Autoinjectors Samee sida u fudud sida 1-2-3
Laga soo bilaabo 1998, markii Enbrel (etanercept) uu noqday daroogada ugu horreysa ee lagu ogaan karo arthritis-ka, is-tallaaliddu waxay noqotaa mid caadi ah. Self-injectionka wuxuu ahaa ikhtiyaarka loogu talagalay cudur-is-beddelidda daawada methotrexate-ka ee daawada laf-dhabarka sanado badan, laakiin hadda, daawooyinka arthritis-ka qaarkood ayaa u baahan in la isku duro.
Fikradda nafta laysku duro waxay noqon kartaa mid murugo leh laakiin waxaa jira tallaabooyin qaas ah oo la qaadan karo iyo talooyin si aad u raacdo taas oo ka dhigeysa wax ka yar culeyska inta aad ka fikirayso.
Waxaa la muujiyey in inta badan bukaannada ay ka baqayaan walaaca la xidhiidha isdifaac, marka la baro.
Kalkaalisada xafiiska dhakhtarkaaga ayaa ku tababari doona markii ugu horeysay ama laba jeer - wax kasta oo aad ogolaato waa lagama maarmaan. Waxaad sidoo kale daawan kartaa fiidiyowyada bandhigga ee laga helo maktabada daroogada, sidaa darteed waad ogtahay waxa laga filayo ku saabsan is-mudista daawooyinka arthritis-ka.
Waa Maxay Daawoyinka Biyoolojiga ah?
TNF-blockers Enbrel (etanercept), Humira (adalimumab) , Simponi (golligab) , iyo Cimzia (certolizumab pegol) ayaa dhammaantood maamula subcutaneous (maqaarka hoostiisa) maqaarkiisa. Kineret (anakinra), daroogo bayoolaji ah oo xakameynaya tallaabada interleukin-1, ayaa sidoo kale la siiyaa iyada oo la isku duro isdifaac.
TNF Blocker Remicade (Infliximab) , iyo sidoo kale Rituxan (rituximab) kaas oo bartilmaameedsanaya CD20-positive B, unugyada xakameynaya wada-jirka ee Orange (abatacept) , iyo Actemra (tocilizumab) kaas oo ka horjeeda IL-6 -majineyn.
Taa bedelkeeda, waxaa lagu maamulaa faleebo xidid.
Talooyin Is-U-Taabasho
Guud ahaan, daawooyinka ku haboon is-mudista is-qaadsiinta waxaa lagu duraa maqaarka hoostiisa iyada oo irbadda hore ee bowdyaha, caloosha (ka fogaanshaha aagga 2-inch ee ku dhow balka caloosha), ama qaybta sare ee cududda sare (haddii qof kale kaa caawiyo cirbadeyntaada).
Qaar ka mid ah daawooyinka ayaa lagu heli karaa autoinjector sidaa daraadeed marnaba xitaa maahan inaad aragto irbadda. Waxyaabaha yaryar ee yaryar, laakiin qaar ka mid ah qorshooyinka caymisku ma dabooli karaan autoinjectors oo kaliya oo daboolaya irbadaha horay loo buuxiyay ama saliingaha iyo qadada daawada. U hubso inaad ka hubiso arrintan sidaas daraadeed ma jirto wax la yaab leh marka la eego kharashka ama marka la eego waxa lagaa siin doono.
Haddii aad isticmaasho siriinjka horay loo buuxiyay, waxaad u baahan tahay:
- Daawadaada ka soo qaad qaboojiyaha 15 daqiiqo kahor.
- Gacmaha si fiican u dhaq.
- Maqaarka ku nadiifi goobta cirridka leh ee lagu cabo khamriga.
- U oggolow aagga inuu qallalo ilaa 20 ilbidhiqsi.
- Ka qaad daboolka irbadda adigoon weligaa taaban irbadda.
- Iyadoo hal gacan ah, isku xeji meesha aad rabto inaad isku durto.
- Dhinaca kale, saliingaha sida jilibka ah 90 darajo darajo ama xagasha 45 darajo (raac tilmaamaha daawadaada gaarka ah).
- Irbadda irbadda geli si dhakhso ah oo adag.
- Si tartiib ah hoos ugu riix suunka saliingaha ilaa saliinguhu uu madhan yahay.
- Iska ilaali irbadda oo ku rid weelka iyo siriinjaha weel sharaxan.
Haddii aad isticmaasho siriinjo iyo dawo fayow ah, waxaa jiri doona tallaabooyin dheeraad ah si aad u buuxisid irbadda gacanta. Haddii aad isticmaasho autoinjector geedi socodka ayaa xitaa aad uga fudud yahay sirinjo horay loo buuxiyey.
Calaamad muujinta habka isdifaacida
- Tilmaamidda Is-Ogeysiis Isku-Jirasho leh Sulfamine, SureClick Autoinjector, ama Habka Vial (enbrel.com)
- Tilmaamaha Humira Is-Soo-qaadashada Humira Pen ama Sulfamine-ka buuxsan (humira.com)
- Cimzia Sulfis Pre-filled (cimzia.com)
> Ilo:
> Is-Xukun (SC) Cirbadaha. Macluumaadka Caafimaadka. Jaamacadda Wisconsin-Madison Dugsiyada Daawada iyo Caafimaadka Bulshada. 10/19/2009.
> U barida bukaanada inay iskood isku duraan: daraasad tijaabo ah oo loogu talagalay daaweyn loogu talogalay cirbadaha cirridka iyo cabsida ee bukaannada sclerosis badan ayaa daaweeyay daawooyinka la isku mudo. J Behav Ther Miisaanka maskaxda. 2002 Mar; 33 (1): 39-47.