Zosowa Zambiri Zokhudza Chithandizo Chothandizira Chothandiza Kwambiri
Ngati mwapezeka kuti muli ndi multiple sclerosis (MS), chithandizo chabwino chingapangitse kusiyana kwakukulu m'moyo wanu wonse ndi umoyo wanu. Mankhwala ochizira MS, omwe amadziwika kuti ndi mankhwala osokoneza bongo, amadziwika ndi dzina lawo-amasintha maphunziro enieni a MS mwa kuchepetsa chiwerengero ndi kuchuluka kwa zilonda zatsopano mu ubongo ndi msana, makamaka zomwe zimayambitsa kubwerera.
Zimasintha kwambiri pa njira yapitayi yothandizira MS - kawirikawiri kuphatikizapo corticosteroids kuti kuchepetsanso kubwereza, mankhwala kuti athetsere zizindikiro zosiyana, komanso mankhwala opatsirana.
Mankhwala amodzi omwe amagwiritsidwa ntchito pa matenda a MS ali ndi chinthu chomwecho koma pali kusiyana kwakukulu komwe kumakhudza momwe iwe ndi dokotala mungasankhire njira yabwino yothandizira. Zina mwa zinthu zomwe mukufuna kuganizira mtundu wa MS womwe muli nawo, ndizovuta kuti mankhwalawa agwiritse ntchito, zotsatira zake, komanso momwe mungafunike kuyang'anitsitsa.
Avonex (interferon beta-1a)
Interferon ndi gawo la mapuloteni omwe amapangidwa ndi thupi. Avonex imapangidwa kuchokera ku puloteni iyi ndipo ili ndi ndondomeko yomweyo ya amino acid. Zimagwira ntchito pochepetsa chitetezo cha chitetezo cha mthupi chomwe chingayambitse maselo a mitsempha m'thupi lanu.
- Kodi ndi mtundu wotani wa MS umene umapereka? MS kubwezeretsa-kutumiza; Nthawi zina amapatsidwa kwa anthu amene akuganiza kuti ali ndi MS koma sanapezekenso.
- Ndizothandiza bwanji? Avonex yasonyezedwa kuti ichepetsa kuchepetsa kubwerera kwa 30 peresenti.
- Zimaperekedwa motani? Kamodzi pa sabata ndi jekeseni ya m'mimba, kawirikawiri pakhomo.
- Kodi zotsatira zake zingakhale zotani? Zizindikiro zokhudzana ndi kutupa m'masabata angapo oyambirira-nthawi zina. Zotsatira zosavomerezeka ndizopweteka ndi chiwindi.
- Zisamaliro: Azimayi omwe ali ndi mimba kapena akuyesera kutenga pakati sayenera kutenga Avonex. Sizifukwa zabwino kuti anthu adziwe kuti ali ndi nkhawa, nkhawa, kapena amene ali ndi vuto logona. Sikulakwa kwa anthu omwe ali ndi vuto la chithokomiro, kuchepa kwa magazi m'thupi, kuphwanyidwa kosavuta, kapena mbiri ya kugunda, mavuto a mtima, kapena matenda a chiwindi.
Betaseron (interferon beta-1b)
Betaseron imapangidwa kuchokera ku mtundu wina wa interferon wobadwa mwachibadwa. Monga Avonex, imagwira ntchito pochepetsa mphamvu ya chitetezo cha mthupi zomwe zingayambitse maselo a mitsempha m'thupi lanu.
- Ndi mitundu iti ya MS yomwe imachiza? Kubwezeretsa-kubwezeretsa ndi kubwerera-kubwereza.
- Ndizothandiza bwanji? Betaseron ikhoza kuchepetsa kuchepetsa kubwerera kwa 30 peresenti.
- Zimatengedwa bwanji? Kutsekemera (pansi pa khungu) Kusokonezeka tsiku lililonse, kawirikawiri kumachitidwa kunyumba.
- Kodi zotsatira zake zingakhale zotani? Pa masabata angapo oyambirira, mwinamwake kwautali pang'ono, mukhoza kukhala ndi zizindikiro zofanana ndi chimfine. Inunso mungakhale ndichithupi pa malo ojambulidwa, monga kutupa, kufiira, ndi ululu. Mukhoza kuyendetsa izi mwa kuzungulira pakati pa malo osiyanasiyana opangira jekeseni. Anthu ena amene amatenga Betaseron amadwala matenda ovutika maganizo.
- Zosamala: Betaseron sakhala otetezeka panthawi yomwe ali ndi mimba, kotero ngati ndinu mkazi wogonana muyenera kugwiritsa ntchito njira yodalirika yobereka pamene mukuitenga. Mungafunike kuyesa magazi nthawi zonse kuti muwone chiwindi, chithokomiro, ndi chiwerengero cha magazi.
Copaxone (glatiramer acetate)
Copaxone (glatiramer acetate) imapangidwa kuchokera ku amino acid ena omwe amapezeka mu myelin amaganiza kuti athandize chitetezo cha mthupi kuti chisayambe kuzungulira zilonda ndikuchichepetsa.
- Kodi ndi mtundu wotani wa MS umene umapereka? Kubwezeretsa-kubwezeretsa.
