Ba dukkanin ilimin halittu suna aiki daidai da hanya ba lokacin da ake bi da IBD
Sabbin sababbin kwayoyin da ake amfani dasu don magance kumburi da ake haifar da cututtukan zuciya (IBD) mai ƙyama ne ake kira biologics. Duk da haka, wannan magunguna ne mai mahimmanci, kuma dukansu ba suyi aiki daidai wannan hanyar ba ko an ba su hanya guda. Wasu ana yarda su bi da nau'i guda na IBD, yayin da wasu suna amfani da su don magance cutar Crohn da ulcerative colitis.
Saboda kwayoyin halitta sun canza tsarin da ba a rigakafi a hanyoyi daban-daban (watau dalilin da yasa suke aiki don IBD), mutanen da ke dauke da su zasu iya kasancewa a cikin wasu cututtuka. Yana da muhimmanci, sabili da haka ya dauki matakai don tabbatar da cewa karewa suna cikin wuri don hana cututtuka. Mutane da ke tare da IBD zasu sami alurar rigakafi , da kyau kafin a fara wani nazarin halittu, amma za'a iya ba da rigakafi masu yawa yayin daukar kwayar halitta.
Yaya likitoci suka za ~ i wanda zai iya bayar da shawara ga marasa lafiya? Akwai bambance-bambance daban-daban tsakanin waɗannan kwayoyi, kuma an dauki dalilai masu yawa a cikin la'akari. Wannan zai iya haɗawa da inganci (wanda ya bambanta dangane da irin nau'in cutar da matsala), farashin, da kuma inshora inshora, a tsakanin wasu dalilai. Dole likita zasu bukaci dukkanin wadannan al'amurran da za a yi la'akari da su, yayin da suke bada shawarar ga mai haƙuri don maganin kwayoyin halitta.
Da ke ƙasa akwai kalli wasu daga cikin abubuwa masu yawa na magunguna.
Magunguna da likitoci za su so su auna dukkan waɗannan abubuwan da sauransu kafin su yanke shawara.
Cimzia
Cimzia (certolizumab pegol) wani ɓangaren necrosis factor (TNF) wanda aka yarda a shekarar 2008 don magance cutar Crohn. A shekara ta 2009 an amince da shi don magance cututtuka na rheumatoid, da kuma cututtukan arthritis psoriatic da ankylosing spondylitis a shekarar 2013.
Cimzia yawanci ana ba shi ta hanyar allurar rigakafi tare da tsararren sirinji a gida. An bayar da Cimzia tare da injections guda biyu, wanda aka fara gudanarwa a cikin nau'i na loading a makonni 0, 2, da 4. Bayan haka, an ba da injections biyu a kowane mako 4. Wani nau'i na Cimzia shi ne foda wanda aka haxa shi sannan kuma an yi masa allura a ofishin likita. Hanyoyin da ke faruwa da yawa tare da wannan miyagun ƙwayoyi sune cututtuka na numfashi na sama (kamar sanyi), cututtuka na hoto (kamar mura), rashes, da cututtuka na urinary.
Mahimman bayanai game da Cimzia:
- Cimzia an yarda da cutar ta Crohn
- Cimzia yawanci ana ba shi a gida ta allura
- An ba Cimzia sau sau 3 sau biyu a cikin jerin 2 injections, 2 weeks baya, biye 2 injections kowane mako 4
- Abubuwa masu lahani na yau da kullum sun hada da cututtuka na numfashi, cututtuka na kyamara, rashes, da cututtuka na urinary
- Cimzia wani ƙwayar ƙwayar B ne mai ciki
- Ƙananan Cimzia zai iya shiga cikin nono
- Cimzia yana bukatar a firiji
Entyvio
Entyvio (vedolizumab) , wadda aka amince a watan Mayu na 2014, mai amfani ne mai tsauraran matakan α4β7. An yi tunanin yin aiki ta hanyar ɗaure ga α4β7 integrin, wanda zai hana integrin daga haddasa ƙonewa. An yarda da Entyvio don amfani da tsofaffi waɗanda ke da cutar Crohn ko ciwon jini.
