Tej zaum koj yuav paub tias Ankylosing Spondylitis (AS) yog ib qho mob uas ua rau mob thiab mob nqaij hauv tus txha nqaj qaum thiab pob qij txha. Thaum kho qhov no, nws yog ib qho tseem ceeb heev rau kev tawm dag zog thiab siv cov tshuaj uas koj tus kws kho mob tau sau kom raug. Txawm li cas los xij, qee zaum cov tshuaj no tuaj yeem ua rau muaj kev phiv me me. Tab sis tsis txhob ntshai lawv. Tsis yog txhua tus neeg tau txais cov kev phiv no, thiab txhua tus neeg qhov kev paub txawv. Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob thiab xaiv txoj kev kho mob uas ua haujlwm zoo tshaj plaws rau koj thiab muaj cov kev phiv tsawg tshaj plaws.
Cov tshuaj tua kab mob thawj kab: NSAIDs
Cov kws kho mob feem ntau sau ntawv kom noj hom tshuaj no ua ntej rau AS. Peb hu cov tshuaj Nonsteroidal Anti-inflammatory Drugs no, lossis NSAIDs luv. Cov no ua haujlwm los txo qhov o thiab mob hauv cov pob qij txha. Tej zaum koj yuav tau hnov txog cov npe no:
- Ibuprofen (Advil, Motrin)
- Naproxen (Naprosyn)
- Indomethacin (Indocin, Tivorbex)
- Celecoxib (Celebrex)
Txawm li cas los xij, thaum cov tshuaj no noj ntau heev rau lub sijhawm ntev, cov txheej tiv thaiv hauv peb lub plab tuaj yeem ua nyias, uas tuaj yeem ua rau muaj qee qhov kev phiv.
| Tej zaum yuav muaj cov kev mob tshwm sim ntawm NSAIDs |
|---|
| Mob plab |
| Kev o ntawm daim ntaub plab |
| Mob plab thiab los ntshav |
| Yog tias koj muaj kab mob plawv ua ntej lawm, koj qhov kev pheej hmoo ntawm kev mob plawv lossis mob hlwb yuav nce ntxiv. |
Qhov tseem ceeb tshaj plaws yog siv cov tshuaj no tsuas yog raws li qhov ntau thiab ntev npaum li koj tus kws kho mob tau sau tseg. Yog tias koj mob plab, qhia rau koj tus kws kho mob tam sim ntawd.
Ib txoj kev kho mob niaj hnub no: Cov Tshuaj Biologics (IL-17 Inhibitors)
Cov no yog ib hom tshuaj uas tshwj xeeb dua me ntsis. Lawv ua haujlwm los ntawm kev tsom mus rau ib yam tshuaj tshwj xeeb hauv lub cev uas ua rau mob thiab thaiv nws txoj haujlwm. Secukinumab (Cosentyx) thiab Ixekizumab (Taltz) yog ob hom tshuaj no. Lawv hu ua IL-17 inhibitors . Txawm hais tias cov no yog cov kev kho mob zoo heev, lawv tuaj yeem ua rau muaj qee qhov kev phiv.
| Tej zaum yuav muaj cov kev phiv los ntawm cov tshuaj lom neeg | Hais yooj yim xwb... |
|---|---|
| Kab Mob Plab Hnyuv (IBD) | Cov tshuaj no yuav ua rau muaj tus kab mob IBD tshiab lossis ua rau cov tsos mob hnyav dua rau ib tus neeg uas twb muaj tus kab mob no lawm. |
| Kev kis kab mob | Cov no tuaj yeem txo qhov kev ua haujlwm ntawm lub cev tiv thaiv kab mob rau qee qhov, uas yuav ua rau muaj kev pheej hmoo ntawm kev kis kab mob xws li mob khaub thuas thiab mob ntsws. |
| Kev pheej hmoo ntawm mob qog noj ntshav | Txawm hais tias kev tshawb fawb txog tsiaj txhu tau qhia tias muaj feem yuav mob qog noj ntshav los xij, tseem tsis tau meej tias qhov kev pheej hmoo no yog dab tsi rau tib neeg. Tsis txhob ntshai qhov no yam tsis tsim nyog, tab sis nrog koj tus kws kho mob tham txog qhov no. |
JAK inhibitors noj ua cov tshuaj ntsiav
Nov yog lwm hom tshuaj uas txo qhov o. Tofacitinib (Xeljanz) yog ib hom tshuaj uas noj ua tshuaj ntsiav. Cov no tuaj yeem muaj cov kev mob tshwm sim.
- Mob taub hau
- Mob raws plab
- Kev qaug zog
- Lub plawv dhia ceev
- Kev pheej hmoo ntawm kev puas tsuaj rau daim siab
Yog li ntawd, koj tus kws kho mob yuav tsis tu ncua kuaj xyuas koj txoj kev noj qab haus huv thaum koj noj cov tshuaj no.