- Ndizothandiza bwanji? Amachepetsa kuchepa kwa 30 peresenti.
- Zimatengedwa bwanji? Jekeseni (pansi pa khungu) tsiku lililonse, kunyumba.
- Kodi zotsatira zake zingakhale zotani? Zomwe zimachitika pa tsamba lajeremusi zingathe kuchitika, kuphatikizapo kutupa, kuphulika, ndi ululu. Malo osokoneza ayenera kuyendetsedwa.
- Chenjezo: Mofanana ndi mankhwala ambiri a mtundu wake, Copaxone sali otetezeka pa nthawi ya mimba.
Novantrone (mitoxantrone)
Mankhwalawa a MS ndiwo mankhwala opatsirana, omwe amayamba kugwiritsa ntchito khansa. Novantrone amagwira ntchito mu MS pogwiritsa ntchito njira zowononga chitetezo cha m'thupi zomwe zingawononge myelin.
- Kodi ndi mtundu wotani wa MS umene umapereka? Kupititsa patsogolo , kupitilira-kubwereza, ndi mitundu yina yobwereza-kubweza.
- Ndizothandiza bwanji? Mu kafukufuku wazaka ziwiri zomwe Novantrone anaziyerekeza ndi malo a placebo, mankhwalawa anachepetsa chiwerengero cha kubwereranso ndikulitsa nthawi yayitali pakati pawo. Anthu omwe anali kuphunzirawo omwe anali kutenga Novantrone anali ndi kuchepa kwa 61 peresenti kuwonongeka kwa mphamvu yoyenda komanso zolepheretsa kukhala ndi ubongo.
- Zimatengedwa bwanji? Muyenera kupita ku ofesi ya dokotala kapena malo ena ochiritsira pakatha miyezi itatu kuti mukalandire chithandizo cha Novantrone mwachangu.
- Kodi zotsatira zake zingakhale zotani? Khungu, kupweteka tsitsi , kusamba kwa msambo. Ngati kutentha, kuzizira, ululu kapena zizindikiro zina zimachitika, muyenera kuuza dokotala wanu.
- Zisamalidwe: M'kupita kwa nthawi Novantrone ingayambitse mtima kuwonongeka, choncho pali malire a momwe munthu angapangire mankhwalawa nthawi yayitali - osapitirira masentimita asanu ndi atatu kapena khumi pakapita zaka ziwiri kapena zitatu. Zimathandizanso kuchepetsa chitetezo cha mthupi, simungapeze katemera wa mtundu uliwonse popanda kuwala kochokera kwa dokotala poyamba. Novantrone sizitetezeka kwa amayi omwe ali ndi mimba kapena akuyamwitsa mwana.
Rebif (interferon beta-1a)
Rebif ndi mankhwala a chitetezo cha mtundu wachitatu wotchedwa interferon ochizira MS.
- Kodi ndi mtundu wotani wa MS umene umapereka? Kubwezeretsa-kubwezeretsa.
- Ndizothandiza bwanji? Amachepetsa kuchepa kwa 30 peresenti.
- Zimatengedwa bwanji? Katemera (pansi pa khungu) katatu pa sabata. Amakonda kuchita kunyumba.
- Kodi zotsatira zake zingakhale zotani? Zizindikiro zokhudzana ndi chifuwa pamasabata oyambirira.
- Zisamaliro : Rebif sizomwe mungasankhe bwino ngati muli ndi pakati kapena akuyamwitsa. Muyenera kukhala ndi mayesero a magazi nthawi ndi nthawi kuti mutsimikizire kuti mankhwala sanakhudze ntchito , chiwerengero cha magazi, kapena chithokomiro.
Tysabri (natalizumab)
Tysabri ndi anti-monoclonal antibody yomwe imapangitsa kuti zikhale zovuta kwambiri kuti maselo a chitetezo cha mthupi alowe mu ubongo ndi msana .
- Kodi ndi mtundu wotani wa MS umene umapereka? Kubwezeretsa-kutulutsa matenda ambiri a m'mimba.
- Ndizothandiza bwanji? Zimachepetsanso mphamvu ya MS yobwereza 60 peresenti.
- Zimatengedwa bwanji? Momwemo kamodzi pakatha masabata anayi ku ofesi ya dokotala kapena malo ena ochiritsira.
- Kodi zotsatira zake zingakhale zotani? Tysabri amatha kupweteka mutu, kupweteka, kutopa, kupanikizika, ndi kutsekula m'mimba. Anthu ena ali ndi vuto la mankhwala pa mankhwalawo.
- Chenjezo: Tysabri imachulukitsa chiwopsezo cha matenda a tizilombo a ubongo wotchedwa progressive multifocal leukoencephalopathy (PML) omwe angapangitse kulemala kapena kufa kwakukulu. Chifukwa cha ichi, dongosolo loyang'anira zovuta likuyendetsedwa kwa anthu omwe amatenga Tysabri . Sizothandiza anthu omwe ali ndi mphamvu yoziteteza kuthupi kapena amayi omwe ali ndi mimba kapena akuyamwitsa.
> Chitsime:
> National Institute of Neurological Disorders ndi Stroke. "Multiple Sclerosis: Chiyembekezo Kupyolera Mufufuza."