Zimene Muyenera Kudziwa Zokhudza Mankhwala Othandiza
Kwa munthu amene ali ndi vuto la kubwezeretsanso matendawa (RRMS) omwe amabwezeretsa kwambiri matendawa, nthawi zambiri mankhwalawa amapangidwa ndi corticosteroid. Izi ndi mankhwala omwe amatsanzira hormone yomwe imapangidwa ndi adrenal glands kuti athetse kutupa (kufiira, kutupa, kupweteka). Ngati vuto la MS likubwezeretsanso, corticosteroids imachepetsa kutupa m'katikatikati mwa mitsempha ya m'mimba-kutupa kumene kumayambitsa matenda a MS monga ululu wa maso kapena masomphenya , kufooka kwa minofu, ndi vuto kumagwirizana.
Kodi Mukufunikira Solu-Medrol?
Kawirikawiri, corticosteroid yachisankho chochiza MS mobwerezabwereza ndi mankhwala otchedwa Solu-Medrol (methylprednisolone). (Dziwani kuti nthawi zina dokotala amapereka mankhwalawa kwa munthu yemwe ali ndi chizindikiro monga ululu womwe ukupitirirabe kuwonjezereka m'kupita kwa nthawi, wapita patsogolo mpaka wosasinthasintha, ndipo sakula bwino ndi mankhwala ena.)
Solu-Medrol ndi mankhwala amphamvu, ndipo alibe zotsatirapo, kotero ndikofunikira kutsimikizira kuti ndizofunikira. Mwachitsanzo, ziyenera kuonekeratu kuti kubwerera kwa MS kwenikweni kukupitirira. Ngati mukuganiza kuti izi zikukuchitikirani, pano pali zinthu zina zomwe muyenera kudzifunsa nokha zomwe mukukumana nazo. Ngati muyankha inde pa mafunso awa, mwina mukubwerera.
- Kodi ndikukhala ndi zizindikiro zatsopano kapena zizindikiro zomwe ndikuziipira kale?
- Kodi izi zikuchitika pa maola 24 mpaka masiku angapo?
- Kodi zizindikirozi zatha maola oposa 24?
- Kodi mwakhala mwezi umodzi kuchokera pamene ndinasiya kubwerera? (Mwa kuyankhula kwina, kodi zizindikirozi zakhala zosakhalapo kapena zosakhazikika kwa masiku osachepera 30 zisanawonekere kapena zikuipiraipira?)
Pofuna kutsimikizira kuti mukubwezereranso kapena kuti muweruze, dokotala wanu akhoza kuchita MRI. Zikupezeka kuti anthu ambiri omwe ali ndi MS, makamaka omwe ali m'mayambiriro a RRMS, ali ndi zilonda zochepa zomwe zimachitika nthawi zonse.
Izi ndizo zilonda zomwe "zimawoneka" pamaso pa gadolinium (chojambulidwa chogwiritsira ntchito pa MRI) kwa milungu pafupifupi sikisi, kenako imatha ngati kutupa kubwerera. Pamene MRI ikuwonetsa zochepa chabe zilondazi zimayambitsa zizindikiro, ndipo sizimayambitsa zozizwitsa kuti zitha kugwiritsira ntchito mawu oti "kubwereranso" ku vutolo, Solu-Medrol mwina safunikira.
Kutenga Solu-Medrol
Pamene mankhwalawa amaperekedwa kuti athetse kachilombo ka MS, kawirikawiri amaperekedwa mozungulira-kutanthauza kupyolera mu singano kumapeto kwa masiku atatu kapena asanu. Kwa anthu ambiri, Solu-Medrol angabweretse chitonthozo chochuluka kuchokera kubwerezabwereza. Ena apeza kuti atangomva mankhwala enaake, zizindikiro za MS zomwe zimafooketsa zimatha kusokonezeka, kapena zimawonongeka. Pakadutsa masiku awiri kapena atatu a Solu-Medrol anthu ambiri amanena kuti zizindikiro zawo ndi zabwino kwambiri.
Solu-Medrol alibe vuto lililonse, monga momwe kugwiritsira ntchito kugonana ndi kupweteka, choncho nthawi zina zingakhale bwino kuyembekezera kubwerera m'mbuyo (ngati mungathe kulekerera zizindikiro kapena kupeza chithandizo cha mankhwala ena ). Popanda kutenga Solu-Medrol simungakhale pangozi yowonongeka kosatha kapena zotsalira za msilikali mwa kubwezeretsa, ndipo mudzapewa zotsatira zake.
Mungapemphenso dokotala wanu za kutenga Solu-Medrol mu mawonekedwe apiritsi, m'malo mwa kulowetsedwa, zomwe zingachepetse zotsatira. Pali kafukufuku woyamba kuti asonyeze kuti mankhwala amtundu wa methylprednisolone akhoza kukhala othandiza kwambiri pakuthandizira kubwezeretsa kwa MS monga infusions.
> Zotsatira:
> Le le Page, et al. "Kuchita bwino ndi Chitetezo cha Mlomo ndi Mitsempha yambiri Yamtundu wa Methylprednisolone mu Multiple Sclerosis Imabwereranso, Mlandu Wosabisa Kachiwiri (COPOUSEP)." Lancet . 2015 Sep 5; 386 (9997): 974-81.
> Olek MJ. "Kuchiza Kuchulukitsa Kwachilendo kwa Mipiringi Yambiri mwa Anthu Achikulire." Kupita ku 2016.
Dan Rae-Grant AD a Ontaneda. Kusamalira Zovuta Kwambiri mu Multiple Sclerosis. Ann Indian Acad Neurol . 2009 Oct; 12 (4): 264-7.