Yala aw b'a dɔn ko "kɛlɛbolo" belebele dɔ bɛ aw fari la min b'aw tanga banaw ma wa? An b’o wele ko farikolo tangacogo. Nin kɛlɛbolo in ka baara ye k’an to kɛnɛya la, k’an juguw kɛlɛ i n’a fɔ tumuw, banakisɛw, ani kansɛribana minnu bɛ bɔ kɛnɛma. Nka tuma dɔw la, nin kɛlɛbolo in mago bɛ dɛmɛ dɔɔnin na. Sɔrɔdasi fanga tɛ se, walima kɛlɛbolo bɛ baara daminɛ ka bɔ a yɛrɛ la. O waati de la fura suguya kɛrɛnkɛrɛnnen dɔ min bɛ wele ko (Immunomodulators), o bɛ se k’an dɛmɛ.
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N’an y’a fɔ cogo nɔgɔman na, nin Immunomodulateurs ninnu ye mun ye?
Banakisɛfagalanw ye fura suguya dɔ ye min bɛ i farikolo tangalanw baara "bɛ" walima ka "fɛn caman sɛmɛntiya". Aw ye miiri aw farikolo tangacogo la i n’a fɔ arajo ka kumakan hakɛ jateminɛnan. Bana dɔw la, o hakɛ bɛ dɔgɔya kojugu, o kɔrɔ ye ko farikolo tangacogo barika ka dɔgɔn. Bana wɛrɛw la, o hakɛ bɛ caya kojugu, o kɔrɔ ye ko farikolo tangalanw bɛ baara kɛ kojugu.
O la (Immunomodulators) bɛ min Kɛ o ye ka nin fɔlikan in Labɛn i n'a fɔ a mago bɛ cogo min na. O kɔrɔ ye ko ni farikolo tangacogo ka dɔgɔn, fura ninnu bɛ se ka dɔ fara a kan, ni farikolo tangacogo ka bon kun tɛ, u bɛ se ka dɔ bɔ a la ka a kunbɛn . Nin ye baara kɛrɛnkɛrɛnnen ye kosɛbɛ.
Nin fura ninnu bɛ baara kɛ kosɛbɛ cogo fila la:
I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, fura ninnu bɛ baara kɛ cogoba fila de la. Ni aw ye o faamuya, o bɛna aw dɛmɛ ka fura in faamuya ka ɲɛ.
| Wale | O bɛ mun kɛ? (A bɛ min kɛ) |
|---|---|
| Banakisɛfagalanw ka jaabi bonya | Bana dɔw la, kɛrɛnkɛrɛnnenya la kansɛri, kansɛribanakisɛw ka ɲi kosɛbɛ ka u dogo an farikolo tangacogo la. Nin fura ninnu bɛ min kɛ, o ye ka fanga ni degeliw di an ka "kɛlɛbolo" ma, u mago bɛ min na walasa ka nin jugu dogolenw sɔrɔ ani k'u tiɲɛ. |
| Banakisɛfagalanw ka jaabi damatɛmɛ | An bɛ fura ninnu wele kɛrɛnkɛrɛnnenya la ko farikolo tangalanw.Ninnu mago bɛ mɔgɔ minnu na, farikolo tangalanw ka banaw bɛ minnu na. Nin bana ninnu na, an yɛrɛ farikolo tangalanw bɛ fili ka bin an yɛrɛ ka farikolokisɛ kɛnɛmanw kan. Ani fana, ni farikolo yɔrɔ dɔ cili kɛra, o furaw bɛ farikolo dɛmɛ a kana ban farikolo yɔrɔ kura la. |
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Nin fura suguya in bɛ kɛ ka bana suguya caman furakɛ. U dɔw ye ninnu ye:
- Joli ni ɲɔgɔn cɛ banaw : Ninnu ye farikolo tangalanw ka banaw kuluba ye. Misali la, bana minnu bɛ i n’a fɔ (Rheumatoid Arthritis) (joli funu), (Lupus), (Psoriatic Arthritis), (Ankylosing Spondylitis), o fura ninnu bɛ dɛmɛ ka farikolo ka binkanni kunbɛn a yɛrɛ kolotugudaw, a fari, a ɲɔgɔnnaw kan.
