Stelara Tsarin Tsarin Monoclonal ne wanda aka Yi amfani dashi don ƙananan hali ga Crohn's
Bayani
Stelara (ustekinumab) wani maganin ilimin halitta ne wanda ke kai hari ga cyleokin interleukin (IL) -12 da IL-23. Ƙari da ƙari shi ne wani ɗan adam wanda yake da nasaba da immunoglobulin monoclonal wanda ke kai hari ga ƙungiyar P40 ta IL-12 da IL-23. An fara amincewa da Stelara a shekara ta 2008 don ya bi da psoriasis kuma an amince da shi yanzu don magance cutar Crohn.
Muhimmin Facts Don Ku sani
- Stelara ba magani ne ga cutar Crohn ba
- An ba Stelara da farko ta hanyar jiko sannan kuma ta hanyar injections da za a iya yi a gida
- Mutane da ke dauke da kamuwa da cuta a yanzu ba za su karbi Stelara ba
- Akwai kara yawan kamuwa da kamuwa da cuta da kuma kowace alamun kamuwa da cuta ya kamata a tattauna tare da likita a nan gaba
- Stelara ba a ba da cikakken binciken a yayin daukar ciki da nono da kuma likita ya kamata a ba da shawara a kai a kai a cikin batun batun ciki
- Dole ne a gwada marasa lafiya don tarin fuka (TB) kafin fara Stelara
Gudanarwa
An ba Stelara a cikin tsari biyu. Na farko da Stelara aka yi tare da jiko. Ana ba da miyagun ƙwayoyi a cikin gidan jiko ko a ofishin likita. Adadin Stelara da aka yi amfani da shi an samo shi ne kuma an lissafta shi bisa ga nauyin mai haƙuri. Bayan haka, an ba Stelara da injections subcutaneous (allura da aka ba a karkashin fata) a kowane mako takwas, wanda za'a iya yi a gida.
Kwararren likita ko wasu masu sana'a na kiwon lafiya suna horar da su akan yadda za a ba da injections. Da miyagun ƙwayoyi ya zo a cikin injector na musamman wanda mai yin haƙuri ya ba wa kansu ko yana da aboki ko dan uwansu ya ba su. Marasa lafiya za su iya yin amfani da Stelara a cinya, ciki, buttocks, ko hannun babba.
Shaidawa
Za a iya umurce Stelara don magance cutar Crohn mai tsanani a cikin mutanen da shekarun da suka wuce 18. Janssen Biotech, Inc, mai sayarwa na Stelara, ya ce an yarda da wannan maganin ga marasa lafiya da cutar Crohn waɗanda "basu da mahimmanci ga jiyya tare da immunomodulators ko corticosteroids amma ba a taɓa magance shi ba tare da wani ƙwayar ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta (TNF) , ko kuma wanda ya kasa ko kuma bai dace da magance shi ba tare da ɗaya daga cikin masu cafke TNF. " Wannan yana nufin cewa ana amfani dashi a marasa lafiya waɗanda aka bi da su tare da wani irin magani kuma basu inganta. Wannan zai iya haɗawa da kwayoyin immunomodulator (wanda ya rage tsarin na rigakafi), steroid kamar prednisone , ko mai tsaro na TNF (wani lokaci ana kiran ilimin halittu).
Sauran cututtukan da aka yi wa rigakafi wanda Stelara ya yarda a Amurka sun hada da psoriasis da rubutun cututtuka na psoriatic. Stelara ba a yarda da ita yanzu ta hanyar FDA don magance cututtuka na ulcers. Ba a amince Stelara ba don amfani a yara ko matasa a ƙarƙashin shekarun 18.
Yadda Yake aiki
An yi amfani da Stelara don magance yanayin da ba a yaduwa ba, tare da cutar Crohn ta zama sabon cutar wanda aka samo tasiri. Stelara tubalan interleuken (IL) -12 da IL-23, wanda aka samu a cikin jiki ta jiki amma ana zaton zasu taimakawa wajen ƙonewa cikin cutar Crohn.
Stelara ba magani ne ga cutar Crohn ba.
