Isimiso somzimba wakho sokuzivikela, uhlelo lokuzivikela olukuvikela ezifweni, ngezinye izikhathi luqala ngephutha ukuhlasela amangqamuzana akho aphilile. Lesi simo sibizwa ngokuthi isifo sokuzivikela komzimba. Yilabo kuphela abaye bahlushwa yiso abaziyo ukuthi kunzima kangakanani ukuphila nobuhlungu bamalunga, ukuvuvukala, nokuqina kwawo. Ngakho-ke, ingabe udokotela wakho ukunike uhlobo lomuthi olubizwa ngokuthi ama-DMARD? Noma uke wezwa ngawo? Namuhla, ake sixoxe ngokuthi ayini lawa ma-DMARD, ukuthi asebenza kanjani, nokuthi yini okudingeka ukwazi ngawo.
Ayini ama-DMARD? Kalula nje...
Ama-DMARD amele izidakamizwa eziguqula izifo . Nakuba leli gama lizwakala liyinkimbinkimbi, umsebenzi empeleni ulula kakhulu. Lena imithi ekhethekile evimba amasosha omzimba wakho ukuthi angasebenzi ngokweqile futhi alimaze umzimba wakho.
Cabanga ngesimiso sakho somzimba sokuzivikela njengebutho elivikela izwe. Ngokuvamile, leli butho lihlasela izitha zakwamanye amazwe (amagciwane) kuphela. Kodwa esifweni esibangelwa ukuzivikela komzimba, leli butho liyaphambuka lihlasele abantu abangenacala ezweni lalo (izicubu ezinempilo emzimbeni). Lokho okwenziwa yi-DMARD ukuthulisa leli butho elisebenza ngokweqile bese liphinde lisebenze kahle.
Izinzuzo eziyinhloko ozithola kulo muthi yilezi:
- Kunciphisa ukuvuvukala emzimbeni, okusho ukuvuvukala, ukubomvu, kanye nobuhlungu.
- Kuqeda ubuhlungu.
- Kunciphisa ukusabalala noma ubukhali besifo.
- Kunciphisa noma kuvimbela ukulimala kwamathambo akho namalunga okubangelwa yilesi sifo.
- Kusiza ukugcina ukusebenza kahle kwamalunga.
Yiziphi izifo ezisetshenziswa yi-DMARD?
Odokotela basebenzisa kakhulu ama-DMARD ukulawula izimo ezahlukahlukene zokuzivikela komzimba ezibangela ukuvuvukala. Kungenzeka ukuthi uke wezwa ngezinye zazo.
| Igama lesifo (Isimo) | Isingeniso esifushane |
|---|---|
| Isifo Samathambo Esibangelwa Yi-Rheumatoid | Isimo esivamile esibangela ubuhlungu, ukuvuvukala, nokuqina kwamalunga. |
| I-Ankylosing Spondylitis | Uhlobo lwe-arthritis oluthinta kakhulu umgogodla. |
| Isifo Samathambo Se-Psoriatic | I-Psoriasis uhlobo lwe-arthritis oluvela kwabanye abantu abane-psoriasis. |
| I-Lupus | Isifo esingathinta izitho ezahlukene njengesikhumba, amalunga, izinso kanye nobuchopho. |
| Isifo Samathambo Esingavamile Sabantwana | Isifo samathambo ezinganeni ezingaphansi kweminyaka eyi-16. |
| I-Scleroderma | Isifo esibonakala kakhulu ukuqina kwesikhumba nokuqina kwaso. |
| I-Multiple Sclerosis | Isifo sesimiso sezinzwa esithinta ubuchopho kanye nomgogodla. |
Ngaphezu kwalokho, ama-DMARD awavamile ukusetshenziswa kwezinye izinhlobo zomdlavuza kanye ne-uveitis, isimo sokuvuvukala kweso esingasabelanga kwezinye izindlela zokwelapha.
Yiziphi izinhlobo ze-DMARD ezikhona?
Ama-DMARD angahlukaniswa ngezigaba ezimbili eziyinhloko.
1. Ama-DMARD endabuko
Lezi uhlobo lokuqala lwe-DMARD olutholakalayo. Le mithi isebenza ngokuzolisa wonke amasosha omzimba . Ngenxa yokuthi inemiphumela emibi embalwa, udokotela wakho cishe uzoqala ngokukunikeza lolu hlobo lomuthi. Lokhu kuvame ukuthathwa njengephilisi.
Ezinye izibonelo:
- `Azathioprine`
- `I-Hydroxychloroquine`
- `I-Leflunomide`
- 'I-Methotrexate'
- 'I-Sulfasalazine'
2. Ama-DMARD Ezinto Eziphilayo (i-Biologics)
Lezi izidakamizwa ezintsha nezithuthukisiwe. Zifana nezibhamu ezidubulayo. Azithinti wonke amasosha omzimba njengezidakamizwa zendabuko ze-DMARD,Ihlasela futhi ihlasele kuphela amangqamuzana athile omzimba abangela inkinga.
Lezi zivame ukuba namandla kakhulu futhi zisebenza kangcono kunemithi yendabuko ye-DMARD. Kodwa-ke, ziphinde zibe nengozi ephezulu kancane yemiphumela emibi. Uma ungalulami ngemithi yendabuko, udokotela wakho angase anqume ukukuqala kulolu hlobo lwemithi njengesinyathelo esilandelayo.