- Dumunikɛcogo banaw : Bana minnu bɛ i n’a fɔ Crohn ka bana'' ani Colitis ulcerative'', olu bɛ kɛ ka farikolo tangacogo laɲininenw kunbɛn minnu bɛ kɛ banakɔtaa la.
- Faribanaw : Bana minnu bɛ i n’a fɔ sɔgɔsɔgɔninjɛ, farikolo tangalanw bɛ farikolokisɛw falenni teliya kɔlɔsi.
- Farikoloɲɛnajɛ banaw : Nin fura ninnu bɛ dɛmɛ ka farikolo tiɲɛniw kunbɛn banaw la i n’a fɔ Sclerose multiple.
- Kansɛri: Kansɛri suguya dɔw la, ninnu bɛ kɛ ka farikolo tangalanw lawuli walasa ka kansɛribanakisɛw tiɲɛ. Nin ye furakɛli dɔ ye min bɛ wele ko Immunotherapy.''
Banakisɛfagalanw suguya jɔnjɔnw ye jumɛnw ye?
Nin fura ninnu bɛɛ tɛ suguya kelen ye. Dɔgɔtɔrɔw bɛ Immunomodulateur suguya wɛrɛw sɛbɛn ka kɛɲɛ ni bana suguya ye.
Kɔritikositɛriw (corticostéroïdes).
Ninnu ye farikolo tangalan furaw ye minnu bɛ kɛ ka caya, mɔgɔ caman bɛ minnu dɔn. Misali dɔ ye (Prednisone) ye. Olu bɛ baara kɛ ni farikolo tangalanw ka baara dɔgɔyali ye joona ani ka funu ni funu kunbɛn farikolo la.
DMARDw (Fura minnu bɛ banaw sɛmɛntiya) .
I n’a fɔ a tɔgɔ b’a jira cogo min na, ninnu ye furaw ye minnu bɛ dɛmɛ ka bana dɔ cogoya sɛmɛntiya. Kɛrɛnkɛrɛnnenya la banaw la i n’a fɔ jolidɛsɛ, o furaw bɛ dɛmɛ don ka kolotugudaw tiɲɛni bali walima k’u kunbɛn bana in fɛ, sanni ka dimi dɔgɔya dɔrɔn. (Methotrexate) ye fura ye min lakodɔnnen don kosɛbɛ nin suguya in na.
Biologikiw (Biologics) (Biologics).
Ninnu ye fura suguya kura ye, min ka bon ka tɛmɛ DMARDw kan. U bɛ dilan ni farikolojɔlifɛnw ye minnu bɛ bɔ farikolokisɛ ɲɛnamaw la laboratuwari kɔnɔ.
N’an y’a fɔ cogo nɔgɔman na, hali ni fura kɔrɔw bɛ baara kɛ i n’a fɔ ‘tapi bɔnbuw’ ani ka nɔ bila farikolo tangacogo bɛɛ la, biologikiw bɛ i n’a fɔ ‘bɔnbu hakilitigiw’. O kɔrɔ ye ko u bɛ taa ɲɛfɛ ka ɲɛsin selilɛri walima kemikali kɛrɛnkɛrɛnnen dɔ dɔrɔn ma (i n’a fɔ (TNF), (Interleukin)) min bɛ bana in bila mɔgɔ la.
O bɛ se ka dɔ bɔ kɔlɔlɔw la ani ka kɛ sababu ye ka ɲɛtaa caman sɔrɔ.
Banakisɛfagalanw furakɛli kansɛri la
Nin ye furakɛli suguya kɛrɛnkɛrɛnnen ye kosɛbɛ. Min bɛ kɛ yan, o tɛ ko farikolo tangacogo bɛ dɔgɔya, nka a bɛ dɔ fara a kan. Fura minnu bɛ i n’a fɔ Checkpoint Inhibitors, olu bɛ "taamaʃyɛnw" jɔ, kansɛribanakisɛw bɛ minnu kɛ ka u dogo an ka farikolo tangalanw na ((T-cells)), ani ka T-cellw dɛmɛ u ka kansɛribanakisɛw dɔn ani k'u tiɲɛ.
Fura in bɛ di farikolo ma cogo di?
Fura in bɛ di aw ma cogo min na, o bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni aw ka furakɛli cogoya ye ani fura suguya ye.
- Joli sira fɛ ( IV fɛ): I n’a fɔ saline, a bɛ don joli la ka ɲɛ kansɛri fɛ.
