Koj lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob uas tiv thaiv koj ntawm kab mob, qee zaum yuam kev pib tawm tsam koj cov hlwb noj qab haus huv. Tus mob no hu ua tus kab mob autoimmune. Tsuas yog cov neeg uas tau raug kev txom nyem los ntawm nws thiaj paub tias nws nyuaj npaum li cas rau kev nyob nrog qhov mob pob qij txha, o, thiab mob nqaij uas nws ua rau. Yog li, koj tus kws kho mob puas tau sau ib hom tshuaj hu ua DMARDs rau koj? Los yog koj puas tau hnov txog lawv? Hnub no, cia peb tham txog cov DMARDs no yog dab tsi, lawv ua haujlwm li cas, thiab koj yuav tsum paub dab tsi txog lawv.
DMARDs yog dab tsi? Hais yooj yim xwb...
DMARDs sawv cev rau Disease-Modifying Antirheumatic Drugs . Txawm hais tias lub npe zoo li nyuaj me ntsis, txoj haujlwm yeej yooj yim heev. Cov no yog cov tshuaj tshwj xeeb uas tiv thaiv koj lub cev tiv thaiv kab mob kom tsis txhob ua haujlwm ntau dhau thiab ua rau koj lub cev puas tsuaj.
Xav txog koj lub cev tiv thaiv kab mob zoo li ib pab tub rog uas tiv thaiv ib lub teb chaws. Feem ntau, pab tub rog no tsuas yog tawm tsam cov yeeb ncuab txawv teb chaws (cov kab mob). Tab sis hauv tus kab mob autoimmune, pab tub rog no mus yuam kev thiab tawm tsam cov neeg tsis muaj txim hauv nws lub teb chaws (cov nqaij noj qab haus huv hauv lub cev). Qhov DMARDs ua yog ua kom pab tub rog no nyob twj ywm thiab ua kom nws rov ua haujlwm zoo dua.
Cov txiaj ntsig tseem ceeb uas koj tau txais los ntawm cov tshuaj no yog:
- Nws txo qhov o ntawm lub cev, uas txhais tau tias o, liab, thiab mob.
- Txo qhov mob.
- Ua rau qeeb qeeb qhov kev sib kis lossis qhov hnyav ntawm tus kab mob.
- Txo lossis tiv thaiv kev puas tsuaj rau koj cov pob txha thiab cov pob qij txha uas tshwm sim los ntawm tus kab mob.
- Pab kom muaj kev ua haujlwm zoo ntawm cov pob qij txha.
Cov tshuaj DMARDs siv rau cov kab mob twg?
Cov kws kho mob feem ntau siv DMARDs los tswj ntau yam mob autoimmune uas ua rau o. Tej zaum koj yuav tau hnov txog qee cov no.
| Lub Npe Kab Mob (Mob) | Ib qho kev taw qhia luv luv |
|---|---|
| Mob Pob Qij Txha Rheumatoid | Ib qho mob uas feem ntau ua rau mob, o, thiab mob nqaij hauv cov pob qij txha. |
| Ankylosing Spondylitis | Ib hom mob pob qij txha uas feem ntau cuam tshuam rau tus txha nraub qaum. |
| Mob Pob Qij Txha Psoriasis | Psoriasis yog ib hom mob pob qij txha uas tshwm sim rau qee tus neeg uas muaj psoriasis. |
| Lupus | Ib yam kab mob uas tuaj yeem cuam tshuam rau ntau yam kabmob xws li daim tawv nqaij, pob qij txha, raum, thiab lub hlwb. |
| Mob Pob Qij Txha Idiopathic Rau Cov Hluas | Mob pob qij txha rau cov menyuam yaus hnub nyoog qis dua 16 xyoo. |
| Kab mob Scleroderma | Ib yam kab mob uas nws tus yam ntxwv tseem ceeb yog ua rau daim tawv nqaij tawv thiab tuab. |
| Kab mob Multiple Sclerosis | Ib yam kab mob ntawm lub paj hlwb uas cuam tshuam rau lub hlwb thiab tus txha caj qaum. |
Ntxiv rau, DMARDs kuj tsis tshua muaj siv rau qee hom mob qog noj ntshav thiab rau uveitis, uas yog ib qho mob o ntawm lub qhov muag uas tsis tau teb rau lwm yam kev kho mob.
