ʻO Sarilumab Injection
Anter
- Ma mua o ka lawe ʻana i ka pahu kui sarilumab,
- Hoʻokumu paha ka pahu o Sarilumab i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
Hiki i ka injection Sarilumab ke hoʻemi i kou hiki ke hakakā i ka maʻi a hoʻonui i ka makaʻu e loaʻa ʻoe i kahi maʻi koʻikoʻi, e like me ka maʻi fungal, bacterial, a me nā maʻi viral i pāhola ʻia i loko o ke kino. Pono e mālama ʻia kēia mau maʻi i ka haukapila a make paha ka make. E haʻi i kāu kauka inā loaʻa pinepine ʻoe i kekahi ʻano maʻi a i ʻole inā manaʻo ʻoe he ʻano maʻi paha kāu i kēia manawa. Hoʻopili kēia i nā maʻi liʻiliʻi (e like me nā ʻoki hāmama a i ʻole nā ʻeha), nā maʻi i hiki a hele (e like me nā ʻeha anu), a me nā maʻi maʻi ʻole e hele. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes, ka maʻi hoʻomaʻemaʻe kanaka (HIV), loaʻa ka maʻi maʻi (AIDS), a i ʻole kekahi ʻano ʻano ʻē aʻe e hoʻopili i kāu ʻōnaehana pale. Pono ʻoe e haʻi aku i kāu kauka inā noho ʻoe, ua ola ʻoe, inā ua huakaʻi ʻoe i nā wahi e like me nā awāwa ʻo Ohio a me Misisipi kahi e ʻike pinepine ʻia ai nā maʻi ʻino. E noi i kāu kauka inā ʻaʻole ʻoe e maopopo inā pili kēia mau maʻi i kou wahi. E haʻi i kāu kauka inā lawe ʻoe i nā lāʻau e hōʻemi i ka hana o ka ʻōnaehana pale pale e like me kēia: abatacept (Orencia); adalimumab (Humira); anakinra (Kineret); certolizumab pegol (Cimzia); etanercept (Enbrel); golimumab (Simponi); infliximab (Remicade); methotrexate (Otrexup, Rasuvo, Trexall); rituximab (Rituxan); steroid pū me dexamethasone, methylprednisolone (A-Methapred, Medrol, Solu-Medrol), prednisolone (Orapred, Pediapred), a me prednisone (Rayos); tocilizumab (Actemra) a me tofacitinib (Xeljanz).
E nānā ana kāu kauka iā ʻoe no nā hōʻailona o ka maʻi i ka wā a ma hope o kāu hoʻoponopono ʻana. Inā loaʻa iā ʻoe kekahi o nā ʻōuli aʻe ma mua o kou hoʻomaka ʻana i kāu lāʻau lapaʻau a i ʻole inā ʻike ʻoe i kekahi o nā ʻōuli ma hope a i ʻole ma hope koke paha o kāu lapaʻau ʻana, e kāhea koke i kāu kauka: fever; kāhili; haʻalulu; ʻeha ka ʻili; uā; ke kuʻi nei i ka aʻa koko; pokole o ka hanu; Kaumaha emi; mahana, ʻulaʻula, a ʻeha ʻeha paha; ʻeha ma ka ʻili; pinepine, ʻeha, a wela paha ka manaʻo i ka wā o ka urination; pāhoehoe; ʻeha ka ʻōpū; aiʻole ka luhi nui loa.
