Wani Magungunan Magungunan Da Aka Yi Magunguna ga Arthritis Rheumatoid da Sauran Cututtuka na Rheumatic
Methotrexate (alamun sunaye Rheumatrex, Trexall, Otrexup , Rasuvo ) an umarce su ne don magance cututtuka na rheumatoid da wasu yanayi na rheumatic. Mista Methotrexate ya amince da shi a shekara ta 1988 don maganin cututtukan arthritis na rheumatoid. Kafin a yarda da shi don maganin wariyar launin fata, ana amfani da methotrexate don bi da psoriasis da ciwon daji.
An samo asali ne a matsayin rigakafin cutar sankarar bargo a cikin shekarun 1940.
Baya ga cututtuka na rheumatoid, za'a iya yin takaddama ga:
- psoriatic arthritis
- lupus
- anwashing spondylitis
- vasculitis
- yara ƙanƙarar fata (polyarticular)
Methotrexate Yayi DMARD Slow-Acting
Ana kirkiro Methotrexate a matsayin DMARD (maganin maganin ƙwayar cuta) . Ana amfani da miyagun ƙwayoyi don rage ciwo da kumburi da ke hade da maganin arthritis, ya hana lalacewar haɗin gwiwa, da kuma rage hadarin rashin lafiya ta hanyar jinkirin ci gaban ci gaban. Ana iya ganin inganta ingantaccen hanya a cikin makonni uku zuwa shida, amma yana iya buƙatar makonni 12 ko yiwu har zuwa watanni shida na magani don cikakken amfani da za a gane.
Kayan aikin
Methotrexate yana shawo kan wasu enzymes wanda ke taka muhimmiyar rawa a cikin tsarin aiki. Methotrexate yana ƙaddamar da enzyme dihydrofolate reductase. Ta hanyar yin haka, yana rinjayar samar da wani nau'i na folic acid wanda ake buƙata don ci gaban kwayoyin halitta.
Ya kasance mai mahimmanci yadda yadda tsarin ya rage aikin aikin arthritis.
Yankewa
An dauki hanya mai mahimmanci a rana daya a mako domin rheumatoid arthritis. Ba a dauki kowace rana kamar yawancin kwayoyi. Methotrexate yana samuwa a cikin na'urori 2.5-milligram. Farawa na farawa ga mafi yawan manya da cututtuka na rheumatoid na 7.5 zuwa 10 milligrams (watau uku ko hudu kwayoyi).
Ana daukar nau'in kwayoyi uku ko hudu tare sau ɗaya a mako (a wannan rana kowace mako). Idan an buƙata, za a iya ƙara yawan jimlar ƙididdigar hanya zuwa 20 ko 25 milligrams kowace mako.
Rubutun magungunan Rheumatrex ƙunshi katin kwalliya yana dauke da adadin kwayoyi don ɗauka kowane mako. Sunan mai suna Trexall yana samuwa a cikin 5, 7.5, 10, da kuma nau'u-nau'i 15-milligram. Methotrexate kuma yana samuwa a cikin tsari mai injectable , wanda mafi yawan marasa lafiya suna iya yin allura.
Hanyoyin Gaba
Methotrexate na iya haifar da aikin hanta mai haɗari. Yana da mahimmanci a gwada jinin jinin ku don yin hanta don haka likitanku zai iya saka idanu akan abubuwan da ba a so. Baya ga mawuyacin hali tare da hanta, halayen illa mafi haɗari da suke hade da methotrexate sune tashin hankali da zubar da ciki.
Hanyoyin da aka riga aka ambata - tashin hankali, vomiting, da hanta aiki-na iya zama kashi-dogara. Idan kana da wasu daga cikin wadannan halayen, za a iya kawar da matsalar ta hanyar daidaitawa. Mutane da yawa basu fuskanci komai mai tasiri yayin daukar matakan.
