Ingabe uvuka ekuseni unobuhlungu obuqinile, obuvuvukile, nobungenakubekezeleleka emalungeni akho? Ingabe amalunga akho afana namadolo nezindololwane zakho ziyabuhlungu? Mhlawumbe udokotela wakho ukutshelile ukuthi uqale uhlobo lomuthi olubizwa ngokuthi 'ama-DMARD'. Ingabe wazizwa wesaba kancane lapho uzwa lelo gama? Ingabe wacabanga ukuthi, 'Luhlobo luni lomuthi?'? Ungakhathazeki. Namuhla, sizoxoxa ngala ma-DMARD ngendlela elula kakhulu ongayiqonda.
Ayini ama-DMARD ngamagama alula?
Ake sithi kukhona umlindi ohlakaniphile kakhulu emzimbeni wethu. Lo mlindi simbiza ngokuthi amasosha omzimba . Umsebenzi wakhe oyinhloko ukusivikela ezifweni ngokulwa namagciwane abangela izifo (njengamagciwane namagciwane) angena emzimbeni evela ngaphandle.
Kodwa ngezinye izikhathi, akuvamile kakhulu, lo mlindi wethu wenza iphutha elincane. Ucabanga ukuthi amangqamuzana aphilile emzimbeni wakhe, ikakhulukazi ezindaweni ezifana namalunga ethu, ayizitha bese eqala ukuwahlasela. Kufana nokujikijela amatshe endlini yakhe. Lesi simo sibiza lesi sifo ngokuthi isifo sokuzivikela komzimba .
Yilapho kungena khona uhlobo lwemithi ebizwa ngokuthi i-DMARD. Ama-DMARD amele 'Imithi Yokulwa Namathambo Eshintsha Izifo'. Igama lingase lizwakale lide kancane, kodwa empeleni lilula kakhulu. Lokho okwenziwa yile mithi ukuzola nokulawula amasosha omzimba, asebenza ngokweqile futhi ahlasela umzimba wawo.
Kunezinzuzo eziningana eziyinhloko ezinikezwa yilo muthi emzimbeni wethu:
- Kunciphisa ukuvuvukala nokuvuvukala emalungeni.
- Kukusiza ukulawula ubuhlungu obuzwayo.
- Kunciphisa ukusabalala noma ubucayi besifo.
- Kunciphisa noma kuvimbela ukulimala okungapheli kwamalunga namathambo.
- Kukusiza ukuthi ugcine amalunga akho esebenza kahle futhi wenze imisebenzi yakho yansuku zonke.
Yiziphi izifo ezisetshenziswa yi-DMARD?
Odokotela basebenzisa le mithi, ebizwa ngokuthi ama-DMARD, ngokuyinhloko ukulawula ukuvuvukala okubangelwa izifo ezihlasela amasosha omzimba. Nazi izibonelo ezimbalwa:
- Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
- I-Ankylosing spondylitis
- I-Psoriatic arthritis
- I-Lupus
- I-arthritis ye-idiopathic yentsha
- I-Scleroderma
- I-multiple sclerosis
- Isifo sikaSjögren
- I-Myositis
- I-vasculitis ye-rheumatoid
- Isifo samathumbu esivuvukalayo - isibonelo, isifo sikaCrohn
Ngaphezu kwalokho, ama-DMARD angasetshenziswa futhi ekwelapheni izinhlobo ezithile zomdlavuza ezingavamile.
Yiziphi izinhlobo eziyinhloko ze-DMARD?
Ama-DMARD angahlukaniswa ngamaqembu amabili amakhulu. Indlela asebenza ngayo nendlela asetshenziswa ngayo ihlukile kancane.
| Uhlobo lwe-DMARD | Incazelo elula | Izibonelo ezivame ukusetshenziswa |
|---|---|---|
| Ama-DMARD endabuko | Le mithi ithinta wonke amasosha omzimba, inciphisa ukusebenza kwawo. Lolu hlobo lwemithi luvame ukuba ngowokuqala ukuqala ngalo. Ivame ukuza ngesimo samaphilisi athathwa ngomlomo. |
|
| I-Biologicals | Lezi yizinhlobo ezintsha zemithi ezithuthukisiwe. Zifana 'nemicibisholo eqondiswayo'. Zihlasela futhi zihlasele ingxenye ethile kuphela yamaseli esimiso sokuzivikela komzimba abangela lesi sifo, ngaphandle kokuthinta lonke uhlelo. Ngokuvamile zinikezwa njenge-IV infusion noma njengomjovo ongaphansi kwesikhumba. |
Udokotela wakho uzonquma ukuthi yiluphi kulezi zinhlobo ezimbili okufanele akunike lona, noma ukuthi akunike zombili yini, ngokusekelwe esimweni sakho, ubukhali baso, nokuthi yini esebenza kahle emzimbeni wakho.
Indaba eyesaba wonke umuntu: Ingabe ikhona imiphumela emibi?
