Zimene Muyenera Kuyembekezera Mukamapanga Betaseron
Anthu omwe ali ndi MS obwezeretsa, kapena RRMS, kawirikawiri amapanga chisankho chawo motsatira uphungu wa adokotala, komanso nkhawa zokhudzana ndi zovuta, zotsatirapo, komanso mtengo. Thandizo lina la interferon lovomerezedwa ndi FDA pochiza kachiwiri mu MS ndi Betaseron.
Zomwe zimayambira pa Betaseron Therapy
Betaseron (Interferon beta-1b) yakhala ikugulitsidwa msika kuposa mankhwala ena osinthira matenda.
Amapereka mlingo wa mlungu uliwonse wa interferons , pa 250mcg / mlingo, woperekedwa tsiku lililonse. Ndimagulu amodzi (kutanthauza kuti imayikidwa mu mafuta pansi pa khungu) ndipo salowerera pH, mosiyana ndi Avonex (intramuscular, meaning impject in muscle) ndi Rebif (komanso subcutaneous, koma acidic, jekeseni kotero akhoza kukhala zowawa). Odwala ambiri amakhala ndi malo ofiira pa jekeseni ndi Betaseron, zomwe nthawi zambiri zimatha kukhala zilonda.
Betaseron imabwera ndi zizindikiro zowonjezera za interferon, zizindikiro za chimfine, makamaka pachiyambi cha chithandizo. Popeza zimaperekedwa tsiku lililonse, izi zimapangitsa kuti zikhale zovuta kwa anthu omwe amagwira ntchito nthawi zonse kapena akuyenera kukhala "nthawi zonse," mosiyana ndi Avonex (kamodzi pa sabata dosing) kapena Copaxone (osati interferon, kotero kuti alibe chimfine -mayendedwe onga). Komabe, Betaseron imabwera ndi ndondomeko yolembera (kutanthauza kuti odwala amayambira pa mlingo waung'ono ndi kuwonjezeka pang'onopang'ono), zomwe zimati zimachepetsa kwambiri zotsatira zake.
Betaseron imafuna kuti odwala azitenga magazi nthawi zonse kuti ayang'ane chiwindi cha ntchito ndi chiwerengero cha maselo a magazi.
Zambiri Zowonjezera pa Betaseron Therapy
Betaseron ndi ya anthu omwe ali ndi RRMS ndi MS (PRMS). Amavomerezedwanso kuti agwiritsidwe ntchito kwa anthu omwe adakumana ndi mwambo umodzi wa MS ndi zizindikiro za MRI zomwe zimagwirizana ndi MS.
Zogwira ntchito ziri zofanananso ndi mankhwala onse a CRAB (Copaxone, Rebif, Avonex, Betaseron) - pafupifupi kuchepetsa kuchepetsa kubwereza poyerekezera ndi placebo zaka ziwiri. Kafukufuku amasonyeza kuti pali umboni wakuti mapiritsi apamwamba kwambiri (Betaseron ndi Rebif) angakhale othandiza kwambiri poletsa kuchepetsa kubwezeretsa ndi kuchepetsa zilonda kuposa mlingo wa m'munsi (Avonex). Ali pa Betaseron, mayeso a magazi ayenera kuchitika miyezi itatu iliyonse chaka choyamba kuti ayang'ane kuchuluka kwa maselo a magazi ndi chiwindi. Patatha chaka, amatha kuchepetsedwa kamodzi pa miyezi inayi iliyonse.
Betaseron imaperekedwa tsiku lililonse (maulendo 14 pamwezi) monga jekeseni (pansi pa khungu), lomwe limagwiritsidwa ntchito ndi wodwala kapena wokhala m'banja. Nthano ndi yaifupi kwambiri kuposa mankhwala ochiritsira (.5 inchi motsutsana ndi 1 mpaka 1.25 mainchesi) ndipo ndiyeso la 27, lomwe ndi lokongola kwambiri. Betaject 3 chipangizo chojambulira chokha chimaperekedwa.
