Hana hana lalacewar haɗin kai shine Goal na Jiyya
Shekaru da dama da suka wuce, tsarin kula da magungunan ra'ayin magungunan likitanci na arthritis na rheumatoid shine al'ada. Daga baya, ƙasa ya fi. Amma a cikin shekaru, duk da haka, wannan tsarin ya sauya daga ra'ayin mazan jiya zuwa m. Amma, me ya sa canji?
Muhimmanci na Farko, Zalunci
Masanin asalin farko na arthritis na rheumatoid an gane shi yana da muhimmanci saboda maganin farko tare da DMARDs da biologics yana ba da damar mafi kyau don hana lalacewar haɗin gwiwa, da kuma rage rashin lafiyar rashin lafiya da kuma mace-mace masu alaka da cutar.
Dalilin dalili mafi yawa shine cewa, a baya, yawan marasa lafiya marasa lafiya tare da cutar arthritis sun zama nakasa. Abin farin ciki, ba duk marasa lafiya da cututtuka na rheumatoid suna fuskantar haɗari ga mummunan lalacewa da nakasa.
Ga wadanda ke fama da mummunar cuta, rashin kulawa mai tsanani bazai buƙatar farawa ba. Duk da haka, yayin da NSAID (masu maganin maganin magungunan cututtuka na tsakiya) na iya taimakawa bayyanar cututtuka na rheumatoid, akwai kadan don bayar da shawarar cewa zasu taimaka wajen hana lalacewar haɗin gwiwa.
Kima, idan akwai, marasa lafiya da cututtuka na rheumatoid su ne 'yan takara don magance su tare da NSAIDs kadai. Yawanci, marasa lafiya waɗanda ke da ƙananan haɗari ga lalacewar haɗin gwiwa ana bi da su tare da magungunan DMARD mazan da ake tsammani suna da mummunar tasiri ga sakamako masu illa, ciki har da:
- Plaquenil (hydroxychloroquine)
- Azulfidine ( sulfasalazine )
- Minocin (minocycline) -Dan maganin kwayar cutar da ya nuna amfanon maganin arthritis, amma ba FDA ta amince da wannan nuni ba.
Magunguna da aka yi amfani da su a matsananciyar cututtuka na rheumatoid sun hada da wadannan (tare da wasu sababbin kwayoyi a cikin bututun mai):
- Methotrexate (Rheumatrex, Trexall)
- Arava (leflunomide)
- Iranran (azathioprine)
- Xeljanz (tofacitinib)
- Enbrel (tsinkaya)
- Alamarwa (ƙananan)
- Humira (adalimumab)
- Simponi (Golimumab)
- Cimzia (certolizumab pegol)
- Actemra (tocilizumab)
- Rituxan (rituximab)
- Orencia (abatacept)
Magunguna masu fama da matsananciyar cututtuka suna da karin matsalolin ko matsalolin matsaloli tare da ayyukan rayuwar yau da kullum , lalacewar haɗin gwiwa, da haɗin gwiwa. Saboda yiwuwar amfani da dogon lokacin da farashi mai yawa, yawancin masu ilmin lissafi zasu fara tare da hanya kamar yadda DMARD ta fara a cikin marasa lafiya da ke nuna matsananciyar cututtuka. Prednisone a cikin ƙananan canji na iya samun wasu magungunan ƙwayar cuta.
Alamai da cututtukan cututtukan haɗin gwiwa
Sakamakon binciken na asibiti wanda zai iya nuna haɗarin haɗarin haɗuwa tare da nakasawa ta ƙarshe sun haɗa da:
- Haɗin haɗin gwiwa
- Tsaya da tsakar rana
- Da farko na rheumatoid arthritis a ƙuruciyar shekaru
- Mai girma CCP antibody
- Babban haɗari na rheumatoid
- Rheumatoid nodules
- Hanyoyin gina jiki C-reactive (CRP) da kuma sutura
- Abunormalities radiographic (x-haskoki)
Abin takaici, ba zai yiwu a hango ko yaushe ba zai iya haɓaka lalacewa ba. A sakamakon haka, idan kana da alamu ko alamun cututtuka na arthritis na rheumatoid, tabbatar da cewa kana da shawara tare da likitan ilimin lissafi don neman magani wanda zai fi kyau a gare ku.
Wurin Ginin Hanya
Akwai lokuta lokacin da magani na wutsiya na rheumatoid yana da tasiri mafi girma akan cigaba da cutar.
Mafi mahimmanci tasirin zai zama sanarwa daga cututtuka na arthritis ko akalla sakamako akan cigaba da cutar wanda zai kasance a fili akan x-ray ko a haɗin gwiwa. An kira wannan "Window of Opportunity" kuma yayin da masu bincike suka koyi karin bayani, taga ya tafe.
Halin gaggawa a baya bayanan maganin arthritis na rheumatoid ya zama mafi mahimmanci. Matsayin da ya faru a kwanan nan a lokacin da aka fara zartar da mummunar magani shine "farkon da ya fi kyau."
Abin sha'awa, kokarin ƙoƙarin ɓoyewa lokacin da aka buɗe kofin bude dama da rufe ga wani mutum mai haƙuri ba a da amfani.
Amma, babu wani ƙaryar cewa kawo cutar a karkashin iko a farkon lokacin yiwuwar shine burin burin. Wannan yana nufin zalunta da ciwon wariyar launin fata , a wasu lokuta, tare da bege na dakatar da cigaba da ci gaba da cike da ciwon hauka.
Sources:
Ƙungiyar warkewa ta damar samun dama a arthritis mai rheumatoid: Shin yana kusa? Karim Raza, Andrew Filer. Annals na Rheumatic Diseases. Maris 10, 2015.
Sanin asalin Ritumatoid Arthritis. Page 73. Arthritis Rheumatoid: Sanin asali da Jiyya. Bita na uku. Cush, Weinblatt, Kavanaugh. Kasuwanci Sadarwa, Inc.