Wasu yiwuwar sakamako (wasu tsanani) sun haɗa da:
- bakin bakin
- Rashes ko mai tsanani fata halayen
- zawo
- Abun jini yana ƙidayar mahaukaci
- hanta lalacewa / cirrhosis na hanta (rare)
- lalacewar koda
- cutar huhu
- lymphoma
- ingancin opportunistic
- tari tari
- rashin gajeren numfashi maras kyau
- asarar gashi (ta hankali)
- rana haskakawa
Gargaɗi
- Rashin haɗarin hanta na hanta da ladabi yana da muhimmanci ga mutanen da suke sha barasa . Tabbatacce, kada ku sha barasa idan kun dauki matakan. A mafi yawancin, tare da izinin likitanku, ya kamata ku sami fiye da sha biyu a kowace wata.
- Ba za a dauki magungunan Methotrexate ba tare da cututtukan hanta ko cutar koda. Wani masanin ilimin lissafi na iya yanke shawara ya rubuta wa mutane da halayen hanta ko ƙwayar cututtuka mai tsabta - amma tare da fargaba da kuma yawan hankali.
- Methotrexate na iya buƙatar tsayawa kafin a fara aiki, na dan lokaci, yayin da kake warkarwa. Wannan shi ne saboda yiwuwar tasiri akan tsarin rigakafi da yiwuwar hadarin kamuwa da cuta tare da amfani.
- Duk wanda aka bi da shi ya kamata ya dauki kariyar folic acid. Tun lokacin da ake amfani da shi ne mai amfani da kwayoyin acid, wanda ya sake yin amfani da kari yana taimakawa wajen rage wasu cututtukan da ke hade da miyagun ƙwayoyi.
- Kada a dauki Methotrexate idan kun kasance ciki ko kuma shirin yin ciki. Methotrexate na iya haifar da lahani na haihuwa mai tsanani da kuma matsalolin ciki. Ya kamata ku yi amfani da wasu nau'i na maganin ciki ne yayin da ake bin matakan da kuma watanni uku bayan daina dakatar da bin hanya. Yana da mahimmanci a lura cewa ko da yake mace ba za ta dauki mataki a lokacin daukar ciki ba , shan shan magani bai rage damar yin ciki ba.
- Bai kamata ku dauki matakan idan kuna nono ba.
- Bai kamata ku yi la'akari ba idan kuna da mummunan anemia, ƙididdigar ƙwayar jini maras kyau, ko ƙananan platelet ƙidaya.
- Ya kamata a yi amfani da Methotrexate tare da taka tsantsan idan kana da wani yanayin da zai raunana tsarin rigakafi.
- Yana da muhimmanci a tunatar da likita daga duk magunguna da kake ɗaukar (takardun magani da kuma kan-da-counter). Wasu magunguna da magunguna na iya kara yawan kwayoyi. Drugs da aka sani don ƙara methotrexate yawan guba sun hada da kwayoyin Trimethoprim (Bactrim). Hannun NSAIDs (kwayoyin masu kare cututtuka marasa amfani), kodayake sau da yawa aka tsara su tare da methotrexate, zasu iya rinjayar matakin methotrexate. Kwarar ku da likitan mai magani za su san sashin hulɗar likita.
- Kwalejin Kwalejin Rheumatology na Amirka ya bada shawarar yin guje wa maganin kafeyin (kofi, shayi, cola) kusa da lokacin da ka yi shirin ɗaukar matakan, domin zai iya shafar magani na miyagun ƙwayoyi.
Kalma Daga
Methotrexate yana daga cikin kwayoyi mafi yawancin da ake amfani dashi don magance cututtuka na rheumatoid. A wasu lokuta, ana dauka shi kadai. A wasu lokuta, an tsara hanya a matsayin wani ɓangare na hadewa, inda aka ɗauka tare da wani DMARD ko maganin likita .
Yana da mahimmanci cewa kayi daidai yadda aka umurce ku. Yana da mahimmanci cewa ka kasance da masaniya game da tasiri mai tasiri da kuma kawo rahoto ga wani likita ga wani likita. Methotrexate zai iya zama lafiyar lafiya kuma mai tasiri idan aka yi amfani dashi daidai.
> Sources:
> Cannon, Michael, MD. Kwalejin Amirka na Rheumatology. Methotrexate (Rheumatrex, Trexall, Otrexup, Rasuvo). Updated Maris 2015.
> Bayaniyar Bayani. Methotrexate . FDA.gov. Revised 01/2016.