Corticosteroids, uas tsuas yog muab qee zaum xwb
Cov no feem ntau tsis yog cov tshuaj kho mob mus sij hawm ntev rau AS. Txawm li cas los xij, yog tias qhov mob thiab o ntawm ib qho pob qij txha tshwj xeeb nce ntxiv sai heev (ua rau mob hnyav zuj zus) , tsuas yog muab tshuaj corticosteroid rau qhov pob qij txha ntawd xwb.Tus kws kho mob yuav txiav txim siab muab ib koob tshuaj rau koj. Cov kev mob tshwm sim no yuav tshwm sim ntau dua thaum koj siv lawv ntev. Tab sis kev txhaj tshuaj luv luv yuav tsis ua rau muaj tag nrho cov no. Tab sis nws yog ib qho zoo kom paub.
| Tej zaum yuav muaj cov kev mob tshwm sim ntawm cov tshuaj corticosteroids (tshwj xeeb tshaj yog siv ntev) | |
|---|---|
| Kev ntshaw zaub mov ntau ntxiv thiab qhov hnyav nce ntxiv | Mob nqaij yooj yim |
| Kev hloov pauv ntawm lub siab | Cov leeg tsis muaj zog |
| Pom kev tsis meej | Txo qis peev xwm los tawm tsam kev kis kab mob |
| Lub ntsej muag o los yog pob txuv | Ntshav siab |
| Mob ntshav qab zib lossis mob ntshav qab zib uas twb muaj lawm zuj zus | Tsis tsaug zog |
Lwm cov tshuaj (Sulfasalazine thiab Methotrexate)
Sulfasalazine
Yog tias cov tshuaj NSAIDs tsis tswj koj qhov mob pob qij txha (tshwj xeeb tshaj yog nyob rau hauv koj lub xub pwg nyom, caj npab, thiab ceg), koj tus kws kho mob yuav sau ntawv rau koj noj tshuaj hu ua Sulfasalazine (Azulfidine). Qhov no muaj cov kev mob tshwm sim tsawg heev.
- Mob pob qij txha
- Ua npaws
- Mob taub hau
- Ua rau daim tawv nqaij rhiab heev rau lub hnub ci
- Tawv nqaij tawm pob los yog khaus
- Xeev siab
Methotrexate
Cov tshuaj no noj tau ua tshuaj ntsiav los yog txhaj tshuaj. Tus kws kho mob yuav pom zoo kom noj cov vitamin folic acid thaum noj cov tshuaj no. Qhov laj thawj rau qhov no yog vim tias cov kev phiv ntawm Methotrexate tuaj yeem txo qis los ntawm folic acid.
- Xeev siab thiab ntuav
- Mob qhov ncauj
- Mob taub hau
- Xav tias nkees
Yuav ua li cas yog tias muaj cov kev mob tshwm sim no?
Qhov no yog qhov tseem ceeb tshaj plaws. Yog tias koj muaj kev hloov pauv hauv koj lub cev, cov tsos mob tshiab, lossis kev tsis xis nyob vim yog cov tshuaj uas koj noj rau AS, thawj qhov thiab qhov zoo tshaj plaws uas koj yuav tsum ua yog qhia rau koj tus kws kho mob tam sim ntawd.
Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas ntawm koj tus kheej. Ua li ntawd yuav ua rau nws nyuaj rau tswj koj tus mob.
Koj tus kws kho mob yuav pab koj. Nws yuav:
- Cov tshuaj uas koj tau txais yuav raug txo me ntsis .
- Koj yuav raug hloov mus rau lwm yam tshuaj .
- Nrog rau cov tshuaj tam sim no, yuav muab lwm cov tshuaj los tswj cov kev mob tshwm sim .
Lub ntsiab lus ntawm no yog rau koj thiab koj tus kws kho mob ua haujlwm ua ke ua ib pab pawg kom nrhiav tau txoj kev kho mob zoo tshaj plaws uas ua haujlwm rau koj lub cev, nrog rau qhov tshwm sim tsawg tshaj plaws, thiab muaj kev pheej hmoo tsawg tshaj plaws. Yog li ntawd, tsis txhob ntshai dab tsi, thiab tham nrog koj tus kws kho mob txog txhua yam qhib siab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis yog txhua yam tshuaj rau Ankylosing Spondylitis (AS) ua rau muaj kev phiv, thiab tsis yog txhua tus yuav muaj kev phiv.
- Kev paub txog cov kev mob tshwm sim yog ib qho ntawm cov kauj ruam zoo tshaj plaws los tswj lawv.
- Yog tias koj muaj kev tsis xis nyob vim koj cov tshuaj, tsis txhob txiav txim siab ib leeg xwb, thiab nrog koj tus kws kho mob tham tas li.
- Koj tus kws kho mob lub hom phiaj yog nrhiav kev kho mob uas ua haujlwm zoo tshaj plaws rau koj thiab muaj cov kev mob tshwm sim tsawg tshaj plaws.
- Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob raws sijhawm thiab tham txog koj tus mob nrog koj tus kws kho mob tsis tu ncua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus