Odzipiritsa Omwe Amadzipangitsa Kukhala Osavuta Monga 1-2-3
Kuchokera mu 1998, pamene Enbrel (etanercept) inakhala mankhwala oyamba ovomerezeka ku matenda a nyamakazi, kudzipangitsa kudzipiritsa kwafala kwambiri. Kudzipiritsa kunakhala njira yothetsera mankhwala ochepetsa anti-rheumatic methotrexate kwa zaka zingapo, koma tsopano, mankhwala ambiri a nyamakazi amafunika kudzipiritsa.
Lingaliro la kudzipiritsa tokha lingakhale lovuta koma palinso njira zina zomwe mungatengere ndizomwe mungachite kuti zikhale zolemetsa kusiyana ndi momwe mukuganizira.
Zasonyezedwa kuti odwala ambiri amatenga nkhawa zokhudzana ndi kudzipiritsa, ataphunzitsidwa.
Namwino ku ofesi ya dokotala adzakuphunzitsani nthawi yoyamba kapena iwiri - chilichonse chimene mukugwirizana ndi chofunikira. Mutha kuyang'ananso mavidiyo omwe akuwonetseratu omwe amapangidwa ndi ogulitsa mankhwala, kotero mukudziwa zomwe mungayembekezere pokhudzana ndi kudzipiritsa mankhwala a nyamakazi.
Kodi Ndi Mankhwala Otani Amadzimadzi Omwe Amadzivulaza?
Mitundu yotchedwa TNF-blockers Enbrel (etanercept), Huma (adalimumab) , Simponi (golimumab) , ndi Cimzia (certolizumab pegol) amathandizidwa ndi subcutaneous (pansi pa khungu) kudzipiritsa. Kineret (anakinra), mankhwala osokoneza bongo omwe amalepheretsa ntchito ya interleukin-1, amaperekedwanso ndi kudzipiritsa.
Mlingo wamtundu wa TNF Remicade (infliximab) , komanso Rituxan (rituximab) yomwe imaphatikizapo maselo a B CD - CD , T-cell co-stimulation modulator Orencia (abatacept) , ndi Actemra (tocilizumab) zomwe zimapangitsa IL-6 kuti zisaperekedwe mwadzidzidzi -kunyansidwa.
M'malo mwake, amathandizidwa ndi kulowetsedwa m'mimba.
Malangizo Odzikaniza
Kawirikawiri, mankhwala omwe ali oyenerera kudzijambulira amaloledwa pansi pa khungu ndi singano kutsogolo kwa ntchafu, m'mimba (kupewa malo ozungulira 2 pozungulira pathupi), kapena kunja kwa mikono yakumwamba (ngati munthu wina akuthandizani ndi jekeseni lanu).
Mankhwala ambili amapezeka mu autoinjector kotero simukuyenera kuwona singano. Zapangidwe zing'onozing'ono zazikulu, koma mapulani ena a inshuwalansi samaphimba autoinjectors ndipo amangolemba mapiritsi osakanizidwa kapena syringe ndi vial of mankhwala. Onetsetsani kuti muyang'ane izi kotero kuti palibe zodabwitsa potsata mtengo kapena malinga ndi zomwe mudzapatsidwa.
Ngati mukugwiritsa ntchito sirinji yodzazidwa, muyenera:
- Tengani mankhwala anu m'firiji maminiti 15 pasanapite nthawi.
- Sambani manja anu bwinobwino.
- Sambani khungu pa malo opangira jekeseni ndi mowa wothira mowa.
- Lolani deralo liume kwa masekondi pafupifupi 20.
- Chotsani chivundikiro cha singano musanagwire konse singano.
- Ndi dzanja limodzi, sungani malo omwe mukufuna kulandira.
- Ndi dzanja lina, gwiritsani sitiroko ngati dart pamtunda wa digirii 90 kapena pa digiri ya digiri 45 (kutsatira malangizo anu mankhwala).
- Ikani singano mu khungu lopangidwa mofulumira komanso mwamphamvu.
- Ikani pulojekiti pansi pang'onopang'ono mpaka sirinji ilibe kanthu.
- Chotsani singano ndi kutaya singano ndi syringe mu chidebe chowongolera.
Ngati mukugwiritsa ntchito sering'i ndi vial ya mankhwala, padzakhalanso njira zochepa zowonjezereka kuti mudzaze syringe pamanja. Ngati mugwiritsa ntchito autoinjector ndondomekoyi ndi yophweka kwambiri kuposa sirinji yodzazidwa.
Zithunzi za Video za Njira Yodzikaniza
- Kuwonetseratu kwa Edzikudzidzimutsa ndi Syringe Yodzazidwa, SureClick Autoinjector, kapena Vial Method (enbrel.com)
- Chiwonetsero cha Huma Kudziletsa Kwambiri Ndi Pulogalamu ya Humira kapena Syringe Yoyamba-yodzazidwa (humira.com)
- Syimia Yoyamba Yodzazidwa (cimzia.com)
> Zotsatira:
> Kudziletsa (SC) Majekeseni. Zokhudza Zaumoyo. University of Wisconsin-Madison Sukulu ya Mankhwala ndi Zaumoyo Zachilengedwe. 10/19/2009.
> Kuphunzitsa odwala kuti azidzipiritsa: kuyendetsa kafukufuku wa mankhwala opatsirana ndi jekeseni ndi phobia m'magulu ambiri odwala matenda opatsirana. J Behav Ther Exp Psychiatry. 2002 Mar; 33 (1): 39-47.