Masoja emuviri wako, ayo anodzivirira zvirwere, dzimwe nguva anotanga kurwisa masero ako ane hutano. Chirwere ichi chinonzi chirwere che autoimmune. Avo chete vakambotambura nacho ndivo vanoziva kuti zvakaoma sei kurarama nekurwadziwa kwemajoini, kuzvimba, uye kuomarara kwachinokonzera. Saka, chiremba wako akakunyorerei mushonga unonzi DMARD here? Kana kuti wakambonzwa nezvawo here? Nhasi, ngatitaurei nezveizvi DMARD, mashandiro adzo, uye zvaunoda kuziva nezvazvo.
Chii chinonzi DMARD? Zvichitaurwa zviri nyore...
MaDMARD anomiririra Mishonga Inochinja Zvirwere Inorwisa Marwadzo . Kunyange zvazvo zita racho richinzwika serakaoma, basa racho riri nyore. Iyi mishonga inokosha inodzivisa immune system yako kuti isashande zvakanyanya uye ikuvadze muviri wako.
Funga nezvemasoja emuviri wako seuto rinodzivirira nyika. Kazhinji, uto iri rinongorwisa vavengi vekune dzimwe nyika (majemusi). Asi muchirwere che autoimmune, uto iri rinotsauka rorwisa vanhu vasina mhosva munyika yaro (nyama dzine hutano mumuviri). Zvinoitwa neDMARD kudzikamisa uto iri rinoita basa rakawandisa uye kuriita kuti rishande zvakanaka zvakare.
Mabhenefiti makuru aunowana kubva pamushonga uyu ndeaya:
- Inoderedza kuzvimba mumuviri, zvinoreva kuzvimba, kutsvuka, uye kurwadziwa.
- Inoderedza marwadzo.
- Inoderedza kupararira kana kuoma kwechirwere.
- Inoderedza kana kudzivirira kukuvara kwemapfupa nemapfundo ako kunokonzerwa nechirwere ichi.
- Inobatsira kuchengetedza mashandiro akanaka emajoini.
Ndezvipi zvirwere zvinoshandiswa neDMARD?
Vanachiremba vanonyanya kushandisa mishonga yeDMARD kudzora zvirwere zvakasiyana-siyana zve autoimmune zvinokonzera kuzvimba. Ungave wakambonzwa nezvezvimwe zvacho.
| Zita rechirwere (Mamiriro acho) | Sumo pfupi |
|---|---|
| Rheumatoid Arthritis | Chirwere chinowanzoitika chinokonzera kurwadziwa, kuzvimba, uye kuomarara kwemajoini. |
| Ankylosing Spondylitis | Rudzi rwearthritis runonyanya kukanganisa musana. |
| Arthritis yePsoriatic | Psoriasis rudzi rwearthritis runowanikwa mune vamwe vanhu vane psoriasis. |
| Lupus | Chirwere chinogona kukanganisa nhengo dzakasiyana-siyana dzakadai seganda, majoini, itsvo, uye uropi. |
| Arthritis yeVechidiki Idiopathic | Arthritis muvana vari pasi pemakore gumi nematanhatu. |
| Scleroderma | Chirwere chinonyanya kukosha ndechekuoma uye kukora kweganda. |
| Multiple Sclerosis | Chirwere chetsinga chinokanganisa uropi nemusana. |
Pamusoro pezvo, mishonga yeDMARD haiwanzo shandiswa kune mamwe marudzi ekenza uye kune uveitis, chirwere chekuzvimba kweziso chisina kupindura kune mamwe marapirwo.
Ndeapi marudzi eDMARD aripo?
MaDMARD anogona kukamurwa kuita mapoka maviri makuru.
1. MaDMARD echinyakare
Aya ndiwo marudzi ekutanga eDMARD anowanikwa. Mishonga iyi inoshanda nekudzikamisa masoja emuviri . Nekuti haina migumisiro yakawanda, chiremba wako angangotanga akupa mhando iyi yemishonga. Iyi inowanzotorwa sepiritsi.
Mimwe mienzaniso:
- `Azathioprine`
- `Hydroxychloroquine`
- `Leflunomide`
- 'Methotrexate'
- 'Sulfasalazine'
2. Biological DMARDs (Biologics)
Iyi mishonga mitsva, yepamusoro-soro. Yakafanana nepfuti dzinopfura nepfuti. Hadzikanganisi masoja ese emuviri seDMARD dzechinyakare,Vanongorwisa masero ekudzivirira muviri ari kukonzera dambudziko iri chete.
Izvi zvinowanzova nesimba uye zvinoshanda kupfuura mishonga yechivanhu yeDMARD. Zvisinei, zvinewo njodzi yakakura yekukonzera migumisiro yakaipa. Kana ukasapora nemishonga yechivanhu, chiremba wako anogona kusarudza kutanga kushandisa mhando iyi yemishonga sedanho rinotevera.
Izvi zvinowanzopihwa semushonga wemutsinga (IV), kana kuti sekuzvibaya jekiseni pasi peganda. Kana uchida kushandisa jekiseni rakadaro, chiremba wako kana nesi achakudzidzisa maitiro ekuripa zvakachengeteka uye nemazvo.