Ana ba da yaushe Entyvio ta hanyar jiko, ko dai a ofishin likita, a asibiti, ko kuma a cikin gidan jiko. Shirin tsarawa na Entyvio yana da uku a cikin makonni 2 baya. Bayan haka, ana ba da infusions game da kowane mako takwas. Wasu daga cikin cututtuka masu illa mai cututtuka sun hada da sanyi, ƙwayar cutar na numfashi babba (mura, mashako), ciwon kai, haɗin gwiwa, tashin zuciya, zazzabi, gajiya, tari, jin zafi, raguwa, ƙazanta, kamuwa da sinus, ciwo na bakin ciki, .
Mahimman bayanai game da Entyvio:
- An yarda da Entyvio don ciwon cututtuka da cutar Crohn
- Ana bawa Entyvio ta hanyar jiko a cikin farawa 3, sannan a kowane mako takwas
- Abubuwan da suka shafi kwayoyin cutar sun hada da cututtuka (sanyi, mura, mashako, cutar sinus); zafi a cikin gidajen, baya, makogwaro ko tsauri; bayyanar cututtuka na tashin zuciya, zazzabi, gajiya, tari, ko kayan tarawa; da kuma rash
- Entyvio shi ne ƙwayar ƙwayar B na ciki
- Ba a san shi ba a yanzu idan Entyvio ya shiga cikin ƙirjinta
Humira
Humira (adalimumab) wani mai ci gaba ne guda daya da kuma mai sarrafa TNF wanda ake amfani dasu don biyan mutanen da IBD. An yarda dashi ga yara da yara fiye da shekaru 6 da ke fama da cututtuka ko cutar Crohn. An amince da Humira a farkon shekarar 2002, kuma an fadada shi don amfani da cutar Crohn a shekara ta 2007 da kuma ulcerative colitis a 2012. Humir za'a iya ba shi a gida ta hanyar allura. Ana horar da marasa lafiya a kan yadda za a ba su inuwa (ko za a iya yi tare da taimakon daga dangi ko abokin). Wasu mutane tare da Humira na iya samun abin da ake kira wurin maganin injection , wanda yake busawa, zafi, ƙwaƙwalwa ko jawa a wurin da aka yi amfani da miyagun ƙwayoyi. Ana iya kula da wannan a gida tare da kankara ko maganin antihistamine (canza shafukan yanar gizon kowane mako yana taimakawa).
Mahimman bayanai game da Humira:
- Humira an yarda da cutar Crohn da cututtuka
- An ba Humira a gida ta hanyar allura
- Humira ya fara tare da 4 injections, ya biyo bayan 2 injections 2 makonni daga baya, sa'an nan kuma 1 allura kowane mako
- Abubuwan da suka shafi lalacewa na yau da kullum sun hada da ciwo ko wulakanci a wurin injection da ciwon kai, rash, da tashin hankali
- Humira wata ƙwayar ƙwayar B tana ciki
- Yara da aka haifa ga iyaye mata Humira kada ya karbi maganin alurar rai na watanni 6
- Humira dole ne a firiji
Remicade
Na farko yanayin farfadowa da aka yarda don amfani da mutane tare da IBD shine Remicade (infliximab) , wadda aka amince a shekarar 1998. Rikicin shi ne anticodal antibody wanda shine mai cike da TNF kuma an bai wa marasa lafiya ta hanyar IV. Ana iya yin haka a ofishin likita, amma sau da yawa yana faruwa a cibiyar jiko, wanda ke da ƙananan kayan aikin da aka tsara don sarrafa magunguna ta IV. Za a iya amfani da alaƙa don magance cututtukan Crohn ko ciwon daji, kuma ya yarda da yara a matsayin matasa kamar 6, a wasu yanayi. Anyi amfani da sakonni don aiki a cikin mutane tare da IBD saboda ya hana TNF, wanda shine abu wanda ke haifar da kumburi a jiki.
