Ƙididdigar Mahimmanci a Ƙarfi, Kuɗi, da Gudanarwa
Masu hana TNF (wanda aka fi sani da masu TNF blockers) sune magungunan ƙwayoyi waɗanda suka rage kisa ta hanyar sauke amsawar ta hanyar rigakafi. An yi amfani da su don magance nau'o'in mikiya irin su rheumatoid arthritis (RA) , psoriasis, cututtuka na psoriatic, ulcerative colitis, da cutar Crohn.
Abubuwa uku na masu cin zarafi na TNF da suka fi dacewa da RA sune:
Yayinda dukkanin kwayoyi guda uku sun hana mayar da martani ga jikin kwayar cutar necrosis (TNF) - irin nau'in gina jiki, wanda ake kira cytokine . wanda ke haifar da kumburi - kowannensu yana da tsari daban-daban na tsarin sinadarai da mahimmancin amfani da ƙuntatawa.
Yaya Ayyukan Ma'aikata na TNF
Magunguna na TNF sune nau'ikan maganin likitanci ne da ake amfani dasu don magance cututtuka na asali kamar RA. Duk da yake suna da mahimmanci ga TNF, wasu magungunan cytokine masu kama da ilimin halittu kamar interleukin ko canza hanyar da kwayoyin da ake kira T-cell ko B-cell).
Ma'aikatan TNF sun zama masu amfani da kayan aiki masu muhimmanci a gudanarwa da kuma kula da RA tun lokacin da suka gabatar da su a shekara ta 1998. Suna da tasiri a cikin kashi 70 cikin dari na mutanen da ke fama da cutar, ciki har da waɗanda ba su amsa maganin farko ba.
Idan aka yi amfani da shi tare da haɓaka, maƙaryata masu amfani da TNF sun sani sun fi tasiri a sake dawo da ingancin rayuwar mutanen RA, sau da yawa a cikin gajere kamar makonni 12.
Differences a cikin Gudanarwa
Duk da yake tsarin aikin yafi ko žasa ga dukkanin kwayoyi guda uku, Enbrel, Humira, da Remicade suna da mahimman bambance-bambance. Babban daga cikinsu shine kula da kwayoyi da kuma yadda ake yin dosing.
Duk da yake akwai yiwuwar bambancin yadda aka yi amfani da kwayoyi, an umarce su kamar haka:
- Ana amfani da ciwon ciki ta hanyar subcutaneous injection (cikin fata) sau ɗaya ko sau biyu a mako.
- Humira yana gudana ta hanyar allurar subcutaneous kowane mako.
- Remicade yana buƙatar jigilar intravenous kowane hudu zuwa takwas makonni.
Bugu da ƙari, sabanin Remicade, Enbrel da Humira za su iya sarrafa kansu ta hanyar sarrafawa. injini ɗan inji (irin su waɗanda masu ciwon sukari suke amfani da shi don inlasta insulin).
Differences a cikin Gaskiya
Wata hanya wadda kwayoyi ke bambanta shine tsawon lokaci na inganci, ma'ana yawan lokacin da zaka iya amfani da su kafin ka buƙaci canja magani.
A karshen wannan binciken, masana kimiyya a Jami'ar Valladolid a kasar Spain sun gudanar da bincike a shekara ta 2013 game da tsawon lokacin magani na Enbrel, Humira, da Remicade a cikin mutane 91 tare da RA.
Abin da suka gano shi ne cewa duka Enbrel da Humira suna da tsawon lokacin da suka wuce shekaru bakwai (kwanaki 2,561 da kwanaki 2,769). Ta hanyar kwatanta, Remicade yana da tsawon magani na tsawon shekaru biyar (kwanaki 1,853).
Daga cikin kwayoyi guda uku, Enbrel ya nuna lokacin da ya fi dacewa, musamman a tsakanin mata da suka zauna a kan maganin kusan kimanin shekaru tara (kwanaki 3,191). Bugu da ƙari, tsofaffi a kan Enbrel sun kasance mai sauƙi ba su canza zuwa wani tsarin nazarin TNF ba.
Yayin da iyakar binciken ya iyakance ta hanyar sikelin binciken, masu bincike sun tabbatar da cewa, daga cikin wadanda suka hana TNF guda uku, Enbrel ya nuna fifiko.
Differences a Kudin
Masu maganin TNF duk suna da tsada sosai idan aka kwatanta da sauran kwayoyin RA, batun da ya dace da lafiyar ku.
Duk da yake ana iya inganta ƙwarewar magungunan bayan an biya kuɗin haɗin kuɗi, rangwame na kasuwa, da shirye-shiryen tallafi na haƙuri, za ku iya tsammanin yawan farashin da ya fadi ya karu fiye da ƙasa a cikin waɗannan jeri:
- Humira ya biya tsakanin $ 1,800 da $ 2,400 a kowace wata.
- Yawan adadin kuɗi fiye da $ 4,000 a kowace wata.
- Kashi guda na Remicade na iya kudin ko'ina daga $ 1,250 zuwa $ 2,500, dangane da ko kuna buƙatar harbi kowane mako huɗu ko takwas.
Tare da Remicade, yana da mahimmanci a mahimmanci a cikin asibiti. Da bambanci, Enbrel da Humira ba zasu jawo wa annan kima ba idan ka yanke shawarar yin allura.
A ƙarshe, kudin da za a yi na magani zai dogara ne game da ɗaukar inshora naka da kuma cancanta don taimakon kuɗin kuɗi kamar yadda masu samar da Enbrel, Humira, da Remicade suka bayar.
> Source:
> Martinez-Santana, V; Gonzalez-Sarmiento, E; Calleja-Hernandez, M. et al. "Ganin kwatancen lafiyar miyagun ƙwayoyi game da ƙwayoyin cutar necrosis masu ciwon sukari wanda ke da alaka da maganin arthritis na rheumatoid." Mai haƙuri Yafi Adherence . 2013; 7: 719-27. DOI: 10.2147 / PPA.S47453.