Ko DMARDs dzine migumisiro yakaipa here?
Kufanana nemushonga upi zvawo, mishonga yeDMARD inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Izvi zvinogona kusiyana zvichienderana nerudzi rwemushonga waunogamuchira.
Zvakakosha: Usavhunduke nekuverenga nezvemigumisiro iyi. Chiremba wako achanyatsoongorora njodzi nemabhenefiti asati akupa mushonga uyu. Achakudzidzisawo kuti ungagadzirisa sei matambudziko angamuka.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo zvinogona kuitika |
|---|---|
| Migumisiro yakajairika kune mhando dzese dzemishonga | |
| Kuwanda kwenjodzi yekutapukirwa | Nekuti inoderedza dziviriro yemuviri, hutachiona hwakadai sedzihwa nefuruu hunogona kukura zviri nyore (njodzi iyi yakakura kana ukashandisa biologics). |
| Kuderera kwemasero eropa | Panogona kuva nekuderera kwemasero machena eropa (leukopenia), masero matsvuku eropa (anemia), kana maplatelet (thrombocytopenia). |
| Ma enzymes echiropa akakwira | Izvi zvinogona kuonekwa kuburikidza nekuongororwa kweropa. |
| Migumisiro yakashata yakanangana neDMARD yechinyakare | |
| Matambudziko ekugaya chikafu | Kushaya chido chekudya, kuda kurutsa, kurutsa, kurwadziwa mudumbu, manyoka. |
| Matambudziko eganda | Mapundu paganda. |
| Migumisiro yakashata yakanangana ne biologics | |
| Kubuda kwezvirwere zvakavanzika | Utachiona hwakadai seTB neherpes, hwakanga hwakarara mumuviri mushure mekurapwa, hunogona kudzoka. |
| Zvimwe | Kuwedzera kwehuwandu hwecholesterol mumuviri, kuwedzera kwenjodzi yekugwamba kweropa, kutsvuka kana kuzvimba panzvimbo yekubaiwa jekiseni. |
Mushonga uyu unotanga kushanda nekukurumidza sei?
Heino dambudziko rine vanhu vazhinji. Mishonga yeDMARD haisi mhando yemishonga yaunongotora wonzwa zvakanaka, semushonga unonyaradza marwadzo. Mishonga iyi inogona kutora chero mavhiki mashoma kusvika kumwedzi kana kupfuura kuti inyaradze masoja emuviri uye idzore zviratidzo.
Saka, musarega kutora mushonga uyu nekuti hamuna kunzwa shanduko yakawanda mumavhiki ekutanga. Zvakakosha kuti muve nemoyo murefu uye murambe muchishandisa mushonga sezvamakaudzwa nachiremba wenyu.
Unofanira kuona chiremba wako zvakare rini?
Mushure mekunge matanga kushandisa DMARDs, chiremba wenyu achafanira kukuonai nguva nenguva kuti aone kana mushonga wacho uchishanda uye kana paine zvimwe zvinokanganisa. Mungangoda kuongororwa panguva iyi.
- Kuongororwa kweropa: Tarisa kana mushonga uri kushanda, kana chiropa chakanganiswa, uye kana mazinga emasero eropa ari akajairwa.
- Kuongororwa kwehutachiona: Tarisa kana uine hutachiona hwakavanzika, kunyanya kana uri kutora mishonga ye biologics.
- Kuongororwa kwemifananidzo yakaita seX-rays: Ona kuti kukuvara kwemajoini kunochinja sei nekufamba kwenguva.
Kana ukaona mimwe migumisiro mitsva, kana zviratidzo zvako zvikawedzera, kana kuti mushonga wacho usingashande zvakanaka sezvawaiita kare, taurira chiremba wako nekukasika.
Pakutanga mishonga yeDMARD inogona kuita seyakaoma zvishoma. Kune mhando dzakawanda dzemishonga, uye mazita akasiyana-siyana. Asi usazvidya mwoyo. Chiremba wako achakubatsira kusarudza musanganiswa wemishonga inonyatsokodzera chirwere chako, inopa mhedzisiro yakanakisisa, uye ine migumisiro mishoma. Usazeza kumubvunza chero mibvunzo yaungave nayo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeDMARD inoshandiswa kurapa zvirwere zvinorwisa muviri. Inoshanda nekudzikamisa masoja emuviri.
- Mishonga iyi haishande ipapo ipapo semishonga inonyaradza marwadzo. Zvinogona kutora mavhiki kana mwedzi kuti zvionekwe. Saka shivirira urambe uchiishandisa.
- Vamwe vanhu, kunyange vasiri vese, vanogona kusangana nemigumisiro yakaipa. Saka, zvakakosha kugara uchionana nachiremba wako.
- Usambofa wakachinja mushonga wawakanyorerwa kana kurega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako.
- Kana muine mibvunzo nezvemushonga wenyu kana chirwere chenyu, bvunzai chiremba wenyu.
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