Unomuka mangwanani uine kurwadziwa kwakasimba, kuzvimba, uye kusingatsungiririki mumajoini ako here? Majoini ako akaita semabvi nemagokora ako anorwadziwa here? Pamwe chiremba wako akakuudza kuti utange mushonga unonzi 'DMARDs'. Wakatya here pawakanzwa zita iroro? Wakafunga here kuti, 'Mushonga werudzii uyu?'? Usazvidya moyo. Nhasi, tichataura nezvemaDMARD aya nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi DMARD muchidimbu?
Fungidzira kuti kune muchengeti akangwara kwazvo mumuviri wedu. Tinoti muchengeti uyu sisitimu yekudzivirira muviri . Basa rake guru nderekutidzivirira kubva kuzvirwere nekurwisa utachiona hunokonzera zvirwere (senge mavhairasi nemabhakitiriya) hunopinda mumuviri huchibva kunze.
Asi dzimwe nguva, kashoma, murindi wedu uyu anoita chikanganiso chidiki. Anofunga kuti masero ane hutano mumuviri wake, kunyanya munzvimbo dzakadai semajoini edu, ndiwo muvengi uye anotanga kuarwisa. Zvakafanana nekukanda matombo kumba kwake. Isu tinoti chirwere ichi chirwere che autoimmune .
Apa ndipo panopinda mhando yemishonga inonzi DMARDs. DMARDs dzinoreva 'Mishonga Inochinja Zvirwere Inorwisa Marwadzo'. Zita racho ringanzwika serakareba, asi zviri nyore. Zvinoitwa nemishonga iyi kudzikamisa uye kudzora masoja emuviri, ayo anonyanya kushanda uye achirwisa muviri wawo.
Kune mabhenefiti makuru akawanda anopiwa nemushonga uyu kumuviri wedu:
- Inoderedza kuzvimba uye kuzvimba mumajoini.
- Zvinokubatsira kudzora marwadzo aunonzwa.
- Zvinoderedza kupararira kana kuoma kwechirwere.
- Inoderedza kana kudzivirira kukuvara kwemapfupa nemapfupa zvachose .
- Zvinokubatsira kuti majoini ako arambe achishanda zvakanaka uye kuti uite mabasa ako ezuva nezuva.
Ndezvipi zvirwere zvinoshandiswa neDMARD?
Vanachiremba vanoshandisa mishonga iyi, inonzi DMARDs, kunyanya kudzora kuzvimba kunokonzerwa nezvirwere zvinorwisa muviri. Heano mimwe mienzaniso mishoma:
- Arthritis ine rheumatoid
- Ankylosing spondylitis
- Arthritis yePsoriatic
- Lupus
- Arthritis yevana idiopathic
- Scleroderma
- Multiple sclerosis
- Chirwere cheSjögren
- Myositis
- Rumatoid vasculitis
- Chirwere chemudumbu chinozvimba - semuenzaniso, chirwere cheCrohn
Pamusoro pezvo, mishonga yeDMARD inogona kushandiswawo kurapa mamwe marudzi ekenza asingawanzoitiki.
Ndeapi marudzi makuru eDMARD?
MaDMARD anogona kukamurwa kuita mapoka maviri makuru. Mashandiro aanoita uye mashandisirwo aanoitwa akasiyana zvishoma.
| Rudzi rweDMARD | Tsananguro iri nyore | Mienzaniso inowanzo shandiswa |
|---|---|---|
| MaDMARD echinyakare | Mishonga iyi inokanganisa masoja ese emuviri, zvichiita kuti mashandiro awo aderedze. Rudzi urwu rwemushonga runowanzova rwekutanga. Ruzhinji rwunouya rwuri muchimiro chemapiritsi anonwiwa nemuromo. |
|
| Zvipenyu | Iyi mishonga mitsva, yepamusoro-soro. Yakaita se'chikombora chinotungamirwa'. Inonanga nekurwisa chikamu chakati chemasero emuviri ari kukonzera chirwere ichi, pasina kukanganisa muviri wese. Inowanzopihwa semushonga weIV kana jekiseni repasi peganda. |
Chiremba wako ndiye achasarudza kuti ndeipi yemhando mbiri idzi yekukupa, kana kuti anofanira kukupa dzose dziri mbiri, zvichienderana nemamiriro ako ezvinhu, kuoma kwawo, uye kuti chii chinonyatsoshanda mumuviri wako.
Nyaya inotyiwa nemunhu wese: Pane migumisiro yakaipa here?
