Kodi mphumu yanu ndi yovuta kuilamulira? Tiyeni tiphunzire za mankhwala atsopano a biologic!

Tikamaganizira za mphumu, ambiri a ife timaganiza za inhaler. Ndipotu, kwa anthu ambiri, inhaler ndi yothandiza kwambiri poletsa mphumu yawo. Koma nthawi zina, makamaka kwa iwo omwe ali ndi mphumu yoopsa pang'ono, nthawi zina zimakhala zovuta kugwiritsa ntchito inhaler moyenera. Kupuma kumakhala kovuta komanso kotopetsa. Chifukwa chake lero tikambirana za njira yatsopano yochiritsira yomwe yayambitsidwa kuti ithetse matenda oopsa a mphumu. Imatchedwa Biologic Therapy.

Mwachidule, kodi Biologic Therapy ndi chiyani?

Iyi ndi njira yatsopano yochizira mphumu yoopsa. Chopumira chomwe timagwiritsa ntchito nthawi zambiri chimamasula minofu yozungulira njira zopumira, zomwe zimapangitsa kuti kupuma kukhale kosavuta. Koma njira imeneyi yachilengedwe ndi yosiyana pang'ono.

Tangoganizani kuti pali zinthu zazing'ono mkati mwa matupi athu zomwe zimayambitsa mphumu, kutanthauza kutupa m'njira zopumira. Izi zimatchedwa ma antibodies, maselo, kapena mamolekyu . Chithandizo cha biologic chimalimbana ndi ndikuletsa zomwe zimayambitsa mphumu. Zili ngati kupeza muzu wa vutoli ndikulithetsa.

Chithandizochi chimachepetsa kuchuluka kwa matenda a mphumu, chimakweza moyo, ndipo kwa anthu ena, chingathandizenso kuti mapapo azigwira bwino ntchito.

Kodi mankhwalawa amaperekedwa bwanji m'thupi?

Chithandizo cha zamoyo sichingamwedwe ngati piritsi. Chimaperekedwa m'njira ziwiri zazikulu:

1. Monga jakisoni: Iyi ndi jakisoni pansi pa khungu. M'mawu azachipatala, imatchedwa jakisoni wa subcutaneous .

2. Mwa kuuika m'mitsempha: Monga momwe zimakhalira popereka saline, mankhwalawo amaperekedwa m'thupi kudzera mu cannula. Izi zimatchedwa intravenous (IV) infusion .

Izi zikutanthauza kuti muyenera kupitiriza kumwa mankhwala omwe dokotala wanu wakupatsani, monga:

• Mankhwala a ziwengo: Izi zitha kuphatikizapo corticosteroids , antihistamines , ndi mankhwala a antileukotriene (monga montelukast ).
• Jakisoni wa ziwengo: Umatchedwanso kuti immunotherapy , izi zimatha kuchepetsa zizindikiro za ziwengo pakapita nthawi.
• Mankhwala oletsa mphumu: Mankhwala aliwonse oletsa mphumu omwe aperekedwa kuti achepetse mphumu yanu ayenera kupitiliza ndi mankhwalawa.

Kodi chithandizochi n’choyenera kwa ndani kwenikweni?

Si odwala onse a mphumu omwe amapatsidwa chithandizo chamankhwala. Dokotala wanu adzaganizira zinthu zingapo asanakulimbikitseni chithandizochi. Onani ngati mwakumanapo ndi chilichonse mwa izi.

• Ngati zizindikiro zanu sizikuthetsedwa ngakhale mutagwiritsa ntchito mankhwala a mphumu omwe mwapatsidwa, makamaka omwe mumagwiritsa ntchito popaleshoni yanu, moyenera .
• Ngati muli ndi zinthu zina zomwe zili m'magazi anu , makamaka ma eosinophils ( mtundu wa maselo oyera amagazi omwe amayambitsa kutupa m'mapapo) kapena kuchuluka kwa zinthu zomwe zimayambitsa ziwengo (immunoglobulin E kapena IgE) .
• Ngati mukudziwa chomwe chimayambitsa mphumu yanu ndikuyesera kuzipewa, koma zizindikiro zanu zikupitirirabe .
• Ngati mudzuka pakati pa usiku chifukwa chovutika kupuma .
• Ngati mukuyenera kugwiritsa ntchito inhaler yanu yopulumutsa anthu okalamba kuposa kawiri pa sabata.
• Ngati mukuyenera kugwiritsa ntchito mankhwala monga corticosteroids kuti muchepetse kutupa m'njira zopumira mpweya nthawi zoposa kawiri pachaka pamene mphumu yanu ikukulirakulira.
• Ngati muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) kangapo pachaka chifukwa cha zizindikiro za mphumu.
• Ngati mwakhala m'chipatala ndi kulandira chithandizo chifukwa cha mphumu.

Ngati muli ndi vuto ngati ili, ndikofunikira kwambiri kulankhula ndi dokotala wanu ngati chithandizo cha biologic chili choyenera kwa inu.

Kodi mitundu iti ya mankhwala achilengedwe omwe amagwiritsidwa ntchito pa mphumu?

Pali mitundu ingapo ya mankhwala achilengedwe omwe amavomerezedwa ndi mabungwe monga U.S. Food and Drug Administration (FDA). Aliyense wa iwo amagwira ntchito mosiyana pang'ono. Tiyeni tiwone zomwe zili.

