Kuchokera kwa mankhwala ndi mankhwala omwe amagwiritsidwa ntchito kuti athetse matenda a Crohn ndi Ulcerative Colitis
Remicade (infliximab) ndi mtundu wa mankhwala wotchedwa antioclonal antibody. TNF-alpha (chifuwa cha nthenda yotchedwa tumor necrosis factor) imapezeka muzambiri mwa anthu omwe ali ndi matenda a Crohn kusiyana ndi anthu omwe alibe mtundu uliwonse wa matenda opatsirana (IBD) . Remicade imasiya TNF-alpha kuchokera pakugwiritsidwa ntchito ndi thupi.
TNF-alpha kwenikweni ndi cytokine yomwe imathandizira mukutentha kwa thupi.
IBD ndi chikhalidwe cha kutupa, ndipo TNF-alpha imakhulupirira kuti imathandizira momwe IBD imakhudzira maimimba. Cytokine imapita pakati pa maselo a thupi omwe amapereka "mauthenga" a mankhwala.
Kodi Kutengedwako Kumakhala Bwanji?
Remicade imaperekedwa ngati kulowetsedwa kudzera mu mzere wa IV, nthawi zambiri kuchipatala kapena ku ofesi ya dokotala. Kulowetsedwa kumaperekedwa pang'onopang'ono kuposa angapo (nthawi zambiri maola awiri). Dokotala yemwe akulamula Remicade amapereka malangizo apadera omwe odwala ayenera kutsatira musanayambe kusankhidwa.
N'chifukwa Chiyani Kukonzekera Kudakalipo?
Remicade ikhoza kulamulidwa pa mitundu iwiri ya IBD: yochepetsera ku zilonda za ulcerative kapena matenda a Crohn. Remicade imavomerezedwanso kuti ikhale yogwiritsidwa ntchito kwa ana a zaka zoposa 6 omwe ali ndi matenda a Crohn kapena odwala kwambiri omwe sagonjera mankhwala ena ochiritsira. Ikhoza kuperekanso kwa anthu omwe ali ndi matenda a Crohn omwe ali ndi fistula komanso omwe amachititsa mitundu ina ya nyamakazi ya nyamakazi .
Kumangirira zizindikiro kwa TNF-alpha, kuziletsa kuti zisayambe kutupa thupi. Ndi TNF-alpha yomwe silingayambitse kutupa, munthu yemwe ali ndi IBD akhoza kukhala ndi nthawi yosachita bwino pa matenda, omwe amatchedwanso kukhululukidwa .
Ndani Sayenera Kuzitenga?
Uzani dokotala wanu ngati mwakhalapo ndi izi:
- Kusokoneza maganizo kwa mankhwala alionse
- Mimba yamakono
- Khansa
- Matenda
- Lupus
- Katemera watsopano
Zochitika Zowopsa
Zotsatira zoyipa za Remicade zimapweteka m'mimba, kunyoza, kutopa ndi kusanza. Uzani dokotala ngati zotsatira zake zimakhala zovuta kapena musachoke.
Kawirikawiri zina, zotsatira zoyipa zikhoza kuchitika, monga kuvutika kukodza, matenda, kupweteka mtima kwa mtima ndi kupweteka kwapadera. Zotsatira izi ziyenera kuuzidwa kwa dokotala wanu nthawi yomweyo. Onani tsamba la zotsatira za Remicade kuti mupeze mndandanda wambiri wa zotsatira zosokoneza.
Kusakaniza Mankhwala
Remicade sizinaphunzire mozama kwambiri chifukwa cha kugwirizana kwa mankhwala. Pakati pa mayesero a Remicade, odwala ena anali atatenga kale maantibayotiki, mankhwala oletsa tizilombo toyambitsa matenda, corticosteroids (monga prednisone), 6-MP / AZA ndi aminosalicylates. Odwalawa sanadziwe kuchulukitsidwa kwa anthu omwe sanatenge mankhwala ena.
Komabe, anthu omwe amalandira Remicade sayenera kulandira katemera uliwonse omwe ali ndi mavairasi kapena mabakiteriya omwe amakhalapo (kuwombera kwa fungo alibe nyengo yamoyo). Kuchulukitsa chitetezo cha mthupi, komanso kutenga mankhwala ena omwe amachititsa kuti chitetezo cha mthupi chitetezedwe nthawi yomweyo chikhoza kuonjezera chiopsezo cha matenda.
Dokotala ayenera kufunsidwa za mankhwala ena omwe amachitidwa panthawi imodzimodzimodzi ndi Remicade.
Kuyanjana kwa Chakudya
Palibe zakudya zodziwika zodyera.
Kodi Kutetezedwa Kwambiri Kuli ndi Mimba?
A FDA aika Remicade ngati mankhwala B. Zotsatira zomwe Remicade ali nazo pa mwana wosabadwa sizinaphunzire mochuluka. Remicade iyenera kugwiritsidwa ntchito panthawi yomwe ali ndi mimba ngati ikufunikira. Adziwitse dokotala ngati mutatenga mimba mutatenga Remicade. Zimaganiziridwa kuti Remicade sichidutsa mkaka wa m'mawere. Akazi amayenera kukaonana ndi madokotala awo, koma pakalipano akuganiza kuti amayi omwe alandira Remicade sayenera kufooka kuyamwitsa ana awo, makamaka kupatsidwa phindu lofala la mkaka wa m'mawere kwa khanda.
Kodi Ndingapeze Bwanji Thandizo Phindu?
Janssen Pharmaceuticals ali ndi Patient Assistance Program kuti athandizire kupeza chithandizo chachipatala kwa Remicade. Thandizo lingathenso kupezeka kuchokera ku mabungwe a IBD.
Zotsatira:
Kane S, Ford J, Cohen R, Wagner C. "Kukhalabe ndi infliximab m'mwana ndi mkaka wa m'mawere kuchokera kwa amayi oyamwitsa akulandira chithandizo cha matenda a Crohn asanabwere." J Clin Gastroenterol. 2009 Aug; 43: 613-616.
Remicade.com. "Zimene Mukuyenera Kudziwa Zokhudza Remicade." Janssen Pharmaceuticals. 28 Jan 2016.
> Wilhelm SM, McKenney KA, Rivait KN, Kale-Pradhan PB. "Kupenda kwa infliximab kumagwiritsa ntchito ulcerative colitis." Clin Ther . 2008 Feb; 30: 223-230.