Mankhwala Osokoneza Matenda Opatsirana Amagazi Amagazi
Sulfasalazine (dzina lake Azulfidine) ndi mankhwala omwe akhalapo kwa zaka zoposa 60, koma ntchito yake inangowonjezeka m'zaka 20 zapitazo. Zikuwoneka kuti sizinatchulidwe monga mankhwala osokoneza bongo anayamba kugulitsidwa mu 1998 chifukwa cha matenda a nyamakazi . Zikuwoneka kuti zikubwereranso kwa odwala omwe sangathe kulekerera methotrexate kapena omwe sali oyenerera kwa mankhwala osokoneza bongo.
Kalasi ya Mankhwala
Sulfasalazine, monga momwe mungaganizire pa dzina lake, ndi wa mankhwala omwe amachitcha kuti mankhwala osokoneza bongo. Sulfasalazine ili ndi salicylate ndi mankhwala a sulfa. Sulfasalazine imatchulidwanso ngati DMARD (mankhwala osinthira anti-rheumatic drug).
Zizindikiro Zogwiritsira ntchito Sulfasalazine
Kuwonjezera pa ntchito yake monga mankhwala odwala nyamakazi, sulfasalazine imatchulidwanso kwa nyamakazi ya mwana , psoriatic nyamakazi , ankylosing spondylitis , ndi ulcerative colitis.
Sulfasalazine imathandiza kuchepetsa ululu, kutupa, ndi kuuma komwe kumayambitsa matenda a nyamakazi. Ndizothandiza kwambiri kuchiza zizindikiro zofatsa. Sulfasalazine ikhozanso kuteteza kuwonongeka kwa mgwirizano ndi kuchepetsa chiopsezo chogwirizanitsa ntchito. Kawirikawiri, odwala omwe amamvera sulfasalazine amatha kusintha mkati mwa masabata khumi ndi awiri.
Malingaliro Otsutsa ndi Kupezeka
Sulfasalazine imapezeka ngati piritsi ya 500 mg. Ndikoyenera kuti mudye chakudya ndikumwa madzi onse mukamayambitsa sulfasalazine.
Chithandizo cha nyamakazi ya nyamakazi chimayamba pang'onopang'ono. Kwa sabata yoyamba, odwala amatenga mapiritsi 1 kapena 2 a sulfasalazine patsiku. Zitha kuwonjezeredwa ku mapiritsi awiri kawiri pa tsiku. Mlingo waukulu kwambiri ndi mapiritsi 6 pa tsiku. Mapiritsi ophimbitsa mkati amapezeka ndipo angathandize m'mimba kukwiya.
Zotsatira Zowonongeka Zogwirizana ndi Sulasalazine
Sulfasalazine imagwirizanitsidwa ndi zotsatira zochepa zomwe zimachitika.
Zotsatira zofala kwambiri ndizosautsa kapena kupweteka m'mimba. Mavuto a m'mimba amatha kuthetsa nthawi, makamaka pamene mankhwalawa amaperekedwa pa mlingo wochepa poyamba. Zotsatira zochepa zomwe zimagwiridwa zimaphatikizapo kutupa kwa khungu, kupweteka mutu, zilonda zam'kamwa, kuyabwa, mavuto a chiwindi, ndi mphamvu ya dzuwa.
Zochitika Zowopsya Zowopsya
Zotsatira zovuta zokhudzana ndi sulfasalazine zikuphatikizapo anorexia, kupweteka kwa mutu, kupwetekedwa mtima kwambiri, kusanza, ndi kuchepa kwa umuna. Chiwerengero chochepa cha umuna chingathe kubweretsedwanso ndi kusiya mankhwala. Zotsatira zoipazi zimakhudza pafupifupi mmodzi mwa atatu mwa odwala omwe amachizidwa ndi sulfasalazine. Zoipa zomwe zimakhudza osaposa 1 pa 30 omwe amatenga sulfasalazine monga kuyabwa, mng'oma, malungo, Heinz thupi, kuchepa kwa magazi, ndi kutuluka kwa cyanosis.
Ngakhale kuyipa kwakukulu koyipa sikukuwoneka ngati kofala, amayamba kuwonjezeka pamene mlingo wa tsiku ndi tsiku wa sulfasalazine uli wofanana kapena kupitirira magalamu 4. Komanso, pali zotsatira zina zoipa zomwe zimagwirizanitsidwa ndi sulfonamides (sulfa mankhwala) omwe ayenera kuonedwa kuti ndi otheka ndi sulfasalazine, kuphatikizapo matenda a m'magazi, machitidwe a hypersensitivity, machulukidwe a machitidwe a mitsempha, kusintha kwa mphuno, ndi mkodzo komanso kutuluka kwa khungu.
Mankhwala osiyana siyana (Amene sayenera kumwa mankhwala)
Sulfasalazine si njira yoyenera yothandizira odwala m'mimba kapena m'mitsempha, porphyria , kapena odwala omwe amatchedwa hypersensitivity kwa sulfasalazine, sulfonamides, kapena salicylates.
Chenjezo ndi Kusamala
Kuchepetsa chiopsezo cha zotsatirapo kapena zovuta. Muyenera kudziwa machenjezo ndi machenjezo otsatirawa mutatenga sulfasalazine.
- Kuyezetsa magazi nthawi zonse kumafunika kuyang'anitsitsa kuchuluka kwa magazi, kugwira ntchito kwa impso, ndi chiwindi.
- Ngati mukukonzekera kutenga pakati, mukulimbikitsidwa kukambirana za sulfasalazine ndi dokotala wanu. Azimayi omwe akuyamwitsa sayenera kutenga sulfasalazine.
- Folic acid supplementation zingakhale zofunikira ngati mukuchiritsidwa ndi sulfasalazine.
- Dziwani mmene mungagwiritsire ntchito mankhwala osokoneza bongo ndi sulfasalazine ngati mutatenga Coumadin (warfarin), cyclosporine, kapena digoxin. Mankhwalawa angapangitse chiopsezo cha chiwindi kwa odwala omwe amatenga isoniazid kwa chifuwa chachikulu. Sulfasalazine ingathandizenso odwala omwe amadwala matenda a shuga.
Zotsatira:
Sulfasalazine (Azulfidine). American College of Rheumatology. March 2015.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatments/Sulfasalazine-Azulfidine
Matenda a Nyamakazi: Matenda Oyambirira ndi Chithandizo. Cush JJ MD, Weinblatt ME MD, Kavanaugh A MD Professional Communications, Inc. Kachitatu Kachitidwe. Copyright 2010.