Mndandanda wa Mankhwala Opatsirana a Lupus

Zamkati

• Corticosteroids
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Mankhwala ena
• Acetaminophen
• Opioids
• Lankhulani ndi dokotala wanu

Chiyambi

Systemic lupus erythematosus, kapena lupus, ndi matenda osachiritsika omwe amadzichotsera okha. Mu matenda omwe amadzimadzimadzimadzimodzi, chitetezo cha mthupi lanu chimadziukira. Lupus imapangitsa chitetezo cha mthupi kulakwitsa minofu yathanzi chifukwa cha majeremusi, mavairasi, ndi zina zowononga. Njirayo imapanga ma autoantibodies omwe amalimbana ndi ziwalo za thupi lanu.

Kuukira kumeneku kumatha kukhudza magawo ambiri amthupi lanu ndipo nthawi zambiri kumayambitsa zizindikilo. Lupus imatha kukhudza ziwalo zanu, ziwalo zanu, maso anu, ndi khungu lanu. Zitha kupweteketsa, kutupa, kutopa, ndi zotupa. Vutoli limadutsa munthawi yomwe limakhala logwira ntchito kwambiri, lomwe limatchedwa flares kapena flare-ups. Mutha kukhala ndi zizindikilo zambiri munthawi imeneyi. Lupus imadutsanso munthawi zakhululukidwe. Izi ndi nthawi zocheperako ntchito pomwe mungakhale ndi zovuta zochepa.

Corticosteroids

Corticosteroids, yotchedwanso glucocorticoids kapena steroids, itha kuthandizira kuchiza matenda a lupus. Mankhwalawa amatsanzira momwe cortisol imagwirira ntchito. Cortisol ndi hormone yomwe thupi lanu limapanga. Zimathandiza kulimbana ndi kutupa ndikuwongolera chitetezo chanu chamthupi. Kuwongolera chitetezo cha mthupi lanu kumatha kuchepetsa zizindikilo za lupus.

Steroids ndi awa:

• mbalambanda
• cortisone
• hydrocortisone

Mwambiri, ma steroids ndi othandiza. Koma monga mankhwala onse, nthawi zina amatha kuyambitsa mavuto. Izi zingaphatikizepo:

• kunenepa
• kusungira madzimadzi kapena kutupa
• ziphuphu
• kupsa mtima
• kuvuta kugona
• matenda
• kufooka kwa mafupa

Steroids nthawi zambiri amagwira ntchito mwachangu. Dokotala wanu akhoza kukupatsani chithandizo chachifupi cha steroid mpaka mankhwala anu a nthawi yayitali ayambe kugwira ntchito. Madokotala amayesa kupereka mankhwala otsika kwambiri a steroid kwa nthawi yayifupi kwambiri kuti apewe zovuta. Mukafunika kusiya kumwa steroids, dokotala wanu amachepetsa pang'onopang'ono mlingo wanu pakapita nthawi kuti muchepetse mavuto anu.

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)

NSAID amagwiritsidwa ntchito pochiza ululu, kutupa, ndi kuuma chifukwa cha lupus. Mankhwalawa amapezeka ngati owonjezera pa counter (OTC) ndi mankhwala akuchipatala. Ngati muli ndi matenda a impso kuchokera ku lupus, lankhulani ndi dokotala musanatenge NSAID. Mungafunike mlingo wotsika kapena dokotala angafune kuti mupewe mankhwalawa.

Ma NSAID a OTC ndi awa:

• aspirin
• ibuprofen (Motrin)
• naproxen

NSAID za mankhwala zikuphatikizapo:

• alirazamalik (Alirazamalik)
• diclofenac (Voltaren)
• diclofenac-misoprostol (Arthrotec) (Dziwani: misoprostol si NSAID. Zimathandiza kupewa zilonda zam'mimba, zomwe ndi chiopsezo cha ma NSAID.)
• zovuta (Dolobid)
• etodolac (Lodine)
• fenoprofen (Nalfon)
• flurbiprofen (Ansaid)
• mankhwala osokoneza bongo (Indocin)
• ketorolac (Toradol)
• ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
• Nabumetone (Kupumula)
• kutchfuneralhome
• mefenamic acid (Ponstel)
• meloxicam (Mobic Vivlodex)
• Nabumetone (Relafen)
• Kutchina (Daypro)
• piroxicam (Feldene)
• salsalate (Kutaya)
• sulindac (Chipatala)
• tolmetin (Tolmetin Sodium, Tolectin)

Zotsatira zofala kwambiri za NSAIDzi ndi monga:

• nseru
• kutentha pa chifuwa
• zilonda zam'mimba kapena m'matumbo
• kutuluka magazi m'mimba kapena m'matumbo

Kutenga mlingo waukulu wa NSAID kapena kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumawonjezera ngozi yanu yotuluka magazi kapena zilonda zam'mimba. Ma NSAID ena amakhala ofatsa pamimba kuposa ena. Nthawi zonse tengani ma NSAID ndi chakudya, ndipo musamamwe nthawi yomweyo musanagone kapena kugona. Izi zitha kuchepetsa chiopsezo chanu cham'mimba.

Mankhwala ena

Acetaminophen

Mankhwala a OTC monga acetaminophen (Tylenol) amatha kukupatsani mpumulo ku matenda anu a lupus. Mankhwalawa amatha kuchepetsa ululu ndikuchepetsa malungo. Mwambiri, acetaminophen imatha kubweretsa zovuta zochepa m'matumbo kuposa mankhwala omwe mumalandira. Komanso zingayambitsenso mavuto a impso ndi chiwindi. Funsani dokotala wanu za mlingo woyenera wa inu. Kutenga mlingo woyenera ndikofunikira ngati muli ndi matenda a impso ochokera ku lupus. Mutha kukhala omvera pazovuta za acetaminophen.

Opioids

Ngati NSAID kapena acetaminophen sizithetsa ululu wanu, dokotala wanu akhoza kukupatsani opioid. Mankhwalawa ndi mankhwala opweteka. Amakhala amphamvu ndipo amatha kupanga chizolowezi. M'malo mwake, mankhwalawa samakhala mankhwala oyamba a lupus woyamba chifukwa choopa kusuta. Opioids amathanso kukupangitsani kugona kwambiri. Simuyenera kumwa mankhwalawa ndi mowa.

Mankhwalawa ndi awa:

• hydrocodone
• codeine
• oxychodone

Lankhulani ndi dokotala wanu

Mankhwala ambiri amapezeka kuchiza lupus. Sizigwira ntchito chimodzimodzi. Ena amathetsa ululu, kutupa, ndi zizindikilo zina, pomwe ena amagwira ntchito poletsa chitetezo chamthupi. Zizindikiro ndi kuuma kwa lupus zimatha kusiyanasiyana pakati pa anthu, chifukwa chake lankhulani ndi dokotala pazomwe mungasankhe. Inu ndi dokotala wanu mutha kupanga dongosolo losamalira lomwe ndi loyenera kwa inu.