Njenganoma yimuphi umuthi, ama-DMARD angabangela eminye imiphumela emibi. Kodwa ungakhathazeki ngalolu hlu. Akuwona wonke umuntu ozothola yonke le miphumela emibi. Udokotela wakho uzokwelapha ngendlela enciphisa le ngozi.
| Uhlobo lomphumela ongemuhle | Incazelo kanye nalokho okufanele ukwazi |
|---|---|
| Imiphumela emibi engaba khona evamile kuzo zombili izinhlobo ze-DMARD | |
| Ingozi ephezulu yokutheleleka | Ngenxa yokuthi le mithi icindezela amasosha omzimba, ungathola kalula izifo ezifana nomkhuhlane kanye ne-flu (ingozi iphezulu kancane nge-biologics). Ngakho-ke kubalulekile ukuhlala kude nabantu abagulayo ezindaweni ezinabantu abaningi. |
| Amaseli egazi anciphile | Inani lamaseli amhlophe egazi (i-leukopenia), inani lamaseli abomvu egazi (i-anemia), kanye nenani lamaplatelet (i-thrombocytopenia) lingase lehle. Yingakho udokotela evame ukwenza ukuhlolwa kwegazi. |
| Ama-enzyme esibindi aphakanyisiwe | Amanye ama-DMARD angathinta isibindi. Lokhu kuhlolwa futhi ngokuhlolwa kwegazi. |
| Imiphumela emibi engaba khona eqondene nemithi yendabuko ye-DMARD | |
| Izinkinga zokugaya ukudla | Ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, ubuhlungu besisu, kanye nesifo sohudo kungase kwenzeke. |
| Ukuqhuma kwesikhumba | Abanye abantu bangase babe nokuvuvukala kwesikhumba. |
| Imiphumela emibi engaba khona eqondene ne-biologics | |
| Ukuphinda kuvele izifo ezindala | Uma uke waba nezifo ezifana nesifo sofuba, i-herpes, noma i-hepatitis, le mithi ingase izivuselele. Ngakho-ke, udokotela wakho uzokuhlola lokhu ngaphambi kokuqala umuthi. |
| Ukusabela kwendawo yomjovo | Kungase kube nokubomvu, ukuvuvukala, noma ubuhlungu endaweni yokujova. |
Into ebaluleke kakhulu ukwazisa udokotela wakho ngokushesha uma uthola izimpawu ezintsha noma imiphumela emibi.
Kuthatha isikhathi esingakanani ukuthi lo muthi usebenze?
Lona umbuzo obaluleke kakhulu. Ama-DMARD awawona umuthi owuthatha ngokushesha nje lapho uwuthatha, njengombulali wezinhlungu. Le mithi ithatha isikhathi ukuthi ingene emzimbeni, ilawule amasosha omzimba, futhi ibonise imiphumela.
- Ama-DMARD endabuko angathatha inyanga noma ngaphezulu ukusebenza.
- I-biologics ivame ukuqala ukusebenza zingakapheli amasonto ambalwa .
Ungakhathazeki uma ubuhlungu bungapheli ngokushesha lapho uqala ukuthatha lo muthi. Kuthatha isikhathi ukubona imiphumela, ngakho- ke kubalulekile ukubekezela. Udokotela wakho uzokunikeza eminye imithi ukusiza ukulawula ubuhlungu okwamanje.
Kufanele ngiphinde ngimbone nini udokotela?
Uma usuqalile i-DMARD, udokotela wakho uzokugada njalo. Ngakho-ke kubalulekile ukuya emtholampilo ngesikhathi. Ngokuvamile uzobhekana nalokhu okulandelayo:
- Ukuhlolwa kwegazi okuvamile: Uzocelwa ukuba uhlolwe igazi njalo ukuze kuhlolwe ukuthi umuthi usebenza kahle yini nokuthi kukhona yini imiphumela emibi (ukubalwa kwamangqamuzana egazi, ukusebenza kwesibindi).
- Ukuhlola ukutheleleka: Uzohlolwa njalo ukutheleleka, ikakhulukazi uma uthatha i-biologics.
- Ukuhlolwa okufana ne-X-ray: Ukuhlolwa okufana ne-X-ray kungenziwa ngezikhathi ezithile ukuze kuhlolwe umonakalo emalungeni.
Uma uhlangabezana nanoma yimiphi imiphumela emibi emisha, uzizwa sengathi umuthi awusebenzi, noma uma izimpawu zakho ziba zimbi kakhulu, khuluma nodokotela wakho ngokushesha, ngaphandle kokulinda i-aphoyintimenti yomtholampilo olandelayo.
Nakuba ama-DMARD engase azwakale njengohlobo lwemithi eyesabekayo neyinkimbinkimbi, angasiza ekulawuleni isifo sakho, avimbele ukulimala kwamalunga, futhi akusize uphile impilo evamile. Udokotela wakho uzokukhetha inhlanganisela efanele yemithi. Ngakho-ke ungesabi ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- Imithi ye-DMARD ayiyona imithi yokubulala izinhlungu. Yimithi elawula amasosha omzimba asebenza ngokweqile okuyimbangela yesifo sakho.
- Kungathatha amasonto amaningana noma ngisho nenyanga ukuthi le mithi isebenze, ngakho-ke isineke sibaluleke kakhulu.
- Nakuba imiphumela emibi ingenzeka, udokotela wakho uzokuqapha ngokucophelela ngokuhlolwa kwegazi njalo.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (umkhuhlane, ukukhwehlela, okunye ukutheleleka), yazisa udokotela wakho ngokushesha.
- Uma isetshenziswa kahle, ama-DMARD angathuthukisa kakhulu ikhwalithi yempilo yakho.
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