Kupewa Kuwonongeka Kowonongeka Ndi Cholinga cha Chithandizo
Zaka zambiri zapitazo, njira yothandizira njira yogwiritsira ntchito nyamakazi ya nyamakazi inali yachilendo. Kalelo, zochepa zinali zambiri. Komabe, kwa zaka zambiri, njirayi yakhala ikuyendetsa zinthu zachiwawa. Koma, chifukwa chiyani kusintha?
Kufunika kwa Chithandizo Chakumayambiriro, Chachiwawa
Matenda oyambirira a matenda a nyamakazi amadziwika kuti ndi ofunikira chifukwa mankhwala oyambirira ndi DMARD ndi biologics amapereka njira yabwino yothetsera kuwonongeka kwa mgwirizano, komanso kuchepetsa chiopsezo chaumphawi ndi zakufa zomwe zikugwirizana ndi matendawa.
Chifukwa cha njira yowopsya imeneyi ndikuti, m'mbuyomu, chiwerengero chachikulu cha odwala matenda a nyamakazi anakhala olemala. Mwamwayi, si odwala onse omwe ali ndi matenda a nyamakazi omwe ali pangozi yowonongeka kwakukulu ndi kulemala.
Kwa iwo omwe ali ndi matenda ochepa, chithandizo chamwano sichiyenera kuyambitsa. Komabe, pamene NSAIDs (mankhwala osokoneza bongo omwe sagwiritsidwe ndi zotupa) angathandize zizindikiro za nyamakazi ya nyamakazi, palibe chochepa chosonyeza kuti athandiziranso kuwonongeka kwa mgwirizano.
Ochepa, ngati alipo, odwala matenda a nyamakazi amafunika kuchipatala ndi NSAID okha. Kawirikawiri, odwala omwe ali pa chiopsezo chochepa kuti awonongeke pamodzi amachiritsidwa ndi mankhwala achikulire a DMARD omwe amawoneka kuti ali ndi mphamvu zochepa zowonjezera, kuphatikizapo:
- Plaquenil (hydroxychloroquine)
- Azulfidine ( sulfasalazine )
- Minocin (minocycline) -An antibiotic yomwe yasonyeza ubwino wodwala nyamakazi, koma FDA sivomerezedwa kuti izi ziwonetsedwe.
Mankhwala omwe amagwiritsidwa ntchito mopitirira malire kwambiri ku nyamakazi ya nyamakazi ndi awa: (ndi mankhwala ena atsopano muipi):
- Methotrexate (Rheumatrex, Trexall)
- Arava (kumbuyo)
- Imuran (azathioprin)
- Xeljanz (tofacitinib)
- Enbrel (etanercept)
- Remicade (infliximab)
- Humira (adalimumab)
- Simponi (golimumab)
- Cimzia (certolizumab pegol)
- Actemra (tocilizumab)
- Rituxan (rituximab)
- Orencia (abatacept)
Odwala omwe ali ndi vuto la nyamakazi amatha kukhala ndi mavuto ambiri kapena mavuto omwe angakhale nawo pamoyo wawo wa tsiku ndi tsiku , kuwonongeka pamodzi, ndi ntchito yogwirizana. Chifukwa cha kugwiritsidwa ntchito kwa nthawi yaitali komanso mtengo wotsika mtengo, akatswiri ambiri a rheumatologists amayamba ndi methotrexate monga DMARD yoyamba mwa odwala omwe akupereka zizindikiro zolimbitsa thupi. Prednisone mu mlingo wochepa akhoza kukhala ndi matenda othandizira.
Zizindikiro ndi Zizindikiro Zowonongeka Pamodzi
Zotsatira zachipatala zomwe zingasonyeze kuti chiopsezo chowonjezereka cha kuwonongeka pamodzi ndi kulumala komweku chikuphatikizapo:
- Kutupa kofanana
- Kuuma kwa m'mawa kwa nthawi yaitali
- Kuyamba kwa nyamakazi ya nyamakazi paunyamata
- Wopambana kwambiri wa CCP antibody
- Chofunika kwambiri cha chifuwa chachikulu
- Chifuwa chachikulu
- Mapuloteni okwera kwambiri a C (CRP) ndi mlingo wa sedimentation
- Zosasokoneza ma Radiographic (x-ray)
Mwatsoka, sikutheka kuti nthawi zonse muwonetsere kuti ndani kapena sadzakhala ndi vuto limodzi. Chotsatira chake, ngati muli ndi zizindikiro za nyamakazi, yambani kuti mufunsane ndi rheumatologist kuti mupeze chithandizo chomwe chingakhale chabwino kwa inu.
Mzere wa Mpata
Pali nthawi yomwe chithandizo cha nyamakazi chothetsera nyamakazi chimakhudza kwambiri matenda.
Zomwe zimakhudza kwambiri zikhoza kukhala chifuwa chachikulu cha nyamakazi kapena matenda omwe angayambe kuchitika pa x-ray kapena pamagwiridwe. Izi zatchedwa "Window of Opportunity" ndipo monga ofufuza aphunzira zambiri, zenera zakhala zochepa.
Kufunika kochiritsira msanga kwa nyamakazi ya nyamakazi yafika poyera kwambiri. Zomwe zaposachedwa posonyeza kuti ngati chiwawa chiyenera kukhazikitsidwa ndi "kale bwino."
Chochititsa chidwi, kuyesera kugwetsa pansi pamene mawindo amatsegulira ndi kutseka kwa wodwala aliyense sikunaliwothandiza.
Koma, palibe kutsutsa kuti kubweretsa matendawa mofulumira ndi cholinga chowonekera. Izi zikutanthauza kuteteza nyamakazi yosasokonezeka , nthawi zina, ndi chiyembekezo cholepheretsa kupita patsogolo kwa nyamakazi.
Zotsatira:
Mawindo othandizira odwala nyamakazi: kodi amatseka? Karim Raza, Andrew Filer. Annals wa Rheumatic Diseases. March 10, 2015.
Kuzindikira Matenda Oyamba a Matenda a Khunyu. Page 73. Matenda a Matenda a Khunyu: Matenda Oyamba ndi Chithandizo. Sewero lachitatu. Kusi, Weinblatt, Kavanaugh. Mutharika, Inc.