Mankhwala O jakisoni motsutsana ndi Mankhwala Amlomo a Psoriatic Arthritis
Zamkati
Ngati mukukhala ndi psoriatic arthritis (PsA), muli ndi njira zingapo zochiritsira. Kupeza zabwino kwambiri kwa inu ndi matenda anu kumatha kuyesedwa.
Pogwira ntchito ndi gulu lanu lazachipatala ndikuphunzira zambiri zamankhwala osiyanasiyana, mutha kupeza mpumulo wa PsA.
Mankhwala ojambulidwa a PsA
Biologics ndi mankhwala opangidwa ndi zinthu zamoyo, monga maselo amunthu, nyama, kapena tizilombo toyambitsa matenda.
Pakadali pano pali mankhwala asanu ndi anayi ojambulidwa a biologic a PsA:
- adalimumab (Humira)
- chitsimikizo (Cimzia)
- etanercept (Enbrel)
- golimumab (Simponi)
- infliximab (Kutulutsa)
- ustekinumab (Stelara)
- secukinumab (Cosentyx)
- akupha (Orencia)
- ixekizumab (Taltz)
Ma biosimilars ndi mankhwala omwe avomerezedwa ndi njira yotsika mtengo ku mankhwala ena omwe alipo kale.
Amatchedwa biosimilar chifukwa ndi ofanana kwambiri, koma osagwirizana, ndi mankhwala ena a biologic omwe ali kale pamsika.
Biosimilars kupezeka kwa PsA:
- Erelzi amafanana ndi Enbrel
- Amjevita amatsutsana ndi Humira
- Cyltezo amafanana ndi Humira
- Inflectra biosimilar kwa Remicade
- Renflexis biosimilar kwa Remicade
Phindu lalikulu la biologics ndikuti amatha kuyimitsa kutupa kwama cell. Nthawi yomweyo, ma biologics amadziwika kuti amachepetsa chitetezo chamthupi, chomwe chimatha kukupatsani matenda ena.
Mankhwala apakamwa a PsA
Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), ma corticosteroids, ndi mankhwala osintha matenda (DMARDs) amatengedwa pakamwa, ngakhale ma NSAID ena atha kugwiritsidwa ntchito pamutu.
NSAID zikuphatikizapo:
- ibuprofen (Advil, Motrin IB)
- naproxen (Aleve)
- alirazamalik (Alirazamalik)
Ubwino waukulu wa ma NSAID ndikuti ambiri amapezeka pamatauni.
Koma alibe zovuta zina. Ma NSAID amatha kuyambitsa m'mimba ndikutuluka magazi. Angakulitsenso chiopsezo chanu chodwala matenda a mtima kapena sitiroko.
Ma DMARD ndi awa:
- leflunomide (Arava)
- cyclosporine (Neoral, Sandimmune)
- methotrexate (Trexall)
- sulfasalazine (Azulfidine)
- chifuwa chachikulu (Otezla)
Biologics ndi gawo kapena mtundu wa DMARD, chifukwa chake imagwiranso ntchito kupondereza kapena kuchepetsa kutupa.
Corticosteroids ndi awa:
- prednisone (Rayos)
Amadziwikanso kuti steroids, mankhwalawa amathandiza kuchepetsa kutupa. Apanso, amadziwika kuti amachepetsa chitetezo chamthupi.
Tengera kwina
Pali maubwino ndi zoyipa zomwe zingachitike chifukwa cha jakisoni ndi mankhwala akumwa. Anthu amatha kuwona zisonyezo za PsA mosiyana, chifukwa chake mungafunike kuyesa mankhwala angapo musanapeze omwe akukuyenerani.
Dokotala wanu amatha kupanga malingaliro kutengera kuopsa kwa zizindikilo zanu. Angathenso kupereka lingaliro la kuphatikiza mitundu ya mankhwala.