Kufanana nemushonga upi zvawo, mishonga yeDMARD inogona kukonzera mimwe migumisiro yakaipa. Asi usavhunduke nerunyorwa urwu. Havasi vese vanozowana migumisiro iyi yese. Chiremba wako achakurapa nenzira inoderedza njodzi iyi.
| Rudzi rwemhedzisiro yakaipa | Tsananguro uye zvekuziva |
|---|---|
| Migumisiro inogona kuitika inowanzoonekwa kune marudzi ese eDMARD | |
| Njodzi yakakura yekutapukirwa | Nekuti mishonga iyi inodzvinyirira masoja emuviri, unogona kutapukirwa nezvirwere zvakaita sedzihwa nefuruu zviri nyore (njodzi yacho yakanyanya zvishoma kana ukashandisa biologics). Saka zvakakosha kuti usasvike pedyo nevanhu vanorwara munzvimbo dzine vanhu vakawanda. |
| Kuderera kwemasero eropa | Nhamba yemasero machena eropa (leukopenia), masero matsvuku eropa (anemia), uye maplatelet (thrombocytopenia) zvinogona kudzikira. Ndosaka chiremba achiwanzoita bvunzo dzeropa. |
| Ma enzymes echiropa akakwira | Mamwe maDMARD anogona kukanganisa chiropa. Izvi zvinoongororwawo kuburikidza nekuongororwa kweropa. |
| Migumisiro inogona kuitika kune mishonga yechinyakare yeDMARD | |
| Matambudziko ekugaya chikafu | Kushaya chido chekudya, kuda kurutsa, kurutsa, kurwadziwa mudumbu, uye manyoka zvinogona kuitika. |
| Mapundu eganda | Vamwe vanhu vanogona kuva nemapundu paganda. |
| Migumisiro inogona kuitika kune biologics | |
| Kudzokazve kwehutachiona hwekare | Kana wakamborwara nezvirwere zvakaita seTB, herpes, kana hepatitis, mishonga iyi inogona kudzoreredza zviratidzo zvechirwere ichi. Saka, chiremba wako achaongorora izvi asati atanga kushandisa mushonga wacho. |
| Maitiro enzvimbo yekubaiwa jekiseni | Panogona kunge paine kutsvuka, kuzvimba, kana kurwadziwa panzvimbo yekubaiwa jekiseni. |
Chinhu chinonyanya kukosha ndechekuzivisa chiremba wako nekukasika kana ukaona zviratidzo zvitsva kana migumisiro yakaipa.
Zvinotora nguva yakareba sei kuti mushonga uyu ushande?
Uyu mubvunzo unokosha zvikuru. Mishonga yeDMARD haisi mushonga waunotora nekukurumidza paunongoitora, semushonga unouraya marwadzo. Mishonga iyi inotora nguva kuti ipinde mumuviri, idzore masoja emuviri, uye iratidze mhedzisiro.
- MaDMARD echinyakare anogona kutora mwedzi kana kupfuura kuti ashande.
- Zvirwere zvemuviri zvinowanzotanga kushanda mukati memavhiki mashoma .
Usazvidya mwoyo kana kurwadziwa kusingapere ipapo ipapo paunotanga kutora mushonga uyu. Zvinotora nguva kuti uone mhedzisiro, saka zvakakosha kuva nemoyo murefu. Chiremba wako achakupa mimwe mishonga yekubatsira kudzora marwadzo panguva iyoyo.
Ndinofanira kuona chiremba zvakare rini?
Kana wangotanga kushandisa DMARD, chiremba wako achakutarisa nguva nenguva. Saka zvakakosha kuenda kukiriniki nenguva. Unowanzosangana nezvinotevera:
- Kuongororwa ropa nguva dzose: Uchakumbirwa kuti uongororwe ropa nguva dzose kuti uone kana mushonga uri kushanda nemazvo uye kana paine zvimwe zvinokanganisa (huwandu hwemasero eropa, mashandiro echiropa).
- Kuongororwa hutachiona: Uchaongororwa nguva nenguva kana uine hutachiona, kunyanya kana uri kutora biologics.
- Miedzo yakaita seX-rays: Miedzo yakaita seX-rays inogona kuitwa nguva nenguva kuti ione kana majoini akakuvara.
Kana ukaona mimwe migumisiro mitsva, uchinzwa sekuti mushonga hausi kushanda, kana kuti zviratidzo zvako zvikawedzera, taura nachiremba wako nekukasika, usingamirire nguva inotevera yekuenda kukiriniki.
Kunyange zvazvo mishonga yeDMARD inganzwika semhando inotyisa uye yakaoma yemishonga, inogona kubatsira kudzora chirwere chako, kudzivirira kukuvara kwemajoini, uye kukubatsira kurarama hupenyu hwakajairika. Chiremba wako achasarudza musanganiswa wakakunakira wemishonga. Saka usatya kubvunza chiremba wako chero mibvunzo yaungave nayo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeDMARD haisi mishonga inoderedza marwadzo. Mishonga iyi inodzora kushanda zvakanyanya kwemasoja emuviri ayo ari iwo anokonzera chirwere chako.
- Zvinogona kutora mavhiki akati wandei kana mwedzi kuti mishonga iyi ishande, saka mwoyo murefu unokosha zvikuru.
- Kunyange zvazvo migumisiro yacho ichigona kuitika, chiremba wako achakutarisa zvakanyanya nekuongororwa ropa nguva dzose.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
- Kana ukaona zviratidzo zvisingawanzoitiki (fivha, kukosora, zvimwe hutachiona), zivisa chiremba wako nekukasika.
- Kana ikashandiswa nemazvo, mishonga yeDMARD inogona kuvandudza hupenyu hwako zvakanyanya.
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