Kodi muli ndi Ankylosing Spondylitis ? Ngati ndi choncho, mwina muli ndi ululu m'mbuyo, m'chiuno, ndi m'mafupa ena, komanso kuuma kwa m'mawa. Pochiza vutoli, madokotala amayamba ayesa kukupatsani mankhwala ochepetsa ululu monga Ibuprofen ndi Naproxen, omwe amatchedwa NSAIDS (mankhwala oletsa kutupa omwe si a steroidal) . Koma nthawi zina mankhwala awa sagwira ntchito kwa inu. Kapena simungathe kugwiritsa ntchito NSAID izi chifukwa cha mavuto ena azaumoyo. Pamenepo ndi pomwe dokotala wanu angaganizire mankhwala ena monga Sulfasalazine. Makamaka ngati muli ndi ankylosing spondylitis ndi matenda otupa m'matumbo (IBD) , Sulfasalazine nthawi zambiri imakhala yankho labwino.
Kodi mankhwala otchedwa Sulfasalazine amagwira ntchito bwanji m'thupi?
Mwachidule, Sulfasalazine ndi mankhwala omwe amaletsa kutupa m'thupi. Pali mankhwala otchedwa prostaglandins omwe amathandiza kupweteka ndi kutupa m'thupi lathu. Sulfasalazine imagwira ntchito poletsa kupanga mankhwala amenewo. Poyamba mankhwalawa adavomerezedwa kuti athetse vuto lotchedwa ulcerative colitis , lomwe limakhudza matumbo.
Koma sikuti imangochepetsa ululu. Madokotala amatcha mankhwalawa kuti DMARD (mankhwala oletsa matenda oletsa nyamakazi) . Kodi zimenezi zikutanthauza chiyani? Izi zikutanthauza kuti kuwonjezera pa kuchepetsa ululu ndi kutupa komwe kumachitika chifukwa cha nyamakazi, mankhwalawa amathanso kusintha mtundu wa matendawa. Izi zikutanthauza kuti sangangoletsa zizindikiro zokha, komanso kupewa kuwonongeka kwa mafupa anu kwa nthawi yayitali. Chifukwa chake, mankhwalawa angathandizenso kupewa zochita zanu za tsiku ndi tsiku kuti zisalephereke chifukwa cha ankylosing spondylitis.
Kodi mankhwalawa ndi othandiza bwanji pa matenda a ankylosing spondylitis?
Matenda a Ankylosing spondylitis amakhudza kwambiri msana. Sulfasalazine ndi yothandiza kwambiri ngati muli ndi vuto ndi mafupa anu, kuwonjezera pa msana wanu. Izi zikutanthauza kuti ingathandize kuchepetsa ululu ndi kutupa m'mafupa anu. Ingathandizenso kuchepetsa kuuma kwa msana wanu ndikukupangitsani kumva bwino.
Koma tiyeni tinene zoona. Kafukufuku sanatsimikizire bwino kuti kugwiritsa ntchito mankhwalawa kungathandize kwambiri kuyenda kwa msana kapena kukonza bwino ntchito yanu yakuthupi. Sikukhudzanso kwambiri matenda otupa omwe amapezeka m'misempha yomwe imalumikizana ndi mafupa.
Mu kafukufuku wina, sulfasalazine inayerekezeredwa ndi mankhwala ena otchedwa etanercept . Etanercept ili m'gulu la mankhwala otchedwa TNF-alpha inhibitors omwe amagwira ntchito mosiyana. Mu kafukufukuyu, etanercept inapezeka kuti ndi yothandiza kwambiri kuposa sulfasalazine. Chifukwa chake, ngati ma NSAID sakugwira ntchito kwa inu, pakhoza kukhala mankhwala ena omwe angakugwireni bwino kuposa sulfasalazine. Chinthu chabwino kwambiri choti muchite ndikulankhula ndi dokotala wanu za zomwe zili zoyenera kwa inu komanso ngati sulfasalazine ndi yoyenera kuyesa.
Kodi ndingagwiritse ntchito bwanji Sulfasalazine?
Izi zimabwera ngati piritsi. Chofunika kwambiri ndikumwa mankhwalawa pamodzi ndi chakudya. Kuti mupewe kuvutika m'mimba, imwani ndi galasi lonse la madzi. Dokotala wanu nthawi zambiri amakuyambitsani kumwa piritsi limodzi kapena awiri patsiku. Kenako, mutha kuwonjezera pang'onopang'ono mlingo ngati pakufunika.
Kumbukirani, ndikofunikira kumwa madzi ambiri kapena zakumwa zina tsiku lonse mukamamwa mankhwalawa. Musamwe mankhwalawa m'mimba yopanda kanthu. Komanso, musamwe mankhwalawa mutamwa mankhwala ochepetsa asidi a gastritis.