Zotsatira Zopweteka za Betaseron Therapy
Zotsatira za Betaseron zimakhala zofanana ndi za mankhwala ena othandizana ndi interferon kupatula Avonex, zomwe sizimayambitsa machitidwe ambiri a jekeseni.
- Zizindikiro zofanana ndi chiwopsezo : Chofunika kwambiri ndi zotsatira za chimfine. Izi zimaphatikizapo malungo, kuzizira, kutukuta, minofu ndi kutopa, zomwe zimatenga maola 24 mpaka 36. Izi zimakhala zovuta kwambiri pambuyo pa jekeseni yoyamba ndikuyamba kuchepa ndi jekeseni iliyonse kuti anthu ambiri azidziwe kapena kupirira pambuyo pa miyezi isanu ndi umodzi. Zitha kuchepetsanso poyambira ndi mlingo wochepa komanso kuwonjezeka kwa mlingo wathunthu pang'onopang'ono, patatha milungu ingapo. Kutenga ibuprofen kapena acetaminophen maola angapo asanakhale ndi atha kungathandizidwe ndi zotsatirazi.
- Mabala ofiira: Izi kawirikawiri zimachitika pa malo a jekeseni, zomwe zingathe milungu ingapo. Izi zimatha kukhala zilonda (jekeseni-site necrosis) m'magawo 4 peresenti. Kusinthasintha kwa malo ndi kutulutsa compress yotentha pa tsamba musanayambe kulowetsamo kungathandize kuchepetsa madera ofiira.
- Kuwonongeka kwa Chiwindi: Kuvulala kwapachipsephesi kuphatikizapo kuchuluka kwa magazi a enzyme ndi chiwindi komanso matenda a chiwindi. Kuwunika nthawi zonse kumafunika kuti zowonongeka zisapite kapena zikupita patsogolo.
- Kupha magazi: Betaseron ikhoza kuchepetsa chiwerengero cha maselo ofiira ndi oyera, komanso kuchepetsa chiwerengero cha mapiritsi m'magazi.
- Kusokonezeka maganizo ndi Zokhumudwitsa: Betaseron iyenera kugwiritsidwa ntchito mosamala kwa odwala omwe akuvutika maganizo komanso odwala matendawa - odwalawa amafunika kuwunika.
Kodi Ndingatenge Betaseron Pamene Ndili Woyembekezera?
Betaseron ndi chigawo chakumimba C, kutanthauza kuti chinavulaza fetusiti pa maphunziro a nyama, koma zotsatira za anthu sizidziwika. Ngati mukukonzekera kutenga mimba, chonde adziwe dokotala wanu pomwepo kuti mutha kukonza ndondomeko palimodzi pamene mungaimitse. Sizimalimbikitsanso kuti aziyamwitsa pamene akutenga Betaseron.
Information Contact for Betaseron
Betaseron imapangidwa ndi Bayer HealthCare Pharmaceuticals Inc. Pulogalamu yothandizira odwala ku Betaseron imatchedwa MS Pathways. Amatha kufika pa foni pa 1-800-788-1467, kumene mungakambirane mafunso omwe muli nawo pa Betaseron ndi namwino (wotchedwa Namwino wa BETA).
Zotsatira:
Bayer Health Care. Malangizo a Mankhwala: Betaseron .
Durelli L, Verdun E, Barbero P, et al. Mapulogalamu a 1-interferon beta-1b motsutsana ndi beta-1a kamodzi pa sabata kamodzi kwa multiple sclerosis: zotsatira za maphunziro a zaka ziwiri omwe amapezeka mwachindunji (INCOMIN). Lancet 2002; 359: 1453-1460.
Kappos L, Polman CH, Freedman MS, et al, chifukwa cha BENEFIT Study Group. Chithandizo ndi interferon beta-1b kuchepetsa kutembenuka kupita kuchipatala ndi McDonald MS kwa odwala omwe ali ndi matenda osungulumwa. Neurology 2006; 67: 1242-1249.
National MS Society. (2015). Mankhwala Osintha Ma MS .