Loaʻa iā ʻoe ka Ankylosing Spondylitis ? Inā pēlā, loaʻa paha iā ʻoe ka ʻeha ma kou kua, nā pūhaka, a me nā hono ʻē aʻe, a me ka ʻoʻoleʻa o ke kakahiaka. I ka mālama ʻana i kēia kūlana, hoʻāʻo mua nā kauka e hāʻawi iā ʻoe i nā lāʻau hōʻeha e like me Ibuprofen lāua ʻo Naproxen, i kapa ʻia ʻo NSAIDS (nā lāʻau anti-inflammatory nonsteroidal) . Akā i kekahi manawa ʻaʻole hana kēia mau lāʻau lapaʻau iā ʻoe. A i ʻole ʻaʻole hiki iā ʻoe ke hoʻohana i kēia mau NSAID ma muli o nā pilikia olakino ʻē aʻe. ʻO ia ka manawa e noʻonoʻo ai kāu kauka i kahi lāʻau lapaʻau ʻē aʻe e like me Sulfasalazine. ʻOi loa inā loaʻa iā ʻoe ka ankylosing spondylitis a me ka maʻi ʻōpū mumū (IBD) , hiki i ka Sulfasalazine ke lilo i hopena maikaʻi.
Pehea e hana maoli ai kēia lāʻau i kapa ʻia ʻo Sulfasalazine i loko o ke kino?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Sulfasalazine e kāohi ana i ka mumū i loko o ke kino. Aia nā kemika i kapa ʻia ʻo prostaglandins e kōkua i ka hoʻoulu ʻana i ka ʻeha a me ka mumū i loko o ko mākou kino. Hana ʻo Sulfasalazine ma ka hoʻōki ʻana i ka hana ʻana o kēlā mau kemika. Ua ʻae mua ʻia kēia lāʻau lapaʻau e mālama i kahi maʻi i kapa ʻia ʻo ulcerative colitis , kahi e hoʻopilikia ai i nā ʻōpū.
Akā, ʻaʻole ia e hōʻemi wale i ka ʻeha. Ua kapa nā kauka i kēia lāʻau lapaʻau he DMARD (disease-modifying antirheumatic drug) . He aha ke ʻano o ia mea? ʻO ke ʻano o kēia, ma waho aʻe o ka hoʻomalu ʻana i ka ʻeha a me ka pehu i hoʻokumu ʻia e ka arthritis, hiki i kēia lāʻau lapaʻau ke hoʻololi i ke ʻano o ka maʻi ponoʻī. ʻO ke ʻano o kēia, ʻaʻole hiki iā ia ke kāohi wale i nā hōʻailona, akā pale pū i ka hōʻino lōʻihi i kou mau hono. No laila, hiki i kēia lāʻau lapaʻau ke kōkua i ka pale ʻana i kāu mau hana o kēlā me kēia lā mai ka lilo ʻana i mea hiki ʻole ke hana ma muli o ka ankylosing spondylitis.
Pehea ka maikaʻi o kēia lāʻau lapaʻau no ka ankylosing spondylitis?
Hoʻopilikia nui ka Ankylosing spondylitis i ka iwi kuamoʻo. He mea kōkua nui ka Sulfasalazine inā loaʻa iā ʻoe nā pilikia me kou mau hono peripheral, me kou iwi kuamoʻo. ʻO ke ʻano kēia hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu ʻana i kou mau hono. Hiki nō hoʻi iā ia ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa i kou kua a hoʻomaha iki iā ʻoe.
Akā e ʻoiaʻiʻo kākou. ʻAʻole i hōʻoia maopopo ʻia nā haʻawina e hoʻomaikaʻi nui ka hoʻohana ʻana i kēia lāʻau lapaʻau i ka neʻe ʻana o ka iwi kuamoʻo a i ʻole e hoʻomaikaʻi nui i kāu hana kino. ʻAʻole hoʻi he hopena nui i nā kūlana mumū e kū mai ana i nā tendon e pili ana i nā hono.
Ma kekahi noiʻi, ua hoʻohālikelike ʻia ka sulfasalazine me kekahi lāʻau lapaʻau ʻē aʻe i kapa ʻia ʻo etanercept . Aia ʻo Etanercept i loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo TNF-alpha inhibitors e hana ana ma ke ʻano ʻokoʻa. Ma kēlā noiʻi, ua ʻike ʻia ʻoi aku ka maikaʻi o ka etanercept ma mua o ka sulfasalazine. No laila, inā ʻaʻole hana nā NSAID iā ʻoe, aia paha kekahi mau lāʻau lapaʻau ʻē aʻe e hana maikaʻi paha iā ʻoe ma mua o ka sulfasalazine. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka e pili ana i ka mea kūpono iā ʻoe a inā paha he mea kūpono ke hoʻāʻo ʻana i ka sulfasalazine.
Pehea e pono ai iaʻu ke hoʻohana i ka sulfasalazine?
Loaʻa kēia ma ke ʻano he pila. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau me ka meaʻai. I mea e pale aku ai i ka ʻeha o ka ʻōpū, e inu me ke aniani wai piha. E hoʻomaka pinepine kāu kauka iā ʻoe i hoʻokahi a ʻelua paha pila i ka lā. A laila, hiki iā ʻoe ke hoʻonui mālie i ka nui e like me ka mea e pono ai.
