Momwe Mungasankhire Chithandizo Chabwino Kwambiri cha MS M'moyo Wanu

Zamkati

• Mankhwala odzipangira okha
• Mankhwala olowetsedwa
• Mankhwala apakamwa
• Kutenga

Chidule

Pali mankhwala osiyanasiyana a multiple sclerosis (MS) omwe adapangidwa kuti asinthe momwe matendawa amapitilira, kuthandizira kubwereranso, komanso kuthandizira zizindikilo.

Mankhwala osinthira matenda (DMTs) a MS amagwera m'magulu atatu: kudzipangira jakisoni, kulowetsedwa, ndi pakamwa. Zina mwa mankhwalawa amatha kumwa kunyumba, pomwe ena amafunika kupatsidwa kuchipatala. Mtundu uliwonse wa mankhwala uli ndi maubwino ena komanso zotsatirapo zoyipa zomwe zingachitike.

Pokhala ndi njira zambiri, zingakhale zovuta kusankha mankhwala omwe mungayambe.

Dokotala wanu akhoza kukuthandizani kuti muone zabwino ndi zoyipa za chisankho chilichonse ndi momwe zimakhudzira moyo wanu. Nazi zambiri pamtundu uliwonse wamankhwala wokuthandizani kupanga chisankho chanzeru.

Mankhwala odzipangira okha

Mankhwalawa amaperekedwa ndi jakisoni, zomwe mutha kuzichita nokha. Mukalandira maphunziro kuchokera kwa akatswiri azaumoyo ndikuphunzirani njira yoyenera yodzibayira jekeseni bwinobwino.

Mankhwala odzipangira okha ndi awa:

• glatiramer nthochi (Copaxone, Glatopa)
• interferon beta-1a (Avonex, Rebif)
• interferon beta-1b (Betaseron, Extavia)
• peginterferon beta-1a (Plegridy)

Mutha kubaya mankhwalawa mwina mwakachetechete (pansi pa khungu) kapena mumisempha (molunjika mu minofu). Izi zitha kuphatikizira singano kapena cholembera cha jakisoni.

Pafupipafupi jakisoni amakhala kuyambira tsiku lililonse mpaka kamodzi pamwezi.

Zotsatira zoyipa zamankhwala obayidwa jakisoni ndizosasangalatsa koma nthawi zambiri zimakhala zazifupi komanso zimatha kusamvana. Mutha kumva kupweteka, kutupa, kapena khungu pakhungu la jekeseni. Ambiri mwa mankhwalawa amatha kuyambitsa chimfine, komanso zovuta zakuyesa chiwindi.

Zinbryta ndi mankhwala ena omwe anali kugwiritsidwa ntchito. Komabe, adachotsedwa mwakufuna kwawo pamsika chifukwa chodera nkhawa za chitetezo, kuphatikiza malipoti akuwonongeka kwa chiwindi komanso anaphylaxis.

Ngati muli omasuka kudzipiritsa nokha ndipo simukufuna kumwa mankhwala akumwa tsiku lililonse, mankhwala ojambulidwa atha kukhala chisankho chabwino kwa inu. Glatopa imafuna jakisoni wa tsiku ndi tsiku koma ena, monga Plegridy, samachitidwa pafupipafupi.

Mankhwala olowetsedwa

Mankhwalawa amaperekedwa kudzera m'mitsempha m'malo azachipatala. Simungathe kupita nawo nokha kunyumba, chifukwa chake muyenera kupita kumalo osankhidwa.

Mankhwala olowetsedwa ndi awa:

• alemtuzumab (Lemtrada)
• mitoxantrone (Novantrone)
• natalizumab (Tysabri)
• ocrelizumab (Ocrevus)

Ndondomeko zamankhwala olowerera zimasiyana:

• Lemtrada imaperekedwa m'maphunziro awiri, kuyambira masiku asanu a infusions ndikutsatiridwa ndi kukhazikitsidwa kwachiwiri patatha masiku atatu.
• Novantrone imaperekedwa miyezi itatu iliyonse, kwa zaka ziwiri kapena zitatu.
• Tysabri imayendetsedwa kamodzi pa milungu inayi iliyonse.

Zotsatira zoyipa zimaphatikizapo kunyoza, kupweteka mutu, komanso kupweteka m'mimba. Nthawi zambiri, mankhwalawa amatha kuyambitsa zovuta zina monga matenda komanso kuwonongeka kwa mtima. Dokotala wanu adzakuthandizani kuyeza kuopsa kwakumwa mankhwalawa motsutsana ndi phindu lomwe lingapezeke.

Ngati mukufuna thandizo la wodwala akamakupatsani mankhwala ndipo simukufuna kumwa mapiritsi tsiku lililonse, mankhwala olowerera akhoza kukhala chisankho chabwino kwa inu.

Mankhwala apakamwa

Mutha kumwa mankhwala anu a MS mu mapiritsi, ngati ndi zomwe mumakonda. Mankhwala apakamwa ndi osavuta kumwa ndipo ndi njira yabwino ngati simukukonda singano.

Mankhwala apakamwa ndi awa:

• cladribrine (Mavenclad)
• dimethyl fumarate (Tecfidera)
• diroximel fumarate (Kuchuluka)
• fingolimod (Gilenya)
• siponimod (Mayzent)
• teriflunomide (Aubagio)

Zotsatira zoyipa zamankhwala am'kamwa zimatha kuphatikizira kumutu ndi mayeso osadziwika a chiwindi.

Aubagio, Gilenya, ndi Mayzent amatengedwa kamodzi patsiku. Tecfidera imatengedwa kawiri patsiku. Mu sabata lanu loyamba pa Vumerity, mudzamwa mapiritsi amodzi kawiri patsiku. Pambuyo pake, mutenga mapiritsi awiri kawiri patsiku.

Mavenclad ndi njira yachidule yothandizira pakamwa. Pakadutsa zaka 2, simudzakhala ndi masiku opitilira 20. Pa masiku anu azachipatala, mlingo wanu umakhala ndi mapiritsi amodzi kapena awiri.

Kutenga mankhwala anu monga momwe akufunira ndikofunikira kuti akhale othandiza. Chifukwa chake muyenera kutsatira ndandanda yokonzekera mukamwa tsiku lililonse. Kukhazikitsa zikumbutso zanu kumatha kukuthandizani kutsatira ndandanda ndikumwa mlingo uliwonse munthawi yake.

Kutenga

Mankhwala osinthira matenda amapezeka m'njira zosiyanasiyana, kuphatikizapo kudzipiritsa jakisoni, kulowetsedwa, ndi kumwa pakamwa. Iliyonse mwa mitundu iyi imakhala ndi zotsatirapo komanso maubwino. Dokotala wanu akhoza kukuthandizani kusankha mankhwala omwe ndi oyenera kutengera zomwe mumakonda, zomwe mumakonda, komanso momwe mumakhalira.