Kumvetsetsa zoopsa ndi kulingalira za mankhwala
Orencia (abatacept) ndi mankhwala osokoneza bongo omwe amavomerezedwa kuti azitha kuchiza matenda oopsa a nyamakazi . Amagwiritsidwanso ntchito pochiza matenda a psoriatic ndi oyenerera ku matenda aakulu a mwana wodwala matenda a nyamakazi .
Orencia sizitetezera za TNF monga Enbrel (etanercept) kapena Huma (adalimumab) momwe puloteni yotupa yotchedwa tumor necrosis factor (TNF) imachotsedwa.
M'malo mwake, Orencia amagwira ntchito poletsa zizindikiro zamagetsi zomwe zimayambitsa vutoli.
Chithandizo chilipo m'mawiri awiri:
- Orencia ikhoza kuperekedwa kwa mphindi makumi atatu (IV) kulowetsedwa mkati mwa masabata anai onse atangoyamba kulandira mlingo woyamba (mlingo woyamba, mlingo wachiwiri milungu iwiri, ndi mlingo uliwonse masabata anayi pambuyo pake).
- Orencia imapezekanso pamaganizo ochepa omwe amalola anthu kudziponyera okha m'chifuwa, pamimba kapena pamtunda. Chithandizo nthawi zambiri chimayamba ndi dolo yoyimitsa IV yomwe ikutsatiridwa ndi kuwombera pansi tsiku limodzi. Majekeseni amatha kudzipangira mlungu uliwonse.
Ngakhale kuti Orencia amatha kuchepetsa kupweteka kwa magazi ndi kuchepetsa kupweteka kwa nyamakazi, ndikofunika kumvetsa mmene mankhwalawa amagwirira ntchito, ngati atsimikiziridwa, ndi zomwe, ngati zilipo, zoopsa zimagwiritsidwa ntchito. Nazi mfundo zisanu zomwe zingathandize:
1. Orencia Kawirikawiri Amalembedwa Pambuyo Zochiritsira Zina Zalephera
Orencia kawirikawiri amagwiritsidwa ntchito kwa anthu omwe ali ndi vuto la nyamakazi yochepa kwambiri yomwe sagonjera mankhwala amodzi omwe amachititsa kuti mankhwalawa asamalidwe ( DMARD ) monga methotrexate kapena biologics zina monga Enbrel kapena Humira.
Abatacept angagwiritsidwe ntchito payekha kapena kuphatikiza ndi DMARD, zomwe zimapangitsa kuti zikhale zolimba, koma osati ndi mankhwala ena. Orencia ikhoza kuganiziridwa ndi mankhwala a mzere woyamba mwa anthu omwe ali ndi nyamakazi yoyamba yogwiritsira ntchito nyamakazi.
2. Orencia amagwira ntchito poletsa chitetezo cha Immune System
Mankhwala omwe amagwiritsidwa ntchito pochizira matenda a nyamakazi amathandiza kuti chitetezo cha m'thupi chisagonjetse minofu yake, makamaka yowonjezera.
Kuti tichite izi, mankhwalawa amafunika kutseka mbali za chitetezo cha mthupi. Pochita zimenezi, zimatulutsa thupi kuti likhale ndi matenda opatsirana. Zambiri mwazi zimaphatikizapo matenda opatsirana (kuphatikizapo chibayo), nyamakazi yodwala nyamakazi, matenda a khungu ndi ofewetsa, komanso matenda a mkodzo.
Komabe, kafukufuku wina wasonyeza kuti Orencia amagwiritsidwa ntchito ndi chiopsezo chotsika kwambiri cha matenda ndi kuchipatala poyerekeza ndi Enbrel, Rituxan (rituximab), ndi Actemra (tocilizumab).
3. Anthu ku Orencia Ali Pangozi Yambiri ya Chifuwa cha TB
Mmodzi mwa mavutowa ndi chiopsezo cha chifuwa chachikulu cha TB (TB), makamaka kubwezeretsa TB kwa anthu omwe adatetezedwa kale. Kafukufuku akusonyeza kuti anthu omwe akuwonekera ku Orencia ali ndi kuchulukitsa kawiri pa chiopsezo chotere.
Asanayambe kulandira chithandizo, anthu ayenera kuyang'anitsitsa TB. Anthu omwe ali ndi kachilombo koyambitsa matenda a TB ayenera kuchiritsidwa bwino musanagwiritse ntchito mankhwala osokoneza bongo.
4. Anthu a Orencia Ayenera Kupewa Katemera Wopitirira Pamene Akuchiritsidwa
Katemera wotetezedwa kwambiri ndi omwe amakhala ndi moyo, amachepetsa mavairasi (mosiyana ndi katemera omwe sanagwiritsidwe ntchito omwe amagwiritsa ntchito mavairasi "ophedwa").
Chifukwa Orencia amafooketsa chitetezo cha mthupi, pali mwayi kuti katemera wamoyo ukhoza kuyambitsa matenda omwe akuwongolera.
Potero, anthu a Orencia akulangizidwa kuti asatenge katemera wamoyo musanayambe kumwa mankhwala, pakapita mankhwala, ndi miyezi itatu mutatha kutsirizidwa. Izi zikuphatikizapo:
- Fulumasi yamtundu wambiri ( FluMist )
- Katemera wa shingles
- Katemera wa Varicella (nkhuku)
- Katemera wa m'magazi-mumps-rubella (MMR)
- Katemera wa Rotavirus
- Katemera wa malungo
- Mkuntho
5. Orencia Ayenera Kugwiritsidwa Ntchito Mwachangu mwa Anthu Omwe ali ndi COPD
M'mayesero a zachipatala, anthu omwe ali ndi matenda osokoneza bongo ( COPD ) omwe amakhala ndi vuto lalikulu la COPD pamene ali ku Orencia, kuphatikizapo chifuwa chosatha, kupuma pang'ono, ndi kupuma.
Pa chifukwa chimenechi, Orencia ayenera kugwiritsidwa ntchito mosamala pakati pa anthu omwe ali ndi COPD, poyeza phindu potsata zotsatira zake. Kuwonjezera apo, tiyenera kuonetsetsa kuti tikuyenera kuyang'anira anthu omwe ali ndi COPD pakakhala zizindikiro za kupuma. Zikatero, mankhwala angafunike kuimitsidwa.
> Zotsatira:
> De Keyser, F. "Kusankhidwa kwa Chithandizo cha Biologic kwa Odwala ndi Matenda a Matenda a Khunyu: Maganizo Opatsirana." Curr Rheumatol Rev. 2011; 7 (1): 77-87. DOI: 10.2174 / 157339711794474620.
> Yun, F .; Xie, F .; Delzell, E. et al. "Ngozi Yophiphiritsira ya Matenda Opatsirana Osamalidwa Opatsirana Omwe Amagwira Ntchito M'thupi mwa Amuna Odwala Matenda a Matenda a Matenda a Matenda Odwala Matenda a Matenda a Matenda Odwala Matenda Odwala Matenda Odwala Amuna Olembetsa ku Medicare." Arthritis & Rheumatology . 2015; 68: 56-66. DOI: 10.1002 / art.39399.