Chithandizochi cha Biologic Kwa IBD Chikugwirizana ndi Zotsatira Zake
Kodi N'chiyani Chimakumbutsanso?
Remicade (infliximab) ndi yoyamba ya TNF-alpha (chotupa cha nthenda yotchedwa tumor necrosis factor) -blocker kuti ivomereze kuchiza matenda opatsirana (IBD) . Mankhwala a TNF-alpha amagwiritsidwa ntchito pochiza matenda a Crohn ndi matenda a zilonda za m'mimba chifukwa anthu omwe ali ndi IBD asonyezedwa kukhala ndi TNF-alpha m'thupi lawo kuposa anthu omwe alibe IBD.
Remicade imaperekedwa ndi kulowetsedwa mu ofesi ya dokotala, malo osungirako mankhwala, kapena malo ochipatala.
Anayi amagwiritsidwa ntchito kupereka mankhwala. Kulowetsedwa kumatenga maola angapo, panthaŵi yomwe wodwalayo akuyang'aniridwa kuti asokoneze.
Ngakhale kuli koyenera kudziwa zotsatira zowonongeka, nkofunikanso kumvetsetsa kuti mankhwala samapangitsa kuti munthu aliyense atenge. Izi ndi mndandanda wa zotsatira zomwe zawonetsedwa ndi anthu omwe amatenga Remicade, kapena madokotala awo. Anthu amalembedwa mankhwalawa chifukwa ndi kofunika kuteteza IBD kuti isayambe kutupa m'magazi, zomwe zingabweretse mavuto. Ngati mutakhala ndi zotsatira zoyipa panthawi yopuma, funsani anamwino kuchipatala kapena kulowetsedwa kumalo pomwepo. Ngati mutakhala ndi zotsatira zina pamapeto pake, onetsetsani kuti mukukambirana ndi dokotala yemwe adalamula Remicade.
Chenjezo la Black Box ya FDA
Remicade imakhala ndi zomwe FDA imayitana Chenjezo la Black Box. Izi zikutanthauza kuti pamwamba pa phukusi la chidziwitso cha wodwalayo, pali mawu ena apadera mozungulira omwe akuzunguliridwa ndi bokosi lakuda.
Chifukwa chomwe Remicade ali ndi mwayi wapaderawa chifukwa chakuti aliyense amene amamwa mankhwalawa ayenera kuyesedwa chifuwa chachikulu (TB) asanalandire. Gawo lina likunena kuti aliyense amene ali ndi matenda aakulu sayenera kumwa mankhwala, kapena ayenera kusiya kumwa ngati matenda akukula. Gawo lomaliza likulongosola zowopsa za mitundu ina ya khansa, monga khansa ya khungu ndi lymphoma.
Zonsezi zimawoneka zoopsya, koma chiopsezo cha khansa ndikulingalira kuti ndi chochepa kwambiri.
Zotsatirazi ndi zina mwa zotsatira za Remicade. Sikuti zotsatira zake zonse zimayambira, ndipo zina mwazosawoneka. Ngati muli ndi nkhaŵa zokhuza zowononga zotsatira, kambiranani ndi gastroenterologist wanu.
Muzidziwitsa Dokotala nthawi zonse
Ngati muli ndi mbali imodzi ya zotsatirazi, mukufuna kuti dokotala wanu adziwe.
Zotsatira zoyipa zomwe zimakhala zofala kwambiri:
- ululu wamimba
- chifuwa
- chizungulire
- kutaya
- mutu
- kupweteka kwa minofu
- kusokonezeka kwa minofu
- kunyoza
- mphuno yothamanga
- kupuma pang'ono
- kudula
- chikhure
- zolimba pachifuwa
- kutopa kapena zofooka
- kusanza
- kupuma
Zotsatira zosavomerezeka:
- ululu wammbuyo
- mkodzo wamagazi kapena wamvula
- kumasoka khungu pamakona
- Kutsekula m'mimba kumakhala kovuta kapena kupweteka kwambiri
- kawirikawiri amakakamiza kukodza
- kuthamanga kwa magazi
- kuthamanga kwa magazi
- ululu
- ululu kapena chifundo pamaso ndi cheekbones
- kuthamanga kwa khungu
- kupweteka kapena kukwiya kwa pakamwa kapena m'chinenero
- kupweteka kapena redness kuzungulira zikhomo kapena zopangira
- kutentha kwa amayi kapena kuyabwa ndi kutaya
- zofiira zoyera pakamwa ndi / kapena m'chinenero
Zotsatira zosavuta:
- abscess (yotupa, yofiira, yamtundu wa matenda omwe ali ndi pus)
- kupweteka kumbuyo kapena kumbali
- wakuda, tarry stools
- magazi mu mkodzo kapena m'mitsempha
- fupa kapena kupweteka
- kudzimbidwa
- kugwa
- kumverera kwachidzalo
- kumverera kwakukulu kwa matenda
- hernia (minofu ya minofu kudzera pakhoma la mimba)
- matenda
- kupsinjika mtima kapena kupweteka kwa mtima
- ululu mu chigawo
- ululu ukufalikira kuchokera mimba kupita kumanzere kumanzere
- onetsetsani mawanga ofiira pa khungu
- ululu wamimba (woopsa)
- zofiira zopweteka kapena zopweteka
- kupweteka kwa tendon
- kutuluka mwachilendo kapena kuvulaza
- kutaya thupi (zachilendo)
- khungu lakasu ndi maso
Zotsatira Zotsatira Zomwe Ziyenera Kulankhulidwa Mwamsanga
Ngati muli ndi zotsatira za zotsatirazi, lankhulani ndi katswiri wa zamankhwala nthawi yomweyo, musayembekezere kusankhidwa kwanu.
Zotsatira zoyipa zomwe zimakhala zofala kwambiri:
- kupweteka pachifuwa
- zovuta
- malungo
- kuthamanga kwa nkhope
- ming'oma
- kuyabwa
- kuvutika kupuma
Zotsatira zina zosawerengedwera pamwambazi zingakhalenso ndi odwala ena. Mukawona zotsatira zina zilizonse, funsani dokotala wanu. Mfundoyi imangokhala ngati chitsogozo - Nthawi zonse funsani dokotala kapena wamankhwala kuti mudziwe zambiri zokhudza mankhwala oyenera.
Chitsime:
Janssen Biotech, Inc. REMICADE® (infliximab) . "Remicade.com. Oct 2015. 4 Feb 2016.