Chifuwa cha Matenda a Matenda Odwala Matenda Odwala Pachilumba cha Rituxan Phunziro Linapanga Nkhani Yowopsya ya PML
Nkhani yowonongeka ya PML (yochulukirapo ya multifocal leukoencephalopathy) yadziwika mu wodwala wamagazi (RA) amene adayesedwa mu chidziwitso chachipatala cha Rituxan (rituximab). Chifukwa chake, a FDA ndi opanga mankhwalawa apereka machenjezo ndipo adzasintha Rituxan kulongosola mfundo kuti ikhale ndi PML.
Kodi PML Ndi Chiyani?
PML imadziwikanso ndi maulendo ochuluka a letifencealphapathy.
Malingana ndi National Institute of Neurological Disorders ndi Stroke, "Kupititsa patsogolo mavitamini ambiri omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, tiyambe kuyambitsa kachilombo koyambitsa matendawa." Polyomavirus JC (yomwe imatchedwa JC HIV) imatengedwa ndi Ambiri mwa anthu ndipo alibe vuto lililonse kupatulapo omwe ali ndi chitetezo choteteza mthupi. "
Kodi Mumadziwika Kwambiri za Wodwala Amene Anakhazikitsa PML?
Wodwala wa RA anali atayamba kulandira matenda a JC ndipo kenako PML. Imfa yochokera kwa PML idachitika patapita miyezi 18 wodwalayo adalandira mlingo wotsiriza wa Rituxan mu phunziro lokulitsa chitetezo.
Wodwala wa RA analinso ndi khansa yam'mimba ( khansa ya kumtima ) ndipo anachiritsidwa ndi mankhwala a chemotherapy ndi miyezi 9 asanayambe kukhala ndi PML. Wodwala anali ndi mbiri yakale yokhudza zachipatala zomwe zikanathandiza kuti pakhale chitukuko cha PML. Kuwonjezera pa RA, wodwalayo anali ndi matenda a Sjogren ndipo sangathe kuwathandiza.
Wodwalayo ankachiritsidwa ndi methotrexate, steroids, ndi blocker ya TNF asanayambe kuchitidwa ndi Rituxan. Methotrexate ndi steroids zinagwiritsidwanso ntchito pakapita nthawi komanso pambuyo pa mankhwala.
Kodi FDA ikuchita chiyani polimbana ndi vuto la PML?
A FDA akukonzanso malemba ndikudziwitsa akatswiri a zaumoyo m'kalata ndi anthu pa webusaiti yathu pa tsamba loopsa la PML.
Kodi Ayenera Kuchita Chiyani ndi Odwala Odwala Ndi Rituxan Do?
Nthawi zonse, kambiranani ndi dokotala nkhawa zanu. Akatswiri akulangiza kuti ngati wodwalayo akuchiritsidwa ndi Rituxan akuyamba zizindikiro za matenda a m'magazi - kukambirana ndi katswiri wa sayansi ya ubongo, ubongo wa MRI, ndi kugwiritsidwa ntchito kwa ubongo kumafunika kuganiziridwa. Odwala omwe amapanga PML ayenera kusiya Rituxan, mwinamwake asiye kapena kuchepetsa ma immunosuppressants, pamene akulingalira mankhwala opatsirana pogonana. Koma, palibe mankhwala omwe angathe kuthetsa PML ngati ikukula.
Zotsatira:
FDA: Nkhani Yowonongeka ya Progressive Multifocal Leukoencephalopathy kwa Odwala Amene Amalandira Chithandizo. News Guide Guide . September 11, 2008.
FDA Medwatch. Mfundo Yofunika Kwambiri Yotetezera Ponena za Progressive Multifocal Leukoencephalopathy Ndi Kugwiritsira Ntchito Rituxan. September 11, 2008.