Certolizumab Jekiseni

Zvemukati

• Certolizumab jekiseni inoshandiswa kugadzirisa zviratidzo zvehumwe autoimmune kusagadzikana (mamiriro umo immune system inorwisa zvikamu zvine hutano zvemuviri uye inokonzeresa marwadzo, kuzvimba, uye kukuvara) kusanganisira zvinotevera:
• Usati washandisa jekiseni re certolizumab,
• Certolizumab 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 izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira kana tora rubatsiro rwechimbichimbi.

Certolizumab jekiseni inogona kudzikisira kugona kwako kurwisa hutachiona uye kuwedzera njodzi yekuti iwe uchawana hutachiona hwakakomba kana hunotyisidzira hupenyu hunosanganisira zvakanyanya fungal, bhakitiriya, 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 nekuenda (senge maronda anotonhora), uye hutachiona husingaperi husingaendi. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere cheshuga, hepatitis B (hutachiona hutachiona hunokanganisa chiropa), hutachiona hwehutachiona hwehutachiona (HIV), kana chero mamiriro ezvinhu anokanganisa immune system yako, uye kana uchigara kana wakambogara nzvimbo dzakadai semipata yeOhio neMississippi Rwizi uko kwakanyanya hutachiona hutachiona hwanyanya. Kumbira chiremba wako kana iwe usingazive kana izvi hutachiona zvakajairika munharaunda yako. Udza chiremba wako kana uri kutora mishonga inononoka kuita kwema immune system akadai sabacacept (Orencia), adalimumab (Humira), anakinra (Kineret), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), methotrexate ( Otrexup, Rasuvo, Trexall), natalizumab (Tysabri), rituximab (Rituxan), steroids inosanganisira dexamethasone, methylprednisolone (Medrol), prednisolone (Prelone), uye prednisone (Rayos), uye tocilizumab (Actemra).

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 uchinge uchinge uchinge uchinge uchinge uchirapwa, dana chiremba wako nekukasira: kurwadziwa pahuro; kukosora; kukosora maburi eropa; kupindwa nechando; kurwadziwa mudumbu; manyoka; flu-kunge zviratidzo; kuvhura kucheka kana maronda; kuonda; kushaya simba; vangadikitira; kunetseka kufema; kuoma, kazhinji, kana kunorwadza 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, kushandisa certolizumab jekiseni kunogona kuita kuti hutachiona hwako huwedzere uye kukukonzera kukudziridza 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 anokupa mishonga yekurapa hutachiona uhu usati watanga kushandisa certolizumab. 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 TB. Kana iwe uine chero anotevera ezviratidzo zveTB, kana kana iwe ukaita chero eaya maratidziro panguva yekurapwa kwako, fonera chiremba wako nekukasika: chikosoro, kuonda, kurasikirwa kwemhasuru toni, kana fivha. 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 nevachiri kuyaruka vakagashira mishonga yakafanana nejekiseni recitolizumab vakaita gomarara rakakomba kana kutyisidzira hupenyu kusanganisira lymphoma (kenza inotanga mumasero anorwisa hutachiona). Vana nevechiri kuyaruka havafanirwe kugamuchira jekiseni reC certolizumab, asi mune dzimwe nguva, chiremba anogona kusarudza kuti jekiseni re certolizumab ndiwo mushonga wakanyanya kurapa mamiriro emwana. Kana jekiseni re certolizumab rakatemerwa mwana wako, iwe unofanirwa kutaura nachiremba wemwana wako nezve njodzi uye zvakanakira kushandisa mushonga uyu. Kana mwana wako akatanga chero eaya maratidziro panguva yekurapwa kwake, danai chiremba wake nekukasira: kusanzwisisika kuonda kuzvimba gland mumutsipa, underarms, kana kugomera; kana kupwanya kuri nyore kana kubuda ropa.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (reMedicine Gwara) paunotanga kurapwa nejekiseni recertolizumab uye nguva yega yega paunozadza mushonga wako. 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 certolizumab jekiseni.

Certolizumab jekiseni inoshandiswa kugadzirisa zviratidzo zvehumwe autoimmune kusagadzikana (mamiriro umo immune system inorwisa zvikamu zvine hutano zvemuviri uye inokonzeresa marwadzo, kuzvimba, uye kukuvara) kusanganisira zvinotevera:

• Chirwere cheCrohn (mamiriro umo muviri unorwisa maburi edumbu, zvichikonzera marwadzo, manyoka, kuonda, uye kupisa muviri) izvo zvisina kuvandudzwa kana zvichibatwa nemimwe mishonga,
• rheumatoid arthritis (mamiriro umo muviri unorwisa majoini awo, zvichikonzera kurwadziwa, kuzvimba, uye kurasikirwa nebasa),
• psoriatic arthritis (mamiriro anokonzera kurwadza kwemajoini uye kuzvimba uye zviyero paganda),
• inoshanda ankylosing spondylitis (mamiriro umo muviri unorwisa majoini emuzongoza pamwe nedzimwe nzvimbo zvichikonzera kurwadziwa, kuzvimba, uye kukuvara kwemajoini) neshanduko dzinoonekwa paX-ray,
• inoshanda isiri-radiographic axial spondyloarthritis (mamiriro umo muviri unorwisa majoini emuzongoza pamwe nedzimwe nzvimbo zvichikonzera kurwadziwa nezviratidzo zvekuzvimba), asi pasina shanduko inoonekwa paX-ray,
• plaque psoriasis (chirwere cheganda umo mutsvuku, makanda makanda anoumbika pane dzimwe nzvimbo dzomuviri) muvanhu vanogona kubatsirwa nemishonga kana phototherapy (kurapwa kunosanganisira kuburitsa ganda kune ultraviolet mwenje).

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

Certolizumab jekiseni inouya sehupfu hunosanganiswa nemvura isina kuchena uye jekiseni subcutaneously (kungori pasi peganda) nachiremba kana mukoti muhofisi yezvokurapa uye sejekiseni rakagara rakazadzwa raunokwanisa kuzvibaya wega wega pamba. Kana jekiseni re certolizumab richishandiswa kurapa chirwere cheCrohn, inowanzo kupihwa vhiki mbiri dzese pamatanho matatu ekutanga uyezve pavhiki dzese ina sekureba sekurapa kuri kuenderera. Kana certolizumab jekiseni ichishandiswa kurapa rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, kana axial spondyloarthritis, inowanzo kupihwa yega yega mavhiki maviri ekutanga matatu madosi uyezve ese maviri kana mana mavhiki kwenguva yakareba sekurapa kuri kuenderera. Kana certolizumab jekiseni ichishandiswa kurapa plaque psoriasis, inowanzo kupihwa vhiki mbiri dzese. Kana iwe uri jekiseni certolizumab jekiseni iwe pachako, tevera iwo maratidziro pane yako tsamba yekunyora zvakanyatsonaka. Usabaya zvakanyanya kana zvishoma certolizumab pane zvakatemwa nachiremba wako.

Kana iwe uchizove jekiseni certolizumab jekiseni newe kumba kana uine shamwari kana hama kukubairira iwe mushonga, bvunza chiremba wako kuti akuratidze iwe kana munhu achange ari kubaya mushonga kuti anoijowa sei. Iwe nemunhu anenge achizobaya mushonga unofanirawo kuverenga mirairo yakanyorwa yekushandisa inouya nemushonga.

Usati wavhura pasuru ine mishonga yako, tarisa kuti uve nechokwadi chekuti pasuru haina kubvaruka, kuti zvisimbiso zvinoonekwa zvinokanganisa kumusoro nekuzasi kwepakeji hazvisi kushaikwa kana kuputswa uye kuti zuva rekupera rakadhindwa papakeji harina akapfuura. Mushure mekuvhura pasuru, tarisa padyo nemvura irimo musipiringi. Mvura yacho inofanira kunge yakajeka kana yakacheneruka yero uye haifanire kunge iine hukuru, hune mavara. Fonera wemishonga wako, kana paine chero matambudziko nepakeji kana sirinji. Usabaya mushonga.

Unogona kubaya jekiseni re certolizumab chero padumbu kana zvidya kusara kweguvhu rako (dumbu bhatani) uye nzvimbo yacho 2 inches kutenderedza. Usapinda jekiseni mushonga muganda rakapfava, rakapwanyika, rakatsvuka, kana rakaomarara, kana rine mavanga kana mamaki. Usabaya mushonga munzvimbo imwechete kanopfuura kamwe. Sarudza nzvimbo nyowani inokwana 1 inch kure kubva panzvimbo yawakamboshandisa pamberi pese paunobaya mushonga. Kana chiremba wako akakuudza kuti ujove majekiseni maviri eecertolizumab padosi yega yega, sarudza imwe nzvimbo yejekiseni rega rega.

Usashandisazve sirinji dzeshuwa-dzakazadzwa uye usadzorere majekiseni mushure mekushandisa. Rasa majekiseni aishandiswa mumudziyo unodzivira. Kumbira wemishonga kuti ungarasa sei mudziyo.

Certolizumab jekiseni inogona kubatsira kudzora zviratidzo zvako, asi hazvizorape mamiriro ako. Usamire kushandisa certolizumab jekiseni usingataure nachiremba wako.

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

Usati washandisa jekiseni re certolizumab,

• udza chiremba wako uye wemishonga kana uri weergoria kune jekiseni re certolizumab; chero mimwe mishonga, latex kana rubber, kana chero chipi zvacho chemushonga mune jekiseni re certolizumab. Kumbira wemishonga wako kana tarisa gwara remushonga werondedzero yezvisanganiswa. Kana iwe uchizenge uri kushandisa iyo yakasarudzika sirinji, udza chiremba wako kana iwe kana iye munhu achange ari kubaya jekiseni mishonga iri yeergic kune latex
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe kana wakambove nechirwere chinokanganisa system yako yetsinga, senge multiple sclerosis (MS; chirwere umo tsinga dzisingashande nemazvo zvichikonzera kushaya simba, chiveve, kurasikirwa kwekubatana kwemhasuru uye matambudziko nemaonero, kutaura , uye dundira rinodzora) Guillain-Barré syndrome (kushaya simba, kurira, uye zvinogona kuora mitezo nekuda kwekukuvara kwetsinga kamwe kamwe) kana optic neuritis (kuzvimba tsinga inotumira mameseji kubva kuziso kuenda kuuropi); chiveve, kupisa, kana kugwinha mune chero chikamu chemuviri wako; pfari; kutadza kwemoyo; chero mhando yekenza; kana matambudziko ekubuda ropa kana zvirwere zvinokanganisa ropa rako.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa certolizumab jekiseni, fonera chiremba wako.
• kana iwe uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa jekiseni re certolizumab.
• hauna majekiseni pasina kutaura nachiremba wako.

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

Baya josi rakarasika nekukurumidza kana uchinge warangarira. Kana iri nguva ingangoita yeyako dosi inotevera, ruka iro rakarasika uye ramba uchiita yako yenguva dzose dosing chirongwa. Usapinda jekiseni repaviri kuti uwane iyo yakarasika.

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

• kutsvuka, kuchenesa, kurwadziwa, kana kuzvimba panzvimbo yejojo
• musoro
• kurwadziwa shure

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira kana tora rubatsiro rwechimbichimbi.

• kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
• hoarseness
• mweya wekufema
• kunetseka kumedza kana kufema
• kurwadziwa pachipfuva
• kamwe kamwe kuwedzera uremu
• mikoko
• kupisa kunopisa
• dzungu kana kupera simba
• mapundu, kunyanya pamatama kana pamaoko zvinowedzera muzuva
• kupwanya kusingawanzo kana kubuda ropa
• ganda rakachenuruka
• ganda rinoputika
• kuneta zvakanyanya
• chiveve kana kugwinha
• matambudziko nemaonero
• kushaya simba mumaoko kana makumbo
• kurwadza kwemajoini
• kurasikirwa nenzara
• matsvuku scaly zvigamba uye / kana pus-akazadza mapundu paganda

Vakuru vanogamuchira jekiseni re certolizumab vanogona kuve nemukana wekukura negomarara reganda, lymphoma, uye mamwe marudzi ekenza kupfuura vanhu vasingagamuchire jekiseni re certolizumab. Taura nachiremba wako nezve njodzi dzekugamuchira uyu mushonga.

Certolizumab 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).

Chengeta hombodo uye majekiseni akafanirwa mukati mekatoni yepakutanga iyo yakauya mukati kuti ivadzivirire kubva pachiedza uye pasingasvikirwe nevana. Chengetedza certolizumab jekiseni mufiriji uye usagwamba.

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

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.

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 kuti aongorore mhinduro yemuviri wako kujekiseni re certolizumab.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi ve murabhoritari kuti urikushandisa jekiseni recertolizumab.

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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