- Pikiri fɛ: A bɛ pikiri kɛ fari jukɔrɔ walima farikolo yɔrɔ dɔ la.
- Da la: A bɛ ta da la i n’a fɔ furakisɛ walima furakisɛ.
- I n’a fɔ kiribi fari la (Topically): A bɛ kɛ fari la i n’a fɔ kiribi farila banaw kama.
An ka kɔlɔlɔw ni faratiw fana dɔn.
Hali ni ninnu ye furaw ye minnu nafa ka bon kosɛbɛ, kɔlɔlɔ ni farati dɔw bɛ se ka sɔrɔ u la barisa u bɛ nɔ bila farikolo tangalanw na. Aw ka dɔgɔtɔrɔ bɛna aw kalan o kow la.
| Farati suguya | Fɛn minnu ka kan ka kɔlɔsi |
|---|---|
| Kɔnɔnatumuw kɔlɔlɔ minnu ka teli ka sɔrɔ | Aw bɛ se ka sɛgɛn, sunɔgɔbaliya, kɔnɔboli, kɔnɔdimi, ani farilajibɔ. A ka c’a la, o fɛnw bɛ nɔgɔya waati tɛmɛnen kɔfɛ. |
| Farati kɛrɛnkɛrɛnnenw (ni farikolo tangalanw bɛ u la) . | Aw farikolo "lafasali fanga" bɛ fanga dɔgɔya, o la banakisɛw ka teli ka sɔrɔ aw la.. Hali farigan misɛnni walima mura bɛ se ka juguya. O la, aw ka kan ka aw janto fɛnw na i n’a fɔ ka aw yɛrɛ tanga yɔrɔw ma minnu falen don mɔgɔw la ani ka aw tɛgɛ ko tuma caman. Ni bana taamasiɲɛw bɛ aw la i n’a fɔ farigan, sɔgɔsɔgɔ, walima ninakili gɛlɛya, aw bɛ taa dɔgɔtɔrɔso la joona. |
| Farati kɛrɛnkɛrɛnnenw (ni a bɛ farikolo tangacogo bonya) . | Tuma dɔw la, farikolo tangalanw bɛ se ka wuli kojugu ani ka daminɛ ka bin farikolo yɔrɔ kɛnɛmanw kan. O bɛ se ka fɛn dɔw lase mɔgɔ ma i n’a fɔ ɔrimɔni gɛlɛyaw, fari gɛlɛyaw, ani kɔnɔboli. |
A mana kɛ fɛn o fɛn ye, aw ka dɔgɔtɔrɔ bɛ o faratiw dɔn kosɛbɛ. O de kama a bɛna to ka aw sɛgɛsɛgɛ, ka joli sɛgɛsɛgɛli wajibiyalenw kɛ, ka aw ka fura tata hakɛ ladilan walasa ka aw ladon ka ɲɛ. Aw ka kan ka min kɛ dɔrɔn, o ye ka fɛn o fɛn Changer walima ka aw dusu tiɲɛ, aw bɛ o fɔ aw ka dɔgɔtɔrɔ ye.
Take-Home cikan
- Farikolo tangalanw ye fura suguya ye min fanga ka bon kosɛbɛ ani min kɛrɛnkɛrɛnnen don, minnu bɛ aw farikolo tangacogo baara Changer ni aw mago bɛ a la.
- Ninnu bɛ se ka kɛ ka farikolo tangacogo sabati (banaw la i n’a fɔ kansɛri) walima ka dɔ bɔ a la (bana minnu bɛ sɔrɔ farikolo yɛrɛ fɛ).
- Olu tɛ i n’a fɔ dimimadafura minnu bɛ kɛ tuma bɛɛ. Olu ye furaw ye minnu bɛ nɔ bila bana dɔ jujɔ la.
- Aw bɛ aw janto kɛrɛnkɛrɛnnenya la walasa ka aw yɛrɛ tanga banakisɛw ma ni aw bɛ fura ninnu ta.
- Aw kana siga ka dɔgɔtɔrɔ ladɔnniya kɔlɔlɔ walima taamasiɲɛ kura minnu bɛ aw la.
- O fura ninnu sababu la, bana caman minnu tun bɛ miiri fɔlɔ ko u furakɛli ka gɛlɛn, sisan u kunbɛnna ka ɲɛ. O la, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔw ka laadilikanw labato ka ɲɛ.
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