Anakinra

-Delile

• Ukufaka umjovo, landela lezi zinyathelo:
• Ngaphambi kokuthatha i-anakinra,
• I-Anakinra ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

I-Anakinra isetshenziswa, iyodwa noma ihlanganiswe neminye imithi, ukunciphisa izinhlungu nokuvuvukala okuhambisana nesifo samathambo. U-Anakinra usesigabeni semithi ebizwa ngama-interleukin antagonists. Isebenza ngokuvimba umsebenzi we-interleukin, iphrotheni emzimbeni odala ukulimala okuhlangene.

I-Anakinra iza njengesisombululo sokujova ngomgogodla (ngaphansi kwesikhumba). Kuvamise ukujova kanye ngosuku, ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-anakinra njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

U-Anakinra uza ngemijovo yengilazi ekhethiwe. Kukhona imijovo eyi-7 ebhokisini ngalinye, eyodwa yosuku ngalunye lweviki. Sebenzisa isirinji ngayinye kanye bese ufaka yonke ikhambi esirinji. Noma ngabe kusekhona isixazululo esisele esirinji ngemuva kokujova, ungaphindi ujove. Lahla imijovo esetshenzisiwe esitsheni esingamelana nokubhoboza. Khuluma nodokotela wakho noma usokhemisi mayelana nokuthi ungasilahla kanjani isitsha esingamelana nokubhoboza.

Unganyakazisi imijovo oyithandayo. Uma isisombululo sinamagwebu, vumela isirinji ukuthi ihlale imizuzu embalwa ize isule. Ungayisebenzisi isipontsho uma okuqukethwe kwayo kubukeka kunombala noma kunamafu noma ngabe kukhona okuntantayo kuwo.

Ungajova i-anakinra ethangeni langaphandle noma esiswini. Uma omunye umuntu ekujova, ungafakwa ngemuva kwezingalo noma izinqe. Ukwehlisa amathuba okuba buhlungu noma okubomvu, sebenzisa isiza esihlukile ngomjovo ngamunye. Akudingeki ushintshe ingxenye yomzimba nsuku zonke, kepha umjovo omusha kufanele unikezwe cishe nge-intshi eyodwa (2.5 amasentimitha) kude nomjovo wangaphambilini. Musa ukujova eduze nomthambo ongawubona ngaphansi kwesikhumba.

Ngaphambi kokusebenzisa i-anakinra okokuqala, funda imininingwane yomenzi wesiguli esiza nayo. Cela udokotela wakho noma usokhemisi ukuthi akubonise ukuthi ungayijova kanjani i-anakinra.

Ukufaka umjovo, landela lezi zinyathelo:

1. Hlanza indawo yokujova ngokusula utshwala usebenzisa ukunyakaza okuyindilinga, uqale phakathi nendawo uye ngaphandle. Vumela indawo yome ngokuphelele.
2. Bamba isirinji bese ukhipha ikhava yenaliti ngokusonteka ikhava ngenkathi uyidonsa. Ungayithinti inaliti.
3. Bamba isirinji esandleni osisebenzisela ukuzijova. Uma kunokwenzeka, sebenzisa esinye isandla sakho ukucindezela umgoqo wesikhumba endaweni yomjovo. Musa ukubeka isirinji phansi noma uvumele inaliti ithinte noma yini.
4. Bamba isirinji phakathi kwesithupha neminwe ukuze ukwazi ukulawula kahle. Faka inaliti esikhunjeni ngokunyakaza okusheshayo, okufushane nge-engela engu-45 kuye ku-90 degree. Inaliti kufanele ifakwe okungenani uhhafu.
5. Musa kancane isikhumba, kodwa qiniseka ukuthi inaliti ihlala esikhumbeni sakho. Cindezela kancane i-plunger phansi esirinji ize iyeke.
6. Susa inaliti futhi ungaphinde uyiphinde. Cindezela i-gauze eyomile (HHAYI ukusula utshwala) ngaphezulu kwesiza somjovo.
7. Ungafaka ibhandishi elincane lokunamathela ngaphezulu kwendawo yokujova.
8. Faka wonke umjovo osetshenzisiwe esitsheni esingamelana nokubhoboza.

Kungathatha amasonto ambalwa ngaphambi kokuba uzwe inzuzo ephelele ye-anakinra.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-anakinra,

• Tshela udokotela kanye nosokhemisi uma une-aleji ku-anakinra, amaprotheni enziwe ngamaseli egciwaneE. coli), i-latex, noma yimuphi omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma ikuphi kokulandelayo: etanercept (Enbrel); infliximab (i-Remicade); nemithi ecindezela amasosha omzimba njenge-azathioprine (Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), ne-tacrolimus (Prograf). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma une-infection, i-asthma, i-HIV noma i-AIDS, noma isifo sezinso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-anakinra, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-anakinra.
• awunayo imigomo (isb. isimungumungwane noma umkhuhlane) ngaphandle kokukhuluma nodokotela wakho.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

I-Anakinra ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ububomvu, ukuvuvukala, ukulinyazwa, noma ubuhlungu endaweni yomjovo
• ikhanda
• isicanucanu
• isifo sohudo
• ikhala eligijimayo
• ubuhlungu besisu

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• izimpawu ezinjengomkhuhlane
• umkhuhlane, umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka
• ukukhwehlela, ukuphefumula, noma ubuhlungu besifuba
• indawo eshisayo, ebomvu, evuvukile esikhunjeni

I-Anakinra ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina imijovo nezinto zokujova lapho izingane zingafinyeleli khona. Gcina imijovo ye-anakinra esiqandisini. Ungafrizi. Vikela ekukhanyeni. Ungayisebenzisi isipontsho ebesikade sisezingeni lokushisa elingaphezulu kwamahora angama-24.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ngaphambi nangesikhathi sokwelashwa ukuze ahlole impendulo yomzimba wakho ku-anakinra.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• IKineret^®