E hoʻomanaʻo, he mea nui e inu i ka wai nui a i ʻole nā wai ʻē aʻe i ka lā a pau i ka wā e lawe ana i kēia lāʻau. Mai lawe i kēia lāʻau ma ka ʻōpū ʻole. Eia kekahi, mai lawe i kēia lāʻau ma hope o ka lawe ʻana i nā antacids no ka gastritis.
ʻO kekahi mea nui, ʻo ia ka hopena iki o kēia lāʻau lapaʻau i ka omo ʻana o ke kino i ka folate nutrient. No laila, e haʻi pinepine kāu kauka iā ʻoe e lawe i kahi pila folic acid me kēia lāʻau lapaʻau. He mea nui loa kēia inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi pila , e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā, mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi. Inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Sulfasalazine ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā kākou i nā hopena ʻaoʻao maʻamau a kakaʻikahi.
| Nā hopena ʻaoʻao o Sulfasalazine | |
|---|---|
| Nā hopena ʻaoʻao i ʻike pinepine ʻia | |
| ʻEha poʻo | Hiki ke hana i kēia ke hiki i ka wā e hoʻonui ʻia ai ka nui o ka lāʻau lapaʻau. |
| Ka luaʻi a me ka luaʻi | ʻO ka mea maʻamau i nā pae mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau. |
| kuni | Hiki ke hana ia ma ke ʻano he hopena i loko o ke kino. |
| ʻŌhū ʻili | He hōʻailona paha ia o kahi maʻi allergy. |
| Ka hānau ʻole ʻana o ke kāne | Hiki ke emi iho ka helu o ka sperm, akā hoʻi kēia i ka maʻamau ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. |
| Ka ʻike i ka lā | Hiki ke ʻā maʻalahi ka ʻili. |
| Melemele o ka ʻili a me ka mimi | ʻAʻohe mea e hopohopo ai kēia a ua hana ʻia e ka lāʻau lapaʻau. Eia nō naʻe, he mea nui e hoʻomaopopo i ke kauka. |
| Nā hopena ʻaoʻao kakaikahi akā hiki ke koʻikoʻi | |
| ʻO ka maʻi Hepatitis, ka pneumonitis, ka maʻi Stevens-Johnson, ka hemolysis, ka mumū o nā puʻupaʻa, a me ka helu haʻahaʻa o nā keʻena koko keʻokeʻo. | |
ʻAʻole pono ʻoe e hopohopo i kēia mau hopena ʻaoʻao kakaʻikahi akā koʻikoʻi. E nānā pono kāu kauka iā ʻoe i kou wā e lawe ana i kēia lāʻau lapaʻau. Ma hope o nā pule 6 mua, a laila i kēlā me kēia 6 mahina, e hoʻāʻo ʻia kou koko e nānā i ka helu o kāu mau cell koko a me ka hana o nā puʻupaʻa. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou āu e manaʻo nei he hopena ʻaoʻao paha o ka lāʻau lapaʻau, e haʻi koke i kāu kauka.
ʻO wai ka mea pono ʻole e hoʻohana i ka Sulfasalazine?
Inā he maʻi ʻoe i nā lāʻau sulfa, ʻaʻole pono ʻoe e lawe i kēia lāʻau. Eia nō naʻe, i kekahi manawa, ʻoiai inā ʻike ʻoe i nā hōʻailona maʻi liʻiliʻi ke hoʻomaka ʻoe e lawe i ka lāʻau, hana maikaʻi ka lāʻau no kou maʻi ankylosing spondylitis. I kēlā mau hihia, e kamaʻilio me kāu kauka e pili ana i ka kūpono o ka hoʻomau ʻana i ka lawe ʻana i ka lāʻau. Hiki paha i kou kino ke maʻa mālie i ka lāʻau a nalowale ka hopena . I kēlā mau hihia, e hoʻomaka kāu kauka me kahi mahele haʻahaʻa loa a hoʻonui mālie i ka mahele.
Leka Lawe-Home
- ʻAʻole wale ka Sulfasalazine he lāʻau hoʻopau ʻeha. He DMARD ia e hoʻololi i ke ʻano o ka maʻi a pale i ka hōʻino ʻana i nā hono.
- E lawe mau i kēia lāʻau me ka ʻai a me ka nui o ka wai. E pale i ka lawe ʻana i ka ʻōpū ʻole.
- ʻOiai e lawe ana i ka lāʻau lapaʻau , e hōʻoia e loaʻa nā hoʻāʻo koko i kuhikuhi ʻia e kāu kauka i ka manawa kūpono . He mea nui loa kēia no kou palekana.
- E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, ʻoiai ke kuni, nā ʻōhū ʻili, a i ʻole ka luhi nui.
- ʻOiai paha e pili ana ka helu sperm i nā kāne, he manawa pōkole ia a hoʻi i ka maʻamau ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage no kekahi kumu me ka ʻole o ke aʻo ʻana a ke kauka.
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