremba wako uye wemishonga kana uri weergoria kune anakinra, mapuroteni akagadzirwa kubva kumasero ehutachiona (E. coli), latex, kana chero mimwe mishonga.
- udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura chero yeanotevera: etanercept (Enbrel); infliximab (Remicade); nemishonga inodzvanyirira immune system yakadai saazathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), uye tacrolimus (Prograf). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
- udza chiremba wako kana uine hutachiona, asima, hutachiona hweHIV kana AIDS, kana chirwere cheitsvo.
- udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa anakinra, dana chiremba wako.
- kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa anakinra.
- hauna chero majekiseni (semuenzaniso, gwirikwiti kana dzihwa) pasina kutaura nachiremba wako.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Shandisa iro rakarasika dhizai nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.
Anakinra inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- kutsvuka, kuzvimba, kupwanya, kana kurwadziwa panzvimbo yejekiseni
- musoro
- kusvotwa
- manyoka
- dzihwa
- kurwadziwa nemudumbu
Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvina kujairika, asi kana ukasangana nechimwe zvacho, dana chiremba wako nekukasika:
- mapundu
- furu-kunge zviratidzo
- fivha, huro, chironda, uye zvimwe zviratidzo zvehutachiona
- kukosora, kufema, kana kurwadziwa pachipfuva
- inopisa, tsvuku, yakazvimba nzvimbo paganda
Anakinra inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengeta majekiseni nemidziyo yejekiseni kunze kwekusvika kwevana. Chengetedza anakinra majekiseni mufiriji. Usagwamba. Dzivirira kubva pachiedza. Usashandise sirinji yanga iri pane tembiricha yemukati kweanopfuura maawa makumi maviri nemana.
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari ekuongorora usati uye panguva yekurapa kuti utarise mhinduro yemuviri wako kuna anakinra.
Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
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