Mfundo ina yofunika ndi yakuti mankhwalawa akhoza kukhala ndi zotsatira zochepa pa kuyamwa kwa folate m'thupi. Chifukwa chake, dokotala wanu nthawi zambiri amakuuzani kuti mumwe mapiritsi a folic acid pamodzi ndi mankhwalawa. Izi ndizofunikira makamaka ngati muli ndi pakati kapena mukukonzekera kutenga pakati.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mapiritsi , imwani mwamsanga mukangokumbukira. Koma musamwe mapiritsi awiri nthawi imodzi. Ngati nthawi yanu yotsatira yatsala pang'ono, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, Sulfasalazine ikhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amalandira zotsatirapo zake. Tiyeni tiwone zotsatirapo zake zodziwika bwino komanso zosazolowereka.
| Zotsatirapo za Sulfasalazine | |
|---|---|
| Zotsatira zoyipa zomwe zimawonedwa kawirikawiri | |
| Mutu | Izi zitha kuchitika pamene mlingo wa mankhwala ukuwonjezeka. |
| Kusanza ndi kusanza | Kawirikawiri ndi kofala kwambiri kumayambiriro kwa mankhwala. |
| Malungo | Zitha kuchitika ngati yankho m'thupi. |
| Kutupa pakhungu | Kungakhale chizindikiro cha ziwengo. |
| Kusabereka kwa amuna | Kuchuluka kwa umuna kungachepe, koma izi zimabwerera mwakale mutasiya kumwa mankhwala. |
| Kuzindikira kuwala kwa dzuwa | Khungu limatha kupsa mosavuta. |
| Khungu ndi mkodzo zimakhala zachikasu | Palibe chifukwa chodera nkhawa ndi izi ndipo zimachitika chifukwa cha mankhwala. Komabe, ndikofunikira kudziwitsa dokotala. |
| Zotsatira zoyipa zomwe sizichitika kawirikawiri koma zomwe zingakhale zoopsa | |
| Matenda a chiwindi, chibayo, matenda a Stevens-Johnson, hemolysis, kutupa kwa impso, komanso kuchepa kwa maselo oyera m'magazi. | |
Musachite mantha ndi zotsatirapo zoyipa izi zomwe sizichitika kawirikawiri koma zoopsa. Dokotala wanu adzakuyang'anirani mosamala mukamamwa mankhwalawa. Pambuyo pa milungu 6 yoyamba, kenako miyezi 6 iliyonse, magazi anu adzayesedwa kuti awone kuchuluka kwa maselo a m'magazi ndi momwe impso zanu zimagwirira ntchito. Ngati mukupeza zizindikiro zatsopano zomwe mukuganiza kuti zingakhale zotsatirapo za mankhwalawa, uzani dokotala wanu nthawi yomweyo.
Ndani sayenera kugwiritsa ntchito Sulfasalazine?
Ngati muli ndi vuto la mankhwala a sulfa, simuyenera kumwa mankhwalawa. Komabe, nthawi zina, ngakhale mutakumana ndi zizindikiro zazing'ono za vuto la ziwengo mukayamba kumwa mankhwalawa, mankhwalawa amagwira ntchito bwino pa vuto lanu la ankylosing spondylitis. Zikatero, lankhulani ndi dokotala wanu ngati kuli koyenera kupitiriza kumwa mankhwalawa. N'zotheka kuti thupi lanu lizolowere pang'onopang'ono mankhwalawo ndipo zotsatira zake zidzatha. Zikatero, dokotala wanu adzayamba ndi mlingo wochepa kwambiri ndikuwonjezera mlingo pang'onopang'ono.
Uthenga Wopita Nawo Kunyumba
- Sulfasalazine si mankhwala opha ululu okha, koma ndi mankhwala ochepetsa matenda a nyamakazi (DMARD ) omwe amaletsa kuwonongeka kwa mafupa.
- Imwani mankhwalawa nthawi zonse mutadya komanso madzi ambiri. Pewani kumwa mankhwalawa muli ndi mimba yopanda kanthu.
- Mukamamwa mankhwala , onetsetsani kuti mwalandira mayeso a magazi kuchokera kwa dokotala wanu pa nthawi yake . Izi ndizofunikira kwambiri kuti mukhale otetezeka.
- Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zachilendo, makamaka malungo, ziphuphu pakhungu, kapena kutopa kwambiri.
- Ngakhale kuti chiwerengero cha umuna mwa amuna chingakhudzidwe, chimakhala cha kanthawi kochepa ndipo chimabwerera mwakale akasiya kumwa mankhwala.
- Musasiye kumwa mankhwala kapena kusintha mlingo pazifukwa zilizonse popanda upangiri wa dokotala.
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