Wanda bai kamata ya karɓa ba
Faɗa wa likitanka idan kana da ko sunyi ɗayan waɗannan yanayi:
- Sashin rashin lafiyar da ya gabata zuwa Stelara
- Damaguwa mai laushi, saboda sakonji mai cikawa zai iya ƙunsar latex
- Yi rigakafi na kwanan nan tare da maganin alurar riga kafi, ko wani dan gidanka yana da alurar riga kafi
- An sami maganin alurar rigar Calmette-Guerin (BCG) domin ba a ba shi a cikin shekara guda na shan Stelara (ko dai kafin ko bayan)
- Duk wani fata rashes
- A halin yanzu ana samun labaran ƙwayoyin cuta, musamman ma abubuwan rashin lafiyar rashin lafiya
- Shin an taɓa bi da su tare da phototherapy (farfesa)
- Ciki ko nono, ko kuma yana iya zama ciki ko shirin yin nono a yayin shan Stelara
- Yi tarihin cututtuka ko kamuwa da cuta a yanzu
Al'amarin gargadi
Dalilin da ya sa likita zai bukaci sanin game da cututtuka da kuma cututtuka mai tsanani saboda Stelara na iya canja hanyar da jikin ya ke kaiwa ga wadannan hotuna. Stelara zai iya yin tayar da rashin lafiyar da ba shi da tasiri ko kara haɗari na samun ciwon rashin lafiyan bayan ya karbi harbi. Yana da mahimmanci yin aiki tare da wani mai ciwo da kuma gastroenterologist don rage hadarin samun ciwon rashin lafiyan. Harkokin rashin lafiyar mai tsanani ga Stelara suna da wuya.
Ƙunƙwarar Biyar
Stelara na iya ƙara haɗari na tasowa daga kamuwa da cuta saboda zai iya shafar tsarin na rigakafi . Dole ne marasa lafiya su kasance masu lura game da saka idanu ga kowane alamu ko bayyanar cututtuka na kamuwa da cuta da kuma bayar da rahoto ga likita a nan gaba. Wannan ya hada da:
- Abun ciki na ciki
- Ƙara
- Cutar da jini
- Diarrhea
- Wulo
- Fevers
- Abin ciwo
- Pain ko ƙona yayin urinating
- Rawancin numfashi
- Skin rashes
- Sweats
- Baceccen asarar rashin lafiya
Tsaro
A lokacin da ake ciki
Ra'ayin ciki yayin da mahaifiyarsa ta karbi Stelara ba a taɓa nazarin su ba. Akwai 'yan ciki na haɗari a cikin mata da psoriasis da suke shan Stelara. Dukkan waɗannan sun kasance shaidu, wanda ke nufin cewa wannan abu ne wanda ake nazarin. Babu wani babban nazari wanda yayi la'akari da yadda Stelara ke shafar jariran da ba a haifa ba. Akalla daya ya haifar da rashin hasara, amma ba a samu bincike sosai don sanin ko Stelara zai cutar da tayin ba.
Tsarin FDA na ciki don Stelara shine B. Wannan yana nufin cewa Stelara da ke cikin ɗan da ba a haifa ba an yi nazari sosai. A halin yanzu an ba da shawarar cewa dole ne a yi amfani da Stelara a lokacin daukar ciki idan an buƙata. Dole ne a tuntubi likitan da ya rubuta Stelara nan da nan idan ciki ya faru.
Saboda akwai kadan bayanai game da ciki da kuma Stelara, duk wanda ya yi ciki ya tambayi ya shiga cikin rajista rajista ta kiran 1-877-311-8972. Wannan zai taimaka wa masana kimiyya su koyi yadda Stelara ke shafar mata da jarirai don inganta kulawa ga sauran marasa lafiya a nan gaba.
A lokacin nono
Anyi zaton Stelara zai iya shiga cikin ƙuƙwarar nono kuma don haka yaron ya dauki shi. Nursing a jariri yayin da yake karbar Stelara ya kamata a tattauna tare da mambobin kungiyar kiwon lafiya kuma ya kamata a yi a kan kowane mutum.
Kalma Daga
An yi amfani da Stelara tun shekarar 2008 don magance matsalolin da ba a tallafawa ba. Sabuwar yanayin da Stelara ya amince shi ne cutar Crohn. Duk da yake Stelara ba magani bane, an nuna shi mai tasiri ne don magance cutar Crohn a wasu marasa lafiya.
> Sources:
> Engel T, Kopylov U. "Ustekinumab a cututtukan Crohn: shaida a yau da wuri a farfadowa." Hot Adv Nazar Dis . 2016 Jul; 7: 208-214.
> Janssen Biotech, Inc. "Bayanin Tsaro na Stelara." 24 Satumba 2016.
> Levy RA, de Jesús GR, de Jesús NR, Klumb EM. "Mahimman bayani game da shawarwarin yanzu game da maganin cututtukan cututtuka na rukuni na jini a lokacin daukar ciki da lactation." Autoimmun Rev. 2016 Oktoba; 15: 955-963.
> Niederreiter L, Adolph TE, Kaser A. "Anti-IL-12/23 a cututtukan Crohn: benci da bedside." Curr Drug Targets . 2013 Nuwamba; 14: 1379-1384.
> Rocha K, Piccinin MC, Kalache LF, Reichert-Faria A, Silva de Castro CC. "Tashin ciki a lokacin Ustekinumab Jiyya ga Mai tsanani Psoriasis." Dermatology . 2015; 231: 103-104.