Mahimman bayanai game da Remicade:
- An ba da Remicade ta IV
- An yarda da alamar cutar don cutar Crohn da cututtuka
- Ana ba da asali uku (bayan kashi na farko, na biyu shine makonni 2, na uku shine makonni hudu bayan haka)
- Bayan lokutan farawa, an ba da shi game da kowani mako takwas (wani lokaci idan ana bukata)
- Abubuwan da ke tattare da juna sune ciwo na ciki, tashin zuciya, gajiya, da zubar da ciki
- Remicade wani magani ne na B na ciki
- Remicade baya bayyana zuwa cikin nono nono
Simponi
Simponi (golimumab) mai shayarwa ne na TNF wanda aka yarda da magance cututtukan ulcerative colitis. An amince da Simponi a shekarar 2009 don magance cututtuka na rheumatoid, arthritis psoriatic, da kuma sparkylitis . A shekarar 2013 an amince da shi don biyan cututtuka. Ankylosing spondylitis wani yanayin ne wanda zai iya hade da cutar ulcerative colitis, wanda ke nufin cewa wannan magani zai iya amfani dasu don magance duka (ko dai) cuta (s). Ana ba Simponi a gida, saboda haka likitoci suna horar da su game da yadda za su yi amfani da kansu (ko ta kansu ko tare da taimakon). Wasu daga cikin mummunar halayen da ake yi wa Simponi suna samun cututtuka da ke haifar da cututtuka kamar sanyi, bayyanar cututtuka kamar ciwon makogwaro ko laryngitis, da cututtuka masu kamala kamar mura. Samun redness, zafi, da damuwa a wurin injection, sau da yawa ana bi da shi da kankara da antihistamines, wani abu ne mai yiwuwa.
Mahimman bayanai game da Simponi:
- An yarda Simponi don biyan cututtuka
- Ana ba Simponi ta allura a gida
- An fara Simponi tare da 2 injections, bayan 1 injection 2 makonni baya, kuma 1 allura kowane mako 4 bayan haka
- Hanyoyin da ke tattare da juna sun hada da zafi ko haushi a wurin ginin da kuma numfashi na sama ko ciwon hoto
- Simponi shi ne miyagun ƙwayar cuta na B-type
- Ba a san yanzu yadda Simponi zai shafi jaririn jariri ba
- Simponi dole ne a firiji
Stelara
Stelara (ustekinumab) wata cikakkiyar mutum ne mai cike da immunoglobulin ta mutumclonal. An fara amincewa da shi a shekarar 2008 a matsayin magani don psoriasis na plaque kuma a 2016 don magance cutar Crohn. Stelara yayi aiki don rage ƙananan cututtukan cututtukan Crohn ta hanyar yin amfani da interleukin (IL) -12 da IL-23, wanda ake zaton za su taka muhimmiyar rawa wajen ci gaba da kumburi a cikin hanji. An bada kashi na farko na Stelara ta hanyar jiko, a cikin wani jakar jiko ko asibitin likita. Bayan wannan jiko na farko, za'a iya daukar Stelara a gida tare da allurar da ake bawa a kowane mako takwas. Marasa lafiya zai iya ba da kansu allura bayan an horar da shi daga mai bada lafiyar jiki. Wasu daga cikin cututtukan da suka fi yawanci a cikin mutanen da ke fama da cutar Crohn wanda ke dauke da Stelara sun hada da vomiting (a lokacin jigon farko), ciwo ko redness a wurin injection, itching, da cututtuka irin su sanyi, ciwon yisti, mashako, urinary fili kamuwa da cuta, ko kamuwa da sinus.
Mahimman bayanai game da Stelara:
- An amince Stelara don magance cutar Crohn
- Ana ba da jigon maganin Stelara ta hanyar jiko kuma daga bisani an ba shi ta hanyar injections a gida
- Mutane da ke daukar hoto don rashin lafiyanci suyi magana da likita game da yiwuwar halayen rashin lafiyar da kuma Stelara
- Hanyoyin da ke cikin lalacewa sun hada da cututtuka, maganin gurasar haɓaka, da kuma zubar da jini
- Stelara shine likitancin B na ciki
- An yi tunanin cewa Stelara ya shigo cikin nono
- Stelara dole ne a firiji
> Sources:
> Janssen Biotech, Inc. "Simponi Medication Guide." Mayu 2013.
> Janssen, Inc. " Stelara (Ustekinumab) Ya Bayyana Bayani ." Stelarainfo.com. Aug 2016.
> Iyaye zuwa Baby. "Certolizumab Pegol (Cimzia) da ciki." MotherToBaby.org. Aug 2015.
> Takeda Pharmaceuticals, Inc. "Game da Entyvio." Entyvio.com. 2015.
> UCB, Inc. " Cimzia (Certolizumab Pegol) Jagoran Magunguna ." Cimzia.com. Mayu 2016.