Rheumatologists zai iya bambanta a madadin acid folic acid
Abune na yau da kullum don likitoci su rubuta rubutun acid don cutar marasa lafiya na jini wanda aka bi da su tare da methotrexate. Folic acid an ƙare ta hanya, sabili da haka dole ne a sake cika shi ta hanyar ƙarawa. Ana buƙatar acidic Folic don hana cututtukan jini na jini da anemia. Haka kuma an gani don rage karfin zuciya daga hanya.
Methotrexate ita ce DMARD mafi yawanci (maganin cututtuka na maganin ƙwayar cuta) don maganin cututtuka na rheumatoid da sauran ka'idodin rheumatic. Methotrexate yana samuwa a cikin maganganun da kuma maganin injectable . Kowace hanya, hanya yawanci ana gudanarwa sau daya a mako (a wannan rana kowane mako).
Abin da Maganin Kwayoyi suke Magana game da Abid
Akwai canji a cikin ko likitocin sun tsara kimanin kashi 1 na milligram na folic acid ko yafi girma sau ɗaya a mako. Yawancin abu mafi yawa shine yawancin da aka ba da rana bayan da aka tsara kashi. Wani lokaci likitoci suna ba da shawara ga marasa lafiya su yi watsi da kowace rana a ranar da aka tsara su.
Ƙungiyar Arthritis ta Rheumatoid a Birtaniya, "Methotrexate ta rushe jiki na acid acid kuma yawancin sakamako mai lalacewa zai iya ragewa ta hanyar daukar nauyin folic acid wanda za a iya ɗaukar shi kamar mita 5 zuwa 10 a kowane mako. inganci na matakan da mafi yawan masu ilimin rheumatologist sun bayar da shawarar shan folic acid daya ko kwana biyu bayan hanya, kuma musamman ma ba a karba shi a ranar daya ba.
Shirye-shiryen maganin daban-daban tare da folic acid zai iya haifar da tambayoyi game da abin da ke daidai. Masanin burbushin halittu, Scott Zashin, masanin farfesa a jami'ar Texas, na Jihar Texas, ya ce, "Ina da marasa lafiya na dauke da shi yau da kullum, ciki har da ranar da za ta biyo baya." Ina tsammanin ko dai yana da kyau-ciki har da shi ko kuma tsalle shi ranar.
Ba a yi nazari ba, amma yana da wuya cewa ko dai wata hanya ce ta cutar. "
Ƙididdiga Daga Cochrane Review
A cikin edita game da nazarin Cochrane da aka buga a watan Yulin 2013, wanda ya dauki shaidun da ke tallafawa amfani da acid acid don rage yawan halayen da ke tattare da methotrexate, an nuna cewa amfani da acid din yana da sauƙi-wasu likitoci sun rubuta rubutun acid don amfani dasu by marasa lafiya shan hanya, yayin da wasu likitoci ya rubuta shi kawai ga marasa lafiya da sakamakon illa daga methotrexate. Duk da haka wasu ba su rubuta shi ba ne saboda sun yi imani da cewa folic acid rage tasirin methotrexate.
Binciken, dangane da sakamakon daga gwaji na asibitoci guda shida, ya goyi bayan yin amfani da ƙananan kwayoyin cuta a cikin marasa lafiya na rheumatoid marasa lafiya wanda aka bi da su tare da hanya. Folic acid supplementation rage gastrointestinal toxicity da hanta enzyme elevation. Editan ya nuna cewa mai amfani da acid 1 milligram yau da kullum shi ne mafi yawan amfani da kari ga magungunan marasa lafiya.
Binciken da kuma bayanan da ya biyo baya ya kawo mahimman tambayoyi game da ko masu lafiya ya kamata su yi amfani da acid a sauran rayuwarsu, kuma ko ƙwayoyin da suka fi dacewa suna da amfani ko zasu iya tsoma baki tare da hanya.
An ƙaddara cewa ƙungiyar shiga ƙungiyar za ta buƙaci ƙarin bincike.
Layin Ƙasa
Akwai hanyoyi daban-daban don shan folic acid yayin da ake bi da su tare da hanya, kuma kara nazarin na iya nuna wanda ya fi dacewa. Tattauna da shi tare da likitan ka fahimci dalilin da ya sa ta zabi ɗayan ɗayan.
Sources:
> Butler R. Methotrexate a Rheumatoid Arthritis. Ƙungiyar Arthritis na kasa ta Rheumatoid. https://www.nras.org.uk/methotrexate-in-rheumatoid -arthritis.
> JA. Folic acid don kari ga marasa lafiya marasa lafiya da ke dauke da kwayar cutar marasa lafiya. Cochrane Database of Review System 2013; 7: ED000063. dx.doi.org/10.1002/14651858.ED000063
> Shea B, Swinden MV, Tanjong Ghogomu E, Ortiz Z, Katchamart W, Rader T, et al. Folic acid da folinic acid don rage sakamakon illa a cikin marasa lafiya da ke karbar maganin maganin arthritis na rheumatoid. Cochrane Database of Review System 2013; 5: CD000951. dx.doi.org/10.1002/14651858.CD000951.pub2