Muaj hom DMARDs twg?
DMARDs muaj ob pawg loj.
1. Cov tshuaj DMARD ib txwm muaj
Cov no yog thawj hom DMARDs uas tau tshawb pom. Cov tshuaj no ua haujlwm los ntawm kev ua kom lub cev tiv thaiv kab mob tag nrho so. Vim tias lawv muaj tsawg tsawg qhov kev phiv, koj tus kws kho mob yuav sau ntawv kom noj hom tshuaj no ua ntej. Cov no feem ntau noj ua tshuaj ntsiav.
Piv txwv li:
- Azathioprine
- `Hydroxychloroquine`
- Leflunomide
- Tshuaj Methotrexate
- Cov tshuaj sulfasalazine
2. Cov Tshuaj DMARDs Txog Kab Mob (Biologics)
Cov no yog cov tshuaj tshiab, zoo heev. Lawv zoo li cov neeg tua phom tua neeg. Lawv tsis cuam tshuam rau tag nrho lub cev tiv thaiv kab mob zoo li cov tshuaj DMARD ib txwm muaj,Lawv tsuas yog tsom thiab tawm tsam cov hlwb tiv thaiv kab mob tshwj xeeb uas ua rau muaj teeb meem.
Cov no feem ntau muaj zog dua thiab ua tau zoo dua li cov tshuaj DMARD ib txwm muaj. Txawm li cas los xij, lawv kuj muaj kev pheej hmoo siab dua me ntsis ntawm cov kev mob tshwm sim. Yog tias koj cov tshuaj ib txwm tsis zoo dua, koj tus kws kho mob yuav txiav txim siab pib koj noj hom tshuaj no ua kauj ruam tom ntej.
Feem ntau cov tshuaj no yog muab los ntawm kev txhaj tshuaj rau hauv cov hlab ntsha (IV), lossis txhaj rau hauv qab daim tawv nqaij. Yog tias koj xav tau kev txhaj tshuaj zoo li no, koj tus kws kho mob lossis tus nais maum yuav qhia koj yuav ua li cas txhaj tshuaj kom muaj kev nyab xeeb thiab raug.
Cov tshuaj DMARDs puas muaj cov kev mob tshwm sim?
Ib yam li lwm yam tshuaj, DMARDs tuaj yeem ua rau muaj qee yam kev mob tshwm sim. Txawm li cas los xij, tsis yog txhua tus neeg tau txais lawv. Cov no yuav txawv nyob ntawm hom tshuaj uas koj tau txais.
Tseem Ceeb: Tsis txhob ntshai thaum nyeem txog cov kev mob tshwm sim no. Koj tus kws kho mob yuav ua tib zoo xav txog cov kev pheej hmoo thiab cov txiaj ntsig ua ntej sau cov tshuaj no. Nws kuj tseem yuav qhia koj txog yuav ua li cas tswj cov teeb meem uas yuav tshwm sim.
| Hom kev phiv tshuaj | Cov tsos mob uas yuav tshwm sim |
|---|---|
| Cov kev mob tshwm sim uas tshwm sim rau ob hom tshuaj | |
| Kev pheej hmoo ntawm kev kis kab mob ntau ntxiv | Vim nws txo qis kev tiv thaiv kab mob, cov kab mob xws li mob khaub thuas thiab mob ntsws tuaj yeem tshwm sim tau yooj yim (qhov kev pheej hmoo no siab dua nrog cov tshuaj lom neeg). |
| Cov qe ntshav tsawg zuj zus | Tej zaum yuav muaj cov qe ntshav dawb txo qis (leukopenia), cov qe ntshav liab (anemia), lossis cov platelets (thrombocytopenia). |
| Cov enzymes siab dua | Qhov no tuaj yeem kuaj pom los ntawm kev kuaj ntshav. |
| Cov kev mob tshwm sim tshwj xeeb rau cov tshuaj DMARDs ib txwm muaj | |
| Teeb meem ntawm lub plab zom mov | Tsis qab los noj mov, xeev siab, ntuav, mob plab, raws plab. |
| Teeb meem ntawm daim tawv nqaij | Mob pob khaus ntawm daim tawv nqaij. |
| Cov kev mob tshwm sim tshwj xeeb rau cov tshuaj lom neeg | |
| Kev tshwm sim ntawm cov kab mob zais cia | Cov kab mob xws li mob ntsws (tuberculosis) thiab mob herpes, uas tau pw tsaug zog hauv lub cev tom qab kho tau zoo lawm, tuaj yeem rov tshwm sim dua. |
| Lwm yam | Cov roj cholesterol nce ntxiv, kev pheej hmoo ntawm cov ntshav txhaws, liab lossis o ntawm qhov chaw txhaj tshuaj. |
Cov tshuaj no pib ua haujlwm sai npaum li cas?
