Jekiseni reAdalimumab

Zvemukati

• Adalimumab jekiseni rinoshandiswa roga kana nemamwe mishonga kudzikamisa zviratidzo zvehumwe autoimmune kusagadzikana (mamiriro umo immune system inorwisa zvikamu zvine hutano zvemuviri uye inokonzeresa kurwadziwa, kuzvimba, uye kukuvara) kusanganisira zvinotevera:
• Usati washandisa adalimumab jekiseni,
• Adalimumab jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana rubatsiro rwechimbichimbi:

Kushandisa jekiseni readalimumab kunogona kudzikisira kugona kwako kurwisa hutachiona uye kuwedzera mukana wekuti uve nehutachiona hwakakomba, kusanganisira hwakanyanya fungal, hutachiona, uye hutachiona hutachiona hunogona kupararira nemuviri. Zvirwere izvi zvingangoda kurapwa muchipatara uye zvinogona kukonzera kufa. Udza chiremba wako kana iwe uchiwanzowana chero hutachiona hutachiona kana kana uine kana uchifunga kuti unogona kunge uine chero hutachiona ikozvino. Izvi zvinosanganisira hutachiona hushoma (sekucheka kana maronda akavhurika), hutachiona hunouya huchienda (hwakadai maronda anotonhora) kana hutachiona husingaperi husingaendi. Uyezve udza chiremba wako kana iwe kana wakambove nemamiriro ezvinhu anokanganisa immune system yako kana iwe uchigara kana wakambogara munzvimbo dzakaita seOhio kana Mississippi rwizi rwizi uko kwakanyanya fungal hutachiona hwanyanya. Kumbira chiremba wako kana iwe usingazive kana hutachiona uhu hwanyanya munzvimbo yako. Udza chiremba wako kana iwe uri kutora mishonga inoderedza chiitiko chemuviri wemuviri senge anotevera: abatacept (Orencia), anakinra (Kineret), certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade) , methotrexate (Otrexup, Rasuvo, Trexall), rituximab (Rituxan), kana steroids senge dexamethasone, methylprednisolone (Medrol), prednisone (Rayos), kana prednisolone (Prelone).

Chiremba wako anokucherechedza iwe nezviratidzo zvehutachiona panguva uye mushure mekurapa kwako. Kana iwe uine chero cheanotevera zviratidzo usati watanga kurapwa kwako kana kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita kurapwa, dana chiremba wako nekukurumidza: kushaya simba; vangadikitira; huro inorwadza; kukosora; kukosora maburi eropa; kupindwa nechando; kuonda; kuneta kwakanyanya; manyoka; kurwadziwa mudumbu; inodziya, tsvuku, kana inorwadza ganda; zvinorwadza, zvakaoma, kana kazhinji weti; kana zvimwe zviratidzo zvehutachiona.

Unogona kunge uine hutachiona (TB; chirwere chakakomba chemapapu) kana hepatitis B (hutachiona hunokanganisa chiropa) asi usina zviratidzo zvechirwere. Mune ino kesi, adalimumab jekiseni inogona kuwedzera njodzi yekuti hutachiona hwako huchawedzera uye uchaita zviratidzo. Chiremba wako achaita ongororo yeganda kuti aone kana uine hutachiona hweTB husingaite uye anogona kuraira kuongororwa kweropa kuti aone kana uine hutachiona hwehepatitis B. Kana zvichidikanwa, chiremba wako anogona kukupa mishonga yekurapa hutachiona usati watanga kurapwa kwako neadalimumab. Udza chiremba wako kana wakambove neTB kana kuti wakambove neTB, kana wakambogara kana kushanyira nyika ine TB yakajairika, kana kuti kana wakambove pedyo nemunhu ane kana akamborwara neTB. Kana iwe uine chero anotevera zviratidzo zveTB, kana kana iwe ukaita chero eapi eaya maratidziro panguva yekurapwa kwako, fonera chiremba wako nekukasira: kukosora, kuonda, kurasikirwa kwemhasuru toni, fivha, kana husiku hweziya. Zvakare fonera chiremba wako nekukasira kana uine chimwe chezviratidzo zvehepatitis B kana kana iwe uchikura chimwe chezviratidzo izvi panguva kana mushure mekurapwa kwako: kuneta zvakanyanya, kuita yero kweganda kana maziso, kurasikirwa nenzara, kuda kurutsa kana kurutsa, tsandanyama aches, weti yakasviba, kufamba-kweuvara-ura kufamba, fivha, kutonhora, kurwadziwa mudumbu, kana kuputika.

Vamwe vana, vachiri kuyaruka, uye vechidiki vakuru vakagashira adalimumab jekiseni kana mishonga yakafanana vakaita gomarara rakakomba kana kutyisidzira hupenyu kusanganisira lymphoma (kenza inotanga mumasero anorwisa hutachiona). Vamwe vechidiki uye vechidiki varume vakuru vakatora adalimumab kana mishonga yakafanana vakagadzira hepatosplenic T-cell lymphoma (HSTCL), chirwere chakakomba chekenza chinowanzo kukonzera kufa mukati menguva pfupi yenguva. Vazhinji vevanhu vakagadzira HSTCL vairapwa chirwere cheCrohn (mamiriro ezvinhu umo muviri unorwisa kumhara kwegwara rekudya, zvichikonzera marwadzo, manyoka, kuonda, nefivha) kana ulcerative colitis (mamiriro anokonzera kuzvimba nemaronda. mumutsara wekoloni [ura hukuru] uye rectum) neadalimumab kana imwe mishonga yakafanana pamwe chete nemumwe mushonga unonzi azathioprine (Imuran) kana 6-mercaptopurine (Purinethol). Udza chiremba wemwana wako kana mwana wako akambova nemhando ipi neipi yekenza. Kana mwana wako akatanga chero cheizvi zviratidzo panguva yekurapwa kwake, danaidza chiremba wake nekukurumidza: kurwadziwa mudumbu; kupindwa nechando; kusanzwisisika kuonda; kuzvimba gland mumutsipa, underarms, kana kugomera; kana kupwanya kuri nyore kana kubuda ropa. Taura nachiremba wemwana wako nezve njodzi dzekupa adalimumab jekiseni kumwana wako.

Chiremba wako kana wemishonga anokupa iro gwaro reruzivo rwevarwere (reMedicine Gwara) paunotanga kurapwa nejekiseni yeadalimumab uye nguva yega yega yaunogamuchira mishonga. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekushandisa adalimumab jekiseni.

Adalimumab jekiseni rinoshandiswa roga kana nemamwe mishonga kudzikamisa zviratidzo zvehumwe autoimmune kusagadzikana (mamiriro umo immune system inorwisa zvikamu zvine hutano zvemuviri uye inokonzeresa kurwadziwa, kuzvimba, uye kukuvara) kusanganisira zvinotevera:

• rheumatoid arthritis (mamiriro umo muviri unorwisa majoini awo, zvichikonzera kurwadziwa, kuzvimba, uye kurasikirwa nebasa) muvanhu vakuru,
• juvenile idiopathic arthritis (JIA; mamiriro anokanganisa vana umo muviri unorwisa majoini awo, zvichikonzera kurwadziwa, kuzvimba, kurasikirwa nebasa, uye kunonoka mukukura uye kusimukira) muvana vane makore maviri ekuberekwa nekure,
• Chirwere cheCrohn (mamiriro ezvinhu umo muviri unorwisa maburi edumbu, zvichikonzera marwadzo, manyoka, kuonda, uye kupisa muviri) izvo zvisina kuvandudzwa kana zvichibatwa nemimwe mishonga muvakuru nevana vane makore matanhatu zvichikwira,
• ulcerative colitis (chirwere chinokonzeresa kuzvimba uye maronda mumutsara wekoloni [ura hukuru] uye rectum) apo mimwe mishonga nemishonga zvisina kubatsira kana kutadza kubvumidzwa muvakuru nevana vane makore mashanu ekuberekwa nepamusoro,
• ankylosing spondylitis (mamiriro umo muviri unorwisa majoini emuzongoza pamwe nedzimwe nzvimbo zvichikonzera kurwadziwa nekukuvara kwemajoini) muvanhu vakuru,
• psoriatic arthritis (mamiriro anokonzera kurwadza kwemajoini uye kuzvimba uye zviyero paganda) muvanhu vakuru,
• hidradenitis suppurativa (chirwere cheganda chinokonzera mapundu-kunge mapundu muhapwa, kugomera, uye nzvimbo yekumashure) kune vakuru nevana vane makore gumi nemaviri zvichikwira,
• uveitis (kuzvimba uye kuzvimba kwenzvimbo dzakasiyana dzeziso) muvakuru uye vana makore maviri ezera nekure,
• chisingaperi plaque psoriasis (chirwere cheganda umo tsvuku, scaly zvigamba zvinoumba pane dzimwe nzvimbo dzomuviri) muvanhu vakuru.

Adalimumab jekiseni iri mukirasi yemishonga inonzi tumor necrosis factor (TNF) inhibitors. Inoshanda nekudzivirira chiito cheTNF, chinhu mumuviri chinokonzera kuzvimba.

Jekiseni reAdalimumab rinouya semhinduro (mvura) kujekesa subcutaneously (pasi peganda). Chiremba wako anokuudza iwe kangani kushandisa adalimumab zvichienderana nemamiriro ako nezera. Kuti ikubatsire kuyeuka kubaya jekiseni adalimumab, tara mazuva aunorongedzerwa kuti uibaye pakarenda yako. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa adalimumab jekiseni chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Iwe uchagamuchira yako yekutanga dosi yeadalimumab jekiseni muhofisi yako yechiremba. Mushure meizvozvo, unogona kubaya adalimumab jekiseni pachako kana kuita shamwari kana hama inoita majekiseni acho. Usati washandisa jekiseni readalimumab iwe kekutanga, verenga yakanyorwa mirairo inouya nayo. Kumbira chiremba wako kana wemishonga kuti akuratidze kana munhu uyo ​​achange achibaisa mushonga kuti anoijowa sei.

Adalimumab jekiseni inouya mune yakasarudzika majekiseni uye dosing mapeni. Shandisa sirinji imwe kana peni kamwe chete uye jekiseni mhinduro yese mujekiseni kana peni. Kunyangwe paine imwe mhinduro yasara mujekiseni kana peni mushure mekubaya jekiseni, usabaya zvakare. Rasa majekiseni nezvipenga zvakashandiswa mumudziyo usingapindiki. Taura nachiremba wako kana wemabhizimusi nezve maratidziro aungaita mudziyo usingadzivirirwe.

Kana iwe uri kushandisa sirinji yakasarudzika kana dosing peni yakaiswa mufiriji, isa sirinji kana peni panzvimbo yakati sandara pasina kubvisa tsono yekapu uye kuitendera ichidziya kutembiricha yemukati kwemaminetsi gumi nemashanu kusvika makumi matatu usati wagadzirira kubaya mushonga .Usaedze kudziya mushonga nekuupisa mu microwave, uchiisa mumvura inopisa, kana neimwe nzira.

Ngwarira kuti usadonhedze kana kupwanya majekiseni akafanirwa kana mapeni edosi. Izvi zvishandiso zvakagadzirwa negirazi kana zvine girazi uye zvinogona kutyoka kana zvikadonhedzwa.

Unogona jekiseni adalimumab jekiseni chero kupi kumberi kwezvidya zvako kana mudumbu kunze kweguvhu rako nenzvimbo 2 inches (5 masendimita) kutenderedza. Kuti uderedze mikana yekusuwa kana kutsvuka, shandisa imwe saiti jekiseni rega rega. Ipa jekiseni rega rega inosvika 1 inch (2.5 masentimita) kure nenzvimbo yawakatoshandisa. Chengeta rondedzero yenzvimbo dzawakabaya majekiseni kuti usazobaya nzvimbo idzi zvakare. Usabayare munzvimbo ine ganda nyoro, yakapwanyika, yakatsvuka, kana yakaoma kana paunenge uine mavanga kana mamaki.

Nguva dzose tarisa kune adalimumab jekiseni mhinduro usati wabaya jekiseni. Tarisa uone kuti nguva yekupera haina kupfuura, kuti sirinji kana dosing peni ine huwandu hwakaringana hwemvura, uye kuti mvura yacho yakajeka uye isina ruvara. Usashandise sirinji kana dosing pen kana yapera, kana isina huwandu hwakaringana hwemvura, kana kana iyo mvura iine makore kana iine maflakes.

Jekiseni reAdalimumab rinogona kubatsira kudzora mamiriro ako asi risingarape. Ramba uchishandisa adalimumab jekiseni kunyangwe iwe uchinzwa zvakanaka. Usarega kushandisa adalimumab jekiseni usingataure nachiremba wako.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa adalimumab jekiseni,

• udza chiremba wako uye wemishonga kana uri weergoria kune adalimumab jekiseni, chero mimwe mishonga, kana chero chinhu chinosanganiswa mujekiseni yeadalimumab. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa. Kana iwe uchizenge uchishandisa sirinji yakasarudzika, udzawo chiremba wako kana iwe kana munhu achange achikubatsira kupinza jekiseni adalimumab ane alejiki kune latex kana rubber.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: cyclosporine (Gengraf, Neoral, Sandimmune), theophylline (Elixophyllin, Theo 24, Theochron), kana warfarin (Coumadin, Jantoven). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• pamusoro pemamiriro ataurwa muchikamu CHENYANZISO CHENYANZISO, udza chiremba wako kana wakambove nehusimbe kana kugwinha mune chero chikamu chemuviri wako, chero chirwere chinokanganisa hurongwa hwako hwemitsipa, senge multiple sclerosis (chirwere icho tsinga hadzishande nemazvo zvichikonzera kushaya simba, chiveve, kurasikirwa nekubatana kwetsandanyama uye matambudziko nekuona, kutaura, uye kudzora dundira), Guillain-Barre syndrome (kushaya simba, kurira, uye kugona kuora mitezo nekuda kwekukuvara kwetsinga kamwe kamwe), kana optic neuritis (kuzvimba yetsinga inotumira mameseji kubva kuziso kuenda kuuropi); chero mhando yekenza, chirwere cheshuga, kutadza kwemoyo, kana chirwere chemwoyo. Kana iwe uine psoriasis, udza chiremba wako kana iwe wakamborapwa neyakareruka kurapa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana kuyamwisa Kana iwe ukava nepamuviri iwe uchishandisa adalimumab jekiseni, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa jekiseni readalimumab.
• hauna majekiseni pasina kutaura nachiremba wako. Kana mwana wako achinge achigashira adalimumab jekiseni, ita shuwa kuti mwana wako agamuchira iwo mapfuti anodiwa kune vana vezera rake asati atanga kurapwa nejekiseni yeadalimumab.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Baya josi rakarasika nekukurumidza kana uchinge warangarira. Wobva wajova iyo inotevera dosi pane yako yaunogara yakarongwa zuva. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Adalimumab jekiseni inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kutsvuka, kuchenesa, kupwanya, kurwadziwa, kana kuzvimba munzvimbo yawakajowa adalimumab jekiseni
• kusvotwa
• musoro
• kurwadziwa shure

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana rubatsiro rwechimbichimbi:

• chiveve kana kugwinha
• matambudziko nemaonero
• kushaya simba mumakumbo
• kurwadziwa pachipfuva
• mweya wekufema
• mapundu, kunyanya kumhanyisa pamatama kana maoko anonangana nechiedza chezuva
• kurwadziwa patsva kwemajoini
• mikoko
• kuvava
• kuzvimba kwechiso, tsoka, makumbo, kana makumbo ezasi
• kunetseka kufema kana kumedza
• fivha, huro, chironda, uye zvimwe zviratidzo zvehutachiona
• kupwanya kusingawanzo kana kubuda ropa
• ganda rakachenuruka
• dzungu
• kutsvuka, zvigamba kana bundu-rakazara mapundu paganda

Vakuru vanogamuchira adalimumab jekiseni vanogona kuve vanowanzo kuve nekenza yeganda, lymphoma, uye mamwe marudzi ekenza kupfuura vanhu vasingagamuchire jekiseni reAdalimumab. Taura nachiremba wako nezve njodzi dzekugamuchira uyu mushonga.

Adalimumab jekiseni 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).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengetedze mufiriji uye chengetedza kubva pachiedza. Jekiseni reAdalimumab rinogona zvakare kuchengetwa mukamuri tembiricha (inosvika 77 ° F [25 ° C]) kwemazuva gumi nemana uye inodzivirirwa kubva pachiedza. Kana jekiseni readalimumab rakachengetwa pakushambidzika kwemukati kwemazuva anopfuura gumi nemana uye risingashandiswe, rinofanira kuraswa. Usaisase. Rasa chero mushonga wakabviswa nechando.

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 rwunowanikwawo online 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, panguva, uye mushure mekurapwa kwako kuti utarise mhinduro yemuviri wako kune adalimumab.

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.

• Humira^® Jekiseni