Mafunso ena omwe mungakhale nawo okhudza chithandizochi

Ndizachilendo kuti mafunso ambiri abwere m'maganizo mwanu mukakambirana za chithandizo chatsopano ngati ichi. Tiyeni tiwone mayankho ake.

Kodi chithandizocho chimatenga nthawi yayitali bwanji?

Pakadali pano, palibe malangizo enieni okhudza nthawi yomwe mankhwalawa ayenera kutengedwa. Zingatenge miyezi yosachepera inayi kuti mudziwe ngati akuchepetsa zizindikiro za mphumu yanu. Chifukwa chake, amaonedwa ngati chithandizo cha nthawi yayitali.

Kodi mankhwala abwino kwambiri a biologic ndi ati?

Sizingatheke kunena kuti mankhwala ena ndi abwino kuposa ena. Palibe kafukufuku woyerekeza mankhwala awa ndi ena. Dokotala wanu adzasankha mankhwala omwe ndi abwino kwa inu. Adzaganizira zinthu zambiri, monga mayeso anu opumira, mayeso a magazi, ndi mtundu wa mphumu yomwe muli nayo.

Kodi ndiyenera kupitiriza kugwiritsa ntchito inhaler?

Inde! Inde. Izi ndizofunikira kwambiri. Ngakhale mutayamba kugwiritsa ntchito mankhwala a biologic, musasiye kugwiritsa ntchito mankhwala anu opumira ndi mankhwala ena a mphumu. Ngati mphumu yanu yayendetsedwa bwino, dokotala wanu akhoza kuchepetsa mlingo wa mankhwala anu opumira pakapita nthawi. Koma chisankho chimenecho chili ndi inu.

Kodi ubwino wa mankhwala a biologic ndi wotani?

Phindu lalikulu la chithandizochi ndi kuchepetsa kutupa m'njira zopumira komanso kuchepetsa zizindikiro za mphumu. Kuphatikiza apo, palinso maubwino ena angapo:

• Mudzatha kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi .
• Mphumu imakula, nthawi zambiri kuthamangira ku ETU kumachepa.
• Kufunika kapena mlingo wa mankhwala a ziwengo kungachepe.
• Ndimagona bwino chifukwa sindidzuka usiku chifukwa ndimavutika kupuma.
• Chiwerengero cha masiku omwe simungapite kusukulu kapena kuntchito chifukwa cha mphumu chidzachepa.

Kodi pali zoopsa zilizonse ndi chithandizochi?

Kawirikawiri, chithandizo cha biologic ndi chotetezeka. Komabe, monga mankhwala ena onse, pali zoopsa zina ndi zotsatirapo zake.

• Matenda oopsa a ziwengo: Nthawi zambiri, anthu ena amakhala ndi vuto lalikulu la ziwengo chifukwa cha mankhwala awa. Angayambitse ziphuphu pakhungu, kuyabwa, ziphuphu, komanso nthawi zina matenda oopsa otchedwa anaphylaxis . Koma musachite mantha. Ichi ndichifukwa chake madokotala amakuyang'anirani kwa maola awiri mutakupatsani mankhwalawo.
• Kuwonjezeka kwa chiopsezo cha matenda opatsirana ndi tizilombo toyambitsa matenda: Mankhwala achilengedwe, makamaka omwe amachepetsa kuchuluka kwa eosinophils m'magazi, angapangitse chiopsezo chotenga matenda opatsirana ndi tizilombo toyambitsa matenda. Ma eosinophils awa ndi maselo omwe amathandiza chitetezo chathu cha mthupi kumenyana ndi tizilombo toyambitsa matenda, makamaka helminths .
• Mphumu ikuipiraipira ngati chithandizo chayimitsidwa: Ngati musiya chithandizo cha biologic mwadzidzidzi, pali mwayi woti zizindikiro zanu za mphumu zidzaipiraipira kuposa kale.

Kodi ndi liti pamene muyenera kulankhula ndi dokotala wanu?

Onetsetsani kuti mwalankhula ndi dokotala wanu pazochitika zotsatirazi.

• Ngati zizindikiro zanu za mphumu sizikuchepa kapena zikuoneka kuti zikuipiraipira patatha miyezi ingapo mutalandira chithandizo.
• Ngati zizindikiro zatsopano za ziwengo (monga ziphuphu pakhungu, kuyabwa) zayamba kuonekera.
• Ngati mwaphonya tsikulo muyenera kumwa mankhwala anu kapena muyenera kuwasintha.
• Ngati muli ndi mafunso ena kapena kukayikira za chithandizochi.

Kodi ndingapeze kuti chithandizochi? Kodi chimathandizidwa ndi inshuwalansi?

Dokotala wodziwa bwino za mphumu adzasankha ngati chithandizo cha biologic chili choyenera kwa inu. Iye adzawunikanso zizindikiro zanu, mankhwala omwe alipo, ndi zotsatira za mayeso a magazi. Chithandizochi nthawi zambiri chimaperekedwa ku ofesi ya katswiri kapena m'chipinda chapadera (malo operekera mankhwala) kuchipatala.

Chithandizochi chingakhale chokwera mtengo kwambiri, choncho lankhulani ndi dokotala wanu kuti muwone ngati inshuwalansi yanu ingakuthandizeni. Iye angakuthandizeni kutsimikizira izi polankhula ndi kampani yanu ya inshuwalansi. Makampani ena opanga mankhwala amaperekanso mapulogalamu othandizira ndalama kwa anthu omwe amalandira chithandizochi.