Lokhu kuvame ukunikezwa njengokufakwa kwe-intravenous (IV), noma njengokufakwa kwe-subcutaneous self-injection. Uma udinga ukusebenzisa umjovo onjalo, udokotela wakho noma umhlengikazi uzokufundisa ukuthi ungawunikeza kanjani ngokuphephile nangendlela efanele.
Ingabe ama-DMARD anemiphumela emibi?
Njenganoma yimuphi umuthi, ama-DMARD angabangela imiphumela emibi ethile. Kodwa-ke, akuwona wonke umuntu oyitholayo. Lokhu kungahluka kuye ngohlobo lomuthi owutholayo.
Okubalulekile: Ungakhathazeki ngokufunda ngale miphumela emibi. Udokotela wakho uzohlola ngokucophelela izingozi nezinzuzo ngaphambi kokukunikeza lo muthi. Uzokufundisa nendlela yokuphatha noma yiziphi izinkinga ezingase zivele.
| Uhlobo lomphumela ongemuhle | Izimpawu ezingaba khona |
|---|---|
| Imiphumela emibi ejwayelekile kuzo zombili izinhlobo zemithi | |
| Ingozi eyengeziwe yokutheleleka | Ngenxa yokuthi kunciphisa amasosha omzimba, izifo ezifana nomkhuhlane kanye nomkhuhlane zingavela kalula (le ngozi iphezulu kakhulu nge-biologics). |
| Amaseli egazi anciphile | Kungase kube nokwehla kwamangqamuzana amhlophe egazi (i-leukopenia), amangqamuzana abomvu egazi (i-anemia), noma ama-platelet (i-thrombocytopenia). |
| Ama-enzyme esibindi aphakanyisiwe | Lokhu kungatholakala ngokuhlolwa kwegazi. |
| Imiphumela emibi eqondene nemithi yendabuko ye-DMARD | |
| Izinkinga zesistimu yokugaya ukudla | Ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, ubuhlungu besisu, uhudo. |
| Izinkinga zesikhumba | Ukuqhuma kwesikhumba. |
| Imiphumela emibi eqondene ne-biologics | |
| Ukuvela kwezifo ezifihliwe | Izifo ezifana nesifo sofuba kanye ne-herpes, ebezilokhu zilele emzimbeni ngemva kokwelashwa, zingaphinde zibuye. |
| Okunye | Amazinga e-cholesterol akhuphukile, ingozi eyengeziwe yokuqhekeka kwegazi, ukubomvu noma ukuvuvukala endaweni yomjovo. |
Lo muthi uqala ukusebenza ngokushesha kangakanani?
Nansi inkinga abantu abaningi abanayo. Ama-DMARD awawona uhlobo lwemithi oyiphuzayo nje bese uzizwa kahle ngayo, njengomthobisi wezinhlungu. Le mithi ingathatha noma yikuphi kusukela emavikini ambalwa kuya enyangeni noma ngaphezulu ukuze ithulise amasosha omzimba futhi ilawule izimpawu.
Ngakho-ke, ungayeki ukuthatha umuthi ngoba nje ungezwa umehluko omkhulu emasontweni ambalwa okuqala. Kubaluleke kakhulu ukuba nesineke futhi uqhubeke nokusebenzisa umuthi njengoba udokotela wakho ekutshela.
Kunini lapho udinga ukuphinde ubonane nodokotela wakho?
Ngemva kokuqala i-DMARD, udokotela wakho kuzodingeka akubone ngezikhathi ezithile ukuze ahlole ukuthi umuthi uyasebenza yini nokuthi ngabe kukhona yini imiphumela emibi. Kungase kudingeke ukuthi kwenziwe izivivinyo ezithile ngalesi sikhathi.
- Ukuhlolwa kwegazi: Hlola ukuthi umuthi uyasebenza yini, ukuthi isibindi sithintekile yini, nokuthi amazinga amangqamuzana egazi ajwayelekile yini.
- Hlola ukutheleleka: Hlola ukutheleleka okufihliwe, ikakhulukazi uma uthatha i-biologics.
- Ukuhlolwa kwezithombe njenge-X-ray: Bona ukuthi umonakalo emalungeni ushintsha kanjani ngokuhamba kwesikhathi.
Uma ubona noma yimiphi imiphumela emibi emisha, uma izimpawu zakho ziba zimbi kakhulu, noma uma umuthi ungabonakali usebenza kahle njengakuqala, tshela udokotela wakho ngokushesha.
Ama-DMARD angabonakala eyinkimbinkimbi ekuqaleni. Kunezinhlobo eziningi zemithi, namagama amaningi ahlukene. Kodwa ungakhathazeki. Udokotela wakho uzokusiza ukhethe inhlanganisela yemithi efanelana kahle nesimo sakho, enikeza imiphumela emihle kakhulu, futhi enemiphumela emibi embalwa kakhulu. Unganqikazi ukumbuza noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-DMARD uhlobo olukhethekile lomuthi olusetshenziselwa ukwelapha izifo ezihlasela amasosha omzimba. Asebenza ngokuzolisa amasosha omzimba wakho.
- Le mithi ayisebenzi ngokushesha njengemithi yokubulala izinhlungu. Kungathatha amasonto noma izinyanga ukubona imiphumela. Ngakho-ke bekezela futhi uqhubeke uyisebenzisa.
- Abanye abantu, nakuba kungebona bonke abantu, bangase babe nemiphumela emibi. Ngakho-ke, kubalulekile ukuhlala uxhumana nodokotela wakho njalo.
- Ungalokothi ushintshe umthamo onqunyiwe noma uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma unemibuzo mayelana nemithi yakho noma ukugula, buza udokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho