Zimene Mukuyenera Kudziwa Ponena za mankhwalawa a Interferon
Rebif (interferon beta 1-a) ndi imodzi mwa mankhwala ochiritsira matenda ochizira matenda obwezeretsa matendawa (MSRR). Monga mankhwala ena a interferon, Rebif ikhoza kuchepetsa chiwerengero cha kubwereranso kwa munthu amene ali ndi RRMS ali pafupi ndi theka lachitatu. Izi ndi zabwino, ndithudi, koma pali zinthu zofunika kudziwa zokhudza Rebif, kuphatikizapo ubwino wake pa mankhwala ena komanso kuipa komanso zotsatirapo.
Phindu ndi Phindu la Kutenga Rebif
Mapiritsi a rebif ali aang'ono kwambiri ndi jekeseni ndi subcutaneous-mwanjira ina, singano imayenera kupita pansi pa khungu, zomwe zingakhale zopweteka kwambiri kusiyana ndi jekeseni lakuya. Koma, Rebif ali ndi pH yochepa, choncho imakhala yowonongeka ndipo imatha kupweteka pang'ono pamene yayiritsidwa. Komanso Rebif imayenera kutengedwa katatu pa sabata, pomwe ma interferons ena amafunika jekeseni kamodzi pa sabata.
Ngati uli pa Rebif, uyenera kukhala ndi ntchito yamagazi yowonongeka kuti ufufuze zochepa za maselo a magazi ndi matenda a chiwindi ndipo uyeneranso kuyang'anitsitsa kuvutika maganizo. Komabe, ndibwino kuti muzindikire kuti pali kafukufuku yemwe angasonyeze kuti kuvutika maganizo sikungakhale koopsa ndi Rebif kusiyana ndi mankhwala omwewo.
Kuonjezera apo, Rebif ndi yabwino kuyenda ndi: Icho chimabwera m'mipiringi yosakanikirana (popanda kusakaniza) ndipo sichitha kuzizira mufiriji.
Zochitika Zowopsa
Zotsatira za Rebif zili zofanana ndi za mankhwala ena opatsirana.
- Matenda-Monga Zizindikiro. Izi zimaphatikizapo malungo, kuzizira, thukuta, minofu, ndi kutopa kwa maola asanu ndi atatu kapena kupitirira. Zizindikirozi nthawi zambiri zimakhala zovuta kwambiri pambuyo pa jekeseni yoyamba ndikuyamba kuchepa ndi jekeseni iliyonse. Njira imodzi yomwe mungapewe kuthana ndi zizindikiro za chimfine cha Rebif ndi kuyamba ndi mlingo wochepa ndikuwonjezera mlingo wathunthu pang'onopang'ono kwa milungu ingapo. Kutenga ibuprofen kapena acetaminophen maola angapo musanayambe kulowa mkati mwa Rebif komanso mutatha kuyambitsa zizindikiro.
- Mawanga Ofiira. Mutha kuwona izi zikuwonekera pakhungu lanu kumene mumayika singano. Mawanga amatha kukhala masabata angapo ndipo nthawi zina zimakhala zoonda, zomwe zimatchedwa jection-site necrosis. Kusinthasintha kumalo kumene mumadzipangira ma shoti kungathandize kuchepetsa ngozi ya zomwe zimachitika pakhungu.
- Kuwononga Chiwindi. Anthu ena amene amatenga Rebif akhala akudziwika kwambiri ndi mavitamini a chiwindi ndi magazi komanso kutupa kwa chiwindi. Dokotala wanu adzayang'anira chiwindi cha chiwindi chanu nthawi zonse pamene muli pa Rebif koma muyenera kuyang'ana zizindikiro za vuto lomwe lingakhalepo. Mukawona kuti mukuyamba kuvunda mosavuta kapena kuti khungu lanu kapena azungu a maso anu ayamba kuoneka achikasu, penyani dokotala mwamsanga.
- Kusintha kwa Magazi. Rebif ikhoza kuchepetsa kuchuluka kwa maselo ofiira ndi oyera m'magazi anu, komanso zimachepetsera chiwerengero cha mapaleti, omwe amathandiza magazi nthawi).
- Zomwe Zimayendera: Ngakhale kuti ndizosowa, anthu ena ayamba kuchitapo kanthu ndi Rebif pambuyo pa mlingo woyamba kapena ngakhale mankhwala angapo.
Zikhoza kukhala zotetezeka kwa munthu amene ali ndi matenda otha kupweteka kutenga Rebif, ndipo amayi omwe ali ndi mimba moyenera sayenera kugwiritsa ntchito mankhwalawa: Maphunziro a zinyama apeza kuti akhoza kuvulaza ana. Ngati muli pa Rebif ndipo mukufuna kutenga mimba, dokotala wanu angakulepheretseni kutenga Rebif kwa miyezi itatu kapena itatu musanayambe kuganiza.
Zotsatira:
Manfredonia F, Pasquali L, Dardano A, Chikumbutso A, Murri L, Monzani F. "Kubwereza za Umboni Wachidziwitso wa Interferonβ 1a (Rebif) mu Treatment Multiple Sclerosis." NeuropsychiatrDisTreat . 2008 Apr; 4 (2): 321-36.
National MS Society. " Mankhwala Othandiza Odwala Matenda a MS ." 2016.
Pulogalamu Yophunzira ya PRISMS. "PRISMS-4: Kugwiritsa Ntchito Bwino-Beta-1a Panthawi Yambiri Pobwezeretsanso MS." Neurology 2001; 56: 1628-1636.
Chifaniziro H, Goodin DS, Francis G, et al. "Kusinthika, Kuyerekezera Phunziro la Interferon Beta-1a Zizindikiro za Zochiza mu MS: KUYENERA KUKHULUPIRIRA." Neurology 2002; 59: 1496-1506.
Smith B et al. Kuwongolera Mankhwala: Matenda-Kusintha Mankhwala Osokoneza Magulu Ambiri: Kukonzekera Kwachidule 1 Lipoti. "Portland (OR): University of Oregon Health and Science; 2010 Aug.