Kodi Kuopsa kwa Matenda Kuwonjezeka Ndi Kugwiritsa Ntchito TNF Blocker?
Funso: Kodi pali chiopsezo chowonjezeka chotenga matenda pogwiritsa ntchito TNF blockers?
Kodi pali mgwirizano wotani pakati pa TNF (chotupa cha necrosis factor) ndi matenda? Kodi pali vuto lililonse limene mbiri yachipatala kapena zizindikiro zachipatala zingalepheretse kulemba anthu a TNF ? Komanso, pali nthawi iliyonse pamene mankhwalawa ayenera kuchotsedwa kapena kutayika kwa kanthawi, ngati wodwalayo ali ndi chimfine, chimfine, matenda, kapena opaleshoni yotsatira?
Yankho: TNF blockers ndi mankhwala othandiza kwambiri a nyamakazi . Monga mankhwala onse, pali zotsatira zowopsa. Mitundu 5 ya TNF: Enbrel (etanercept), Huma (adalimumab), Remicade (infliximab), Simponi (golimumab), ndi Cimzia (certolizumab pegol) amachulukitsa chiopsezo cha chitukuko cha TB. Chifukwa chake izi zimapezeka kuti chotupa cha necrosis (TNF) chimathandiza kwambiri kuteteza chitetezo cha thupi kwa mabakiteriya omwe amachititsa TB. Chotsatira chake, ndibwino kuti madokotala azitsulo odwala matenda a TB asanayambe kumwa mankhwala a TNF. Ngati pali umboni wosonyeza kuti malo amodzi ayamba kutsogolo (malo ofiira omwe amamera amayamba masiku awiri pa sitepe ya yesitanti), mankhwala angathe kuperekedwa pamodzi ndi TNF blocker kuti alole mankhwala.
Kuonjezera apo, pali umboni wochokera ku maphunziro a zachipatala komanso mauthenga apamalonda (mauthenga ochokera kwa odwala ndi madokotala omwe adagwiritsa ntchito mankhwalawa pambuyo povomerezedwa ndi a FDA) kuti TNF imapangitsa kuti chiopsezo chachikulu (kuphatikizapo chifuwa chachikulu) chiyereke kwa anthu ambiri.
Ngakhale pali zotsatira zabwino zachipatala mu gulu la nthendayi, ndikudandaulabe kuti mankhwalawa akuwonjezera chiwopsezo cha matenda akuluakulu chifukwa, makamaka, odwala kwambiri amalowa mu maphunziro a zachipatala ndipo matenda ambiri sapezeka pamene mankhwalawa ali pa malonda.
Pano pali mfundo:
- Ndikoyenera kuti TNF ikhale yosayambika ndi munthu yemwe ali ndi kachilombo ka HIV.
- Odwala omwe ali ndi matenda opatsirana mobwerezabwereza kapena matenda akuluakulu ayenera kupeŵa kugwiritsa ntchito TNF blockers.
- Kuwonjezera pamenepo, TNF blockers ayenera kutayika kwa odwala omwe akudwala matenda akuluakulu pogwiritsa ntchito choyimitsa TNF kapena omwe akufuna mankhwala opha tizilombo kuti athetse matenda awo.
Scott J. Zashin, MD adati, "Ngati ndikusiya kapena kusiya kusiya mankhwala omwe ali ndi matenda aing'ono sakudziwika, koma ndimakonda kupewera chithandizo chifukwa sindingamve kupindula ndi mankhwala opatsirana pokhapokha pangozi. Palibe malangizowo ochokera kwa makampani kuti awonetsere kapena ayi kuchepetsa chithandizo. Pali zochepa zomwe zimatsutsana ndi zotsatira za TNF zoteteza pa zotsatira za opaleshoni Nthawi zambiri ndimalimbikitsa Enbrel masabata awiri musanachitidwe opaleshoni ndikubwezeretsanso 1 sabata pambuyo pake, ngati palibe zizindikiro kapena matenda a matenda. Huma ayenera kuyimitsidwa patangotha milungu iwiri ndikubwezeretsanso sabata imodzi. Remicade iyenera kuyimitsidwa masabata 4 isanayambe ndikuyambiranso masiku 10 mpaka masabata 4 mutatha opaleshoni. "
Zindikirani: Chonde funsani dokotala kuti akuthandizeni ngati mukuyenera kuimitsa Enbrel, Humira, Remicade, Simponi, kapena Cimzia musanachite opaleshoni.
Madokotala akhoza kukhala ndi zosiyana zofunikira.
Chitsime:
Scott J. Zashin, MD ndi pulofesa wothandizira pa yunivesite ya Texas Southwestern Medical School ndipo akupita kuchipatala ku chipatala cha Presbyterian ku Dallas ndi Plano. Dr. Zashin ndi mlembi wa Arthritis Popanda Mavuto - Chozizwitsa cha TNF Blockers ndi co-author of Natural Arthritis Treatment .