Kodi tiyenera kudziwa za zotsatirapo zoyipa za mankhwala a Ankylosing Spondylitis?

Ngati muli ndi ankylosing spondylitis, mwina mukudziwa kufunika kochita masewera olimbitsa thupi limodzi ndi mankhwala omwe dokotala wanu wakupatsani. Mankhwalawa angathandize kuchepetsa ululu wanu ndikukuthandizani kuti muzitha kupirira tsiku lanu mosavuta. Komabe, nthawi zina mankhwala awa angayambitse zotsatirapo zazing'ono. Koma musadandaule, izi sizili choncho kwa aliyense. Thupi la aliyense limayankha mankhwala mosiyana. Chifukwa chake, ndikofunikira kupeza mankhwala oyenera inu, ndi zotsatirapo zochepa kwambiri. Lero, tikambirana za mankhwala awa ndi zotsatirapo zake zomwe zingachitike.

Mankhwala oyamba: NSAIDs

Izi ndi mankhwala oyamba ochepetsa ululu omwe madokotala nthawi zambiri amapereka kwa anthu omwe ali ndi ankylosing spondylitis. Mankhwalawa amatchedwa mankhwala oletsa kutupa omwe si a steroidal, kapena NSAIDs . Mwina mukudziwa mayina awa: Ibuprofen, Naproxen, Indomethacin, Celecoxib, ndi zina zotero. Awa ndi mankhwala omwe ali mgululi.

Izi zimagwira ntchito makamaka pochepetsa kutupa ndi kupweteka m'mafupa anu. Komabe, mankhwalawa angayambitse zotsatira zina zoyipa akamwedwa mopitirira muyeso kwa nthawi yayitali.

Mankhwala amakono: Biologics (IL-17 ndi JAK Inhibitors)

Ngati mankhwala a NSAID ndi ovuta kulamulira zizindikiro zanu, dokotala wanu angakulangizeni mtundu wapadera wa mankhwala otchedwa biologics. Mankhwalawa amagwira ntchito polimbana ndi mankhwala enaake m'thupi omwe amayambitsa kutupa ndikuletsa kugwira ntchito kwawo.

Zoletsa za IL-17

Mankhwala a Secukinumab (Cosentyx) ndi Ixekizumab (Taltz) ndi awiri mwa mitundu iyi ya mankhwala. Amaperekedwa ngati jakisoni. Ngakhale kuti ndi othandiza kwambiri, amatha kukhala ndi zotsatirapo zina.

• Matenda Otupa a M'mimba (IBD): Mankhwalawa angayambitse IBD mwa anthu ena kapena zizindikiro zake zimawonjezeka ngati muli nayo kale.
• Matenda: Popeza mankhwala awa sakhudza chitetezo cha mthupi cha munthu, chiopsezo chotenga matenda opatsirana (monga chimfine ndi chimfine) chikhoza kuwonjezeka pang'ono.
• Kuopsa kwa khansa: Ngakhale kuti mayeso a labotale asonyeza kuti mbewa zingadwale khansa, palibe umboni womveka bwino wa kuopsa kwa khansa kwa anthu. Musadandaule kwambiri ndi izi, dokotala wanu adzakuphunzitsani izi.

Zoletsa za JAK

Tofacitinib (Xeljanz) ndi mtundu wa mankhwala omwe angatengedwe ngati mapiritsi. Amathandizanso kuchepetsa kutupa. Zina mwa zotsatirapo zake ndi izi :

• Mutu
• Kutsegula m'mimba
• Kutopa
• Kugunda kwa mtima
• Chiwopsezo chochepa cha kuwonongeka kwa chiwindi

Mankhwala omwe sagwiritsidwa ntchito kawirikawiri

Nthawi zina, mankhwala ena angawonjezedwe mu dongosolo lanu la chithandizo.

Mankhwala a steroid (Corticosteroids)

Izi nthawi zambiri sizimaperekedwa pochiza matenda a ankylosing spondylitis kwa nthawi yayitali. Komabe, ngati ululu ndi kutupa mwadzidzidzi zakula kwambiri , dokotala wanu angakupatseni jakisoni wa steroid m'malo otupa. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse zotsatirapo zambiri. Chifukwa chake, amagwiritsidwa ntchito kwakanthawi kochepa, ngati pakufunika kutero. Zina mwa zotsatirapo zake ndi izi:

• Kudya kwambiri komanso kunenepa kwambiri
• Kutupa kwa nkhope, ziphuphu
• Kukula kwa tsitsi m'thupi
• Kutupa kosavuta
• Matenda a shuga (shuga) kapena kuipiraipira ngati alipo
• Kuthamanga kwa magazi
• Matenda a cataract kapena glaucoma
• Matenda a mafupa

Mankhwala ena opweteka mafupa (Sulfasalazine ndi Methotrexate)

Ngati, kuwonjezera pa ululu wanu wamsana, mulinso ndi ululu m'mafupa ena, monga mapewa anu, manja, ndi miyendo, dokotala wanu angakulangizeni mankhwala awa.

Sulfasalazine (Azulfidine): Iyi ndi piritsi. Zotsatirapo zake sizimachitika kawirikawiri, koma anthu ena amatha kukhala ndi malungo, nseru, kutupa pakhungu, komanso mutu.

Methotrexate: Itha kumwedwa ngati piritsi kapena jakisoni . Mukamwa mankhwalawa, dokotala wanu angakulangizeni kuti mumwe vitamini folic acid kuti muchepetse zotsatirapo zake . Zotsatirapo zake zingakhale monga nseru, zilonda pakamwa, komanso kutopa.

Kodi mungachite chiyani ngati zotsatirapo zake zichitika?

Ichi ndi gawo lofunika kwambiri. Ngati mukukumana ndi kusintha kulikonse kapena kusasangalala m'thupi lanu chifukwa cha mankhwala omwe mukumwa, choyamba komanso chabwino kwambiri choti muchite ndikudziwitsa dokotala wanu.

Mukauza dokotala wanu za izi, iye akhoza:

• Chepetsani mlingo wa mankhwala.
• Sinthani mankhwala ena omwe akukuyenererani.
• Perekani mankhwala ena owonjezera kuti muchepetse zotsatirapo zake.

Mwachitsanzo, ngati muli ndi ululu m'mimba chifukwa cha NSAID, dokotala wanu angakupatseni mankhwala ena omwe amateteza m'mimba mwanu nthawi yomweyo. Choncho, musaope kulankhula ndi dokotala wanu za zonsezi momasuka. Pamodzi, inu ndi dokotala wanu mutha kupeza njira yothandizira yomwe ingakuthandizeni komanso yomwe ili ndi zotsatirapo zochepa.