Ua hele a maʻi paha ʻoe i ka maʻi palupalu (TB; kahi maʻi puʻuwai koʻikoʻi) akā ʻaʻole i loaʻa nā ʻōuli o ka maʻi. I kēia hihia, hiki i ka hoʻohana ʻana i ka injection sarilumab ke hana i kou maʻi maʻi a hoʻonui iā ʻoe i nā hōʻailona. E hana ana kāu kauka i kahi hoʻāʻo ʻili e ʻike inā loaʻa iā ʻoe kahi maʻi TB hemahema ma mua o kou hoʻomaka ʻana i kāu lāʻau me ka injection sarilumab. Inā pono, e hāʻawi aku kāu kauka iā ʻoe i ka lāʻau e mālama ai i kēia maʻi ma mua o kou hoʻomaka ʻana e hoʻohana i ka injection sililumab. E haʻi i kāu kauka inā loaʻa paha iā ʻoe ka TB, inā ua noho ʻoe a kipa paha i kahi ʻāina e maʻa mau ai ka TB, a inā ua puni ʻoe i kekahi me ka TB. Inā loaʻa iā ʻoe kekahi o nā ʻōuli o TB, a i ʻole inā hoʻomōhala ʻoe i kekahi o kēia mau ʻōuli i kou wā e lapaʻau ai, e kāhea koke aku i kāu kauka: batukū, ʻūʻē ʻana i nā aʻa koko, ka pohō kaumaha, ka nalowale ʻana o ke kani o nā mākala, a me ke kuni.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ka injection sarilumab a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
Hoʻohana wale ʻia ka ʻoki ʻana o Sarilumab a i ʻole me nā lāʻau ʻē aʻe e mālama ai i ka rheumatoid arthritis (RA: ke ʻano e hoʻouka ai ke kino i kāna mau hui ponoʻī e hōʻeha ai i ka ʻeha, pehu, a me ka nalo ʻana o ka hana). Hoʻohana pinepine ʻia ʻo Sarilumab e ka poʻe i kōkua ʻole ʻia e kekahi mau lāʻau ʻē aʻe no RA a i ʻole hiki ʻole ke lawe i kēia mau lāʻau. Aia ʻo Sarilumab injection i loko o ka papa o nā lāʻau i kapa ʻia he mau mea hoʻopalekana recletor interleukin-6 (IL-6). Hana ia ma ke kāpae ʻana i ka hana o interleukin-6, kahi mea i loko o ke kino e hoʻonā i ka wela.
Hele mai ka injection Sarilumab ma ke ʻano he syringe prefilled e hoʻokomo subcutaneʻu (ma lalo o ka ʻili). Hoʻohana ʻia ia hoʻokahi manawa i kēlā me kēia 2 pule.E hoʻoholo paha kāu kauka hiki iā ʻoe a i kāu mea mālama paha ke hana i nā injection i ka home. E hōʻike aku kāu kauka iā ʻoe a i ʻole i ke kanaka nāna e hoʻokomo i ka lāʻau pehea e ʻoki ai. ʻO ʻoe a ʻo ke kanaka e hoʻomoʻi ana i ka lāʻau e pono e heluhelu i nā ʻōlelo i kākau ʻia no ka hoʻohana ʻana me ka lāʻau. E nīnau pono i kāu kauka a kauka paha inā he nīnau kāu e pili ana i ka hoʻopili ʻana i ka lāʻau.
Wehe i ka lāʻau mai ka pahu hau 30 mau minuke ma mua o kou mākaukau e hoʻokomo i ka lāʻau. E hoʻopaʻa iā ia ma kahi pālahalaha a ʻae iā ia e hōʻea i ka mahana o ka lumi. Ke wehe nei i ka syringe i hoʻomākaukau ʻia mai ka pahu, e akahele e hoʻopaʻa wale iā ia ma ka waena o ke kino o ka ʻona a mai hoʻoluliluli i ke ʻake a wehe i ka pāpale e uhi ana i ka nila. Mai hoʻāʻo e hoʻomehana i ka lāʻau i ka hoʻomehana ʻana iā ia i loko o ka hawewe uila, e waiho ana iā ia i loko o ka wai mehana a i ʻole i ka lā kūpono, a i ʻole ma o nā ʻano hana ʻē aʻe.
Ma mua o ke kuʻi ʻana, e nānā i ka syringe i hana mua ʻia e ʻike pono ʻaʻole i hala ka lā palena pau i paʻi ʻia ma ka pūʻolo. E nānā pono i ka wai i ka syringe. E mōakāka a melemele paha ka wai a ʻaʻole ia e ao a discolored a i ʻole piha nā puʻupuʻu a i ʻole nā ʻāpana. E hōʻoia inā ua hōʻino ke syringe a i ʻole e nalo ana ka pāpale nila. Kāhea i kāu kauka lāʻau inā loaʻa kekahi pilikia a mai hoʻokomo ʻole i ka lāʻau.
Hiki iā ʻoe ke kīkī i ka ʻume ʻana o ka sarilumab ma ke alo o nā ʻūhā a i ʻole ma nā wahi āpau o kou ʻōpū koe wale nō kou piko (pihi ʻōpū) a me kahi ʻelua ʻīniha a puni ia. Inā hoʻokomo kekahi kanaka i kāu lāʻau, hoʻohana ʻia ka wahi o waho o nā lima luna. Mai hoʻokomo i ka lāʻau i loko o ka ʻili i palupalu, palu, ʻino, a me nā makaʻu. Koho i kahi wahi ʻokoʻa i kēlā me kēia manawa āu e hoʻopili ai i ka lāʻau.
Mai hoʻohana hou i nā syringes prefilled sarilumab a mai hoʻopihapiha i nā syringes ma hope o ka hoʻohana. Kiola i nā syringes i hoʻohana ʻia i loko o ka pahu kūpaʻa kūpaʻa a noi i kāu kauka lāʻau pehea e hoʻolei ai i ka ipu.