Nov yog ib qho teeb meem uas ntau tus neeg muaj. DMARDs tsis yog ib hom tshuaj uas koj tsuas noj thiab xav tias zoo xwb, zoo li tshuaj tua mob. Cov tshuaj no yuav siv sijhawm txij li ob peb lub lis piam mus txog ib hlis lossis ntau dua los ua kom lub cev tiv thaiv kab mob tsis txhob mob thiab tswj cov tsos mob.
Yog li ntawd, tsis txhob tsum noj tshuaj tsuas yog vim koj tsis hnov qhov sib txawv ntau hauv ob peb lub lis piam thawj zaug. Nws yog ib qho tseem ceeb heev uas yuav tsum ua siab ntev thiab txuas ntxiv siv cov tshuaj raws li koj tus kws kho mob qhia koj.
Thaum twg koj yuav tsum tau mus ntsib koj tus kws kho mob dua?
Tom qab koj pib siv DMARDs, koj tus kws kho mob yuav tsum tau mus ntsib koj tsis tu ncua kom paub seb cov tshuaj puas ua haujlwm thiab puas muaj tej yam tshwm sim tsis zoo. Tej zaum koj yuav tau kuaj mob thaum lub sijhawm no.
- Kev kuaj ntshav: Xyuas seb cov tshuaj puas ua haujlwm, seb lub siab puas raug cuam tshuam, thiab seb cov qe ntshav puas zoo li qub.
- Kuaj seb puas muaj kab mob: Kuaj seb puas muaj kab mob zais, tshwj xeeb yog tias koj noj tshuaj biologics.
- Kev kuaj duab xws li X-rays: Saib seb kev puas tsuaj rau cov pob qij txha hloov pauv li cas raws sijhawm.
Yog koj pom muaj tej yam tshwm sim tshiab, yog koj cov tsos mob hnyav zuj zus, lossis yog cov tshuaj zoo li tsis ua haujlwm zoo li yav dhau los, qhia rau koj tus kws kho mob tam sim ntawd.
Thaum xub thawj, DMARDs yuav zoo li nyuaj me ntsis. Muaj ntau hom tshuaj, thiab ntau lub npe sib txawv. Tab sis tsis txhob txhawj. Koj tus kws kho mob yuav pab koj xaiv cov tshuaj sib xyaw ua ke uas haum rau koj tus mob, muab cov txiaj ntsig zoo tshaj plaws, thiab muaj cov kev mob tshwm sim tsawg tshaj plaws. Tsis txhob yig nug nws txog tej lus nug uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- DMARDs yog ib hom tshuaj tshwj xeeb uas siv los kho cov kab mob autoimmune. Lawv ua haujlwm los ntawm kev ua kom koj lub cev tiv thaiv kab mob so.
- Cov tshuaj no tsis ua haujlwm tam sim ntawd zoo li cov tshuaj tua kab mob. Nws yuav siv sijhawm ntau lub lis piam lossis ntau lub hlis kom pom cov txiaj ntsig. Yog li ua siab ntev thiab txuas ntxiv siv lawv.
- Txawm hais tias tsis yog txhua tus neeg, tej zaum yuav muaj tej yam tshwm sim tsis zoo. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau nrog koj tus kws kho mob sib tham tas li.
- Tsis txhob hloov cov tshuaj uas tau muab los yog tsum tsis txhob noj tshuaj tam sim ntawd yam tsis tau koj tus kws kho mob qhia.
- Yog koj muaj lus nug txog koj cov tshuaj lossis koj tus mob, nug koj tus kws kho mob.
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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