E nānā pono kāu kauka iā ʻoe e ʻike i ka maikaʻi o ka hana o ke injection iā ʻoe. Hiki i kāu kauka ke hoʻoponopono i kāu lāʻau a hoʻolohi paha a hōʻoki paha i kāu lāʻau ma muli o kāu pane i kēia lāʻau. He mea nui e haʻi i kāu kauka i kou ʻano i kou wā e mālama ai.
Hiki ke kōkua i ka hoʻopili ʻana o Sarilumab i ke kaohi ʻana i kāu mau ʻōuli, akā ʻaʻole ia e hoʻōla i kou ʻano. E hoʻomau i ka hoʻohana ʻana i ka pahu kui sarilumab ʻoiai inā maikaʻi ʻoe. Mai hoʻōki i ka hoʻohana ʻana i ka hoʻopili ʻana o sarilumab me ke kamaʻilio ʻole ʻana me kāu kauka.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i ka pahu kui sarilumab,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka sarilumab, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka injection sarilumab. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E hoʻomaopopo pono i nā lāʻau i helu ʻia i ka ʻĀINA WAIWAI a me kekahi o nā mea penei: aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin), a me naproxen (Aleve, Anaprox, a me nā mea ʻē aʻe); atorvastatin (Lipitor, ma Caduet); clarithromycin (Biaxin, i Prevpac); cyclosporine (Gengraf, Neoral, Sandimmune); erythromycin (E.E.S., Eryc, PCE); lovastatin (Altoprev); nā pale pale waha (nā pā kaohi hānau); quinidine (i Nuedexta); simvastatin (Zocor, i Vytorin); sirolimus (Rapamune, Torisel); tacrolimus (Astagraf, Envarsus XR, Prograf); telithromycin (Ketek); theophylline (Theo-24, Theochron); a me warfarin (Coumadin, Jantoven). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka injection o sarilumab, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole he divertikulitis (nā ʻeke liʻiliʻi i ka uhi ʻana o ka ʻōpū nui e hiki ke lilo i mea hoʻowali), nā maʻi ulcer i kou ʻōpū a i ʻole nā ʻōpū, maʻi ʻaʻai, a i ʻole hepatitis B a i ʻole nā maʻi ate. E haʻi pū i kāu kauka inā ʻoe e hoʻolālā e hana i kahi ʻoki a i ʻole kahi hana lapaʻau i kēia mua aku.
- e haʻi i kāu kauka inā loaʻa hou iā ʻoe a ua hoʻonohonoho ʻia e loaʻa nā lāʻau āpau. ʻAʻole pono ʻoe e loaʻa i nā lāʻau āpau ke hoʻohana nei ʻoe i ka injection sarilumab me ka walaʻau ʻole ʻana me kāu kauka.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka injection sarilumab, kāhea i kāu kauka. Inā loaʻa iā ʻoe nā injection sarilumab ʻoiai ʻoe e hāpai ana, ke kauka tellyour ma mua o ka loaʻa ʻana o nā lāʻau āpau i ka pēpē.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka injection sarilumab.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E noi i kāu kauka i ka mea e hana ai inā poina iā ʻoe e hoʻopili i kahi lāʻau. Mai hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu paha ka pahu o Sarilumab i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ihu peʻa a holo paha
- ʻulaʻula a ʻūwī kokoke paha i kahi o ka lāʻau i injected
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- kahe kahe ʻana a palapū wale paha
- hūwī
- hives
- pilikia i ka ale ʻana a me ka hanu ʻana
- pehu o kou lehelehe, elelo, a i ʻole ke alo
- ʻeha ka umauma
- luʻuluʻu a maule paha
- ʻeha ka ʻōpū
- ka luaʻi
- ʻeha, puhi, nū, a i ʻili paha a i ʻole nā palapū i kou ʻili
ʻO nā lāʻau e like me ka hoʻopili ʻana o sarilumab i kumu e hoʻonui ai i ka makaʻu o ka maʻi ʻaʻai. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau.
Hoʻokumu paha ka pahu o Sarilumab i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai e pale iā ia mai ka mālamalama, paʻa paʻa ʻia, a me kahi hiki ʻole i nā keiki. E mālama iā ia i loko o ka pahu hau akā ʻaʻole e paʻa. Inā mālama ʻia ka lāʻau i loko o ka pahu hau, pono e hoʻohana ʻia i loko o 14 mau lā.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka inikua sarilumab.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
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